The journal of nursing research : JNR最新文献

{"title":"The Patient Safety Management Activities of Hospital Nurses: An Importance and Performance Analysis.","authors":"Eunha Ryoo, Hyunbong Park, Na Yeon Shin, Soyoung Yu","doi":"10.1097/jnr.0000000000000679","DOIUrl":"https://doi.org/10.1097/jnr.0000000000000679","url":null,"abstract":"<p><strong>Background: </strong>To improve patient safety performance, medical personnel may utilize patient safety systems to perform patient safety nursing activities and suggest future directions for improvement. Patient safety nursing activities refer to systematic activities taken to prevent injuries or accidents during diagnosis, treatment, and other medical services.</p><p><strong>Purpose: </strong>This study was designed to analyze the importance placed by hospital nurses on patient safety management activities and their actual performance of these activities.</p><p><strong>Methods: </strong>An importance and performance analysis of patient safety management activities was conducted on 163 nurses with over 1 year of experience working at one of three hospitals in South Korea. Data were collected using questionnaires prepared based on criteria related to nurse-implemented patient safety management activities (three areas, 15 categories, 104 questions).</p><p><strong>Results: </strong>The average score for the importance of the developed patient safety management activities was 3.65 (SD = 0.14), and the average performance score was 3.42 (SD = 0.211). Using distinct importance and performance analysis frames, items corresponding to the \"concentrate here\" area included \"securing enough human resources,\" \"provide training for employees,\" \"efforts to prevent violence in institutions and establish a proper organizational culture,\" \"a rapid response system to urgent patient conditions,\" \"checking the correct patients,\" and \"CPR team operating regulations.\"</p><p><strong>Conclusion/implications for practice: </strong>The indicators for most patient safety management activities indicate their strong performance in South Korean nursing workplaces. To further improve the patient safety management practices of hospital nurses, nursing managers should create nursing work environments that promote safety activity performance efficacy.</p>","PeriodicalId":94242,"journal":{"name":"The journal of nursing research : JNR","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-05-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144049368","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":"Unmet Care Needs of Colorectal Cancer Survivors in Taiwan and Related Predictors.","authors":"Yu-Ju Mao, Huang-Jen Lai, Ying-Mei Liu, Mei-Nan Liao, Tao-Hsin Tung, Yung-Chang Lin, Randal D Beaton, Sui-Whi Jane, Hsiang-Ping Huang","doi":"10.1097/jnr.0000000000000676","DOIUrl":"https://doi.org/10.1097/jnr.0000000000000676","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Background: &lt;/strong&gt;Despite advancements in medical technology and early cancer detection, many colorectal cancer (CRC) survivors report unmet care needs after completion of their cancer treatment that compromise their quality of life (QoL). Previous studies on the care needs of cancer survivors have yielded inconsistent results, and few studies have been conducted on survivors of CRC in Taiwan or on predictors of their unmet care needs.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Purpose: &lt;/strong&gt;The purpose of this study was to examine the unmet care needs, psychological distress, and QoL of Taiwanese CRC survivors (n = 100) as well as to assess the mean differences by sociodemographic characteristics in their unmet care needs and other related predictors after treatment completion.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Methods: &lt;/strong&gt;This cross-sectional study using a purposive sampling method was conducted at a regional hospital in northern Taiwan between October 2019 and February 2020. The measurements used in this study included Chinese Cancer Survivors' Unmet Needs, Hospital Anxiety and Depression Scale, and European Organization for Research and Treatment Quality of Life Questionnaire-Core 30 and Quality of Life Questionnaire-Colorectal Cancer Module 29. The independent t test and one-way analysis of variance were employed to assess sociodemographic differences in unmet care needs, and multivariate linear regression was used to identify significant predictors.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Results: &lt;/strong&gt;More than half of the participants (63.2%) reported at least one unmet care need, with the highest categories including information needs (\"signs and symptoms of cancer recurrence\" 31.7% and \"information related to health promotion\" 31.7%), \"medical care needs\" (\"managing health with the medical team\" 13.9%), and \"physical/psychological effect needs (\"concerns about cancer recurrence\" 23.8%). Also, 7%-57% of the participants experienced differing degrees of distress symptoms including fatigue, intestinal and urogenital dysfunctions, and anxiety or depression. The results of the univariate analyses showed unmet needs to differ significantly by age (p = .021), employment status (p = .007), and chronic disease status (p = .025). The findings revealed being of older age (β = 0.23, p = .049), being employed (β = 0.26, p = .014), and having a lower functional level (β = -0.31, p = .012) to be associated with significantly higher levels of unmet care needs, collectively accounting for nearly 27.3% of the variance (adjusted R2 = .273).