Research and Theory for Nursing Practice最新文献_第2页

Caring for the Unvaccinated During a Pandemic: Connecting Swanson's Theory of Caring. 大流行病期间照顾未接种疫苗者：连接斯旺森的关爱理论。

IF 0.8 4区医学

Research and Theory for Nursing Practice Pub Date : 2024-09-12 DOI: 10.1891/RTNP-2023-0151

Marni B Kellogg, Anna E Schierberl Scherr, Mary Rose McDonough, Brian Ayotte, Rayna Letourneau

{"title":"Caring for the Unvaccinated During a Pandemic: Connecting Swanson's Theory of Caring.","authors":"Marni B Kellogg, Anna E Schierberl Scherr, Mary Rose McDonough, Brian Ayotte, Rayna Letourneau","doi":"10.1891/RTNP-2023-0151","DOIUrl":"https://doi.org/10.1891/RTNP-2023-0151","url":null,"abstract":"Background and Purpose: Nurses frequently care for patients who make decisions against medical advice, a challenge that continues during and after the COVID-19 pandemic. This article explores U.S. nurses' experiences caring for unvaccinated COVID-19 patients and the resulting impacts using Swanson's Theory of Caring (STC). Methods: Data were gathered through an online survey collecting nurses' demographics, mental health screening data, and an open-ended question asking about a personal experience providing care to an unvaccinated COVID-19 patient. Researchers analyzed 128 responses using content analysis. STC served as the analytical framework. Results: Nurses' experiences were summarized into two main themes and four subthemes: (a) anger, frustration, fatigue, and resentment (24.2%) and (b) feeling a professional commitment to a nurse's duty (60.9%). Within the professional commitment theme, subthemes include the following: (a) patients can make an autonomous decision (15.6%); (b) feeling concerned for the patient (6.3%); (c) wanting to take action, educate, and vaccinate (29.7%); and (d) feeling moral conflict (9.3%). Results aligned with STC's five caring actions: knowing, doing for, being with, enabling, and maintaining belief. Implications for Practice: Nurses experienced emotional challenges caring for the unvaccinated during the pandemic resulting in psychological sequelae, including compassion fatigue and moral distress, in addition to positive outcomes of resilience and enhanced coping mechanisms. This study underscores the multifaceted nature of nurses' experiences and the emotional, ethical, and professional challenges they encountered when caring for unvaccinated COVID-19 patients. Nurse leaders should address these issues to enhance nurses' wellbeing and reduce compassion fatigue and dissatisfaction.","PeriodicalId":51287,"journal":{"name":"Research and Theory for Nursing Practice","volume":" ","pages":""},"PeriodicalIF":0.8,"publicationDate":"2024-09-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142300306","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 Influencing Nurses' Intentions to Protect Patient Privacy: A Survey-Based Study Using the Theory of Planned Behavior. 影响护士保护患者隐私意愿的因素：使用计划行为理论的调查研究。

IF 0.8 4区医学

Research and Theory for Nursing Practice Pub Date : 2024-09-09 DOI: 10.1891/RTNP-2024-0076

İsa Gül, Veysel Yılmaz

{"title":"Factors Influencing Nurses' Intentions to Protect Patient Privacy: A Survey-Based Study Using the Theory of Planned Behavior.","authors":"İsa Gül, Veysel Yılmaz","doi":"10.1891/RTNP-2024-0076","DOIUrl":"https://doi.org/10.1891/RTNP-2024-0076","url":null,"abstract":"Background and Purpose: Patient privacy and confidentiality are fundamental ethical principles in healthcare. Protecting patient privacy, which is accepted as a patient's right, is one of the responsibilities of nurses. Few studies on patient privacy among nurses have used social cognitive approaches. The purpose of this study is to examine nurses' intentions to protect patient privacy using the theory of planned behavior (TPB). Methods: This is a cross-sectional and correlational design study. The study sample consisted of 202 nurses working in the emergency departments, operating rooms, inpatient wards, and intensive care units of the hospitals. Research data were collected using a face-to-face questionnaire that included TPB components on patient privacy. The proposed research model was tested using structural equation modeling. Results: Attitude (β = .238, p < .05), subjective norm (β = .295, p < .05), and moral norm (β = .337, p < .05) toward patient privacy are positive predictors of intention. The moral norm is the most effective component of intention. Perceived behavioral control is not a significant predictor of intention (β = .049, p > .05). Implications for Practice: Norms that create a sense of moral obligation in nurses are a significant determinant in increasing the intention to protect patient privacy. Interventions that improve moral norms, attitudes, and subjective norms will increase the intention to protect privacy. Nurse managers should provide nurses with adequate skills, resources, and an appropriate work environment to ensure perceived behavioral control regarding patient privacy.","PeriodicalId":51287,"journal":{"name":"Research and Theory for Nursing Practice","volume":" ","pages":""},"PeriodicalIF":0.8,"publicationDate":"2024-09-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142300330","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

