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Nursing Reports
Volume 13
Issue 1
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Nurs. Rep., Volume 13, Issue 1 (March 2023) – 51 articles

Cover Story (view full-size image): The aims of the study are to evaluate and synthesise research that has investigated social determinants of health (SDoH) screening by primary healthcare nurses (PHNs). Systematic searches in electronic databases identified fifteen published studies which met the inclusion criteria. Studies were synthesised using reflexive thematic analysis. This review found little evidence of PHNs using standardised SDoH screening tools. Three main themes were identified: organisation and health system supports are required to enable PHNs; PHNs are often reluctant to perform SDoH screening; and interpersonal relationships are important for SDoH screening. Evidence suggests that PHNs do not routinely use standardised screening tools or other objective methods. Overall, further research examining the best SDoH screening method is required. View this paper
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12 pages, 280 KiB  
Article
The Impact of Sociodemographic Factors on the Rationing of Nursing Care in Urology Wards
by Katarzyna Jarosz and Agnieszka Młynarska
Nurs. Rep. 2023, 13(1), 561-572; https://doi.org/10.3390/nursrep13010051 - 20 Mar 2023
Cited by 6 | Viewed by 2385
Abstract
Background: The problem of care rationing is widespread all over the world and results from many factors affecting nurses. These factors may result from the environment in which the nurses work, e.g., the atmosphere at work, or may not be related to work, [...] Read more.
Background: The problem of care rationing is widespread all over the world and results from many factors affecting nurses. These factors may result from the environment in which the nurses work, e.g., the atmosphere at work, or may not be related to work, e.g., place of residence. The aim of this study was to examine the impact of sociodemographic factors (place of residence, satisfaction with the financial situation, number of forms of postgraduate education, work system, number of patients per nurse, number of diseases) on care rationing, job satisfaction and quality of nursing care. Methods: The study is a cross-sectional study which includes 130 nurses from all over Poland who work in urology wards. The criteria for inclusion were consent to the examination, practicing the profession of a nurse, work in the urology department and work experience of at least 6 months, regardless of the number of hours worked (full-time/part-time). The study was conducted using the standardized PIRNCA (Perceived Implicit Rationing of Nursing Care) questionnaire. Results: The average rationing nursing care was 1.11/3 points which means nursing care was rarely rationed. The average job satisfaction was 5.95/10 points, and the assessment of the quality of patient care was 6.88/10 points, which means a medium level of the job satisfaction and the quality of patient care. The rationing of care was affected by the number of nurse illnesses; job satisfaction was influenced by the place of residence and satisfaction with the financial situation, while the quality of care was not influenced by any of the analyzed factors. Conclusions: The result of care rationing is at a similar level as the results in Poland and abroad. Despite the rare rationing of care, employers should take corrective action, especially in terms of increasing the staff and health prevention of nurses. Full article
12 pages, 273 KiB  
Article
Relationship between Experience of Client Violence and Turnover Intention among Workers in Long-Term Care Facilities for Older Adults: Focusing on Nurses, Social Workers, and Care Workers
by Seunghoon Choi, Hyeri Shin, Minah Lee and Kimyung Han
Nurs. Rep. 2023, 13(1), 549-560; https://doi.org/10.3390/nursrep13010050 - 20 Mar 2023
Viewed by 2048
Abstract
To prevent discontinuity of long-term care service and guarantee the quality of care, it is important to clarify the determinants of turnover intentions of long-term care workers. They are at a higher risk of experiencing violence—including physical, emotional, and sexual—from patients or their [...] Read more.
To prevent discontinuity of long-term care service and guarantee the quality of care, it is important to clarify the determinants of turnover intentions of long-term care workers. They are at a higher risk of experiencing violence—including physical, emotional, and sexual—from patients or their families, possibly leading to high turnover intention. This study aims to verify how having experienced client violence affect turnover intention of long-term care workers and to suggest implications to prevent frequent turnover in long-term care field. Logistic regression analysis was conducted between groups who have experienced client violence and who have not, using 2019 Korean LTC Survey data. Results revealed that, first, there were differences in determinants of turnover intention depending on groups. Second, having experienced client violence had a different effect on turnover intention based on personal characteristics. Third, gender and occupational differences were found. Based on our results, we highlighted the need for discussions on interventions to address client violence exposure among long-term care workers. Full article
10 pages, 704 KiB  
Article
How Do Nursing Students Perceive Moral Distress? An Interpretative Phenomenological Study
by Chiara Gandossi, Elvira Luana De Brasi, Debora Rosa, Sara Maffioli, Sara Zappa, Giulia Villa and Duilio Fiorenzo Manara
Nurs. Rep. 2023, 13(1), 539-548; https://doi.org/10.3390/nursrep13010049 - 20 Mar 2023
Cited by 4 | Viewed by 2918
Abstract
Background: Research shows that the longer nurses care for terminally ill patients, the greater they experience moral distress. The same applies to nursing students. This study aims to analyze episodes of moral distress experienced by nursing students during end-of-life care of onco-hematologic patients [...] Read more.
Background: Research shows that the longer nurses care for terminally ill patients, the greater they experience moral distress. The same applies to nursing students. This study aims to analyze episodes of moral distress experienced by nursing students during end-of-life care of onco-hematologic patients in hospital settings. Methods: This study was conducted in the interpretative paradigm using a hermeneutic phenomenological approach and data were analyzed following the principles of the Interpretative Phenomenological Analysis. Results: Seventeen participants were included in the study. The research team identified eight themes: causes of moral distress; factors that worsen or influence the experience of moral distress; feelings and emotions in morally distressing events; morally distressing events and consultation; strategies to cope with moral distress; recovering from morally distressing events; end-of-life accompaniment; internship clinical training, and nursing curriculum. Conclusions: Moral distress is often related to poor communication or lack of communication between health care professionals and patients or relatives and to the inability to satisfy patients’ last needs and wants. Further studies are necessary to examine the quantitative dimension of moral distress in nursing students. Students frequently experience moral distress in the onco-hematological setting. Full article
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11 pages, 230 KiB  
Article
Knowledge Evaluation of Oral Diseases and Perception of Cooperation with Dental Experts for Oral Care of Nurses in Intensive Care Units in Korea: A Preliminary Study
by Yesel Kim, Hye-Min Ku and Mi-Kyoung Jun
Nurs. Rep. 2023, 13(1), 528-538; https://doi.org/10.3390/nursrep13010048 - 19 Mar 2023
Cited by 6 | Viewed by 2495
Abstract
The aim of this study was to identify the status of education and knowledge concerning oral diseases for oral care as they relate to intensive care unit (ICU) nurses, as well as to investigate the perception of oral care education and practice, as [...] Read more.
