Contemporary Nurse最新文献

{"title":"Predictive factors of sleep quality and burnout in nurses working in transplant units during the COVID-19 lockdown - A cross-sectional study.","authors":"Chiara Cannici, Sarah Jayne Liptrott, Nicola Serra, Emanuela Samarani, Valentina De Cecco, Alessandro Caime, Letizia Galgano, Elena Rostagno, Laura Orlando, Gianpaolo Gargiulo, Marco Cioce, Roberto Lupo, Angela Capuano, Teresa Rea, Stefano Botti","doi":"10.1080/10376178.2023.2244090","DOIUrl":"10.1080/10376178.2023.2244090","url":null,"abstract":"<p><p><i>Background</i>: There is minimal information regarding sleep disturbance and burnout during COVID-19 in nurses working within haematology-oncology and hematopoietic stem cell transplantation (HSCT) settings.<i>Aim</i>: To identify socio-demographic and professional factors that predicted burnout and sleep disturbance during COVID-19 in nurses working in HSCT settings.<i>Design/Methods</i>: Data were collected using the Maslach Burnout Inventory and the Pittsburgh Sleep Quality Index. Descriptive statistics and linear regression examined relationships.<i>Results</i>: 308 responses were received. Nurses working in outpatient settings had greater emotional exhaustion (Rpartial = -0.12, <i>n</i> = 308, <i>p</i> = 0.03). Negative predictors for quality of sleep were transplant programme setting (Rpartial = -0.19, <i>n</i> = 308, <i>p</i> < 0.01) and years working in HSCT (Rpartial = -0.17, <i>n</i> = 308, <i>p</i> < 0.01). Other relationships were found on univariate analysis.<i>Conclusion</i>: Institutions must offer programmes for nurses to develop sleep strategies, self-care, and work-related stress management.</p>","PeriodicalId":55633,"journal":{"name":"Contemporary Nurse","volume":null,"pages":null},"PeriodicalIF":1.6,"publicationDate":"2023-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9945334","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":"A qualitative analysis investigating competence assessment of undergraduate nursing students.","authors":"Jo Borren, Erik Brogt, Cathy Andrew, Kaye Milligan","doi":"10.1080/10376178.2023.2242972","DOIUrl":"10.1080/10376178.2023.2242972","url":null,"abstract":"<p><strong>Background: </strong>This study reports on the process of competence assessment in undergraduate nursing programmes in New Zealand.</p><p><strong>Aim: </strong>To identify current competence assessment practice and determine how competence assessment is constructed in order to reflect student development.</p><p><strong>Design: </strong>This research utilised a qualitative exploratory-descriptive design.</p><p><strong>Participants: </strong>Nurse educators from nine tertiary institutions opted to participate in the research.</p><p><strong>Methods: </strong>Semi-structured interviews were conducted and data were analysed using a thematic analysis approach.</p><p><strong>Results: </strong>Three themes are reported in this article; clinical assessment pedagogy, measure of competence, and relational assessment practice. There was significant variation between and within institutions in conducting competence assessment while scaffolding competence assessment throughout the degree programme was highlighted as a challenge.</p><p><strong>Conclusions: </strong>This study highlights the need for an assessment process that allows for the developing competence of nursing students and competencies that are designed to adequately assess students in each year of the nursing programme.</p>","PeriodicalId":55633,"journal":{"name":"Contemporary Nurse","volume":null,"pages":null},"PeriodicalIF":1.6,"publicationDate":"2023-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9988997","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":"Subcutaneous injections: A cross-sectional study of knowledge and practice preferences of nurses.","authors":"Özlem Fidan,&nbsp;Arife Şanlialp Zeyrek,&nbsp;Sümeyye Arslan","doi":"10.1080/10376178.2023.2209207","DOIUrl":"10.1080/10376178.2023.2209207","url":null,"abstract":"<p><strong>Background: </strong>Widespread use of subcutaneous injection for parenteral medications is likely to be related to high medication bioavailability and rapid onset of action. Correct subcutaneous injection technique and site selection are essential for nursing care quality and patient safety.</p><p><strong>Aim: </strong>The study aimed to determine nurses' knowledge and practice preferences regarding subcutaneous injection technique and administration site selection.