Research and Theory for Nursing Practice最新文献

Types of Bias-Based Bullying Victimization, Verbal Hate Victimization, and Avoidance Behavior: Implications for School Nurses. 基于偏见的霸凌受害、言语仇恨受害和回避行为：对学校护士的启示。

IF 0.5 4区医学

Research and Theory for Nursing Practice Pub Date : 2025-09-29 DOI: 10.1891/RTNP-2024-0158

Jun Sung Hong, Serim Lee, Anthony A Peguero, Sebastian Wachs, Dorothy L Espelage, Maha Albdour

引用次数: 0

Medication Adherence: A Reimbursable Theory-Guided Evidence-Based Educational Intervention for Patients With Parkinson's Disease. 药物依从性：可报销理论指导的帕金森病患者循证教育干预。

IF 0.5 4区医学

Research and Theory for Nursing Practice Pub Date : 2025-09-22 DOI: 10.1891/RTNP-2024-0146

Amanda E George, Melinda Hermanns, Diane B Monsivais, Cheryl D Parker

{"title":"Medication Adherence: A Reimbursable Theory-Guided Evidence-Based Educational Intervention for Patients With Parkinson's Disease.","authors":"Amanda E George, Melinda Hermanns, Diane B Monsivais, Cheryl D Parker","doi":"10.1891/RTNP-2024-0146","DOIUrl":"https://doi.org/10.1891/RTNP-2024-0146","url":null,"abstract":"Background: Parkinson's disease is a challenging, progressive neurodegenerative process projected to affect more than 1.2 million patients by 2030, with an economic burden that will surpass $79 billion annually in the United States. Pharmacological interventions are the hallmark of treatment for symptom management for this lifelong disease. Multiple medications and a variety of dosing times have an increasingly negative effect on medication adherence. Purpose: This article will discuss medication adherence challenges, describe a theory-guided evidence-based intervention to improve medication adherence, and explore the economic implications in an outpatient clinic setting. Methods: A pilot chart review of 40 cases over 30 days found 60% of patients indicated medication nonadherence. An evidence-based practice quality improvement project was implemented using pre- and postmeasurements of physical, social, and adherence metrics separated by medication adherence teaching. The metrics used include the Parkinson's Disease Questionnaire 39, part of the International Movement Disorder Society's Unified Parkinson's Disease Rating Scale, and the Morisky, Green, Levine Scale. Results: Results were encouraging; medication adherence increased by 26%, while quality of life improved by 18%. Medication adherence improvement efforts follow the Centers for Medicare & Medicaid Services proposed guidelines to stabilize health care reimbursement and pharmaceutical economics. Implications for Practice: Consistent implementation of medication adherence teaching into the current office visit structure identifies patients at risk and improves provider-patient relationships using evidence-based adherence interventions. Any health care system can improve patient outcomes and facilitate revenue growth using medication adherence teaching coupled with the appropriate diagnostic and visit coding.","PeriodicalId":51287,"journal":{"name":"Research and Theory for Nursing Practice","volume":" ","pages":""},"PeriodicalIF":0.5,"publicationDate":"2025-09-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145126500","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}

引用次数: 0

The Influence of Family Communication Patterns in Advance Care Planning: A Young Adult's Perspective. 家庭沟通模式对预先照护计划的影响：一个年轻人的观点。

IF 0.5 4区医学

Research and Theory for Nursing Practice Pub Date : 2025-08-25 DOI: 10.1891/RTNP-2025-0015

