Showing papers in "International Journal of Nursing Practice in 2021"
TL;DR: A favourable work environment significantly reduced job burnout and job stress and improved the quality of patient care and with considerable migration abroad, a favourable nurse practice environment may engage a better nurse workforce in the country and subsequently reduce migration.
Abstract: Aims Challenges in the nurse practice environment greatly affect nurse work outcomes. This study investigated the relationship between nurse practice environment and work outcomes in the Philippines. Methods This cross-sectional survey involved 549 hospital nurses in the Philippines in 2018. The nurse practice environment was measured using the Practice Environment Scale of the Nursing Work Index (PES-NWI). Four self-report scales were used to measure work outcomes: job satisfaction, job burnout, job stress and nurse-assessed quality of care. Multiple linear regression analysis was used to analyse the data. Results Significant relationships were found between nurse and organizational characteristics and nurse practice environment. Further, multivariate regression analysis revealed that the nurse practice environment had a significant and positive relationship with perceived quality of care and a significant and negative relationship with job burnout and job stress. Conclusion A favourable work environment significantly reduced job burnout and job stress and improved the quality of patient care. With considerable migration abroad, a favourable nurse practice environment may engage a better nurse workforce in the country and subsequently reduce migration. Managers must focus on developing good nurse practice environments that will improve professional work outcomes and quality patient care.
26 citations
TL;DR: Nurses are suggested to plan for improving the participation of PCa survivors in exercise programmes using exercise facilities in the community in order to reduce the complications of treatment and improve their quality of life.
Abstract: AIM The aim of this study was to investigate the effect of the exercise programme on the quality of life of prostate cancer (PCa) survivors. METHODS A randomized controlled, parallel trial was conducted from April 2017 to January 2018 on 80 PCa survivors. They were randomly assigned to intervention and control groups (n = 40 in each group). The exercise programme was designed based on the self-management approach (SMA). The intervention group participated in a 12-week exercise programme consisting of one session of group exercise and three sessions of individual exercise per week using exercise facilities in the community. Data were collected using the quality of life questionnaires and the follow-up checklist. RESULTS In the intervention group, statistically significant improvements in physical, role, emotional, social and sexual functions were reported. Also, the patients in this group reported reduced fatigue, insomnia, constipation, diarrhoea, urinary, bowel and hormonal treatment-related symptoms in comparison with before the exercise programme (p < 0.05). CONCLUSIONS Nurses are suggested to plan for improving the participation of PCa survivors in exercise programmes using exercise facilities in the community in order to reduce the complications of treatment and improve their quality of life.
18 citations
TL;DR: The Pittsburgh Sleep Quality Index-Indonesian version has high reliability and validity for screening sleep quality among adolescents and indicated that adolescents without depression risk had better sleep quality.
Abstract: Aim The study aims to examine the psychometric properties of the Pittsburgh Sleep Quality Index-Indonesian version. Background The Pittsburgh Sleep Quality Index has never been translated into Bahasa. Design This study employs a cross-sectional and correlational study. Methods Data were collected from 528 adolescents of junior high school age (13-16 years) during August to September 2014. All participants agreed on the Indonesian version of Pittsburgh Sleep Quality Index and Beck Depression Inventory-II. Psychometric properties were examined including internal consistency, construct validity and known group validity, and the receiver operating characteristic curve was used to measure the cut-off point. Results The Cronbach's alpha for the Pittsburgh Sleep Quality Index-Indonesian version was adequate. There were positive correlations between the total score and seven component scores. Construct validity revealed that the total score of the Pittsburgh Sleep Quality Index-Indonesian version was correlated with the total score of the Indonesian version of the Beck Depression Inventory-II. Known group validity indicated that adolescents without depression risk had better sleep quality. According to receiver operating characteristic curve analysis, the cut-off point at a score of 6.5 indicated the best possible relationship of sensitivity and specificity. Conclusion The Pittsburgh Sleep Quality Index-Indonesian version has high reliability and validity for screening sleep quality among adolescents.
17 citations
TL;DR: This study adds a novel contribution to the body of knowledge that buffering effect of job demand among nurses is much dependent on appropriately enhancing internal locus of control, consequently improving job satisfaction.
Abstract: Background Job demand and job satisfaction in nursing profession have been identified as significant indicators of quality of nursing care. Job demand is the most influential job stressor and has been connected to negative consequences on nurses' ability to function. Purpose The purpose of this study was to examine the moderating effect of work locus of control on the relationship between job demand and job satisfaction among nurses working at public hospitals. Methods A quantitative, cross-sectional, correlational design was utilized to randomly recruit 427 registered nurses working at two major public hospitals. Data were collected using a self-administered questionnaire regarding job demand, job satisfaction and work locus of control. Results Work locus of control had a significant moderating effect on the relationship between job demand and satisfaction. External locus of control had a negative effect on the job demand and job satisfaction relationship, whereas internal locus of control positively buffered this correlation. Conclusion This study adds a novel contribution to the body of knowledge that buffering effect of job demand among nurses is much dependent on appropriately enhancing internal locus of control, consequently improving job satisfaction.
16 citations
TL;DR: Positive and negative stereotypes were reported by both emic and etic groups, with eticgroups revealing more stereotypes, and effort should be made by both management in the practice environment and the media to counter the stereotyping of male nurses.
