Applied Nursing Research最新文献

{"title":"An exploratory study of nursing tasks that induce physical and mental stress among hospital nurses","authors":"Younhee Kang ,&nbsp;Aekyeong Jin","doi":"10.1016/j.apnr.2024.151853","DOIUrl":"10.1016/j.apnr.2024.151853","url":null,"abstract":"<div><h3>Background</h3><div>Nursing tasks are major contributing factors of nurses' stress. Identifying these stress-inducing tasks by hospital and department is the first step in devising practical strategies to address this issue.</div></div><div><h3>Objectives</h3><div>This study aimed to develop a nursing task list by categorizing nursing tasks and identifying the ones that induced physical and mental stress among hospital nurses.</div></div><div><h3>Methods</h3><div>This descriptive exploratory study was conducted. In the first phase, the nursing task list was formulated based on a literature review and an expert content validity verification. In the second phase, the stress-inducing (both physical and mental) nursing tasks in different departments at two types of hospitals were investigated from 775 nurses. The data were analyzed using descriptive statistics, <em>t</em>-test, χ² test and ANOVA performed using SPSS/WIN 26.0.</div></div><div><h3>Results</h3><div>The nursing task of “exercise and position change” was identified to cause the highest physical stress across all five departments in both advanced general hospitals and general hospitals. Similarly, the nursing task “explanation of patients' condition upon request from the patients' family members” induced the greatest mental stress in both advanced general hospitals and general hospitals. Finally, “substitution for physicians: prescription” was identified as the greatest mental stress-inducing nursing task in general hospitals.</div></div><div><h3>Conclusion</h3><div>Based on a nursing task list developed, we determined which nursing tasks induce physical and mental stress in different departments at two types of hospitals. This foundational work will be crucial for exploring practical strategies to relieve nurses' stress.</div></div>","PeriodicalId":50740,"journal":{"name":"Applied Nursing Research","volume":"80 ","pages":"Article 151853"},"PeriodicalIF":2.7,"publicationDate":"2024-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S0897189724000910/pdfft?md5=2fa68544280f10c3aa3867602c4c4c40&pid=1-s2.0-S0897189724000910-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142311216","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"How grit mediates depressive symptoms with life and job satisfaction in full-time employed adults with congenital heart disease","authors":"Yu-Shiu Liu ,&nbsp;Hung-Tao Chung ,&nbsp;Jou-Kou Wang ,&nbsp;Chiu-Yueh Yang ,&nbsp;Chieh-Yu Liu ,&nbsp;Chi-Wen Chen","doi":"10.1016/j.apnr.2024.151845","DOIUrl":"10.1016/j.apnr.2024.151845","url":null,"abstract":"<div><h3>Background</h3><p>Technological advancements have extended the lifespan of individuals with congenital heart disease (CHD), but physical and mental health issues can affect their life and job satisfaction.</p></div><div><h3>Aims</h3><p>This study examined whether grit can protect full-time employed adults with CHD from depression by exploring its mediating role between depressive symptoms and life or job satisfaction.</p></div><div><h3>Methods</h3><p>A cross-sectional design involved 181 adults with CHD assessed using the Patient Health Questionnaire, Grit-10, Satisfaction with Life Scale, and Basic Psychological Need Satisfaction at Work Scale. Data analysis was conducted with SPSS and Smart PLS software for partial least squares structural equation modeling, adhering to the Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) guidelines.</p></div><div><h3>Results</h3><p>Indicated that depressive symptoms were negatively correlated with grit, life satisfaction, and job satisfaction, while grit was positively correlated with both satisfaction measures. Grit partially mediated the relationship between depressive symptoms and life/job satisfaction, accounting for 30.70 % and 29.11 % of the variance, respectively.</p></div><div><h3>Conclusions</h3><p>Grit significantly mitigates the negative impact of depressive symptoms on life and job satisfaction in full-time employed adults with CHD. Nurses should identify signs of depression in adults with CHD and evaluate their grit levels. Interventions to increase grit and reduce depressive symptoms could enhance life and job satisfaction.