The aim of this study was to identify the status of education and knowledge concerning oral diseases for oral care as they relate to intensive care unit (ICU) nurses, as well as to investigate the perception of oral care education and practice, as led by dental experts. This study conducted a self-report survey consisting of 33 questions on education and knowledge about oral diseases, as well as perception of dental expert-led education and practice, targeting 240 nurses in the ICU. Finally, 227 questionnaires were analyzed, and 75.3% of the participants were staff nurses, and 41.4% were in the medical ICU. In the area of education and knowledge of major oral diseases, more than 50% of the respondents treating gingivitis, periodontitis, and dental caries did not complete dental education, and it was found that more than half of the respondents were unable to distinguish diseases of the mouth. It was recognized that more than half of nurses required dental expert-led education and practice. In this study, the education and knowledge of oral diseases of ICU nurses were found to be insufficient, and the need for the cooperation of dental experts was high. Therefore, collaboration to improve oral care practical guidelines for realistically applicable ICU patients will be needed. Full article
10 pages, 225 KiB  
Article
Factors Influencing Depression in Adolescents Focusing on the Degree of Appearance Stress
by Mihye Lim and Myoungjin Kwon
Nurs. Rep. 2023, 13(1), 518-527; https://doi.org/10.3390/nursrep13010047 - 19 Mar 2023
Cited by 1 | Viewed by 2914
Abstract
This descriptive cross-sectional study examined the factors that affect depression in adolescents focusing on how stressed they are regarding their appearance (hereafter, degree of appearance stress). Data from 6493 adolescents from the 2020 Korean Youth Risk Behavior Survey were used. Using SPSS 25.0, [...] Read more.
This descriptive cross-sectional study examined the factors that affect depression in adolescents focusing on how stressed they are regarding their appearance (hereafter, degree of appearance stress). Data from 6493 adolescents from the 2020 Korean Youth Risk Behavior Survey were used. Using SPSS 25.0, a complex sample plan file was created, weighted, and analyzed. The frequency, chi-square test, independent t-test, and linear regression were used for the complex sample analysis. The results showed that among adolescents with low appearance stress, depression was significantly affected by the number of breakfast meals, weight control efforts, smoking, loneliness, subjective physical appearance, and smartphone overdependence. Among those with high appearance stress, depression was significantly affected by academic grades, weight control efforts, drinking habits, loneliness, subjective physical appearance, and smartphone overdependence. Furthermore, these factors differed according to the degree of appearance stress. Thus, while developing interventions for mitigating depression in adolescents, the degree of appearance stress should be considered, and a differentiated strategy should be used accordingly. Full article
12 pages, 364 KiB  
Article
A Literature Review of Simulation-Based Nursing Education in Korea
by Sumee Oh and Jungmin Park
Nurs. Rep. 2023, 13(1), 506-517; https://doi.org/10.3390/nursrep13010046 - 19 Mar 2023
Cited by 3 | Viewed by 5367
Abstract
This study reviewed the papers that studied the effect of simulation nursing education in the nursing field and examined the trend of simulation nursing education for nursing college students in Korea. Background: Simulation-based education started receiving attention as a pedagogical method in order [...] Read more.
This study reviewed the papers that studied the effect of simulation nursing education in the nursing field and examined the trend of simulation nursing education for nursing college students in Korea. Background: Simulation-based education started receiving attention as a pedagogical method in order to provide medical service of high quality in an ethical and safe environment. This has been of great importance during the coronavirus disease 2019 global pandemic. This literature review was conducted to suggest a direction for simulation-based nursing education in Korea. Methods: For literature searches, the authors used the following search terms in the Web of Science, CINAHL, Scopus, PubMed—‘utilization’, ‘simulation,’ ‘nursing student’, ‘nursing education’. A final search was conducted on 6 January 2021. The materials for this study were collected through literature searches according to the PRISMA guidelines. Results: 25 papers were selected as the final literature for analysis. The study was conducted for 48 percent of senior students in nursing college students in Korea (N = 12). High fidelity (HF) as the simulation type was 44 percent (N = 11). The simulation education subjects were composed of 52 percent adult health nursing (N = 13). According to educational goals described by Benzamine Bloom (1956), 90% in the psychomotor domain is considered a positive learning achievement. Conclusions: Effectiveness in the psychomotor domain through simulation-based training is correlated with expert nursing. It is essential to develop a systematic debriefing model and methods to evaluate performance and learning in the short- and long-term to expand the effectiveness of simulation-based education in nursing. Full article
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10 pages, 265 KiB  
Protocol
Nursing Interventions to Reduce Health Risks from Climate Change Impact in Urban Areas: A Scoping Review Protocol
by Maria João Salvador Costa, Pedro Melo, Ulisses Azeiteiro, Sara Carvalho and Robert Ryan
Nurs. Rep. 2023, 13(1), 496-505; https://doi.org/10.3390/nursrep13010045 - 17 Mar 2023
Cited by 1 | Viewed by 3858
Abstract
Considering that the public health sector has been considered as a key stakeholder in climate action, it seems important to understand what interventions are carried out globally by trusted professionals such as nurses engaged in health promotion and environmental health in optimizing the [...] Read more.
Considering that the public health sector has been considered as a key stakeholder in climate action, it seems important to understand what interventions are carried out globally by trusted professionals such as nurses engaged in health promotion and environmental health in optimizing the health of individuals, families, and communities toward the dissemination of lifestyle decarbonization and guidance on healthier climate-related choices. The objective of this review was to understand the extent and type of evidence related to the community-based interventions of nurses that are being led or have been implemented thus far with the aim of reducing the health risks from climate change impact in urban areas. The present protocol follows the JBI methodological framework. Databases to be searched include PubMed, MEDLINE complete, CINAHL, Scopus, Embase, Web of Science, SciELO (Scientific Electronic Library Online), and BASE (Bielefeld Academic Search Engine). Hand searched references were also considered for inclusion. This review will include quantitative, qualitative, and mixed methods studies from 2008 onwards. Systematic reviews, text, opinion papers, and the gray literature in English and Portuguese were also considered. Mapping the nurse led interventions or those that have been implemented thus far in urban areas may lead to further reviews that may help identify the best practices and gaps within the field. The results are presented in tabular format alongside a narrative summary. Full article
16 pages, 246 KiB  
Article
Study on the New Role of Civil and Military Air Rescue Nurses in the Italian Context
by Francesca Loi, Maria Raffaela Lucchetta, Claudio Mameli, Roberta Rosmarino, Giulio Oppes, Ronald Jaimes Fuentes, Ingrid Dallana Avilez Gonzalez and Cesar Ivan Aviles Gonzalez
Nurs. Rep. 2023, 13(1), 480-495; https://doi.org/10.3390/nursrep13010044 - 17 Mar 2023
Cited by 2 | Viewed by 2005
Abstract
Context: An emergency medical nurse is a health professional who operates at a very high level in the field of emergencies. The nurses of the critical area departments of the Territorial Emergency Department currently operate in the Sardinian helicopter rescue service. The [...] Read more.
