Research and Theory for Nursing Practice最新文献

{"title":"A Theory for Prelicensure Nursing Student Satisfaction With Clinical Learning Experiences: An Integrative Review.","authors":"Susan Welch","doi":"10.1891/RTNP-2022-0093","DOIUrl":"https://doi.org/10.1891/RTNP-2022-0093","url":null,"abstract":"<p><p>The satisfaction of prelicensure nursing students is a prominent and essential component of programmatic outcome data for accreditation agencies and ongoing program improvement. Nursing student satisfaction correlates with student retention, graduation rates, and future employment and can assist nurse educators in determining if supportive clinical experiences exist. However, nursing students report moderate-to-high levels of clinical stress within clinical environments, impacting both satisfaction and future role preparation. Additional research is necessary regarding prelicensure nursing student satisfaction within their clinical environments, yet a theoretical gap exists to guide such future research. The purpose of this integrative review was twofold. First, perform an integrative review to explore factors associated with prelicensure undergraduate nursing student satisfaction in clinical learning experiences. Second, provide a theory to guide future research regarding the topic.</p>","PeriodicalId":51287,"journal":{"name":"Research and Theory for Nursing Practice","volume":" ","pages":""},"PeriodicalIF":0.6,"publicationDate":"2023-06-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9698537","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":"Examination of the Relationships Between Change Fatigue and Perceived Organizational Culture, Burnout, Turnover Intention, and Organizational Commitment in Nurses.","authors":"Seval Selvi Sarıgül,&nbsp;Özgür Uğurluoğlu","doi":"10.1891/RTNP-2023-0018","DOIUrl":"https://doi.org/10.1891/RTNP-2023-0018","url":null,"abstract":"<p><p><b>Background and Purpose:</b> This study aims to reveal the relationships between change fatigue and perceived organizational culture, burnout, organizational commitment, and turnover intention; to examine the effects of change fatigue on burnout, turnover intention, and organizational commitment; to determine whether there is any mediator effect of burnout on the relation between change fatigue, organizational commitment, and turnover intention or not; and finally, to determine the effects of organization culture on change fatigue. <b>Methods:</b> This cross-sectional study was conducted on 403 nurses working in a university hospital in Erzincan, Türkiye. Multiple and hierarchical regression analyses were used to determine the relationships between change fatigue, organizational culture, burnout, turnover intention, and organizational commitment. <b>Results:</b> As a result of the analysis, it was determined that change fatigue has a significantly positive effect on burnout and turnover intention and a negative effect on organizational commitment. In addition, it was revealed that burnout has a partial mediating effect on the relationship between change fatigue, turnover intention, and organizational commitment. Moreover, it was found that clan and adhocracy cultures, which are perceived organizational culture types, have a negative effect on change fatigue, and a hierarchical culture has a significantly positive effect. <b>Implications for Practice:</b> To prevent change fatigue, managers of health institutions can be advised to inform nurses about the process before each change initiative. In addition, creating a culture in the organization that adopts respect and understanding as a philosophy, is based on employee participation, and exhibits modern leadership behaviors.</p>","PeriodicalId":51287,"journal":{"name":"Research and Theory for Nursing Practice","volume":" ","pages":""},"PeriodicalIF":0.6,"publicationDate":"2023-06-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9698531","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":"Theory Analysis: The Health Promotion Model and Motivation in Physical Activity.","authors":"Ashley R Turner,&nbsp;Sean M Reed","doi":"10.1891/RTNP-2022-0085","DOIUrl":"https://doi.org/10.1891/RTNP-2022-0085","url":null,"abstract":"<p><p><b>Background:</b> The health promotion model (HPM) depicts numerous factors impacting health-promoting behavior. Variables of the HPM including experiences, self-efficacy, and the influences affecting health choices portray a comprehensive picture of a person's values and barriers to health behavior change. Perceived harm of inaction