</p></div>","PeriodicalId":50740,"journal":{"name":"Applied Nursing Research","volume":"79 ","pages":"Article 151845"},"PeriodicalIF":2.7,"publicationDate":"2024-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142150942","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Connections matter: Exploring the relationship between belonging and psychosocial well-being in type 1 diabetes in Iran","authors":"Mohammadreza Razeghi ,&nbsp;Samereh Abdoli PhD, RN ,&nbsp;Leila Mardanian Dehkordi PhD","doi":"10.1016/j.apnr.2024.151843","DOIUrl":"10.1016/j.apnr.2024.151843","url":null,"abstract":"<div><h3>Aim</h3><p>Identify the relationship between a sense of belonging and psychosocial well-being in individuals with type 1 diabetes (T1D) in Iran.</p></div><div><h3>Background</h3><p>Understanding this relationship is vital for tailored nursing interventions to enhance individual's sense of belonging and improve diabetes outcomes.</p></div><div><h3>Methods</h3><p>This cross-sectional study included 205 participants selected via multi-stage cluster and simple random sampling from health centers in Iranian. Electronic surveys designed on Google Forms, using valid and reliable scales and compliant with HIPAA, assessed sense of belonging, distress, and burnout. Data were analyzed using SPSS (version 25).</p></div><div><h3>Results</h3><p>Participants reported high sense of belonging with varying levels of diabetes distress and burnout. Multiple regression analysis of 205 participants showed that sense of belonging index (SOBI) scores significantly predicted diabetes distress (F(2,203) = 39.71, <em>p</em> &lt; 0.001) and burnout (F(2, 203) = 42.319, <em>p</em> &lt; 0.001). Sense of Belonging Instrument-Psychological (SOBI-P) scores were negatively correlated with both distress (<em>r</em> = −0.52, <em>p</em> &lt; 0.001) and burnout (<em>r</em> = −0.53, p &lt; 0.001), indicating higher belonging is linked to lower distress and burnout. Sense of Belonging Instrument-Antecedents (SOBI-A) scores had positive but non-significant correlations (distress: <em>r</em> = 0.07, <em>p</em> = 0.27; burnout: <em>r</em> = 0.10, <em>p</em> = 0.13). SOBI-P accounted for ∼30 % of the variance in distress (R² = 0.275) and burnout (R² = 0.288), with significant contributions to both models (<em>t</em> = −8.8, <em>p</em> &lt; 0.001; <em>t</em> = −9.02, p &lt; 0.001). Anticipated belonging showed no significant correlations with distress or burnout.</p></div><div><h3>Conclusion</h3><p>The negative correlations between personal belonging, self-reported distress, and burnout suggest that enhancing the psychological sense of belonging may be an effective strategy to mitigate diabetes-related distress and burnout Stigmatization and financial strain in Iran may exacerbate emotional burden, regimen related distress, and burnout. The lack of association between anticipated belonging and psychosocial well-being underscores differences in present and future perceptions of support, emphasizing the need for culturally sensitive nursing interventions.</p></div>","PeriodicalId":50740,"journal":{"name":"Applied Nursing Research","volume":"79 ","pages":"Article 151843"},"PeriodicalIF":2.7,"publicationDate":"2024-08-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142121736","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The mediating role of social support on the relationship between secondary traumatic stress and burnout of nurses caring for COVID-19 patients: A cross-sectional study","authors":"Wejdan Shaqiqi ,&nbsp;Faiza A. Abou El-Soud","doi":"10.1016/j.apnr.2024.151844","DOIUrl":"10.1016/j.apnr.2024.151844","url":null,"abstract":"<div><h3>Background</h3><p>Social support can help nurses cope with occupational stress and trauma, and maintain overall well-being, particularly in stressful situations such as outbreaks.</p></div><div><h3>Aim</h3><p>To determine the mediating role of social support on the relationship between secondary traumatic stress (STS) and burnout among nurses who cared for COVID-19 patients.</p></div><div><h3>Design</h3><p>A cross-sectional, correlational, descriptive design.