Research in Nursing & Health最新文献_第3页

Link Your Large Health Data Sets to the Area Deprivation Index, the ezADI Way.

IF 2.1 4区医学

Research in Nursing & Health Pub Date : 2025-03-19 DOI: 10.1002/nur.22461

Sunnie Reagan, Drew Prescott, Xueyuan Cao, Tyra Girdwood, Keesha Roach, Ansley Grimes Stanfill

{"title":"Link Your Large Health Data Sets to the Area Deprivation Index, the ezADI Way.","authors":"Sunnie Reagan, Drew Prescott, Xueyuan Cao, Tyra Girdwood, Keesha Roach, Ansley Grimes Stanfill","doi":"10.1002/nur.22461","DOIUrl":"https://doi.org/10.1002/nur.22461","url":null,"abstract":"Increasing attention has been paid to investigations on how social determinants of health (SDOH; e.g., income, employment, education, housing, etc.) impact health outcomes. However, these variables are often not collected in routine clinical practice. As a consequence, researchers may attempt to link retrospective medical records to those datasets that can provide additional SDOH information, such as the Area Deprivation Index (ADI). However, time-consuming geographic calculations can deter these analyses. To reduce this burden, the ezADI R package performs batched geocoder mapping on inputted addresses, constructs Federal Information Processing Series (FIPS) codes, and then merges these data with ADI scores. The applicability and feasibility of this ezADI tool was tested on a sample of patients with sickle cell disease (SCD). Individuals with SCD are at risk for developing serious comorbidities; disadvantageous SDOH may increase this risk, in turn leading to higher rates of hospital utilization and longer lengths of stay on admission. In this sample of 1,105 individuals with SCD in Tennessee (53.8% female, 97.5% African American), higher ADI scores (i.e., more neighborhood disadvantage) were significantly associated with increased hospital utilization (rho = 0.093, p = 0.002) and longer lengths of stay (rho = 0.069, p = 0.021). These areas could be targeted with neighborhood-level interventions and other resources to improve SDOH. This study provides proof of concept that the ezADI tool simplifies geocoding calculations to allow researchers to link datasets with the ADI and assess associations between SDOH factors and health outcomes.","PeriodicalId":54492,"journal":{"name":"Research in Nursing & Health","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-03-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143659699","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

Frailty and the Survival of Patients With Endometrial Cancer: A Meta-Analysis.

IF 2.1 4区医学

Research in Nursing & Health Pub Date : 2025-03-11 DOI: 10.1002/nur.22456

Shanshan Jia, Min Zhang

{"title":"Frailty and the Survival of Patients With Endometrial Cancer: A Meta-Analysis.","authors":"Shanshan Jia, Min Zhang","doi":"10.1002/nur.22456","DOIUrl":"https://doi.org/10.1002/nur.22456","url":null,"abstract":"The aim of this study is to investigate the association between frailty and overall survival (OS) and progression-free survival (PFS) in women with endometrial cancer (EC). Frailty is increasingly recognized as a significant predictor of outcomes in cancer patients, yet its impact on survival among EC patients remains unclear. This study is a systematic review and meta-analysis. PubMed, Embase, and Web of Science from database inception to September 28, 2024 were searched for cohort studies evaluating frailty in relation to survival in EC patients. Inclusion criteria focused on studies reporting hazard ratios (HRs) for OS or PFS, comparing frail versus nonfrail patients. A random-effects model was applied. Eight cohort studies involving 486,138 women reported the outcome of OS, and 4 of them involving 378 women also reported the outcome of PFS. Frailty was associated with poor OS (HR: 1.78, 95% confidence interval [CI]: 1.56-2.03, p < 0.001) without significant heterogeneity (I2 = 0%). Sensitivity analyses confirmed the stability of this association. Subgroup analyses according to the mean age of the patients, tools for evaluating frailty, follow-up duration, and study quality score showed consistent results (p for subgroup difference: 0.35-0.98). Four studies indicated a significant association between frailty and worse PFS (HR: 1.91, 95% CI: 1.24-2.95, p = 0.003), also with no heterogeneity (I2 = 0%). The results of the study conclude that frailty is associated with poor survival in EC. Although these findings should be validated in large prospective cohort studies, this meta-analysis highlights the possible role of frailty assessment in risk stratification and prognostic prediction of patients with EC. No patient or public contribution.","PeriodicalId":54492,"journal":{"name":"Research in Nursing & Health","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-03-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143598188","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

International Workshop on Nursing and Health Care Research WNCR2024.