is weighed against the perceived benefits of action within the HPM. Physical inactivity is a worldwide concern with deleterious consequences. Strategies are needed to increase physical activity participation to mitigate the impacts. The HPM has not been previously analyzed in the context of adult physical activity. <b>Purpose:</b> Analyze the HPM, apply it to the concept of adult motivation for physical activity, display the utility of theory application in practice, and demonstrate the vital role of nursing in connecting theory to practice. <b>Methods:</b> Theory analysis was conducted using Walker and Avant's method with a focus on motivation for physical activity among adults. Evaluation of the origins, meaning, logical adequacy, usefulness, generalizability, parsimony, and testability of the HPM adds depth to understanding the theory and its application in clinical practice. <b>Results:</b> The HPM is logical, generalizable, and has been broadly applied and tested. Adaptations were made to the HPM to reflect updated knowledge and for application to adult motivation for physical activity. <b>Implications for practice and future research:</b> Thorough evaluation of the HPM facilitates application to clinical practice to impact physical activity health behavior change. Examining motivation for physical activity through the lens of the HPM can guide nursing engagement and interventions to enhance behavior changes.</p>","PeriodicalId":51287,"journal":{"name":"Research and Theory for Nursing Practice","volume":" ","pages":""},"PeriodicalIF":0.6,"publicationDate":"2023-05-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9399019","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":"Caregiving and Support Issues Identified by Parents of an Infant With Congenital Heart Disease for Interactive Problem-Solving.","authors":"Karen Pridham, Yuliya Nemykina, Anthony Connor, Janet Melby, Roger Brown","doi":"10.1891/RTNP-2022-0062","DOIUrl":"10.1891/RTNP-2022-0062","url":null,"abstract":"<p><p><b>Background and Purpose:</b> Parents of an infant with complex congenital heart disease report caregiving challenges in the infant's first half year. We studied the issues parent dyads (mothers and fathers) were dealing with and their effect on their coparenting competencies in interactive problem-solving. <b>Methods:</b> The issues 31 parent dyads identified for interactive problem-solving at either or both infants aged 2 and 6 months were typed as caregiving or relational/support. The parent dyad's interactive competencies were assessed from video recording for two types of tasks (i.e., caregiving and the parent dyad's relationship as caregivers). Constructs of Iowa Family Interaction Rating Scales were applied to assess the competencies of mothers, fathers, and the parent dyad for a group that received guided participation (<i>n</i> = 17) and a group that received usual care (<i>n</i> = 8). <b>Results:</b> Pie charts showed feeding, most frequently identified for interactive problem-solving at 2 months, was surpassed at 6 months by growth and development. The time parents spent together was the most mentioned relationship issue at 2 and 6 months. Forest plots showed caregiving issues were associated with at least medium effect sizes for dyadic problem-solving for both parents at 2 and 6 months and for problem-solving for fathers at 2 and 6 months. Relational/support issues were associated with higher hostility and communication hindering than caregiving issues. <b>Implications for Practice:</b> Intervention to aid parents in interactive problem-solving for both caregiving and relationship/support issues merits development and testing.</p>","PeriodicalId":51287,"journal":{"name":"Research and Theory for Nursing Practice","volume":" ","pages":""},"PeriodicalIF":0.8,"publicationDate":"2023-05-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10620106/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9762429","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Associations Between Barriers to Implementing Evidence-Based Practice and Patient Safety.","authors":"Wafa'a M Othman,&nbsp;Ali Ahmad Ammouri,&nbsp;Ahmad H Abu Raddaha","doi":"10.1891/RTNP-2022-0045","DOIUrl":"https://doi.org/10.1891/RTNP-2022-0045","url":null,"abstract":"<p><p><b>Background and Purpose:</b> Few studies have assessed the associations between barriers to evidence-based practice (EBP) implementation and patient safety perceptions among nurses. The purpose of this study was to describe perceived barriers to implementing