Journal Description
Nursing Reports
Nursing Reports
is an international, peer-reviewed, open access journal on nursing sciences published quarterly online by MDPI (from Volume 10 Issue 1 - 2020).
- Open Access— free for readers, with article processing charges (APC) paid by authors or their institutions.
- High Visibility: indexed within Scopus, ESCI (Web of Science), PMC, PubMed, and other databases.
- Rapid Publication: manuscripts are peer-reviewed and a first decision is provided to authors approximately 39.6 days after submission; acceptance to publication is undertaken in 3.4 days (median values for papers published in this journal in the first half of 2024).
- Journal Rank: JCR - Q1 (Nursing) / CiteScore - Q2 (General Nursing)
- Recognition of Reviewers: APC discount vouchers, optional signed peer review, and reviewer names published annually in the journal.
Impact Factor:
2.4 (2023);
5-Year Impact Factor:
2.3 (2023)
Latest Articles
Impact of Work–Family Balance on Nurses’ Perceived Quality of Life During the COVID-19 Pandemic: A Scoping Review
Nurs. Rep. 2024, 14(4), 4022-4038; https://doi.org/10.3390/nursrep14040294 (registering DOI) - 14 Dec 2024
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Background/Objectives: The COVID-19 pandemic has put nurses under extreme pressure, especially affecting them by significantly increasing their workload and compromising their well-being. The lack of balance between work and personal life has caused greater stress and burnout in these professionals, deteriorating their quality
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Background/Objectives: The COVID-19 pandemic has put nurses under extreme pressure, especially affecting them by significantly increasing their workload and compromising their well-being. The lack of balance between work and personal life has caused greater stress and burnout in these professionals, deteriorating their quality of life and the care they provide. This study aims to synthesize the scientific evidence on the relationship between work–family balance and the perceived quality of life of nurses during the COVID-19 pandemic. Methods: A scoping review was carried out based on the Joanna Briggs Institute methodology, following the PRISMA-ScR guidelines in the PubMed, CINAHL, SCOPUS, WOS, Cochrane Library, and PsycINFO databases. The quality of the articles was assessed using the Mixed Methods Appraisal Tool (MMAT). Results: Five studies involving 1641 nurses from Spain, India, Jordan, South Korea, and Turkey focused on three key areas: (1) work–life balance, (2) quality of life, and (3) factors associated with quality of life during the COVID-19 pandemic. Conclusions: The pandemic exacerbated pre-existing challenges related to work–life balance and quality of life, particularly for nurses with rigid and extended work hours, increasing stress and negatively impacting their well-being. The study emphasizes the need for flexible labor policies, psychological support, and strong social networks to prevent burnout and improve nurses’ quality of life.
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Open AccessReview
Psychosocial Factors Affecting Wellbeing and Sources of Support of Young Adult Cancer Survivors: A Scoping Review
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Erica R. Timko Olson, Anthony Olson, Megan Driscoll and Donna Z. Bliss
Nurs. Rep. 2024, 14(4), 4006-4021; https://doi.org/10.3390/nursrep14040293 (registering DOI) - 14 Dec 2024
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Background/Objectives: To identify and analyze what is known about the psychosocial factors affecting the wellbeing and sources of support of young adult (YA) cancer survivors. Methods: The search strategy included Neoplasms, young adults, psycho* or emotional well* or mental health. The OVID Medline
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Background/Objectives: To identify and analyze what is known about the psychosocial factors affecting the wellbeing and sources of support of young adult (YA) cancer survivors. Methods: The search strategy included Neoplasms, young adults, psycho* or emotional well* or mental health. The OVID Medline and CINAHL databases were searched. Included were cancer survivors (YA) ages 18–39 at the time of the study. The studies included qualitative and quantitative designs, written in English, and published between January 2016 and October 2024. The results were recorded according to PRISMA-ScR guidelines. Results: Thirteen studies with 4992 participants found psychosocial factors to be the most important influence on life satisfaction with social support the most decisive factor. This expands the results of previous reviews by including a variety of study designs and data collection tools to provide a comprehensive understanding of the YA experience. Psychosocial concerns affecting wellbeing led to social isolation, low connectedness with family and friends, and significant distress. Consistent with previous reviews, the greatest challenges to wellbeing were psychosocial needs, which included seeking and delivering information that is easy to understand but detailed, which can decrease frustration and anger, and needs to be readily available and accessible. Unlike older adult cancer survivors, YA survivors are more likely to have reduced psychosocial functioning compared to their peers and suffer from higher distress than their adult peers and non-YA cancer survivors with anxiety as the most reported symptom. Conclusions: Interventions need to be developed that lessen the impact of a cancer diagnosis and cancer treatments. The specific needs of YAs must be further researched and evaluated to determine specific interventions and the support needed during this crucial stage of cancer survivorship. Future research must also increase the focus on the racial and ethnic diversity of participants as well as prioritizing underserved populations and the impact of the COVID-19 pandemic.
