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Nursing & health sciences.
Blackwell Science Asia,
Nursing & health sciences.

Blackwell Science Asia,

1441-0745

Nursing & health sciences./Journal Nursing & health sciences.
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    Q‐methodology: Understanding and applying it to nursing and health research

    Eun Ja Yeun
    5页

    Experiences and perceptions of people living with schizophrenia in Japan: A qualitative study

    Kyoko NagataKazuyo KitaokaMidori Kawamura
    10页
    查看更多>>摘要:Abstract This descriptive study used a qualitative inductive approach to investigate the subjective experiences and perceptions of people with schizophrenia living in the community during times of difficulty and how they coped. We conducted semi‐structured interviews with nine community‐dwelling people with schizophrenia and used the KJ method developed by Kawakita Jiro to structure the data obtained. We identified 10 symbols with his method: bewilderment at the onset; helplessness and longing for death; solitude linked to death; precarious daily life; relationships at risk; fear of being stigmatized; pillars of emotional support; will to overcome; hope to never give up; and living with the illness. The results suggest that community mental health nurses should provide support so their patients can continue to have pillars of emotional support and the will to overcome difficulties, as well as continue to use their coping methods, even when experiencing many difficulties. It is important that nurses understand and share in their patients' difficult experiences and hopes when providing support toward their recovery.

    Psychometric properties of the Kidney Disease Quality of Life‐36 instrument: A systematic review using COSMIN methodology

    ?efika Tu?ba Yang?zSelma Turan KavradimZeynep ?zer?lkay Boz...
    15页
    查看更多>>摘要:Abstract The Kidney Disease Quality of Life‐36 (KDQOL‐36) is a multidimensional measure of the quality of life regarding physical and mental functions, kidney disease burden, symptoms and problems, and the effects of kidney disease on daily life, which is commonly used in clinical evaluations of patients with chronic kidney disease. We conducted a systematic review of the psychometric properties of the KDQOL‐36, searching databases from 1994 to December 2020 and selecting 15 studies for independent assessments of methodological quality, measurement properties, and quality of evidence according to COnsensus‐based Standards for the selection of health Measurement INstruments (COSMIN) criteria. The KDQOL‐36 demonstrated inconsistent, very low quality evidence for structural validity, internal consistency, reliability, and responsiveness, and inconsistent, low quality evidence for content validity and hypothesis testing. There was no evidence for cross‐cultural validity or measurement error due to lack of relevant data. The findings indicate that this instrument is categorized as B according to COSMIN, and thus can be recommended for assessing the quality of life for patients with chronic kidney disease, but should be evaluated with further psychometric studies.

    A concept analysis of role ambiguity experienced by hospital nurses providing bedside nursing care

    Adem CengizLinda H. YoderValerie Danesh
    11页
    查看更多>>摘要:Abstract The concept of role ambiguity, despite its wide application in nursing research, lacks a clear definition and conceptualization, resulting in inconsistencies about how it is defined, operationalized, and applied in research. The purpose of this paper was to analyze and define the concept of role ambiguity among hospital nurses providing nursing care, using the concept analysis method developed by Walker and Avant. The three defining attributes of role ambiguity were lack of information (information deficiency), lack of clarity, and unpredictability. Antecedents included lack of clear role definitions, lack of education/training, communication problems, supervisory behaviors and support, organizational culture, practice environment conditions, experience, group cohesiveness, and preferred work setting. The consequences of role ambiguity included increased stress, lack of organizational commitment, job dissatisfaction, burnout, and increased intent to leave. This concept analysis provides a clear conceptual definition to better understand role ambiguity among hospital nurses along with implications for nurse leaders, educators, clinicians, and researchers to support nurses and guide future research. This paper further emphasizes the importance of nurse‐manager relationships in reducing the experience of role ambiguity among hospital nurses.

    Exploring paramedicine student preferences using Holland's vocational theory: A cross‐sectional study

    Pheona HuizenRod MasonBrett Williams
    7页
    查看更多>>摘要:Abstract Holland's RIASEC typology is a classification of vocational personality types and work environments. Having a predisposition for their vocation, in terms of a personality that is congruent to their work environment, may be protective for paramedics with regards to both their mental and physical health. The purpose of this study was to identify paramedicine students' vocational preference according to Holland's RIASEC model. Bachelor of Paramedicine degree students in the three different year levels completed the 48‐item Brief RIASEC Marker Scales to determine their order of the six RIASEC personality types. In this study, the paramedicine students' three most dominant personality types were Social‐Investigative‐Artistic, differing from the defined Holland Occupational Code for paramedics of Realistic‐Social‐Investigative. Male students scored significantly higher on the Reality personality type, whereas female students scored significantly higher on the Social personality type. Overall, this study found many students to possess two of the three dominant personality traits that form the desired Holland code for paramedics. This suggests that many students may be better able to cope with the demands of the paramedicine profession upon employment.

