Research in Nursing & Health最新文献

{"title":"Psychometric Testing of the Mutuality Scale in Patients and Caregiver Dyads After the Onset of Coronary Heart Disease.","authors":"Barbara Bassola, Silvia Cilluffo, Tatiana Bolgeo, Niccolò Simonelli, Roberta Di Matteo, Alberto Dal Molin, Laura Rasero, Ercole Vellone, Maura Lusignani, Paolo Iovino","doi":"10.1002/nur.22443","DOIUrl":"10.1002/nur.22443","url":null,"abstract":"<p><p>This study investigates the psychometric properties of the Mutuality Scale in a sample of patient-caregiver dyads following a recent episode of coronary heart disease. A cross-sectional analysis was conducted. Factorial validity was tested with confirmatory factory analysis. Internal consistency reliability was investigated with the model-based internal consistency reliability index. Pearson's correlation coefficient was used to test convergent validity between mutuality and other theoretical and empirical variables associated with it. We included 150 patient-caregiver dyads (patient: mean age 65 years, 77% males, 71% married; caregiver: mean age 54 years, 21% males, 71% married). The CFA testing the theoretical four-factors (love, shared pleasurable activities, shared values, and reciprocity) of mutuality demonstrated adequate fit to the data in both the patient and caregiver version of the scale. Reliability estimates were adequate for the whole scale (model-based internal consistency index = 0.95). Significant positive correlations were observed between mutuality and self-care behaviors, and caregiver preparedness, supporting convergent validity. The Mutuality Scale demonstrated satisfactory structural and convergent validity and reliability in patient-caregiver dyads after the onset of a coronary heart disease event.</p>","PeriodicalId":54492,"journal":{"name":"Research in Nursing & Health","volume":" ","pages":"222-233"},"PeriodicalIF":2.1,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11873752/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143374213","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":"Defining Research for PhD and DNP Prepared Nurses: A Collaborative Approach.","authors":"Demetrius Abshire, Kyungeh An, Pamela F Ashcraft, Bryce Catarelli, Sara Davis, Charleen McNeill, Mercy N Mumba, Victoria Loerzel, Suzanne S Prevost, Ashley Rivera","doi":"10.1002/nur.22448","DOIUrl":"10.1002/nur.22448","url":null,"abstract":"","PeriodicalId":54492,"journal":{"name":"Research in Nursing & Health","volume":" ","pages":"97-99"},"PeriodicalIF":2.1,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143016627","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":"Childbirth Journey Through Virtual Reality: Pain, Anxiety and Birth Perception: A Randomized Controlled Trial.","authors":"Mervenur Boyuk, Nevin Citak Bilgin","doi":"10.1002/nur.22438","DOIUrl":"10.1002/nur.22438","url":null,"abstract":"<p><p>This study determines video's effect on pregnant women's pain, anxiety, and perception of labor using virtual reality glasses during the active and transition phases of childbirth. This randomized controlled study was conducted with 60 pregnant women (30 in each group) admitted to the delivery room of a hospital. The data were collected by personal information form, visual comparison scale-pain, visual comparison scale-anxiety, and perception of birth scale. While there was no significant difference between the groups in terms of pre-intervention pain measurement in the active and transition phases, post-intervention pain measurement in the active and transition phases in the intervention group was found to be significantly lower than the control group. Anxiety measurement was also found to be significantly lower in the intervention group in the active and transition phases than in the control group after the intervention. It was determined that in the intervention group, anxiety measurements tended to decrease after the intervention compared to the pre-intervention period, while in the control group, anxiety measurements tended to increase continuously in the active and transition phases. Perceptions of birth in the postpartum period were similar. The use of virtual reality during childbirth reduces pain and anxiety at birth but does not affect the perception of birth. The use of virtual reality interventions as a nonpharmacological method can be included in childbirth preparation training. Trial Registration: NCT05495009.</p>","PeriodicalId":54492,"journal":{"name":"Research in Nursing & Health","volume":" ","pages":"179-189"},"PeriodicalIF":2.1,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142924140","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":"Tracking Survivors With Long COVID: Method, Implementation, and Results of an Observational Study.","authors":"Horng-Shiuann Wu, Dola Pathak, Mandy Hall, Charles W Given","doi":"10.1002/nur.22437","DOIUrl":"10.1002/nur.22437","url":null,"abstract":"<p><p>While the coronavirus disease 2019 (COVID-19) pandemic has declined, many survivors continue to suffer debilitating symptoms, such as fatigue, pain, and foggy thoughts. Sustained COVID-19 symptoms, or Long COVID, challenge health care resources and economic recovery. This article describes the methodology, implementation, and results of an observational study investigating how time since