Research and Theory for Nursing Practice最新文献_第10页

Is the Title of Your Manuscript Telling the Truth? 您手稿的标题是否真实？

IF 0.6 4区医学

Research and Theory for Nursing Practice Pub Date : 2021-03-05 DOI: 10.1891/RTNP-D-21-00020

Diane B Monsivais

引用次数: 0

Pilot Testing and Psychometric Validation of the Nijmegen Professionalism Scale for Spanish Nursing. 奈梅亨专业精神量表在西班牙护理界的试点测试和心理测量验证。

IF 0.6 4区医学

Research and Theory for Nursing Practice Pub Date : 2021-03-05 DOI: 10.1891/RTNP-D-20-00043

Loreto García-Moyano, Rogelio Altisent, María Teresa Delgado-Marroquín, Begoña Pellicer-García, Oihana Arrazola-Alberdi, Isabel Antón-Solanas

{"title":"Pilot Testing and Psychometric Validation of the Nijmegen Professionalism Scale for Spanish Nursing.","authors":"Loreto García-Moyano, Rogelio Altisent, María Teresa Delgado-Marroquín, Begoña Pellicer-García, Oihana Arrazola-Alberdi, Isabel Antón-Solanas","doi":"10.1891/RTNP-D-20-00043","DOIUrl":"10.1891/RTNP-D-20-00043","url":null,"abstract":"Background and purpose: Professional commitment is frequently used as a humanistic care indicator. Thus, it is important to design and validate a tool which is able to measure professional commitment of nurses in Spain. In this study we aimed to analyze the psychometric properties of the Nijmegen Professionalism Scale for Spanish (NPS-S) nursing in order to verify its validity and reliability.Methods: We undertook the pilot testing and psychometric validation of the NPS-S. A total sample of 249 nursing professionals from a variety of areas of expertise took part in this study. The STrengthening the Reporting of OBservational studies in Epidemiology (STROBE) Statement was used for reporting this research.Results: The NPS-S achieved a high degree of content validity, construct validity, internal consistency, temporal stability, and usability; this version is, thus, equivalent to the Nijmegen Professionalis Scale in its original version.Implications for practice: Based on the results obtained from the validation of this tool, it is possible to affirm that the NPS-S is an effective instrument for measuring professional commitment in this population. The NPS-S will evaluate and thus contribute to the promotion of professional commitment in Spanish nursing. Additionally, it will serve to establish correlations between professional commitment and other variables including quality of care and patient satisfaction. Future studies should analyze the evaluation capacity of this tool.","PeriodicalId":51287,"journal":{"name":"Research and Theory for Nursing Practice","volume":" ","pages":""},"PeriodicalIF":0.6,"publicationDate":"2021-03-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25439668","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

Change Resistance as Practicing Moral Authenticity: A Qualitative Study. 变革阻力是道德真实性的实践：定性研究。

IF 0.6 4区医学

Research and Theory for Nursing Practice Pub Date : 2021-03-05 DOI: 10.1891/RTNP-D-20-00078

Kim McMillan, Amélie Perron

{"title":"Change Resistance as Practicing Moral Authenticity: A Qualitative Study.","authors":"Kim McMillan, Amélie Perron","doi":"10.1891/RTNP-D-20-00078","DOIUrl":"10.1891/RTNP-D-20-00078","url":null,"abstract":"Background and purpose: Organizational changes are increasingly rapid and continuous in health care as organizations strive to meet multiple external pressures. Much change in health care fails and nurse resistance is commonly blamed for such failure. Nurse resistance to organizational change is often described as overt behaviours and are deemed destructive to the change process. Much of the literature describing organizational change comes from the perspectives of administrators, there is little known about nurses' experiences of organizational change. The purpose of this inquiry was to explore the nature of frontline nurses' experiences of rapid and continuous change.Methods: A qualitative critical hermeneutic design was applied. 14 Registered Nurses participated in face-to-face interviews. Openended questions were used. The setting was an urban pediatric teaching hospital located in Canada. Research ethics board approval was obtained as required. Member reflections ensured accurate portrayals of participant's experiences.Results: The findings from this study suggest that acts of resistance to change are not overt, but rather covert behaviors in micro-ethical moments. Nurses engaged in resistance as means to provide morally authentic care at the bedside. These acts were utilized to take back power over their practice amidst feelings of powerlessness, however, paradoxically, when participants described the concept of power, they understood it solely in the context of feeling powerless within the planning, implementation and evaluation of organizational change initiatives. Nurses engagement with resistant behaviours in the context of organizational change demonstrated ethical action and political agency that enabled morally authentic nursing practice.Implications for practice: The findings from this study offer new understandings of a well-established concept in nursing and can be used when considering the ethical dimensions of nursing work amidst rapidly changing health care institutions.","PeriodicalId":51287,"journal":{"name":"Research and Theory for Nursing Practice","volume":" ","pages":""},"PeriodicalIF":0.6,"publicationDate":"2021-03-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25440628","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