IF 2.1 4区医学

Research in Nursing & Health Pub Date : 2025-03-01 DOI: 10.1002/nur.22457

引用次数: 0

Reproductive Health Care Inequities by Disability Status: Experiences With Providers and Barriers to Care.

IF 2.1 4区医学

Research in Nursing & Health Pub Date : 2025-02-22 DOI: 10.1002/nur.22455

Margaret Brace, Linda Copel, Amy McKeever, Suzanne C Smeltzer

{"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":"https://doi.org/10.1002/nur.22455","url":null,"abstract":"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.","PeriodicalId":54492,"journal":{"name":"Research in Nursing & Health","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-02-22","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}

引用次数: 0

Microbial Colonization and Associated Factors in Indwelling Urinary Catheters: A Cross-Sectional Study.

IF 2.1 4区医学

Research in Nursing & Health Pub Date : 2025-02-12 DOI: 10.1002/nur.22454

Melike Durukan, Ayşe Akbıyık, Selçuk Kaya, Murat Aksun

{"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":"https://doi.org/10.1002/nur.22454","url":null,"abstract":"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.","PeriodicalId":54492,"journal":{"name":"Research in Nursing & Health","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-02-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","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":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Sexual Satisfaction and Associated Factors Among Older Cancer Survivors. 老年癌症幸存者的性满意度及其相关因素

IF 2.1 4区医学

Research in Nursing & Health Pub Date : 2025-02-01 Epub Date: 2024-12-05 DOI: 10.1002/nur.22430

Haerim Lee, Melinda K Higgins, Mi-Kyung Song

{"title":"Sexual Satisfaction and Associated Factors Among Older Cancer Survivors.","authors":"Haerim Lee, Melinda K Higgins, Mi-Kyung Song","doi":"10.1002/nur.22430","DOIUrl":"10.1002/nur.22430","url":null,"abstract":"As little is known about sexual satisfaction among older (≥ 65 years) cancer survivors, this study examined sexual satisfaction defined as physical pleasure and emotional satisfaction in sexual relationships, including associated factors. This secondary analysis of the National Social Life, Health, and Aging Project round 3 data set included 173 partnered older cancer survivors. The data included ratings of physical pleasure, emotional satisfaction, importance of sexual activity, mental and physical health, and scores of sexual function (the presence of problems; if any, the extent of related bother) and social support and strain from partners. The sample's mean age was 74.30 years (SD = 6.36). Most were male (n = 120, 69.36%) and White (n = 139, 80.35%). Older adults reported they were \"very\" satisfied with sexual relationships both physically and emotionally: mean (SD) = 2.88 (1.01) and 3.18 (0.77), respectively. Seventy (40.46%) had problems with sexual function that were bothersome. Adjusted linear regression models showed physical pleasure was associated with perceived physical health (β = 0.22) and social support (β = 0.19); and emotional satisfaction was associated with social support (β = 0.39) and strain from partners (β = -0.23). Sexual function was not associated with sexual satisfaction. In conclusion, perceived health and social factors may be more influential than sexual function in older cancer survivors' sexual satisfaction, but future research is warranted to confirm these relationships. A focus on relational aspects of sexual health may provide a broader array of options to improve older cancer survivors' sexual satisfaction.","PeriodicalId":54492,"journal":{"name":"Research in Nursing & Health","volume":" ","pages":"85-94"},"PeriodicalIF":2.1,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142781774","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

PhD-DNP Collaboration: An Integrative Review of Scholarly Partnerships in Nursing. 博士-DNP 合作：护理领域学术合作的综合回顾。

IF 2.1 4区医学

Research in Nursing & Health Pub Date : 2025-02-01 Epub Date: 2024-11-02 DOI: 10.1002/nur.22423