Context: An emergency medical nurse is a health professional who operates at a very high level in the field of emergencies. The nurses of the critical area departments of the Territorial Emergency Department currently operate in the Sardinian helicopter rescue service. The effectiveness of the treatment that these nurses administer can be attributed to the quality of the previous and recurrent training that this unit must undergo. Objective: This study’s aim was to investigate the role of civil and military helicopter nurses in the context of Italian medical aid. Methods: A qualitative study, with a phenomenological approach, was conducted by interviewing 15 emergency medical nurses, using detailed recordings and transcripts. These findings were then compared to understand how nurses work outside their department of origin, how their training has influenced their ability to establish themselves outside it, and thus their ability to become part of a context considered to be of the highest level. Participants and research context: The personnel interviewed in this study were those who were working in the helibases of Cagliari, Olbia, and Alghero. The limitations of this study are linked to the impossibility of obtaining an internship at a company, because, at the time of the study, an agreement between the university and the Areus company was not active. Ethical considerations: Participation in this research was completely voluntary. In fact, the participants could cease participating at any time. Results: This study revealed issues related to training, preparation, motivation to carry out the role held, nursing autonomy, the willingness to collaborate between the various rescue organizations, the use of the helicopter rescue service, and possible improvements for this service. Conclusions: civil air rescue nurses can deepen their knowledge by examining the work of military air rescue nurses, because, although the operational contexts are different, some techniques used in a hostile environment are also applicable to civilian environments. By doing so, nurses could become independent team leaders for all intents and purposes, managing their own training, preparation, and technical skills. Full article
10 pages, 677 KiB  
Systematic Review
Therapeutic Nursing Education in Promoting Self-Management of Adolescents with Type 1 Diabetes Mellitus: Integrative Literature Review
by Cláudia Pereira, Marta Catarino and Ana Clara Nunes
Nurs. Rep. 2023, 13(1), 470-479; https://doi.org/10.3390/nursrep13010043 - 16 Mar 2023
Viewed by 3481
Abstract
Diabetes Mellitus Type I (DM1) is an autoimmune disease, characterized by the total destruction of the beta (β) cells of the islets of Langerhans in the pancreas. This disease can strike people at any age, but it usually develops in children or young [...] Read more.
Diabetes Mellitus Type I (DM1) is an autoimmune disease, characterized by the total destruction of the beta (β) cells of the islets of Langerhans in the pancreas. This disease can strike people at any age, but it usually develops in children or young adults. Because of the high prevalence of DM1 in the young population, as well as all the difficulties in effective self-management in this population, with very specific characteristics, it is essential to develop therapeutic education interventions, with the aim of acquiring self-management skills. Thus, the main objective of this study is to identify the benefits of therapeutic nursing education interventions in promoting self-management of adolescents with DM1. For this, an Integrative Literature Review was carried out, using the EBSCOhost, PubMed, Scopus and Web of Science platforms. Six articles were eligible. In terms of results, benefits were identified in the health of adolescents, with the use of therapeutic education interventions by nurses, including the control of capillary glycemia, better acceptance of the pathology, improvement in body mass index, increased adherence to the therapeutic regime, a reduction in hospitalizations and complications, contribution to bio-psycho-social well-being and improvement quality of life. Full article
(This article belongs to the Special Issue Patient-Centered Care with Chronic Diseases)
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14 pages, 455 KiB  
Article
An Evaluation of MINDFIT—A Student Therapeutic Running Group as a Multi-Layered Intervention in the United Kingdom
by Jan Gurung, James Turner, Elizabeth Freeman, Charlotte Coleman, Susan Iacovou and Steve Hemingway
Nurs. Rep. 2023, 13(1), 456-469; https://doi.org/10.3390/nursrep13010042 - 13 Mar 2023
Cited by 1 | Viewed by 3254
Abstract
Background: Mental health is an ever-increasing concern for UK Universities and is underreported. Creative and dynamic approaches to tackle student wellbeing are important. In 2018, Sheffield Hallam University (SHU) Student Wellbeing Service initiated a pilot study of a therapeutic running programme ‘MINDFIT’ that [...] Read more.
Background: Mental health is an ever-increasing concern for UK Universities and is underreported. Creative and dynamic approaches to tackle student wellbeing are important. In 2018, Sheffield Hallam University (SHU) Student Wellbeing Service initiated a pilot study of a therapeutic running programme ‘MINDFIT’ that combined physical activity, led by a counsellor, alongside a psychoeducation approach to support student mental health. Methods: Mixed methods were used which included the Patient Health Questionnaire-9 (PHQ-9), evaluating low mood and depression, and Generalized Anxiety Disorder Scale-7 (GAD-7), evaluating levels of anxiety. Results: A total of 28 students were triaged onto a weekly programme over three semesters. Overall, 86% of the participants completed the programme. A promising reduction in the scores for PHQ-9 and GAD-7 was found at the end of the programme. Focus groups, with student participants, were held to gather qualitative data for analysis. After thematic analysis, three main themes emerged: “Creating a safe community”, “Making progress” and “Pathways to success”. Conclusions: MINDFIT was an effective and engaging multi-layered therapeutic approach. Recommendations identified the importance and effectiveness of the triage process in recruiting students and sustainability of the programme through the continued engagement of students post programme. More research is required to identify the long-term effects of the MINDFIT approach and how applicable it is to higher education contexts. Full article
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11 pages, 260 KiB  
Article
Women’s Experiences Regarding Physical Activity during the Postpartum Period: A Feminist Poststructuralist Study
by Neda Akbari-Nassaji, Megan Aston, Jean Hughes, Christine Cassidy and Britney Benoit
Nurs. Rep. 2023, 13(1), 445-455; https://doi.org/10.3390/nursrep13010041 - 10 Mar 2023
Viewed by 2293
Abstract
Although recovery after birth can be promoted through bodily movement, many women do not engage in regular postpartum physical activity. While research studies have identified some of the reasons behind their decisions, including a lack of time, only a limited number of studies [...] Read more.
Although recovery after birth can be promoted through bodily movement, many women do not engage in regular postpartum physical activity. While research studies have identified some of the reasons behind their decisions, including a lack of time, only a limited number of studies have been carried out to explore how postpartum physical activity is socially and institutionally constructed. Thus, the present study aimed to investigate the experiences of women regarding postpartum physical activity in Nova Scotia. Six postpartum mothers participated in semi-structured, virtual, in-depth interviews. Women’s experiences of postpartum physical activity were examined through a discourse analysis guided by feminist poststructuralism. The following themes were identified: (a) socialization in different ways; (b) social support; (c) mental and emotional health; and (d) being a good role model for their children. The findings indicated that all women perceived postpartum exercise as a positive behavior that can promote mental health, although some postpartum mothers experienced social isolation and a lack of support. Furthermore, social discourses about motherhood caused the personal needs of mothers to be disregarded. The results showed that collaboration among health care providers, mothers, investigators, and community groups is necessary to promote and support mothers’ engagement in postpartum physical activity. Full article
9 pages, 1100 KiB  
Article
The Impact of 12 h Night Shifts on Nurses’ Driving Safety
by Stephen Michael James and Lois James
Nurs. Rep. 2023, 13(1), 436-444; https://doi.org/10.3390/nursrep13010040 - 8 Mar 2023
Cited by 1 | Viewed by 5149
Abstract
Aim: The purpose of this study was to determine the impact of 12 h day vs. 12 h night shift-accumulated fatigue on nurses’ driving safety. Background: Evidence across industries links work-related fatigue with errors, accidents, and adverse long-term health outcomes. Shifts [...] Read more.