Abstract: Aim The aim of the study was to investigate stereotypes of occupational gender roles about male nurses, as viewed from both emic and etic perspectives. Background Male nurses are a minority group in health institutions. Stereotypes have been questioned regarding these males' occupational role and presence in the nursing profession. Design A qualitative description design was used. Methods During 2016, semi-structured interviews (N = 30) were conducted with male nurses (n = 10) (emic group), female nurses (n = 10) and discharged patients (n = 10) (etic groups) from four public hospitals. Results Seven categories with respective themes and subthemes emerged. Three categories were captured for emic groups, namely, existing stereotypes, experiences of stereotyping and the influences of stereotypes on work performance. Four categories emerged for etic groups, namely, treatment preferences, types of stereotyping towards male nurses, origin of stereotypes and effects of stereotypes. Conclusion Positive and negative stereotypes were reported by both emic and etic groups, with etic groups revealing more stereotypes. Effort should be made by both management in the practice environment and the media to counter the stereotyping of male nurses.
14 citations
TL;DR: Wang et al. as discussed by the authors conducted a systematic review and meta-analysis of randomized controlled studies to assess the effects of daily sedation interruption on the mechanical ventilation duration and relevant outcomes in mechanically ventilated patients in the ICU.
Abstract: Aim This study aimed to assess the effects of daily sedation interruption on the mechanical ventilation duration and relevant outcomes in mechanically ventilated patients in the intensive care unit (ICU). Background Previously, three meta-analyses on the association of daily sedation interruption with the mechanical ventilation duration have reported conflicting findings, and these did not support current guideline recommendations that daily sedation interruption can be routinely used in mechanically ventilated adult ICU patients. Design This was a systematic review and meta-analysis of randomized controlled studies. Data sources Data were from PubMed, Embase, Cochrane Library, CINAHL, ProQuest dissertation and theses, Airiti Library, China National Knowledge Infrastructure, Wanfang Data Chinese, Science Direct and PsycINFO databases. Review methods Two reviewers independently assessed, extracted and appraised the included studies. Then, pooled estimates were calculated using a random-effects model. Results In total, 45 studies involving 5493 participants were included. Compared with controls, daily sedation interruption significantly reduced the mechanical ventilation duration, ICU stay length, sedation duration, and tracheostomy and ventilator-associated pneumonia risks (all p ≤ 0.001). Moreover, the Acute Physiology and Chronic Health Evaluation II score and study quality were significant moderators. Conclusion Daily sedation interruption could substantially reduce the duration of mechanical ventilation, particularly when it was applied to patients with high disease severity. Summary statement What is already known about this topic? Daily sedation interruption has been associated with reductions in excessive sedation and excessive use of sedative agents. The findings on the effects of daily sedation interruption on the mechanical ventilation duration have been inconsistent. What this paper adds? Daily sedation interruption could effectively reduce the mechanical ventilation duration, intensive care unit stay length, sedation duration, and tracheostomy and ventilator-associated pneumonia risks in intensive care unit patients. Applying daily sedation interruption to patients with high disease severity yielded a larger reduction in the mechanical ventilation duration. The implications of this paper: There is a need to adopt daily sedation interruption as routine care to reduce the mechanical ventilation duration, especially in higher disease severity population.
13 citations
TL;DR: The most common risk factors for both suicide and bullying were being female, having good mental health, belonging to a two-parent family, safe school environment, good family relationships and having an involved teacher as discussed by the authors.
Abstract: Aim This study aimed to analyse risk and protective factors for teen suicide and bullying. Background Research shows that high percentages of bully-victims report suicidal thinking or suicide attempts. Design This was an international integrative review. Data sources Five databases including CINAHL, Scopus, PubMed, Google Scholar and Cuiden were searched between January 2010 and December 2020. Review methods Review methods included problem identification; search, evaluation and analysis of literature; and presentation of results. Results Eighteen studies were included. We grouped the selected articles into seven thematic categories. The most significant risk factors were being male, having a previous personal and/or family suicide attempt, mental health problems, substance abuse, previous physical and/or sexual abuse, low socio-economic level, belonging to a single-parent family, underachievement, family dysfunction and violent environment. The most common protective factors for both suicide and bullying were being female, having good mental health, belonging to a two-parent family, safe school environment, good family relationships and having an involved teacher. Conclusion Suicide resulting from bullying is a social and public health problem, so nurse practitioners and paediatric primary care nurses have a responsibility to educate teachers and parents in order to promote early detection and the development of more effective prevention and action plans.
12 citations
TL;DR: Stigma towards medicinal cannabis users mediated the relationship between attitudes towards the medical use of cannabis and the intention to recommend medicinal cannabis for patients with qualifying conditions, whereas subjective norms moderated this relationship.
Abstract: Aim The aim of this study was to explore the effect of health-care providers' attitudes towards the medical use of cannabis, subjective norms and perceived stigma towards medicinal cannabis users on health-care providers' intention to recommend medicinal cannabis for patients with qualifying conditions. Methods A cross-sectional correlational study included 221 health-care providers (mean age, 42.2 ± 11.2; 74.2% women and 76.5% nurses) who completed a questionnaire examining theory-based variables and stigma towards medicinal cannabis users. Results More positive attitudes towards the medical use of cannabis were associated with lower stigma towards medicinal cannabis users, which, in turn, was associated with a higher intention of recommending medicinal cannabis for patients with qualifying conditions. The relationship between attitudes towards the medical use of cannabis and the intention to recommend medicinal cannabis varies according to subjective norms. Conclusions Among nurses and physicians, stigma towards medicinal cannabis users mediated the relationship between attitudes towards the medical use of cannabis and the intention to recommend medicinal cannabis for patients with qualifying conditions, whereas subjective norms moderated this relationship. Effective treatment with medicinal cannabis might be compromised by health-care providers' negative attitudes, stigma and subjective norms.
