查看更多>>摘要：Objective:To investigate the health service demands and to analyze influencing factors among elderly people based on a community survey in Guilin,China.Methods:A random sampling was used to investigate 366 elderly people in a community using a Health-Care-Needs questionnaire,which was designed by The Western Nursing Alliance research team in China.This survey was used to understand the basic situation,financial condition,health condition,self-care abilities,pension plan,and care services demands of the elderly residing at home.Additionally,this article analyzed the influencing factors contributing to the obtained results.Results:The top 3 nursing needs were security needs(1.61±0.45 points),health education needs(1.54±0.57 points),and respect and self-development needs(1.13±0.64 points).Logistic multifactor regression analysis showed that gender,monthly income,lack of exercise,activities of daily living(ADL)scores,methods of medical payment,and pension plan were independent factors affecting elderly nursing needs.Conclusions:The home-based health services supply for elders did not meet their needs.Therefore,a comprehensive approach considering multifactors such as gender,income,exercise,self-care ability,medical expense payments,and supporting preferences should be considered to address the complex needs of health care.
查看更多>>摘要：Objective:To explain the use of concept mapping in a study about family members'experiences in taking care of people with cancer.Methods:This study used a phenomenological study design.In this study,we describe the analytical process of using concept mapping in our phenomenological studies about family members'experiences in taking care of people with cancer.Results:We developed several concept maps that aided us in analyzing our collected data from the interviews.Conclusions:The use of concept mapping is suggested to researchers who intend to analyze their data in any qualitative studies,including those using a phenomenological design,because it is a time-efficient way of dealing with large amounts of qualitative data during the analytical process.
查看更多>>摘要：Objective:To explore the association of sensory processing sensitivity(SPS)and stigma as well as the mediating role of fear of progression(FoP)in lung cancer patients.Methods:Two hundred and forty-two lung cancer patients completed a self-reported questionnaire,which included the highly sensitive person scale(HSPS),fear of progression questionnaire-short form(FoP-Q-SF),and the Cataldo Lung Cancer Stigma Scale(CLCSS).Results:CLCSS was positively correlated with FoP(Pearson correlation=0.217,P＜0.01)and HSPS(Pearson correlation=0.187,P＜0.01),FoP was positively correlated with HSPS(Pearson correlation=0.199,P＜0.01).FoP played a mediating role between SPS and stigma(a × b=0.025,95％confidence intervals[Cl][0.004,0.054]),and the proportion of mediating effect(ab/c)was 21％(ab=0.025,c=0.120).Conclusions:Patients with higher SPS reported higher level of stigma,and FoP has a mediating role between SPS and stigma.Our discussion deemed that psychological intervention may help higher SPS patients reduce the harm of FoP and further reduce stigma.
查看更多>>摘要：Objective:The occurrence of some public health events inevitably endangers medical personnel,and medical personnel,as a special group,have to resume work on time to treat patients.This coronavirus disease-2019(COVID-19)infection is a good example,and what intensive care unit(ICU)nurses experience as the primary caregivers of critically ill patients after COVID-19 infection is our focus.To explore the work experience of ICU nurses after recovery from COVID-19,and to provide a theoretical basis for the intervention to improve the physical and mental health level and work experience of special workers in public health emergencies.Methods:We conducted an explorative descriptive study using an inductive thematic analysis.Using the maximum differential sampling method,a semi-structured interview was conducted among 13 ICU nurses suffered from COVID-19 in a tertiary grade A hospital in Qingdao,Shandong Province.This study carried on the theme analysis according to the inductive content analysis method and used MAXQDA 2020 Analytics Pro(VERBI Software GmbH,Berlin,Germany)to manage and summarize the interview data.Results:After being infected by the virus,SARS-Coronavirus-2(SARS-CoV-2),the pathogen of COVID-19,the work experience of ICU nurses was extracted from the following 5 themes:(1)Stress and challenge caused by the change of work focus;(2)downsizing,overtime,taking up work with illness,and physical discomfort;(3)dedication and family debt;(4)unknown fear and helplessness;and(5)professional responsibility and sense of benefit.Conclusions:Under the pressure of COVID-19,ICU nurses face multiple pressures and challenges,and their emotions are complex.We suggest that nursing managers should take corresponding measures to alleviate nurses'physical and psychological pressure and improve their work experience.
查看更多>>摘要：Objective:To construct a risk prediction model for fall in patients with maintenance hemodialysis(MHD)and to verify the prediction effect of the model.Methods:From June 2020 to December 2020,307 patients who underwent MHD in a tertiary hospital in Chengdu were divided into a fall group(32 cases)and a non-fall group(275 cases).Logistic regression analysis model was used to establish the influencing factors of the subjects.Hosmer-Lemeshow and receiver operating characteristic(ROC)curve were used to test the goodness of fit and predictive effect of the model,and 104 patients were again included in the application research of the model.Results:The risk factors for fall were history of falls in the past year(OR=3.951),dialysis-related hypotension(OR=6.949),time up and go(TUG)test(OR=4.630),serum albumin(OR=0.661),frailty(OR=7.770),and fasting blood glucose(OR=1.141).Hosmer-Lemeshow test was P=0.475;the area under the ROC curve was 0.907;the Youden index was 0.642;the sensitivity was 0.843;and the specificity was 0.799.Conclusions:The risk prediction model constructed in this study has a good effect and can provide references for clinical screening of fall risks in patients with MHD.