Julie L Murphy, Judith A Hupcey, Lisa A Kitko, Jacqueline Mogle, Jon A Nussbaum

{"title":"The Influence of Family Communication Patterns in Advance Care Planning: A Young Adult's Perspective.","authors":"Julie L Murphy, Judith A Hupcey, Lisa A Kitko, Jacqueline Mogle, Jon A Nussbaum","doi":"10.1891/RTNP-2025-0015","DOIUrl":"https://doi.org/10.1891/RTNP-2025-0015","url":null,"abstract":"Background: Advance care planning (ACP) is underutilized. To facilitate ACP and prepare adult children to be surrogates, we must understand how families communicate. This understanding can help prepare surrogates and reduce negative outcomes associated with medical decision-making for a loved one. Objectives: This study investigated the nature of family communication around ACP, the extent of young adults' engagement in ACP discussions with their parents, and the influence of family communication patterns on these conversations. Methods: A mixed-methods approach was utilized in the study. Thirty-nine young adults from a suburban college in Pennsylvania participated. Participants completed the revised family communication patterns instrument and participated in focus group interviews. Results: Analysis of the data revealed an average score of 3.56 (± 0.64) for conversation orientation and 2.93 (± 0.64) for conformity orientation. Structural coding identified distinct family communication patterns with some inconsistencies between measured and self-reported family types. Conclusions: The findings indicate that young adults can engage in ACP discussions with their parents, and family communication patterns may play a significant role in influencing these discussions. Future research should aim to leverage family communication patterns to foster more effective ACP conversations between young adults and their parents. Implications for Practice: Early and frequent advance care planning is essential to patient-centered care. Understanding family communication patterns can allow nurses to tailor conversations to patients and their families. This will assist individuals in making decisions congruent with their family members' wishes, reducing adverse outcomes related to medical decision-making.","PeriodicalId":51287,"journal":{"name":"Research and Theory for Nursing Practice","volume":" ","pages":""},"PeriodicalIF":0.5,"publicationDate":"2025-08-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144976566","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}

引用次数: 0

The Nurse Faculty Caregiver: A Concept Analysis. 护士系护理员：概念分析。

IF 0.5 4区医学

Research and Theory for Nursing Practice Pub Date : 2025-08-25 DOI: 10.1891/RTNP-2025-0035

Lisa Cross, Susan Lynch

引用次数: 0

Exploring Hypertension Medication Adherence in African Americans Using the Health Belief Model and the Social Determinants of Health. 利用健康信念模型和健康的社会决定因素探索非裔美国人高血压药物依从性。

IF 0.8 4区医学

Research and Theory for Nursing Practice Pub Date : 2025-06-30 DOI: 10.1891/RTNP-2024-0071

Tracie L Augusta, Sheri Howard, Annapoorna Mary

{"title":"Exploring Hypertension Medication Adherence in African Americans Using the Health Belief Model and the Social Determinants of Health.","authors":"Tracie L Augusta, Sheri Howard, Annapoorna Mary","doi":"10.1891/RTNP-2024-0071","DOIUrl":"https://doi.org/10.1891/RTNP-2024-0071","url":null,"abstract":"Background: Medication nonadherence is a significant threat to the treatment of hypertension in African Americans. Nonadherence to medications negatively impacts treatment efficacy, safety, and cost. Purpose: This paper aims to identify potential predictors of medication adherence among African Americans based on the Health Belief Model (HBM). In addition, this analysis provides insight into medication nonadherence, interventions to reduce the risk of nonadherence, and the impact of the Social Determinants of Health (SDOH). Conclusion: African American patients with hypertension continue to have lower hypertension medication adherence, due to factors that health care providers may not understand. Besides modifiable and nonmodifiable risk factors, African Americans also experience both unintentional and intentional adherence barriers that are influenced by SDOH, historical constructs, mistrust of the health care system, myths about medications, potential side effects, and passed-down beliefs. The HBM provides a viable theoretical model for promoting hypertension health promotion and disease prevention in African Americans. Clinical Implications: In addition to considering modifiable and nonmodifiable risk factors, health care providers should understand how intentional and unintentional rationales for taking medications can affect a patient's decision. The HBM can be used as a foundation for education and establishing patient willingness to take prescribed medications. Future studies must examine African Americans' readiness and intention to use medications to treat hypertension.","PeriodicalId":51287,"journal":{"name":"Research and Theory for Nursing Practice","volume":"39 2","pages":"151-168"},"PeriodicalIF":0.8,"publicationDate":"2025-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144530942","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}

