Research and Theory for Nursing Practice最新文献

{"title":"Using Orem's Self-Care Model for a Continuing Care Program After Transurethral Prostate Resection.","authors":"Shuyan Wang, Feng Gao","doi":"10.1891/RTNP-2024-0159","DOIUrl":"https://doi.org/10.1891/RTNP-2024-0159","url":null,"abstract":"<p><p><b>Background:</b> Transurethral resection of the prostate (TURP) is a common surgical procedure for benign prostatic hyperplasia. However, postoperative care often lacks continuity after hospital discharge, potentially leading to complications and reduced quality of life. <b>Objective:</b> The aim of the study was to develop and evaluate the effectiveness of a continuing care program based on Orem's Self-Care Model for patients after TURP. <b>Methods:</b> A quasi-experimental study was conducted with 97 patients with post-TURP. Participants were assigned to either the intervention group receiving the Orem-based continuing care program or the control group receiving standard care. The program included educational interventions, self-care skills training, and follow-up support. Outcomes were measured using the Self-Care Agency Scale, International Prostate Symptom Score (IPSS), and Quality of Life (QoL) scale at baseline, 1 month, and 3 months postdischarge. <b>Results:</b> The intervention group showed significant improvements in Self-Care Agency, IPSS scores, and QoL (WHOQOL-BREF Physical Health domain increase) compared with the control group at the 3-month follow-up (<i>p</i> < .001). The incidence of postoperative complications was lower in the intervention group without statistically significant differences. <b>Conclusion:</b> The continuing care program based on Orem's Self-Care Model effectively improved self-care abilities and quality of life in patients after TURP.</p>","PeriodicalId":51287,"journal":{"name":"Research and Theory for Nursing Practice","volume":" ","pages":""},"PeriodicalIF":0.8,"publicationDate":"2025-03-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143694338","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 Ramifications and Ethical Considerations of Using Proxy Data to Measure Health-Related Quality of Life in Stroke Survivors.","authors":"Anas Okour, Elaine L Miller","doi":"10.1891/RTNP-2024-0150","DOIUrl":"https://doi.org/10.1891/RTNP-2024-0150","url":null,"abstract":"<p><p><b>Background:</b> Understanding ethics in health care research is necessary to solve moral conflicts that may arise during the research process. Guidelines have been proposed to ensure a standardized ethical approach. However, the use of proxy responses in research involving stroke survivors raises ethical debate due to the vulnerabilities of stroke survivors and the discrepancies observed between proxy and patient perspectives. <b>Aim:</b> This article aims to discuss the ramifications and ethical considerations associated with using proxy responses to examine the health-related quality of life of stroke survivors. <b>Discussion:</b> This article suggests a level of agreement on the ability to use proxy data with stroke survivors but with careful consideration of the nature of the data and how the result will be interpreted. The article also highlights the discrepancies between proxy and patient preferences. Strategies such as employing validated tools, integrating proxy data with patient observations, and providing proxy training are proposed to enhance data reliability. <b>Conclusion:</b> Proxy data serves as a feasible and ethical method to examine the health-related quality of life of stroke survivors when direct patient responses are unavailable. Addressing the discrepancies and ethical concerns through innovative approaches is essential to improve proxy-reported data in research and practice.</p>","PeriodicalId":51287,"journal":{"name":"Research and Theory for Nursing Practice","volume":" ","pages":""},"PeriodicalIF":0.8,"publicationDate":"2025-03-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143659718","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":"Utilizing the Social Ecological Model to Inform Nursing Practice for Improved Childhood Eating Behaviors.","authors":"Qutaibah Oudat, Anas Okour","doi":"10.1891/RTNP-2024-0169","DOIUrl":"https://doi.org/10.1891/RTNP-2024-0169","url":null,"abstract":"<p><p><b>Background:</b> Understanding and promoting healthy eating behaviors in young children is essential for their immediate and long-term health outcomes. However, these behaviors are influenced by an intricate network of factors that extend beyond individual choices, posing challenges for health practitioners seeking effective interventions. <b>Purpose:</b> This article aims to explore how the Social Ecological Model (SEM) can serve as a framework for understanding the multilevel determinants of young children's eating behaviors, and the seminal role that nursing plays in this dynamic. <b>Discussion:</b> The SEM encompasses five levels of influence: individual, interpersonal, community, organizational, and policy. At the individual level, factors include the child's biological predispositions and nutritional knowledge. The interpersonal level highlights the role of parents and caregivers in modeling and shaping dietary habits. Community influences focus on access to nutritious foods and social norms, while the organizational level emphasizes the importance of schools and health care settings in reinforcing healthy eating. The policy level addresses government regulations and public health initiatives that shape the food environment. Together, these interconnected layers provide a comprehensive understanding of the factors impacting children's eating behaviors. <b>Implications for Nursing:</b> By applying the SEM, nursing professionals can develop multilayered, culturally sensitive interventions that address these determinants, advocating for policies and practices that support healthy eating habits and promote holistic well-being in children.