Applied Nursing Research最新文献

{"title":"Nurses' experience with patient deterioration and rapid response teams","authors":"Cynthia Ruiz MS, APRN-CNS, CCRN ,&nbsp;Karolina Golec MSN, RN, CCRN ,&nbsp;Susan C. Vonderheid PhD, RN","doi":"10.1016/j.apnr.2024.151823","DOIUrl":"10.1016/j.apnr.2024.151823","url":null,"abstract":"<div><h3>Background</h3><p>While timely activation and collaborative teamwork of Rapid Response Teams (RRTs) are crucial to promote a culture of safety and reduce preventable adverse events, these do not always occur. Understanding nurses' perceptions of and experiences with RRTs is important to inform education and policy that improve nurse performance, RRT effectiveness, and patient outcomes.</p></div><div><h3>Aim</h3><p>The aim of this study was to explore nurse perceptions of detecting patient deterioration, deciding to initiate RRTs, and experience during and at conclusion of RRTs.</p></div><div><h3>Methods</h3><p>A qualitative descriptive study using semi-structured focus group interviews was conducted with 24 nurses in a Chicago area hospital. Interviews were audio-recorded, transcribed verbatim, and coded independently by investigators. Thematic analysis identified and organized patterns of meaning across participants. Several strategies supported trustworthiness.</p></div><div><h3>Results</h3><p>Data revealed five main themes: identification of deterioration, deciding to escalate care, responsiveness of peers/team, communication during rapid responses, and perception of effectiveness.</p></div><div><h3>Conclusions</h3><p>Findings provide insight into developing a work environment supportive of nurse performance and interprofessional collaboration to improve RRT effectiveness. Nurses described challenges in identification of subtle changes in patient deterioration. Delayed RRT activation was primarily related to negative attitudes of responders and stigma. RRT interventions were often considered a temporary fix leading to subsequent RRTs, especially when patients needing a higher level of care were not transferred. Implications include the need for ongoing RRT monitoring and education on several areas such as patient hand-off, RRT activation, nurse empowerment, interprofessional communication, role delineation, and code status discussions.</p></div>","PeriodicalId":50740,"journal":{"name":"Applied Nursing Research","volume":"79 ","pages":"Article 151823"},"PeriodicalIF":2.7,"publicationDate":"2024-07-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S0897189724000612/pdfft?md5=c0a19f18c7518f66efd6f1ef3219b291&pid=1-s2.0-S0897189724000612-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141690151","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":"The impact of exclusive breastfeeding on breastfeeding duration","authors":"Joanna Mikołajczyk-Stecyna Ph.D","doi":"10.1016/j.apnr.2024.151824","DOIUrl":"10.1016/j.apnr.2024.151824","url":null,"abstract":"<div><h3>Background</h3><p>While breastfeeding is globally recommended, its duration still represents a public health issue.</p></div><div><h3>Aim</h3><p>To examine the association between the period of exclusive breastfeeding (EBF) and the duration of overall human milk nutrition, and to identify determinants associated with the duration of EBF and overall human milk nutrition length.</p></div><div><h3>Study design</h3><p>The presented study is a cross-sectional study. A total of 209 healthy Polish women of Caucasian origin, aged 19–42 years, who were the mother of a child aged 3–12 months, were enrolled in the study. Data were collected from 2018 to 2020 using an anonymous questionnaire. Statistical analyses included one way ANOVA and liner regression.</p></div><div><h3>Results</h3><p>After birth almost all newborns were exclusively breastfed (96.7 %), but the supply of mother's milk declined as the children's ages increased. The duration of breastfeeding is strongly associated with EBF, especially until the child is six months old (<em>p</em> &lt; 0.001). Mother's breastfeeding self-efficiency and her will for breastfeeding, comfortable latch, younger infant age, avoiding of a pacifier and excluding additional food may explain 36 % of variation of EBF duration (<em>p</em> &lt; 0.001) and could be useful information for exclusive breastfeeding support.</p></div><div><h3>Conclusions</h3><p>The practice of exclusive breastfeeding strongly affects overall breastfeeding duration. The promotion of exclusive breastfeeding, rather than of overall breast milk supply, is crucial.