Barbara Bassola, Silvia Cilluffo, Tatiana Bolgeo, Niccolò Simonelli, Roberta Di Matteo, Alberto Dal Molin, Laura Rasero, Ercole Vellone, Maura Lusignani, Paolo Iovino
{"title":"Psychometric Testing of the Mutuality Scale in Patients and Caregiver Dyads After the Onset of Coronary Heart Disease.","authors":"Barbara Bassola, Silvia Cilluffo, Tatiana Bolgeo, Niccolò Simonelli, Roberta Di Matteo, Alberto Dal Molin, Laura Rasero, Ercole Vellone, Maura Lusignani, Paolo Iovino","doi":"10.1002/nur.22443","DOIUrl":"https://doi.org/10.1002/nur.22443","url":null,"abstract":"<p><p>This study investigates the psychometric properties of the Mutuality Scale in a sample of patient-caregiver dyads following a recent episode of coronary heart disease. A cross-sectional analysis was conducted. Factorial validity was tested with confirmatory factory analysis. Internal consistency reliability was investigated with the model-based internal consistency reliability index. Pearson's correlation coefficient was used to test convergent validity between mutuality and other theoretical and empirical variables associated with it. We included 150 patient-caregiver dyads (patient: mean age 65 years, 77% males, 71% married; caregiver: mean age 54 years, 21% males, 71% married). The CFA testing the theoretical four-factors (love, shared pleasurable activities, shared values, and reciprocity) of mutuality demonstrated adequate fit to the data in both the patient and caregiver version of the scale. Reliability estimates were adequate for the whole scale (model-based internal consistency index = 0.95). Significant positive correlations were observed between mutuality and self-care behaviors, and caregiver preparedness, supporting convergent validity. The Mutuality Scale demonstrated satisfactory structural and convergent validity and reliability in patient-caregiver dyads after the onset of a coronary heart disease event.</p>","PeriodicalId":54492,"journal":{"name":"Research in Nursing & Health","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-02-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143374213","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":"Prioritization Patterns of Nurses in the Management of a Patient With Delirium: Results of a Q-Methodology Study.","authors":"Luisa Sist, Matteo Pezzolati, Nikita Valentina Ugenti, Silvia Cedioli, Rossella Messina, Stefania Chiappinotto, Paola Rucci, Alvisa Palese","doi":"10.1002/nur.22449","DOIUrl":"https://doi.org/10.1002/nur.22449","url":null,"abstract":"<p><p>Nurses are required to decide on priorities; however, how they prioritize the interventions toward patients with delirium is still unclear. Therefore, expanding the knowledge on (a) how nurses prioritize interventions to manage episodes of delirium and (b) the underlying prioritization patterns were the aims of this study. The Q-methodology was applied in 2021. A systematic review to identify the recommended interventions for patients with delirium was performed, and a nominal group technique was used to select those interventions that are applicable in daily practice (35 out of 96 identified). Then, using a specific scenario, 56 clinical nurses working in hospital medical (n = 31), geriatric (n = 15), and postacute (n = 10) units were asked to order the 35 interventions (from -4 the lowest to +4 the highest priority) using a Q-sort table. Averages (confidence interval at 95%) were calculated at the group level, and a by-person factor analysis was applied to discover underlying patterns of prioritization at the overall and at the individual levels. At the group level, \"Ensuring a safe environment (e.g., reducing bed height)\" was ranked as the highest priority (2.29 out of four); at the individual level, three prioritization patterns accounting for a total variance of 50.21% have emerged: \"Individual needs-oriented\" (33.82% variance explained; 41 nurses); \"Prevention-oriented\" (8.47%; five nurses); and \"Cognitive-oriented\" (7.92%; six nurses). At the group level, nurses prioritize safety while caring for patients with delirium; however, at the individual level, they follow three different patterns of prioritization oriented toward diverse aspects, suggesting uncertainty in the actions to be taken-with potential implications for patients.