Contemporary nurse最新文献

{"title":"A pilot randomised trial of group versus individual education for obese adults with type 2 insulin dependent diabetes.","authors":"Annette MacDonald, Xi May Zhen, Golo Ahlenstiel, Amy Phu, Rochelle Wynne","doi":"10.1080/10376178.2025.2515079","DOIUrl":"https://doi.org/10.1080/10376178.2025.2515079","url":null,"abstract":"<p><strong>Background: </strong>Studies of group versus individual education for T2DM have shown favourable outcomes but evidence to support group-based education for patients affected by obesity and T2DM is scant.</p><p><strong>Methods: </strong>A parallel-group, randomised pilot trial was designed to determine the feasibility and acceptability of group-based education compared to individualised (usual care) education for patients affected by obesity, and T2DM requiring insulin. Adults (>18 years, N = 51) completing the 'Living Healthy with Diabetes' education program in a specialist bariatric service, with a body mass index (BMI) of greater than 35 kg/m² and T2DM requiring more than 1u/kg/day of insulin were invited to participate. Program delivery was one-on-one (Control, n = 25) or in group sessions (Intervention, n = 26), face-to-face in clinic, or via telehealth during COVID-19 lockdowns. Feasibility endpoint measures were recruitment, protocol adherence, participation rates, and engagement. Secondary endpoints were depression and anxiety, quality of life, sleepiness, body weight, diabetes distress score, metabolic parameters, and daily insulin dose.</p><p><strong>Results: </strong>Protocol adherence and participation rates indicate group sessions were feasible and acceptable. There were no group differences in anthropometric or biochemical baseline measures, 12-month follow-up was complete. Both groups reduced and sustained weight loss with significant within-group improvements in diabetes distress score and daily dose of Insulin. Improvements in health-related quality of life were evident within and between groups but there was no evidence to indicate a difference in the effectiveness of the two educational approaches on weight loss.</p><p><strong>Conclusions: </strong>Group-based education is feasible and acceptable but efficacy in achieving superior outcomes compared to individual education needs further investigation. Optimising nurse-led education delivery methods could enhance intervention effectiveness for patients affected by obesity and T2DM.</p>","PeriodicalId":93954,"journal":{"name":"Contemporary nurse","volume":" ","pages":"1-20"},"PeriodicalIF":0.0,"publicationDate":"2025-06-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144318952","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The interplay and divergence between measurement of loneliness and lack of social support - results from a questionnaire survey.","authors":"Mitti Blakoe, Selina Kikkenborg Berg, Cathrine S Olesen, Pernille Palm, Ida Elisabeth Højskov, Anne Vinggaard Christensen","doi":"10.1080/10376178.2025.2511003","DOIUrl":"https://doi.org/10.1080/10376178.2025.2511003","url":null,"abstract":"<p><strong>Background: </strong>Loneliness and lack of social support are theoretically distinguished phenomena, but simultaneously overlap and mutually influence each other, challenging the measurement of these phenomena within health research.</p><p><strong>Objective: </strong>To contribute to the understanding of the interplay and divergence of loneliness and lack of social support by investigating the convergent validity between two social support questionnaires and a loneliness questionnaire, in a population of patients treated for cardiac disease.</p><p><strong>Method: </strong>In total, 573 patients >18 years of age treated for cardiac disease were approached from October 2022 to May 2023 and answered two social support questionnaires and one loneliness questionnaire, and 365 patients (63.7%) completed the questionnaire. The interplay and divergence between loneliness and lack of social support were assessed by calculating convergent validity between the questionnaires.</p><p><strong>Results: </strong>The correlation coefficients between the two social support questionnaires ranged between <i>r</i>² = 0.281-0.568, which is comparable to the correlation coefficient between the social support questionnaire and the loneliness questionnaire, ranging from <i>r</i>² = 0.317-0.601, suggesting a dynamic interplay between social support and loneliness, yet also a challenge for maintaining conceptual and measurement-based divergence.</p><p><strong>Conclusion: </strong>This finding implies that, although loneliness and lack of social support are conceptually distinct, differentiating between these dimensions in a questionnaire survey is challenging.