&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Conclusions/implications for practice: &lt;/strong&gt;CRC survivors continue to experience unmet care needs and various forms of physical-psychological distress for an average of almost 2 years after their completion of CRC treatment. The findings of this study may assist healthcare providers in identifying the major risk factors that interfere with survivor care needs following treatment, thus facilitating the development of timely interventions to mitigat","PeriodicalId":94242,"journal":{"name":"The journal of nursing research : JNR","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-05-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144061631","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":"Correlation Among Temporal Social Comparison, Development Motivation, and Intelligence Knowledge Sharing in Nursing Staff: A Cross-Sectional Study in China.","authors":"Shutong Zhao, Fuda Li","doi":"10.1097/jnr.0000000000000678","DOIUrl":"https://doi.org/10.1097/jnr.0000000000000678","url":null,"abstract":"<p><strong>Background: </strong>Because of demographic changes, the average age of professional nurses in the workplace has been on the rise. Fully developing the potential of older nurses to work in today's technology-intensive healthcare environments is critical to promoting and achieving the sustainable development of hospitals.</p><p><strong>Purpose: </strong>This study was designed to explore the relationships among temporal social comparison, development motivation, and knowledge sharing in nurses and to explore the moderating effect of age-inclusive human resource (HR) practices on the relationship between temporal social comparison and knowledge sharing.</p><p><strong>Methods: </strong>A cross-sectional, descriptive, correlational research design and purposive sampling were used in this study. Nursing staff who had worked for more than 6 months at one of several hospitals in central China were recruited as participants. Data on demographic characteristics, temporal social comparison, development motivation, age-inclusive human resource practices, and intelligence knowledge sharing from 328 participants were collected using a structured questionnaire and subsequently analyzed.</p><p><strong>Results: </strong>The correlation analysis showed age-inclusive HR practices to correlate negatively with unfavorable temporary social comparisons with older nurses (r = -.667, p < .01), development motivation (r = -.685, p < .01), and intergenerational digital knowledge sharing between younger nurses and older nurses (r = -.750, p < .01). In addition, unfavorable temporal social comparisons with older nurses was found to correlate positively with both development motivation (r = .686, p < .01) and intergenerational digital knowledge sharing between younger nurses and older nurses (r = .563, p < .01), whereas intergenerational digital knowledge sharing between younger nurses and older nurses was found to correlate positively with development motivation (r = .667, p < .01).</p><p><strong>Conclusions/implications for practice: </strong>The findings of this study suggest unfavorable temporal social comparisons increase development motivation in younger nurses, which increases their sharing of digital intelligence knowledge with older nurses. Also, the findings support a facilitative effect of age-inclusive HR practices on the relationship between temporal social comparisons and development motivation.</p>","PeriodicalId":94242,"journal":{"name":"The journal of nursing research : JNR","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-05-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143996332","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":"Survivors of Non-Hodgkin's Lymphoma: A Comparative Study on Patients With Vincristine-Induced Neuropathy and Their Quality of Life.","authors":"Yu-Chen Su, Yu-Hsuan Shih, Yun-Hsiang Lee, Pi-Hua Chang","doi":"10.1097/jnr.0000000000000675","DOIUrl":"https://doi.org/10.1097/jnr.0000000000000675","url":null,"abstract":"<p><strong>Background: </strong>Vincristine-induced peripheral neuropathy (VIPN), a common side effect of chemotherapy in survivors of non-Hodgkin's lymphoma (NHL), experience symptoms that may significantly impact quality of life (QoL). The age-related effects on NHL survivors with/without VIPN remain unclear.