</p>","PeriodicalId":51287,"journal":{"name":"Research and Theory for Nursing Practice","volume":" ","pages":""},"PeriodicalIF":0.8,"publicationDate":"2025-03-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143617758","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 Nursing Interventions on Improving Patients With Heart Failure: A Systematic Review and Meta-Analysis.","authors":"Wei Geng, Hongping Jia, Xianjing Zeng, Jia Li","doi":"10.1891/RTNP-2024-0093","DOIUrl":"https://doi.org/10.1891/RTNP-2024-0093","url":null,"abstract":"<p><p><b>Background and Purpose:</b> Various nursing interventions can improve the treatment process of patients with heart failure. However, the effectiveness of these interventions can be different. Therefore, it is required to summarize these relationships. This systematic review and meta-analysis aimed to examine the effects of various types of nursing interventions on improving patients with heart failure. <b>Methods:</b> Two groups of keywords were searched in five databases. After removing irrelevant articles, the required information was extracted from the remaining papers. Also, the quality level of the papers was determined using the critical appraisal tools provided by the Joanna Briggs Institute. In addition to the descriptive findings, a case-control meta-analysis was also conducted on the values of compliance and satisfaction rates reported in some studies. <b>Results:</b> Forty-nine papers were included in the study. The results of all studies showed that various types of nursing can effectively influence the improvement of patients with heart failure. Among these interventions, comprehensive nursing, evidence-based nursing, and continuous nursing had the highest effectiveness. However, motivational interventions, telephone interventions, educational nursing interventions, and self-care interventions despite low cost could influence patient improvement. The results showed that nursing intervention in the case group compared with the control group could significantly decrease the complication rate (-11.22 [95% CI: -13.56, -8.87]) and increase the satisfaction rate (2.46 [95% CI: 1.79, 3.12]) in the patients. <b>Implications for Practice:</b> It is recommended that a set of nursing intervention measures can significantly improve the physical and mental conditions of patients with heart failure.</p>","PeriodicalId":51287,"journal":{"name":"Research and Theory for Nursing Practice","volume":" ","pages":""},"PeriodicalIF":0.8,"publicationDate":"2025-02-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143505840","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 Comfort Theory-Based Nursing Care on Intolerance of Uncertainty and Comfort Levels in Individuals Undergoing Hemodialysis: A Randomized Controlled Trial.","authors":"Kübra Gümüştekin, Yasemin Özyer Güvener","doi":"10.1891/RTNP-2024-0114","DOIUrl":"https://doi.org/10.1891/RTNP-2024-0114","url":null,"abstract":"<p><p><b>Background and Purpose:</b> Chronic renal failure is a common public health problem worldwide, and hemodialysis has become the standard treatment. During this long and exhausting process, it is extremely important that individuals undergoing hemodialysis receive effective and high-quality nursing care so that accurate prognoses can be made and complications prevented. This study aimed to determine the effect of comfort theory-based nursing care on intolerance to uncertainty and comfort levels in hemodialysis patients. <b>Methods:</b> The sample of this randomized controlled study consisted of individuals receiving hemodialysis at a private dialysis center. The sample comprised a total of 60 patients, 30 in the experimental group and 30 in the control group. Patients in the experimental group received training during an 8-week dialysis period using nursing care interventions based on Katharine Kolcaba's comfort theory for health care needs. The training content covered holistic nursing care and consisted of physical, psychospiritual, sociocultural, and environmental dimensions in order to reduce uncertainty and increase comfort levels in the individuals receiving dialysis. This care was based on Kolcaba's comfort theory. A Personal Information Form including the individuals' descriptive, disease, and treatment characteristics, the Intolerance of Uncertainty Scale (IUS), and the General Comfort Questionnaire (GCQ) were used for data collection. Independent two-sample comparisons were performed using the χ² test for qualitative variables and the <i>t</i> test for quantitative variables. <b>Results:</b> In the comparison of the groups, there were significant results for the total GCQ and its subdimensions except for the relief subdimension (<i>p</i> < 0.05). The scores for the total IUS and its subdimensions were significant (<i>p</i> < 0.01). <b>Implications for Practice:</b> It was determined that comfort theory-based nursing care interventions were effective in reducing the level of intolerance of uncertainty and increasing the comfort level. It is recommended that comfort theory-based nursing care guidelines should be used to reduce the sense of uncertainty and increase the comfort levels of individuals receiving hemodialysis.