</p></div>","PeriodicalId":50740,"journal":{"name":"Applied Nursing Research","volume":"79 ","pages":"Article 151824"},"PeriodicalIF":2.7,"publicationDate":"2024-07-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141700451","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":"Perceptions on Medication Administration Errors (MAEs) among nurses at a tertiary government hospital","authors":"Rolsanna R. Ramos B.S. FT, B.S.N, RN, M.A.N, PhD","doi":"10.1016/j.apnr.2024.151822","DOIUrl":"10.1016/j.apnr.2024.151822","url":null,"abstract":"<div><h3>Aim</h3><p>To identify the nurses' perceptions on the occurrence of Medication Administration Errors (MAEs) and barriers to reporting using the MAE Reporting Survey.</p></div><div><h3>Background</h3><p>MAEs is a serious public health threat that causes patient injury, death, and results to expensive health care.</p></div><div><h3>Methods</h3><p>Descriptive statistical analysis.</p></div><div><h3>Results</h3><p>The most frequent reasons for MAEs according to the nurses were physicians' medication orders are not legible (4.67 ± 1.21) and unit staffing levels are inadequate (4.63 ± 1.45). The most frequent reason for unreported MAEs were when med errors occur, nursing administration focuses on the individual rather than looking at the systems as a potential cause of the error (4.95 ± 4.33) and nurses could be blamed if something happens to the patient as a result of the medication error (4.29 ± 1.48). The highest prevalent non-IV related MAEs included wrong time of administration (M = 3.02 ± 2.37) and medication administered after the order to discontinue has been written (M = 2.60 ± 2.11), both with 0–20 % of reported non-IV MAEs. The highest prevalent IV related MAEs included wrong time of administration (M = 2.76 ± 2.29) and medication administered after the order to discontinue has been written (M = 2.45 ± 2.01). More than half (n = 95, % = 54.29) of the respondents stated that 0–20 % of all types of medication errors, including IV and non-IV medication errors are reported.</p></div><div><h3>Conclusions</h3><p>The findings supported the notion that nurses perceive low percentages of MAEs reporting.</p></div>","PeriodicalId":50740,"journal":{"name":"Applied Nursing Research","volume":"79 ","pages":"Article 151822"},"PeriodicalIF":2.7,"publicationDate":"2024-07-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141699575","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":"A Feasibility Study of Qualitative Methods Using the Zarit Burden Interview in Heart Failure Caregivers","authors":"Tamara L. Oliver PhD, MPH, RN ,&nbsp;Breanna Hetland PhD, RN ,&nbsp;Myra Schmaderer PhD, RN ,&nbsp;Ronald Zolty MD, PhD ,&nbsp;Bunny Pozehl PhD, APRN-NP","doi":"10.1016/j.apnr.2024.151826","DOIUrl":"10.1016/j.apnr.2024.151826","url":null,"abstract":"<div><h3>Objectives</h3><p>The primary goal of this study was to identify and understand the burden experienced by informal caregivers of patients with HF at the time of hospital discharge. The researchers aimed to guide future education interventions and promote informal caregiver burden screening.</p></div><div><h3>Design</h3><p>The researchers administered the Zarit Burden Interview (ZBI) as a quantitative tool to assess informal caregiver burden. The ZBI is a standardized questionnaire used to measure the extent of burden experienced by informal caregivers. After administering the ZBI, the researchers conducted semi-structured interviews with five informal caregivers of patients with HF. These interviews were guided by probing questions related to ZBI items that were rated with high levels of burden (3 “quite frequently” or 4 “nearly always”).</p></div><div><h3>Results</h3><p>The quantitative data showed that the informal caregivers' burden scores on the ZBI ranged from 4 to 41. Male informal caregivers tended to report lower burden scores. The non-spouse informal caregiver had the highest burden score at 41. The qualitative analysis of the interviews revealed several themes related to informal caregiver burden, including fear, patient expectations, patient dependence on caregivers, social isolation, and stressors associated with medication changes after discharge. Despite the qualitative insights into specific burden-related issues, the quantitative analysis of the ZBI scores showed that, on average, informal caregivers reported little to no burden at the time of acute exacerbation of HF in the patient.</p></div><div><h3>Conclusion</h3><p>The study's findings suggest that while informal caregivers may not report prominent levels of overall burden, they do face specific challenges and stressors, such as social isolation and managing medication changes post-discharge. These findings can inform the development of targeted support and interventions for informal caregivers of patients with HF.