Research in Nursing & Health最新文献

{"title":"Inspiratory Muscle Training in Adults With Cerebral Palsy: Long Term Effects: A Double-Blind Randomized, Controlled Trial.","authors":"Carlos Martin-Sanchez, Fausto Jose Barbero-Iglesias, Victor Amor-Esteban, Marta Martin-Sanchez, Ana Maria Martin-Nogueras","doi":"10.1002/nur.70000","DOIUrl":"10.1002/nur.70000","url":null,"abstract":"<p><p>Respiratory disease is one of the main causes of morbidity and mortality in adults with cerebral palsy (CP). The main objective of the study was to investigate the maintenance over time of improvements in respiratory parameters achieved with inspiratory muscle training (IMT). This was a randomized, controlled, double-blind trial and with allocation concealment performed on 27 institutionalized CP patients randomly distributed in two groups: \"high intensity training group\" (HIT) trained with a load of 40% of the maximum inspiratory pressure (MIP) and \"low intensity training group\" (LIT) with 20%. Respiratory strength and pulmonary function were evaluated throughout the study. Four weeks after IMT most improvements persisted. Twelve weeks after IMT, only HIT maintained significant improvements (p = 0.001) in MIP; 24 weeks after IMT, in the HIT group, MIP was 10% higher than the initial results and pulmonary function parameters were 1% lower. In the LIT group, respiratory strength and pulmonary function were lower than at baseline. Improvements achieved with IMT are reduced over time once the treatment ends. During the first 4 weeks posttreatment, the benefits persist but from the 12th week there was a progressive loss of the improvement reaching a total loss at 24 weeks. To be most effective, a higher MIP load is suggested for respiratory treatment, which must be maintained over time and interruptions should not be longer than 4 weeks. Clinical trial registration. The study was registered in the clinical trials database of the United States National Library of Medicine (www.clinicaltrials.gov) with the number of registration NCT04915170.</p>","PeriodicalId":54492,"journal":{"name":"Research in Nursing & Health","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-06-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144334457","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":"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":"https://doi.org/10.1002/nur.22474","url":null,"abstract":"<p><p>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.</p>","PeriodicalId":54492,"journal":{"name":"Research in Nursing & Health","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-06-04","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}

{"title":"Reproductive Health Care Inequities by Disability Status: Experiences With Providers and Barriers to Care.","authors":"Margaret Brace, Linda Copel, Amy McKeever, Suzanne C Smeltzer","doi":"10.1002/nur.22455","DOIUrl":"10.1002/nur.22455","url":null,"abstract":"<p><p>The literature has documented that many women with disability (WWD) report barriers to obtaining reproductive health care as well as poor experiences with providers when care is received. This project sought to compare barriers and experiences in reproductive health care for WWD to those of women without disability in the United States. Using representative data from the National Survey of Family Growth (2017-2019), we present weighted estimates of poor or fair experiences with providers by disability status, as well as weighted estimates of the proportion of women reporting types of barriers to services by disability status, among individuals identifying as women between the ages of 15 and 49. We then used weighted logistic regressions to compare barriers and experiences with providers by disability status. After controlling for potential confounders, women with any disability had 2.6 times higher odds as women without disability to rate their providers' respect for them as \"poor\" or \"fair\" (95% CI: 1.1-6.2). WWD did not significantly differ from women without disability in whether they reported more than one type of barrier (AOR = 1.3, 95% CI: 0.8-2.1), yet WWD had higher odds of reporting financial barriers compared to women without disability (AOR = 1.5, 95% CI: 1.02-2.2). While access to reproductive health care and experience with providers needs to be improved for all, these findings suggest that targeted efforts are needed to eliminate inequities for WWD in the reproductive health care system.</p>","PeriodicalId":54492,"journal":{"name":"Research in Nursing & Health","volume":" ","pages":"360-370"},"PeriodicalIF":2.1,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143477264","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":"Nurse Work Environment and Hospital Readmission Disparities Between Patients With and Without Limited English Proficiency.","authors":"Kathy Sliwinski, Matthew D McHugh, Allison P Squires, K Jane Muir, Karen B Lasater","doi":"10.1002/nur.22462","DOIUrl":"10.1002/nur.22462","url":null,"abstract":"<p><p>Minimal progress has been made in narrowing disparities between patients with and without limited English proficiency (LEP). Using 2016 data from RN4CAST-US, New Jersey Discharge Data Collection System, and AHA Annual Hospital Survey, multivariable logistic regression models were employed to examine whether and to what extent the hospital nurse work environment, defined as the conditions that nurses work in, is associated with decreased disparities in 7-day hospital readmissions between patients with and without LEP. Existing literature has established associations between nurse work environments and outcomes disparities of various minoritized populations; however, no literature has examined this relationship in the context of hospitalized patients with LEP. In a sample