Research in Nursing & Health最新文献

{"title":"Sleep Hygiene, Sleep Quality, and Psychological Stress Among Adults With Cardiovascular Risk.","authors":"Xiaoyue Liu, Junxin Li, Jinyu Hu, Jason Fletcher, Yvonne Commodore-Mensah, Cheryl R Himmelfarb","doi":"10.1002/nur.70018","DOIUrl":"10.1002/nur.70018","url":null,"abstract":"<p><p>Poor sleep quality and psychological stress are interrelated and disproportionately affect adults with multiple cardiovascular disease (CVD) risk factors. Maintaining an optimal home environment and engaging in healthy bedtime behaviors are important components of sleep hygiene practices that influence sleep health. This study sought to examine: (1) the association between sleep hygiene and psychological stress, and (2) the moderating effect of sleep quality in the relationship between sleep hygiene and psychological stress, among adults with multiple CVD risk factors. A cross-sectional study was conducted with 300 adults diagnosed with hypertension and diabetes. Individuals were recruited from a large academic health center and were asked to complete an online survey. Sleep hygiene was assessed by nine individual factors focusing on negative household environment (safety, physical comfort, temperature, noise, and light) and poor bedtime behaviors (watching TV, playing video games, using small screens, and eating), and by a composite score. Multivariable linear regression was employed to examine the associations. Of the sample, 78% reported poor sleep quality and 44% reported high psychological stress. The composite sleep hygiene score was significantly associated with higher psychological stress after controlling for sleep quality, and the relationship was not modified by sleep quality. Unsafe household, uncomfortable physical environment, uncomfortable temperature, and eating at bedtime were independently related to increased stress levels. The study highlights strong links between sleep hygiene and psychological stress. Current evidence suggests that promoting home environment and bedtime behaviors may alleviate psychological burdens in adults with multiple CVD risk factors.</p>","PeriodicalId":54492,"journal":{"name":"Research in Nursing & Health","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-08-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144876874","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":"Associations Between Nurse Staffing Levels and 30- and 60-Day Readmissions for Acute Care Patients With Intellectual and Developmental Disability.","authors":"Lynne S Moronski, Eileen T Lake, Matthew D McHugh","doi":"10.1002/nur.70013","DOIUrl":"https://doi.org/10.1002/nur.70013","url":null,"abstract":"<p><p>The purpose of this study was to examine the association between hospital nurse staffing levels and 30- and 60-day readmissions among patients with intellectual and/or developmental disabilities (IDD). This cross-sectional correlational study utilized secondary data from 595 acute care, nonfederal hospitals in California, Florida, New Jersey, and Pennsylvania in 2016. Data were obtained from three sources: the American Hospital Association Annual Survey, the RN4CAST-US nurse survey, and state patient hospital discharge summaries. The analytic sample included 39,558 hospital stays for 28,446 adults with IDD aged 18 and older who were discharged alive. In adjusted models, every additional patient added to a nurse's workload was associated with 7% higher odds of 30-day readmission OR = 1.07 (95% CI [1.03, 1.12], p = 0.001) and 9% higher odds of 60-day readmission OR = 1.09 (95% CI [1.04, 1.13], p < 0.001) among patients with IDD. The average nurse staffing level across hospitals was 4.7 patients per nurse (SD = 0.99). Staffing levels varied by hospital characteristics, with large hospitals, major teaching hospitals, and hospitals in California having better staffing ratios. The study population had a 30-day readmission rate of 17.1%, which is 27% higher than the average adult hospital 30-day readmission rate in the US in 2018. This study demonstrates the association of nurse staffing levels with readmission odds for patients with IDD. Improving nurse staffing levels is a system-based solution that can potentially improve outcomes for patients with IDD, who often require intensive nursing care.