Aim: The purpose of this study was to determine the impact of 12 h day vs. 12 h night shift-accumulated fatigue on nurses’ driving safety. Background: Evidence across industries links work-related fatigue with errors, accidents, and adverse long-term health outcomes. Shifts of 12 h or longer are particularly problematic, and the potential risks to shift-worker driving safety during their post-shift commute home have yet to be fully explored. Methods: This study used a between-groups, repeated-measures non-randomized control trial. Forty-four nurses working 12 h day shifts and 49 nurses working 12 h night shifts were tested in a driving simulator on two separate occasions—once immediately following their third consecutive 12 h hospital shift and once on their third consecutive day (72 h) off work. Results: We found that night shift nurses had significantly greater lane deviation during the post-shift drive home compared to day shift nurses, which is a key indicator of collision risk, demonstrating impaired driving safety. Conclusions: Consecutive 12 h night shifts are an extremely popular shift for nurses working in the hospital setting, however they pose a significant driving safety risk to nurses assigned to night shifts. This study provides objective evidence of the impact of shift work-related fatigue on 12 h night shift nurse safety, allowing us to make recommendations that may help prevent injury or death from motor vehicle collisions. Full article
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12 pages, 749 KiB  
Article
Factors Affecting Participation in Cervical Screening by Female Nurses in Public Health Institutions in Vhembe District, Limpopo Province
by Lindelani Mathivha, Dorah Ursula Ramathuba and Maria Sonto Maputle
Nurs. Rep. 2023, 13(1), 424-435; https://doi.org/10.3390/nursrep13010039 - 8 Mar 2023
Cited by 4 | Viewed by 2894
Abstract
In South Africa, the prevalence and death rates as a result of cervical cancer remains high, creating social and economic instability. The main objective of this study was to determine factors affecting participation in cervical screening by female nurses in public health institutions [...] Read more.
In South Africa, the prevalence and death rates as a result of cervical cancer remains high, creating social and economic instability. The main objective of this study was to determine factors affecting participation in cervical screening by female nurses in public health institutions in Vhembe district, Limpopo Province. Early diagnosis and treatment are essential in cervical cancer screening as the prevalence of the disease decreases. The study was carried out at public health institutions in Vhembe district, Limpopo Province. A quantitative, descriptive, cross-sectional design was used in this study. Structured self-reported questionnaires were used in the collection of data. Descriptive statistics were used when analysing data to identify statistically significant differences in variables using SPSS version 26, and the findings were presented in percentages to generate evidence for the study. According to the study findings, (218, 83%) female nurses had been screened for cervical cancer, while the minority (46, 17%) had not been screened. The reasons cited were that they thought they were healthy (82, 31%), (79, 30%) felt embarrassed, and (15%) feared positive results. The majority (190) of them had last been screened more than three years before, with only a few (27, 10%) screened within the previous three years. A hundred and forty-two (53.8%) displayed negative attitudes and practices towards screening if it is paid for, and a hundred and eighteen (44.6%) perceived themselves as not vulnerable to acquiring cervical carcinoma. Furthermore,(128, 48.5%) strongly disagreed and 17(6.4%) were undecided about being screened by a male practitioner. The study concluded that negative attitudes, poor perception, and embarrassment are factors leading to low uptake by female nurses. Therefore, this study recommends that the Department of Health should build the capacity of nursing staff on matters of national significance to achieve sustainable goals and be a healthy nation. Nurses should be at the forefront of departmental programmes. Full article
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12 pages, 272 KiB  
Article
Mothers’ Access to Social and Health Care Systems Support during Their Infants’ First Year during the COVID-19 Pandemic: A Qualitative Feminist Poststructural Study
by Britney Benoit, Megan Aston, Sheri Price, Damilola Iduye, S Meaghan Sim, Rachel Ollivier, Phillip Joy and Neda Akbari Nassaji
Nurs. Rep. 2023, 13(1), 412-423; https://doi.org/10.3390/nursrep13010038 - 7 Mar 2023
Cited by 2 | Viewed by 2339
Abstract
Social support and health services are crucial for mothers and families during their infants’ first year. The aim of this study was to explore the effect of self-isolation imposed by the COVID-19 pandemic on mothers’ access to social and health care systems support [...] Read more.
Social support and health services are crucial for mothers and families during their infants’ first year. The aim of this study was to explore the effect of self-isolation imposed by the COVID-19 pandemic on mothers’ access to social and health care systems support during their infants’ first year. We utilized a qualitative design using feminist poststructuralism and discourse analysis. Self-identifying mothers (n = 68) of infants aged 0 to 12 months during the COVID-19 pandemic in Nova Scotia, Canada completed an online qualitative survey. We identified three themes: (1) COVID-19 and the Social Construction of Isolation, (2) Feeling Forgotten and Dumped: Perpetuating the Invisibility of Mothering, and (3) Navigating and Negotiating Conflicting Information. Participants emphasized a need for support and the associated lack of support resulting from mandatory isolation during the COVID-19 pandemic. They did not see remote communication as equivalent to in-person connection. Participants described the need to navigate alone without adequate access to in-person postpartum and infant services. Participants identified conflicting information related to COVID-19 as a challenge. Social interactions and interactions with health care providers are crucial to the health and experiences of mothers and their infants during the first year after birth and must be sustained during times of isolation. Full article
8 pages, 258 KiB  
Article
Greek Translation, Cultural Adaptation and Validation of the Mini Sarcopenia Risk Assessment Questionnaire, to Evaluate Sarcopenia in Greek Elderly at a Hospital Setting
by Anna Pantouvaki, Grigorios Kastanis, Evridiki Patelarou, Kalliopi Alpantaki, Christos Kleisiaris and Michail Zografakis-Sfakianakis
Nurs. Rep. 2023, 13(1), 404-411; https://doi.org/10.3390/nursrep13010037 - 3 Mar 2023
Cited by 1 | Viewed by 1978
Abstract
Sarcopenia is a progressive aging syndrome with severe socioeconomic costs. Therefore, the early diagnosis of sarcopenia is required to secure early treatment and to enhance quality of life. The Mini Sarcopenia Risk Assessment (MSRA) questionnaire, which is available in seven-item (MSRA-7) and five-item [...] Read more.
Sarcopenia is a progressive aging syndrome with severe socioeconomic costs. Therefore, the early diagnosis of sarcopenia is required to secure early treatment and to enhance quality of life. The Mini Sarcopenia Risk Assessment (MSRA) questionnaire, which is available in seven-item (MSRA-7) and five-item (MSRA-5) versions, is a sarcopenia screening tool that was translated into Greek, adapted, and validated in this study. The present study was developed in an outpatient hospital setting, from April 2021 to June 2022. The MSRA-7 and MSRA-5 questionnaires were translated backwards and forwards and adapted to the Greek language. To validate the MSRA questionnaire as a pre-screening tool to identify the risk of sarcopenia in the older Greek population, both the MSRA-7 and MSRA-5 versions were correlated with the Greek version of the SARC-F questionnaire, which is a widely accepted and well-known tool used in sarcopenia screening. Ninety elderly subjects aged 65–89 years-old with no mobility impairments participated in this study. The questionnaires’ content validity was assessed using the Content Validity Ratio, and the Content Validity Index was calculated for the instrument. The intra-rater reliability was assessed by calculating the Intra-class Correlation Coefficient between the initial assessment and the reassessment of the MSRA questionnaire, which was 0.986, with a 95% Confidence Interval of 0.961–0.995. Concurrent validity was assessed between the Greek MSRA questionnaires and the SARC-F questionnaire using the Spearman’s rank correlation coefficient (p). The Greek MSRA-7 questionnaire had a very high correlation with the SARC-F questionnaire (rho = −0.741, p < 0.001), as did the Greek MSRA-5 questionnaire (rho = −0.724, p < 0.001). The proofs of content validity, concurrent validity, and intra-rater reliability provided for the Greek versions of the MSRA, designated them as reliable pre-screening tools for the detection of sarcopenia in the older population and in clinical practice. Full article
(This article belongs to the Special Issue Evidence-Based Practice and Personalized Care)
15 pages, 279 KiB  
Article
Challenges Regarding Transition from Case-Based Learning to Problem-Based Learning: A Qualitative Study with Student Nurses
by Ramoipei J. Phage, Boitumelo J. Molato and Molekodi J. Matsipane
Nurs. Rep. 2023, 13(1), 389-403; https://doi.org/10.3390/nursrep13010036 - 2 Mar 2023
Cited by 1 | Viewed by 3014
Abstract
Background: The transition from case-based learning to problem-based learning can be challenging and may have negative effects on the academic, psychological, emotional, or social well-being of student nurses. As a result, this exposes student nurses to high failure rates, anxiety disorders, a loss [...] Read more.
