Research in Nursing & Health最新文献

{"title":"The Incidence and Risk Factors for Medical Adhesive-Related Skin Injury in Cancer Patients in China: A Systematic Review and Meta-Analysis.","authors":"Wenting Shi, Yingjie Leng, Tao Li, Qinglu Li, Nan Wang, Guorong Wang","doi":"10.1002/nur.22473","DOIUrl":"10.1002/nur.22473","url":null,"abstract":"<p><p>To explore the incidence and risk factors for medical adhesive-related skin injury (MARSI) in cancer patients in China, and to provide a basic framework for approaches designed to reduce the occurrence of MARSI and improve the management of its risk factors. PubMed, Web of Science, The Cochrane Library, EmBase, CNKI, VIP, Wanfang, and CBM were searched from database inception to October 2024. The Agency for Healthcare Research and Quality and the Newcastle-Ottawa Scale were used to assess the quality of the included studies, and a random-effects model with Stata 15.0 software was utilized for calculating the pooled incidence and risk factor for MARSI in cancer patients. A total of 18 studies were included, with 11,393 patients. Meta-analysis showed that the pooled incidence of MARSI in Chinese cancer patients was 24%. In subgroup analyses, dermatitis demonstrated the highest incidence rate (10%). MARSI history, allergy history, dressing type (3M), puncture site (upper arm), gender (female), BMI > 25 kg/m², moist skin, and age (≥ 50 years) were risk factors for MARSI in cancer patients. The incidence of MARSI in Chinese cancer patients is high, and MARSI history, allergy history, dressing type (3M), puncture site, gender (female), BMI > 25 kg/m², moist skin, and age (≥ 50 years) were risk factors for the occurrence of MARSI in Chinese cancer patients, suggesting that early identification and protection of high-risk patients, and timely targeted preventive measures are important to reduce the incidence of MARSI in cancer patients.</p>","PeriodicalId":54492,"journal":{"name":"Research in Nursing & Health","volume":" ","pages":"497-507"},"PeriodicalIF":2.1,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144152736","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 Work Environment and Work-Related Characteristics on Perceived Individual Work Performance of Front-Line Nurse Managers: A Cross-Sectional Study.","authors":"Tuğba Yeşilyurt Sevim, Emine Türkmen, Nilgün Göktepe, Nuray Erdemir Çakmak, Eda Özlem Ünal, Esra Adigüzel, Ramiz İşçi","doi":"10.1002/nur.22466","DOIUrl":"10.1002/nur.22466","url":null,"abstract":"<p><p>This study aimed to examine the effect of work environment and work-related characteristics of front-line nurse managers on their perceived individual work performance. It was conducted between March and May of 2022 with 219 front-line nurse managers working in a private chain hospital group in Türkiye. The Nurse Manager Practice Environment Scale and the Individual Work Performance Questionnaire were used for data collection. Descriptive statistics, Spearman correlation analysis, and generalized linear model regression analysis were used in data analysis. A positive correlation was found between the scores obtained from the two scales (r = 0.453; p < 0.001). Regression analysis revealed that two independent variables-nurse manager's work environment and duration of managerial experience-predicted nurse managers' perceived individual work performance level, with these variables explaining 28.1% of the total variance. Results showed that a favorable work environment and four or more years of managerial experience enhanced the perceived individual performance of front-line nurse managers. These findings suggest that to improve the individual work performance of front-line nurse managers, their work environment must also be improved. In addition, retention strategies that target experienced front-line nurse managers are critical to maintaining high levels of performance.</p>","PeriodicalId":54492,"journal":{"name":"Research in Nursing & Health","volume":" ","pages":"441-453"},"PeriodicalIF":2.1,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12217412/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144058549","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":"Factors Associated With Intent to Leave the Nursing Profession in the United States: An Integrative Review.","authors":"Kathryn Leep-Lazar, Chenjuan Ma, Amy Witkoski Stimpfel","doi":"10.1002/nur.22465","DOIUrl":"10.1002/nur.22465","url":null,"abstract":"<p><p>The ongoing regional nursing shortages in the United States, exacerbated by the COVID-19 pandemic, compromise patient safety and quality. Additionally, an aging workforce coupled with an aging population requiring more nursing care services limits organizations' ability to adequately staff their facilities. Nurses' turnover from the profession