</p>","PeriodicalId":93954,"journal":{"name":"Contemporary nurse","volume":" ","pages":"1-14"},"PeriodicalIF":0.0,"publicationDate":"2025-05-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144176104","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Trialling the Distress Thermometer tool on non-oncology general medical and surgical inpatients.","authors":"Rebecca M Jedwab, Jessica G Baker, Janette Gogler, Anthony T Pham, Bernice Redley, Karin White, Naomi K Dobroff","doi":"10.1080/10376178.2025.2503311","DOIUrl":"10.1080/10376178.2025.2503311","url":null,"abstract":"<p><strong>Background: </strong>Risk assessment tools are intended to support nurses' decision-making in the continuous Nursing Process of comprehensive assessment, planning, implementation and evaluation for each patient in their care. While patient distress is common during periods of ill-health, tools to formally assess distress are not routinely used by nurses.</p><p><strong>Aim: </strong>The purpose of this study was to explore the utility of the distress thermometer by nurses for general medical and surgical inpatients.</p><p><strong>Methods: </strong>An audit of 2370 electronic medical records was used to extract data on risk assessment completion for adult patients admitted across three wards from December 2020 to March 2021. An online survey using the System Usability Scale and free-text comments collected data on nurses' perceptions of the Distress Thermometer.</p><p><strong>Results: </strong>Only 33% of patients had the Distress Thermometer tool completed by nurses during patient risk assessment on their admission to the hospital ward (393/2370). Only 12.86% of nurses reported scores indicating acceptable usability of the Distress Thermometer in electronic medical records (greater than 68). Distress Thermometer completion was significant between wards (chi-square analysis X² (2, <i>N</i> = 2,370) = 84.902, <i>p</i> = <.001). Factors contributing to low usability included unnecessary addition to their workload and tool perceived as not useful to care planning.</p><p><strong>Discussion: </strong>Nurses reported the Distress Thermometer was an unnecessary addition to their workload and not perceived to add any value to patient assessment in general medical and surgical inpatients.</p><p><strong>Conclusion: </strong>Nursing risk assessments in electronic medical records carry a high workload burden. The perceived usability, usefulness and suitability for specific patient groups are important considerations for uptake and implementation of any additional tools.</p>","PeriodicalId":93954,"journal":{"name":"Contemporary nurse","volume":" ","pages":"1-12"},"PeriodicalIF":0.0,"publicationDate":"2025-05-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144082302","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A cross-sectional study of cardiac rehabilitation enrollment barriers in patients at risk for suboptimal outcomes from acute coronary syndrome.","authors":"Ayesha Kamran, Sherry L Grace, Ross Arena, Sandeep Aggarwal, Tavis S Campbell, Codie R Rouleau","doi":"10.1080/10376178.2025.2501225","DOIUrl":"https://doi.org/10.1080/10376178.2025.2501225","url":null,"abstract":"<p><strong>Purpose: </strong>Cardiac rehabilitation (CR) is an effective treatment to reduce the burden of cardiovascular disease (CVD) but is underutilized. This study characterized CR enrollment barriers and perceived physician endorsement of CR in patient subgroups at increased risk of poor outcomes.</p><p><strong>Materials and methods: </strong>The association between sociodemographic and clinical characteristics and Cardiac Rehabilitation Barriers Scale (CRBS) item and subscale scores were examined using secondary data analysis of patients with acute coronary syndrome referred to, but not yet enrolled in, a 12-week CR program. Participants rated perceived strength of recommendation to attend CR on 1-5 scale.</p><p><strong>Results: </strong>The three most endorsed CRBS items were inclement weather, travel, and work responsibilities. Additional barriers (e.g. time constraints, already exercising, family responsibilities) emerged in certain patient subgroups. Perceived strength of physician endorsement was high in the overall sample. After statistical adjustment for confounds, depressed mood was positively associated with logistical (<i>b</i> = 0.05, <i>p</i> = 0.002), and comorbidity-related barriers (<i>b</i> = 0.02, <i>p</i> < 0.001). Female sex (<i>b</i> = 0.62, <i>p</i> = 0.004), higher body mass index (<i>b</i> = 0.05, <i>p</i> = 0.009), and diabetes (<i>b</i> = 1.08, <i>p</i> < 0.001), were associated with logistical barriers.</p><p><strong>Conclusions: </strong>Patients require individualized support to address CR enrollment barriers. Given their crucial role in supporting patients to access CR, nurses are well-positioned to identify and address CR barriers.</p>","PeriodicalId":93954,"journal":{"name":"Contemporary nurse","volume":" ","pages":"1-18"},"PeriodicalIF":0.0,"publicationDate":"2025-05-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144058354","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Co-designed technologies and people living with dementia: A qualitative systematic review.","authors":"Wendy Moyle, Deepa Sriram, Jenny Murfield, Lihui Pu, Katarzyna Lion","doi":"10.1080/10376178.2025.2500377","DOIUrl":"https://doi.org/10.1080/10376178.2025.2500377","url":null,"abstract":"<p><strong>Background: </strong>Co-designing technologies for people living with dementia can develop a product that benefits their needs and preferences.