Theresa J Garcia, Jinbing Bai, Natalie Shen, Lenora Smith, Rebecca S Koszalinski

{"title":"PhD-DNP Collaboration: An Integrative Review of Scholarly Partnerships in Nursing.","authors":"Theresa J Garcia, Jinbing Bai, Natalie Shen, Lenora Smith, Rebecca S Koszalinski","doi":"10.1002/nur.22423","DOIUrl":"10.1002/nur.22423","url":null,"abstract":"Nurses holding terminal degrees, Doctor of Philosophy (PhD), Doctor of Nursing Science (DNS), and Doctor of Nursing Practice (DNP), fulfill different roles in nursing. The continued growth of nursing science and practice is dependent on alliances between these nurses that produce state-of-the-art knowledge and support the translation of evidence to practice. This integrative review described characteristics of scholarly collaborations between nurses holding a research-focused degree, the PhD, and those holding a practice-focused degree, the DNP. Five major nursing, medicine, and education databases were searched for peer-reviewed, original articles addressing or describing the characteristics of PhD-DNP scholarly collaborations, published through March 2023. In total, 15 articles met the inclusion criteria, and an integrative synthesis was conducted using constant comparison and thematic analysis. Findings included one overarching theme, Role Clarification, as well as four subthemes that emerged across the sample, describing key characteristics of collaborative PhD-DNP scholarship: (1) Mutual understanding and appreciation of strengths; (2) Strategic project planning and team building; (3) Clear organizational/administrative directives and guidance; and (4) Shared goals for the nursing profession. Articles describing the collaboration between nurses holding doctoral degrees are limited and provide primarily lower-level research evidence and evidence-based practice outcomes. Despite efforts to foster scholarly collaborations among nurses holding terminal degrees, more research is needed to clarify individual roles, offer tangible strategies for collaboration, and measure outcomes of collaboration benefitting healthcare systems, patient outcomes, and the nursing profession. This integrative review involved only the review of the extant literature.","PeriodicalId":54492,"journal":{"name":"Research in Nursing & Health","volume":" ","pages":"41-62"},"PeriodicalIF":2.1,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11707502/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142565318","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Modifiable Risk Factors for Cognitive Frailty in Older Chinese Patients With Diabetes: A Systematic Review and Meta-Analysis. 中国老年糖尿病患者认知衰弱的可改变危险因素：系统回顾和荟萃分析。

IF 2.1 4区医学

Research in Nursing & Health Pub Date : 2025-02-01 Epub Date: 2024-11-29 DOI: 10.1002/nur.22428

Wenhui Qiu, Yixiong Zhang

{"title":"Modifiable Risk Factors for Cognitive Frailty in Older Chinese Patients With Diabetes: A Systematic Review and Meta-Analysis.","authors":"Wenhui Qiu, Yixiong Zhang","doi":"10.1002/nur.22428","DOIUrl":"10.1002/nur.22428","url":null,"abstract":"To perform a systematic review and meta-analysis clarifying potential modifiable risk factors for cognitive frailty in older Chinese persons with diabetes. We conducted a comprehensive search across four English and four Chinese databases, spanning from 1980 to May 2024. The aim was to identify studies that investigate potential modifiable risk factors for cognitive frailty in older patients with diabetes. Meta-analysis was performed using Stata16.0. Out of the 237 records identified, 19 studies met the inclusion criteria and were consequently included for analysis. The results of the meta-analysis revealed that the prevalence of cognitive frailty among older patients with diabetes was 22.2% (95% confidence interval [CI]: 0.177-0.270, I2 = 93.92%). Depression (OR = 3.18, 95% CI: 2.19-4.62, I2 = 79.6%), HbA1c (OR = 2.18, 95% CI: 1.66-2.85, I2 = 41.5%) and malnutrition (OR = 4.04, 95% CI: 1.58-10.34, I2 = 95.0%) were significantly associated with cognitive frailty in this population. Regular exercise (OR = 0.30, 95% CI: 0.11-0.84, p < 0.01, I2 = 87.3%) and higher education (OR = 0.30, 95% CI: 0.16-0.58, p < 0.01, I2 = 69.7%) are identified as protective factors against cognitive frailty. This systematic review and meta-analysis demonstrates that interventions targeting depression, HbA1c level, malnutrition, exercise and education can effectively reduce the risk of cognitive frailty in older patients with diabetes.","PeriodicalId":54492,"journal":{"name":"Research in Nursing & Health","volume":" ","pages":"73-84"},"PeriodicalIF":2.1,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142752346","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