</p><p><strong>Design: </strong>This cross-sectional study took place between March and June 2021.</p><p><strong>Methods: </strong>This study included 289 nurses, willing to participate who worked in units performing subcutaneous injections in a university hospital in Turkey.</p><p><strong>Results: </strong>Most nurses reported their preferred administration site for subcutaneous injections was the lateral aspects of the upper arm. More than half of the nurses did not use a rotation chart, they swabbed the skin before a subcutaneous injection, and they always pinched the skin at the injection site; 50% of nurses reported always administering subcutaneous injections at an angle of either 90 or 45 degrees. Most nurses performed an injection in less than 30 s and waited for 10 s before withdrawing the needle. They did not apply massage onto the site following the injection. Nurses' knowledge of subcutaneous injection was at a moderate level.</p><p><strong>Conclusions: </strong>Nurse knowledge of best practice subcutaneous injection administration and site selection could be improved in line with current evidence to improve personcentred and quality and safe care delivery. Future research should involve developing and evaluating educational strategies and practice standards to enhance nurse understanding of best practice evidence to meet patient safety goals.</p>","PeriodicalId":55633,"journal":{"name":"Contemporary Nurse","volume":null,"pages":null},"PeriodicalIF":1.6,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9891559","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 profiles in evaluating incivility: even a slight sexism in employment affects the evaluation.","authors":"Esther Lopez-Zafra,&nbsp;Manuel Pulido-Martos,&nbsp;Isabel Carmona-Cobo","doi":"10.1080/10376178.2023.2220430","DOIUrl":"https://doi.org/10.1080/10376178.2023.2220430","url":null,"abstract":"<p><strong>Background: </strong>Workplace incivility is a serious concern in the healthcare setting worldwide. Addressing how sexism impacts this, may help administrators take action to reduce this problem and to increase safety at work.</p><p><strong>Methods: </strong>557 nurses (63% women) read a hospital scene describing an episode of incivility from a nurse leader towards a nurse employee. They then evaluated the situation regarding their awareness, tolerance, and their beliefs toward sexism by completing a self-report questionnaire.</p><p><strong>Findings: </strong>Two distinct nurse profiles emerged: high-sensitivity and medium-sensitivity. Medium-sensitivity nurses were significantly higher in sexism in employment, and differ in their evaluation of workplace incivility from highly sensitive nurses.</p><p><strong>Conclusions: </strong>The majority of nurses are sensitive to workplace incivility, but those with sexist tendencies in employment are less aware and tolerate uncivil episodes to a greater extent.</p><p><strong>Application to practice: </strong>Training nurses to be aware of workplace incivility is necessary, especially for those demonstrating sexism.</p>","PeriodicalId":55633,"journal":{"name":"Contemporary Nurse","volume":null,"pages":null},"PeriodicalIF":1.6,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9923314","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 correlating with self-care behaviors among patients with coronary artery disease: a cross-sectional study.","authors":"Imad Abu Khader,&nbsp;Malakeh Z Malak,&nbsp;Mohammad Asia,&nbsp;Mohammed Jallad,&nbsp;Hisham Zahran","doi":"10.1080/10376178.2023.2220424","DOIUrl":"https://doi.org/10.1080/10376178.2023.2220424","url":null,"abstract":"<p><p><i>Background:</i> In Palestine, there is a lack of studies that examined self-care behaviors among patients with coronary artery disease in outpatient clinics.<i>Objective:</i> This study purposed to evaluate self-care behaviors, examine the relationship between self-care behaviors and selected sociodemographic and psychosocial factors (e.g. depression, anxiety, stress, and social support), and self-efficacy, and determine predictors of self-care behaviors among patients with coronary artery disease in outpatient clinics in the West Bank/Palestine.<i>Design:</i> A cross-sectional study was conducted.<i>Methods:</i> A total of 430 Palestinian adult patients suffering from coronary artery disease attended outpatient clinics were recruited. A self-reported questionnaire consisting of the following tools: Depression, Anxiety, Stress Scale 21, Sullivian's Self-efficacy scale, and Multidimensional Social Support Scale was used to collect data during the period from the beginning of April to the beginning of July 2022. Descriptive and inferential statistics (Pearson's and Point-biserial correlation tests and multiple linear regression) were used for analyzing data.