</p><p><strong>Purpose: </strong>This study was designed to determine the variation in and severity of symptom manifestations in patients in two age groups as well as the effect of age on functional status and QoL.</p><p><strong>Methods: </strong>This cross-sectional study was conducted on 98 NHL survivors in two age groups: the younger group (< 65 years, n = 55) and the older group (≥ 65 years, n = 43). The two assessment tools used were the clinical total neuropathy score and the European Organization for Research and Treatment of Cancer Quality of Life-Core 30. Data analyses were conducted on SPSS (Version 22.0), with the chi-square test used on descriptive statistics and the Fisher's exact test used on categorical variables. The Kruskal-Wallis test was used to compare differences attributable to age, VIPN status, functional status, and QoL.</p><p><strong>Results: </strong>In the older group, VIPN had a higher severity score compared to the younger group (p = .022), particularly in terms of muscle strength (30.2% vs. 9.1%, p = .009) and deep tendon reflex (60.5% vs. 25.5%, p = .005). In the younger group, NHL patients with VIPN showed poorer physical function, while those in the older group reported poorer QoL. Furthermore, those with VIPN showed poorer cognitive function compared to those without VIPN.</p><p><strong>Conclusions/implication for practice: </strong>In terms of older survivors with VIPN, essential measures include early fall prevention education and low-intensity exercise programs to maintain muscle strength and limb coordination and preserve overall QoL. Younger survivors with VIPN require comprehensive support for both physical and emotional challenges, with early understanding and intervention critical. Also, cognitive function impairment should not be neglected in NHL survivors with VIPN symptoms, highlighting the significance of assessing and addressing cognitive health in long-term follow-up plans.</p>","PeriodicalId":94242,"journal":{"name":"The journal of nursing research : JNR","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144047209","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":"Personality Traits, Impostor Phenomenon, and Workplace Bullying: A Cross-Sectional Study on Hospital Nurses.","authors":"Dongeun Suh, Sun Joo Jang","doi":"10.1097/jnr.0000000000000677","DOIUrl":"https://doi.org/10.1097/jnr.0000000000000677","url":null,"abstract":"<p><strong>Background: </strong>Although workplace bullying among nurses has long been recognized as a significant problem and solutions have been discussed, it still persists in nursing organizations. To gain a comprehensive understanding of this phenomenon, personal as well as workplace-related factors should be considered, and individual characteristics such as personality traits should be examined as potential factors of influence.</p><p><strong>Purpose: </strong>This study was developed to investigate the influence of personality traits and the impostor phenomenon on workplace bullying among nurses in tertiary hospitals.</p><p><strong>Methods: </strong>A cross-sectional research design was employed. Data were collected in December 2022 from 268 nurses working in tertiary hospitals in South Korea using an online survey. Personality traits, the impostor phenomenon, and workplace bullying were respectively assessed using the Big Five Inventory-short version, Clance Impostor Phenomenon Scale, and Negative Acts Questionnaire-Revised. Multiple linear regression analysis was conducted to identify the significant factors of influence on workplace bullying.</p><p><strong>Results: </strong>A multiple linear regression analysis revealed the neuroticism personality trait and the impostor phenomenon to significantly influence workplace bullying, with higher levels of both factors associated with a more severe experience of workplace bullying.</p><p><strong>Conclusion/implication for practice: </strong>Higher levels of neuroticism were found significantly associated with both impostor phenomenon severity and experience of workplace bullying. Preventing workplace bullying and mitigating victimization require awareness of neuroticism in nurses and intervention strategies able to mitigate both the impostor phenomenon and neuroticism. Workplace bullying prevention policies should direct nursing leadership and management to develop and implement educational and intervention programs to help hospital nurses recognize their own personality traits and address their maladaptive impostor phenomenon proactively.</p>","PeriodicalId":94242,"journal":{"name":"The journal of nursing research : JNR","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144046605","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":"Translation, Cultural Adaptation, and Validation of the Korean Version of the Multimorbidity Treatment Burden Questionnaire.","authors":"Jihyang Lee, Da-In Park, Polly Duncan, Kyoung Suk Lee","doi":"10.1097/jnr.0000000000000674","DOIUrl":"https://doi.org/10.1097/jnr.0000000000000674","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Background: &lt;/strong&gt;Patients with hypertension and comorbidities face greater difficulties in managing their diseases than patients without comorbidities. Treatment burden is defined as individuals' effort to manage their health and the impact it has on well-being. Treatment burden is negatively associated with both health-related quality of life and adherence to treatment in patients with multimorbidity. Thus, it is important to measure the treatment burden in patients with hypertension and comorbidities with psychometrically sound instruments.