</p>","PeriodicalId":54492,"journal":{"name":"Research in Nursing & Health","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-08-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144818301","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":"Factors Influencing Panel Size of Primary Care Nurse Practitioners.","authors":"Arnaud Duhoux, Annie Rioux-Dubois, Renaud Ross-deBlois, Morgane Gabet","doi":"10.1002/nur.70016","DOIUrl":"https://doi.org/10.1002/nur.70016","url":null,"abstract":"<p><p>The aim of this study was to investigate organizational and practitioner-related factors influencing the panel size of primary care nurse practitioners (PC-NPs) in Quebec (Canada). Cross-sectional study. This secondary analysis was based on a cross-sectional study that used a self-administered online questionnaire available from March to April 2022 to assess the work conditions of NPs in Quebec. A multiple regression analysis was conducted on a subset of 321 PC-NPs to predict panel size and associated factors. Among 321 PC-NPs, with a mean of 4.6 years of experience as NP, the average panel size was 344 patients. Factors significantly associated with a greater panel size were a higher number of years of experience as a NP (p < 0.001), a higher number of years spent in the current organization (p < 0.001) and a higher number of patients seen in an average day (p < 0.001). Our study provided a measure of the PC-NP panel size in the province of Québec highlighting their essential role in primary health care. The results suggest that policymakers and administrators should focus on enhancing the experience of their PC team, ensuring employment stability and providing adequate time for patient appointments to optimize PC-NP panel size and enhance service capacity to increase access to primary health care.</p>","PeriodicalId":54492,"journal":{"name":"Research in Nursing & Health","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-08-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144796126","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":"Networking and the Three C's: Soaring Together.","authors":"Susan B Fowler","doi":"10.1002/nur.70007","DOIUrl":"10.1002/nur.70007","url":null,"abstract":"","PeriodicalId":54492,"journal":{"name":"Research in Nursing & Health","volume":" ","pages":"415-416"},"PeriodicalIF":2.1,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144531132","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":"Controlled Pilot Intervention Study on the Effects of an AI-Based Application to Support Incontinence-Associated Dermatitis and Pressure Injury Assessment, Nursing Care and Documentation: Study Protocol.","authors":"Hannah Pinnekamp, Vanessa Rentschler, Khalid Majjouti, Alexander Brehmer, Michaela Tapp-Herrenbrück, Michael Aleithe, Jens Kleesiek, Bernadette Hosters, Uli Fischer","doi":"10.1002/nur.22469","DOIUrl":"10.1002/nur.22469","url":null,"abstract":"<p><p>Artificial Intelligence (AI)-based applications have significant potential to differentiate between pressure injuries (PI) and incontinence-associated dermatitis (IAD), common challenges in nursing practice. Within the KIADEKU overall project, we are developing an AI-based application to aid in the nursing care of PI and IAD and to facilitate personalized, evidence-based nursing interventions. The KIADEKU clinical sub-study described in this study protocol is a controlled, non-randomized clinical pilot intervention study investigating the effects of the AI-based application, fully developed in the KIADEKU overall project, on the duration of wound assessment, dressing change and documentation, guideline adherence, and nurse task load. The study utilizes a pre-post design with two data collection periods. During the initial phase, we will observe and survey nurses in the control group as they provide conventional wound care without AI support to adult patients with PI or IAD in the pelvic area across eight wards at the LMU University Hospital. In the following intervention phase, the AI-based application will assist nurses in wound assessment and deliver guideline-based nursing interventions for documented wound types. Observations and surveys will be repeated. Measurements will include the duration of wound assessment, dressing changes, and documentation, adherence to wound care guidelines, and the accuracy of AI predictions in clinical settings, validated by an on-site expert assessment. The survey will assess nurses' task load and other covariates, such as professional experience, overall workload during the shift, and wound severity. Linear regression models will be used to analyze the effects of AI usage on the aforementioned aspects, taking into account these covariates. The accuracy of AI predictions regarding wound type and classification will be measured using the on-site expert's assessment as the ground truth. The usability of the AI-based application and standard clinical documentation systems will be evaluated further. The deployment of the AI application in clinical settings aims to reduce the duration of wound assessments, dressing changes, and documentation; decrease nurse task load; enhance guideline adherence in wound care; and promote AI utilization in nursing. German Clinical Trials Register (DRKS) (DRKS00031355). Registered on April 5th, 2023. TRIAL REGISTRATION: German Clinical Trials Register (DRKS) DRKS00031355. Registered on April 5^th 2023. PATIENT OR PUBLIC CONTRIBUTION: Patient representatives contributed to the development of the AI-based application through the use of Delphi methodology, as part of the KIADEKU qualitative sub-study.