</p>","PeriodicalId":54492,"journal":{"name":"Research in Nursing & Health","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-02-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143080802","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":"Sexual Satisfaction and Associated Factors Among Older Cancer Survivors.","authors":"Haerim Lee, Melinda K Higgins, Mi-Kyung Song","doi":"10.1002/nur.22430","DOIUrl":"10.1002/nur.22430","url":null,"abstract":"<p><p>As little is known about sexual satisfaction among older (≥ 65 years) cancer survivors, this study examined sexual satisfaction defined as physical pleasure and emotional satisfaction in sexual relationships, including associated factors. This secondary analysis of the National Social Life, Health, and Aging Project round 3 data set included 173 partnered older cancer survivors. The data included ratings of physical pleasure, emotional satisfaction, importance of sexual activity, mental and physical health, and scores of sexual function (the presence of problems; if any, the extent of related bother) and social support and strain from partners. The sample's mean age was 74.30 years (SD = 6.36). Most were male (n = 120, 69.36%) and White (n = 139, 80.35%). Older adults reported they were \"very\" satisfied with sexual relationships both physically and emotionally: mean (SD) = 2.88 (1.01) and 3.18 (0.77), respectively. Seventy (40.46%) had problems with sexual function that were bothersome. Adjusted linear regression models showed physical pleasure was associated with perceived physical health (β = 0.22) and social support (β = 0.19); and emotional satisfaction was associated with social support (β = 0.39) and strain from partners (β = -0.23). Sexual function was not associated with sexual satisfaction. In conclusion, perceived health and social factors may be more influential than sexual function in older cancer survivors' sexual satisfaction, but future research is warranted to confirm these relationships. A focus on relational aspects of sexual health may provide a broader array of options to improve older cancer survivors' sexual satisfaction.</p>","PeriodicalId":54492,"journal":{"name":"Research in Nursing & Health","volume":" ","pages":"85-94"},"PeriodicalIF":2.1,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142781774","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":"PhD-DNP Collaboration: An Integrative Review of Scholarly Partnerships in Nursing.","authors":"Theresa J Garcia, Jinbing Bai, Natalie Shen, Lenora Smith, Rebecca S Koszalinski","doi":"10.1002/nur.22423","DOIUrl":"10.1002/nur.22423","url":null,"abstract":"<p><p>Nurses holding terminal degrees, Doctor of Philosophy (PhD), Doctor of Nursing Science (DNS), and Doctor of Nursing Practice (DNP), fulfill different roles in nursing. The continued growth of nursing science and practice is dependent on alliances between these nurses that produce state-of-the-art knowledge and support the translation of evidence to practice. This integrative review described characteristics of scholarly collaborations between nurses holding a research-focused degree, the PhD, and those holding a practice-focused degree, the DNP. Five major nursing, medicine, and education databases were searched for peer-reviewed, original articles addressing or describing the characteristics of PhD-DNP scholarly collaborations, published through March 2023. In total, 15 articles met the inclusion criteria, and an integrative synthesis was conducted using constant comparison and thematic analysis. Findings included one overarching theme, Role Clarification, as well as four subthemes that emerged across the sample, describing key characteristics of collaborative PhD-DNP scholarship: (1) Mutual understanding and appreciation of strengths; (2) Strategic project planning and team building; (3) Clear organizational/administrative directives and guidance; and (4) Shared goals for the nursing profession. Articles describing the collaboration between nurses holding doctoral degrees are limited and provide primarily lower-level research evidence and evidence-based practice outcomes. Despite efforts to foster scholarly collaborations among nurses holding terminal degrees, more research is needed to clarify individual roles, offer tangible strategies for collaboration, and measure outcomes of collaboration benefitting healthcare systems, patient outcomes, and the nursing profession. This integrative review involved only the review of the extant literature.</p>","PeriodicalId":54492,"journal":{"name":"Research in Nursing & Health","volume":" ","pages":"41-62"},"PeriodicalIF":2.1,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11707502/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142565318","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":"Modifiable Risk Factors for Cognitive Frailty in Older Chinese Patients With Diabetes: A Systematic Review and Meta-Analysis.","authors":"Wenhui Qiu, Yixiong Zhang","doi":"10.1002/nur.22428","DOIUrl":"10.1002/nur.22428","url":null,"abstract":"<p><p>To perform a systematic review and meta-analysis clarifying potential modifiable risk factors for cognitive frailty in older Chinese persons with diabetes. We conducted a comprehensive search across four English and four Chinese databases, spanning from 1980 to May 2024. The aim was to identify studies that investigate potential modifiable risk factors for cognitive frailty in older patients with diabetes. Meta-analysis was performed using Stata16.0. Out of the 237 records identified, 19 studies met the inclusion criteria