12 citations
TL;DR: Shared understanding within the globalized academic community does not necessarily translate for clinical or nurse managers, nor does it predetermine solutions.
Abstract: Aim To determine if there are cross-national differences in nurse understandings of the terms: missed care, rationed care and care left undone. Background Nurse researchers from a number of countries have published studies on missed and rationed care. It is not clear if there are differences in understanding the key terms across various language groups. Design A mixed method questionnaire was distributed to 26 member countries of a nursing research consortium in 2017. Methods Forty-five responses to a qualitative questionnaire were received; 80% were nurse researchers. These responses were categorized into language groups and analysed for congruence and differences. Findings There was congruence across all language groups in interpreting the three terms. Giddens' theory of globalization provides an explanation for this congruence. Conclusion Shared understandings are explained by the fact that the majority of participants are nurse researchers with knowledge of English and the research literature. Shared understanding within the globalized academic community does not necessarily translate for clinical or nurse managers, nor does it predetermine solutions.
11 citations
TL;DR: In this article, a cross-sectional study aimed to assess the nurses' knowledge, concerns, perceived impact and preparedness toward the COVID-19 pandemic and found that around half of the surveyed nurses reported that the Ministry of Health's and World Health Organization's websites and official pages were their main sources of information.
Abstract: Aim This study aimed to assess the nurses' knowledge, concerns, perceived impact and preparedness toward the COVID-19 pandemic. Background As COVID-19 is a new disease, its spread and emergence cause fear, anxiety and confusion among the general population. Nurses are in close contact with infected persons, and their knowledge plays an important role in preventing the transmission chain. Methods In this cross-sectional study, 207 nurses were selected using convenience sampling from 29 March to 19 April 2020. The study used a questionnaire assessing the nurses' baseline characteristics, their source of information, knowledge, concerns, the perceived impact and their preparedness for the COVID-19 pandemic. Results Around half of the surveyed nurses (51.2%) reported that the Ministry of Health's and World Health Organization's websites and official pages were their main sources of information. The majority of nurses (81.6%) knew the nature of the virus, 83.6% agreed that their job puts them at risk of infection with COVID-19 and 72% felt personally prepared for the pandemic. Conclusion The majority of nurses had an acceptable level of knowledge regarding COVID-19. However, psychological interventions are needed to be addressed in the planning stage before any pandemic.
11 citations
TL;DR: The study concluded that parental participation in the care of hospitalized children increases parent satisfaction with healthcare, and reduces anxiety of both parents and children.
Abstract: BACKGROUND Child hospitalization is a stressful experience for both children and their parents. Parents should establish effective communication with healthcare professionals to be able to participate in the care of their children in the hospital environment. AIMS AND OBJECTIVES The purpose of the study was to determine the effect of parental participation in the care of hospitalized children on parent satisfaction and parent and child anxiety. DESIGN The design used for this study was randomized controlled trial. METHODS The study data were collected between 1 February and 31 May 2016. Frequency, percentage, paired t test, Mann-Whitney U and Wilcoxon were used to analyse the data. RESULTS The study compared the parents' pretest and posttest scores on the anxiety and found that there was a statistically significant difference between the posttest scores of intervention and control groups. There was also a statistically significant difference parental participation and overall satisfaction subscales of the parent satisfaction as well as their total scores and mean scores. Comparison of the children's posttest scores on the anxiety inventory also found a statistically significant difference. CONCLUSION The study concluded that parental participation in the care of hospitalized children increases parent satisfaction with healthcare, and reduces anxiety of both parents and children.
TL;DR: In this article, the authors investigated the relationship between social support and sleep quality in stroke patients and found that social support had a direct positive effect on sleep quality, while anxiety and depression symptoms played multiple mediating roles.
Abstract: Background Research has demonstrated that higher social support is associated with better psychological health, quality of life, cognition, activities of daily living and social participation, but the relationship between social support and sleep quality remains unknown. Aims This study aimed to assess the incidence of poor sleep quality, clarify the relationship between social support and sleep quality amongst stroke patients and determine whether anxiety and depression symptoms mediate this relationship. Methods We conducted a quantitative, cross-sectional study involving 238 patients with stroke (median age of 61 [range 29-87] years, 68.1% male) recruited from a comprehensive tertiary care hospital between September 2019 and January 2020. A self-administered, structured questionnaire was used for the survey. The mediating effect of anxiety and depression symptoms was assessed using the bootstrap method via Model 4 (parallel mediation) of the SPSS PROCESS macro. Results Results showed that the incidence of poor sleep quality amongst stroke patients was 65%. Mediation analysis showed that social support exerted significant direct effects on sleep quality, and anxiety and depression symptoms mediated the relationship between social support and sleep quality. Conclusion Measures should be taken to enhance social support to improve the sleep quality of stroke patients. Summary statement What is already known about this topic? Patients with stroke have a high rate of sleep disorders, anxiety and depression symptoms. Anxiety and depression symptoms have a negative effect on sleep quality. Social support may be an effective intervention to reduce anxiety and depression symptoms and improve sleep quality amongst stroke patients. What this paper adds? The incidence of poor sleep was high amongst stroke patients. Social support had a direct positive effect on sleep quality. Anxiety and depression symptoms played multiple mediating roles in the relationship between social support and sleep quality. The implications of this paper: Our study adds to the existing literature by clarifying how social support impacts the sleep quality of stroke patients. We suggested improving the sleep quality of stroke patients through enhancing social support and reducing anxiety and depression symptoms, especially in patients with low levels of social support.