<i>Results:</i> The patients reported low self-care behaviors levels and high self-efficacy levels. The psychosocial reactions endorsed by the patients were 86.3% for depression, 76.3% for anxiety, 43.3% for stress, and 98.6% had moderate and normal social support. A positive correlation was found between self-care behaviors and age (<i>r</i> = 0.160, <i>p</i> < 0.01), duration of disease (<i>r</i> = 0.095, <i>p</i> < 0.05), self-efficacy (<i>r</i> = 0.443, <i>p</i> < 0.01), and social support (<i>r</i> = 0.266, <i>p</i> < 0.01). Self-efficacy (B = 0.401, <i>p</i> < 0.01), social support (B = 0.160, <i>p</i> < 0.01), and age (B = 0.109, <i>p</i> < 0.05) were significant predictors of self-care behaviors in those patients.<i>Conclusion:</i> Low self-care behaviors were a significant issue among patients with coronary artery disease in outpatient clinics. This study may help healthcare professionals develop health promotion programs for patients with coronary artery disease to improve self-care behaviors.</p>","PeriodicalId":55633,"journal":{"name":"Contemporary Nurse","volume":null,"pages":null},"PeriodicalIF":1.6,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9955459","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":"Educators' ability to use concept mapping as a tool to facilitate meaningful learning.","authors":"Gisela H Van Rensburg,&nbsp;Yvonne Botma,&nbsp;Lizeth Roets","doi":"10.1080/10376178.2023.2223714","DOIUrl":"10.1080/10376178.2023.2223714","url":null,"abstract":"<p><p><i>Background</i>: Meaningful learning is enhanced when concepts are visually differentiated, linked to or nested under other concepts, resulting in integrative reconciliation of knowledge and understanding. Competence in using concept mapping as a strategy to support students towards meaningful learning, is essential.<i>Aim</i>: The aim of the study was to describe the nature of the concept maps drawn by educators after a symposium on concept maps to transfer educational knowledge to the classroom.<i>Design</i>: A quantitative descriptive cross-sectional design was used to explore the nature of concept maps drawn by educators after having attended a workshop on concept mapping.<i>Methods</i>: The authors developed a checklist based on the principles of a good concept map to assess and describe to what extent the concept maps drawn by the participants, aligned with general principles on creating a concept map appropriate to enhance meaningful learning. During a symposium, participants were introduced to the advantages, principles and requirements for concept mapping. Sixty-two (62; 100%) participants drew concept maps. Using a checklist based on the principles of good concept mapping, we assessed concept maps from 22 (35.4%) volunteers to explore the extent to which the concept maps aligned with general principles necessary to enhance meaningful learning.<i>Results</i>: Criteria for a good concept map include the graphical presentation and establishing relationships between these concepts. The network-style concept map was used by the majority (68%) of the participants. Only 9% used the spoke concept map. The graphical presentation of concepts and the relationships between these was limited. Only 41% of the maps were understandable, while 36% made sense in the context of the chosen topic.<i>Conclusions</i>: Well-designed concept maps can add value to and improve educator teaching and student learning. Not all educators in this study understood what a good concept map is. Visualisation offered by concept maps assist in recognising how new knowledge can link with, and build on, existing knowledge.</p>","PeriodicalId":55633,"journal":{"name":"Contemporary Nurse","volume":null,"pages":null},"PeriodicalIF":1.6,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10250144","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":"Validity and reliability of an Emotional Thermometer tool: an exploratory cross-sectional study.","authors":"Cheng Cheng,&nbsp;Cong-Yan Yang,&nbsp;Meng Zhou,&nbsp;Jie Bai,&nbsp;Kerry Inder,&nbsp;Sally Wai-Chi Chan","doi":"10.1080/10376178.2023.2217952","DOIUrl":"https://doi.org/10.1080/10376178.2023.2217952","url":null,"abstract":"<p><strong>Introduction: </strong>There are a few screening tools to detect psychological symptoms among people with multiple chronic conditions (MCCs) in China.