Factors Associated With Self-Care Among Patients Receiving Hemodialysis: A Cross-Sectional Observational Study. 血液透析患者自我护理的相关因素：一项横断面观察研究。

IF 0.6 4区医学

Research and Theory for Nursing Practice Pub Date : 2021-03-05 DOI: 10.1891/RTNP-D-20-00042

Juhyun Lee, Dabok Noh

{"title":"Factors Associated With Self-Care Among Patients Receiving Hemodialysis: A Cross-Sectional Observational Study.","authors":"Juhyun Lee, Dabok Noh","doi":"10.1891/RTNP-D-20-00042","DOIUrl":"10.1891/RTNP-D-20-00042","url":null,"abstract":"Background and purpose: The global increase in prevalence of individuals with end-stage renal disease is a rising concern. Self-care is an essential and important component of chronic disease management. Poor self-care in patients receiving hemodialysis is associated with an increased risk of mortality and hospitalization. This study aimed to identify predictive factors for self-care in patients receiving hemodialysis based on a middle-range theory of self-care for chronic illness.Methods: Adult patients with end-stage renal disease receiving hemodialysis were recruited at an artificial kidney unit in a general hospital. Data from 131 patients were analyzed. Self-report questionnaires assessed hemodialysis-related knowledge, health motivation, self-efficacy, social support, access to care, and self-care.Results: Participants who had a family caregiver showed significantly higher selfcare scores than those who did not, and self-care scores were higher in patients who reported hypertension as a causal disease of end-stage renal disease than in those who did not. Self-care was significantly correlated with knowledge, health motivation, self-efficacy, social support, and access to care. The study's regression model showed that self-efficacy, health motivation, and knowledge were predictive variables influencing self-care, and the explanatory power of this model was 55.9%.Implications for practice: The results support the middle-range theory of self-care for chronic illness. Strategies and education to improve self-efficacy, health motivation, and knowledge must be incorporated when designing self-care programs. Nursing interventions that patients can participate in with their family members might facilitate improving self-care.","PeriodicalId":51287,"journal":{"name":"Research and Theory for Nursing Practice","volume":" ","pages":""},"PeriodicalIF":0.6,"publicationDate":"2021-03-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25439671","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 Process of Injection Drug Use Among Homeless Women in Ottawa, Canada: A Qualitative Study. 加拿大渥太华无家可归妇女使用注射毒品的过程：定性研究。

IF 0.6 4区医学

Research and Theory for Nursing Practice Pub Date : 2021-03-05 DOI: 10.1891/RTNP-D-20-00068

Cynthia Kitson, Patrick O'Byrne

引用次数: 0

Knowledge for Nursing Practice: Beyond Evidence Alone. 护理实践知识:超越证据。

IF 0.6 4区医学

Research and Theory for Nursing Practice Pub Date : 2021-02-01 DOI: 10.1891/RTNP-D-20-00095