EBP and their associations with perceived patient safety and the frequency of events reported among nurses. <b>Methods:</b> A cross-sectional descriptive study was used. A self-reported questionnaire was answered by 404 participants in Muscat, the capital city of Oman. Descriptive statistics and linear regression analyses were implemented. <b>Results:</b> Over half of the nurses expressed a positive response regarding the overall perception of patient safety. Nurses who perceived more barriers to finding and reviewing research had more overall perception of patient safety. Meanwhile, nurses who perceived more barriers to changing practice had more frequency of events reported. <b>Implications for Practice:</b> Interventions to decrease barriers to EBP should be included in all hospital policies and strategies to enhance patient safety perception and frequency of events reported among nurses. The strategies should focus on enhancing research utilization and changing practice.</p>","PeriodicalId":51287,"journal":{"name":"Research and Theory for Nursing Practice","volume":" ","pages":""},"PeriodicalIF":0.6,"publicationDate":"2023-05-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9399018","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":"Compassion Fatigue and Family Caregivers Caring in End-Stage Heart Failure.","authors":"Lisa A Cross,&nbsp;Ainat Koren,&nbsp;Jacqueline S Dowling,&nbsp;Joseph E Gonzales","doi":"10.1891/RTNP-2022-0084","DOIUrl":"https://doi.org/10.1891/RTNP-2022-0084","url":null,"abstract":"<p><p><b>Background:</b> Compassion fatigue is a negative consequence impacting caregivers of chronic illness, such as heart failure. Reliance on family caregivers is expected to rise, placing importance on recognizing family caregiver characteristics that contribute to compassion fatigue. <b>Purpose:</b> This study specifically examined the associations of characteristics of family caregivers caring for end-stage heart failure, compassion satisfaction, social desirability, and the family caregiver-nursing provider relationship on compassion fatigue. <b>Methods:</b> An adapted interaction model of client health behavior guided this cross-sectional survey, which comprised a demographic questionnaire, the Professional Quality-of-Life Scale, the caregiver-provider relationship assessment, the Marlowe-Crowne Social Desirability Scale Short Form (Form C), and the Bakas Caregiving Outcomes Scale. <b>Results:</b> There were 127 family caregivers (FCGs), primarily those who have been a caregiver for longer than 1 year (78.4%), who completed the entire survey. Increased compassion satisfaction and positive caregiving effects were associated with decreased compassion fatigue (<i>p</i> < .001), while increased social desirability was associated with increased compassion fatigue (<i>p</i> < .001). A positive family caregiver-nursing provider relationship was related to decreased compassion fatigue (<i>p</i> < .001). More compassion fatigue was seen with lower spiritual status (<i>p</i> < .001). <b>Implications:</b> The chronic progression of heart failure presents opportunities for nursing providers to assess caregivers and offer frequent interventions. Family caregivers may not ask for help. Nursing providers must foster relationships with family caregivers to prevent negative consequences and mitigate compassion fatigue. Future research on the nursing provider relationship and FCGs is needed.</p>","PeriodicalId":51287,"journal":{"name":"Research and Theory for Nursing Practice","volume":"37 2","pages":"195-213"},"PeriodicalIF":0.6,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10044402","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 Person Gets Lost in the Whole Process\": Access to Physical Healthcare for Patients Hospitalized in a Psychiatric Hospital.","authors":"Jean-Laurent Domingue,&nbsp;Fiona Jager,&nbsp;Jodi Lusk,&nbsp;Celestina Ezeani,&nbsp;Billie Pryer,&nbsp;Sascha Davis","doi":"10.1891/RTNP-2022-0089","DOIUrl":"https://doi.org/10.1891/RTNP-2022-0089","url":null,"abstract":"<p><p><b>Background and Purpose:</b> Persons living with mental illnesses have unmet physical healthcare needs, leading to premature death. When they attempt to access physical health services, they are faced with numerous barriers that lead to delays in care. Although mental health nurses are identified as being essential actors in helping persons with mental illnesses navigate the complexities of the healthcare system, they also engage in conduct that further stigmatizes them. To