</p>","PeriodicalId":54492,"journal":{"name":"Research in Nursing & Health","volume":" ","pages":"419-428"},"PeriodicalIF":2.1,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12217424/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144049164","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":"The Longitudinal Effects of Low Body Mass Index on Unfavorable Physical Health Outcomes Among Older Adults Receiving Homecare Nursing: A Prospective Cohort Study.","authors":"Lisako Kato, Sameh Eltaybani, Masumi Shinohara, Ayumi Igarashi, Yuka Sumikawa, Asa Inagaki-Asano, Yoshinori Takeuchi, Noriko Yamamoto-Mitani","doi":"10.1002/nur.22471","DOIUrl":"10.1002/nur.22471","url":null,"abstract":"<p><p>Body mass index (BMI) is an inexpensive, easy-to-calculate, and noninvasive marker of malnutrition. Few studies have examined the longitudinal effects of BMI on the incidence of unfavorable physical health outcomes (UPHOs) among older adults receiving homecare nursing. Therefore, this prospective cohort study examined the longitudinal effects of low BMI on the occurrence of UPHOs at multiple time points (i.e., 1-, 3-, and 6-months) among older adults (≥ 75 years) receiving homecare nursing across Japan. Using an online questionnaire, homecare nurses reported clients' height and weight, as well as socio-demographic characteristics (e.g., age and gender) and health conditions (e.g., diagnosis and dependency level). The occurrence of seven UPHOs (urinary tract infection, respiratory infection, pressure ulcer or skin tear, dehydration, poor dyspnea control, poor pain control, and traumatic fall) was also reported. The longitudinal effects of low BMI on the total number of UPHOs at 1-, 3-, and 6-months follow-ups were examined using a Restricted Moment Model (RMM) with a log link function. Among 660 participants included in the analysis, 42.12% were males, 36.96% had dementia, and 44.09% had low BMI. Adjusting for client's characteristics and the number of UPHOs at the baseline, low BMI at the baseline could increase the incidence of UPHOs at 1-, 3- and 6-month follow-ups (incidence rate ratio [95% confidence interval]:1.59 [1.21, 2.07], 1.57 [1.18, 2.07], 1.35 [1.02, 1.79], respectively). Adequate management of low BMI among older adults receiving homecare nursing would have a favorable effect on reducing the occurrence of UPHOs, thereby reducing the deterioration of overall physical conditions.</p>","PeriodicalId":54492,"journal":{"name":"Research in Nursing & Health","volume":" ","pages":"478-486"},"PeriodicalIF":2.1,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12217422/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144152742","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":"Recommitting to Discovery, Rejuvenating Our Vision.","authors":"Charleen McNeill","doi":"10.1002/nur.70008","DOIUrl":"10.1002/nur.70008","url":null,"abstract":"","PeriodicalId":54492,"journal":{"name":"Research in Nursing & Health","volume":" ","pages":"417-418"},"PeriodicalIF":2.1,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144487123","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Effect of Mother's Gentle Human Touch on Preterm Neonate's Pain and Maternal Anxiety During Venipuncture in Turkiye.","authors":"Derya Kılınç, Seda Çağlar","doi":"10.1002/nur.22472","DOIUrl":"10.1002/nur.22472","url":null,"abstract":"<p><p>Pain in neonates causes many negative effects, such as decreased oxygenation, deterioration in hemodynamics, and increased intracranial pressure. Mothers may experience anxiety while observing the infant experiencing pain. The aim of this study was to determine the effect of gentle human touch (GHT), applied by mothers, on the infant's physiological and pain responses during venipuncture, the mother's associated anxiety levels, and the correlation between infant pain and maternal anxiety. A randomized controlled study was conducted with 80 healthy preterm infants (40 GHT and 40 control) being seen in the neonatal follow-up clinic 24-48 h post discharge from the hospital in Turkiye. Infants were 32-37 weeks gestational age. Infant pain was rated with the Neonatal Infant Pain Scale (NIPS), oxygen saturation and heart rate (HR) were taken from clinic monitors, length of crying was measured in minutes with a stop watch, and maternal anxiety was assessed with the State-Trait Anxiety Inventory (STAI-I). Infants in the GHT group had higher oxygen saturation values, lower pain scores, and shorter crying duration, but higher peak heart rates. Their mothers had lower anxiety scores. Maternal anxiety was strongly correlated with infant pain levels. The GHT method applied by mothers during venipuncture was shown to be effective in reducing infant pain, regulating infant physiological parameters, and reducing maternal anxiety. Trial Registration: NCT05727631.