TL;DR: Wang et al. as mentioned in this paper examined the relationship among resilience, job satisfaction, social support and turnover intention of nurses, and constructed a structural equation model to examine the mediating role of job satisfaction and social support.
Abstract: Background Many national studies have shown that nurses have a high turnover rate. The key to maintaining the stability of nursing staff is to explore the factors that affect their turnover intention; however, no research has been performed to explore the influencing factors and mechanisms of nurses' turnover intention based on the Theory of Planned Behaviour. Aim Based on the Theory of Planned Behaviour, examining the relationships among resilience, job satisfaction, social support and turnover intention of nurses, a structural equation model was constructed to examine the mediating role of job satisfaction and social support between resilience and turnover intention. Methods In this descriptive cross-sectional study, a total of 350 questionnaires were distributed to participants from three tertiary hospitals in Changchun, Jilin Province, between December 2018 and March 2019. Results The final model fits well. Job satisfaction and social support directly influences turnover intention. Resilience indirectly influences turnover intention through job satisfaction and social support. Conclusion Turnover intention is a complex variable, which is directly and indirectly affected by many factors. In this study, a new structural equation model was proposed, which laid a foundation for future longitudinal studies. Summary statement What is already known about this topic? Globally, the high rate of nurse turnover is one of the major reasons for the shortage of nurses. The turnover intention of nurses is influenced by many factors. Few studies have examined the influencing factors of turnover intention based on theory or constructed a structural equation model to clarify the mechanism. What does this paper contribute? The Theory of Planned Behaviour presents the key determinants of behaviour and can guide our understanding of the behavioural mechanism of the turnover intention of nurses. Three influencing factors of turnover intention based on the Theory of Planned Behaviour (resilience, job satisfaction and social support), directly or indirectly affected turnover intention. The implications of this paper: Future interventions should consider the indirect role of resilience. A positive effect of increased social support and job satisfaction on turnover intention occurs through improved resilience. Longitudinal studies with larger samples are needed in the future to verify the effectiveness of the mediating effect.
TL;DR: In this paper, a cross-sectional study was conducted to determine the electronic health literacy level of high school students and its relationship with their health-promoting behaviours, and the study sample consisted of 409 students, who were aged between 14 and 19 years old.
Abstract: AIM This study aimed to determine the electronic health (e-health) literacy level of high school students and its relationship with their health-promoting behaviours. METHODS This was a cross-sectional study conducted between April and May 2018. The study sample consisted of 409 students, who were aged between 14 and 19 years old, in three high schools located in the city centre of Denizli. Multiple regression analyses were performed to examine the predictive variables for six dimensions of health-promoting behaviours. RESULTS In this study, the mean (SD) e-health literacy score of 27.89 (6.19) was slightly above moderate level. e-Health literacy was found to significantly predict all six dimensions of health-promoting behaviours positively, that is, e-health literacy was determined to predict the dimensions of nutritional behaviours (β = 0.64, P < 0.001), life appreciation (β = 0.55, P < 0.001), social support (β = 0.72, P < 0.001), exercise (β = 0.36, P < 0.001), stress management (β = -0.22, P < 0.001) and health responsibility (β = 0.68, P < 0.001). CONCLUSION With e-health literacy significantly predictive of health-promoting behaviours, nurses are recommended to consider the e-health literacy levels of adolescents in the health-promoting programs they design.
TL;DR: Scores obtained by the nurses loving their profession from the nursing professional values scale and the attitude scale for nurses in caregiving roles were higher and nurses' care Giving roles were explained with professional values.
Abstract: AIM This study was conducted to determine the effect of professional values of nurses on their attitudes towards caregiving roles. METHODS This is a cross-sectional, correlational and descriptive study. The data were collected from 319 nurses working at different units in a public hospital between January and May 2019. The data collection tool included a 10-question participant information form, the nursing professional values scale and the attitude scale for nurses in caregiving roles. The variables were analysed using the multiple linear regression. RESULTS The nurses had professional values and attitudes towards caregiving roles at high levels. Significant differences were found in the overall scales and their subscales especially due to nurses loving their profession (P < 0.05). Attitudes of the nurses towards caregiving roles were predicted by human dignity (β = 0.52, P < 0.01), action (β = 0.34, P < 0.01) and autonomy (β = -0.29, P < 0.01). Human dignity, action and autonomy accounted for 30% of the variance in their attitudes towards caregiving roles (∆R2 = 0.30). CONCLUSION Scores obtained by the nurses loving their profession from the nursing professional values scale and the attitude scale for nurses in caregiving roles were higher. In addition, nurses' caregiving roles were explained with professional values.