complicate matters more, mental health nurses themselves face stigmatization when they help their patients living with mental illnesses access physical healthcare services. The aim of the study was to explore mental health nurses' experiences of associative stigma when accessing physical health services for their patients. <b>Methods:</b> To achieve this aim, we used an interpretive phenomenology methodology and a theoretical framework rooted in Erving Goffman's notion of associative stigma. Specifically, we conducted six interviews with mental health nurses working at an urban multisite psychiatric hospital to elicit accounts of their experiences of associative stigma when seeking physical healthcare for their patients and the meanings they make of these. <b>Results:</b> The results presented in this article illustrate some of the mechanisms by which stigmatization toward persons living with mental illnesses and mental health nurses cause delays in physical healthcare accessibility. <b>Implications for Practice:</b> In our discussion, we highlight the implications of these results for the practice of nurses and propose two structural solutions to improve access to physical healthcare and reduce stigmatizing experiences.</p>","PeriodicalId":51287,"journal":{"name":"Research and Theory for Nursing Practice","volume":"37 2","pages":"214-230"},"PeriodicalIF":0.6,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10044404","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":"A Hermeneutic Phenomenological Study of Aesthetics in Nursing Practice Among Hospitalized Cancer Patients in Nepal.","authors":"Waraporn Kongsuwan,&nbsp;Pratiksha Dahal","doi":"10.1891/RTNP-2021-0015","DOIUrl":"https://doi.org/10.1891/RTNP-2021-0015","url":null,"abstract":"<p><p><b>Background:</b> Aesthetics is the art of nursing that is expressive, subjective, and visible in the act of caring in nursing practice. Aesthetics in nursing practice satisfies holistic needs and achieves the quality of whole-person care. <b>Purpose:</b> The aim of this study is to describe the meanings of the lived experiences of cancer patients in terms of receiving care from the perspective of aesthetics in nursing practice. <b>Methods:</b> The hermeneutic phenomenological approach grounded on Gadamerian philosophy guided this study. Eleven Nepalese cancer patients who met the inclusion criteria shared their experiences through graphic illustrations (drawings) and interviews. Data were analyzed and interpreted following van Manen's phenomenological approach reflective of the four life worlds. The trustworthiness of findings was established following the criteria by Lincoln and Guba. <b>Results:</b> Thematic categories of the lived experience of cancer patients were revealed, reflecting the four life worlds: <i>lived relation</i> expressed as being nurtured as a family; <i>lived space</i> as appreciating the healing space; <i>lived time</i> as being hopeful; and <i>lived body</i> as receiving a new life. This experience was described as <i>experiencing self and other while appreciating the healing space, being hopeful and nurtured as family and having a new life</i> <b>Implications for Practice:</b> Aesthetics in nursing practice values on politely nurturing cancer patients as nurses' family members in a pleasant healing environment. Further, cancer patients experience having a new life.</p>","PeriodicalId":51287,"journal":{"name":"Research and Theory for Nursing Practice","volume":"37 2","pages":"163-179"},"PeriodicalIF":0.6,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10062301","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":"Community Resilience After Hurricanes: Can Neuman's Systems Theory Guide Public Health Nursing?","authors":"LeAnn J Chisholm,&nbsp;Regina L Hale,&nbsp;Stacey L Knight","doi":"10.1891/RTNP-2022-0029","DOIUrl":"https://doi.org/10.1891/RTNP-2022-0029","url":null,"abstract":"<p><p><b>Objective:</b> Examination of community resilience after Hurricane Harvey and -applicability of Neuman's systems model to the role of public health nurses in applying primary, secondary, and tertiary prevention strategies to communities susceptible to natural disasters. <b>Design:</b> Descriptive, exploratory study. <b>Sample:</b> A convenience sample (N = 1,470). <b>Measurements:</b> Hurricane Harvey Survey. <b>Results:</b> Respondents from seven counties in southeast Texas report previously experiencing a hurricane (80%) with no weather-related flooding (79%), adequate preparation (54%), failure to comprehend