</p></div>","PeriodicalId":50740,"journal":{"name":"Applied Nursing Research","volume":"79 ","pages":"Article 151826"},"PeriodicalIF":2.7,"publicationDate":"2024-07-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141694905","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":"Feasibility of a telehealth breathing intervention for patients with idiopathic pulmonary fibrosis","authors":"Aubree Bussa-Carlson PhD, RN ,&nbsp;Helena Morrison PhD, RN,&nbsp;Ruth Taylor-Piliae PhD, RN, FAHA, FAAN,&nbsp;Kimberly Shea PhD, RN, CHPN","doi":"10.1016/j.apnr.2024.151827","DOIUrl":"10.1016/j.apnr.2024.151827","url":null,"abstract":"<div><p>Idiopathic pulmonary fibrosis (IPF) is a restrictive chronic lung disease that results in scarring of the tissue due to an unknown cause. Dyspnea is experienced by 90 % of patients and is correlated with reduced quality of life and survival times. Breathing techniques can improve perceived dyspnea, however, are not readily taught outside of inpatient hospital settings and pulmonary rehabilitation programs, the latter being accessed by only 3 % of patients with chronic lung disease. Telehealth may be an option to increase access to this imperative symptom management education to improve symptom management and patient outcomes.</p></div><div><h3>Aims</h3><p>1) To determine the feasibility of a telehealth breathing intervention for patients living with IPF; 2) To determine the usability of the telehealth system; 3) To describe within-group changes in dyspnea, quality of life, anxiety, and depression.</p></div><div><h3>Design</h3><p>A single-group, pre-post intervention.</p></div><div><h3>Methods</h3><p>Study participants were recruited from community-dwelling patients living with IPF. Pre-intervention data was collected on symptoms using standardized questionnaires. Participants enrolled in one telehealth Zoom session per week over the course of four weeks and practiced breathing exercises 10-minutes per day. Following the intervention, participants completed post-intervention, feasibility, and usability questionnaires. Data were analyzed using descriptive statistics.</p></div><div><h3>Results</h3><p>All feasibility benchmarks were met. Following the intervention, mean symptom scores improved, however were not statistically significant.</p></div><div><h3>Conclusion</h3><p>These data indicate that a telehealth breathing intervention is a feasible option to increase access to the symptom management strategy of breathing techniques to manage perceived dyspnea to positively influence symptoms experienced by patients living with idiopathic pulmonary fibrosis.</p></div>","PeriodicalId":50740,"journal":{"name":"Applied Nursing Research","volume":"79 ","pages":"Article 151827"},"PeriodicalIF":2.7,"publicationDate":"2024-07-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S089718972400065X/pdfft?md5=692e0bb370edaba19d96ab333ca6f0e8&pid=1-s2.0-S089718972400065X-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141716609","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":"Attitudes and beliefs of nurses who choose to not vaccinate for COVID 19 in West Virginia: A qualitative study","authors":"Roger Carpenter,&nbsp;Heather Carter-Templeton,&nbsp;Brad Phillips,&nbsp;Billie Vance,&nbsp;Asa Charnik","doi":"10.1016/j.apnr.2024.151825","DOIUrl":"10.1016/j.apnr.2024.151825","url":null,"abstract":"<div><h3>Purpose</h3><p>The purpose of this study was to describe beliefs and attitudes that underpin vaccine confidence and hesitancy in nurses who chose not to vaccinate for COVID-19. The research question that guided this work was: <em>What are the beliefs and attitudes of nurses who chose to not vaccinate for COVID-19?</em></p></div><div><h3>Methods</h3><p>This study followed a focus group methodology to collect qualitative data from focused discussions to gather insights into the beliefs and attitudes of participants. Two focus groups consisting of 3 to 5 participants were conducted virtually.</p></div><div><h3>Results</h3><p>Using open coding, six themes were generated. Based on descriptors provided by participants, two themes were focused on beliefs, and four were related to attitudes about the vaccine. Findings suggest that participants' beliefs and attitudes were strengthened during this time in the pandemic. This event further divided nurses included in this study from their peers who chose to vaccinate and their employers who mandated inoculation.</p></div><div><h3>Conclusions</h3><p>Understanding the perceptions of this sample has given insight into the thoughts and feelings of nurses who chose not to vaccinate against COVID-19. This is a perspective that is often absent from scientific literature. Knowledge gained from this study may assist in supporting strategies such as open communication, conflict resolution, and collaboration in an effort to mitigate the divide within the nursing workforce, which may ultimately contribute to nursing retention in clinical settings.