Background: The transition from case-based learning to problem-based learning can be challenging and may have negative effects on the academic, psychological, emotional, or social well-being of student nurses. As a result, this exposes student nurses to high failure rates, anxiety disorders, a loss of uniqueness, and fear of the unknown. However, student nurses employ different strategies aimed at overcoming challenges faced during this transition period. Methods: An exploratory, and descriptive research approach was used. A purposive non-probability sampling technique was used to select participants. Focus group discussions via Zoom video communication were used to collect data, which were analysed using Braun and Clarke’s six steps of thematic analysis. Results: The following three themes emerged: challenges regarding facilitation, challenges regarding assessment, and strategies to overcome challenges. Conclusions: The study established that student nurses are faced with different challenges during the transition from one teaching strategy to another. Student nurses suggested strategies that could be used to overcome these challenges. However, these strategies are not enough and therefore more needs to be done to support and empower student nurses. Full article
(This article belongs to the Special Issue Current Trends, Innovations and Issues in Nursing Practice and Education)
11 pages, 589 KiB  
Review
Changes in Clinical Training for Nursing Students during the COVID-19 Pandemic: A Scoping Review
by Catarina Lobão, Adriana Coelho, Vitor Parola, Hugo Neves, Joana Pereira Sousa and Rui Gonçalves
Nurs. Rep. 2023, 13(1), 378-388; https://doi.org/10.3390/nursrep13010035 - 1 Mar 2023
Cited by 8 | Viewed by 4117
Abstract
(1) Background: The COVID-19 pandemic has cost social, economic, cultural, and educational life, distressing nursing training and practice. This study aimed to map the literature on changes in clinical training for nursing students during the COVID-19 pandemic. (2) Methods: A scoping review was [...] Read more.
(1) Background: The COVID-19 pandemic has cost social, economic, cultural, and educational life, distressing nursing training and practice. This study aimed to map the literature on changes in clinical training for nursing students during the COVID-19 pandemic. (2) Methods: A scoping review was conducted according to JBI methodology’s latest guidance. A set of relevant electronic databases and grey literature was searched to report results published in English, Spanish, and Portuguese. (3) Results: A total of 12 studies were included in the study, addressing changes in clinical training in undergraduate nursing students due to COVID-19 pandemic activity, published between 2020 and 2022. (4) Conclusions: Nursing schools made an effort to replace traditional clinical training with several activities, primarily based on simulation or virtual activities. However, contact with others is essential, and simulation programs or scenarios cannot provide it. Full article
(This article belongs to the Special Issue Nursing and COVID-19 Ⅰ  )
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13 pages, 292 KiB  
Article
A Cross-Sectional Study on the Associations between Economic, Social, and Political Resources and Subjective Caregiver Burden among Older Spousal Caregivers in Two Nordic Regions
by Sarah Åkerman, Fredrica Nyqvist and Mikael Nygård
Nurs. Rep. 2023, 13(1), 365-377; https://doi.org/10.3390/nursrep13010034 - 27 Feb 2023
Viewed by 2148
Abstract
Inspired by the caregiver stress process model emphasising the role of resources for caregiving outcomes, the aim of this study was to investigate the prevalence of subjective caregiver burden (SCB) and its associations with individual social, economic, and political resources among older spousal [...] Read more.
Inspired by the caregiver stress process model emphasising the role of resources for caregiving outcomes, the aim of this study was to investigate the prevalence of subjective caregiver burden (SCB) and its associations with individual social, economic, and political resources among older spousal caregivers in a Nordic regional setting. Cross-sectional survey data collected in 2016 in the Bothnia region of Finland and Sweden were used, where 674 spousal caregivers were identified and included in the analyses. The descriptive results showed that about half of the respondents experienced SCB. SCB was more common among Finnish-speaking caregivers. Results from the multivariate logistic regression analysis showed that none of the assessed political resources were significantly associated with SCB when controlling for other variables. Experiencing financial strain was associated with SCB, while personal income was not. Frequent contact with family members was statistically significantly associated with SCB. Future research could use longitudinal data to determine causal relationships, and when data allow, test the full caregiver stress process model to investigate the role of mediating factors in different comparative settings. Accumulated evidence on risk factors for negative outcomes of informal caregiving can contribute to effective screening tools for identifying and supporting vulnerable caregivers, which is becoming increasingly important with the ageing population. Full article
14 pages, 271 KiB  
Article
Is the Triage System Welcomed in the Tertiary Hospital of the Limpopo Province? A Qualitative Study on Patient’s Perceptions
by Thabo Arthur Phukubye, Tshepo Albert Ntho, Livhuwani Muthelo, Masenyani Oupa Mbombi, Mamare Adelaide Bopape and Tebogo Maria Mothiba
Nurs. Rep. 2023, 13(1), 351-364; https://doi.org/10.3390/nursrep13010033 - 27 Feb 2023
Cited by 2 | Viewed by 3021
Abstract
A triage system in the emergency department is necessary to prioritize and allocate scarce health resources to the medical needs of the patients to facilitate quality health service delivery. This paper aimed to ascertain if the triage system is welcomed in the tertiary [...] Read more.
A triage system in the emergency department is necessary to prioritize and allocate scarce health resources to the medical needs of the patients to facilitate quality health service delivery. This paper aimed to ascertain if the triage system is welcomed in the tertiary hospital of Limpopo Province by exploring patients’ perceptions in the emergency department in South Africa. A qualitative research approach was used in this study with descriptive, explorative, and contextual research design to reach the research objective. Purposive sampling was used to select the patients who participated in semi-structured one-on-one interviews, which lasted between 30 and 45 min. The sample size was determined by data saturation after 14 participants were interviewed. A narrative qualitative analysis method was used to interpret and categorize the patients’ perceptions into seven domains of Benner’s theory. The six relevant domains illustrated mixed patients‘ perceptions regarding the triage system in the emergency departments. The domain-helping role of the triage system was overweighed by the dissatisfaction of the needy patients who waited for an extended period to receive emergency services. We conclude that the triage system at the selected tertiary hospital is not welcomed due to its disorganization and patient-related factors in the emergency departments. The findings of this paper are a point of reference for reinforcing the triage practice and improved quality service delivery by the emergency department healthcare professionals and the department of health policymakers. Furthermore, the authors propose that the seven domains of Benner’s theory can serve as a foundation for research and improving triage practice within emergency departments. Full article
14 pages, 931 KiB  
Review
Problematic Internet Use and Resilience: A Systematic Review and Meta-Analysis
by Sergio Hidalgo-Fuentes, Manuel Martí-Vilar and Yolanda Ruiz-Ordoñez
Nurs. Rep. 2023, 13(1), 337-350; https://doi.org/10.3390/nursrep13010032 - 24 Feb 2023
Cited by 7 | Viewed by 3017
Abstract
Problematic Internet use has become a major problem worldwide due to its numerous negative correlates in the field of health, both mental and physical, and its increasing prevalence, making it necessary to study both its risk and protective factors. Several studies have found [...] Read more.