</p><p><strong>Aims: </strong>To systematically evaluate the use of co-designed technologies for dementia, assess the extent of involvement of people living with dementia in the studies, and analyse the impact of co-design on the final technology and its usage.</p><p><strong>Design: </strong>This qualitative systematic review followed the Joanna Briggs methodology.</p><p><strong>Methods: </strong>Five electronic databases (CINAHL, EMBASE, PubMed, PsycINFO, Medline) were searched for qualitative papers published before November 2023. Inclusion criteria were established according to the PICO principle. Four independent reviewers used Covidence to independently screen abstracts and then full text of selected articles. Quality assessments were performed using the JBI quality assessment tool.</p><p><strong>Results: </strong>The review included nine primary studies involving 354 participants from three countries and identified three interconnected themes. Various technologies were developed, with apps being the most popular tool. The technologies were not well developed, with the majority (n = 7) developed in the early stages of development. Participants' main involvement was in the consultation stage, where they were asked about an assessment of their needs to determine a product, followed by their involvement in the useability and acceptability of the products.</p><p><strong>Conclusions: </strong>While co-design is employed in developing certain technologies for people living with dementia, its effectiveness is hindered by the lack of involvement of people living with dementia in the actual conceptualization and design stages. Researchers, nursing professionals, and developers must embrace co-design as standard practice and employ consistent terminology in this process.</p>","PeriodicalId":93954,"journal":{"name":"Contemporary nurse","volume":" ","pages":"1-18"},"PeriodicalIF":0.0,"publicationDate":"2025-05-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144033763","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Rural maternity care 'Things need to change': a cross-sectional survey.","authors":"Kath Brundell, Vidanka Vasilevski, Tanya Farrell, Linda Sweet","doi":"10.1080/10376178.2025.2495563","DOIUrl":"https://doi.org/10.1080/10376178.2025.2495563","url":null,"abstract":"<p><strong>Background: </strong>Maternity service closure across Australia over the last 20 years has significantly impacted maternity care accessibility, particularly rural areas. How rural health service board members and executives consider maintaining maternity service is unknown.</p><p><strong>Aim: </strong>To examine how rural Victorian (Australian) boards and health executives consider ongoing maternity service provision and factors that influence continued maternity operation or closure.</p><p><strong>Methods: </strong>A cross-sectional online survey gathered perspectives from rural Victorian board members and health executives, with data analysed using descriptive statistics, correlation analysis, and thematic analysis.</p><p><strong>Findings: </strong>Responses from 44 participants revealed that rural maternity workforce availability, funding, midwifery leadership, community factors, and regional health service support critically impact service continuation decisions.</p><p><strong>Discussion: </strong>Findings highlight disconnects between prioritising continuity of care and implementing flexible workforce models like midwifery group practice. Critical deficits in workforce, leadership, and 24/7 theatre staffing challenge rural maternity service sustainability.</p><p><strong>Conclusion: </strong>Targeted funding through regional partnerships and strong midwifery leadership are essential for maintaining accessible, safe rural maternity services.</p>","PeriodicalId":93954,"journal":{"name":"Contemporary nurse","volume":" ","pages":"1-19"},"PeriodicalIF":0.0,"publicationDate":"2025-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144060884","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Introducing new nurse leadership roles through an educational framework to protect the planet and human health.","authors":"Janet Roden, Victoria Pitt, Anna Anäker, Teresa Lewis, Julie Reis, Amanda Johnson","doi":"10.1080/10376178.2024.2432630","DOIUrl":"10.1080/10376178.2024.2432630","url":null,"abstract":"<p><strong>Aims and objectives: </strong>This discussion paper proposes four new nursing leadership roles to address planetary health challenges.</p><p><strong>Background: </strong>Nurses are essential in reducing healthcare's greenhouse emissions. The Planetary Health Education Framework (PHEF) supports integrating planetary health concepts into sustainable healthcare practice. Nurse educators with planetary health expertise should teach the PHEF, while nurse climate advocates promote it to health professionals, with nurse-led planetary health researchers undertaking climate-change research and Planetary Health Nurse Practitioners practicing sustainable healthcare.