引用次数: 0

Turkish Validation of the Simplified Omaha System Terms for Use Within a Mobile Health Application. 在移动健康应用程序中使用简化的奥马哈系统条款的土耳其验证。

IF 0.8 4区医学

Research and Theory for Nursing Practice Pub Date : 2025-06-25 DOI: 10.1891/RTNP-2024-0172

Selda Secginli, Merve Altiner Yas, Robin R Austin, Karen A Monsen

{"title":"Turkish Validation of the Simplified Omaha System Terms for Use Within a Mobile Health Application.","authors":"Selda Secginli, Merve Altiner Yas, Robin R Austin, Karen A Monsen","doi":"10.1891/RTNP-2024-0172","DOIUrl":"https://doi.org/10.1891/RTNP-2024-0172","url":null,"abstract":"Background and Purpose: Most mobile health applications may be unstandardized and have not been simplified for use by a wide range of community users. Therefore, it can potentially affect data quality due to a lack of validated translation and cross-cultural adaptation. This study aimed to evaluate the validity of the Turkish version of the Simplified Omaha System Terms (T-SOST) for use within a consumer-facing application, MyStrengths MyHealth (MSMH). Methods: The descriptive study comprised three phases: (a) language validity, (b) content validity, and (c) readability assessment and pilot testing. A total of 20 experts assessed the content validity. The Ateşman Readability Formula was used to conduct the readability assessment of T-SOST. The MSMH was used by 74 participants to test the T-SOST in the study. Results: The scale-level content validity index of T-SOST ranged from 0.963 to 0.999. The reading level of T-SOST averaged 82.66 ± 15.62. In the pilot test, the most frequently reported strengths were Speech and Language (f = 67) and Cleaning (f = 63). The most frequent challenges were for Emotions (f = 177) and Income (f = 95). Information/guidance was the most frequent need for Emotions (f = 19). Check-ins were the most frequent need for Income (f = 17). Implications for Nursing Practice: The T-SOST had acceptable psychometric properties and was found to be understandable for secondary education. It is suitable for self-reported strengths, challenges, and needs embedded in MSMH. Consumer-generated data may allow individuals to directly participate in their own health and provide insight for nurses and other clinicians to tailor interventions from a patient-centered perspective.","PeriodicalId":51287,"journal":{"name":"Research and Theory for Nursing Practice","volume":" ","pages":""},"PeriodicalIF":0.8,"publicationDate":"2025-06-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144499168","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}

引用次数: 0

Data-Based Program Design Using Implementation Science Frameworks. 使用实现科学框架的基于数据的程序设计。

IF 0.8 4区医学

Research and Theory for Nursing Practice Pub Date : 2025-06-25 DOI: 10.1891/RTNP-2024-0137

Cheryl A Smith-Miller

{"title":"Data-Based Program Design Using Implementation Science Frameworks.","authors":"Cheryl A Smith-Miller","doi":"10.1891/RTNP-2024-0137","DOIUrl":"https://doi.org/10.1891/RTNP-2024-0137","url":null,"abstract":"Background: Integrating evidence into nursing practice remains challenging due to gaps in nurses' research experience, knowledge, and skills. Purpose: To address these challenges, an Evidence Resource Nurse (ERN) program was developed using implementation science frameworks to enhance nurses' research literacy and skills and foster a culture of inquiry. Methods: Baseline data identified deficiencies in nurses' knowledge and confidence in utilizing research to inform practice. The ERN program was designed using the Consolidated Framework for Implementation Research and the Capability, Opportunity, Motivation, and Behavior model. The 4-hour core course is supplemented by quarterly seminars and self-paced activities in collaboration with governance councils, policy owners, and quality improvement coaches. This approach ensures that participants acquire both theoretical knowledge and practical experience in applying evidence in clinical settings. Results: The program has engaged over 100 nurses since its launch, with the latest evaluations showing improvements in participants' knowledge and skills. The program's integration into nursing professional development specialists' onboarding demonstrates institutional commitment to facilitating evidence-informed practice. Future evaluations will assess the programs' influence on nurses' initiation of evidence-informed practice changes at the unit and institutional level. Implications for Practice: The ERN program offers a model for bridging the gap between research and practice and demonstrates the use of implementation science methods to create targeted programs designed for specific populations and settings. Data-driven approaches better address nurses' professional development needs and enhance educational offerings.","PeriodicalId":51287,"journal":{"name":"Research and Theory for Nursing Practice","volume":" ","pages":""},"PeriodicalIF":0.8,"publicationDate":"2025-06-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144499165","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}