TL;DR: In this paper, the effect of laughter yoga on mental symptoms and cortisol levels in nursing students was evaluated using a randomized controlled study employing a pre/post-test design with a control group.
Abstract: BACKGROUND University students are faced with several stress factors affecting their mental health. Therefore, the first year at university is a period that calls for careful attention and research. AIM The aim of this study is to evaluate the effect of laughter yoga on mental symptoms and cortisol levels in nursing students. METHODS This study is a randomized controlled study employing a pre-/post-test design with a control group. A total of 75 healthy university students were assigned to the intervention group and control group. The Brief Symptom Inventory was applied to both groups before Session 1 and after Session 8. Saliva samples were taken from the students to measure their cortisol levels before and after each session. RESULTS Evaluation of the mean scores obtained from the Brief Symptom Inventory before and after the intervention showed a significant decrease in the scores between groups (P < 0.05). In three out of the eight sessions, there was a significant decrease in the intervention group compared with the control group regarding the mean values of pre-test and post-test salivary cortisol levels (P < 0.05). CONCLUSION Laughter yoga can provide an effective means to help first-year nursing students cope with stress and reduce mental symptoms.
TL;DR: Early psychological interventions targeting this vulnerable group of HCWs may be beneficial and management should develop different tailor-made strategic plans to address different mental health needs for each profile group.
Abstract: AIM: Despite the much heralded epidemic of adjustment difficulties, health-care workers (HCW), who are likely to be at risk and impacted with mental health issues, have received scant attention. This study aimed to determine whether definable profiles exist in a cohort of HCWs associated with demographic and mental health problems. METHODS: An online cross-sectional survey was conducted in Oman. Demographic and mental health data were collected from 8 to 17 April 2020. A total of 1132 participants returned their completed questionnaire. A two-step cluster analysis was used to split the sample into three clusters. RESULTS: Cluster A (n = 416) was from HCW in non-frontline roles, and constituted "low-risk and least-impacted". Cluster B (n = 412) and Cluster C (n = 304) were from frontline HCW and constituted 'high-risk and moderate-impacted' and 'high-risk and high-impacted' groups, respectively. HCWs in Cluster C reported more depression (P < 0.001), anxiety (P < 0.001), stress (P < 0.001) and clinical insomnia (P < 0.001) compared with those in the other clusters. HCWs in Cluster C were at the highest risk for mental health problems during the pandemic. CONCLUSIONS: Early psychological interventions targeting this vulnerable group may be beneficial. Management should develop different tailor-made strategic plans to address different mental health needs for each profile group.
TL;DR: In this paper, the authors examined the influence of parenting stress, self-efficacy and COVID-19 health risks on general stress among nurses in the Midwest, United States, during the pandemic.
Abstract: Aim The purpose of the study was to examine the influence of parenting stress, self-efficacy and COVID-19 health risks on general stress among nurses in the Midwest, United States, during the pandemic. Background As frontline workers amidst the coronavirus disease 2019 (COVID-19) pandemic, nurses have been subject to stressors at home and at work. Method This quantitative, cross-sectional study included 896 nurses with at least one child below 18 years of age. Using purposive sampling, participants answered an online survey composed of demographic questions, perception of COVID-19 health risks, measures of self-efficacy, general stress and parenting stress. Bivariate correlation and multiple regression were conducted. Data were collected from July 13 to August 13, 2020. Results The four predictors, along with eight demographic covariates, accounted for 40% of the variance in general stress. Parenting stress and COVID-19 health risks were positively related to general stress, while self-efficacy was negatively associated with general stress. Conclusions Results highlight the negative influence of parenting stress on nurses' general stress and the importance of self-efficacy in reducing stress. Findings suggest that support services for nurses should focus not only on work-related stressors but also consider parenting stressors, work-home imbalances and self-efficacy.
TL;DR: In this paper, the mediator role of patient safety behaviour between safety culture and safety performance among nurses was tested. But the authors did not consider the effect of patient's behaviour on safety performance.
Abstract: Aim The aim of this work is to test the mediator role of patient safety behaviour between safety culture and safety performance among nurses. Methods This cross-sectional study was carried out between September and December 2017 in the nursing units of 10 primary hospitals, two secondary hospitals and two tertiary hospitals in Anhui Province, China. Results The study participants comprised 79 RNs from primary hospitals, 147 RNs from secondary hospitals and 242 RNs from tertiary hospitals. Most were female (97.6%) and married (73.1%), and their ages ranged from less than 25 years to retirement age. The sample included nurses working in several departments, including medicine (27.1%), surgery (14.3%), emergency (11.5%) and ICU (9%). Structural equation model analysis results showed that espoused values directly affected safety performance, and practised values affected safety performance through safety behaviour. Conclusion Our hypothetical model noted that safety behaviour is a positive mediating factor of practised safety values affecting safety performance, suggesting that Chinese nursing managers should construct a patient safety culture that is guided and driven by appropriate values, which will ultimately be externalized as nurses' daily behaviour. Summary statement What is already known about this topic? Nurse-based patient safety culture evaluation is the primary step towards building a patient safety culture. The investigation of patient safety culture in nursing has revealed that although considerable work has been accomplished towards building a patient safety culture by hospital administrators and nursing administrators, the expected results of patient safety management remain unrealized. Research on the correlation between patient safety culture and safety performance is currently lacking in China. What this paper adds? Nurses had positive self-reported culture, behaviour and outcomes. Safety behaviour of nurses is a positive mediating factor of practised values and safety performance. The implications of this paper: The core of patient safety culture change is a fundamental shift in values. Chinese nursing managers should construct a patient safety culture that is guided and driven by appropriate values. Safety behaviour of nurses is a positive mediating factor of practised values. In management practice, we should first focus on refining espoused values and then promoting change among nurses by encouraging the adoption of specific management strategies. These strategies will then be internalized by nurses and become practised values, which will ultimately be externalized as nurses' daily habits.
