Research and Theory for Nursing Practice最新文献

{"title":"Impacts of Neoliberalism and Disciplinary Power on Beauty and Thinness Ideals Among Adolescents in Western Societies.","authors":"Émilie Beauchemin, Dave Holmes","doi":"10.1891/RTNP-2024-0148","DOIUrl":"https://doi.org/10.1891/RTNP-2024-0148","url":null,"abstract":"<p><p><b>Background and Purpose:</b> The body has undergone significant aesthetic transformations throughout the centuries. A normalization has gradually taken place in contemporary Western society regarding the criteria attributed to a healthy and attractive body. The image of a thin body is omnipresent in how we conceptualize aesthetic norms in Western societies. This dominance of bodily beauty, this idealization of thinness, generates and reinforces a \"cult of the body\" that is already prevalent in our current societies. <b>Methods:</b> We believe our understanding of the \"cult of the body\" could be enlightened by the writings of Michel Foucault and Nikolas Rose. <b>Results:</b> The forthcoming article will initially delve into how immanent power operates within normative disciplinary practices, technologies of the self, and neoliberal practices. It will then seek to comprehend the extent and influence of the normative regime on the social construction of societal ideals of beauty and thinness to which adolescents in contemporary societies may be exposed. <b>Implications for Practice:</b> Foucault's and Rose's works allow us to expose power relations and interrogate the patient's body as constructed through technical and medical discourse. Their work allows for questioning, reevaluation, and deconstruction of certain paradigms in mental health nursing and raises awareness of not unquestionably accepting a single psychiatric and mental health nursing epistemology. Finally, they provide important insights for nursing practice, especially when it comes to comprehending how societal standards around beauty and health influence the behaviors and body image of adolescents.</p>","PeriodicalId":51287,"journal":{"name":"Research and Theory for Nursing Practice","volume":" ","pages":""},"PeriodicalIF":0.8,"publicationDate":"2025-05-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144007859","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":"Adaptive Challenges and Adaptive Work of Family Members in a Long-Term Acute Care Hospital.","authors":"Christian M Noval, Craig R Rackley, Donald E Bailey","doi":"10.1891/RTNP-2024-0161","DOIUrl":"https://doi.org/10.1891/RTNP-2024-0161","url":null,"abstract":"<p><p><b>Background:</b> Family members provide emotional and psychosocial support and are an integral component of patient care for older patients with chronic critical illness (CCI). <b>Purpose:</b> This study aimed to describe how family members work with health care providers (HCPs) to support their loved ones by identifying their adaptive challenges, adaptive work, and technical work. <b>Methods:</b> This was an exploratory mixed-method study. Study participants were family members and HCPs of patients admitted to a long-term acute care hospital (LTACH). Surveys and semistructured interviews were completed between February and March 2023. Interviews were coded using <i>a priori</i> codes developed from the Adaptive Leadership Framework for Chronic Illness (ALFCI). <b>Results:</b> Nine participants (five family members and four with HCPs) were enrolled. Family members rated their HCPs' communication skills as very good. Similarly, HCPs' assessment of their communication skills was very good. Four themes were identified: family members' adaptive challenges, adaptive work, HCP-described family adaptive challenges, and HCPs' technical work. Family members' adaptive challenges included communication, care expectations, and individual challenges. Adaptive work included voicing concerns, advocating for their loved one, setting expectations, and coordinating with other family members. HCPs' technical work focused on communication strategies and collaboration with family members and other team members. <b>Implications for practice:</b> Family members play a crucial role in patient care. They experience adaptive challenges supporting their loved ones and managing their everyday activities. Collaborative work between family and HCPs addresses these challenges.</p>","PeriodicalId":51287,"journal":{"name":"Research and Theory for Nursing Practice","volume":" ","pages":""},"PeriodicalIF":0.8,"publicationDate":"2025-04-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144052705","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":"Adolescent Shared Decision-Making: A Concept Analysis.","authors":"Alaina R Smelko, Cynthia L Russell Lippincott","doi":"10.1891/RTNP-2024-0113","DOIUrl":"https://doi.org/10.1891/RTNP-2024-0113","url":null,"abstract":"<p><p><b>Background and Purpose:</b> Adolescent involvement in decision-making processes is influenced by their developmental phase in life, the type of decision, the severity of the adolescent's condition or prognosis, and vulnerability. While developmental science does not support the exclusion of adolescents from decision-making, work to promote adolescent shared decision-making has been hampered by the uncertainty of what the concept means. This paper analyzes the concept of adolescent shared decision-making and brings light to a special population within pediatrics. <b>Methods:</b> Rodgers's evolutionary method was used for this concept analysis. Adolescent shared decision-making was defined along with surrogate and related terms, antecedents, attributes, and consequences. An exemplar was included to further describe the application and context of adolescent shared decision-making. <b>Results:</b> Adolescent shared decision-making is defined as an ongoing process with active participation of multiple parties through shared decision-making to reach an agreed medical decision with a goal to optimize the adolescent's future medical wishes; it may change with time and/or growth and development of the adolescent. <b>Implications for Practice:</b> Adolescent shared decision-making bridges the gap in the continuum of patient-centered, medical care participation. Since nurses often have more contact with patients than providers, the integration of adolescent shared decision-making into practice may help nurses better advocate for adolescents' wishes, especially if they are not able to speak for themselves. Adolescents will feel better prepared for future decision-making in adulthood by empowering them to use their voices to become active contributors within our global society.