查看更多>>摘要：Objective:To involve stakeholders in Jiangsu Province,China,to identify barriers for nonspecialist-delivered perinatal depression(PND)management to guide management in maternity and child health care institutions.Methods:In this qualitative study,semi-structured face-to-face individual interviews were used,guided by the Consolidated Framework for Implementation Research(CFIR).Thematic analysis was done to categorize data using the CFIR framework's domains.Results:There were a total of 20 interviewees.Barriers coded under the CFIR framework included:needs and resources of those served by the organization,cosmopolitanism,available resources,structural characteristics,access to knowledge and information,and knowledge and beliefs.Conclusions:Implementing nonspecialist-delivered PND management poses varying obstacles in different situations.Overcoming these barriers can be accomplished by simplifying interventions based on local conditions,changing women's and families'attitudes and help-seeking behaviors toward PND,establishing linkages with psychiatry,strengthening policymakers'capacity and improving mental health care systems,developing detailed intervention manuals,enhancing clinicians'mental health literacy,and improving the operation of psychologically appropriate approaches to build self-efficacy.
查看更多>>摘要：Objective:To investigate the relationship between social intelligence(SI),empathy,and self-esteem among nursing students.Methods:A quantitative cross-sectional design was utilized to conduct this study.Data were collected from 465 students from 4 different nursing colleges between April and November 2021.The Tromso Social Intelligence Scale(TSIS),Jefferson Empathy Scale,and Rosenberg Self-Esteem Scale were used to collect data.A complete enumerative technique was used to select the students at the time of data collection.Results:Most of the student nurses scored lower in SI.However,they had an acceptable level of empathy and a high level of self-esteem.A correlation was found between self-esteem and gender,as well as empathy and year of study.Conclusions:Our findings suggest that nursing students would benefit from improved SI skills.More work is needed to determine how best to incorporate these concepts into nursing curricula and create training programs for nursing students.
查看更多>>摘要：Objective:The literature provides evidence about the positive impact of shared governance implementation in nursing departments and units,as well as on several aspects of nursing practice,including nurse empowerment,engagement,well-being,job satisfaction,retention,and positive outcomes in direct patient care.Accordingly,many nursing departments of United Arab Emirates(UAE)hospitals have implemented shared governance in their units.However,the success of implementation varies among these hospitals.Therefore,the study aimed to explore the progress of shared governance implementation in hospitals,identify the enablers and inhibitors of implementing the model,and produce a recommendation to help the nursing departments of hospitals to overcome challenges and accelerate the implementation process.Methods:The study used an inductive,qualitative case-study research method and semi-structured in-depth interviews with a purposive sample of 15 nurses working in various units in a tertiary hospital in UAE.The authors used a thematic data analysis approach to find the results.Results:The results identified immediate manager understanding and support as a significant enabler and lack of senior management support,nurses'attitudes and behaviors,and time as the main barriers.The study highlights that nurses are positive and enthusiastic about improving the current situation of shared governance by providing several suggestions and strategies.Conclusions:The study highlights that senior nursing managers should re-evaluate shared governance implementation and modify the strategies accordingly.
查看更多>>摘要：Objective:To explore the effect of peer education on improving the knowledge,attitude,practice level(KAP)to prevent human papilloma virus(HPV)infection among college students.Methods:The knowledge,attitude/belief,and practice level of 536 grade I college students from a university in Shanghai were surveyed and analyzed using a self-designed questionnaire—the HPV Infection and Prevention KAP Questionnaire.Results:Many college students heard about HPV vaccine(49.70％before peer education and 100％after peer education);however,few of them were vaccinated(2.82％before peer education and 5.23％after peer education).Knowledge,attitude/belied,and practice of HPV infection prevention were positively related(P＜0.05).Peer education was effective in improving college students'KAP level of HPV infection prevention(P＜0.05).Conclusions:Peer education could be used as a strategy in colleges to improve student's KAP level of HPV infection prevention.College students may also be encouraged to spread their influence to society.
Susanti NimanMustikasariNovy Helena Catharina DaulimaDewi Gayatri...
435-445页
查看更多>>摘要：Objective:The aim is to develop and verify the feasibility of an adolescent coping model in seasonal flood-prone areas.This coping model supports mental health nurses'practical application to adolescents in flood-prone areas.Methods:We developed the adolescent coping model based on the processes established in three integrated theories:self-care management for vulnerable populations,coping approaches,and coping with disaster.We conducted semi-structured interviews with 15 participants to explore their perspectives and experiences with flood disasters.We used purposeful sampling for maximum diversity.Data were collected through face-to-face,in-depth interviews.Data were transcribed verbatim,followed by qualitative content analysis.The coping model of adolescents in flood-prone areas was analyzed qualitatively and inductively from the viewpoint of acceptability.Results:The following five categories were identified:(1)coping process post-disaster;(2)coping approach;(3)community power;(4)vulnerability;and(5)self-potential.These domains formed a model for coping model adolescents in seasonal flood-prone areas.Accordingly,our findings showed that the model could be practical for mental health community nursing.Conclusions:Mental health nurses can use the coping model for disaster mental health nursing in adolescents in flood-prone areas.The application of this model will help adolescents increase self-efficacy.
万方数据
维普