</p><p><strong>Aim: </strong>The aim of this study was to examine the validity and reliability of a translated version of the Emotional Thermometer (ET) tool.</p><p><strong>Materials and methods: </strong>This cross-sectional study consisted of two phases: (1) translation and content validity testing; and (2) assessment of psychometric properties, including internal consistency, test-retest reliability, and construct validity. For the first phase, the authors used a forward-backward translation approach for the Chinese version of the instrument and tested its content validity with a panel of six experts. For the second phase, the data, including the ET tool and demographic characteristics were collected in a convenience sample of 197 Chinese people with MCCs recruited from a university hospital. The first 50 participants participated in the two-week retest.</p><p><strong>Results: </strong>The Chinese version of the ET tool had satisfactory psychometric properties; content validity index (0.83), internal consistency (0.92), and ICC (0.93 to 0.98 [<i>p</i> < 0.01]). Principal component analysis showed that there was only one component with an eigenvalue greater than 1 (value = 3.80), with 76.67% of the variance responding. All items loaded significantly onto this factor and demonstrated strong loadings of > 0.70.</p><p><strong>Conclusion: </strong>The Chinese-version of the ET tool is psychometrically sound. It has the potential to be used as a screening tool for psychological symptoms in Chinese people with MCCs.</p><p><strong>Impact statement: </strong>Findings from testing the Chinese translation of the Emotional Thermometer indicate this could be a convenient and useful screening tool to detect psychological symptoms in patients with multiple chronic conditions.</p>","PeriodicalId":55633,"journal":{"name":"Contemporary Nurse","volume":null,"pages":null},"PeriodicalIF":1.6,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9914085","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":"Content analysis of nurses' reflections on medication errors in a regional hospital.","authors":"Anton Isaacs,&nbsp;Anita Raymond,&nbsp;Bethany Kent","doi":"10.1080/10376178.2023.2220432","DOIUrl":"https://doi.org/10.1080/10376178.2023.2220432","url":null,"abstract":"<p><strong>Background: </strong>Medication errors [MEs] continue to be an area of concern both nationally and internationally.</p><p><strong>Methods: </strong>Sixty-eight reflective summaries detailing reasons for medication errors completed by nurses at an Australian regional teaching hospital during a five-year period were analysed.</p><p><strong>Results: </strong>Fifteen codes emerged from the data that aligned to three main categories of the Human Factors Framework. They were: Individual characteristics such as inexperience, stress and lack of knowledge (5 codes), Nature of the work such as prescription errors, time pressure, miscommunication, poor handover and documentation errors (9 codes) and Physical environment such as distractions (1 code). Individual characteristics were the most frequently reported (51.6%) reasons for the error.</p><p><strong>Conclusions: </strong>Provision of medicine information resources and management of nurses' workload as well as enhancing graduate nurse education with simulation of 'real life' clinical settings appear to be the main targets for intervention.</p>","PeriodicalId":55633,"journal":{"name":"Contemporary Nurse","volume":null,"pages":null},"PeriodicalIF":1.6,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9923313","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":"\"You cannot be what you cannot see\": we need visible nursing role models shaping a healthier planetary future for all.","authors":"Zerina Lokmic-Tomkins,&nbsp;Jacqueline Avanthay Strus,&nbsp;June Kaminski,&nbsp;Shauna Davies","doi":"10.1080/10376178.2023.2220422","DOIUrl":"10.1080/10376178.2023.2220422","url":null,"abstract":"As we delved into our editorial on nurses as leaders in planetary health initiatives, we were eager to highlight real-life examples. However, to our surprise, it proved to be a challenging task. While we were aware of many outstanding projects led by nurses, they often did not explicitly identify themselves as such or mention their RN titles. The fact that some nurses working in the field of planetary health do not identify themselves by their RN titles begs the question of why, as this could be