Research in Nursing & Health最新文献_第10页

Harnessing AI for enhancing scientific writing in nursing research: Prospects, pitfalls, and solutions. 利用人工智能加强护理研究中的科学写作:前景、陷阱和解决方案。

IF 2 4区医学

Research in Nursing & Health Pub Date : 2023-08-01 DOI: 10.1002/nur.22326

Yasin M Yasin, Areej Al-Hamad

引用次数: 0

Using item response theory to develop a shortened practice environment scale of the nursing work index. 运用项目反应理论编制护理工作指标的简易实习环境量表。

IF 2 4区医学

Research in Nursing & Health Pub Date : 2023-08-01 DOI: 10.1002/nur.22324

Aoyjai P Montgomery, Caitlin M Campbell, Andres Azuero, Pauline A Swiger, Patricia A Patrician

{"title":"Using item response theory to develop a shortened practice environment scale of the nursing work index.","authors":"Aoyjai P Montgomery, Caitlin M Campbell, Andres Azuero, Pauline A Swiger, Patricia A Patrician","doi":"10.1002/nur.22324","DOIUrl":"https://doi.org/10.1002/nur.22324","url":null,"abstract":"The 31-item Practice Environment Scale of the Nursing Work Index (PES-NWI) has been frequently used globally to measure the nurse work environment. However, due to its length and subsequent respondent burden, a more parsimonious version of the PES-NWI may be desirable. Item response theory (IRT) is a statistical technique that assists in decreasing the number of items in an instrument without sacrificing reliability and validity. Two separate samples of nurses in the United States (one called the \"internal data source\" and the other called \"external data source\"; sample sizes = 843 and 722, respectively) were analyzed. The internal data source was randomly split into training (n = 531) and validating data sets (n = 312), while a separate whole external data source was used as the final validating data set. Using IRT with training data, we removed nine items; two additional items were removed based on recommendations from a previous study. Confirmatory factor analyses supported the validity of the measurement model with the 20-item of PES-NWI in both internal and external validation data sources. The correlations among subscales between 31- and 20-item versions were high magnitude for five subscales in both validation data sets (τ = 0.84-0.89). Ultimately, we identified a 20-item version of the PES-NWI which demonstrated adequate validity and reliability properties while decreasing data collection burden yet maintaining a similar factor structure to the original instrument. Additional research may be necessary to update the items themselves on the PES-NWI.","PeriodicalId":54492,"journal":{"name":"Research in Nursing & Health","volume":null,"pages":null},"PeriodicalIF":2.0,"publicationDate":"2023-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9794345","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

Using machine-learning methods to predict in-hospital mortality through the Elixhauser index: A Medicare data analysis. 使用机器学习方法通过 Elixhauser 指数预测院内死亡率：医疗保险数据分析。

IF 2.1 4区医学

Research in Nursing & Health Pub Date : 2023-08-01 Epub Date: 2023-05-23 DOI: 10.1002/nur.22322

Jianfang Liu, Sherry Glied, Olga Yakusheva, Cohen Bevin, Amelia E Schlak, Sunmoo Yoon, Kristine M Kulage, Lusine Poghosyan

{"title":"Using machine-learning methods to predict in-hospital mortality through the Elixhauser index: A Medicare data analysis.","authors":"Jianfang Liu, Sherry Glied, Olga Yakusheva, Cohen Bevin, Amelia E Schlak, Sunmoo Yoon, Kristine M Kulage, Lusine Poghosyan","doi":"10.1002/nur.22322","DOIUrl":"10.1002/nur.22322","url":null,"abstract":"Accurate in-hospital mortality prediction can reflect the prognosis of patients, help guide allocation of clinical resources, and help clinicians make the right care decisions. There are limitations to using traditional logistic regression models when assessing the model performance of comorbidity measures to predict in-hospital mortality. Meanwhile, the use of novel machine-learning methods is growing rapidly. In 2021, the Agency for Healthcare Research and Quality published new guidelines for using the Present-on-Admission (POA) indicator from the International Classification of Diseases, Tenth Revision, for coding comorbidities to predict in-hospital mortality from the Elixhauser's comorbidity measurement method. We compared the model performance of logistic regression, elastic net model, and artificial neural network (ANN) to predict in-hospital mortality from Elixhauser's measures under the updated POA guidelines. In this retrospective analysis, 1,810,106 adult Medicare inpatient admissions from six US states admitted after September 23, 2017, and discharged before April 11, 2019 were extracted from the Centers for Medicare and Medicaid Services data warehouse. The POA indicator was used to distinguish pre-existing comorbidities from complications that occurred during hospitalization. All models performed well (C-statistics >0.77). Elastic net method generated a parsimonious model, in which there were five fewer comorbidities selected to predict in-hospital mortality with similar predictive power compared to the logistic regression model. ANN had the highest C-statistics compared to the other two models (0.800 vs. 0.791 and 0.791). Elastic net model and AAN can be applied successfully to predict in-hospital mortality.","PeriodicalId":54492,"journal":{"name":"Research in Nursing & Health","volume":null,"pages":null},"PeriodicalIF":2.1,"publicationDate":"2023-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10330510/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9794586","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}