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Purpose: &lt;/strong&gt;In this study, the Multimorbidity Treatment Burden Questionnaire (MTBQ) was translated and culturally adapted for use in Korea and evaluated in terms of its psychometric properties for use on patients with hypertension and comorbidities.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Methods: &lt;/strong&gt;A descriptive, cross-sectional design was used. The MTBQ was translated from English into Korean and culturally adapted using forward-backward translation. Patients with hypertension and comorbidities were recruited as participants using convenience sampling. The participants completed cognitive interviews (n = 6) and an online survey (n = 376) to examine the psychometric properties of the developed Korean instrument (K-MTBQ). Participant characteristics and item properties were described using descriptive statistics and correlation coefficients. Cronbach's alpha was used to measure internal consistency (reliability) and factor analysis was used to examine the dimensions. To assess construct validity, prespecified hypotheses were examined including: (1) the association between treatment burden and the number of comorbidities and all domains of health-related quality of life and (2) the association between the three treatment burden groups and two groups with different health-related quality of life.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Results: &lt;/strong&gt;In the cognitive interviews, the participants suggested adding examples to improve the clarity of two items, and reported the contents of all other items of the K-MTBQ were applicable and easily comprehensible. The Cronbach's alpha coefficient of the K-MTBQ was .93, and factor analysis suggested a one-factor model. Treatment burden was associated with the number of comorbidities and all domains of health-related quality of life. However, using the cutoff scores suggested in the original study, the difference in the proportion of patients with poor health-related quality of life was not clearly distinguished between the no-to-low treatment burden group and the medium treatment burden group.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Conclusions/implications for practice: &lt;/strong&gt;The results indicate the K-MTBQ has good content validity, reliability, and construct validity for use on patients with hypertension and comorbidities. Further studies are needed to establish appropriate cutoff values for distinguishing among the different levels of treatment burden. The K-MTBQ may be used to help identify K","PeriodicalId":94242,"journal":{"name":"The journal of nursing research : JNR","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144016109","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":"Reducing Fear and Anxiety in Electrocardiography Procedures Using Distraction-Enhanced Environments in Pediatric Emergency Care: A Randomized Controlled Study.","authors":"Aylin Arikan, Figen Işık Esenay","doi":"10.1097/jnr.0000000000000672","DOIUrl":"https://doi.org/10.1097/jnr.0000000000000672","url":null,"abstract":"<p><strong>Background: </strong>Children experience fear and anxiety not only during painful procedural interventions but also during painless procedural interventions such as electrocardiography (ECG). Pediatric nurses should be aware of the emotional changes experienced by children during ECG procedures.</p><p><strong>Purpose: </strong>The aim of this single-center, single-blinded, randomized controlled intervention study was to investigate the impact of the undersea-themed examination table cover (UTETC) on the levels of fear and anxiety experienced by children during ECG procedures.</p><p><strong>Methods: </strong>This study was conducted between April 1 and July 31, 2022, in the pediatric emergency department of a training and research hospital in Turkey. The participants included 80 children (experimental group = 40, control group = 40) aged 3-12 years. The experimental group underwent the procedure in the ECG room using the UTETC, while the control group underwent the routine procedure in the examination room. The entire process was video-recorded. Video recordings were watched by two nurses who were not otherwise involved in this study, and the data were collected using the Descriptive Data Form, the Children's Fear Scale, and the Children Emotional Manifestation Scale.