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Open AccessArticle
Nursing Students’ Experiences About Clinical Practice Tutoring: A Cross-Sectional Observational Study
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Álvaro Borrallo-Riego, Eleonora Magni, José Miguel Pérez-Jiménez and María Dolores Guerra-Martín
Nurs. Rep. 2024, 14(4), 3993-4005; https://doi.org/10.3390/nursrep14040292 - 13 Dec 2024
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Objective: Nursing students’ experiences about clinical practice tutoring in a public university from southern Spain and at its two attached educational centres were analysed. Methods: A cross-sectional observational study was carried out. The population was comprised of nursing students attending their fourth
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Objective: Nursing students’ experiences about clinical practice tutoring in a public university from southern Spain and at its two attached educational centres were analysed. Methods: A cross-sectional observational study was carried out. The population was comprised of nursing students attending their fourth year of university during the 2023/2024 academic period, with a final sample of 179 subjects. Sociodemographic data were collected and a validated questionnaire on opinions about the figure of clinical practice tutors was applied, with 34 closed questions offering five answer options. The questions were categorized into 17 dimensions. A question on the students’ satisfaction with tutoring of the practices was included, in addition to an open question to gather the students’ comments and/or suggestions in relation to clinical practice tutoring. The analysis was performed through a data matrix in SPSS. The Kruskal–Wallis test was used to compare the centres according to the questionnaire dimensions, considering p-values < 0.05 to establish statistically significant differences. The open question was analysed using Atlas.ti. Results: Most of the students were women, with an approximate mean age of 23 years old. Significant differences were detected among the centres in almost all dimensions from the questionnaire. High satisfaction levels were obtained in the three centres. A total of 83 verbatims were collected in the open question and grouped into eight categories. Conclusion: Nursing students place significant importance on the role of the clinical tutor. Clinical tutors who demonstrate enthusiasm for teaching, foster a positive environment based on active listening, respect, and the encouragement of autonomy, are essential to enhancing the students’ experience during clinical placements.
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Open AccessStudy Protocol
The Impact of Cardiac Telerehabilitation on Health-Related Quality of Life in Patients Undergoing Percutaneous Coronary Intervention (PCI): A Systematic Review Protocol
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Francesco Limonti, Andrea Gigliotti, Francesco Gravante and Nicola Ramacciati
Nurs. Rep. 2024, 14(4), 3984-3992; https://doi.org/10.3390/nursrep14040291 - 13 Dec 2024
Abstract
Background: Cardiac rehabilitation (CR) is an intervention to improve health and quality of life in patients undergoing percutaneous coronary intervention (PCI). The use of digital technology for healthcare promotion, such as telemedicine, has received growing attention in recent years due to the possibility
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Background: Cardiac rehabilitation (CR) is an intervention to improve health and quality of life in patients undergoing percutaneous coronary intervention (PCI). The use of digital technology for healthcare promotion, such as telemedicine, has received growing attention in recent years due to the possibility of offering remote and individualized cardiac rehabilitation to patients undergoing coronary interventions. However, the impact of cardiac telerehabilitation on health-related quality of life (HRQoL) is not fully understood. This systematic review aims to analyze through meta-analyses and synthesized comments the current knowledge on the effectiveness of cardiac telerehabilitation in improving HRQoL in patients undergoing PCI. Objectives: This manuscript presents a protocol for a systematic review to assess the effects of cardiac telerehabilitation on HRQoL in cardiac patients after PCI. Furthermore, the systematic review will explore the different modalities of remote rehabilitation documented in scientific literature. Methods: The literature review protocol was developed according to the PRISMA guidelines for systematic reviews. Search terms were structured according to the PIO (Population-Intervention-Outcome) framework. All relevant available studies will be identified using the main databases (PubMed, Scopus, CINAHL, Web of Science, and the Cochrane Library) and included in the review. Methodological quality and risk of bias will be evaluated using the Crowe Critical Appraisal Tool (CCAT). This review protocol has been registered on PROSPERO (No. CRD42024582933). Conclusions: This systematic review will comprehensively investigate the effects of cardiac telerehabilitation on QoL improvements in patients after PCI.