Theoretical Approach to Examining Effect of Burnout on Quality Care Services. 研究职业倦怠对优质护理服务影响的理论方法。

IF 0.8 4区医学

Research and Theory for Nursing Practice Pub Date : 2024-08-30 DOI: 10.1891/RTNP-2023-0063

Anas O Okour, Elaine L Miller

引用次数: 0

Borderlands: A Place of Transformation for Nursing-Where Nepantleras Thrive. 边境地区：护理工作的变革之地--尼泊尔人在此茁壮成长。

IF 0.8 4区医学

Research and Theory for Nursing Practice Pub Date : 2024-08-30 DOI: 10.1891/RTNP-2024-0004

Jacqueline Avanthay Strus, Dave Holmes, Patrick O'Byrne

引用次数: 0

Gerotranscendence, Hope, and Coherence in the Face of Life Adversity. 面对人生逆境时的老年超越、希望和凝聚力。

IF 0.8 4区医学

Research and Theory for Nursing Practice Pub Date : 2024-08-26 DOI: 10.1891/RTNP-2023-0117

Meredith Troutman-Jordan, Dena Evan, Stephanie Woods, Boyd Davis

{"title":"Gerotranscendence, Hope, and Coherence in the Face of Life Adversity.","authors":"Meredith Troutman-Jordan, Dena Evan, Stephanie Woods, Boyd Davis","doi":"10.1891/RTNP-2023-0117","DOIUrl":"https://doi.org/10.1891/RTNP-2023-0117","url":null,"abstract":"Background and Purpose: Older adults are living longer and becoming more diverse. The current study examined the relationship between traumatic life events, hope, coherence, and successful aging in Black and White older adults with at least one chronic health condition, and the influence of life events on gerotranscendence. Methods: Fifty older adults from two senior centers participated. Participants completed the Successful Aging Inventory, Life Events Checklist, Herth Hope Index, and Sense of Coherence Scale. Results: Significant correlations were found between successful aging and gerotranscendence (r = .290; p = .048) and hope (r = .585; p = <.001). Simple linear regression found that Successful Aging Index (SAI) scores significantly predicted gerotranscendence (R2 = .10, F(1, 46) = 5.157, p = .028) and Herth Hope Index scores (R2 = .36, F(1, 46) = 25.850, p <.001). Higher Sense of Coherence (SoC) and Gerotranscendence Scale scores among those with no firsthand trauma experience suggest that experiencing traumatic events firsthand may adversely affect the aging process. Implications: Therefore, exploration of trauma experiences, with mental health referrals as appropriate are clinical implications to consider.","PeriodicalId":51287,"journal":{"name":"Research and Theory for Nursing Practice","volume":" ","pages":""},"PeriodicalIF":0.8,"publicationDate":"2024-08-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142074524","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

Experiences of Mothers With Hearing Impairment Regarding the Care of Their Children. 有听力障碍的母亲照顾子女的经历。

IF 0.8 4区医学

Research and Theory for Nursing Practice Pub Date : 2024-08-26 DOI: 10.1891/RTNP-2024-0070

Sultan Altuntas, Hülya Karataş

{"title":"Experiences of Mothers With Hearing Impairment Regarding the Care of Their Children.","authors":"Sultan Altuntas, Hülya Karataş","doi":"10.1891/RTNP-2024-0070","DOIUrl":"https://doi.org/10.1891/RTNP-2024-0070","url":null,"abstract":"Background and Purpose: Hearing loss is one of the most common types of disability in the world. Studies have reported that mothers with disabilities have some difficulties in fulfilling their maternal role in childcare. This study was conducted to determine the experiences of mothers with hearing impairment regarding the care of their children. Methods: This study, which was conducted using a qualitative method in a phenomenological design, was carried out with 10 mothers with moderate, severe, and highly severe bilateral hearing loss in a province in the southeast of Türkiye. Methodologically, inductive coding was followed for data analysis. In the analysis, the Max Qualitative Data Analysis Analytics Pro2022 software was used. The Consolidated Criteria for Reporting Qualitative Research was used for qualitative research reporting. Results: The data codes obtained were gathered under nine categories, and the categories were divided into subcodes. These categories were respectively related to \"difficulties caused by hearing impairment,\" \"tactics developed in coping with difficulties,\" \"difficulties experienced independently of hearing impairment,\" \"approaches to being a mother with impairment,\" \"mother's attitude toward hearing impairment,\" \"issues related to children,\" \"fears and concerns,\" \"experienced advantages and disadvantages,\" and \"expectations and recommendations.\" Conclusion: The study revealed that mothers had experienced difficulties caused by hearing impairment, received help in childcare, or developed facilitating strategies Implications for Practice: Pediatric nurses should provide training on childcare and safety to mothers with hearing impairment, as well as develop strategies to facilitate childcare by working in cooperation with mothers who have hearing impairment.","PeriodicalId":51287,"journal":{"name":"Research and Theory for Nursing Practice","volume":" ","pages":""},"PeriodicalIF":0.8,"publicationDate":"2024-08-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142074523","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

