{"title":"Experiences of Family Caregivers Providing Home Care to Older Patients With Cancer: A Qualitative Study.","authors":"Cheng-Fang Yang, Chien-Ning Tseng, Yuan-Ju Liao, Zi-Xuan Gao, Hsiao-Ping Chen, Po-Chih Chang, Yun-Hsiang Lee","doi":"10.1097/jnr.0000000000000579","DOIUrl":"10.1097/jnr.0000000000000579","url":null,"abstract":"<p><strong>Background: </strong>Older patients with cancer receive anticancer therapy in outpatient settings, and care-related issues may occur after discharge, which often requires family caregivers (FCs) to play a significant role in providing cancer care at home. However, relatively few studies have been focused on exploring the care experiences of these FCs.</p><p><strong>Purpose: </strong>The aim of this study was to explore the care experiences of FCs caring for older family members with cancer at home.</p><p><strong>Methods: </strong>A qualitative study design and in-depth individual interviews were used to explore the at-home care experiences of FCs of older patients with cancer. The research was conducted in chemotherapy outpatient settings of a medical center in northern Taiwan. Content analysis was used to analyze data. The analyses focused on first extracting meaningful units from the text and then inducting categories from these units and determining the major themes.</p><p><strong>Results: </strong>Twenty FCs were interviewed. The three themes identified included (a) increased information needs and challenges in diet preparation and treatment decision making, (b) personal and patient-induced emotional stress, and (c) life rebalancing through the care experience.</p><p><strong>Conclusions/implications for practice: </strong>The findings highlight the educational requirements, especially related to meeting personal dietary needs and obtaining psychological support, for FCs caring for older patients with cancer to help them rebalance their life.</p>","PeriodicalId":94242,"journal":{"name":"The journal of nursing research : JNR","volume":" ","pages":"e300"},"PeriodicalIF":0.0,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11812672/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138447714","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Sleep Quality in Family Caregivers of Persons Living With Dementia.","authors":"Yeu-Hui Chuang","doi":"10.1097/jnr.0000000000000587","DOIUrl":"10.1097/jnr.0000000000000587","url":null,"abstract":"","PeriodicalId":94242,"journal":{"name":"The journal of nursing research : JNR","volume":"31 6","pages":"e298"},"PeriodicalIF":0.0,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11812651/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138465341","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Association Between Authentic Leadership in Nurse Managers and Performance and Intention to Leave Among Registered Nurses.","authors":"Safa'a Ali Allan, Ahmad Hussien Rayan","doi":"10.1097/jnr.0000000000000572","DOIUrl":"10.1097/jnr.0000000000000572","url":null,"abstract":"<p><strong>Background: </strong>Authentic leadership in nurse managers has been identified as a strong predictor of multiple nurse outcomes. However, its association with staff performance and nurses' intention to leave has yet to be established.</p><p><strong>Purpose: </strong>This study was designed to identify the predictive effect of sociodemographic variables on nurse performance and intention to leave and to examine the relationship between authentic leadership in nurse managers and, respectively, nurse performance and intention to leave.</p><p><strong>Methods: </strong>A comparative and correlational design and a cross-sectional survey approach were used. A convenience sample of 166 registered nurses working in a government hospital in Jordan was recruited. Data collection was performed online using the sociodemographics questionnaire, the Authentic Leadership Questionnaire, the Turnover Intention Scale, and the Six Dimensions of Nurse's Performance Scale. Data were analyzed using descriptive statistics, independent t test, one-way analysis of variance, Pearson correlation, and multiple hierarchical linear regression.</p><p><strong>Results: </strong>The overall mean score was 2.08 (SD = 0.87) for the Authentic Leadership Questionnaire, 3.57 (SD = 1.76) for the Turnover Intention Scale, and 3.00 (SD = 0.51) for the Staff Performance Scale. Mean nursing performance differed significantly based on marital status, whereas intention to leave differed significantly based on marital status and the respondent's perception of their first-line manager. A statistically significant, positive correlation between authentic leadership and staff performance and a statistically significant, negative correlation between authentic leadership and intention to leave were found. In addition, authentic leadership was uniquely associated with staff performance (B = 0.19, p < .05) and intention to leave (B = -0.39, p < .05) in the hierarchical regression analysis after controlling for sociodemographic variables.</p><p><strong>Conclusions/implications for practice: </strong>Authentic leadership from nurse managers is associated with improved nurse performance and lower nurse intention to leave. Nurse managers may enhance authentic leadership attributes to better retain nurses in hospitals and improve nurse job performance.