Research in Nursing & Health最新文献_第2页

Structural Validity and Reliability of an Adapted Practice Environment Scale-Nursing Work Index for Primary Health Care Nurses. 适应实践环境量表-初级卫生保健护士护理工作指标的结构效度和信度。

IF 2.4 4区医学

Research in Nursing & Health Pub Date : 2025-10-01 Epub Date: 2025-06-04 DOI: 10.1002/nur.22474

Edurne Zabaleta-Del-Olmo, Cristina Rey-Reñones, Ana Marchal-Torralbo, Gloria Sauch-Valmaña, Gemma Calvet-Tort, Carme Planas-Campmany, Isabel Barnés-Vallés, Ana-María Urpí-Fernández, Juan-José Zamora-Sánchez, Montserrat Artigas-Lage, Iraida Gimeno-Pi, Miguel-Ángel Díaz-Herrera, Ana Ríos-Jiménez, Núria Brunet-Reverté, Anna Reñé-Reñé

{"title":"Structural Validity and Reliability of an Adapted Practice Environment Scale-Nursing Work Index for Primary Health Care Nurses.","authors":"Edurne Zabaleta-Del-Olmo, Cristina Rey-Reñones, Ana Marchal-Torralbo, Gloria Sauch-Valmaña, Gemma Calvet-Tort, Carme Planas-Campmany, Isabel Barnés-Vallés, Ana-María Urpí-Fernández, Juan-José Zamora-Sánchez, Montserrat Artigas-Lage, Iraida Gimeno-Pi, Miguel-Ángel Díaz-Herrera, Ana Ríos-Jiménez, Núria Brunet-Reverté, Anna Reñé-Reñé","doi":"10.1002/nur.22474","DOIUrl":"10.1002/nur.22474","url":null,"abstract":"The Practice Environment Scale of the Nursing Work Index (PES-NWI) is widely used to assess nursing practice environments; however, existing versions available for primary health care still need to capture the unique aspects of this healthcare setting fully. This study aimed to develop and validate an adapted PES-NWI version tailored for primary health care. A cross-sectional study and a test-retest design were conducted among primary health care nurses. Structural validity was assessed using confirmatory factor analysis, while internal consistency and test-retest reliability were evaluated through Cronbach's alpha and Intraclass Correlation Coefficients (ICCs), respectively. A total of 528 nurses participated, achieving a response rate of 78% with minimal missing data (0-0.6%). The confirmatory factor analysis showed a good model fit, with subscale Cronbach's alpha values between 0.70 and 0.95. Test-retest reliability was strong, with ICCs above 0.70. The adapted PES-NWI demonstrated adequate structural validity, internal consistency, and reliability, supporting its use in primary health care. This adapted measurement tool can support nursing workforce policies by improving the assessment of work environments in primary health care settings. PATIENT OR PUBLIC CONTRIBUTION: No direct patient or public involvement. Primary health care nurses contributed to the content validity assessment of the adapted PES-NWI.","PeriodicalId":54492,"journal":{"name":"Research in Nursing & Health","volume":" ","pages":"533-544"},"PeriodicalIF":2.4,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144217604","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

Comment On "The Longitudinal Effects of Low Body Mass Index on Unfavorable Physical Health Outcomes Among Older Adults Receiving Homecare Nursing: A Prospective Cohort Study". “低体重指数对接受家庭护理的老年人不良身体健康结果的纵向影响：一项前瞻性队列研究”评论。

IF 2.4 4区医学

Research in Nursing & Health Pub Date : 2025-10-01 Epub Date: 2025-06-23 DOI: 10.1002/nur.70003

Rachana Mehta, Ranjana Sah

引用次数: 0

Effects of Social Network-Based Health Education on Older Adults With Type 2 Diabetes Mellitus: A Randomized Controlled Trial. 基于社会网络的健康教育对老年2型糖尿病患者的影响：一项随机对照试验

IF 2.4 4区医学

Research in Nursing & Health Pub Date : 2025-10-01 Epub Date: 2025-06-25 DOI: 10.1002/nur.70006

Shishi Wu, Yu Liu, Fang Zhao, Keke Lin, Quanying Wu, Caihong Li, Li Wang, Ruiting Zhang