diagnosis may affect lingering symptoms among the adult COVID-19 population. The descriptive distribution and overall symptoms experience by individuals' characteristics were examined. Random samples from two patient cohorts (n = 147 in 2020-2021 and n = 137 in 2021-2022) were recruited from a COVID-19 patient registry in mid-Michigan. Samples were drawn from a pool of patients ≥ 3 months following their COVID-19 diagnosis. Overall symptoms experience (number, severity, interference) was self-reported using a comprehensive symptom inventory. The findings showed that 66% of the 2020-2021 cohort and 47% of the 2021-2022 cohort reported ≥ 1 lingering symptom with an average of 11.2 (±3.0) and 8.9 (±3.3) months, respectively, after COVID-19 diagnosis. Females reported significantly more symptoms (p = 0.018), higher symptom severity (p = 0.008) and interference (p = 0.007) compared to males. Compared to patients admitted to emergency departments, outpatients reported significantly lower symptom severity (p = 0.020) and less symptom interference (p = 0.018). Our analyses showed that a moderate proportion (43%) of adults remained symptomatic nearly a year after COVID-19 infection and time since diagnosis did not affect symptom experience in either cohort. Female sex and admission setting are important factors to consider for managing and studying Long COVID.</p>","PeriodicalId":54492,"journal":{"name":"Research in Nursing & Health","volume":"48 2","pages":"168-178"},"PeriodicalIF":2.1,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11873753/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143537846","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":"Cross-Cultural Adaption and Psychometric Evaluation of Chinese Version of the Caregiver Contribution to Self-Care of Heart Failure Index.","authors":"Yanfei Miao, Qing Zhang, Hongmin Huang, Fei She, Bingjian Wang, Yiping Mao","doi":"10.1002/nur.22441","DOIUrl":"10.1002/nur.22441","url":null,"abstract":"<p><p>To translate and adapt the English version of the Caregiver Contributions to Self-Care of Heart Failure Index (CC-SCHFI) to Chinese, and further to investigate the psychometric properties of the Chinese version of CC-SCHFI in a cohort of caregivers of people with heart failure. CC-SCHFI translation and cross-cultural adaption were performed. 240 caregivers were recruited to complete the instrument. The internal construct reliability was evaluated by Cronbach's α and item-to-total correlations. The concurrent validity was tested by using the CACHS which also measures caregivers' contribution to HF self-care. Psychometric analysis was performed with confirmatory factor analysis (CFA). We evaluated 4-factor structure for caregiver contribution to self-care maintenance scale, 1-factor structure for caregiver contribution to self-care management scale and 2-factor structure for confidence in contributing to self-care scale. All the subjects successfully completed the interviews in an average of 12.3 ± 3.2 min. The internal consistency reliability analysis of the CC-SCHFI showed Cronbach α of 0.83. All items showed adequate discrimination, with the item-total correlation coefficient of greater than 0.4. The scores of CC-SCHFI scales were significantly correlated with the CACHS scale scores. The correlation coefficients ranged from 0.341 to 0.765, indicating acceptable concurrent validity. For CFA, all factor loadings were significant at > 0.30 and generally medium to high. The simplified Chinese version of CC-SCHFI is a psychometrically reliable instrument with empirically supported validity, which can be applied to clinical evaluation of the contribution of caregivers to HF self-care. Compared with CACHS, CC-SCHFI can be more easily completed and simultaneously maintains acceptable concurrent validity. Further studies are warranted to investigate the combined use of these two instruments among other populations.</p>","PeriodicalId":54492,"journal":{"name":"Research in Nursing & Health","volume":" ","pages":"203-210"},"PeriodicalIF":2.1,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143434380","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":"Exploration of the Fertility Decision-Making Experiences of Women of Reproductive Age With Cancer: A Qualitative Systematic Review.","authors":"Zitong Zhang, Yilin Zhang, Cai Deng, Wanting Zhang, Yunyun Peng, Guiyuan Ma, Sulan Lin, Carmen Wing Han Chan, Ka Ming Chow, Can Gu","doi":"10.1002/nur.22435","DOIUrl":"10.1002/nur.22435","url":null,"abstract":"<p><p>Women of reproductive age with cancer face unique considerations in terms of fertility. The related decision-making process is complicated, and insufficient support can lead to decisional conflict. The aim of this qualitative systematic review was to identify and integrate qualitative evidence regarding the fertility decision-making process of women of reproductive age undergoing treatment for cancer. A qualitative systematic review was conducted following the Joanna Briggs Institute's methodology. Eight electronic databases were searched from inception to June 2023 for articles describing qualitative studies of the fertility decision-making process of women of reproductive age with cancer. Only original, full-text literature was examined, no limitation was placed on the publication