</p>","PeriodicalId":94242,"journal":{"name":"The journal of nursing research : JNR","volume":"31 5","pages":"e293"},"PeriodicalIF":0.0,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41149657","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":"Exploring the Effectiveness of Group Cognitive Stimulation Training in People With Schizophrenia: A Randomized Controlled Trial.","authors":"Chia-Chi Chang, Hua-Shan Wu, Chen-Jee Hong, Chieh-Yu Liu, Chi-Wen Chen, Chiu-Yueh Yang","doi":"10.1097/jnr.0000000000000576","DOIUrl":"10.1097/jnr.0000000000000576","url":null,"abstract":"<p><strong>Background: </strong>Schizophrenia is a chronic degenerative brain disease. Cognitive impairment, the core symptom of this disease, affects the mood and social functioning of patients severely. Nonpharmacological therapies that both improve cognitive function and are suitable for patients with schizophrenia remain underdeveloped.</p><p><strong>Purpose: </strong>This article was designed to explore the effects of group cognitive stimulation training (GCST) on cognitive function and social function in people with schizophrenia.</p><p><strong>Methods: </strong>A randomized controlled trial was conducted. The 76 participants were allocated into either the experimental or control group using blocked randomization. The participants were all patients with chronic schizophrenia recruited from seven rehabilitation units in northern Taiwan who were 20-65 years old and scored 10-25 on the Montreal Cognitive Assessment Taiwan Version. The experimental group received the 60-minute GCST twice a week for 7 weeks, whereas the control group received standard treatment. All outcome indicators were analyzed at baseline and after intervention using generalized estimating equations. The primary outcome indicators included cognitive function assessed using the Taiwan version of the Montreal Cognitive Assessment, working memory assessed using the Wechsler Memory Scale-Third Edition, and executive function assessed using the Taiwanese version of the Frontal Assessment Battery. The secondary outcome indicator was social function assessed using the Social Function Scale-Taiwan short version.</p><p><strong>Results: </strong>Generalized estimating equation modeling revealed the experimental group exhibited significant improvement in Montreal Cognitive Assessment total score ( B = 1.33, SE = 0.65, p = .040) and Social Function Scale-Taiwan short version ( B = 9.55, SE = 2.38, p < .001) after adjusting for nine covariates. No significant differences between the two groups in terms of working memory ( B = 4.79, SE = 2.66, p = .071) or executive function ( B = 0.53, SE = 0.63, p = .399) were found.</p><p><strong>Conclusions/implications for practice: </strong>The results indicate that GCST positively impacts overall cognitive and social functions but not higher-order cognitive function (working memory and executive function). In clinical settings, GCST may be applied to improve cognitive function in people with schizophrenia. The findings of this study may inform the practice of mental health nurses to improve cognitive function in patients in clinical care.</p>","PeriodicalId":94242,"journal":{"name":"The journal of nursing research : JNR","volume":"31 5","pages":"e291"},"PeriodicalIF":0.0,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41176134","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":"Celebrating the 30th Anniversary of The Journal of Nursing Research and Advancing Nursing Science Through the Coming Decade.","authors":"Shiow-Luan Tsay, Yeur-Hur Lai","doi":"10.1097/jnr.0000000000000482","DOIUrl":"https://doi.org/10.1097/jnr.0000000000000482","url":null,"abstract":"","PeriodicalId":94242,"journal":{"name":"The journal of nursing research : JNR","volume":" ","pages":"e183"},"PeriodicalIF":2.7,"publicationDate":"2022-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39837447","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":"Embracing the \"New Normal\" in an Aged Society.","authors":"Heng-Hsin Tung","doi":"10.1097/JNR.0000000000000458","DOIUrl":"https://doi.org/10.1097/JNR.0000000000000458","url":null,"abstract":"","PeriodicalId":94242,"journal":{"name":"The journal of nursing research : JNR","volume":" ","pages":"e165"},"PeriodicalIF":2.7,"publicationDate":"2021-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39432024","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 Varied and Multifaceted Professional Roles of Today's Nurses.","authors":"Pei-Shan Tsai","doi":"10.1097/JNR.0000000000000438","DOIUrl":"https://doi.org/10.1097/JNR.0000000000000438","url":null,"abstract":"Thenursing profession is evolving rapidly to meet the challenges and opportunities presented by the constant, technology-driven changes in healthcare delivery and the ever-changing landscape of healthcare needs. In this issue of The Journal of Nursing Research, four articles address issues that influence professional identity formation in the nursing profession. Their topics include the effects of education on professional quality of life and health among nurses, the effects of film-based nursing education in developing professional nursing identity among nursing students, the