{"title":"Effects of Social Network-Based Health Education on Older Adults With Type 2 Diabetes Mellitus: A Randomized Controlled Trial.","authors":"Shishi Wu, Yu Liu, Fang Zhao, Keke Lin, Quanying Wu, Caihong Li, Li Wang, Ruiting Zhang","doi":"10.1002/nur.70006","DOIUrl":"10.1002/nur.70006","url":null,"abstract":"To evaluate the effects of social network-based health education on self-management, self-efficacy and HbA1c of older adults with type 2 diabetes mellitus (T2DM). A convenience sample of 64 elderly T2DM patients with poor glycemic control was randomly divided into two groups. The intervention group received social network-based health education with their nominated social network member for 12 weeks, while the control group received health education alone. The scores of Summary of Diabetes Self-Care Activities (SDSCA), Diabetes Self-Efficacy Scale (DSES), and HbA1c were compared between groups at the baseline and after 12 weeks by using RM-ANOVA. Sixty older adults with T2DM, 30 cases in each group, completed the study. The diet and blood glucose testing dimensions of C-SDSCA had an interaction effect on group-by-time (F were 4.700 and 4.752, respectively, p < 0.05). The mean diet dimension score increased by 1.55 in the intervention group, while 0.76 in the control group, and the score of blood glucose testing dimension increased by 3.5 in the intervention group, while 0.75 in the control group. No significant group-by-time differences were found in C-DSES (F = 1.667, p > 0.05) and HbA1c (F = 0.553, p > 0.05). Social network-based health education effectively promotes self-management in diet and blood glucose testing of the elderly T2DM patients with poor glycemic control. Trial Registration: China Clinical Trial Registration Center (ChiCTR2000038177).","PeriodicalId":54492,"journal":{"name":"Research in Nursing & Health","volume":" ","pages":"607-616"},"PeriodicalIF":2.4,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144487122","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

The Impact of Nurse Staffing and Education on 30-Day Mortality Among Patients Hospitalized for Acute Kidney Injury. 护理人员配备和教育对急性肾损伤住院患者30天死亡率的影响。

IF 2.4 4区医学

Research in Nursing & Health Pub Date : 2025-09-29 DOI: 10.1002/nur.70024

Christin Iroegbu, Anne Kutney-Lee, Jesse Chittams, Sheridan Leak, Margo Brooks-Carthon

{"title":"The Impact of Nurse Staffing and Education on 30-Day Mortality Among Patients Hospitalized for Acute Kidney Injury.","authors":"Christin Iroegbu, Anne Kutney-Lee, Jesse Chittams, Sheridan Leak, Margo Brooks-Carthon","doi":"10.1002/nur.70024","DOIUrl":"https://doi.org/10.1002/nur.70024","url":null,"abstract":"Acute kidney injury (AKI) affects approximately 20% of hospitalized patients and is associated with higher mortality, extended hospital stay, and increased costs. While various strategies have been proposed to improve AKI management, the impact of nursing resources on AKI outcomes has not been explored. We sought to examine the association between nursing resources and 30-day mortality among patients hospitalized with AKI. Using a cross-sectional study design, we linked data from the CMS Medicare Provider Analysis and Review file, American Hospital Association Annual Survey, and RN4CAST-NY/IL survey of registered nurses. We identified 24,368 Medicare beneficiaries aged 18-99 years with a primary diagnosis of AKI hospitalized in 155 hospitals in New York and Illinois in 2021. The primary outcome was 30-day mortality. Key independent variables included nurse staffing (patient-to-nurse ratio) and nurse education (proportion of nurses holding a bachelor's degree or higher). Covariates were patient demographics, comorbidities, and hospital characteristics. The 30-day mortality rate was 10.5%. In adjusted logistic regression models, each additional patient per RN increased the odds of 30-day mortality by 7% (OR = 1.07, 95% CI [1.01-1.13], p < 0.05). For each 10-point increase in the proportion of nurses with a bachelor's degree or higher, the odds of 30-day mortality decreased by 9% (OR = 0.91, 95% CI [0.88-0.95], p < 0.001). Better nurse staffing and higher proportions of nurses with a bachelor's degree or higher are associated with lower 30-day mortality among patients hospitalized with AKI. These findings underscore the significance of nursing in AKI outcomes and suggest that hospitals should prioritize investing in nursing resources to enhance AKI outcomes.","PeriodicalId":54492,"journal":{"name":"Research in Nursing & Health","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145187655","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

Addressing Survey Fraud in Online Health Research: A Case Study of Latine Sexual Minority Men. 解决在线健康研究中的调查欺诈：拉丁裔性少数男性的案例研究。