引用次数: 0

Socioeconomic determinants of risky sexual behaviors and HIV seropositivity among university students in South Africa: A case control analysis. 南非大学生危险性行为和HIV血清阳性的社会经济决定因素:一项病例对照分析

IF 2 4区医学

Research in Nursing & Health Pub Date : 2023-08-01 DOI: 10.1002/nur.22328

Trishka Pillay, Nalini Govender, Poovendhree Reddy

{"title":"Socioeconomic determinants of risky sexual behaviors and HIV seropositivity among university students in South Africa: A case control analysis.","authors":"Trishka Pillay, Nalini Govender, Poovendhree Reddy","doi":"10.1002/nur.22328","DOIUrl":"https://doi.org/10.1002/nur.22328","url":null,"abstract":"Socioeconomic determinants of risky sexual behaviors in sub-Saharan Africa are well known. The socioeconomic determinants of the sexual behaviors of university students, however, remain unclear. This case control study aimed to investigate the socioeconomic determinants of risky sexual behavior and HIV seropositivity among university students in KwaZulu-Natal (KZN), South Africa. Participants (N = 500; 375 HIV uninfected and 125 HIV infected) from four public higher educational institutions in KZN were recruited, using a non-randomized strategy. Socioeconomic status was assessed by food insecurity, access to the government loan scheme, and sharing of the bursary/loan with family. The findings of this study suggest that students reporting food insecurity were 1.87 times more likely to have multiple sexual partners; 3.18 times more likely to engage in transactional sex for money; and presented a fivefold higher risk of engaging in transactional sex for basic needs other than money. Accessing the government financing for education and sharing of the bursary/loan with family was also significantly associated with an increased risk of having an HIV seropositive status. A significant association between socioeconomic measures, risky sexual behavior, and HIV seropositivity is demonstrated in this study. Moreover, the socioeconomic risks and drivers when determining and/or developing HIV prevention interventions, including preexposure prophylaxis use, should be considered by healthcare providers based at campus health clinics.","PeriodicalId":54492,"journal":{"name":"Research in Nursing & Health","volume":null,"pages":null},"PeriodicalIF":2.0,"publicationDate":"2023-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10177102","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

Evaluation of premature ventricular complexes during in-hospital ECG monitoring as a predictor of ventricular tachycardia in an intensive care unit cohort. 将院内心电图监测中的室早复极作为重症监护室队列中室性心动过速的预测指标进行评估。

IF 2.1 4区医学

Research in Nursing & Health Pub Date : 2023-08-01 Epub Date: 2023-05-01 DOI: 10.1002/nur.22314

Sukardi Suba, Thomas J Hoffmann, Kirsten E Fleischmann, Hildy Schell-Chaple, Gregory M Marcus, Priya Prasad, Xiao Hu, Fabio Badilini, Michele M Pelter