impact of organizational support on practice outcomes in nurse practitioners, and the use of a function-focused interdisciplinary communication framework in a nursing home setting.","PeriodicalId":94242,"journal":{"name":"The journal of nursing research : JNR","volume":" ","pages":"e147"},"PeriodicalIF":2.7,"publicationDate":"2021-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8126493/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38899317","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"A Systematic Review of Behavioral Outcomes for Leadership Interventions Among Health Professionals.","authors":"Michelle Cleary, Rachel Kornhaber, Deependra Kaji Thapa, Sancia West, Denis Visentin","doi":"10.1097/JNR.0000000000000397","DOIUrl":"https://doi.org/10.1097/JNR.0000000000000397","url":null,"abstract":"<p><strong>Background: </strong>Healthcare requires effective leadership to improve patient outcomes, manage change, and achieve organizational goals.</p><p><strong>Purpose: </strong>The purpose of this study was to evaluate interventions aimed at improving leadership behavior in health professionals.</p><p><strong>Methods: </strong>A systematic literature review of key databases (PubMed, CINAHL, Embase, and Scopus) was performed in September 2018. Data were extracted and synthesized.</p><p><strong>Results: </strong>Thirty-three articles from 31 studies met the inclusion criteria. Self-reported leadership behavior showed a significant postprogram improvement. Objective observations were more likely to show improved leadership behavior than subjective observations. Face-to-face delivery of leadership development was more effective than online delivery. Interventions incorporating the elements of personal development planning, self-directed learning, workplace-based learning, and reflection were more likely to develop leadership behavior.</p><p><strong>Conclusions/implications for practice: </strong>Leadership interventions had a beneficial effect on the leadership behaviors of participants based on both subjective and objective changes in behavior. In addition to focusing on individual skill development, interventions that aim to develop leadership should consider the organizational, social, cultural, and political contexts in which behavioral change is expected. Workplace-based learning should be included in program development.</p>","PeriodicalId":94242,"journal":{"name":"The journal of nursing research : JNR","volume":" ","pages":"e118"},"PeriodicalIF":2.7,"publicationDate":"2020-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1097/JNR.0000000000000397","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40453504","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":"Validity and Reliability of the Korean Version of the Watson Caritas Patient Score.","authors":"Sookbin Im, M. Cho, M. Heo","doi":"10.1097/JNR.0000000000000351","DOIUrl":"https://doi.org/10.1097/JNR.0000000000000351","url":null,"abstract":"BACKGROUND\u0000The increasing use of information technology in healthcare settings has reduced human contact with healthcare providers and is hampering human-centered intrinsic nursing work associated with patient discomfort, emotional distress, and desire. The caring attitude of nurses affects patient compliance with medication instructions as well as the promotion of health behaviors and patient satisfaction.\u0000\u0000\u0000PURPOSE\u0000This study was designed to develop a Korean version of the Watson Caritas Patient Score (WCPS) developed by Watson and then verify its reliability and validity.\u0000\u0000\u0000METHODS\u0000This was a methodological study. Data were collected from 240 patients in wards of the departments of internal medicine and surgery of a general hospital with more than 500 beds in Kunsan City between May 1 and June 8, 2017. Exploratory factor analysis and confirmatory factor analysis were used to verify the construct validity and model fit. The Patient Perception of Hospital Experience with Nursing was used to confirm convergence validity. Data were analyzed using descriptive analysis, Cronbach's alpha, factor analysis, and Pearson's product-moment correlation analysis.\u0000\u0000\u0000RESULTS\u0000The internal consistency of the Korean version of the WCPS assessed using Cronbach's alpha was .94. The content validity index for each of the five items was 1.0. The communality ranged from .75 to .87, and the overall model fit was good. In addition, the average variance extracted was .61, the composite reliability was .89, and the convergent validity was .72 (p < .001).\u0000\u0000\u0000CONCLUSIONS/IMPLICATIONS FOR PRACTICE\u0000The original English version and the Korean version of the WCPS both address a single factor, which confirmed the reliability and good fit of the model and showed both convergent and criterion-related validity. The Korean version of the WCPS is expected to contribute to improving the quality of nursing care in Korea by providing a simple scale that assesses patient perceptions of nursing care easily and accurately.","PeriodicalId":94242,"journal":{"name":"The journal of nursing research : JNR","volume":"19 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78248126","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}