</p></div><div><h3>Methods</h3><p>Two hundred nurses who had provided direct care to COVID-19 patients were recruited from wards in two hospitals in Riyadh, Saudi Arabia. Data were collected using the Multidimensional Scale of Perceived Social Support and the Professional Quality of Life Scale tools.</p></div><div><h3>Results</h3><p>STS had a significant and positive correlation with burnout (<em>r</em> = 0.610, <em>p</em> = 0.000); social support from family, friends, and significant others were each significantly and negatively associated with STS (<em>r</em> = −0.147, <em>p</em> = 0.038; <em>r</em> = −0.547, <em>p</em> &lt; 0.0001; <em>r</em> = −0.225, <em>p</em> = 0.001, respectively) and burnout (<em>r</em> = 0–0.282, <em>p</em> &lt; 0.0001; <em>r</em> = −0.716, <em>p</em> = 0.026; <em>r</em> = −0.377, <em>p</em> &lt; 0.0001, respectively). STS had a significant effect on social support (β = −0.21, <em>p</em> = 0.042) and burnout (β = 0.61, p &lt; 0.0001). Social support had a significant and partial effect on the relationship between STS and burnout (Z = 2.99, <em>p</em> = 0.002).</p></div><div><h3>Conclusion</h3><p>Social support can reduce and mitigate the negative effects of STS and burnout. This understanding could enhance nurses' occupational lives by assisting policymakers and nurse managers in creating positive work environments that promote social support. Such policies could reduce the incidence and impact of burnout and STS.</p></div>","PeriodicalId":50740,"journal":{"name":"Applied Nursing Research","volume":"79 ","pages":"Article 151844"},"PeriodicalIF":2.7,"publicationDate":"2024-08-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S089718972400082X/pdfft?md5=583321724eb5413ba8aa23b7c2bfe27a&pid=1-s2.0-S089718972400082X-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142097988","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effect of Hope Theory combined with active cycle of breathing techniques on pulmonary rehabilitation among COPD patients: A quasi-experiment study","authors":"Meng Li ,&nbsp;Xin An ,&nbsp;Qiushuang Wang ,&nbsp;Jiangtao Ma ,&nbsp;Yanli Wang ,&nbsp;Jinghua Ma","doi":"10.1016/j.apnr.2024.151842","DOIUrl":"10.1016/j.apnr.2024.151842","url":null,"abstract":"<div><h3>Background</h3><p>Pulmonary rehabilitation plays a positive role in improving exercise tolerance and reducing readmission rates in patients with chronic obstructive pulmonary disease (COPD), while the adherence of pulmonary rehabilitation in COPD patients is still poor. The active cycle of breathing techniques based on the Hope Theory is a method to enhance patients' confidence in overcoming the disease and improve the intrinsic motivation of exercise through symptom improvement such as cough and sputum evacuation ability.</p></div><div><h3>Objectives</h3><p>To investigate the effect of Hope Theory education combined with the active cycle of breathing techniques on pulmonary rehabilitation of COPD patients, including exercise adherence, cough and sputum evacuation ability, hope index and exercise self-efficacy.</p></div><div><h3>Methods</h3><p>The study assigned 70 COPD patients hospitalized into intervention and control groups to receive the active cycle of breathing techniques based on Hope Theory or routine treatment in order of admission. Data for cough and sputum evacuation ability, hope, exercise confidence were collected at baseline and after the program. Exercise adherence was assessed at the end of 1, 4 and 8 week following discharge.</p></div><div><h3>Results</h3><p>The actual number of sample consisted of 65 patients divided into intervention (<em>n</em> = 33) and control (<em>n</em> = 32) groups due to severe complications, explicit refusal, disinterest and loss to follow-up. After two weeks of intervention, exercise adherence of the intervention group were better than those of the control group at the end of 4 and 8 week of discharge (<em>P</em> &lt; 0.05). And there was an improvement in cough and sputum evacuation ability, hope and exercise self-efficacy outcomes in the intervention group, with a statistically significant difference between the two groups (<em>P</em> &lt; 0.05).</p></div><div><h3>Conclusion</h3><p>The active cycle of breathing techniques based on Hope Theory education can improve cough and sputum evacuation ability, hope index, exercise self-efficacy, and exercise adherence of COPD patients.