</p></div>","PeriodicalId":50740,"journal":{"name":"Applied Nursing Research","volume":"78 ","pages":"Article 151825"},"PeriodicalIF":2.7,"publicationDate":"2024-07-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141638371","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":"Emotional health screening of mothers, preliminary validation of a 3-item instrument: A research brief","authors":"Jessica Appleton ,&nbsp;Nicole Reilly ,&nbsp;Cathrine Fowler ,&nbsp;Doug Elliott ,&nbsp;Elizabeth Denney-Wilson","doi":"10.1016/j.apnr.2024.151812","DOIUrl":"https://doi.org/10.1016/j.apnr.2024.151812","url":null,"abstract":"<div><p>A number of countries now recommend population-wide depression screening for perinatal women, using validated tools. A stepped-approach to screening – involving universal screening with a brief measure, followed by targeted screening using a longer measure for those women identified as at greater risk – is used in some settings. This brief report describes the test performance characteristics of a 3-item mood screening instrument, developed for use within a digital parenting program. Participants (<em>n</em> = 404) in this cross-sectional study were mothers of children aged up to 3 years. The majority (65.5 %) were first-time mothers, and their mean age was 32.8 years. Data were collected using an online survey. The test performance of the brief 3-item mood screening instrument (possible score range = 0–300) was examined using Receiver Operating Characteristic (ROC) analysis, with a score of 13 or more on the Edinburgh Postnatal Depression Scale (EPDS) used as the reference standard. The mood screening instrument demonstrated excellent range when compared to the reference standard. Optimal balance between sensitivity (0.77) and specificity (0.78), was achieved at a cut-point of 160 or less. Analysis was limited by using only the EPDS as the reference standard. This preliminary data supports the use of this 3-item mood screening instrument to screen for postnatal depression symptoms and may be integrated into a mobile Health or online tool. Future research should examine the test performance of the 3-item mood screening instrument against a diagnostic tool.</p></div>","PeriodicalId":50740,"journal":{"name":"Applied Nursing Research","volume":"78 ","pages":"Article 151812"},"PeriodicalIF":2.7,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S0897189724000508/pdfft?md5=5c1e0569cd1069bd63e963812d2b23b2&pid=1-s2.0-S0897189724000508-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141540914","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":"The implementation study of nurses’ work related low back pain prevention and care guideline: A quasi-experimental study","authors":"Shizheng Du R.N., Ph.D, Associate professor ,&nbsp;Yan Hu Ph.D, Professor, FAAN ,&nbsp;Yingfeng Zhou R.N., Ph.D, Professor ,&nbsp;Weijie Xing R.N., Ph.D, Associate professor ,&nbsp;Zheng Zhu R.N., Ph.D, Associate professor ,&nbsp;Aifeng Meng R.N., Professor ,&nbsp;Xiaoxu Zhi R.N., Associate professor ,&nbsp;Gaoyue Dong R.N., Associate professor ,&nbsp;Changmin Mao R.N., Associate professor","doi":"10.1016/j.apnr.2024.151818","DOIUrl":"https://doi.org/10.1016/j.apnr.2024.151818","url":null,"abstract":"<div><h3>Aim</h3><p>To understand the implementation process and outcomes of nurses' work related low back pain (WLBP) prevention and care guideline.</p></div><div><h3>Background</h3><p>WLBP is a common occupational injury for clinical nurses. We developed the first evidence-based guideline of nurses' WLBP prevention and care of its kind both at home and abroad, and it is necessary for us to explore its feasibility, appropriateness and effectiveness in practice.</p></div><div><h3>Methods</h3><p>Based on the model of the integrated Promoting Action on Research Implementation in Health Services, we performed a four-phase implementation study in a tertiary hospital. The study was a non-randomized concurrent controlled trial design，and multilevel measures were examined including implementation outcomes and clinical outcomes.</p></div><div><h3>Results</h3><p>For the implementation outcomes, the tailored recommendations of the guideline were found to be acceptable, appropriate, feasible, and well adopted both at the unit level and the hospital level. The clinical outcomes indicated that, compared with the control unit, nurses of the treatment unit performed better in awareness, knowledge, practice of WLBP prevention and care.</p></div><div><h3>Conclusions</h3><p>The implementation study supports the successful application of the guideline, which can serve as a valuable evidence-based document to improve back health of nursing personnel.