and were consequently included for analysis. The results of the meta-analysis revealed that the prevalence of cognitive frailty among older patients with diabetes was 22.2% (95% confidence interval [CI]: 0.177-0.270, I<sup>2</sup> = 93.92%). Depression (OR = 3.18, 95% CI: 2.19-4.62, I<sup>2</sup> = 79.6%), HbA1c (OR = 2.18, 95% CI: 1.66-2.85, I<sup>2</sup> = 41.5%) and malnutrition (OR = 4.04, 95% CI: 1.58-10.34, I<sup>2</sup> = 95.0%) were significantly associated with cognitive frailty in this population. Regular exercise (OR = 0.30, 95% CI: 0.11-0.84, p < 0.01, I<sup>2</sup> = 87.3%) and higher education (OR = 0.30, 95% CI: 0.16-0.58, p < 0.01, I<sup>2</sup> = 69.7%) are identified as protective factors against cognitive frailty. This systematic review and meta-analysis demonstrates that interventions targeting depression, HbA1c level, malnutrition, exercise and education can effectively reduce the risk of cognitive frailty in older patients with diabetes.</p>","PeriodicalId":54492,"journal":{"name":"Research in Nursing & Health","volume":" ","pages":"73-84"},"PeriodicalIF":2.1,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142752346","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":"Training of Nurse Interventionists to Optimize Intervention Fidelity in a Telehealth Pilot Study.","authors":"Denise Côté-Arsenault, Kathie Kobler, Erin M Denney-Koelsch, Samah Hawsawi, Melanie Schwob, Kimberly Spence","doi":"10.1002/nur.22424","DOIUrl":"10.1002/nur.22424","url":null,"abstract":"<p><p>Interventionist training and on-going guidance by the research team are essential in psychosocial interventional research to ensure fidelity. Consistency in delivering an intervention requires recruiting interventionists with well-aligned clinical experience, developing a replicable training process, and reassessing ongoing intervention fidelity using an assessment tool of observable behaviors that are essential to the intervention. This paper describes one research team's experience of hiring and training nurse interventionists to deliver a theory-based, telehealth psychosocial intervention for a single-arm pilot study. The training methods used to foster the nurses' integration of theory into intervention delivery are discussed, along with approaches adopted to optimize and measure fidelity. The research team and interventionist trainees in this pilot study overcame learning challenges through establishing mutual trust and promoting effective communication throughout the training process. Fostering connections between cognitive and affective learning during the nurse interventionists' training was critical to establishing and maintaining intervention fidelity.</p>","PeriodicalId":54492,"journal":{"name":"Research in Nursing & Health","volume":" ","pages":"7-16"},"PeriodicalIF":2.1,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142632761","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}
Ae R Kim, Jeong H Hong, Seieun Oh, Sangwoon Cho, Hye J Baek
{"title":"Experiences With a Substitution System for Clinical Nurses' Leave of Absence: A Qualitative Study.","authors":"Ae R Kim, Jeong H Hong, Seieun Oh, Sangwoon Cho, Hye J Baek","doi":"10.1002/nur.22427","DOIUrl":"10.1002/nur.22427","url":null,"abstract":"<p><p>Insufficient staffing often makes it difficult for nurses in South Korea to adjust their schedules when they have illnesses or other health problems, resulting in presenteeism. This study aimed to explore the experiences of the Acknowledged Care Expert (ACE) team as a substitution system for clinical nurses taking leave because of illness or health problems from the perspectives of ACE nurses, nurse managers, and shift nurses. We collected data for this qualitative study through individual in-depth interviews with six ACE nurses, a focus group interview with five nurse managers, and two focus group interviews with five nurses who shared their experiences with the ACE team. Thematic analysis of the data identified the following four themes: expected and unexpected benefits of the ACE team; challenges in operating the ACE team; characteristics and competencies required of the ACE team; and recommendations for the ACE program. The findings showed that the ACE team was highly valued and received positive feedback from colleagues and administrators with whom they worked. Such positive impacts were made possible by team members' clinical expertise and the collective engagement of both coworkers and team members. Further research to evaluate such substitute systems is necessary to establish a more stable and encouraging environment for clinical nurses, as well as for patient care.</p>","PeriodicalId":54492,"journal":{"name":"Research in Nursing & Health","volume":" ","pages":"63-72"},"PeriodicalIF":2.1,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142752300","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}