of 424,745 hospitalized adults (n = 38,906 with LEP), patients with LEP, compared to those without LEP, were younger (63.4 vs 64 years old, p < 0.001), more likely to be insured by Medicaid (8.9% vs 5.5%) or uninsured (7.5% vs 2%, p < 0.001), and readmitted (4.5% vs 3.9%, p < 0.001). Adjusting for patient and hospital characteristics, LEP patients had 33% higher odds of a 7-day readmission, as compared to patients without LEP (OR 1.33, 95% CI [1.19-1.47]). A significant interaction was found between patients' LEP status and the nurse work environment (OR 0.83, 95% CI [0.70-0.99]), such that patients with LEP experienced lower odds of 7-day readmission in more favorable nurse work environments, compared to patients without LEP. Hospitals dedicated to providing equitable healthcare may consider enhancing nurses' working conditions as a potential way to reduce disparities in readmission rates.</p>","PeriodicalId":54492,"journal":{"name":"Research in Nursing & Health","volume":" ","pages":"398-405"},"PeriodicalIF":2.1,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12049171/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143694562","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":"Navigating the Future: Opportunities and Challenges of Generative AI in Nursing Research.","authors":"Kyungeh An","doi":"10.1002/nur.22464","DOIUrl":"https://doi.org/10.1002/nur.22464","url":null,"abstract":"","PeriodicalId":54492,"journal":{"name":"Research in Nursing & Health","volume":"48 3","pages":"299-300"},"PeriodicalIF":2.1,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144063288","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":"Summer: A Season for Renewal.","authors":"Charleen McNeill","doi":"10.1002/nur.22463","DOIUrl":"10.1002/nur.22463","url":null,"abstract":"","PeriodicalId":54492,"journal":{"name":"Research in Nursing & Health","volume":" ","pages":"297-298"},"PeriodicalIF":2.1,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143744560","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":"An Exploratory Model of How Ethical Indicators Predict Health Professional Burnout.","authors":"Andrea L Kjos, Stacy L Gnacinski, Carly A Wahl","doi":"10.1002/nur.22453","DOIUrl":"10.1002/nur.22453","url":null,"abstract":"<p><p>The objectives of this study were to characterize burnout in five different health professions (i.e., pharmacists, nurses, occupational therapists, psychologists, and mental health counselors) as well as to determine if moral distress, ethical stress, and/or ethical climate were predictive of burnout and job satisfaction. Cross-sectional survey data were collected in the USA using validated measures from a sample of 291 in early 2022 (COVID-19 Omicron wave). The average age of participants was 51 years (s.d. = 12.59) and most identified as female (78%), White/Caucasian (82%), married/in a domestic partnership (72%), without dependents (57%), and had > 20 years of experience (53%). Results demonstrated that two of the three dimensions of burnout (i.e., emotional exhaustion and depersonalization) reached clinically significant levels among nurses, occupational therapists, and pharmacists, but not among psychologists or mental health counselors. In testing an exploratory structural equation model, moral distress, ethics stress, and ethical climate contributed significantly to the burnout and job satisfaction of all professionals (CFI = 0.905; SRMR = 0.056; Gamma hat scaled = 0.931). These findings support a theoretical framework for explaining associations between ethical indicators and burnout and job satisfaction. Future research should explore if professions with less burnout experience differences in the organizational environment, autonomy, and independence of clinical work, and/or professional identity. Exploration into professional socialization, such as strategies learned as part of training and development, may be warranted to identify factors that buffer or mitigate burnout risk.</p>","PeriodicalId":54492,"journal":{"name":"Research in Nursing & Health","volume":" ","pages":"310-323"},"PeriodicalIF":2.1,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143054157","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 European Health Literacy-Based e-Pulse Education and e-Pulse Instructional Materials on Health Literacy Levels in Adults Aged 45-64: A Randomized Controlled Trial.","authors":"Sebahat Gözüm, Ercan Asi, Merve Şıklaroğlu, Süleyman Şahin, Selma Öncel, Demet İmamoğlu, Suzan Kanlı","doi":"10.1002/nur.22450","DOIUrl":"10.1002/nur.22450","url":null,"abstract":"<p><p>e-Pulse is an electronic personal health record system known as e-Nabız in Turkey. This study compares the effect of European Health Literacy-based e-Pulse education and e-Pulse instructional materials on the health literacy levels of adults aged 45-64 with inadequate and problematic-limited health literacy levels. This single-blind, randomized controlled trial was conducted from June 2023 to September 2023. It included 140 participants, assigned to either the intervention group (n = 70) or the active control group (n = 70). The intervention group received HLS-EU-based e-Pulse education, which consisted of two 45-min sessions over 6 weeks, along with the e-Pulse user guide and introduction video. The active control group only received the e-Pulse user guide and introduction video, and each participant was individually briefed on the e-Pulse system content for 5-10 min. Results were measured using the European Health Literacy Survey Questionnaire (HLS-EU-Q47) and the eHealth Literacy Scale (eHEALS) at baseline and the sixth week. Both the intervention and active control groups showed an increase in health literacy and eHealth literacy scores, but the mean change was greater in the intervention group. A statistically significant difference was found in the effects of HLS-EU-based e-Pulse education and e-Pulse instructional materials on both health literacy (F (1, 137) = 25.215; p < 0.001) and eHealth literacy (F (1, 137) = 36.134; p < 0.001). HLS-EU-based e-Pulse education significantly improved health literacy (d = 0.8492; p < 0.001) and eHealth literacy (d = 1.0175; p < 0.001) compared to e-Pulse instructional materials. The intervention group demonstrated significantly higher rates of sufficient (32.9%) and excellent (12.9%) health literacy. Notably, a medium correlation (r = 0.602; p < 0.001) was observed between health literacy and eHealth literacy. Trial Registration: ClinicalTrials.gov (ID: NCT05831254) https://clinicaltrials.gov/study/NCT05831254.