</p>","PeriodicalId":54492,"journal":{"name":"Research in Nursing & Health","volume":" ","pages":"487-496"},"PeriodicalIF":2.4,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12217417/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144112829","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":"The Roles of Public Health Nurse in Rural Area: A Narrative Review.","authors":"Hye Jin Nam, Sujin Lee, Han Nah Park","doi":"10.1002/nur.22470","DOIUrl":"10.1002/nur.22470","url":null,"abstract":"<p><p>This narrative review aims to identify the role of public health nurses in rural areas and provide a comparative description of their roles and duties. The literature search was conducted in May 2024 using four electronic databases including PubMed, EMBASE, CINAHL, and COCHRANE. The review adhered to the Preferred Reporting System for Systematic Review and Meta-Analysis. Of the 2249 retrieved articles, 500 duplicates were removed. After title and abstract screening, 1734 were excluded, followed by two due to unavailable full text. Six more did not meet eligibility criteria, while two additional articles were identified through hand searching. Study quality was assessed using the Mixed Methods Appraisal Tool. Nine studies were selected, including four descriptive studies, one mixed-methods study, and four qualitative studies. In all nine studies, the nurse was a registered nurse; some studies also included practice nurses and advanced practice nurses. From the selected studies, eight distinct roles of rural public health nurses were identified: Assessment, Health Prevention and Promotion, Intervention, Care Coordination and Management, Communication, Community Solidarity, Education and Research, and Administration and Evaluation. Duties were matched according to these roles. This review highlights the essential roles and duties of rural public health nurses, providing foundational data for future research and practice, guiding the development of standardized role definitions, job descriptions, and training programs for rural public health nurses.</p>","PeriodicalId":54492,"journal":{"name":"Research in Nursing & Health","volume":" ","pages":"466-477"},"PeriodicalIF":2.1,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144112832","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A Practical Example of How to Apply Constructivist Grounded Theory Methodology: Exploring Patient Experiences During Paramedic Led Healthcare.","authors":"Robbie King, Terri Downer, Bill Lord, Belinda Flanagan, Florin Oprescu","doi":"10.1002/nur.22468","DOIUrl":"10.1002/nur.22468","url":null,"abstract":"<p><p>Application of qualitative enquiry is necessary to improve the understanding of patient experience during paramedic-led healthcare. Grounded Theory (GT) is acknowledged as a rigorous qualitative methodology useful for exploring social processes present during healthcare, particularly when little existing knowledge or theory exists. Despite wide use of GT in other health disciplines there are few studies that have used this methodology to guide research in paramedicine. This may be due to GT methods appearing complex and disorientating for both novice and experienced researchers. This methodological article provides a practical example of how Kathy Charmaz's \"constructivist\" approach to grounded theory (GTc) was applied during research that explored how patients experience paramedic-led healthcare during non-conveyance situations. It explains the fundamental tenets required of GTc research and describes how they were employed during the example research. The article aims to demystify the GTc process and improve the rigour of qualitative GTc research in paramedicine and health disciplines. How to apply Constructivist Grounded Theory methodology is described by providing a practical example of research into patient experience. This article informs researchers how to maintain trustworthiness and credibility when applying GTc methodology. This article describes research that explored how patients experience paramedic-led healthcare. The data was generated through individual interviews between the researcher and patients who had recent experiences of ambulance service healthcare that resulted in not being transported to a hospital ED. Patients or the public were not involved in the conceptualisation or research design of this article or the practical example provided.</p>","PeriodicalId":54492,"journal":{"name":"Research in Nursing & Health","volume":" ","pages":"508-521"},"PeriodicalIF":2.1,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12217405/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144052059","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}