Research in Nursing & Health最新文献_第3页

Personal and Social-Built Environmental Factors of Glucose Variability Among Multiethnic Groups of Adults With Type 2 Diabetes: Research Protocol Using Ecological Momentary Assessment, Continuous Glucose Monitoring, and Actigraphy. 多种族 2 型糖尿病成人血糖变化的个人和社会环境因素：使用生态学瞬间评估、连续血糖监测和行动仪的研究方案。

IF 2.1 4区医学

Research in Nursing & Health Pub Date : 2024-12-01 Epub Date: 2024-09-07 DOI: 10.1002/nur.22420

Soohyun Nam, Sangchoon Jeon, Garrett I Ash, Stuart Weinzimer, Genevieve F Dunton, Niyati Parekh, Margaret Grey, Kai Chen, Minjung Lee, Anna Sajdlowska, Robin Whittemore

{"title":"Personal and Social-Built Environmental Factors of Glucose Variability Among Multiethnic Groups of Adults With Type 2 Diabetes: Research Protocol Using Ecological Momentary Assessment, Continuous Glucose Monitoring, and Actigraphy.","authors":"Soohyun Nam, Sangchoon Jeon, Garrett I Ash, Stuart Weinzimer, Genevieve F Dunton, Niyati Parekh, Margaret Grey, Kai Chen, Minjung Lee, Anna Sajdlowska, Robin Whittemore","doi":"10.1002/nur.22420","DOIUrl":"10.1002/nur.22420","url":null,"abstract":"Glucose variability (GV)-the degree of fluctuation in glucose levels over a certain period of time-is emerging as an important parameter of dynamic glycemic control. Repeated glycemic oscillations have been reported to be the link to diabetes complications. This prospective observational study aims to: (1) identify multilevel risk factors (personal and social-built environmental factors) associated with high GV; (2) identify \"within-person predictors\" of high GV leveraging the intra-person data to inform future personalized diabetes interventions; and (3) examine which lifestyle factors either mediate or moderate the relationship between emotional well-being and GV among diverse adults with type 2 diabetes (T2D). We will recruit 200 adults with T2D from the community. All participants will complete baseline surveys assessing demographics, lifestyle, social-built environmental, and clinical factors. Real-time dynamic glucose levels will be measured using continuous glucose monitoring (CGM). Sleep, physical activity, diet/eating, and emotional well-being will be measured with an actigraphy device and a real-time self-report tool (ecological momentary assessment [EMA]) across 14 days. Two 24-h dietary recall data will be collected by online video calls. Generalized linear models, multilevel models, and structural equation models will be developed to achieve the study aims. The findings from the study will identify high-risk groups of high GV who would benefit from CGM to improve diabetes outcomes and inform the future development of personalized just-in-time interventions targeting lifestyle behaviors with an increased understanding of GV and by supporting healthcare providers' clinical decisions.","PeriodicalId":54492,"journal":{"name":"Research in Nursing & Health","volume":" ","pages":"608-619"},"PeriodicalIF":2.1,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142146884","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

Psychometrics of the Revised Nursing Stress Scale. 修订版护理压力量表的心理测量学。

IF 2.1 4区医学

Research in Nursing & Health Pub Date : 2024-12-01 Epub Date: 2024-08-08 DOI: 10.1002/nur.22418

Katie U Pavek, Hyeonmi Cho, Linsey M Steege

引用次数: 0

Risk factors for prediabetes in community-dwelling adults: A generalized estimating equation logistic regression approach with natural language processing insights. 社区成人糖尿病前期的风险因素：具有自然语言处理洞察力的广义估计方程逻辑回归方法。

IF 2.1 4区医学

Research in Nursing & Health Pub Date : 2024-12-01 Epub Date: 2024-07-03 DOI: 10.1002/nur.22413