</p></div>","PeriodicalId":50740,"journal":{"name":"Applied Nursing Research","volume":"79 ","pages":"Article 151842"},"PeriodicalIF":2.7,"publicationDate":"2024-08-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142097989","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effects of a nurse-led aftercare telehealth programme on sleep and psychological outcomes of adult burn survivors: A randomized controlled trial","authors":"Jonathan Bayuo RN PhD ,&nbsp;Frances Kam Yuet Wong RN PhD ,&nbsp;Loretta Yuet Foon Chung RN PhD","doi":"10.1016/j.apnr.2024.151840","DOIUrl":"10.1016/j.apnr.2024.151840","url":null,"abstract":"<div><h3>Introduction</h3><p>Burn survivors often experience a plethora of post-burn residual needs following their discharge including psychological issues and poor sleep. These needs are often overlooked with a significant focus on resolving physical issues. Aftercare support is particularly limited. The emergence of the Coronavirus pandemic worsened the situation as burn survivors were unable to return to utilise available services outpatient basis. Thus, an innovative nurse-led aftercare programme was developed and delivered via WeChat social medial platform. The current study sought to examine the effects of the intervention on anxiety, depression, and sleep pattern among adult burn survivors.</p></div><div><h3>Methods</h3><p>This is a randomised controlled trial. Sixty adult burn survivors were randomly assigned to intervention and control groups. Participants in the intervention group received the nurse-led aftercare programme which involved pre-discharge support and active follow-up on WeChat over an 8-week period and an additional 4 weeks to examine the sustained effects of the intervention. Data were collected at three timepoints: baseline (T0), post-intervention (T1), and follow-up (T2). Generalised estimating equation was employed to ascertain the group, time, and interaction effects.</p></div><div><h3>Results</h3><p>Using Bonferroni corrected <em>p</em> value (0.017), Anxiety and depression improved at T1 and sustained at T2 with mean scores demonstrating a reduction in both variables and total score. No statistically significant improvement was however observed regarding sleep.</p></div><div><h3>Conclusion</h3><p>Continuous, comprehensive support is required by burn survivors following discharge to improve psychological outcomes. Delivering aftercare via WeChat should be considered a feasible option to supporting burn survivors following discharge.</p></div>","PeriodicalId":50740,"journal":{"name":"Applied Nursing Research","volume":"79 ","pages":"Article 151840"},"PeriodicalIF":2.7,"publicationDate":"2024-08-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142048142","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Development and effects of the PARENT (Parenting Acceptable Real Empathy Nurture Training) program for mothers who defected from North Korea","authors":"In-Sook Lee ,&nbsp;Jung-Hee Jeon","doi":"10.1016/j.apnr.2024.151839","DOIUrl":"10.1016/j.apnr.2024.151839","url":null,"abstract":"<div><h3>Aim and background</h3><p>North Korean refugee mothers struggle with the two-fold burden of adaptation and parenting in a new environment. This study aimed to develop and examine the effects of a parenting program for North Korean refugee mothers.</p></div><div><h3>Methods</h3><p>This quasi-experimental study was conducted with 65 North Korean refugee mothers who were recruited through the Korea Hana Foundation Center and Sajowi. The experimental and control groups comprised 33, 32 participants respectively. A program was conducted across eight sessions, each lasting about 90–120 min. The data were analyzed using the χ² test, independent <em>t</em>-test, and paired t-test.</p></div><div><h3>Results</h3><p>Significant differences were observed in the parenting efficacy (<em>t</em> = −10.03, <em>p</em> &lt; .001) and child related stress (sub domain-parenting stress) (<em>t</em> = 3.24, <em>p</em> = .002) scores. While intergroup differences were observed for parenting efficacy (<em>t</em> = 5.48, <em>p</em> &lt; .001), no significant differences were observed for parenting stress (parent related) (<em>t</em> = −0.22, <em>p</em> = .825) and parent–child relationship (<em>t</em> = 0.87, <em>p</em> = .387) and no intergroup differences were observed for parenting stress (<em>t</em> = −1.10, <em>p</em> = .274) and parent–child relationship (<em>t</em> = 1.06, <em>p</em> = .290).