Problematic Internet use has become a major problem worldwide due to its numerous negative correlates in the field of health, both mental and physical, and its increasing prevalence, making it necessary to study both its risk and protective factors. Several studies have found a negative relationship between resilience and problematic Internet use, although the results are inconsistent. This meta-analysis assesses the relationship between problematic Internet use and resilience, and analyses its possible moderating variables. A systematic search was conducted in PsycInfo, Web of Science and Scopus. A total of 93,859 subjects from 19 studies were included in the analyses. The results show that there is a statistically-significant negative relationship (r = −0.27 (95% CI [−0.32, −0.22])), without evidence of publication bias. This meta-analysis presents strong evidence of the relationship between the two variables. Limitations and practical implications are discussed. Full article
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10 pages, 264 KiB  
Article
Examining Students’ Online Learning Satisfaction during COVID-19 to Inform Post-Pandemic Program Planning
by Mohammad Alasagheirin, Jeanette M. Olsen, Dalete Mota, Meg Lagunas and Benjamin D. Bogle
Nurs. Rep. 2023, 13(1), 327-336; https://doi.org/10.3390/nursrep13010031 - 23 Feb 2023
Cited by 3 | Viewed by 2875
Abstract
Background: Student satisfaction is one of five pillars of quality online learning and is associated with academic achievement. This study aimed to examine nursing students’ satisfaction with online learning during COVID-19, their desire to continue online classes, and associated factors. Methods: A cross-sectional [...] Read more.
Background: Student satisfaction is one of five pillars of quality online learning and is associated with academic achievement. This study aimed to examine nursing students’ satisfaction with online learning during COVID-19, their desire to continue online classes, and associated factors. Methods: A cross-sectional survey was completed by 125 nursing students from a public university. The students’ satisfaction was measured with the Student’s Satisfaction Towards Online Learning Questionnaire. Demographics, stress, and resilience were also measured. Data were analyzed using descriptive statistics and multiple logistic regression. Results: Fewer than half (41.8%) of students were satisfied with online learning. Just over half (51.2%) did not want to continue with online classes. The strongest predictor of satisfaction was course management and coordination. The strongest predictor for a preference to continue with online classes was the instructor’s characteristics. Conclusions: Considering the trend of providing more online education to nursing students, instructors should be prepared for excellence in online course management and coordination as the instructors have a fundamental role in students’ satisfaction with online learning. Further examination of nursing students’ satisfaction with online learning during the pandemic may yield valuable insights for post-pandemic program planning. Full article
12 pages, 1261 KiB  
Article
Outcome of Ivermectin in Cancer Treatment: An Experience in Loja-Ecuador
by Yuliana Jiménez-Gaona, Oscar Vivanco-Galván, Gonzalo Morales-Larreategui, Andrea Cabrera-Bejarano and Vasudevan Lakshminarayanan
Nurs. Rep. 2023, 13(1), 315-326; https://doi.org/10.3390/nursrep13010030 - 22 Feb 2023
Viewed by 51922
Abstract
(1) Background: Cancer is one of the leading causes of death worldwide, and trends in cancer incidence and mortality are increasing over last years in Loja-Ecuador. Cancer treatment is expensive because of social and economic issues which force the patients to look for [...] Read more.
(1) Background: Cancer is one of the leading causes of death worldwide, and trends in cancer incidence and mortality are increasing over last years in Loja-Ecuador. Cancer treatment is expensive because of social and economic issues which force the patients to look for other alternatives. One such alternative treatment is ivermectin-based antiparasitic, which is commonly used in treating cattle. This paper analyzed ivermectin use as cancer treatment in the rural area of the Loja province and the medical opinion regarding the use of ivermectin in humans. (2) Methods: The study used a mixed methodology using different sampling techniques such as observation, surveys, and interviews. (3) Results: The main findings show that 19% of the participants diagnosed with cancer take medicines based on ivermectin as alternative therapy to the cancer control and treatment without leaving treatment such as chemotherapy, radiotherapy, or immunotherapy, while 81% use it to treat other diseases. (4) Conclusions: Finally, we identify that the interviewed not only use IVM as anticancer treatment, but it is also used as a treatment against other diseases. Although the participants’ opinions indicate that they feel improvements in their health after the third dose, the specialist considers that there is no authorization to prescribe these alternative treatments. In addition, they confirmed that currently, there is no scientific knowledge about the application of these treatments in humans and they do not recommend their application. Thus, the anticancer mechanism of ivermectin remains to be further investigated; therefore, we consider that it is important to continue with this research by proposing a new stage to evaluate and determine the pharmacological action of this type of drug through an in vitro study in different cultures of cancer cells. Full article
(This article belongs to the Special Issue Quality of Life in Cancer Patients)
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8 pages, 266 KiB  
Study Protocol
Nurses’ Motivations, Barriers, and Facilitators to Engage in a Peer Review Process: A Qualitative Study Protocol
by Júlio Belo Fernandes, Josefa Domingos, John Dean, Sónia Fernandes, Rogério Ferreira, Cristina Lavareda Baixinho, Cidália Castro, Aida Simões, Catarina Bernardes, Ana Silva Almeida, Sónia Loureiro, Noélia Ferreira, Isabel Santos and Catarina Godinho
Nurs. Rep. 2023, 13(1), 307-314; https://doi.org/10.3390/nursrep13010029 - 22 Feb 2023
Viewed by 2656
Abstract
Peer review supports the integrity and quality of scientific publishing. However, although it is a fundamental part of the publishing process, peer review can also be challenging for reviewers, editors, and other stakeholders. The present study aims to explore the nurses’ motivations, barriers, [...] Read more.
Peer review supports the integrity and quality of scientific publishing. However, although it is a fundamental part of the publishing process, peer review can also be challenging for reviewers, editors, and other stakeholders. The present study aims to explore the nurses’ motivations, barriers, and facilitators in engaging in a peer review process. This qualitative, descriptive exploratory study will be developed in partnerships with three research centers. Researchers followed the consolidated criteria for reporting qualitative research (COREQ) checklist to ensure the quality of this study protocol. According to the selection criteria, the purposive sampling will be used to recruit nurse researchers that act as peer reviewers for several scientific journals in various fields of knowledge. Interviews will be conducted until data have been sufficiently consistent with meeting the initial objectives. Researchers will develop a guide comprising a set of open-ended questions to collect participants’ characteristics, descriptive review behavior, and perceptions regarding their motivations, barriers, and facilitators. Researchers will analyze data using an inductive process of content analysis with the help of the QDA Miner Lite database. Findings from this study will generate knowledge that may help stakeholders identify facilitating factors and barriers and guide the development of strategies to remove or minimize these barriers. Full article
(This article belongs to the Special Issue Current Trends, Innovations and Issues in Nursing Practice and Education)
10 pages, 843 KiB  
Article
Self-Confidence, Satisfaction, and Knowledge of Nursing Students with Training in Basic Life Support in Pregnant Women: A Cross-Sectional Study
by Rocío Adriana Peinado-Molina, Sergio Martínez-Vázquez, José Félix Paulano-Martínez, Antonio Hernández-Martínez and Juan Miguel Martínez-Galiano
Nurs. Rep. 2023, 13(1), 297-306; https://doi.org/10.3390/nursrep13010028 - 21 Feb 2023
Viewed by 2725
Abstract
Background: A flipped classroom integrating clinical simulation has been shown to be effective for basic life support (BLS) competencies in nursing students. Cardiopulmonary arrests (CPAs) in pregnant women have a low incidence but high morbidity and mortality. Current trends show an increasing incidence; [...] Read more.