language. Finally, 18 studies were included in a thematic analysis. We identified three analytical themes, namely \"Perceived changes in fertility,\" \"Influential participants in the decision-making process\" and \"Hard fertility decision-making processes of women,\" and nine descriptive themes that described the three analytical themes in detail. The results of qualitative synthesis emphasized that for women of reproductive age with cancer, fertility decision-making is a complex and dynamic process. These patients had experienced decisional conflict. Decision support from health care professionals was considered to be essential, and the use of patient decision aids in clinical settings was recommended. The synthesis results clarify women's fertility decision-making process, decision needs and the influencing factors, which offer evidence to guide the development of applicable patient decision aid tools to provide high-quality fertility services to women. TRIAL REGISTRATION: PROSPERO Registration Number: CRD42023434490.</p>","PeriodicalId":54492,"journal":{"name":"Research in Nursing & Health","volume":" ","pages":"133-145"},"PeriodicalIF":2.1,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142873520","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":"Prioritization Patterns of Nurses in the Management of a Patient With Delirium: Results of a Q-Methodology Study.","authors":"Luisa Sist, Matteo Pezzolati, Nikita Valentina Ugenti, Silvia Cedioli, Rossella Messina, Stefania Chiappinotto, Paola Rucci, Alvisa Palese","doi":"10.1002/nur.22449","DOIUrl":"10.1002/nur.22449","url":null,"abstract":"<p><p>Nurses are required to decide on priorities; however, how they prioritize the interventions toward patients with delirium is still unclear. Therefore, expanding the knowledge on (a) how nurses prioritize interventions to manage episodes of delirium and (b) the underlying prioritization patterns were the aims of this study. The Q-methodology was applied in 2021. A systematic review to identify the recommended interventions for patients with delirium was performed, and a nominal group technique was used to select those interventions that are applicable in daily practice (35 out of 96 identified). Then, using a specific scenario, 56 clinical nurses working in hospital medical (n = 31), geriatric (n = 15), and postacute (n = 10) units were asked to order the 35 interventions (from -4 the lowest to +4 the highest priority) using a Q-sort table. Averages (confidence interval at 95%) were calculated at the group level, and a by-person factor analysis was applied to discover underlying patterns of prioritization at the overall and at the individual levels. At the group level, \"Ensuring a safe environment (e.g., reducing bed height)\" was ranked as the highest priority (2.29 out of four); at the individual level, three prioritization patterns accounting for a total variance of 50.21% have emerged: \"Individual needs-oriented\" (33.82% variance explained; 41 nurses); \"Prevention-oriented\" (8.47%; five nurses); and \"Cognitive-oriented\" (7.92%; six nurses). At the group level, nurses prioritize safety while caring for patients with delirium; however, at the individual level, they follow three different patterns of prioritization oriented toward diverse aspects, suggesting uncertainty in the actions to be taken-with potential implications for patients.</p>","PeriodicalId":54492,"journal":{"name":"Research in Nursing & Health","volume":" ","pages":"257-270"},"PeriodicalIF":2.1,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11873757/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143080802","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":"Impacts of Lifestyle Intervention by a Nurse-Led Smartphone Application on Blood Pressure, Weight, and Pregnancy Outcomes in Pregnant Women With Gestational Hypertension: A Randomized Controlled Trial.","authors":"Jingjing Guo, Xiaoqin Lu, Yuheng Zhou, Yulian Liang, Shiying Wang, Cong Chen, Xuerong Ran, Jing Zhang, Chun-Quan Ou, Jinguo Zhai","doi":"10.1002/nur.22439","DOIUrl":"10.1002/nur.22439","url":null,"abstract":"<p><p>High blood pressure and excess weight during pregnancy can have adverse outcomes. This randomized controlled trial evaluated the effects of a nurse-led smartphone application-based lifestyle intervention on blood pressure, body weight, and pregnancy outcomes in pregnant women with gestational hypertension between August and December 2023. Pregnant women, between 20 and 28 weeks of gestation, were allocated to the intervention or control group. Control group (n = 99) received standard high-risk pregnancy management, while intervention group (n = 96) also received lifestyle guidance via a nurse-led smartphone application. Intervention group experienced longer gestations (p = 0.007), higher neonatal weights (p = 0.028), and lower incidences of pre-eclampsia (p < 0.001), small for gestational age infants (p = 0.003), and preterm births (p = 0.023) compared to control group. The mixed-effect models for repeated measures showed that the nurse-led smartphone application intervention had no impact on body mass index, while significantly reducing systolic and diastolic blood pressure measurements (β = -1.666, 95% confidence interval, CI: -2.814 to -0.519, p = 0.005 and β = -2.247, 95% CI: -3.349 to -1.145, p < 0.001, respectively). Both systolic and diastolic blood pressures showed a downward trend from 28 weeks (p < 0.05). The nurse-led smartphone application-based lifestyle intervention significantly reduced adverse pregnancy outcomes and positively influenced blood pressure management in pregnant women with gestational hypertension.