TL;DR: In this paper, the authors evaluated the efficacy of narrative therapy in relieving stigma in oral cancer patients who underwent major surgical treatment and found that narrative therapy treatment effectively relieved oral cancer patient's sense of shame, reducing overall stigma and significantly improving self-esteem and social relationships.
Abstract: Aims and objectives This study aimed to evaluate the efficacy of narrative therapy in relieving stigma in oral cancer patients who underwent major surgical treatment. Background Health-related stigma compromises mental health and life quality in people with physical or mental abnormalities. Narrative therapy has been implemented to overcome stigma among populations in a diversity of disease states. However, the effectiveness of narrative therapy in relieving stigma among patients with oral cancer is not known. Design This study was a randomized controlled trial, in which 100 oral cancer patients were selected and randomly assigned to the 'narrative therapy' group, who received narrative therapy treatment in addition to standard care, and the 'control' group, who was provided standard care only. Methods This research combined measurement of several questionnaires to evaluate stigma. Analysis of variance and paired t tests were employed for data analysis. Results Findings in this study demonstrated that narrative therapy treatment effectively relieved oral cancer patients' sense of shame, reducing overall stigma and significantly improving self-esteem and social relationships. Conclusions Narrative therapy was demonstrated to be a promising therapeutic intervention for stigma relief in oral cancer patients. Summary statement What is already known about this topic? Stigma is common among oral cancer patients, especially those who undergo major surgical resection. Psychological intervention is highly recommended in addition to postsurgical care. Narrative therapy might help relieve stigma among oral cancer patients. What this paper adds? Conventional postsurgical care did not improve oral cancer patients' psychological situation. A 7-week intervention of narrative therapy treatment significantly reduced stigma and enhanced sense of self-worth and social support among oral cancer patients. The implications of this paper: Narrative therapy can be clinically accepted as a therapeutic approach to assist oral cancer patients with stigma after major surgery. Tailored approaches, including patient-customized methods, should be encouraged in conducting narrative therapy.
TL;DR: Turkish version of the Self-Care of Coronary Heart Disease Inventory is a valid and reliable tool for determination of coronary heart disease patients' self-care in Turkey.
Abstract: Aim This study aimed to adapt a culturally suitable and functional Turkish version of the Self-Care of Coronary Heart Disease Inventory to evaluate its reliability and validity to measure Turkish coronary heart disease patients' levels of self-care. Methods The study was performed at the cardiology clinics of three hospitals in Istanbul, Turkey. Content validity index, exploratory and confirmatory factor analysis were used in the validity analyses. In the reliability analyses, pearson's correlation coefficient, cronbach's α scores and test-retest reliability were used. The validity and reliability analyses were conducted with 222 coronary heart disease patients, whereas the test-retest analysis was carried out with 50 patients. Results The three subscale and 22-item Turkish Inventory's factorial structure was similar to the English version. The results of the confirmatory factor analysis showed a good model fit. Cronbach's α ranged from .63 to .95, and no statistically significant differences were found in the test-retest reliability analysis (P > .05). Conclusion Turkish version of the Self-Care of Coronary Heart Disease Inventory is a valid and reliable tool for determination of coronary heart disease patients' self-care in Turkey.
TL;DR: Wang et al. as mentioned in this paper investigated the health literacy and predictors of physical and mental quality of life (QOL) for survivors of breast cancer, and the average health literacy score was 3.28.
Abstract: Purpose During the survival period of breast cancer patients, an understanding of and ability to implement health knowledge may be important for survivors' physical and mental quality of life (QOL). This study aims to investigate the health literacy and predictors of QOL for survivors of breast cancer. Method A cross-sectional design was used, and convenience sampling was performed. Eighty-six survivors with breast cancer were recruited from a general hospital in northern Taiwan from February to August 2017. Taiwan's health literacy scale and SF-12 questionnaire were used for data collection. Results The average health literacy score was 3.28. Education level and breast cancer stage were significant factors for the health literacy of survivors with breast cancer. Age, body mass index and health literacy were predictors of physical health-related QOL. Health literacy also was a predictor of mental health-related QOL. Conclusion The results provide the factors associated health literacy as well as health-related QOL. Nurses should understand the health literacy among survivors with breast cancer and improve health literacy to optimize their quality of life.
TL;DR: The motivational support programme provided for adolescents who were overweight and obese affected the adolescents' health positively and can be recommended as a routine nursing intervention.