Background: A flipped classroom integrating clinical simulation has been shown to be effective for basic life support (BLS) competencies in nursing students. Cardiopulmonary arrests (CPAs) in pregnant women have a low incidence but high morbidity and mortality. Current trends show an increasing incidence; however, most official university nursing training curricula do not include specific training modules for BLS in pregnant women. This study aims to know the satisfaction and self-confidence of nursing students with respect to a training intervention regarding in BLS in pregnant women. Additionally, it aims to assess the adequacy of this intervention for acquiring the necessary knowledge on the subject. Methods: A cross-sectional study was conducted at the University of Jaen in 2022. Data were collected on sociodemographic factors, previous contact with the topic, and topic knowledge in addition to the use of an SCLS questionnaire to measure satisfaction. Participants took the BLS training (a flipped classroom integrating clinical simulation on this topic) before answering the questionnaire. Results: A total of 136 students participated. The mean score on the BLS questionnaire was 9.10 out of 10 (SD = 1.01). The mean score for the SCLS questionnaire for females was 62.36 (SD = 7.70) and 56.23 (SD = 16.94) for the male group. Age showed a statistically significant association with SCLS score: the score decreased with an increase in age (p < 0.001). Conclusions: The flipped classroom, integrating simulation for BLS in pregnant women, improves self-confidence, satisfaction, and knowledge on the topic. Full article
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13 pages, 985 KiB  
Article
Difficulties in Caring for the Older Adults: Perspective of Brazilian and Portuguese Caregivers
by Elaine Santana, Felismina Mendes, Joana Bernardo, Rosa Silva, Pedro Melo, Pollyanna Lima, Alessandra Oliveira and Luciana Reis
Nurs. Rep. 2023, 13(1), 284-296; https://doi.org/10.3390/nursrep13010027 - 16 Feb 2023
Cited by 1 | Viewed by 1974
Abstract
This study aims to understand the difficulties in caring for the older adults with functional dependence from the perspective of Brazilian and Portuguese caregivers. This is a study based on the Theory of Social Representations, based on the Thematic Content Analysis proposed by [...] Read more.
This study aims to understand the difficulties in caring for the older adults with functional dependence from the perspective of Brazilian and Portuguese caregivers. This is a study based on the Theory of Social Representations, based on the Thematic Content Analysis proposed by Bardin, carried out with 21 informal caregivers of older adults in Brazil and 11 informal caregivers of older adults in Portugal. The instrument consisted of a questionnaire with sociodemographic data and data on health conditions along with an open interview with guiding questions on the theme of care. Data were analyzed using the Content Analysis technique proposed by Bardin, with the help of the QRS NVivo® Version 11 software (QSR International, Burlington, MA, USA). Three categories emerged from the speeches: “Caregiver burden”, “Caregiver support network” and “Older adults resistance”. The main difficulties mentioned by caregivers were associated with family articulation in meeting the needs of their older adults, whether due to the excessive demand of tasks, which results in overloading the caregiver, or the behaviors of the older adults themselves, or even the availability of a truly supportive and effective network. Full article
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11 pages, 284 KiB  
Protocol
Intervention Programs for First-Episode Psychosis: A Scoping Review Protocol
by Marta Gouveia, Tiago Costa, Tânia Morgado, Francisco Sampaio, Amorim Rosa and Carlos Sequeira
Nurs. Rep. 2023, 13(1), 273-283; https://doi.org/10.3390/nursrep13010026 - 15 Feb 2023
Viewed by 3442
Abstract
Early intervention programs for first-episode psychosis aim to intervene in the early stages of the disease. They are essential to prevent and delay the progression of the illness to a more advanced stage, but information about their characteristics is not systematized. The scoping [...] Read more.
Early intervention programs for first-episode psychosis aim to intervene in the early stages of the disease. They are essential to prevent and delay the progression of the illness to a more advanced stage, but information about their characteristics is not systematized. The scoping review considered all studies of first-episode psychosis intervention programs, regardless of their context (hospital or community), and explored their characteristics. The scoping review was developed according to the Joanna Briggs Institute methodology and PRISMA-ScR guidelines. The PCC mnemonic (population, concept, and context) addressed research questions, the inclusion and exclusion criteria, and the search strategy. The scoping review sought to identify the literature that meets the predefined inclusion criteria. The research was conducted in the following databases: Web of Science Core Collection, MEDLINE, CINAHL Complete and PsycINFO, Scopus, Cochrane Library, and JBI Evidence Synthesis. The search for unpublished studies included OpenGrey (a European repository) and MedNar. It used sources in English, Portuguese, Spanish, and French. It included quantitative, qualitative, and multi-method/mixed methods studies. It also considered gray or unpublished literature. After removing duplicates, two independent reviewers extracted the relevant information after selecting the articles. If there were disagreements, a third reviewer was used. The researchers have developed a tool based on the JBI model that will allow them to extract the relevant information for the review. The results are presented schematically in narratives and tables. This scoping review maps first-episode psychosis intervention programs by identifying their characteristics, participants, and specific implementation contexts and allows researchers to create multicomponent programs tailored to different contexts. Full article
8 pages, 242 KiB  
Protocol
Paramedic Education to Support the Use of Low-Acuity Care Pathways: A Scoping Review Protocol
by Anthony Carnicelli, Dale G. Edwards and Anne-Marie Williams
Nurs. Rep. 2023, 13(1), 265-272; https://doi.org/10.3390/nursrep13010025 - 13 Feb 2023
Cited by 2 | Viewed by 2788
Abstract
Ambulance services worldwide have transformed over time into health care services that not only attend to life-threatening emergencies, but are also increasingly being utilised for patients with low-acuity or non-urgent illness and injury. As a result, there has been a need to adapt [...] Read more.