</p>","PeriodicalId":54492,"journal":{"name":"Research in Nursing & Health","volume":" ","pages":"146-158"},"PeriodicalIF":2.1,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142973358","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 Shoulder Joint Function in Patients With Type 2 Diabetes Mellitus Following Arthroscopic Rotator Cuff Repair: A Mixed-Methods Study.","authors":"Ming Zhang, Huaixia Zhang, Jun Zheng","doi":"10.1002/nur.22429","DOIUrl":"10.1002/nur.22429","url":null,"abstract":"<p><p>To identify the influencing factors of shoulder joint function after Arthroscopic Rotator Cuff Repair (ARCR) in patients with Type 2 Diabetes Mellitus (T2DM). A sequential explanatory mixed-methods design was conducted. Participants were recruited from the Northern Jiangsu People's Hospital from January 2023 to May 2023. Quantitative data were collected using the Constant-Murley Shoulder Joint Function Score, the General Self-Efficacy Scale, and the Perceived Social Support Scale. A total of 134 patients were recruited (120 participants for questionnaire survey, 14 participants for interview). Spearman's correlations were performed to initially identify the influencing factors of shoulder joint function. Qualitative data were collected through face-to-face interviews with 14 patients. To understand patients' experiences during the process of shoulder joint recovery, interpretative phenomenological analysis was employed. The triangulation was conducted using convergence coding matrix. Three themes and seven sub-themes were identified, including capability (postoperative pain management, self-management of T2DM), opportunity (medical supports, perceived social and family supports, demands of economic supports), and motivation (sense of benefits, psychological motivation). The recovery of shoulder joint function in patients with T2DM following ARCR is influenced by factors related to capability, opportunity, and motivation. Healthcare providers should enhance the timing and content of educational interventions and provide intensive psychological support to facilitate successful behavior change and optimize shoulder joint recovery in this patient population. The findings of this study can inform the development of an optimized care model for patients with T2DM following ARCR, empowering them to take control of their condition. Considering the long-term challenges of rehabilitation, which present physical and psychological difficulties for patients, it is essential to design interventions strategies that address physiological decline and pain management.</p>","PeriodicalId":54492,"journal":{"name":"Research in Nursing & Health","volume":" ","pages":"110-120"},"PeriodicalIF":2.1,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142815042","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":"Clinical Judgment Model-Based Critical Reflection Program for Newly Graduated Nurses: A Nonrandomized Controlled Trial.","authors":"Ae Ran Kim, Jeong Hee Hong, Kyeongsug Kim, Yuna Kim, Jung Min Lee, Heejin Lee, Ji Hyun Yoon, Mi Soon Kim","doi":"10.1002/nur.22444","DOIUrl":"10.1002/nur.22444","url":null,"abstract":"<p><p>This study evaluated the effects of a critical reflection program utilizing the Lasater Clinical Judgment Rubric (LCJR) reflective questions based on the Clinical Judgment Model (CJM) on newly graduated nurses' clinical judgment skills. A total of 153 newly graduated nurses scheduled for on-site training in a ward nursing unit were divided into a control group (receiving only the usual on-site training with preceptorship) and an experimental group (receiving the developed program with the same on-site training with preceptorship as the control group). Data were collected at baseline, 6 weeks, and 3 months after the intervention. A comparison of the scores of the two groups at each measurement time point revealed that the experimental group showed significantly higher scores than the control group in clinical judgment (z = 3.25, p = 0.003) and stage of noticing (z = 2.78, p = 0.015) at 6 weeks postintervention. Clinical reasoning competence (experimental χ² = 24.57, p < 0.001; control χ² = 41.12, p < 0.001) and clinical judgment (experimental χ² = 12.74, p = 0.002; control χ² = 10.54, p = 0.005) significantly improved scores across the three time points in both groups. The change in scores in the responding stage of clinical judgment from preintervention to 6 weeks postintervention showed a significant difference between the two groups (z = -2.44, p = 0.045). A critical reflection program based on the CJM can help newly graduated nurses enhance their clinical judgment over a short period during the early stages of clinical adaptation.</p>","PeriodicalId":54492,"journal":{"name":"Research in Nursing & Health","volume":" ","pages":"234-245"},"PeriodicalIF":2.1,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143016626","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}