the potential severity of Hurricane Harvey (62%), damage to their homes (45%), and a 68% loss of personal belongings. Anxiety, frustration, disbelief, determination, and hopefulness were rated highest after the storm. Residents received updates from family and friends, social media, and online news reports regarding rising water, even though, in many cases, a mandatory evacuation was not officially announced. Only 35% of respondents reported being aware of resources available, possibly due to flooding or inaccessibility of typical resources (e.g., hospitals, shelters). Communicating through social networks (social media, family, and friends) provided avenues for arranging evacuations and assistance. Respondents report giving assistance to others and receiving assistance from family, friends, and their faith community. The majority of respondents reported that the community provided adequate services during the hurricane (59%), and they plan to stay in southeast Texas (70%). <b>Conclusions:</b> Southeast Texas residents demonstrated individual and community resilience which may be further supported with primary, secondary, and tertiary nursing interventions as illustrated by Neuman's systems model. The rise in positive emotional response traits demonstrates positive coping, which is consistent with resilience. Effective and timely communication through social networks provides an additional line of resistance to protect and promote the resilience of the community. The lack of medical resources indicates a break in the normal line of defense and an area for potential improvement with the utilization of mobile medical units to provide healthcare for areas not easily accessible during a disaster. Public health nurses are strategically positioned in the international community to lead prevention and recovery efforts by applying theory-based community interventions.</p>","PeriodicalId":51287,"journal":{"name":"Research and Theory for Nursing Practice","volume":"37 1","pages":"84-100"},"PeriodicalIF":0.6,"publicationDate":"2023-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9139262","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":"Alignment of the International Council of Nurses Advanced Practice Nursing Guideline Characteristics With Conceptual Frameworks: A Scoping Review.","authors":"Dr Andrew Scanlon, Dr Maria Murphy, Dr Janice Smolowitz, Dr Virginia Lewis","doi":"10.1891/RTNP-2022-0007","DOIUrl":"10.1891/RTNP-2022-0007","url":null,"abstract":"<p><p><b>Background:</b> During the past 50 years, numerous conceptual frameworks have been used to describe and evaluate advanced practice nursing (APN) roles and outcomes. The International Council of Nurses (ICN) released an updated description of APN characteristics intersecting with currently utilized frameworks allows for assessing relevance to practice. <b>Purpose:</b> The review aimed to examine the alignment of established and commonly used conceptual frameworks related to advanced practice roles with the ICN APN guidelines characteristics. This will help identify a globally relevant framework for APN roles. <b>Method:</b> PubMed, Cumulative Index in Nursing and Allied Health Literature, and ProQuest Central databases were searched using terms that characterize APN and conceptual frameworks. To address currency and relevance of frameworks was applied to discovered frameworks identifying and reviewing in detail those which were cited more than 15 times during the last five years. <b>Results:</b> This search found over 1107 publications. Of these, nine conceptual frameworks met all inclusion criteria. The frameworks captured some of the characteristics described by the ICN. Eight addressed all categories but in a limited fashion. <b>Implications for Practice:</b> Reviewing recently and frequently cited frameworks can inform the applicability in the interested readers, own nursing practice. This review not only does this but also examines the global uptake and the relationship to international standards of APN to provide additional information on the frameworks' reach and worldwide transferability. However, further research examining the relevance of these frameworks in low- and lower-middle-income countries is needed to understand their importance.</p>","PeriodicalId":51287,"journal":{"name":"Research and Theory for Nursing Practice","volume":"37 1","pages":"101-128"},"PeriodicalIF":0.8,"publicationDate":"2023-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9086506","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}