</p>","PeriodicalId":54492,"journal":{"name":"Research in Nursing & Health","volume":" ","pages":"324-336"},"PeriodicalIF":2.1,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12049172/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143069791","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":"Study of Nurses' Malpractice Tendencies and Burnout Levels.","authors":"Leman Şenturan, Gizem Kaya, Tuba Emirtaş","doi":"10.1002/nur.22460","DOIUrl":"10.1002/nur.22460","url":null,"abstract":"<p><p>Malpractice, which occurs when a reasonable standard of service cannot be provided, is a critical situation in nursing care and interventions. Nurses' tendency toward medical errors and burnout levels are important due to their impact on patient safety and the quality of care. This study was conducted to investigate nurses' malpractice tendencies and burnout levels and the relationship between the two. The data of this descriptive, cross-sectional, and correlational study were collected from 292 nurses working in a training and research hospital in Istanbul province between January and February 2021. A Descriptive Information Form, the Malpractice Trend Scale in Nursing (MTSN), and the Maslach Burnout Inventory (MBI) were used to collect data. In data analysis, internal consistency coefficient, descriptive, non-parametric comparisons, and correlation analyses were performed. The mean age of the nurses participating in the research was 31.13 ± 7.87 years; 79.8% were women, 50.7% were single, and 68.5% had an undergraduate degree. When nurses' opinions about malpractice were examined, it was determined that 88.7% had not committed malpractice before and 53.4% had witnessed someone who committed malpractice. Nurses' overall MTSN score was 233.48 ± 15.32. Their Maslach Burnout Inventory score was 18.20 ± 8.83 on the emotional exhaustion subscale, 8.07 ± 3.86 on the depersonalization subscale, and 21.31 ± 4.00 on the personal accomplishment subscale. The reliability coefficients of the scales and subscales ranged between 0.61 and 0.95. There was a significant difference between the MTSN scale and MBI subscales according to nurses' positions and satisfaction with the environment (p < 0.05). A negative correlation was found between the mean scores on the total MTSN and the MBI emotional exhaustion (r = -0.314) and depersonalization (r = -0.293) subscales, and a positive and statistically significant relationship (p < 0.001) existed between the MTSN total scale and the personal accomplishment (r = 0.359) subscale. The level of burnout is associated with a tendency to malpractice. Taking measures to prevent nurses from experiencing burnout may be important for reducing medical errors. These measures will be reflected in better care service and quality.</p>","PeriodicalId":54492,"journal":{"name":"Research in Nursing & Health","volume":" ","pages":"385-397"},"PeriodicalIF":2.1,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12049174/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143673665","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":"Microbial Colonization and Associated Factors in Indwelling Urinary Catheters: A Cross-Sectional Study.","authors":"Melike Durukan, Ayşe Akbıyık, Selçuk Kaya, Murat Aksun","doi":"10.1002/nur.22454","DOIUrl":"10.1002/nur.22454","url":null,"abstract":"<p><p>This study aimed to determine microbial colonization in indwelling urinary catheters (UCs) and identify patient-specific risk factors associated with this colonization. This cross-sectional study involved 61 hospitalized intensive care unit patients with indwelling UCs. Bacterial colonization and susceptibility were assessed in the indwelling UCs from the second day onwards following urinary catheterization. The average duration of catheterization was 13.62 ± 13.72 days. Colonization of 10⁵ CFU/mL and above was determined in all indwelling UCs from the second day of catheterization onwards. The catheter was colonized by the following microorganism species: Pseudomonas aeruginosa, Acinetobacter baumannii, Proteus mirabilis, and Staphylococcus aureus. 47.9% of clinical isolates showed multi-drug resistance (MDR). Clinical isolates did not show significant differences based on patient variables such as age, Body Mass Index, and duration of urinary catheterization (p > 0.05). There was a weak correlation (rs:≤ 0.206; p > 0.05) between the species of clinical isolates and patient laboratory variables. Colonization was determined in all indwelling UCs, with nearly half of isolates exhibiting MDR. These findings highlight the urgent need for improved strategies to manage and prevent catheter-associated infections, particularly in high-risk patient populations.</p>","PeriodicalId":54492,"journal":{"name":"Research in Nursing & Health","volume":" ","pages":"349-359"},"PeriodicalIF":2.1,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12049166/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143400518","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}