{"title":"Evaluation of premature ventricular complexes during in-hospital ECG monitoring as a predictor of ventricular tachycardia in an intensive care unit cohort.","authors":"Sukardi Suba, Thomas J Hoffmann, Kirsten E Fleischmann, Hildy Schell-Chaple, Gregory M Marcus, Priya Prasad, Xiao Hu, Fabio Badilini, Michele M Pelter","doi":"10.1002/nur.22314","DOIUrl":"10.1002/nur.22314","url":null,"abstract":"In-hospital electrocardiographic (ECG) monitors are typically configured to alarm for premature ventricular complexes (PVCs) due to the potential association of PVCs with ventricular tachycardia (VT). However, no contemporary hospital-based studies have examined the association of PVCs with VT. Hence, the benefit of PVC monitoring in hospitalized patients is largely unknown. This secondary analysis used a large PVC alarm data set to determine whether PVCs identified during continuous ECG monitoring were associated with VT, in-hospital cardiac arrest (IHCA), and/or death in a cohort of adult intensive care unit patients. Six PVC types were examined (i.e., isolated, bigeminy, trigeminy, couplets, R-on-T, and run PVCs) and were compared between patients with and without VT, IHCA, and/or death. Of 445 patients, 48 (10.8%) had VT; 11 (2.5%) had IHCA; and 49 (11%) died. Isolated and run PVC counts were higher in the VT group (p = 0.03 both), but group differences were not seen for the other four PVC types. The regression models showed no significant associations between any of the six PVC types and VT or death, although confidence intervals were wide. Due to the small number of cases, we were unable to test for associations between PVCs and IHCA. Our findings suggest that we should question the clinical relevance of activating PVC alarms as a forewarning of VT, and more work should be done with larger sample sizes. A more precise characterization of clinically relevant PVCs that might be associated with VT is warranted.","PeriodicalId":54492,"journal":{"name":"Research in Nursing & Health","volume":null,"pages":null},"PeriodicalIF":2.1,"publicationDate":"2023-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10351875/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9782636","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}

引用次数: 0

What is our "Lane" as nurses? 作为护士，我们的“Lane”是什么?

IF 2 4区医学

Research in Nursing & Health Pub Date : 2023-08-01 DOI: 10.1002/nur.22323

Elizabeth Reifsnider

引用次数: 0

Psychological safety, communication openness, nurse job outcomes, and patient safety in hospital nurses. 医院护士心理安全、沟通开放性、护士工作成果与患者安全。

IF 2 4区医学

Research in Nursing & Health Pub Date : 2023-08-01 DOI: 10.1002/nur.22327

Hyeonmi Cho, Linsey M Steege, Élise N Arsenault Knudsen

{"title":"Psychological safety, communication openness, nurse job outcomes, and patient safety in hospital nurses.","authors":"Hyeonmi Cho, Linsey M Steege, Élise N Arsenault Knudsen","doi":"10.1002/nur.22327","DOIUrl":"https://doi.org/10.1002/nur.22327","url":null,"abstract":"Promoting psychological safety in a workplace is known to contribute to improved job outcomes across a wide variety of industries. This study aimed to examine the relationships between psychological safety at work and job outcomes (i.e., job satisfaction and intention to leave), and patient safety among hospital nurses; and to determine the mediating effect of communication openness on these relationships. This cross-sectional study used survey data from 867 hospital nurses working in the United States. Multiple logistic regression models and Hayes' PROCESS macro in SPSS were used. Nurses who worked in an environment with higher psychological safety levels were more likely to be satisfied in their current job, less likely to intend to leave their current job within the next year, and more likely to report favorable patient safety ratings. Communication openness mediated these relationships. When nurses feel psychologically safe at work, they are more likely to engage in open communication, which in turn can lead to greater job satisfaction, decreased turnover intention, and improved patient safety. Nurse managers should strive to develop leadership strategies that promote psychological safety in the work environment and support open communication among nurses.","PeriodicalId":54492,"journal":{"name":"Research in Nursing & Health","volume":null,"pages":null},"PeriodicalIF":2.0,"publicationDate":"2023-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9803104","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

Nursing research and the cancer continuum: Challenges and future directions. 护理研究和癌症连续体:挑战和未来方向。

IF 2 4区医学

Research in Nursing & Health Pub Date : 2023-08-01 DOI: 10.1002/nur.22325

Dara L James, Joyce Pittman

引用次数: 0

IF 2 4区医学

Research in Nursing & Health Pub Date : 2023-08-01 DOI: 10.1002/nur.22315

Nicklas Neuman, Pernilla Sandvik, Ninni Bellini Lindholm, Katharina Bömer-Schulte, Elin Lövestam