Training of Nurse Interventionists to Optimize Intervention Fidelity in a Telehealth Pilot Study. 在远程医疗试点研究中培训护士干预人员以优化干预的忠实性。

IF 2.1 4区医学

Research in Nursing & Health Pub Date : 2025-02-01 Epub Date: 2024-11-14 DOI: 10.1002/nur.22424

Denise Côté-Arsenault, Kathie Kobler, Erin M Denney-Koelsch, Samah Hawsawi, Melanie Schwob, Kimberly Spence

{"title":"Training of Nurse Interventionists to Optimize Intervention Fidelity in a Telehealth Pilot Study.","authors":"Denise Côté-Arsenault, Kathie Kobler, Erin M Denney-Koelsch, Samah Hawsawi, Melanie Schwob, Kimberly Spence","doi":"10.1002/nur.22424","DOIUrl":"10.1002/nur.22424","url":null,"abstract":"Interventionist training and on-going guidance by the research team are essential in psychosocial interventional research to ensure fidelity. Consistency in delivering an intervention requires recruiting interventionists with well-aligned clinical experience, developing a replicable training process, and reassessing ongoing intervention fidelity using an assessment tool of observable behaviors that are essential to the intervention. This paper describes one research team's experience of hiring and training nurse interventionists to deliver a theory-based, telehealth psychosocial intervention for a single-arm pilot study. The training methods used to foster the nurses' integration of theory into intervention delivery are discussed, along with approaches adopted to optimize and measure fidelity. The research team and interventionist trainees in this pilot study overcame learning challenges through establishing mutual trust and promoting effective communication throughout the training process. Fostering connections between cognitive and affective learning during the nurse interventionists' training was critical to establishing and maintaining intervention fidelity.","PeriodicalId":54492,"journal":{"name":"Research in Nursing & Health","volume":" ","pages":"7-16"},"PeriodicalIF":2.1,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142632761","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

Experiences With a Substitution System for Clinical Nurses' Leave of Absence: A Qualitative Study. 临床护士休假替代制度的经验：质性研究。

IF 2.1 4区医学

Research in Nursing & Health Pub Date : 2025-02-01 Epub Date: 2024-11-29 DOI: 10.1002/nur.22427

Ae R Kim, Jeong H Hong, Seieun Oh, Sangwoon Cho, Hye J Baek

{"title":"Experiences With a Substitution System for Clinical Nurses' Leave of Absence: A Qualitative Study.","authors":"Ae R Kim, Jeong H Hong, Seieun Oh, Sangwoon Cho, Hye J Baek","doi":"10.1002/nur.22427","DOIUrl":"10.1002/nur.22427","url":null,"abstract":"Insufficient staffing often makes it difficult for nurses in South Korea to adjust their schedules when they have illnesses or other health problems, resulting in presenteeism. This study aimed to explore the experiences of the Acknowledged Care Expert (ACE) team as a substitution system for clinical nurses taking leave because of illness or health problems from the perspectives of ACE nurses, nurse managers, and shift nurses. We collected data for this qualitative study through individual in-depth interviews with six ACE nurses, a focus group interview with five nurse managers, and two focus group interviews with five nurses who shared their experiences with the ACE team. Thematic analysis of the data identified the following four themes: expected and unexpected benefits of the ACE team; challenges in operating the ACE team; characteristics and competencies required of the ACE team; and recommendations for the ACE program. The findings showed that the ACE team was highly valued and received positive feedback from colleagues and administrators with whom they worked. Such positive impacts were made possible by team members' clinical expertise and the collective engagement of both coworkers and team members. Further research to evaluate such substitute systems is necessary to establish a more stable and encouraging environment for clinical nurses, as well as for patient care.","PeriodicalId":54492,"journal":{"name":"Research in Nursing & Health","volume":" ","pages":"63-72"},"PeriodicalIF":2.1,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142752300","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