</p>","PeriodicalId":51287,"journal":{"name":"Research and Theory for Nursing Practice","volume":" ","pages":""},"PeriodicalIF":0.8,"publicationDate":"2025-02-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143460595","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":"Cognitive Health Motivation: A Concept Analysis Using the Walker and Avant Method.","authors":"Jian Tang, Min Tian, Jing Cheng, Xianjun Mao, Yanhua Chen","doi":"10.1891/RTNP-2024-0109","DOIUrl":"https://doi.org/10.1891/RTNP-2024-0109","url":null,"abstract":"<p><p><b>Purpose:</b> The purpose of the study is to propose a new conceptual definition for cognitive health motivation and identify its attributes, antecedents, consequences, and empirical referents. <b>Methods:</b> Walker and Avant's method was used to analyze the concept of cognitive health motivation. The PubMed, Web of Science, Wiley Online Library, Embase, China National Knowledge Infrastructure, Wanfang Data, and CQVIP Chinese Journals Platform databases were searched. The Preferred Reporting Items for Systematic Reviews and Meta-Analyses 2020 checklist was used. <b>Results:</b> Five attributes of the concept of cognitive health motivation were identified: cognitive health beliefs, cognitive health intentions, perception of cognitive health risks, perception of cognitive health benefits, and dynamically evolving. The antecedents are knowledge related to cognitive health, cognitive health assessment, and cognitive decline. The consequences are cognitive health behavior, cognitive health enhancement, and successful cognitive aging. Based on these attributes, a conceptual definition was proposed. <b>Conclusion:</b> In the context of aging, a clarified definition of cognitive health motivation will aid in understanding the concept, explaining the process of changes in cognitive health behavior, providing guidance for the implementation of cognitive health interventions, and improving cognitive health.</p>","PeriodicalId":51287,"journal":{"name":"Research and Theory for Nursing Practice","volume":" ","pages":""},"PeriodicalIF":0.8,"publicationDate":"2025-02-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143460525","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":"Comparison of Symptom Distress Ranking Between Oncology Nurses and Pediatric Patients Receiving Chemotherapy.","authors":"Enes Şimşek, Remziye Semerci, Münevver Erkul, Ayşe Önal, Dilek Dogan Kaboglu, Aysegul Unuvar, Ayşe Ferda Birhekimoğlu Ocakçi","doi":"10.1891/RTNP-2024-0125","DOIUrl":"https://doi.org/10.1891/RTNP-2024-0125","url":null,"abstract":"<p><p><b>Purpose:</b> This study aimed to identify and compare the chemotherapy-induced symptoms perceived as distressing by pediatric oncology patients and nurses, utilizing both patient-reported outcomes and proxy report outcomes frameworks. <b>Methods:</b> This cross-sectional, descriptive study was conducted in three university hospitals in Türkiye between January 2023 and December 2023. A total of 122 pediatric oncology patients and 139 pediatric oncology nurses participated. The Children's Memorial Symptom Assessment Scale was used to rank the perceived distress of symptoms. <b>Results:</b> Both pediatric oncology patients and nurses identified lack of energy, pain, nausea, feeling nervous, and feeling drowsy as the five most distressing symptoms. However, discrepancies were noted between the two groups: Pediatric oncology nurses reported higher distress rankings for symptoms such as nausea (<i>p</i> = .018), dry mouth (<i>p</i> = .027), cough (<i>p</i> = .030), mouth sores (<i>p</i> < .001), and difficulty swallowing (<i>p</i> = .003) compared with the patients. Conversely, pediatric oncology patients reported higher distress rankings for feeling nervous (<i>p</i> = .016), weight loss (<i>p</i> = .003), constipation (<i>p</i> = .014), and swelling of arms/legs (<i>p</i> < .001). <b>Conclusions:</b> The study revealed a general alignment in the ranking of distressing symptoms between pediatric oncology nurses and patients, with some notable differences. <b>Practice Implications:</b> Understanding the differences in symptom perception between patients and nurses is crucial to enhancing patient-centered care in pediatric oncology. Tailoring interventions to address the specific distress identified by patients and nurses can improve care outcomes and patient well-being.</p>","PeriodicalId":51287,"journal":{"name":"Research and Theory for Nursing Practice","volume":" ","pages":""},"PeriodicalIF":0.8,"publicationDate":"2025-02-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143460591","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":"Toward a Situation-Specific Theory of Nursing Organizational Well-Being: An Early-Stage Development.","authors":"Valerio Della Bella, Jacopo Fiorini, Alessandro Sili","doi":"10.1891/RTNP-2024-0116","DOIUrl":"https://doi.org/10.1891/RTNP-2024-0116","url":null,"abstract":"<p><p><b>Background and Purpose:</b> A good understanding of nursing organizational well-being can allow nurse managers to monitor their work context, guide clinical practice, and improve care quality. Theoretical studies of nursing organizational well-being are limited, and this article proposes a situation-specific theory. <b>Methods:</b> The article's content explains the development of this situational theory of nursing organizational well-being following the integrative approach by Im and Meleis by checking assumptions for theorization, initiating theorization through multiple sources, reasoning through critical analyses, documenting theorization, and reporting and sharing theorization. <b>Results:</b> Eight theoretical propositions are conceptualized, emphasizing the interconnectedness of various professionals and work context factors with nursing organizational well-being and related outcomes. Nursing demands and nursing resources have been identified in this situational theory as crucial in determining nursing organizational well-being. <b>Implications for Practice:</b> This article discusses the implications of developing knowledge on nursing organizational well-being. Using this situational theory, researchers can understand the variables determining nursing organizational well-being, and the theory can guide their research study. Health care managers can also use this situational theory to evaluate the nursing work environment and the variables influencing it, subsequently improving outcomes for nurses, organizations, and patients.