IF 2.4 4区医学

Research in Nursing & Health Pub Date : 2025-09-26 DOI: 10.1002/nur.70021

Lisvel A Matos, Susan Silva, Michael V Relf, Rosa Gonzalez-Guarda

{"title":"Addressing Survey Fraud in Online Health Research: A Case Study of Latine Sexual Minority Men.","authors":"Lisvel A Matos, Susan Silva, Michael V Relf, Rosa Gonzalez-Guarda","doi":"10.1002/nur.70021","DOIUrl":"https://doi.org/10.1002/nur.70021","url":null,"abstract":"Online survey research has become an increasingly popular and effective method in the social sciences for exploring and addressing health-related issues. However, the increasing prevalence of fraudulent activities, particularly survey bots, threatens data integrity and can compromise health research by generating misleading data. The purpose of this paper was to describe the implementation of bot detection strategies in an online survey with Latine sexual minority men (SMM). Eleven bot detection indicators, including AI-detection software for open-ended responses, were used in two approaches to differentiate bot-generated from human responses. In the first approach, bot detection indicators were applied stepwise to identify valid entries. In the second approach, a fraud detection algorithm was used to identify three fraud categories. Key demographics and study variables were compared across fraud categories using chi-square/Fisher's Exact tests for categorical data and Kruskal-Wallis tests for continuous data (significance set at 0.05). Of the 1147 total survey entries, 837 (73%) completed at least 20% of the survey (814 completed all items). A total of 739 (88%) of the 837 completed surveys were classified as fraudulent. Among the 837 completed surveys, 333 (40%) had an AI-generated open-ended response and fast completion time (≤ 20 min) and 234 (28%) entries were flagged for all three of these indicators. Sociodemographic characteristics and HIV prevention outcomes were largely similar across bot-generated and human responses. Findings suggest that survey bots are a pervasive threat to online research and are effective at providing human-like responses. To protect data integrity and ensure the development of effective health policies and interventions, health science researchers should adopt comprehensive bot detection and prevention strategies.","PeriodicalId":54492,"journal":{"name":"Research in Nursing & Health","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-09-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145151999","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

Missed Infection Control Practices Among Nurses in Medical and Surgical Wards in Jordan: A Cross-Sectional Study. 约旦内科和外科病房护士遗漏感染控制实践：一项横断面研究。

IF 2.4 4区医学

Research in Nursing & Health Pub Date : 2025-09-20 DOI: 10.1002/nur.70023

Muhammad Ahmed Alshyyab, Rania Ali Albsoul, Gerard FitzGerald, James Hughes, Diana Arabiat

{"title":"Missed Infection Control Practices Among Nurses in Medical and Surgical Wards in Jordan: A Cross-Sectional Study.","authors":"Muhammad Ahmed Alshyyab, Rania Ali Albsoul, Gerard FitzGerald, James Hughes, Diana Arabiat","doi":"10.1002/nur.70023","DOIUrl":"https://doi.org/10.1002/nur.70023","url":null,"abstract":"Missed infection control practices may impact quality healthcare and patient safety. Hence, research is urgently needed to examine infection control practices left undone by nursing personnel, especially in Arab countries. This study aimed to identify missed infection control nursing practices and the underlying reasons among nurses working in medical and surgical wards in Jordan. A cross-sectional design was utilized. The study involved a convenient sample of 514 nurses from seven hospitals (six public and one tertiary hospital) in the North of Jordan during the period of October 2022 and August 2023. The Missed Nursing Care Infection Prevention and Control (MNCIPC) Survey was employed to collect the data. Data were analyzed using descriptive inferential and multivariate regression analysis. The results of this study revealed that nurses working at the medical ward reported more missed care infection activities compared to nurses working at the surgical ward. Nurses working overtime, with less clinical experience, and without formal training or qualifications reported more missed infection control. The most perceived reasons for the missed infection control activities related to labor resources, including inadequate staffing, urgent patient situations, or unexpected rise in patient volume and/or acuity. There is a need to recognize missed infection control activities and the reasons for their occurrence. The interventions to reduce missed infection control measures should aim at increasing staffing levels to manage increased and unexpected surges in nursing workload.","PeriodicalId":54492,"journal":{"name":"Research in Nursing & Health","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-09-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145092998","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

Effectiveness of Self-Management Education for Deaf Individuals With Hypertension: A Quasi-Experimental Study. 聋人高血压自我管理教育的有效性：一项准实验研究。