</p><p><strong>Design: </strong>Discussion paper.</p><p><strong>Data sources: </strong>A PICO framework was used to identify relevant articles: In nursing (P) should new roles be introduced (I) compared to no new roles (C) to understand climate change impacts on both nursing and planetary health (O).</p><p><strong>Discussion: </strong>Barriers to sustainable healthcare include denial, group-think, and ignorance. National and International organisation enablers highlight the importance of climate change in nurse education. The Australian College of Nursing recommends government funding for nurse-led planetary health research.</p><p><strong>Conclusion: </strong>Educators should focus on curricula development, nurse climate advocates on education and policy, researchers on supporting planetary health research, and PHNPs on climate justice, environmental protection, and emissions reduction.</p>","PeriodicalId":93954,"journal":{"name":"Contemporary nurse","volume":" ","pages":"180-194"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142822849","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"No more Nightingale.","authors":"Tamara Power, Jacinta Mackay, Reakeeta Smallwood, Odette Best, Roianne West","doi":"10.1080/10376178.2025.2503300","DOIUrl":"10.1080/10376178.2025.2503300","url":null,"abstract":"","PeriodicalId":93954,"journal":{"name":"Contemporary nurse","volume":" ","pages":"107-110"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144031255","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Advancing healthcare through quality improvement processes.","authors":"Hugh Davies, Deb Massey, Rosemary Saunders","doi":"10.1080/10376178.2025.2509391","DOIUrl":"10.1080/10376178.2025.2509391","url":null,"abstract":"","PeriodicalId":93954,"journal":{"name":"Contemporary nurse","volume":" ","pages":"215-218"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144176100","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Competence to expertise in nursing practice.","authors":"Susan Welch","doi":"10.1080/10376178.2024.2445276","DOIUrl":"10.1080/10376178.2024.2445276","url":null,"abstract":"<p><strong>Background: </strong>A shift from a content-focused curriculum to a competency-based curriculum has occurred in nursing education. Competency-based education (CBE) is highly debated within higher education despite the need for competency. Competency-based education (CBE) is a form of education that takes a curriculum from a focus on an actual role or analysis perspective to an individual student's progress based on their demonstrated performance of aspects of the role. While debate exists regarding the pros and cons of CBE, theories of expertise exist to understand competency via the worldview of expert performance. Researchers and educational scholars are delving into the role of knowledge, particularly clinical knowledge, in developing and enhancing expertise and the practice of experts. In addition, CBE focuses on individual students' development and skill performance into experts. Many competency frameworks prioritize applying clinical knowledge, skills, and abilities as the building blocks of professional expertise. However, these models often overlook the capability of a nurse to handle unforeseen challenges effectively in practice as an expert.</p><p><strong>Aim and design: </strong>This discussion piece is dedicated to exploring the ongoing debates and developments in the conceptualization of expertise. It also serves to underscore the urgent and crucial need for a paradigm shift in our approach to competency-based education (CBE) in nursing. The discussion will delve into various cognitive perspectives on expertise, particularly how accumulated knowledge is conceptualized in expert development and practice models and the implications for understanding competence through expert performance. This piece will also provide critical implications for understanding competence through expert performance, such as the conceptualizations of knowledge. Finally, this discussion will highlight the significant impact of competence as expertise within CBE, emphasizing the weight and importance of competency as expertise in nursing education.</p><p><strong>Findings and conclusion: </strong>Literature has found that expertise in nursing practice is a result of a developmental pathway involving appropriate training and substantial practice. We propose that an integrated understanding of expertise could lead to a more comprehensive set of expert nursing practice competencies. This integration of educational concepts and situated knowledge into competency and expertise understanding requires a shift in learning environments where future experts are educated.</p>","PeriodicalId":93954,"journal":{"name":"Contemporary nurse","volume":" ","pages":"195-202"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142883860","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}