</p><p><strong>Results: </strong>No statistically significant difference was found in the descriptive characteristics of the two groups (p > .05). The experimental group completed the procedure more successfully than the control group with significantly lower levels of procedure-related fear and anxiety (p < .05).</p><p><strong>Conclusions/implications for practice: </strong>The UTETC was found to be effective in reducing fear and anxiety in children aged 3-12 years during ECG procedures in a pediatric emergency department.</p>","PeriodicalId":94242,"journal":{"name":"The journal of nursing research : JNR","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-04-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144056538","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":"Psychometric Properties of the Turkish Version of the Learning Flow in Clinical Simulation Scale.","authors":"Azzet Yüksel, Nehir Demirel, Yeliz Çulha, Funda Büyükyilmaz","doi":"10.1097/jnr.0000000000000673","DOIUrl":"https://doi.org/10.1097/jnr.0000000000000673","url":null,"abstract":"<p><strong>Background: </strong>Students must be able to accept the unrealistic aspects of clinical simulations to ensure these simulations are effective learning tools. As the flow during simulation must be measured to determine simulation learning effectiveness, a reliable measurement tool is needed.</p><p><strong>Purpose: </strong>This study was carried out to translate the Learning Flow in Clinical Simulation Scale (LFCSS) into Turkish and then to validate it on a sample of nurses in Turkey.</p><p><strong>Methods: </strong>A methodological research approach was used, and 135 nursing students with prior experience engaging with clinical simulations were recruited and enrolled as participants. The data were collected using two forms, i.e., the Student Information Form, LFCSS (Turkish version) and The Simulation Effectiveness Tool-Modified. Content validity was evaluated using a content validity index (CVI) based on expert opinions. The correlation between the two forms was calculated using the equivalent (parallel) forms method, and reliability and internal consistency were examined using the Cronbach alpha coefficient and item analysis. The construct validity of the scale was determined using factor analysis with varimax rotation.</p><p><strong>Results: </strong>The Cronbach alpha coefficient was .93 for the entire LFCSS, with item-total score correlations ranging between .922 and .745. In terms of equivalent (parallel) forms reliability, a low correlation (r = .389) was found with the Flow Scale in Clinical Simulation and Prebriefing subdimension of the Simulation Effectiveness Tool-Modified, and a moderate correlation (r = .467, r = .584, r = .447) was found with the Learning, Confidence, and Debriefing subdimensions of the same. The factor analysis showed a four-factor structure explaining 74.13% of the total variance, which is similar to the original scale. The Kaiser-Meyer-Olkin value was .890 and the Bartlett's test chi-square value was 1455.35 with a p < .001 significance level.</p><p><strong>Conclusions: </strong>The findings indicate the Turkish version of the LFCSS is a reliable and valid tool for assessing level of student/participant flow in clinical simulation.</p>","PeriodicalId":94242,"journal":{"name":"The journal of nursing research : JNR","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-04-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143782337","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":"Nurses' Knowledge of Cancer-Related Fatigue and the Coverage of This Subject in Nursing Training: A Cross-Sectional Study.","authors":"Anna S Wagner, Marlena Milzer, Martina E Schmidt, Senta Kiermeier, Imad Maatouk, Karen Steindorf","doi":"10.1097/jnr.0000000000000666","DOIUrl":"10.1097/jnr.0000000000000666","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Background: &lt;/strong&gt;Although cancer-related fatigue has a major impact on daily functioning and quality of life of patients, it remains underestimated in cancer care. Nurses play a significant role in multidisciplinary approaches to fatigue care.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Purpose: &lt;/strong&gt;This study was designed to investigate knowledge and attitudes among nurses regarding cancer-related fatigue and its management in daily clinical practice and training to suggest future actions for improvement.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Methods: &lt;/strong&gt;A cross-sectional design and an online questionnaire were used to assess nurses' perceived knowledge and self-efficacy, knowledge of guidelines and treatment options, and related coverage in education and training and to suggest how to improve training. The link to the study survey was distributed to cancer nurses working in Germany via mailing lists of randomly selected hospitals and rehabilitation centers, professional nursing associations, and social media. Data were analyzed descriptively as well as using the Mann-Whitney U test. Logistic regression analyses were conducted to identify variables linked to fatigue-related knowledge.