Marlaine C Smith, Peggy L Chinn, Leslie H Nicoll

{"title":"Knowledge for Nursing Practice: Beyond Evidence Alone.","authors":"Marlaine C Smith, Peggy L Chinn, Leslie H Nicoll","doi":"10.1891/RTNP-D-20-00095","DOIUrl":"https://doi.org/10.1891/RTNP-D-20-00095","url":null,"abstract":"Objective: For the past 30 years there has been a growing emphasis on evidence as the primary or exclusive basis for nursing practice.Methods: Critical examination of literature related to evidence-based practice from the 1990s to the present.Results: This review of the nursing literature from the 1990s to the present reveals that in the midst of the movement to promote evidence-based practice as the gold standard, there have been persistent expressions of concern. These concerns are (a) lack of alignment of evidence-based practice with nursing's disciplinary perspective; (b) wrongful privileging of empirical knowledge over other sources of knowledge; (c) underappreciation of the complexity of practice and practice wisdom;(d) possibilities of evidence-based practice thwarting innovation and creativity;(e) vulnerabilities of empirical evidence to be flawed, inconsistent, and influenced by competing interests; (f) situational realities that limit access to and critical appraisal of evidence that access to and critical appraisal of evidence is not feasible or practical; and (g) lack of relationship of evidence-based practice to theory.Conclusions: We call for a recalibrated practice epistemology that promotes a greater appreciation for the myriad sources of knowledge for nursing practice, and offer recommendations for international change in education, literature, scholarship, and public media.","PeriodicalId":51287,"journal":{"name":"Research and Theory for Nursing Practice","volume":"35 1","pages":"7-23"},"PeriodicalIF":0.6,"publicationDate":"2021-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25406076","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: 5

Different Types of Theories by Level of Abstraction in Nursing: A Discussion Paper. 护理抽象层次的不同类型理论:讨论论文。

IF 0.6 4区医学

Research and Theory for Nursing Practice Pub Date : 2021-02-01 DOI: 10.1891/RTNP-D-20-00038

Eun-Ok Im

{"title":"Different Types of Theories by Level of Abstraction in Nursing: A Discussion Paper.","authors":"Eun-Ok Im","doi":"10.1891/RTNP-D-20-00038","DOIUrl":"https://doi.org/10.1891/RTNP-D-20-00038","url":null,"abstract":"Background and purpose: Despite different labels used to refer to different types of nursing theories by different authors, agreements were made on three major types of theories by level of abstraction. The purpose of this analysis was to discuss the characteristics of the three major types of nursing theories by level of abstraction that were published in refereed journals and to propose directions for future theoretical development in nursing.Methods: An integrated literature review was conducted using PUBMED, CINAHL, and PsycINFO. A total of 116 articles were included in this analysis. The retrieved articles were sorted by the type of theories (by level of abstraction), and analyzed in terms of scope, theorizing process, specificity and abstraction, contextual understanding, links to research and practice, and diversity and generalizability. Finally, themes reflecting the characteristics of the three major types of nursing theories were extracted and discussed.Results: A total of 17 themes were found. Although most of the themes reflected what were known about these theories, there were three new findings. First, all the grand theories that were reviewed tended to have more specific foci rather than explaining general nature, mission, or goals of nursing. Second, middle-range theories were developed based on various types/levels of theories using various sources for theorizing. Third, situation-specific theories began to be used to generate propositions and tested through statistical and qualitative analyses.Implications for practice: The efforts to try to link nursing theories to nursing practice need to be continued through further development and evaluation of the theories regardless of the types of theories.","PeriodicalId":51287,"journal":{"name":"Research and Theory for Nursing Practice","volume":"35 1","pages":"50-66"},"PeriodicalIF":0.6,"publicationDate":"2021-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25406078","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: 2

Nurse-Talk Ratios as a Measure of Participation in a Cognitive Rehabilitation Intervention for People With Type 2 Diabetes. 护士-谈话比率对2型糖尿病患者认知康复干预参与程度的影响

IF 0.6 4区医学

Research and Theory for Nursing Practice Pub Date : 2021-02-01 DOI: 10.1891/RTNP-D-19-00130