</p>","PeriodicalId":51287,"journal":{"name":"Research and Theory for Nursing Practice","volume":" ","pages":""},"PeriodicalIF":0.8,"publicationDate":"2025-02-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143411559","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 Cosmetic Makeup on Body Imagery and Anxiety and Depression in Patients Undergoing Postoperative Chemotherapy for Breast Cancer: A Randomized Controlled Study.","authors":"Xiang Ying Zheng, Li Shi Ye, Wei Wei, Ling Yan Chen, Ying Fang Zheng, Xue Fen You","doi":"10.1891/RTNP-2024-0080","DOIUrl":"https://doi.org/10.1891/RTNP-2024-0080","url":null,"abstract":"<p><p><b>Purpose:</b> The objective was to compare the body images of breast cancer patients undergoing postoperative chemotherapy and the varying degrees of their anxiety and depression. The comparison involved those who received four consecutive cycles of cosmetic makeup and those who did not. <b>Patients and Methods:</b> Seventy-four breast cancer patients receiving postoperative chemotherapy were randomly assigned to either the control group or the intervention group. The control group received usual care, while the intervention group received four consecutive cycles of chemotherapy along with cosmetic makeup intervention on top of usual care. The intervention was carried out on the first day after the completion of each chemotherapy cycle. Assessments were made before the first intervention and 1 month after the fourth intervention using the Hospital Anxiety and Depression Scale and the Scale of Body Imagery. <b>Results:</b> After four cycles of intervention, significant differences emerged between the intervention and control groups regarding anxiety, depression, and body imagery. Additionally, within the intervention group, notable changes in these aspects were observed over time. <b>Conclusion:</b> The results showed that cosmetic interventions can effectively reduce the level of anxiety and depression of breast cancer patients receiving postoperative chemotherapy and effectively improve the body imagery of patients.</p>","PeriodicalId":51287,"journal":{"name":"Research and Theory for Nursing Practice","volume":" ","pages":""},"PeriodicalIF":0.8,"publicationDate":"2024-09-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142332024","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":"Coparenting Patterns of Parents of an Infant With Complex Congenital Heart Disease: Qualitative Identification and Network Analysis of Effects of Infant Illness Severity and Guided Participation Intervention.","authors":"Karen Pridham, Roger Brown, Dana Schardt, Tondi Kneeland, Raymond Fedderly","doi":"10.1891/RTNP-2023-0128","DOIUrl":"10.1891/RTNP-2023-0128","url":null,"abstract":"<p><p><b>Introduction:</b> The purpose of this secondary analysis, from a pilot randomized controlled trial of guided participation (GP), was to describe patterns of coparenting for mother and father dyads caring for an infant with complex congenital heart disease and to examine the influencing factors at infant age 6 months. Our theoretical framework included GP treatment, severity of neonatal illness (severity), coparenting pattern, and parent attention to infant weight gain (weight gain). <b>Method:</b> From transcribed interviews with 25 parent dyads at infant age 2 and 6 months, data relevant to coparenting were categorized for entry into a matrix table. These categories included family circumstances; infant health status, feeding, and sleeping; and how the parents worked in relation to each other for caregiving, the caregiving issues they were working on, and their caregiving goals. <b>Results:</b> The tabled data showed two coparenting patterns, collaborative and cooperative, with very little change from 2 to 6 months, and 6-month weight gain mention. We used Bayesian sensitivity network analysis to examine, at 6 months, GP effect in contrast to usual care (control group) effect and the effect of higher or lower severity on coparenting pattern and weight gain. The treatment group had greater percentage of collaborative coparenting pattern with higher severity. In contrast, the control group showed the percentage of dyads with a collaborative coparenting pattern was similar for higher and lower severity. Weight gain mention was higher with higher severity. <b>Conclusion:</b> Further coparenting pattern identification and study replication with a larger, diversified sample is planned.</p>","PeriodicalId":51287,"journal":{"name":"Research and Theory for Nursing Practice","volume":" ","pages":""},"PeriodicalIF":0.8,"publicationDate":"2024-09-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11922788/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142300329","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}