Aeri Kim, Eunjoo Jeon, Hana Lee, Hyunsook Heo, Kyungmi Woo

{"title":"Risk factors for prediabetes in community-dwelling adults: A generalized estimating equation logistic regression approach with natural language processing insights.","authors":"Aeri Kim, Eunjoo Jeon, Hana Lee, Hyunsook Heo, Kyungmi Woo","doi":"10.1002/nur.22413","DOIUrl":"10.1002/nur.22413","url":null,"abstract":"The global prevalence of prediabetes is expected to reach 8.3% (587 million people) by 2045, with 70% of people with prediabetes developing diabetes during their lifetimes. We aimed to classify community-dwelling adults with a high risk for prediabetes based on prediabetes-related symptoms and to identify their characteristics, which might be factors associated with prediabetes. We analyzed homecare nursing records (n = 26,840) of 1628 patients aged over 20 years. Using a natural language processing algorithm, we classified each nursing episode as either low-risk or high-risk for prediabetes based on the detected number and category of prediabetes-symptom words. To identify differences between the risk groups, we employed t-tests, chi-square tests, and data visualization. Risk factors for prediabetes were identified using multiple logistic regression models with generalized estimating equations. A total of 3270 episodes (12.18%) were classified as potentially high-risk for prediabetes. There were significant differences in the personal, social, and clinical factors between groups. Results revealed that female sex, age, cancer coverage as part of homecare insurance coverage, and family caregivers were significantly associated with an increased risk of prediabetes. Although prediabetes is not a life-threatening disease, uncontrolled blood glucose can cause unfavorable outcomes for other major diseases. Thus, medical professionals should consider the associated symptoms and risk factors of prediabetes. Moreover, the proposed algorithm may support the detection of individuals at a high risk for prediabetes. Implementing this approach could facilitate proactive monitoring and early intervention, leading to reduced healthcare expenses and better health outcomes for community-dwelling adults.","PeriodicalId":54492,"journal":{"name":"Research in Nursing & Health","volume":" ","pages":"620-634"},"PeriodicalIF":2.1,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141499649","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

Engaging Student Members in Professional Nursing Research Organizations - Some Things for Our Organization to Consider. 让学生成员参与专业护理研究组织--本组织需要考虑的一些事项。

IF 2.1 4区医学

Research in Nursing & Health Pub Date : 2024-12-01 Epub Date: 2024-11-08 DOI: 10.1002/nur.22426

Sara L Davis

引用次数: 0

«I can't imagine it without my nurse»: Experiences of people with chronic kidney disease in the evaluation process as kidney transplant candidates. "我无法想象没有护士的日子"：慢性肾病患者在肾移植候选者评估过程中的经历。

IF 2.1 4区医学

Research in Nursing & Health Pub Date : 2024-12-01 Epub Date: 2024-07-06 DOI: 10.1002/nur.22414

Guillermo Pedreira-Robles, Victoria Morín-Fraile, Anna Bach-Pascual, Ariadna Graells-Sans, Paloma Garcimartín

{"title":"«I can't imagine it without my nurse»: Experiences of people with chronic kidney disease in the evaluation process as kidney transplant candidates.","authors":"Guillermo Pedreira-Robles, Victoria Morín-Fraile, Anna Bach-Pascual, Ariadna Graells-Sans, Paloma Garcimartín","doi":"10.1002/nur.22414","DOIUrl":"10.1002/nur.22414","url":null,"abstract":"This qualitative study aimed to explore the experiences of 11 adults with chronic kidney disease (CKD) undergoing evaluation for kidney transplant (KT) and examine the role played by the nurse in the process. Employing a descriptive phenomenology approach, semi-structured interviews were conducted between October 2022 and July 2023. Thematic analysis, facilitated by Atlas. ti software, revealed a systemic management diagram with \"The candidate for kidney transplant and their reality\" at the center, followed by \"The process of chronic kidney disease and kidney transplantation,\" and concluding with the most distal category centered on \"The kidney transplant access nurse.\" This organizational framework provided insights into the layers of relationships between emerging themes. The findings underscored the complexity and multidimensionality of the CKD and KT process, emphasizing the nurse's pivotal role as a guide and protector throughout the evaluation process for accessing kidney transplantation. The convergence of results with existing literature highlighted the need to address challenges such as lack of time, resources, and emotional support to enhance the quality of care. Recognizing the nurse's crucial importance in this process, the study emphasizes the significance of addressing these challenges to improve patient care and calls for attention to the nurse's role in guiding individuals through the intricate journey of CKD and kidney transplantation.","PeriodicalId":54492,"journal":{"name":"Research in Nursing & Health","volume":" ","pages":"635-647"},"PeriodicalIF":2.1,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141545556","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 validation of the Chinese version of the empowerment scale for pregnant women. 中文版孕妇赋权量表的心理计量验证。

IF 2.1 4区医学

Research in Nursing & Health Pub Date : 2024-12-01 Epub Date: 2024-08-23 DOI: 10.1002/nur.22419