</p></div><div><h3>Conclusion</h3><p>This study is significant to the field of nursing because North Korean refugee mothers who needed parenting education have high parental efficacy scores after intervention, which expresses confidence in parenting. This study proposed a parenting education intervention framework focusing on emotional empathy for North Korean refugee mothers who want to provide healthy parenting despite the challenges they encounter as immigrants, which will improve their confidence in parenting. It can serve as a source of basic data for designing parenting education intervention frameworks for refugees in the future.</p></div>","PeriodicalId":50740,"journal":{"name":"Applied Nursing Research","volume":"79 ","pages":"Article 151839"},"PeriodicalIF":2.7,"publicationDate":"2024-08-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142048141","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The effect of virtual reality glasses on pain and patient satisfaction in arteriovenous fistula cannulation procedure","authors":"Hatice Şen ,&nbsp;Diğdem Lafcı Bakar","doi":"10.1016/j.apnr.2024.151841","DOIUrl":"10.1016/j.apnr.2024.151841","url":null,"abstract":"<div><h3>Aims</h3><p>To determine the effect of virtual reality glasses intervention on pain, vital signs, and patient satisfaction of hemodialysis patients undergoing AVF catheter puncture.</p></div><div><h3>Design</h3><p>Randomized controlled study.</p></div><div><h3>Methods</h3><p>The study was conducted in 60 patients receiving dialysis treatment in the HD unit of a public hospital in Turkey. The data were collected via the “Patient Identification Form”, “Visual Analog Scale/VAS” and “Hemodynamics Variables Inspection Form”. The patients in the experiment group watched videos through the virtual reality glasses for totally 5 minutes in average, 2 minutes before the AVF cannulation process and 3 minutes during the process. No intervention was applied to the patients in the control group other than the normal nursing interventions in the HD unit.</p></div><div><h3>Results</h3><p>In the intra-group comparisons, the 2nd and 3rd measurement average pain level scores of the patients with in the experimental group were determined to be statistically significantly lower compared to their 1st measurement (<em>p</em> &lt; 0.05); the 3rd measurement average pain level scores of the control group were determined to be statistically significantly lower compared to their 1st and 2nd measurements (<em>p</em> &lt; 0.05).</p></div><div><h3>Conclusions</h3><p>It was determined that the virtual reality glasses decreased the pain that emerges during the AVF cannulation process and increased the patient satisfaction level. It is suggested that the virtual reality glasses should be used by the nurses in the HD unit since it is easily applicable in coping with pain in the patients and since it is an invasive method.</p></div>","PeriodicalId":50740,"journal":{"name":"Applied Nursing Research","volume":"79 ","pages":"Article 151841"},"PeriodicalIF":2.7,"publicationDate":"2024-08-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142121734","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The effect of an educational intervention on perioperative registered nurse's knowledge, attitudes, and behaviors towards pressure injury prevention in surgical patients","authors":"Peggy C. Tallier EdD, MPA, APRN, FNP-BC ,&nbsp;Patricia R. Reineke PhD, RN ,&nbsp;John G. Choonoo EdD","doi":"10.1016/j.apnr.2024.151838","DOIUrl":"10.1016/j.apnr.2024.151838","url":null,"abstract":"<div><h3>Background</h3><p>Pressure injuries continue to be a significant problem in perioperative patients. Surgical patients are particularly at risk due to lack of mobility and sensation during surgery and the early recovery period. The AORN (2024) recommends that healthcare organizations develop a comprehensive prevention program that includes risk assessment, prevention, and education.