引用次数: 0

Obstetrical Nurse Perceptions of Debriefing Following Emergencies. 产科护士对急诊后述职的认识。

IF 0.8 4区医学

Research and Theory for Nursing Practice Pub Date : 2025-06-25 DOI: 10.1891/RTNP-2025-0018

Abeer Alhaj Ali, Donna Green, Vicki Minnich

{"title":"Obstetrical Nurse Perceptions of Debriefing Following Emergencies.","authors":"Abeer Alhaj Ali, Donna Green, Vicki Minnich","doi":"10.1891/RTNP-2025-0018","DOIUrl":"https://doi.org/10.1891/RTNP-2025-0018","url":null,"abstract":"Background and Purpose: Debriefing is a strategy that can help improve communication and teamwork. This study explored obstetrical (OB) nurses' perceptions and practices of real-time (clinical) debriefing following OB emergencies and how debriefing impacts their practices and unit policies. Methods: A cross-sectional quantitative study was based on a descriptive nonexperimental design with qualitative components about the debriefing practices in the OB units. A convenience sample of OB nurses participated in this study. Among the 150 nurses who received the survey, 69 completed the questionnaire (response rate = 46). The OB-Registered Nurse Debriefing Survey was developed to gather data from OB nurses about debriefing following OB emergencies. Donabedian's model \"structure, process, and outcome\" was used to guide data collection and analysis. Results: OB nurses defined debriefing as a formal discussion of what happened, what went well, what improvement is needed, and identifying resources. Nurses reported multiple perceived benefits of debriefings, including the opportunity to learn, celebrate success and appraisal, improve teamwork, promote patient safety, and identify opportunities for improvement. Several barriers to OB debriefing were reported, including increased nursing workload, emotional distress, lack of confidence, and limited nursing staffing. Conclusions and Implications: Real-time (clinical) debriefing may improve OB outcomes, promote patient safety, and address organizational/structural failures. Despite being beneficial, implementing debriefings is challenging due to various barriers. It also addresses and resolves psychological distress resulting from clinical events. Increased nursing and provider staff engagement and ongoing training would enhance debriefing facilitation. Empowering nurses to lead clinical debriefing that promotes safety and communication and improves OB outcomes is required.","PeriodicalId":51287,"journal":{"name":"Research and Theory for Nursing Practice","volume":" ","pages":""},"PeriodicalIF":0.8,"publicationDate":"2025-06-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144499167","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}

引用次数: 0

Development and Psychometric Properties of the Self-Efficacy Scale for Symptom Management and Self-Care in Patients With Cardiac Surgery. 心脏手术患者症状管理和自我护理自我效能感量表的编制及其心理测量学特征。

IF 0.8 4区医学

Research and Theory for Nursing Practice Pub Date : 2025-06-25 DOI: 10.1891/RTNP-2024-0129