hindering the recognition of this field as a vital aspect of the nursing profession. The nursing profession has traditionally overlooked the importance of environmental issues, only recently beginning to acknowledge the connections between health, social justice, and the natural world. Additionally, nurses working in healthcare may not always realize that the health inequities they see are often related to geography, space, place, and land (Waldron, 2018). This disconnect may be due to the fact that the space has become reductive and alienated from the land, driven by anthropocentrism and the dominance of biomedical health care. These perspectives are pervasive in healthcare and nursing, making it difficult for nurses who prioritize planetary health to find a place within the system. However, these nurses play a critical role in advocating for environmental and climate justice, and serving as role models for future nurses who are dedicated to this cause. They work tirelessly to carve out a space for themselves and for the people who are most impacted by environmental injustices, moving against the status quo to create a more just and sustainable future. A decision to use an RN title in one’s signature as part of self-identification is a personal choice and there is no right or wrong answer but there are consequences to each decision. The reasons for choosing not to disclose that one is a nurse may be guided by humility, where nurses may prefer to be seen as part of an interdisciplinary team rather than as a leader or authority figure thus eliminating the hierarchical distance between themselves and their colleagues or patients. When working in a community, specifically in climate adaptation and mitigation, a nurse is only present until the community can take on the work themselves, preferring to stay in the background. However, once the work is completed, nurses tend not to speak of it or share it. It is also possible that some nurses do not realize the importance or value of using their RN title in terms of that this is a professional title reflective of education, training, and expertise unique to nursing practice or its value to elevate the nursing profession. It is also possible that some nurses have completed additional degrees that are more relevant to their research career, so they chose that title instead. By using more generic titles, such as PhD, it may be that nurses are simply intending to signal their additional education and expertise and to","PeriodicalId":55633,"journal":{"name":"Contemporary Nurse","volume":null,"pages":null},"PeriodicalIF":1.6,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10267953","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 psychosocial adaptation to pregnancy in women with gestational diabetes.","authors":"Makbule Nar,&nbsp;Cigdem Yucel Ozcirpan","doi":"10.1080/10376178.2023.2175699","DOIUrl":"https://doi.org/10.1080/10376178.2023.2175699","url":null,"abstract":"<p><p><i>Background</i>: Gestational diabetes mellitus (GDM) is one of the most common medical complications of pregnancy. Diagnosis of GDM, that could be unexpected, may cause women to feel negative emotions such as fear, guilt, sadness, and loss of control and experience difficulties adapting to pregnancy.<i>Objective</i>: This study aimed to explore psychosocial adaptation to pregnancy in women with GDM.<i>Methods</i>: This observational cross-sectional study was conducted with women with GDM and healthy pregnant women who applied to the pregnancy and perinatology outpatient clinic of a university hospital. Groups were matched according to age, education level, and gestational week. The Prenatal Self-Evaluation Questionnaire (PSEQ) was used to collect data. Simple linear regression was performed to determine factors influenced psychosocial adaptation to pregnancy using average scores from the PSEQ.<i>Results</i>: Regression analysis indicated, GDM status (beta = -48.8, <i>p </i>≤ 0.001) and smoking status during pregnancy (beta = 11.0, <i>p</i> = 0.032) influenced the total score of the PSEQ.<i>Conclusions</i>: Nurses are encouraged to develop a multifaceted nursing care model that considers the physical and psychosocial problems and to provide care to increase the psychosocial adaptation of women with GDM to pregnancy.</p>","PeriodicalId":55633,"journal":{"name":"Contemporary Nurse","volume":null,"pages":null},"PeriodicalIF":1.6,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9933879","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}