has been studied less than organizational turnover, thus, the purpose of this integrative review is to identify factors associated with intention to leave the nursing profession in the United States. Using Whittemore and Knafl's (2005) guidelines for integrative review methods, we conducted systematic searches in CINAHL, PubMed, and Web of Science in July 2024. There were 39 peer-reviewed studies that met inclusion criteria. Synthesis of findings resulted in four individual and four work-level themes associated with intent to leave the nursing profession. Individual themes included individual beliefs, health and wellbeing, individual work experiences, and career stability. Work-level themes included job characteristics, job demands/workload, resources and support, and work environment. Notably, job-level factors (i.e., workload, work environment, and support) were associated with professional turnover intention, which suggests that nurses do not believe their experiences will improve at another nursing job. Gaps in the literature include studies with nationally representative samples, studies using validated measures of health, and qualitative studies conducted with the aim of understanding why nurses want to leave the profession. To promote retention of nurses at the professional and organizational level, organizations should measure and modify relevant job-level factors, and the protection of nurses' wellness should be a top organizational priority.</p>","PeriodicalId":54492,"journal":{"name":"Research in Nursing & Health","volume":" ","pages":"429-440"},"PeriodicalIF":2.1,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144052345","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 Posttraumatic Growth Process Experienced by Chinese Patients Newly Diagnosed With Crohn's Disease: A Longitudinal Descriptive Qualitative Study.","authors":"Lingxi Chen, Jinghan Liu, Yunxian Zhou","doi":"10.1002/nur.22467","DOIUrl":"10.1002/nur.22467","url":null,"abstract":"<p><p>Despite negative outcomes, being diagnosed with Crohn's disease, a chronic lifelong condition, may prompt individuals to undergo positive psychological and emotional growth. However, understanding the dynamic process of posttraumatic growth in Chinese patients with Crohn's disease remains unknown. Therefore, this study aims to longitudinally explore the posttraumatic growth process in newly diagnosed Chinese patients with Crohn's disease. Semi-structured interviews were conducted at 3, 6, and 12 months post-diagnosis in 16 patients. Conventional content analysis revealed a four-stage trajectory of posttraumatic growth: enduring hardships, accepting illness, living with illness, and achieving personal growth. Generally, disease-related suffering diminished, and acceptance of the disease by patients improved over time. Additionally, the capacity of patients to self-manage disease enhanced and their manifestations of posttraumatic growth increased. Overall, patients transitioned from a state of severe trauma coupled with nascent personal growth to a state of reduced trauma and profound personal growth. However, challenges persist throughout this process. Moreover, patients with Crohn's disease may continue to struggle with perceived limitations in their development and find it difficult to accept their illness, especially during relapses and complications. They may also experience reduced vigilance in managing their condition. Healthcare staff could provide targeted guidance based on the characteristics of different stages to help patients with Crohn's disease tap into their inner resources and foster psychological growth.</p>","PeriodicalId":54492,"journal":{"name":"Research in Nursing & Health","volume":" ","pages":"454-465"},"PeriodicalIF":2.1,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144052267","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":"Perioperative Nurses' Experience During the COVID-19 Pandemic and Predictors of Intent to Stay.","authors":"Jan Odom-Forren, Sarah Wente, Mary Kay Rayens, Vallire Hooper","doi":"10.1002/nur.70012","DOIUrl":"https://doi.org/10.1002/nur.70012","url":null,"abstract":"<p><p>The COVID-19 pandemic created a crisis in healthcare throughout the world, which may have influenced perioperative nursing roles and responsibilities. The aims of this study were to assess the perioperative nurse's work experience during the COVID-19 pandemic and to evaluate the impact of their perceived stress, burnout, and job satisfaction on their intent to stay (ITS) in the workforce. A descriptive, exploratory design was conducted using an electronic survey methodology. The study was guided by the Job Demands-Resources model. The primary outcome variable was ITS. Data analysis included univariate and multivariate techniques. The