Heather Cuevas, Sharon Carter

{"title":"Nurse-Talk Ratios as a Measure of Participation in a Cognitive Rehabilitation Intervention for People With Type 2 Diabetes.","authors":"Heather Cuevas, Sharon Carter","doi":"10.1891/RTNP-D-19-00130","DOIUrl":"https://doi.org/10.1891/RTNP-D-19-00130","url":null,"abstract":"Background: Comprehensive cognitive rehabilitation teaches strategies to enhance strengths and has been used by nurses to target cognitive problems in chronic conditions. However, to date, no evaluations of web-based cognitive rehabilitation, based in empowerment theory, specifically for people with type 2 diabetes (T2DM), have been done.Purpose: The purpose of this study was to analyze a cognitive rehabilitation intervention for people with T2DM, using qualitative content analysis and 10-second event coding to determine to what extent the classes reflected empowerment theory.Methods: Nineteen adults with T2DM and two nurses participated in an 8-week intervention that combined webinar classes with online home-based computer training. Classes were audio recorded and 10-second event coding was used to calculate nurse-talk ratios. Transcripts were examined using content analysis and compared with the talk ratios.Results: Talk ratios ranged from 40% to 74% for each class. Qualitative themes included (a) importance of goal setting; (b) pairing cognitive strategies with diabetes self-management; (c) experience and information sharing; and (d) validation by healthcare providers. Positive participant outcomes related to empowerment were associated with low nurse-talk ratios in some classes. However, high nurse-talk ratios were associated with factual content that participants also considered valuable.Implications for practice: Talk ratios did not completely reflect the communication skills of the nurse. The 10-second method should be applied to other educational interventions in combination with qualitative analysis. Future interventions should include components of discourse evaluation and examinations of relationships to adherence and clinical outcomes.","PeriodicalId":51287,"journal":{"name":"Research and Theory for Nursing Practice","volume":"35 1","pages":"67-81"},"PeriodicalIF":0.6,"publicationDate":"2021-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25406079","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 Biopsychosocial Framework to Examine Risk for Type 2 Diabetes in Asian Pacific Islander Immigrants. 亚太岛民移民2型糖尿病风险的生物心理社会研究框架

IF 0.6 4区医学

Research and Theory for Nursing Practice Pub Date : 2021-02-01 DOI: 10.1891/RTNP-D-19-00132

Jorgia B Connor, Linda W Janusek

{"title":"A Biopsychosocial Framework to Examine Risk for Type 2 Diabetes in Asian Pacific Islander Immigrants.","authors":"Jorgia B Connor, Linda W Janusek","doi":"10.1891/RTNP-D-19-00132","DOIUrl":"https://doi.org/10.1891/RTNP-D-19-00132","url":null,"abstract":"There is large disparity in the incidence of Type 2 diabetes (T2D) for Asian Pacific Islanders (APIs), one of the fastest growing minority populations in the United States. It is critical to examine biopsychosocial pathways and vulnerability factors that intensify risk for T2D in API. Increasing evidence links chronic stress to poor health outcomes and accelerated development and progression of diseases of aging, such as diabetes. Immigrant populations face unique life stressors, including the challenges associated with the process of adapting to a new environment, new language, and cultural differences. In addition, immigrants experience high levels of psychological distress related to changes of identity and values, loss of support, discrimination, and disempowerment. The purpose of this article is to propose a biopsychosocial framework to explicate potential mechanistic pathways that link cumulative life stress to risk for T2D in the API immigrant population. Unique to the proposed framework is the emphasis on inflammatory processes and accelerated cellular aging (telomere biology). A deeper understanding of biopsychosocial pathways can lead to tailored and targeted interventions to reduce the incidence of T2D in the API immigrant population.","PeriodicalId":51287,"journal":{"name":"Research and Theory for Nursing Practice","volume":"35 1","pages":"82-96"},"PeriodicalIF":0.6,"publicationDate":"2021-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25406556","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

An Ethos of Inclusion for Global Nursing Practice. 全球护理实践的包容精神。

IF 0.6 4区医学

Research and Theory for Nursing Practice Pub Date : 2021-02-01 DOI: 10.1891/RTNP-D-19-00080

Michele J Upvall

引用次数: 0