Navigating Uncertainty: The Impact of COVID-19 on Families of Terminally Ill Patients. 驾驭不确定性：COVID-19 对临终病人家属的影响。

IF 0.8 4区医学

Research and Theory for Nursing Practice Pub Date : 2024-08-16 DOI: 10.1891/RTNP-2024-0046

Mohamed Toufic El Hussein, Simreen Dhaliwal

{"title":"Navigating Uncertainty: The Impact of COVID-19 on Families of Terminally Ill Patients.","authors":"Mohamed Toufic El Hussein, Simreen Dhaliwal","doi":"10.1891/RTNP-2024-0046","DOIUrl":"https://doi.org/10.1891/RTNP-2024-0046","url":null,"abstract":"Background: The coronavirus disease (COVID-19) pandemic has caused significant global mortality and left a substantial number of bereaved individuals in its wake while reshaping healthcare delivery and profoundly affecting families coping with loss. During the pandemic, public health measures and the fear of getting COVID have reshaped grieving for families, adding emotional layers and complexities. This was further compounded by bereavement challenges, including changes to gatherings that have altered social norms and limited families in honoring loved ones, causing further distressing. Purpose: To elucidate experiences of families who had a hospitalized terminally ill family member during the COVID-19 pandemic and identify themes from the existing literature that can inform clinical practice related to how healthcare providers care for individuals and their families during palliative care going forward. Methods: This scoping review delved into qualitative studies sourced from peer-reviewed literature found in PubMed, CINAHL, and MEDLINE databases. Results: A thorough search yielded 298 articles, of which 10 were included in the present review. Four themes were identified: the importance of communication, the challenges and effects of separation from loved ones, changed rituals and bereavement, and access to services and support. Implications for Practice: The restrictions and fear imposed by the COVID-19 pandemic has significantly altered patient and family care dynamics, disrupting customary face-to-face visits and increasing emotional strain for families, while highlighting the necessity for personalized end-of-life care. Integrating supportive frameworks and utilizing telehealth platforms or hybrid care models will be crucial in addressing the complexities of grief and loss experienced by patients, families, and caregivers during and after the pandemic.","PeriodicalId":51287,"journal":{"name":"Research and Theory for Nursing Practice","volume":" ","pages":""},"PeriodicalIF":0.8,"publicationDate":"2024-08-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141996914","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

Prophetic Medicine in the Context of Middle Eastern Culture: A Concept Analysis. 中东文化背景下的先知医学：概念分析。

IF 0.8 4区医学

Research and Theory for Nursing Practice Pub Date : 2024-08-16 DOI: 10.1891/RTNP-2023-0158

Khulud Almutairi, Joseph De Santis

{"title":"Prophetic Medicine in the Context of Middle Eastern Culture: A Concept Analysis.","authors":"Khulud Almutairi, Joseph De Santis","doi":"10.1891/RTNP-2023-0158","DOIUrl":"https://doi.org/10.1891/RTNP-2023-0158","url":null,"abstract":"Background: Prophetic Medicine, integral to healthcare in Muslim-majority regions, particularly the Middle East and North Africa, is often underexplored in existing literature. Purpose: This concept analysis sought to explore the concept of Prophetic Medicine by delineating its attributes, antecedents, and consequences in order to augment healthcare providers' comprehension of Prophetic Medicine. It also seeks to enhance interdisciplinary dialogue, thereby enriching the integration of traditional healing modalities in modern medical practices. Methods: Walker and Avant's method was used to conduct the concept analysis by reviewing published literature on the concept. Results: The analysis identified the core attributes of Prophetic Medicine, such as Black Seeds, Dates, Miswak, Wet cupping, and Zamzam water, and explored cultural, spiritual, and practical underpinnings of these practices. Antecedents such as cultural background, spiritual beliefs, basic knowledge, lower cost, perceived safety, efficacy, simple techniques, and dissatisfaction with allopathic therapy were identified. The consequences of these practices include the multifaceted impact of Prophetic Medicine, highlighting the relationship between these traditional practices and health outcomes. Implications for Practice: This concept analysis underscores the significance of recognizing these aspects of Prophetic Medicine for healthcare providers to effectively integrate Prophetic Medicine into practice, aiming for favorable patient outcomes and fostering a more inclusive, culturally sensitive healthcare environment.","PeriodicalId":51287,"journal":{"name":"Research and Theory for Nursing Practice","volume":" ","pages":""},"PeriodicalIF":0.8,"publicationDate":"2024-08-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141996915","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

Men's Experiences With Perinatal Loss: An Integrative Review. 男性围产期丧子的经历：综合评论》（Men's Experiences With Perinatal Loss: An Integrative Review.