</p></div>","PeriodicalId":50740,"journal":{"name":"Applied Nursing Research","volume":"78 ","pages":"Article 151818"},"PeriodicalIF":2.7,"publicationDate":"2024-06-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141539823","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":"Experience of violence, social support, nursing practice environment, and burnout on mental health among mental health nurses in South Korea: A structural equation modeling analysis","authors":"Jung Suk Park RN, PhD, Director of Nursing ,&nbsp;Hee Kyung Kim RN, PhD, Assistant Professor ,&nbsp;Mihyoung Lee RN, PhD, Professor Emeritus","doi":"10.1016/j.apnr.2024.151819","DOIUrl":"https://doi.org/10.1016/j.apnr.2024.151819","url":null,"abstract":"<div><h3>Aims</h3><p>This study examined the relationship between the experience of violence, social support, nursing practice environment, and mental health among South Korean mental health nurses.</p></div><div><h3>Methods</h3><p>Structured questionnaires were distributed to participants who worked in twelve mental health hospitals, each with at least 200 beds, in South Korea. We analyzed 243 questionnaires and used AMOS 25.0 to explore the relationships between the constructs.</p></div><div><h3>Results</h3><p>The total and indirect effects of the experience of violence and of social support on mental health were significant. The effects of burnout and of the nursing practice environment on mental health were positively significant. Burnout revealed a mediating association with the relationship between the experience of violence, social support, and mental health.</p></div><div><h3>Conclusion</h3><p>The study confirmed that the experience of violence negatively affects burnout among mental health nurses, while social support relieves burnout and strengthens mental health.</p></div><div><h3>Implementation</h3><p>Our research model shows that the experience of violence could affect burnout and mental health among mental health nurses. Therefore, nursing administrators should develop violence prevention policies and manuals for coping with the violence that can frequently occur in psychiatric wards.</p></div>","PeriodicalId":50740,"journal":{"name":"Applied Nursing Research","volume":"78 ","pages":"Article 151819"},"PeriodicalIF":2.7,"publicationDate":"2024-06-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141540912","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":"Quality of life of patients after kidney transplant: ADHERE Brazil multicenter cross-sectional study","authors":"Aline R.F. Almeida ,&nbsp;Fabiane R.S. Grincenkov ,&nbsp;Fernando A.B. Colugnati ,&nbsp;José O. Medina-Pestana ,&nbsp;Sabina De Geest ,&nbsp;Helady Sanders-Pinheiro ,&nbsp;On behalf of ADHERE Brazil Study Team","doi":"10.1016/j.apnr.2024.151815","DOIUrl":"https://doi.org/10.1016/j.apnr.2024.151815","url":null,"abstract":"<div><h3>Background</h3><p>Quality of life (QoL) is a measure to evaluate kidney transplant (KT) results.</p></div><div><h3>Aim</h3><p>To describe the QoL profile in a larger sample of Brazilian patients who underwent KT according to age, sex, and access to KT.</p></div><div><h3>Methods</h3><p>We conducted a secondary data analysis of the ADHERE BRAZIL multicenter cross-sectional study including 1105 patients from 20 centers, considering KT access region and transplant activity. QoL was assessed by the WHOQOL-BREF. Data was compared using Generalized Estimating Equations.</p></div><div><h3>Results</h3><p>Overall, 58.5 % of the patients were men, mean age of 47.6 ± 12.6 years. The general QoL score was 81 ± 15.1, 58.6 ± 11.6 for physical, 65.5 ± 11.4 for psychological, 68.3 ± 17.1 for social relationships, and 64.2 ± 13.3 for environmental domain. Higher QoL scores were observed in men compared to women in three WHOQOL-BREF domains: psychological (OR:2.62; CI, 1.29 ̶ 3.95, <em>p</em> &lt; 0.0001), social relationships (OR:3.21; CI, 1.2 ̶ 5.23, <em>p</em> = 0.002) and environmental (OR:3.79; CI:2.23 ̶ 5.35, p &lt; 0.0001). Younger patients (18–44 years) had higher scores in the psychological (OR:-2.69; CI, −4.13 ̶ -1.25; <em>p</em> &lt; 0.001; OR:-3.52; CI, −5.39 ̶ -1.66; p &lt; 0.001) and social (OR:-3.46; CI, −5.64 ̶ -1.27; p = 0.002; OR:-7.17; CI, −10 ̶ -4.35; p &lt; 0.0001) domains than older ones (45–59 and &gt; 60 years, respectively). Patients from higher KT access region had higher scores in environmental domain (OR:3.53; CI, 0.28 ̶ 6.78; <em>p</em> = 0.033).</p></div><div><h3>Conclusions</h3><p>Featuring the results of KT under patient view, the physical and social relationships domains were the most and least affected, respectively. Lower QoL subgroups (females and age &gt; 45 years) should be targeted in future multi-professional interventions.</p></div>","PeriodicalId":50740,"journal":{"name":"Applied Nursing Research","volume":"78 ","pages":"Article 151815"},"PeriodicalIF":2.7,"publicationDate":"2024-06-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141540915","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}