{"title":"Food-related experiences and behavioral responses among people affected by chemosensory dysfunctions following COVID-19: A scoping review.","authors":"Nicklas Neuman, Pernilla Sandvik, Ninni Bellini Lindholm, Katharina Bömer-Schulte, Elin Lövestam","doi":"10.1002/nur.22315","DOIUrl":"https://doi.org/10.1002/nur.22315","url":null,"abstract":"A category of symptoms that became characteristic early in the first wave of the coronavirus disease 2019 (COVID-19) pandemic was chemosensory dysfunctions (alterations of smell and taste). Such symptoms substantially affect food and eating-cornerstones for both nutrition-related health outcomes and for quality of life. Based on this, this scoping review aimed to map out existing scientific literature on food-related experiences and related behavioral responses among people affected by chemosensory dysfunctions following COVID-19. A librarian-supported search of PsycInfo, PubMed, and Scopus for publications written in English (2020 to April 26, 2022) was conducted. Two authors searched for and screened publications and three others extracted and collated data. These are reported following the Preferred Reporting Items of Systematic reviews and Meta-Analyses extension for Scoping Reviews. Of 1169 hits, 9 publications were included in the review. The results are thematized as \"Psychological and social aspects\" and \"Nutritional aspects,\" each with the subsections \"Experiences\" and \"Behavioral responses.\" A great variety of food-related problems, nutritional and mental health effects, and implications for social life are identified. People affected by chemosensory dysfunctions following COVID-19 suffer, as evident both in stories from qualitative studies and in measurements of quality of life. The results impact all professions who are and may come to be involved in treating these patients, such as nurses, physicians, dietitians, and psychologists. With more knowledge about the dysfunctions' manifestation, duration, and impact on everyday life, multiprofessional teams need to collaborate in supporting patients medically, psychosocially, and nutritionally.","PeriodicalId":54492,"journal":{"name":"Research in Nursing & Health","volume":null,"pages":null},"PeriodicalIF":2.0,"publicationDate":"2023-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9793477","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

Sleep and its variability in relation to behavioral outcomes in school-age children with overweight and obesity. 超重和肥胖学龄儿童的睡眠及其可变性与行为结果的关系

IF 2 4区医学

Research in Nursing & Health Pub Date : 2023-06-01 DOI: 10.1002/nur.22308

Shao-Yu Tsai, Yi-Ching Tung, Chuen-Min Huang, Chien-Chang Lee

{"title":"Sleep and its variability in relation to behavioral outcomes in school-age children with overweight and obesity.","authors":"Shao-Yu Tsai, Yi-Ching Tung, Chuen-Min Huang, Chien-Chang Lee","doi":"10.1002/nur.22308","DOIUrl":"https://doi.org/10.1002/nur.22308","url":null,"abstract":"This was a cross-sectional study to examine sleep and its variability in relation to behavioral outcomes in school-age children with overweight and obesity. A total of 246 school-age children with overweight or obesity were recruited between 2019 and 2021 from 10 public elementary schools in Northern Taiwan. Parents completed sleep and behavior questionnaires, with children wearing an actigraphy monitor for 7 days. Average daily sleep duration by actigraphy was 7.52 h, with 84.6% of the children having clinically significant sleep disturbance scores and 68.3% having a total behavior problem score in the clinical range. Children were categorized by median split for sleep duration and sleep duration variability. Multivariate regression analyses showed that children in the insufficient (duration)-stable (variability) sleep category had significantly higher scores for emotion problems (B = 0.94, p = 0.01), self-control problems (B = 1.61, p < 0.01), and total behavior problems (B = 3.38, p < 0.01) compared to children in the sufficient-stable sleep (reference) category. Children in the insufficient-variable sleep category had significantly higher self-control problem scores compared to children in the reference category (B = 1.03, p < 0.05). Findings from our study suggest that school-age children with overweight and obesity coexist with sleep and behavioral problems, and those who have consistently insufficient sleep are at the greatest risk for the worst behavioral outcomes. Screening for sleep habits and behavioral problems should be considered a standard practice in pediatric overweight and obesity.","PeriodicalId":54492,"journal":{"name":"Research in Nursing & Health","volume":null,"pages":null},"PeriodicalIF":2.0,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9402684","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