IF 0.8 4区医学

Research and Theory for Nursing Practice Pub Date : 2024-08-14 DOI: 10.1891/RTNP-2023-0127

Rebecca Burrow

{"title":"Men's Experiences With Perinatal Loss: An Integrative Review.","authors":"Rebecca Burrow","doi":"10.1891/RTNP-2023-0127","DOIUrl":"https://doi.org/10.1891/RTNP-2023-0127","url":null,"abstract":"Introduction: Perinatal loss is a tremendous loss for many and can have consequences that affect physical and mental health. This topic has been substantially examined among women; however, men's experiences with perinatal loss have lacked attention. Many men report significant grief, self-blame, stigma, loss of self-identity, lack of recognition of their loss, marginalization, and gendered expectations that negate their grieving process. This places men at risk for complicated or disenfranchised grief. Most studies examining perinatal loss have been conducted in countries outside of the United States and outside of the discipline of nursing. As nurses are concerned about holistic care of men and women, the findings resulting from studies with women and other cultural perspectives may not be generalizable to men in the United States. Purpose: The purpose of this integrative review was to examine the current state of science regarding men's experiences with perinatal loss, what is known about this loss within the nursing discipline, to identify gaps in nursing knowledge, and to expose areas for further research. Method: Online databases including CINAHL, PubMed, and Scopus were used to perform the initial search. The search terms included \"men,\" \"perinatal loss,\" \"miscarriage,\" \"stillbirth,\" and \"grief.\" Results: Themes were identified through a review of the literature that included that men experienced a loss of the role of fatherhood and identity. Additionally, men reported expectations about socially and gender-specific behavior that influenced their expressions of grief and their coping process. Finally, the lack of recognition of their loss as fathers in perinatal loss resulted in the marginalization and the use of avoidance and distraction to cope with the loss, as well as risks to the health of the partnered relationship.","PeriodicalId":51287,"journal":{"name":"Research and Theory for Nursing Practice","volume":" ","pages":""},"PeriodicalIF":0.8,"publicationDate":"2024-08-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141983832","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

Spirituality, Self-Efficacy, and Medication Use in African American Women with Hypertension: Beyond the Prescriptions. 非裔美国女性高血压患者的精神、自我效能感和药物使用：超越处方。

IF 0.8 4区医学

Research and Theory for Nursing Practice Pub Date : 2024-07-18 DOI: 10.1891/RTNP-2023-0139

Tracie L Augusta, Annapoorna Mary, Sohye Lee, Fawaz Mzayek, Christy Woodbury-Moore

{"title":"Spirituality, Self-Efficacy, and Medication Use in African American Women with Hypertension: Beyond the Prescriptions.","authors":"Tracie L Augusta, Annapoorna Mary, Sohye Lee, Fawaz Mzayek, Christy Woodbury-Moore","doi":"10.1891/RTNP-2023-0139","DOIUrl":"https://doi.org/10.1891/RTNP-2023-0139","url":null,"abstract":"Objective: This study aimed to determine the relationship between spiritual, religious, and existential well-being and self-efficacy for appropriate medication use in African American women with hypertension. Methods: In this study, we conducted cross-sectional correlations using linear regression analysis. An African American sample of women from across the United States with hypertension was chosen through a purposive sampling technique. An online survey was used. Results: There were 186 African American women with hypertension who took part in the study, with an average age of 57.15 (SD = 12.79) years. The study found significant correlations between spiritual (p = .022), religious (p = .033), and existential (p = .021) well-being and self-efficacy for appropriate medication use in African American women with hypertension. The study concluded that no women reported high spiritual, religious, or existential well-being, only moderate. Nor were they very confident that they would take their medications under changing or challenging circumstances. Conclusion: African American women are the most religious aggregate in the United States, and there is evidence that spiritual, religious, and existential well-being affects their self-efficacy for appropriate medication use. Clinicians and researchers must collaborate to enhance medication adherence through continuous education, assessment, and reinforcement while also attuning their practice to spiritual, religious, and existential well-being effects on self-efficacy for appropriate medication use in African American women.","PeriodicalId":51287,"journal":{"name":"Research and Theory for Nursing Practice","volume":" ","pages":""},"PeriodicalIF":0.8,"publicationDate":"2024-07-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141725006","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