</p>","PeriodicalId":51287,"journal":{"name":"Research and Theory for Nursing Practice","volume":" ","pages":""},"PeriodicalIF":0.8,"publicationDate":"2025-04-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144016145","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":"Uncertainty as a Barrier to Self-Care and Quality of Life in Patients With Heart Failure With Reduced Ejection Fraction.","authors":"Seyma Demir Erbas, Ganime Esra Soysal","doi":"10.1891/RTNP-2024-0157","DOIUrl":"https://doi.org/10.1891/RTNP-2024-0157","url":null,"abstract":"<p><p><b>Background and Purpose:</b> Quality of life (QoL) and self-care behaviors (SCB) are crucial for patients with heart failure, yet the uncertainty surrounding health outcomes can severely undermine these aspects, particularly in patients with heart failure with reduced ejection fraction (HFrEF). This study aimed to determine the collective impact of perceived uncertainty on both QoL and SCB in HFrEF patients. <b>Methods:</b> A cross-sectional study was conducted among 118 HFrEF patients recruited from cardiology clinics. Data were collected using the Mishel Uncertainty in Illness Scale-Community Form, the Left Ventricular Dysfunction Scale, and the European Heart Failure Self-Care Behavior Scale. The primary analysis, a one-way multivariate analysis of variance (MANOVA), assessed the relationship between uncertainty and the combined outcomes of QoL and SCB. Additional analyses, including a two-way MANOVA and multiple regression, examined predictors such as age, gender, body mass index, and New York Heart Association (NYHA) class. <b>Results:</b> Of the participants, 62.7% reported low uncertainty. Higher levels of uncertainty significantly predicted lower QoL and SCB scores (<i>F</i> = 15.795, <i>p</i> < .001, η² = .216). Other significant predictors included age, gender, body mass index, duration since diagnosis, and NYHA class. <b>Implications for Practice:</b> These findings highlight the pressing need for health care professionals to address uncertainty in HFrEF patients through tailored interventions. Reducing uncertainty can enhance both QoL and SCB, empowering patients to manage their condition more effectively. Future research should develop and evaluate interventions that reduce uncertainty, thereby fostering improved patient engagement, resilience, and long-term well-being.</p>","PeriodicalId":51287,"journal":{"name":"Research and Theory for Nursing Practice","volume":" ","pages":""},"PeriodicalIF":0.8,"publicationDate":"2025-04-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144020560","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":"Analysis of the Impact of Interventions Based on Orem's Self-Care Model on the Balance and Motor Function of Patients with Parkinson's Disease.","authors":"Xiaoxia Zhang, Hongzhi Lu, Yanchao Dong","doi":"10.1891/RTNP-2024-0168","DOIUrl":"https://doi.org/10.1891/RTNP-2024-0168","url":null,"abstract":"<p><p><b>Background and Purpose:</b> The study investigates the effects of Orem's self-care model on balance and motor function in patients with Parkinson's disease (PD), aiming to enhance self-management abilities. <b>Methods:</b> Sixty-one PD patients were selected and divided into an experimental group (31 participants) receiving Orem's self-care interventions and a control group (30 participants) receiving standard care. The experimental group received Orem's self-care intervention, whereas the control group received standard care. The Berg Balance Scale (BBS) and the third part of the Unified Parkinson's Disease Rating Scale (UPDRS-III) scores were recorded and analyzed for both groups before and after the nursing intervention. Multiple linear regression was used to analyze the relationship between pre- and postintervention changes in BBS and UPDRS-III scores in the intervention group, considering factors, such as marital status, education level, place of residence, disease duration, and rehabilitation exercise participation. <b>Results:</b> After the intervention, the experimental group demonstrated significantly improved scores, with a BBS score of 34.81 ± 3.24 and a UPDRS-III score of 25.16 ± 5.49, compared with the control group, which had a BBS score of 29.54 ± 3.20 and a UPDRS-III score of 31.60 ± 7.69. The differences were statistically significant (<i>t</i> = 6.391, <i>p</i> < .001; <i>t</i> = 3.775, <i>p</i> < .001). Age and disease duration were negatively correlated with changes in BBS (ΔBBS) and UPDRS-III (ΔUPDRS-III), whereas education level showed a positive correlation with these changes. <b>Implications for Practice:</b> Incorporating Orem's self-care model into the nursing care of PD patients can lead to significant improvements in their balance and motor function.</p>","PeriodicalId":51287,"journal":{"name":"Research and Theory for Nursing Practice","volume":" ","pages":""},"PeriodicalIF":0.8,"publicationDate":"2025-04-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143812797","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":"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}