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Satisfaction and Workload as Predictors of Psychological Distress in Professionals of Psychosocial Care Centers During the COVID-19 Pandemic
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Debora Maria Salimon Pinto, Luciano Garcia Lourenção, Letícia Palota Eid, Maria Amélia Zanom Ponce, Júlio César André, Emilia Batista Mourão Tiol, Bianca Cristina Ciccone Giacon-Arruda, Guilherme de Oliveira Arruda, Maria da Graça Girade Souza, Natália Sperli Geraldes Marin dos Santos Sasaki, Emerson Roberto Santos, William Donegá Martinez, Ana Carolina Santos Costa, Ana Maria Rita Pedroso Vilela Torres de Carvalho Engel, Amilton José da Silva Júnior, Alexandre Lins Werneck, Marise Ramos de Souza, Marlene Andrade Martins, Gabriele Cássia Santos Silva, João Daniel de Souza Menezes, Matheus Querino da Silva and Daniele Alcalá Pompeoadd
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Nurs. Rep. 2024, 14(4), 3968-3983; https://doi.org/10.3390/nursrep14040290 - 12 Dec 2024
Abstract
Background and aims: The COVID-19 pandemic significantly impacted the mental health of healthcare professionals, especially those working in Psychosocial Care Centers (CAPS), which are crucial services in the Brazilian mental health system. This study aimed to investigate the association between job satisfaction, workload,
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Background and aims: The COVID-19 pandemic significantly impacted the mental health of healthcare professionals, especially those working in Psychosocial Care Centers (CAPS), which are crucial services in the Brazilian mental health system. This study aimed to investigate the association between job satisfaction, workload, and psychological distress among CAPS professionals during the pandemic. Methods: A cross-sectional study was conducted with 53 professionals from seven CAPS. The Workload Impact Scale (IMPACTO-BR) and Job Satisfaction Scale (SATIS-BR), the General Health Questionnaire (GHQ-12), and a sociodemographic questionnaire were used. Descriptive and analytical statistical analyses were performed. Multiple linear regression analysis was conducted to examine the relationship between job satisfaction, workload, and psychological distress. Results: Professionals reported moderate satisfaction (3.67 ± 0.45) and mild workload (1.82 ± 0.63). One-third of the sample showed scores indicative of psychological distress. Multiple linear regression analysis revealed that workload (p = 0.0025) and low job satisfaction (p = 0.0495) were significantly associated with psychological distress. Conclusions: Low job satisfaction and high professional workload were predictive variables of psychological distress. These findings highlight the need for investments in promoting the quality of life at work for mental health professionals, especially during crises. The implications for human resource management and public policy development emphasize the importance of an integrated approach that considers the well-being of professionals for the effectiveness and sustainability of the psychosocial care model.