mean age of respondents (N = 1436) was 50; 92% were female; 54% reported a BSN as their highest degree. Over half were clinical nurses (59%) and the majority (64%) reported working in their usual unit during COVID-19. Nurses providing direct care to COVID-19 patients reported significantly higher burnout and secondary traumatic stress (p < 0.001); however, there was no significant difference in ITS. Significant predictors of ITS included a greater number of years as a perioperative nurse, higher compassion satisfaction, and a positive perception of workload. Results support years in practice and higher compassion satisfaction as positive predictors of ITS in the workforce and a perception of heavier workload as negative. Perioperative nurses took on a variety of roles that could be helpful in the future support of pandemics. Institutional and policy support of actions to enhance perioperative nurses' perceived workload and compassion satisfaction is important to foster nurses staying within perioperative nursing and the organization.</p>","PeriodicalId":54492,"journal":{"name":"Research in Nursing & Health","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144755130","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":"Exploring Susceptibility of Dementia in Spouses of Diagnosed Patients: A Cross-Sectional Study.","authors":"Shaomei Sui, Yaoyao Cui, Paulo Moreira, Qi Wang, Lei Li, Yuanyuan Sun, Hua Xu, Jinsong Gu, Yan He","doi":"10.1002/nur.70010","DOIUrl":"https://doi.org/10.1002/nur.70010","url":null,"abstract":"&lt;p&gt;&lt;p&gt;The number of patients with dementia is rising. Although there is abundant information on the prevalence of dementia, we specifically focused our sample in the Jimo region in China which has a higher than typical prevalence. Additionally, there is insufficient evidence concerning the effects of having a diagnosis of dementia on the spouse of the diagnosed patient. Evidence suggests that one spouse having cognitive impairment has a negative impact on the cognitive function of the other spouse. Studies suggest that when one spouse has dementia, the other spouse is also at risk for dementia. Hence, evidence suggests that when one spouse was experiencing dementia symptoms, the risk of dementia for the other spouse has been found to be higher than that whose spouse was not experiencing dementia symptoms and vice-versa. The risk for dementia in the spouse of dementia patients needs to be further studied. To estimate the prevalence of dementia in the Jimo region in China and to provide evidence on the risk for dementia in the spouse of dementia patients from a local population. For the sample of over 6231 participants, a questionnaire survey was conducted on the general demographic information and the presence of chronic diseases. Fasting blood samples were collected for blood profile and blood biochemistry tests, and a 12-lead electrocardiogram was performed on each subject. Mini-Mental State Examination was used to assess the cognitive status of the subjects, and the Instrumental Activity of Daily Living scale was used for daily living abilities. Univariate analysis and multivariate logistic regression analysis were performed to identify the risk factors of dementia for the overall sample and within couples. This study followed the STROBE Protocol Statement's recommendations. The study results for the 1119 spouses suggest that the risk of dementia was significantly higher in both male and female spouses of diagnosed patients, with female spouses at a 5.591 times higher risk and male spouses at a 5.904 times higher risk compared to spouses without dementia, after adjusting for age, education, presence of coronary artery disease, stroke or diabetes, and high LDL-C levels. For the full data set (n = 6231), there was a 7.8% prevalence of dementia, where female gender, advanced age, coronary heart disease, stroke, diabetes, and high LDL-C were identified as risk factors for dementia, while a higher level of education was a protective factor. For the Jimo region of China, the prevalence of dementia was slightly higher than in other regions, and our study generated evidence on the higher probabilities of dementia in spouses of patients already diagnosed with dementia. Although causality cannot be ascertained, the data in this study help support that there is an association among the spouses, but not necessarily a causal link. It is possible that both spouses have similar lifestyles, diet, and other shared environmental factors leading them both to deme","PeriodicalId":54492,"journal":{"name":"Research in Nursing & Health","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-07-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144661010","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}