Rabia Sağlam Aksüt, Cantürk Çapık, Tuğçe Bozkurt Elmas

{"title":"Development and Psychometric Properties of the Self-Efficacy Scale for Symptom Management and Self-Care in Patients With Cardiac Surgery.","authors":"Rabia Sağlam Aksüt, Cantürk Çapık, Tuğçe Bozkurt Elmas","doi":"10.1891/RTNP-2024-0129","DOIUrl":"https://doi.org/10.1891/RTNP-2024-0129","url":null,"abstract":"Background and Purpose: Evaluating self-efficacy for symptom management and self-care is crucial for ensuring follow-up care after cardiac surgery. As there is not yet a validated measurement tool for this evaluation, the aim of this study was to develop the Self-Efficacy Scale for Symptom Management and Self-Care (SESMSC: Cardiac Surgery) in patients with cardiac surgery and to examine its psychometric properties. Methods: The Symptom Management Theory and Bandura's Self-Efficacy Theory were used as the theoretical background for scale development. A multiphase design was utilized. The initial development phase consisted of item generation and expert panel review. The second phase comprised a three-step validation process: (a) face and content validity analysis, (b) exploratory factor analysis (EFA) and confirmatory factor analysis (CFA) for construct validity, and (c) Cronbach's α, test-retest, and item-total correlation analysis to assess internal consistency reliability. The sample (n = 401) was randomly divided into two subsamples for EFA and CFA (EFA group: n = 201; CFA group: n = 200). Results: EFA suggested a 20-item, two-factor structure with factor loadings of .342-0.782. The two subscales of the scale were labeled symptom management self-efficacy and self-efficacy for self-care activities. Goodness-of-fit indices indicated a good model fit. Cronbach's α, test-retest, and item-total correlation results demonstrated acceptable internal consistency reliability. Implications for Practice: The SESMSC: Cardiac Surgery may be a useful tool to evaluate self-efficacy for symptom management and self-care after cardiac surgery. Further evaluation in independent samples is needed to investigate its psychometric properties and usefulness in clinical practice.","PeriodicalId":51287,"journal":{"name":"Research and Theory for Nursing Practice","volume":" ","pages":""},"PeriodicalIF":0.8,"publicationDate":"2025-06-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144499166","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}

引用次数: 0

A Snapshot of 43 Years of Publications on Hope in Nursing: A Bibliometric Study. 43年关于护理希望的出版物的快照：一项文献计量研究。

IF 0.8 4区医学

Research and Theory for Nursing Practice Pub Date : 2025-06-25 DOI: 10.1891/RTNP-2025-0001

Nazmiye Yıldırım, Esra Uslu

{"title":"A Snapshot of 43 Years of Publications on Hope in Nursing: A Bibliometric Study.","authors":"Nazmiye Yıldırım, Esra Uslu","doi":"10.1891/RTNP-2025-0001","DOIUrl":"https://doi.org/10.1891/RTNP-2025-0001","url":null,"abstract":"Background and Purpose: The study aimed to examine key features of publications on hope in nursing. Method: A bibliometric analysis of 3,814 nursing-related publications from Web of Science (August 2023) was conducted using the R Bibliometrix Package. Including numerical data, word clouds, trend topics, and thematic maps was applied for the analysis. Results: The average age of articles published in 1980-2023 was 9.71 years, with an annual increase of 10.82%. Hope in nursing was primarily explored in oncology, focusing on the quality of life and palliative care through qualitative studies. The longest-studied topic was \"stress.\" \"Quality of life\" is the motor theme in the field, while \"palliative care\" and \"spirituality\" are the themes that continue to evolve in this field. On the centrality line, a significant part of the \"recovery\" theme was niche, and a significant part of the \"COVID-19\" theme was emerging or declining. Implications for Practice: This bibliometric analysis reviews 43 years of research on hope in nursing. It has been observed that hope is examined in the context of illness, particularly in populations with a high risk of mortality. Investigating hope from the perspective of positive psychology in terms of protecting health and enhancing well-being would offer contributions. It has been understood that specific assessment tools are needed. Nurses must be prepared to maintain hope and work with patients who feel hopeless. As this bibliometric analysis highlights gaps in research, practice, and education, it can serve as a guide for future strategies.","PeriodicalId":51287,"journal":{"name":"Research and Theory for Nursing Practice","volume":" ","pages":""},"PeriodicalIF":0.8,"publicationDate":"2025-06-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144499164","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}

引用次数: 0