Abstract: Aim The aim of this study is to investigate the effect on health, well-being and weight loss of a motivational support programme provided for adolescents who were overweight and obese. Methods This was a randomized controlled trial. Sixty-four adolescents (39 girls and 25 boys) who were overweight and obese and consulted at our polyclinic from January 2015 to February 2016 comprised the study population. The sociodemographic characteristics, well-being levels and physical parameters of the adolescents were evaluated. Routine follow-ups were practiced for both groups. The adolescents in the experimental group had motivational interviews and were sent reminder messages over a 6-month period, and education programmes were conducted with the parents. Results After 6 months, the body mass index values had decreased in the experimental group compared with baseline, with no decrease in the controls. Scores for the Paediatric Quality of Life total scale and physical health and psychosocial health subscale points were increased in experimental and control groups, but the quality of life scale points of the experimental group were higher than the control group. In the experimental group, aspartate aminotransferase, alanine aminotransferase, insulin, homeostasis model assessment of insulin resistance (HOMA-IR) and total cholesterol were decreased. Conclusion The motivational support programme affected the adolescents' health positively and can be recommended as a routine nursing intervention.
TL;DR: In this article, a systematic review and meta-analysis carried out by searching six international electronic databases including PubMed, Ovid, Cochrane Library, Web of Science, ProQuest, Scopus and Google Scholar, as well as two national electronic databases, including IranMedex and SID, was used.
Abstract: AIM This study aimed to investigate the effects of competency-based education on the clinical performance of health care providers. BACKGROUND Having in mind the importance of developing an intervention to enhance the clinical performance of health care providers, the researchers carried out the present study to investigate the effect of competency-based education on the clinical performance of health care providers. METHODS This was a systematic review and meta-analysis carried out by searching six international electronic databases including PubMed, Ovid, Cochrane Library, Web of Science, ProQuest, Scopus and Google Scholar, as well as two national electronic databases including IranMedex and SID. The studies relevant to the research aims were included in the study. To assess the quality of the studies, the Cochrane Collaboration's Risk of Bias Tool was used. RESULTS Based on the random effects model, competency-based education could enhance the clinical performance of the health care providers in the intervention group compared with that of the control group (standardized mean difference [SMD] = -2.717, 95% CI: -3.722 to -1.712). However, more recent studies have shown that competency-based education has little effect on clinical performance (β = -.255, 95% CI: -0.319 to -0.192, P < .001). CONCLUSION Competency-based education can enhance the clinical performance of health care providers. However, there is increasing concern over the attenuation of the positive effect of competency-based education on the clinical performance of health care providers, which deserves further studies.
TL;DR: In this article, the effect of health literacy education given to nursing students on health literacy level was evaluated in a randomized controlled trial with a total of 206 nursing students, 103 in the intervention group and 103 in a control group.
Abstract: Aim The aim of this study was to determine the effect of health literacy education given to nursing students on health literacy level. Background Health literacy has become an important issue in the field of health. Health literacy is an issue of interest to health professionals as well as individuals. Methods The study was conducted as a randomized controlled trial. A total of 206 nursing students, 103 in the intervention and 103 in the control group, were included in the study. The intervention group received four weekly training sessions of health literacy education. The research was registered at ClinicalTrials.gov with the registration number NCT04868487. Results On the baseline assessment, there were no statistically significant differences between the intervention and control group in terms of health literacy level (p > 0.05). In the 1st- week and 12th-week measurements, the health literacy level of the intervention group was significantly higher than control group (p Conclusion Health literacy education was effective in increasing the health literacy level of the students. Therefore, the concept of health literacy should be added to the nursing education curriculum.
TL;DR: In this article, the authors developed and psychometrically tested a competence-based human resource management scale to improve managerial competence of first-line nurse managers in public hospitals in Indonesia.
Abstract: Aim This study aimed to develop and psychometrically test a competence-based human resource management scale to improve managerial competence of first-line nurse managers in public hospitals. Background To ensure the high competence of the first-line nurse managers, the competence-based human resource management should be evaluated using the best-fit instrument. However, no instrument has been identified in the hospital setting. Methods This methodological study consists of three main steps: (1) generating scale items based on literature review and expert interviews, (2) pilot testing of face and content validity and (3) evaluating psychometric properties with 300 first-line nurse managers from 16 public hospitals in Indonesia selected using a multistage sampling. Data were collected from May to December 2017. Principal component analysis and Cronbach's α were used for construct validity and internal consistency reliability. Results The final scale consists of 30 items in five dimensions, which explained 65.48% of the total variance. The dimensions include 'training and evaluation, career planning and development, rewards scheme, recruitment and selection, and appraisal system'. Cronbach's α for the scale was .89, with a range of .85 to .88. Conclusion The competence-based human resource management scale is reliable and valid to use in public hospital settings. Summary statement What is already known about this topic? The concept of competence-based human resource management has been applied worldwide in every organization, and it is applicable to use for developing managerial competence of first-line nurse managers. Therefore, the effectiveness of this management system should be assessed via a valid and reliable instrument. Several instruments to measure competence-based human resource management have been developed, but no instrument has been identified to measure competence-based human resource management specifically in hospital settings. What this paper adds? This study developed a scale designed to measure competence-based human resource management to support improvement of first-line nurse managers' managerial competence in public hospitals. The scale demonstrated sound psychometric properties with acceptable internal consistency reliability, content validity and construct validity. The scale consists of 30 items in five dimensions: training and evaluation, career planning and development, rewards scheme, recruitment and selection, and appraisal system. The implications of this paper: This study expands the basic knowledge of competence-based human resource management as a concept with five dimensions that can be used in nursing organizations, and it can be used in quality assurance systems in public hospitals settings in Indonesia. The scale can be used as a feedback for first-line nurse managers to see the impact of competence-based human resource management framework on their competence and helps to identify which dimension of human resource management needs further improvement. With further research, the scale may be of use in other countries and settings.