Ambulance services worldwide have transformed over time into health care services that not only attend to life-threatening emergencies, but are also increasingly being utilised for patients with low-acuity or non-urgent illness and injury. As a result, there has been a need to adapt and include mechanisms to assist paramedics in the assessment and management of such patients, including alternative pathways of care. However, it has been identified that education and training for paramedics in the care of low-acuity patients is limited. This study aims to identify potential gaps in the literature and inform further research, paramedic education and training, patient care guidelines, and policy. A scoping review will be conducted utilising the Joanna Briggs Institutes methodology. A range of relevant electronic databases will be searched along with the grey literature, using search terms related to paramedic education for low-acuity patient care pathways. The search results will be screened by two authors and presented in the PRISMA-ScR format, with articles presented in tabular format and analysed thematically. The results of this scoping review will inform further research exploring paramedic education, clinical guidelines, policy and experiences in the management of low-acuity patients. Full article
10 pages, 230 KiB  
Article
A Cross-Sectional Study of Professional Nurses’ Knowledge, Attitudes, and Practices Regarding Organ Donation in Critical Care Units of Public and Private Hospitals in the Eastern Cape, South Africa
by Bukelwa Green, Daniel Ter Goon, Tobeka Mtise and Olanrewaju Oladimeji
Nurs. Rep. 2023, 13(1), 255-264; https://doi.org/10.3390/nursrep13010024 - 13 Feb 2023
Cited by 3 | Viewed by 3309
Abstract
Background: Globally, there is an overwhelming increase in the number of patients waiting for donated organs for transplantation, with a gross shortage of available organs. Lack of clear practice guidelines and the knowledge and attitudes of health care providers were hypothesized as possible [...] Read more.
Background: Globally, there is an overwhelming increase in the number of patients waiting for donated organs for transplantation, with a gross shortage of available organs. Lack of clear practice guidelines and the knowledge and attitudes of health care providers were hypothesized as possible reasons. We aimed to determine the attitudes, level of knowledge, and practices of professional nurses working in critical care units in public and private hospitals in Eastern Cape Province regarding organ donation. Method: The study used a quantitative, non-experimental, descriptive design to investigate the current knowledge, attitude, and practice of organ donation in critical care among 108 professional nurses working in public and private critical care units in Eastern cape. Data were collected between 26 February 2017 until 27 June 2017 using anonymous, self-administered, pretested questionnaires. The means of knowledge, and practice scores were estimated among participants, and their associated categorical explanatory variables were ascertained. Results: A total of 108 nurses participated in the study. Of these, 94 (87.0%) were female, 78 (72.2%) were black, 104 (96.3%) were Christians, 79 (73.2%) worked in an ICU, 79 (73.2%) had a diploma qualification, and 67 (62.0%) worked in a tertiary hospital. About 67% of the respondents had good knowledge, 53% had a positive attitude, and 50.4% had poor practice readiness toward organ donation. Working in renal units (p < 0.001) and practicing in tertiary hospitals (p < 0.001) were significantly associated with a high organ donation knowledge score while being a female nurse (p = 0.036), working in renal units (p < 0.001), and practicing in tertiary hospitals (p < 0.001) were significantly associated with a high organ donation practice score. Conclusion: Differences in organ donation knowledge and practices were noted between the different levels of health care services as the tertiary level outperformed the secondary level institutions. Nurses play a major role in critical and end-of-life care and are closer to patients and relatives. Hence, pre- and in-service education and promotional campaigns among nurses at all levels of care would be a strategic step to scale availability of donated organs and would meet the needs of thousands of individuals who need them to survive. Full article
12 pages, 441 KiB  
Article
The Effect of Antenatal Education on Expectant Fathers’ Attitudes toward Breastfeeding and Attachment to the Fetus
by Calliope Dagla, Evangelia Antoniou, Antigoni Sarantaki, Maria Iliadou, Irina Mrvoljak-Theodoropoulou, Ewa Andersson and Maria Dagla
Nurs. Rep. 2023, 13(1), 243-254; https://doi.org/10.3390/nursrep13010023 - 12 Feb 2023
Cited by 1 | Viewed by 3196
Abstract
Background: This study explores the effect of antenatal education on fathers’ attitudes toward: (i) breastfeeding and (ii) attachment to the fetus. A secondary aim is to explore the relationship of fathers’ demographic and the psycho-emotional characteristics that come with breastfeeding and attachment. Methods: [...] Read more.
Background: This study explores the effect of antenatal education on fathers’ attitudes toward: (i) breastfeeding and (ii) attachment to the fetus. A secondary aim is to explore the relationship of fathers’ demographic and the psycho-emotional characteristics that come with breastfeeding and attachment. Methods: This is a longitudinal study involving a group of 216 Greek expectant fathers who participated with their partners in an antenatal educational program performed by midwives in Athens, Greece (September 2020–November 2021). The Iowa Infant Feeding Attitudes Scale (IIFAS) and Paternal Antenatal Attachment Scale (PAAS) were administered at two time points: (a) 24th–28th gestation week and (b) 34th–38th gestation week. The T-test and Univariate Analyses of Variance (ANOVA) were performed. Results: The expectant fathers’ scores show that breastfeeding intention/exclusivity and prenatal attachment to the fetus were higher after their participation in the antenatal education program, but the difference was not statistically insignificant. Expectant fathers with a cohabitation agreement (p = 0.026), who felt very much supported by their partners (p = 0.001) and had no relationship difficulties with their partners (p < 0.001), as well as those who reported being very happy during pregnancy (p < 0.001), showed greater paternal antenatal attachment to the fetus. Conclusions: Although the difference was statistically insignificant, antenatal education appears to have an impact on paternal breastfeeding attitudes and antenatal attachment to the fetus. Additionally, several paternal characteristics were associated with greater antenatal attachment. Future research should be directed toward the investigation of additional factors that impact antenatal–paternal attachment and breastfeeding attitudes so that effective education programs can be designed. Full article
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13 pages, 3136 KiB  
Review
The Burnout of Nurses in Intensive Care Units and the Impact of the SARS-CoV-2 Pandemic: A Scoping Review
by Andreia Lima, Maria Teresa Moreira, Carla Fernandes, Maria Salomé Ferreira, Margarida Ferreira, Joana Teixeira, Mafalda Silva, Vítor Parola and Adriana Coelho
Nurs. Rep. 2023, 13(1), 230-242; https://doi.org/10.3390/nursrep13010022 - 8 Feb 2023
Cited by 8 | Viewed by 4708
Abstract
Background: The world’s population changed with the emergence of the SARS-CoV-2 pandemic. Burnout arises due to overwork, prolonged work periods, a lack of human and material resources, etc. Several studies have reported the incidence of burnout syndrome in nurses that work in intensive [...] Read more.
Background: The world’s population changed with the emergence of the SARS-CoV-2 pandemic. Burnout arises due to overwork, prolonged work periods, a lack of human and material resources, etc. Several studies have reported the incidence of burnout syndrome in nurses that work in intensive care units (ICUs). The aim was to map the scientific evidence related to nurses’ burnout in the ICU, namely the repercussions of SARS-CoV-2 in terms of burnout among nurses. Methods: A scoping review followed the Joanna Briggs Institute methodology guidelines to search for and synthesise studies published between 2019 and 2022. The databases searched were MEDLINE, CINAHL, LILACS, SCOPUS, PsycINFO and OPEN GREY. A total of fourteen articles were eligible to be included. Results: A content analysis of the selected articles was carried out, and three categories emerged that corresponded to the dimensions of burnout according to Maslach and Leiter: emotional exhaustion, depersonalisation dimension and a lack of personal accomplishment. It was evident that nurses who worked in the ICU during the pandemic showed high levels of burnout. Conclusions: It is recommended that hospital administrations hire health professionals, namely nurses, as a strategic and operational management strategy to reduce the risk of increased burnout during pandemic outbreaks. Full article
(This article belongs to the Special Issue Burnout and Nursing Care)
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