IF 2.4 4区医学

Research in Nursing & Health Pub Date : 2025-09-20 DOI: 10.1002/nur.70022

Gi Won Choi, Hee Jung Kim, Yujin Park, Ha Na Jeong, Sun Ju Chang

{"title":"Effectiveness of Self-Management Education for Deaf Individuals With Hypertension: A Quasi-Experimental Study.","authors":"Gi Won Choi, Hee Jung Kim, Yujin Park, Ha Na Jeong, Sun Ju Chang","doi":"10.1002/nur.70022","DOIUrl":"https://doi.org/10.1002/nur.70022","url":null,"abstract":"In South Korea, hypertension (HTN) is prevalent among deaf individuals, with a reported rate of 63.9%, which is higher than in the general population. To manage this condition effectively, a self-management education intervention is needed. In particular, since deaf individuals generally exhibit low levels of health literacy, it is essential to develop interventions that consider their limited health literacy. This study evaluates the impact of the Hypertension Self-Management Education for the Hearing Impaired Using Sign Language (H-SMILE) program. Using a quasi-experimental, nonequivalent control group design, 16 deaf participants received the 6-week H-SMILE program, whereas 17 participants attended a single traditional lecture session. Outcomes measured included depression, quality of life, HTN knowledge, health literacy, self-care, medication adherence, and clinical indicators, assessed at baseline, post-intervention, and 2 months post-intervention. Immediately post-intervention, the H-SMILE group showed improvements in self-care management, self-care confidence, and functional health literacy, alongside an increase in depression compared to controls. These effects did not persist at the 2-month follow-up. The H-SMILE program shows initial effectiveness but requires strategies for long-term sustainability of outcomes.","PeriodicalId":54492,"journal":{"name":"Research in Nursing & Health","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-09-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145092995","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

Psychometric Properties of the Traditional Chinese Version of the Friendship Scale for Older Adults. 中译本老年人友谊量表的心理测量特征。

IF 2.4 4区医学

Research in Nursing & Health Pub Date : 2025-09-12 DOI: 10.1002/nur.70020

Pei-Ting Chung, Pi-Ling Chou, Hui-Chuan Huang, Shu-Fen Wung, Pei-Chao Lin

{"title":"Psychometric Properties of the Traditional Chinese Version of the Friendship Scale for Older Adults.","authors":"Pei-Ting Chung, Pi-Ling Chou, Hui-Chuan Huang, Shu-Fen Wung, Pei-Chao Lin","doi":"10.1002/nur.70020","DOIUrl":"https://doi.org/10.1002/nur.70020","url":null,"abstract":"Cultural differences, along with various social and political determinants, affect the social isolation experienced by older adults. This study aimed to investigate the factor structure of the Traditional Chinese version of the Friendship Scale (FS-TC) and to assess its psychometric properties in relation to social isolation among Taiwanese older adults. In Phase 1, the scale underwent cultural adaptation and translation before being evaluated for face and content validity by ten older adults and five experts in nursing and geriatric care. Phase 2 involved a cross-sectional study with a convenience sample of 500 older adults from southern Taiwan to establish construct validity, criterion validity, and reliability. Of these participants, 100 were retested 2 weeks later to assess test-retest reliability. The scale-level content validity index was 1.0. A confirmatory factor analysis showed a two-factor structure of the FS-TC, consisting of \"connection\" and \"isolation\" factors. The Cronbach's α for the scale was 0.82, while the intraclass correlation coefficient reached 0.96. Convergent validity was demonstrated through significant correlations with the Geriatric Depression Scale, the Social Support Scales, and the Loneliness Scale. The FS-TC showed a sensitivity of 56% and a specificity of 89% for predicting Lubben Social Network Scale-6 measured social isolation. An optimal cut-off score of 14.5 was identified for predicting social isolation in older adults. Overall, the FS-TC was shown to be a reliable and valid measure of social isolation, making it a valuable tool for healthcare providers and researchers assessing the severity of social isolation among Taiwanese older adults.","PeriodicalId":54492,"journal":{"name":"Research in Nursing & Health","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-09-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145042244","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

The Effect of Transition Model-Based Discharge Training for Mothers of Late Preterm Infants (TRAMPRE): A Randomized Controlled Study. 基于过渡模型的出院训练对晚期早产儿母亲（TRAMPRE）的影响：一项随机对照研究