Hyunmin Yu, Stephen Bonett, Dalmacio Dennis Flores, Steven Meanley, Seul Ki Choi, Tari Hanneman, José A Bauermeister
{"title":"The Relationship Between a Hospital's Magnet Status and LGBTQ+ Inclusivity in Policies and Practices in US Hospitals.","authors":"Hyunmin Yu, Stephen Bonett, Dalmacio Dennis Flores, Steven Meanley, Seul Ki Choi, Tari Hanneman, José A Bauermeister","doi":"10.1002/nur.22422","DOIUrl":"10.1002/nur.22422","url":null,"abstract":"<p><p>LGBTQ+ individuals face discrimination in healthcare settings. Magnet hospitals have been associated with positive patient outcomes, yet it remains uncertain whether Magnet designation is associated with hospitals' LGBTQ+ inclusivity in policies and practices. This study examined 801 American hospitals across 47 states that participated in the Healthcare Equality Index (HEI) in 2021. Multilevel modeling was utilized to investigate the association between Magnet status and HEI scores, adjusting for hospital type and state-level covariates, including LGBTQ+ inclusiveness in laws, political climate, racial/ethnic minority population, and Medicaid expansion status. Among the 801 hospitals, 32.1% (257 hospitals) held Magnet status. Magnet hospitals demonstrated higher HEI scores compared to non-Magnet hospitals (γ = 2.13, p = 0.022), despite significant variations across states (intraclass correlation = 0.22). No significant cross-level interactions were found. Overall, Magnet designation is independently associated with improved LGBTQ+ inclusivity in hospitals regardless of the state in which the hospital is located. Policymakers and healthcare leaders should consider leveraging the Magnet Recognition Program as a benchmark for promoting LGBTQ+ inclusivity within hospitals. Additionally, all healthcare institutions should prioritize comprehensive evaluations and improvements to their policies and practices to ensure inclusivity for LGBTQ+ patients.</p>","PeriodicalId":54492,"journal":{"name":"Research in Nursing & Health","volume":" ","pages":"30-40"},"PeriodicalIF":2.1,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11707491/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142513062","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":"Changes in Decisional Conflict and Decisional Regret Among Living Kidney Donors From Pre-Donation to 1-Year Post-Donation.","authors":"Kuan-Lin Liu, Hsu-Han Wang, Chin-Yi Hsieh, Lee-Chuan Chen, Kuo-Jen Lin, Chih-Te Lin, Ching-Hui Chien","doi":"10.1002/nur.22451","DOIUrl":"https://doi.org/10.1002/nur.22451","url":null,"abstract":"<p><p>Previous research indicates that most living kidney donors (LKDs) are content with their decision to donate and seldom experience regret. Nevertheless, a small percentage of donors report adverse experiences, such as psychological distress and reduced vitality. Therefore, it is essential to explore the experiences of LKDs, particularly within the context of their decision-making process both before and following kidney donation. This study aimed to examine the decisional conflict and decisional regret experienced by LKDs from the evaluation stage to 12 months post-donation and to identify the associated factors. A longitudinal study design was implemented, and the initial data collection took place when potential LKDs visited the hospital for evaluation (n = 50). Subsequent data collection was conducted at 3 (n = 49), 6, and 12 (n = 46) months post-donation. Variables, including basic demographics, decisional conflict, decisional regret, perceived control, psychological distress, and healthcare orientation, were collected. Generalized estimating equations were used to obtain inferential statistics. Results showed that perceived control characterized by personal control orientation, lower psychological distress, and better healthcare orientation were associated with reduced decisional conflict among LKDs. Meanwhile, lower decisional regret was associated with better self-perceived health status, perceived control inclined toward interpersonal control, and less psychological distress among LKDs. Nurses should assess the decisional conflict and mental health of potential LKDs, and provide clear information to support their decision regarding kidney donation. They should also offer self-care information and stress-coping strategies related to living donor nephrectomy to aid in reducing decisional conflict and regret.</p>","PeriodicalId":54492,"journal":{"name":"Research in Nursing & Health","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143076366","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":"Improving the Rigor of Scientific Writing.","authors":"Demetrius A Abshire","doi":"10.1002/nur.22433","DOIUrl":"10.1002/nur.22433","url":null,"abstract":"","PeriodicalId":54492,"journal":{"name":"Research in Nursing & Health","volume":" ","pages":"5-6"},"PeriodicalIF":2.1,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142781587","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}