TL;DR: Wang et al. as discussed by the authors conducted a meta-analysis on randomized control trials published during 1 January 2000 through 31 December 2019, from PubMed, Cochrane Library databases, EMBASE, Medline (ProQuest), CINAHL, PsycINFO, Chinese Electronic Periodical Service and Wan Fan Data with prespecified searching criteria.
Abstract: Aim The aim of this study is to explore the effects of exercise interventions by type, duration and intensity of exercise for fatigue in breast cancer survivors who had completed their treatment. Background Most studies found that exercise has valuable outcomes for cancer survivors. This meta-analysis comprehensively summarizes the benefits of exercise intervention for fatigue in breast cancer patients who had completed their adjuvant treatments. Methods We conducted a meta-analysis on randomized control trials published during 1 January 2000 through 31 December 2019, from PubMed, Cochrane Library databases, EMBASE, Medline (ProQuest), CINAHL, PsycINFO, Chinese Electronic Periodical Service and Wan Fan Data with prespecified searching criteria. Breast cancer patients earlier than stage IIIc and completing adjuvant treatments were included, and the effects of exercise on fatigue were investigated. Results Nine randomized controlled trials (RCTs) were included (N = 581). Patients receiving exercise interventions showed reduced fatigue comparing with those without exercise. Exercise with low-moderate intensity, 20 min/day, three times per week and lasting up to 12 weeks had a significant effect on reducing fatigue for breast cancer survivors. Conclusion Our study suggested that exercise interventions can reduce fatigue for this group of cancer survivors. The duration and intensity of exercise intervention could be prescribed for this specific group of cancer patients as a basic requirement to handle their reported fatigue.
TL;DR: In this paper, the authors describe and summarize research concerning organizational justice among registered nurses and conclude that high organizational justice has been found to improve registered nurses' work-related outcomes, health and well-being.
Abstract: Aims This study aimed to describe and summarize research concerning organizational justice among registered nurses. Background Over the recent decades, a number of studies have explored organizational justice. Perceived high organizational justice among employees has been found to correlate with multiple beneficial outcomes, such as job satisfaction, commitment and improved physical and mental health. By contrast, low organizational justice is related to poor productivity, atmosphere at work, health and well-being. Design This study is a scoping review. Data Seven databases were used to search for peer-reviewed publications published between January 2015 and August 2019. Review method This scoping review utilized Arksey and O'Malley's methodological framework. Results High organizational justice has been found to improve registered nurses' work-related outcomes, health and well-being. Low organizational justice has been linked to undesired work-related outcomes and health problems. Conclusion Nurse managers play a key role in promoting organizational justice. Further research is needed to study the relationship between organizational justice and the quality of patient care and safety. There is need for longitudinal studies to understand the effects and nature of organizational justice in the nursing workforce.
TL;DR: Promoting family participation in the acute care setting requires supporting multiple levels of engagement, and developing a relationship, clear communication and open sharing of information amongst patients, family members and nurses is critical to supporting family involvement.
Abstract: Background Patient- and family-centred care practices are a recommended part of contemporary care for the acutely ill hospitalized adult patients. However, how patient- and family-centred care is enacted in an adult hospital setting is not well understood. Aims and objectives The aim of this study is to explore the perceptions of patients, family members and nurses regarding family participation and collaboration in patient care within an acute care setting, including the barriers and facilitators. Design This study used a mixed-methods sequential design. Methods Observer-as-participant observations and semistructured interviews were undertaken. Integration of the data was achieved through triangulation. Results Triangulation revealed two metathemes. The first metatheme, 'continuum of family involvement', explained the central viewpoint of how family participation and collaboration in the care of acutely ill hospitalized adult patients was enacted. The second metatheme, 'nurses value family involvement', helped to explain and understand the barriers and facilitators to enacting family participation in the acute care setting. Conclusion Promoting family participation in the acute care setting requires supporting multiple levels of engagement. Developing a relationship, clear communication and open sharing of information amongst patients, family members and nurses is critical to supporting family involvement.
TL;DR: Wang et al. as discussed by the authors investigated self-care activities and identified their related factors in Chinese patients with type 2 diabetes mellitus, and found that foot care and blood sugar testing were the self care activities that were performed the least.
Abstract: Aims This study investigated self-care activities and identified their related factors in Chinese patients with type 2 diabetes mellitus. Methods A cross-sectional study was conducted in Guangzhou, China, between September 2016 and February 2017, involving 202 Chinese patients with type 2 diabetes mellitus. Measures included the Summary of Diabetes Self-Care Activities Questionnaire and Revised Illness Perception Questionnaire. Results Self-care activities in Chinese patients with type 2 diabetes mellitus were suboptimal overall. Foot care and blood sugar testing were the self-care activities that were performed the least. One fifth of patients smoked. Some subscales of illness perceptions, receiving health education on diabetes, employment status, education level, body mass index, age and time since type 2 diabetes mellitus diagnosis, were related to self-care activities in patients with type 2 diabetes mellitus. Conclusion Health-care providers and nurses should encourage greater engagement in self-care activities in patients with type 2 diabetes mellitus, especially foot care and blood sugar testing. Illness perceptions may be used as a framework to guide interventions.