Research and Theory for Nursing Practice最新文献_第9页

Self-Efficacy Effects of Maccabi Telcare Center Diabetes Mellitus Intervention: Do Men and Women Benefit Equally? Maccabi Telcare 中心糖尿病干预的自我效能影响：男性和女性是否同样受益？

IF 0.6 4区医学

Research and Theory for Nursing Practice Pub Date : 2021-06-23 DOI: 10.1891/RTNP-D-20-00083

Angela Irony, Racheli Magnezi, Yael Vilensky Sela

{"title":"Self-Efficacy Effects of Maccabi Telcare Center Diabetes Mellitus Intervention: Do Men and Women Benefit Equally?","authors":"Angela Irony, Racheli Magnezi, Yael Vilensky Sela","doi":"10.1891/RTNP-D-20-00083","DOIUrl":"10.1891/RTNP-D-20-00083","url":null,"abstract":"Background and purpose: A growing body of evidence points to physiological and psychological gender differences in the manifestation and treatment of type 2 diabetes mellitus. This study is part of a large-scale, prospective trial investigating the effects of Maccabi Telecare Center (MTC) interventions on self-efficacy. Here, we focus on the effects of gender on diabetes self-efficacy related to depressive symptom severity and illness representation.Methods: A prospective open-label study investigating the effect of tele-based intervention on diabetes self-efficacy. Participants completed the following questionnaires: Diabetes Management Self-Efficacy Scale (DMSES) (self-efficacy), Patient Health Questionnaire 9 (PHQ-9) (depression), and Illness Perception Questionnaire-Revised (IPQ-R) (illness representation). Data were collected at three time points: Baseline (T1), 3-4 months (T2), and 8-9 months (T3).Results: Although men and women exhibited similar baseline self-efficacy levels, men scored significantly higher than women over time, at T2 (p < .05) and T3 (p < .05). Consistent gender differences were observed throughout the study in depression and illness representations: women scored higher than men on PHQ-9 (3.94 vs. 5.57, p < .001), and perceived their diabetes consequences as more severe than men (p < .001). A linear regression analyses indicated that MTC intervention, age, baseline self-efficacy, and depression at T3 explained 39.8% of the variance of selfefficacy at the conclusion of the study for both genders, although more strongly for men.Implications for practice: This study indicates that the effects of a treatment intervention for individuals with type 2 diabetes mellitus are gender specific. Thus, gender-tailored interventions may be advised to further improve outcomes for women with type 2 diabetes mellitus.","PeriodicalId":51287,"journal":{"name":"Research and Theory for Nursing Practice","volume":" ","pages":""},"PeriodicalIF":0.6,"publicationDate":"2021-06-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39119694","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

Self-Regulation in Pediatric Nursing Literature: An Evolutionary Concept Exploration. 儿科护理文献中的自我调节：进化概念探索

IF 0.6 4区医学

Research and Theory for Nursing Practice Pub Date : 2021-06-23 DOI: 10.1891/RTNP-D-20-00084

Adaya Kirk Bayless, Tami H Wyatt, Hollie Raynor

引用次数: 0

Identification of Elder Abuse through Out-of-Hospital Emergency Care Providers. 通过院外急诊护理人员识别虐待老人行为。

IF 0.6 4区医学

Research and Theory for Nursing Practice Pub Date : 2021-06-17 DOI: 10.1891/RTNP-D-20-00074

Mari Salminen-Tuomaala, Juha Tiainen, Riitta Mikkola, Eija Paavilainen

{"title":"Identification of Elder Abuse through Out-of-Hospital Emergency Care Providers.","authors":"Mari Salminen-Tuomaala, Juha Tiainen, Riitta Mikkola, Eija Paavilainen","doi":"10.1891/RTNP-D-20-00074","DOIUrl":"10.1891/RTNP-D-20-00074","url":null,"abstract":"Background and purpose: Elder abuse, neglect, and exploitation are under-detected and under-reported. The purpose of this qualitative study was to describe out-ofhospital emergency care providers' experiences of identifying elder abuse.Methods: Individual theme interviews were conducted with nine prehospital emergency care providers and three community paramedics in spring 2019. The transcribed data were analyzed using inductive content analysis.Results: Although the short duration of care contacts made the identification of elder abuse challenging, the emergency care providers detected indicators of physical, psychological and social abuse, unethical action, material exploitation, and self-neglect/self-abuse. The professionals based their observations on patient and family interviews, on clues in the home environment, on caregiving quality combined with the patient's medical history, and on physical signs, which were the easiest to identify.Implications for practice: The identification of elder abuse may be improved by multiprofessional collaboration, by increased attention given to risk groups and common indicators of abuse, and by adoption or creation of screening tools to assist detection and reporting. Training on the detection of elder abuse should be included in nursing and social work curricula and in the continuing professional development of emergency care providers.","PeriodicalId":51287,"journal":{"name":"Research and Theory for Nursing Practice","volume":" ","pages":""},"PeriodicalIF":0.6,"publicationDate":"2021-06-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39241905","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

Effects of Orem's Self-Care Model of Nursing on Hand Symptoms and Life Activities in Geriatric Individuals Diagnosed with Rheumatoid Arthritis: A Pilot Study. 奥瑞姆自我护理模式对老年类风湿关节炎患者手部症状和生活活动的影响：一项试点研究

IF 0.6 4区医学

Research and Theory for Nursing Practice Pub Date : 2021-04-07 DOI: 10.1891/RTNP-D-20-00093