Yanjia Liu, Chong Chin Che, Mukhri Hamdan, Mei Chan Chong

{"title":"Psychometric validation of the Chinese version of the empowerment scale for pregnant women.","authors":"Yanjia Liu, Chong Chin Che, Mukhri Hamdan, Mei Chan Chong","doi":"10.1002/nur.22419","DOIUrl":"10.1002/nur.22419","url":null,"abstract":"Empowering pregnant women is a crucial process that healthcare providers should evaluate, as empowerment is a meaningful indicator that can reflect the impact of health promotion and education in antenatal care. The Empowerment Scale for Pregnant Women (ESPW) is a reliable and valid instrument for measuring empowerment. The cross-sectional study was conducted to translate and validate the psychometric properties of the ESPW among 526 pregnant women in China. The forward-backward method was used to translate the English version of the ESPW into the Chinese version. Reliability was examined with the internal consistency and test-retest coefficients. Validity was analyzed with structural, dimensionality, convergent, discriminant, and concurrent validity. The Cronbach's α value of 0.97 and the intraclass correlation coefficient of 0.98 (95% confidence interval [CI], [0.96, 0.99]) demonstrated excellent internal consistency and test-retest reliability. Exploratory factor analysis revealed that five factors with eigenvalues > 1 explained 68.41% of the total variance. Confirmatory factor analysis verified an acceptable model that fit the data exceptionally. The Chinese-translated version of the ESPW (CV-ESPW) had acceptable convergent and discriminant validity. Concurrent validity was supported by the correlation between the total scores of the CV-ESPW and the Chinese version of the Patient Perceptions of the Empowerment Scale (r = 0.64, p < 0.001). The CV-ESPW is a valid and reliable assessment tool for measuring pregnant women's empowerment in China and can potentially contribute to evaluating the effectiveness of programs that empower pregnant women.","PeriodicalId":54492,"journal":{"name":"Research in Nursing & Health","volume":" ","pages":"659-668"},"PeriodicalIF":2.1,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142037754","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

President's Pen: Embracing the Spirit of Renewal and Compassion. 主席之笔拥抱复兴与慈悲的精神。

IF 2.1 4区医学

Research in Nursing & Health Pub Date : 2024-12-01 Epub Date: 2024-11-04 DOI: 10.1002/nur.22425

Charleen McNeill

引用次数: 0

Testing the feasibility and preliminary efficacy of Meaningful Activity for Managing Behavioral Symptoms of Distress (MAC-4-BSD) intervention for residents with dementia in assisted living: Protocol description. 测试 "有意义的活动"（MAC-4-BSD）干预的可行性和初步疗效：方案说明。

IF 2.1 4区医学

Research in Nursing & Health Pub Date : 2024-12-01 Epub Date: 2024-07-12 DOI: 10.1002/nur.22415

Sarah D Holmes, Susan Scherr, Erin O'Brien, Sorah Levy, Merve Gurlu, Shijun Zhu, Elizabeth Galik, Barbara Resnick

{"title":"Testing the feasibility and preliminary efficacy of Meaningful Activity for Managing Behavioral Symptoms of Distress (MAC-4-BSD) intervention for residents with dementia in assisted living: Protocol description.","authors":"Sarah D Holmes, Susan Scherr, Erin O'Brien, Sorah Levy, Merve Gurlu, Shijun Zhu, Elizabeth Galik, Barbara Resnick","doi":"10.1002/nur.22415","DOIUrl":"10.1002/nur.22415","url":null,"abstract":"The purpose of this manuscript is to describe the protocol for an Alzheimer's Association-funded cluster randomized trial that focuses on engaging assisted living residents with dementia in meaningful activity to help address their behavioral symptoms of distress using a theoretically based approach, Meaningful Activity for Managing Behavioral Symptoms of Distress (MAC-4-BSD). The development of MAC-4-BSD was based on the Social Ecological Model and Social Cognitive Theory. The MAC-4-BSD intervention includes the following four steps: (1) Assessment of the assisted living physical environment and policies to facilitate meaningful activity; (2) Education of staff about implementation of meaningful activity; (3) Assessment of resident preferences and goals for meaningful activity; (4) Mentoring and motivating staff and residents to facilitate engagement in meaningful activity. The overall aim of this study will be to determine the feasibility and preliminary efficacy of implementing the MAC-4-BSD intervention and test whether it will improve residents' engagement in meaningful activity, behavioral symptoms of distress, and quality of life as well as the environment and policies to promote meaningful activity in assisted living.","PeriodicalId":54492,"journal":{"name":"Research in Nursing & Health","volume":" ","pages":"599-607"},"PeriodicalIF":2.1,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141592103","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

REDUCE missed oral healthcare: The outcomes of and learnings from an implementation project in an acute geriatric unit. 减少错过口腔保健：在急诊老年病科实施项目的成果和经验教训。

