Nursing Reports MDPI

We would like to showcase a paper authored by our Editorial Board Member, Professor Daniel Bressington from Charles Darwin University and Faculty of Nursing, Chiang Mai University! Dementia Prevention Self-Management in Older Thai Adults with Type 2 Diabetes: Development and Psychometric Properties of Two Questionnaires Nurs. Rep. 2024, 14(4), 3786-3802; https://lnkd.in/dVs2bnWy Abstract Background/Objectives: The prevalence of dementia, a complication of uncontrolled type 2 diabetes (T2DM), is rising among older adults. Effective self-management for dementia prevention is essential, but no validated questionnaires currently exist to evaluate these behaviors. Methods: The Dementia Preventive Individual and Family Self-Management Process Questionnaire (DP-IFSM-PQ) and the Dementia Preventive Self-Management Behavior Questionnaire (DPSMBQ) were developed based on the Individual and Family Self-Management Theory to evaluate dementia prevention self-management behaviors in older adults with T2DM. Items for the DP-IFSM-PQ (30 items) and DPSMBQ (29 items) were generated through literature review and tested for face validity. A quantitative cross-sectional study evaluated their psychometric properties using exploratory factor analysis (EFA) (n = 311) and confirmatory factor analysis (CFA) (n = 254). Results: The final DP-IFSM-PQ comprises four factors and 29 items, showing acceptable fit with limited discriminant validity. The DPSMBQ includes seven factors and 27 items, demonstrating good fit and acceptable discriminant validity. Conclusions: The Thai-language DP-IFSM-PQ and DPSMBQ show reasonable psychometric properties for application in Thai older adults, but revisions of certain items and further studies are recommended to reassess their properties. #MDPI #OpenAccess #DementiaPreventiveBehaviors #Diabetes #IFSMT #FactorAnalysis #PsychometricProperties #Nursing

The Family’s Contribution to Patient Safety by Tânia Correia et al. Nurs. Rep. 2023, 13(2), 634-643; https://lnkd.in/gWDxBa-J Article Views/Citations: 3058/3 Abstract Background: Person- and family-centered care is one of the recommendations to achieve quality of care and patient safety. However, many health professionals associate the family with insecurity in care. Objective: To analyze, based on nurses’ statements, the advantages and disadvantages of the family’s presence in hospitals for the safety of hospitalized patients. Methods: This was a qualitative interpretative study based on James Reason’s risk model, conducted through semi-structured interviews with 10 nurses selected by convenience. A content analysis was performed using Bardin’s methodology and MAXQDA Plus 2022 software. Results: We identified 17 categories grouped according to the representation of the family in patient safety: The family as a Potentiator of Security Failures (7) and Family as a Safety Barrier (10). Conclusions: The higher number of categories identified under Family as a Safety Barrier shows that nurses see strong potential in the family’s involvement in patient safety. By identifying the need to intervene with and for families so that their involvement is safe, we observed an increase in the complexity of nursing care, which suggests the need to improve nursing ratios, according to the participants. #MDPI #OpenAccess #FamilyNursing #FamilyCenteredCare #Hospitalization #PatientSafety #SafetyManagement

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://lnkd.in/gF4f6Cjk Article Views/Citations: 3225/2 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, 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. #MDPI #OpenAccess #Adolescents #Depression #Stress #Survey #Nursing #NursingReports

Nursing Interventions to Reduce Health Risks from Climate Change Impact in Urban Areas: A Scoping Review Protocol by Maria João Salvador Costa et al. Nurs. Rep. 2023, 13(1), 496-505; https://lnkd.in/dqRW6R4E Article Views/Citations: 4264/4 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 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. #MDPI #OpenAccess #CommunityHealthNursing #PatientParticipation #HealthPromotion #EnvironmentalHealth #ClimateChange #PreventiveHealth #PrimaryPrevention

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 et al. Nurs. Rep. 2023, 13(1), 412-423; https://lnkd.in/d7wJzaUS Article Views/Citations: 2493/2 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 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. #MDPI #OpenAccess #Postpartum #COVID19 #HealthSystem #SocialSupport #Parenting #DiscourseAnalysis