    What influences rural women's choices in maternity care: A qualitative exploratory study

    Kristie RussellElizabeth ManiasPatricia Nicholson
    9页
    查看更多>>摘要:Abstract Rural women are likely to experience difficulties accessing maternity care that is readily available in metropolitan areas. This limited access can impede women's ability to make informed choices that enhance safety and minimize harm. This study explored the experiences of women who had given birth in a rural environment and the factors that influenced their choices regarding their maternity care. Semistructured interviews were conducted with 10 women for this qualitative, exploratory study. These women had birthed within rural areas of Victoria, Australia, between May 2016 and May 2017. Thematic analysis was undertaken. Three main themes emerged: (i) being influenced by previous childbirth experiences, (ii) feeling safe and supported with their maternity care provider, and (iii) being supported in their birthing choices. The availability of maternity care providers and travel time to facilities limited the choices of rural women. This study provided valuable insights into what was behind the decisions of rural women's choices regarding their maternity care. To assist with making informed decisions regarding their maternity care, all available models of maternity care should be presented to rural women.

    Finnish adolescents' perceptions of their health choices: A qualitative study

    Tanja MoilanenNina RahkonenMari Kangasniemi
    9页
    查看更多>>摘要:Abstract This study described adolescents' perceptions of the aims of their daily health choices and how they make them. We used a qualitative, explorative design, with 67 adolescents aged 15–16?years taking part in semi‐structured focus groups in Finland in 2016. We analyzed the data with qualitative inductive content analysis. Adolescents perceived their health choices as automatic and driven by knowledge and mistakes, and these decisions reflected their values and feelings. Their health choices were based on immediate and long‐term goals and they reported that making good choices improved their self‐confidence and enhanced their individuality. Adolescents also used health choices to promote other people's health. Health choices were linked to parental help and restrictions, and seeking acceptance from friends. Adolescents' health choices were also enabled and limited by society and the environment that they lived in. In conclusion, adolescents' health choices were an integral part of their daily decision‐making, reflected the environment they lived in, and aimed to promote their health and express their individuality.

    Coping with chronic cardiovascular disease in Iran: A qualitative study

    Mozhgan KalantarzadehMousa AlaviHojatollah YousefiJahangir Maghsoudi...
    9页
    查看更多>>摘要:Abstract The effects of chronic cardiovascular disease can challenge the achievement of treatment goals and recovery outcomes. This study explores the ways in which patients cope with the effects of chronic cardiovascular disease, from the perspectives of patients, family caregivers, and health professionals. The qualitative study was conducted from May 2019 to September 2020 in Isfahan, Iran. Thirteen people with chronic cardiovascular disease, 6 family caregivers, and 16 healthcare professionals participated in semi‐structured individual interviews. Transcripts were analysed thematically. Findings suggest that people with chronic cardiovascular disease use a range of coping strategies, both positive and negative, to adjust to their conditions. The positive strategies include managing their health‐related symptoms, drawing on religious or spiritual beliefs, and accessing social and relational supports. Negative strategies can include over‐reliance on family members for support, leading to reduced activity and loss of independence. Understanding the nature of the strategies used by patients provides an important means by which health service providers can support patients to further develop positive coping strategies. This, in turn, will enable patients to achieve higher levels of wellbeing.

    Postgraduate nursing students' experiences of simulation training and reflection in end‐of‐life communication with intensive care patients and their families

    Elisabeth LindbergIsabell Fridh
    10页
    查看更多>>摘要:Abstract Losing a loved one in the intensive care unit relates to a risk of developing stress and complicated grief. Education in intensive care nursing should cover end‐of‐life care, and the use of simulation in nursing education is a powerful instrument to develop confidence in end‐of‐life care. The aim of this study was to explore postgraduate nursing students' experiences with simulation training in end‐of‐life communication with intensive care patients and their families. Twenty‐nine students answered a questionnaire and nine students participated in an interview. Analyses were conducted according to the principles of phenomenography. The result is presented in four categories including the following: the design of the scenario affects learning, uncertainty overshadows learning, intertwining theory and practice contributes to learning, and learning to encounter existential dimensions. The conclusion is that high‐fidelity simulation training contributes toward preparing students to be attuned to what it can be like to be a family member in this situation. The scenarios contributed toward preparing the students to engage in end‐of‐life conversations during clinical placements.

    Development of the Clinical Interpersonal Reactivity Index to evaluate nurses’ empathy

    Yoshimi AokiHarumi Katayama
    9页
    查看更多>>摘要:Abstract We determined the validity and reliability of the Clinical Interpersonal Reactivity Index in a sample of Japanese nurses. Participants were registered nurses at national university hospitals and nursing researchers in Japan. A postal questionnaire was conducted. Construct validity was analyzed by exploratory and confirmatory factor analysis, and convergent validity demonstrated using the Interpersonal Reactivity Index. The Clinical Interpersonal Reactivity Index has an 18‐item, two‐factor structure with Cronbach's alpha values of 0.87 and 0.73. Confirmatory factor analysis showed a goodness‐of‐fit index of 0.917, an adjusted goodness‐of‐fit of 0.894, a root mean square error of approximation of 0.60, and a comparative fit index of 0.911. Correlation analysis between the Clinical Interpersonal Reactivity Index and Interpersonal Reactivity Index indicated the factors were significantly correlated for empathic concern and perspective taking (r?=?0.439–0.401). Test–retest assessment showed reliability coefficients for the first factor as r?=?0.859 and the second factor as r?=?0.709. The Clinical Interpersonal Reactivity Index demonstrated validity and reliability for Japanese nurses. The two factors evaluated perspective taking and unconditional positive regard.