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Results: &lt;/strong&gt;Nurses participating in the study were mainly working in certified cancer care institutions (70.1%). More than one-third of the 184 participants felt rather poorly or very poorly informed and reported low self-efficacy in counseling. Although working in certified institutions was found to increase the likelihood of accurately recalling the fatigue-related guidelines (OR = 6.24, 95% CI = [1.71, 22.74], p &lt; .01), few of the participants in this study knew any. Despite this, the majority was aware of the empirical evidence supporting physical activity (92.4%), yoga (79.9%), psychotherapeutic interventions (76.7%), mindfulness-based interventions (69%), and exercise (60.3%). Recommendation rates were heterogeneous. Those participants working in certified institutions were more likely to know about the empirical evidence related to exercise (OR = 3.03, 95% CI = [1.49, 6.18], p &lt; .01), which was positively associated with both recommending exercise and self-assessing one's subjective knowledge as high. Cancer-related fatigue is addressed minimally in basic nursing training and moderately (30.4%) to comprehensively (29.9%) in advanced nursing training. The participants suggested various strategies to improve related training.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Conclusions/implications for practice: &lt;/strong&gt;Most of the participants work in certified institutions but lack guidelines-related knowledge. Nevertheless, the participants had a fairly good awareness of interventions effective in reducing fatigue. However, awareness of the empirical evidence for exercise as one of the most promising treatment options was relatively low. Based on these findings, guidelines-oriented training is needed to strengthen related knowledge, particularly regarding self-efficacy in counseling in nurses. Awar","PeriodicalId":94242,"journal":{"name":"The journal of nursing research : JNR","volume":"33 2","pages":"e379"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143757087","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":"Gender Differences in Predicting Metabolic Syndrome Among Hospital Employees Using Machine Learning Models: A Population-Based Study.","authors":"Yi-Syuan Wu, Wen-Chii Tzeng, Cheng-Wei Wu, Hao-Yi Wu, Chih-Yun Kang, Wei-Yun Wang","doi":"10.1097/jnr.0000000000000668","DOIUrl":"10.1097/jnr.0000000000000668","url":null,"abstract":"<p><strong>Background: </strong>Metabolic syndrome (MetS) is a complex condition that captures several markers of dysregulation, including obesity, elevated blood glucose levels, dyslipidemia and hypertension. Using an approach to early prediction of MetS risk in hospital employees that takes into account the differing effects of gender may be expected to improve cardiovascular disease-related health outcomes.</p><p><strong>Purpose: </strong>In this study, machine learning techniques were applied to construct an optimized MetS prediction model for use on hospital employees.</p><p><strong>Methods: </strong>This population-based study survey included 3,537 participants aged 20 to 65 years old. Participant demographic, anthropometric data, medical history, lifestyle-related factor, and biochemical data were collected from the hospital's Health Management Information System from 2018 to 2020. MetS prediction and the investigation of gender differences were performed using six machine learning models based on the following algorithms: K-nearest neighbor, random forest, logistic regression, support vector machine, neural network, and Naïve Bayes. All analyses were performed by sequentially inputting the features in three steps according to their characteristics.</p><p><strong>Results: </strong>MetS was detected in 8.91% of the participants. Among the MetS prediction models, Naïve Bayes showed the best performance, with a sensitivity of 0.825, an accuracy of 0.859 and an area under the receiver operating characteristic curve of 0.936. Body mass index and alanine transaminase were identified as important predictive factors for MetS in participants of both genders. Age, uric acid, and aspartate transaminase were identified as important predictive factors in men, while chronic disease and phosphorous were identified as important predictive factors in women.</p><p><strong>Conclusions: </strong>The results indicate Naïve Bayes model to be useful and accurate in identifying MetS in hospital employees independent of gender. The early prediction of MetS using a model that accounts for gender differences is an important part of routine health screening and requires a multidimensional approach, including self-administered questionnaires and anthropometric and biochemical measurements.</p>","PeriodicalId":94242,"journal":{"name":"The journal of nursing research : JNR","volume":"33 2","pages":"e381"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143757086","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}