Halil Ibrahim Tuna, Guler Balci Alparslan

{"title":"Effects of Orem's Self-Care Model of Nursing on Hand Symptoms and Life Activities in Geriatric Individuals Diagnosed with Rheumatoid Arthritis: A Pilot Study.","authors":"Halil Ibrahim Tuna, Guler Balci Alparslan","doi":"10.1891/RTNP-D-20-00093","DOIUrl":"10.1891/RTNP-D-20-00093","url":null,"abstract":"Background and purpose: According to Orem's self-care deficit theory, when patients cannot meet their care needs, they need nursing systems for maintaining their health. Nursing care for elderly patients with rheumatoid arthritis (RA) should be based on maintaining self-care. This study aims to determine the effects of Orem's self-care model of nursing care given to geriatric patients with RA on hand symptoms, life activities, and hand pain.Methods: The study sample comprised a total of 22 patients (intervention group, 11; control group, 11) who met the sample selection criteria at a rheumatology outpatient clinic of a university hospital between June 17, 2019 and September 20, 2019. All interviews with patients in the intervention group were conducted by daily phone calls and a face-to-face interview at the hospital every 4 weeks. Patients continued to receive routine prescription by a physician during the course of application.Results: No difference was observed between the groups in terms of descriptive patient characteristics (p > .05). Hand pain, hand symptoms, and life activities of patients in the intervention group were measured at study initiation, week 4, and week 8. Intragroup comparison revealed that hand pain, hand symptoms, and life activity scores were lowest at week 8 in the intervention group (p < .05).Implications for practice: This study indicates that nursing care given according to Orem's self-care model is effective in reducing pain, improving hand functions, and performing life activities.","PeriodicalId":51287,"journal":{"name":"Research and Theory for Nursing Practice","volume":" ","pages":""},"PeriodicalIF":0.6,"publicationDate":"2021-04-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25579449","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

Waiting as Performative and Relational: A Narrative Inquiry Study Into the Experiences of Women Who Use Substances. 作为表演和关系的等待：使用药物的妇女的经历叙事调查研究》。

IF 0.6 4区医学

Research and Theory for Nursing Practice Pub Date : 2021-03-11 DOI: 10.1891/RTNP-D-20-00005

Georgia Dewart, Andrew Estefan, D Jean Clandinin, Vera Caine

{"title":"Waiting as Performative and Relational: A Narrative Inquiry Study Into the Experiences of Women Who Use Substances.","authors":"Georgia Dewart, Andrew Estefan, D Jean Clandinin, Vera Caine","doi":"10.1891/RTNP-D-20-00005","DOIUrl":"10.1891/RTNP-D-20-00005","url":null,"abstract":"Background and purpose: The act of waiting in health care is becoming increasingly prevalent worldwide. Waiting in health care is not a neutral activity; it is filled with expectations marked by cultural and social norms. In this article, we consider the performative nature of waiting by reflecting on the experiences of two participants in a narrative inquiry study.Methods: Drawing on a narrative inquiry study focused on the experiences of three women who disclosed illegal substance use during their pregnancy or early postnatal period, we inquired into two participants' experiences of waiting. The study which took place in a large urban center in Western Canada, where the researcher connected with participants who faced numerous challenges due to poverty, stigma, and discrimination.Results: Sharing the narratives of Georgia Dewart, and participants Renate, and Marilynn, we explore the performative act of waiting in their interactions with health care. We consider the political and social implications of the act in order to explore the subtleties and overlooked consequences of waiting. This work encourages the nursing profession to address overlooked aspects of care, such as the act of waiting.Implications for practice: Our findings draw attention to the normative expectations within participants' experiences of waiting. This work offers methodological considerations for those engaging with Butler's concept of performativity when considering everyday acts. We also challenge care providers to reflect on their experiences working with clients, families, and communities to consider both the relational and performative nature of these interactions.","PeriodicalId":51287,"journal":{"name":"Research and Theory for Nursing Practice","volume":" ","pages":""},"PeriodicalIF":0.6,"publicationDate":"2021-03-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25466118","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 Qualitative Study of Older Patients' and Family Caregivers' Perspectives of Transitional Care From Hospital to Home. 老年患者和家庭护理人员对从医院到家庭的过渡护理的定性研究。

IF 0.6 4区医学

Research and Theory for Nursing Practice Pub Date : 2021-03-05 DOI: 10.1891/RTNP-D-20-00067

İlknur Dolu, Mehmet İIlkin Naharcı, Patricia A Logan, Piret Paal, Mojtaba Vaismoradi

{"title":"A Qualitative Study of Older Patients' and Family Caregivers' Perspectives of Transitional Care From Hospital to Home.","authors":"İlknur Dolu, Mehmet İIlkin Naharcı, Patricia A Logan, Piret Paal, Mojtaba Vaismoradi","doi":"10.1891/RTNP-D-20-00067","DOIUrl":"10.1891/RTNP-D-20-00067","url":null,"abstract":"Background and purpose: The need for high-quality long-term healthcare services is increasing across the globe as the population ages. Strategies for improving transitional care from hospital to home are needed. This study aimed to explore the perspectives of patients aged 65 years and over and their family caregivers transitioning from hospital to home in an urban area of Turkey.Methods: Thematic analysis of in-depth semi-structured interviews was conducted with older patients (n = 14), with at least one chronic disease and admitted to the hospital for a minimum of 3 days, and family caregivers (n = 11) who voluntarily participated.Results: Main themes were \"confused feelings of safety and stress\"; \"worried about being left alone\"; and \"disrupted healthcare journey.\" The proactive rehabilitation model was used to elaborate on the study findings and interpret the perspectives and experiences of older patients and their family caregivers, which can be used for improving the quality of care after discharge from hospital.Implications for practice: A high-quality transitional care program requires taking care of the feeling of safety in older patients and their family caregivers by the multidisciplinary team and their enhanced involvement in care initiatives after hospital discharge.","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":"25439670","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

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