Challenges Regarding Transition from Case-Based Learning to Problem-Based Learning: A Qualitative Study with Student Nurses by Ramoipei J. Phage et al. Nurs. Rep. 2023, 13(1), 389-403; https://lnkd.in/dMJmWNjv Article Views/Citations: 3217/2 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 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. #MDPI #OpenAccess #CaseBasedLearning #ProblemBasedLearning #StudentNurses #Nursing

We would like to showcase an innovative paper published in Nursing Reports, published by Amy Cole! "Addressing the Need for a Specialized Disconnection Device in Catheter Connection Management: A Case Study of User-Centered Medical Device Innovation" Improvements in catheter connection design intended to increase safety have resulted in connections that are difficult to release manually. No medical device exists to safely disconnect catheter connections. Nurses and other users have developed workarounds including the use of hemostats, tourniquets, and wrenches. These workarounds are not always successful and can break catheters and connections. This study aimed to evaluate a device to safely disconnect catheter connections. This mixed-methods study used a user-centered design approach with triangulation of quantitative and qualitative data mapped to Valdez’s sociotechnical framework. Nurses (N = 139) from units across two academic medical centers engaged in usability testing and surveys. Data about users’ past catheter disconnection experiences and usability of the specialized disconnection device were collected and analyzed. Triangulation of quantitative data and qualitative themes was mapped using Valdez’s socio-technical framework to complement and strengthen the final design for nurses’ user requirements. Ninety-five percent of nurses reported previous difficulty with disconnecting luer connections; 93% of those reporting difficulty improvised with readily available medical devices or products to better grip the connected parts. Nurses who tested the disconnection device reported high acceptability, accessibility, ease of use, and improved task performance. Moreover, as workarounds develop at points of practice where no systematic solution exists, aiming product development activities at these points help close gaps in achieving and maintaining patient safety. You can view the full paper here: https://lnkd.in/erGdu8Yf UNC Division of #HealthcareEngineering #QualityImprovement #PatientSafety #HealthcareQuality #ClinicalExcellence #HealthcareInnovation #PatientCare #Nursing #TraCS #CTSAProgram #TranslationalScience #Collaborativescience Carolina Health Informatics Program, FastTraCS, KickStart Venture Services, Innovate Carolina, UNC School of Information and Library Science University of North Carolina at Chapel Hill #MDPI #OpenAccess

🎓 We are honored to announce that Dr Xujuan (Susan) Zhou has joined the Editorial Board of Nursing Reports MDPI for the Section "Artificial Intelligence and Digital Innovations in Nursing Care" (https://shorturl.at/cpdGr). Dr. Xujuan (Susan) Zhou is a Professor in School of Business, University of Southern Queensland. She is also the Advance Queensland Industry and Research Fellow. She received her PhD from Queensland University of Technology (QUT), Australia. She joined the University of Southern Queensland in 2016 as a lecturer. Prof. Zhou’s research experts are in the fields of AI, machine learning and deep learning, health informatics, information retrieval/filtering, recommender systems, sentiment analysis, natural language processing. Join us in welcoming Prof. Dr. Zhou to the Nursing Reports! We look forward to her invaluable contributions and insights that will enhance the quality and impact of our journal! #MDPI #OpenAccess #Nursing

Difficulties in Caring for the Older Adults: Perspective of Brazilian and Portuguese Caregivers by Elaine Santana et al. Nurs. Rep. 2023, 13(1), 284-296; https://lnkd.in/dZqv2_QZ Article Views/Citations: 2133/3 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 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. #MDPI #OpenAccess #Caregivers #Aged #FunctionalStatus #Caregiver #Burden

The Effect of Antenatal Education on Expectant Fathers’ Attitudes toward Breastfeeding and Attachment to the Fetus by Calliope Dagla et al. Nurs. Rep. 2023, 13(1), 243-254; https://lnkd.in/dJqpFsC5 Article Views/Citations: 3434/4 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: 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. #MDPI #OpenAccess #AntenatalEducation #ExpectantFather #Breastfeeding #Attachment #Fetus