IF 2.4 4区医学

Research in Nursing & Health Pub Date : 2025-08-23 DOI: 10.1002/nur.70017

Şerife Tutar, Yasemin Demir Avcı, Sebahat Gözüm

{"title":"The Effect of Transition Model-Based Discharge Training for Mothers of Late Preterm Infants (TRAMPRE): A Randomized Controlled Study.","authors":"Şerife Tutar, Yasemin Demir Avcı, Sebahat Gözüm","doi":"10.1002/nur.70017","DOIUrl":"https://doi.org/10.1002/nur.70017","url":null,"abstract":"The aim of the study was to evaluate the effect of Transition Model-Based Discharge Training for Mothers of Preterm Infants (TRAMPRE) on (1) Kenner's three components of the transition to home; (2) post-partum depression; (3) unplanned hospital/family health center visits; and (4) post-discharge complications. Our study was conducted with 133 mothers who received services in the NICU of a hospital providing tertiary health care in Türkiye. The content of the intervention protocol consists of \"Discharge Training for Mothers on Infant Care,\" the \"Preterm Infant Care Guide,\" and \"Telephone Follow-up and Counseling.\" Data were analyzed using descriptive statistics, t-tests, repeated measure ANOVA and chi-square tests. The time 2 scores for the Transition Questionnaire (TQ) were 101.88 ± 11.04 and 67.03 ± 7.71 for the intervention and control groups, respectively (p < 0.05). The time 2 scores for the intervention group on postnatal depression levels (4.55 ± 4.51) were significantly lower than those of the control group (10.94 ± 4.69) (p < 0.05). Comparing the intervention and control groups revealed a significant difference between the rates of thrush (i: 1.5%, c: 12.1%), diaper rash (i: 4.5%, c: 30.3%), hospitalization after discharge (i: 3%, c: 13.6%), attending routine controls (i: 100%, c: 90.9%), and exclusive breastfeeding (i: 43.3%, c: 19.7%). It was concluded that transition model-based discharge training offered to mothers of LPT infants was effective in improving the mothers' transition to home care and reducing the incidence of post-partum depression. Trial Registration: Clinical Trials number: NCT05525624.","PeriodicalId":54492,"journal":{"name":"Research in Nursing & Health","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-08-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144978941","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

Perceived Everyday Discrimination, Dysfunctional Attitudes, and Their Influence on Depressive Symptoms and Inflammation in Youth. 感知日常歧视、功能失调态度及其对青少年抑郁症状和炎症的影响

IF 2.4 4区医学

Research in Nursing & Health Pub Date : 2025-08-20 DOI: 10.1002/nur.70019

Iouliana Ossipova, Patrick Pössel, Rafael Fernandez-Botran

{"title":"Perceived Everyday Discrimination, Dysfunctional Attitudes, and Their Influence on Depressive Symptoms and Inflammation in Youth.","authors":"Iouliana Ossipova, Patrick Pössel, Rafael Fernandez-Botran","doi":"10.1002/nur.70019","DOIUrl":"https://doi.org/10.1002/nur.70019","url":null,"abstract":"Depressive symptoms in youth are influenced by psychosocial stressors and cognitive vulnerabilities. Perceived everyday discrimination (PED) is a common stressor linked to mental health issues, while dysfunctional attitudes (DAs), per Beck's cognitive theory of depression, may mediate these effects. Additionally, depressive symptoms have been associated with physical health outcomes, such as inflammation. We examined relationships between PED, DAs, depressive symptoms, and interleukin-6 (IL-6), a marker of inflammation, in a sample of 98 youth (13-16 years old; 36.4% female, 63.6% male) from diverse racial/ethnic backgrounds (41.4% Black/African American, 34.8% White/European American, 7.1% Multiracial, 2% Hispanic, 1% Native American, 1% Other). Measures included the Everyday Discrimination Scale, Dysfunctional Attitudes Scale, Center for Epidemiological Studies Depression Scale, and saliva samples. Our regression analyses demonstrated that PED was significantly associated with both DAs and depressive symptoms as well as that DAs were significantly associated with depressive symptoms and IL-6, while neither PED nor depressive symptoms were significantly associated with IL-6. Consistent with the regressions, our mediation analyses revealed no significant indirect effects of PED on IL-6 through DAs, depressive symptoms, or their sequential combination. Our findings support the role of PED as a stressor within Beck's cognitive theory and expand the theory's application by linking DAs to inflammatory processes. Given these connections, nurses can play a crucial role in implementing cognitive interventions to mitigate the effects of DAs and advocating for systemic change to reduce discrimination.","PeriodicalId":54492,"journal":{"name":"Research in Nursing & Health","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-08-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144978876","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