IF 2.1 4区医学

Research in Nursing & Health Pub Date : 2024-10-01 Epub Date: 2024-06-25 DOI: 10.1002/nur.22408

Joanne Murray, Sarah C Hunter, Tiffany Conroy, Alison L Kitson, Zita Splawinski, Heather Block, Adrienne Lewis

{"title":"REDUCE missed oral healthcare: The outcomes of and learnings from an implementation project in an acute geriatric unit.","authors":"Joanne Murray, Sarah C Hunter, Tiffany Conroy, Alison L Kitson, Zita Splawinski, Heather Block, Adrienne Lewis","doi":"10.1002/nur.22408","DOIUrl":"10.1002/nur.22408","url":null,"abstract":"Oral healthcare is one of the most missed aspects of fundamental care. Failure to provide reliable and effective daily oral healthcare for older patients can lead to hospital-acquired pneumonias, longer hospital stays, increased health costs, and poor patient experience. The objective of this study was to codesign, implement, and evaluate an oral healthcare intervention for older adults in a geriatric unit. This mixed methods implementation project combined the hospital's quality improvement processes with the i-PARIHS knowledge translation framework. Multilevel facilitation guided the development of multidisciplinary implementation strategies, which were co-designed, tailored, and implemented at the ward and organizational level, targeting: awareness/engagement; clinical guideline development; building workforce capacity; access to appropriate products; patient awareness and support; utilization of multidisciplinary/dental referral pathways; and systematizing oral healthcare documentation. Gaps between evidence-based and current oral healthcare practice were identified through audits of practice and interviews with patients. Interviews and surveys with staff evaluated the feasibility and acceptability of the oral healthcare intervention and the success of implementation strategies. At the conclusion of the project, awareness, attitudes, and capacity of staff had increased, however, we could not demonstrate change in multidisciplinary oral healthcare practices or improvements for individual patients. Despite mixed success, the project informed discussions about including oral healthcare as a national healthcare standard for the acute care sector in Australia. Attempts to address oral healthcare may have started locally, but its impact was through policy change, which will empower health practitioners and managers to support practice change more widely.","PeriodicalId":54492,"journal":{"name":"Research in Nursing & Health","volume":" ","pages":"551-562"},"PeriodicalIF":2.1,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141460714","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 supportive care needs of stroke patients: A scoping review. 中风患者的支持性护理需求：范围综述。

IF 2.1 4区医学

Research in Nursing & Health Pub Date : 2024-10-01 Epub Date: 2024-06-27 DOI: 10.1002/nur.22406

Shuaiyou Wang, Dingding Li, Shanshan Zhu, Xin Guo, Meiqi Xu, Hongru Wang, Huimin Zhang

{"title":"The supportive care needs of stroke patients: A scoping review.","authors":"Shuaiyou Wang, Dingding Li, Shanshan Zhu, Xin Guo, Meiqi Xu, Hongru Wang, Huimin Zhang","doi":"10.1002/nur.22406","DOIUrl":"10.1002/nur.22406","url":null,"abstract":"The aims of the current review were to identify the current supportive care needs of stroke patients, categorize those needs according to the supportive care needs framework (SCNF), and to form a SCNF of stroke patients. Preferred Reporting Items for Systematic Reviews and Meta-Extension for Scoping Reviews (PRISMA-ScR) and Guidance for conducting systematic scoping reviews were followed. Ten databases were searched, including six English databases: PubMed, Embase, Web of Science, Cumulative Index to Nursing Allied Health Literature, Cochrane Library, and PsycINFO, and four Chinese databases: China National Knowledge Infrastructure, Wan Fang, China Biology Medicine Database and Chongqing VIP. The search period covers from the establishment of the database to December 31, 2022. Three thousand twenty-nine hits were screened resulting in the inclusion of 34 articles in the final literature review. The greatest need identified by stroke patients was information, followed by psychological, social, rehabilitation, practical, physical, emotional, and spiritual needs. The supportive care needs of stroke patients were identified. A preliminary SCNF of stroke patients was developed according to Fitch's SCNF. The multitude of existing needs of stroke patients need to be addressed. This review may represent the first time that SCNF for stroke patients has been developed. This work may lay the foundation for future research on the supportive care needs of stroke patients and provide a framework for the implementation of supportive care in clinical stroke units.","PeriodicalId":54492,"journal":{"name":"Research in Nursing & Health","volume":" ","pages":"532-550"},"PeriodicalIF":2.1,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141460715","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