</p></div><div><h3>Objectives</h3><p>To measure the effect of an educational intervention on perioperative nurses' knowledge, attitudes, and behaviors towards pressure injury prevention after one week and again after six months.</p></div><div><h3>Methods</h3><p>Nurse's knowledge, attitudes, and behaviors were measured at three different time periods using quantitative nonexperimental pretest posttest longitudinal design. Three hundred fifty-four perioperative registered nurses from 11 acute care hospitals participated.</p></div><div><h3>Results</h3><p>Nurses' knowledge scores were in the moderate range. Statistically significant differences were found between pre-test and posttest 1 scores, indicating that knowledge improved after nurses completed the education intervention and information was retained six months after. Nurses' attitudes were neither positive nor negative towards pressure injury prevention. Regarding behavior, the majority of nurses reported carrying out pressure injury prevention strategies, however only half reported carrying out daily risk assessment strategies.</p></div><div><h3>Conclusions</h3><p>To prevent pressure injury in perioperative patients, it is imperative that guidelines for the prevention of perioperative pressure injury (AORN, 2024) are integrated into nursing practice.</p></div>","PeriodicalId":50740,"journal":{"name":"Applied Nursing Research","volume":"79 ","pages":"Article 151838"},"PeriodicalIF":2.7,"publicationDate":"2024-07-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141850938","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Needed competence for registered nurses working at a patient-centred telehealth service aimed to engage and empower people living with COPD: A five-month participatory observational study","authors":"Camilla Wong Schmidt MSc ,&nbsp;Emilie Kauffeldt Wegener MA, MSc ,&nbsp;Lars Kayser MD, Ph.d","doi":"10.1016/j.apnr.2024.151828","DOIUrl":"10.1016/j.apnr.2024.151828","url":null,"abstract":"<div><h3>Background</h3><p>The global population of older aged 65 and over is increasing, which means an increase in people living with long-term health conditions and multimorbidity. Implementing new digital health technologies enables increased patient empowerment and responsibility, and the ability to respond to changes in their condition themselves, with less involvement of healthcare professionals. Important parameters need to be addressed for this digitally enabled empowerment to be successful, these include increased individual and organizational health literacy, the establishment of joint decision-making activities among patients and healthcare professionals, and efforts that target the individual's ability to manage their condition, which include education to increase skills and providing technology for self-monitoring.</p></div><div><h3>Objective</h3><p>To identify needed competencies of digital healthcare professionals to be able to provide the needed services to service users with chronic obstructive pulmonary disease in a 24/7 digital healthcare service.</p></div><div><h3>Method</h3><p>Five registered nurses' work was observed weekly for five months. In total 13 participatory observations were conducted. Data from the observations was transcribed and analysed through inductive content analysis.</p></div><div><h3>Results</h3><p>Five main categories were identified in the analysis; 1) tasks, 2) communication, 3) the relationships between the registered nurses, 4) service users, and 5) technology. These categories contain different competencies needed for registered nurses working in a digitalized healthcare system.</p></div><div><h3>Conclusions</h3><p>Future digital healthcare professionals will require several competencies, to be able to deliver proper care in a digital health community that goes beyond traditional healthcare competencies, including social, technological, and communication skills.</p></div>","PeriodicalId":50740,"journal":{"name":"Applied Nursing Research","volume":"79 ","pages":"Article 151828"},"PeriodicalIF":2.7,"publicationDate":"2024-07-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S0897189724000661/pdfft?md5=d2fee3dd21b9eea4bee204d0cc263446&pid=1-s2.0-S0897189724000661-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141853829","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}