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Open AccessArticle
Knowledge and Practices Regarding Deep Venous Thrombosis (DVT) Prevention Among Nurses in Jeddah, Saudi Arabia
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Ruba M. Alharazi, Raiannah H. Alqahtani, Rahaf A. Alanazi, Walaa Alharbi, Shmokh M. Alshenen, Aisha Alhofaian, Afnan Tunsi and Loujain Sharif
Nurs. Rep. 2024, 14(4), 3955-3967; https://doi.org/10.3390/nursrep14040289 - 11 Dec 2024
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Background/Objectives: Deep venous thrombosis (DVT), the formation of a blood clot within a large vein, is one of the most common problems among hospitalized patients. The annual prevalence of DVT is 48 per 1,000,000. Nurses’ knowledge significantly affects compliance with VTE risk assessment
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Background/Objectives: Deep venous thrombosis (DVT), the formation of a blood clot within a large vein, is one of the most common problems among hospitalized patients. The annual prevalence of DVT is 48 per 1,000,000. Nurses’ knowledge significantly affects compliance with VTE risk assessment and prevention. This study aimed to assess the knowledge and practices regarding deep venous thrombosis prevention among nurses in Ministry of Health hospitals and King Abdulaziz University Hospital (KAUH), Jeddah, Saudi Arabia. Methods: This study was conducted in Jeddah using a quantitative, descriptive, cross-sectional design. A sample of 240 registered nurses were conveniently recruited to complete a self-administered online questionnaire. The data were coded and analyzed through SPSS version 24. Results: The participants had adequate knowledge on the prevention of DVT (75.64 ± 18.88), and the highest level was observed for knowledge about the prevention and prophylaxis of DVT (81.98 ± 45.73%). The practice level of nurses in preventing DVT was 71.92%, with a mean score of 18.7. Conclusions: There is a significant effect of nurses’ level of academic qualifications, working ward, and DVT prevention training on their knowledge and practice of DVT prevention.
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Challenges and Strategies in Nursing Leadership: A Qualitative Study on Leaders in Mental Health Care
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Else Marie Lysfjord, Edith Roth Gjevjon and Siv Skarstein
Nurs. Rep. 2024, 14(4), 3943-3954; https://doi.org/10.3390/nursrep14040288 - 10 Dec 2024
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Aim: To explore the challenges and strategies among new and experienced nursing leaders in mental healthcare; furthermore, to identify factors that support or hinder their leadership roles. Background: Strong nursing leadership is crucial for the quality of patient care and is associated with
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Aim: To explore the challenges and strategies among new and experienced nursing leaders in mental healthcare; furthermore, to identify factors that support or hinder their leadership roles. Background: Strong nursing leadership is crucial for the quality of patient care and is associated with higher job security and better patient outcomes. Understanding what factors contribute to effective leadership is essential for the development of future leaders. Methods: A qualitative study was conducted through interviews with 20 nursing leaders in mental healthcare in Norway, including 10 new leaders (<2 years in the role) and 10 experienced leaders (>10 years in the role). Data were analyzed using a six-step thematic analysis. Results: New leaders set high standards and faced demanding tasks, which made the role stressful. They experienced uncertainty and self-doubt about their effectiveness and expressed a need for support from mentors or colleagues. Experienced leaders focused on strategic leadership, task prioritization, and employee motivation, emphasizing the importance of being inspirational, patient, and accessible. Discussion: This study highlights the different challenges faced by new and experienced leaders in mental healthcare. New leaders need support to build confidence and manage the demands of their roles, while experienced leaders benefit from their strategic approach and ability to motivate staff. Conclusions and implications for nursing and/or health policy: The findings suggest that mentoring programs and support networks are essential for developing and motivating nursing leaders. New leaders should receive support to overcome self-doubt and stress associated with their roles. Experienced leaders can, through being mentors, expand their strategic skills and increase own insight and abilities regarding leadership. These insights have significant implications for health policy, which should include resources and programs aimed at supporting leadership development in nursing.
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Open AccessReview
Italian Nursing Research: A Bibliometric Analysis from 1980 to 2020
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Michela Luciani, Michela Barisone, Marco Bentivegna, Antonietta Fioremisto, Giulia Galeazzi, Marco Alfonso La Monica, Alessandra Musci, Davide Ausili and Alberto Dal Molin
Nurs. Rep. 2024, 14(4), 3933-3942; https://doi.org/10.3390/nursrep14040287 - 9 Dec 2024
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Aim: The aim of this study was to explore Italian nurses’ publications from 1980 to 2020. Background/Objectives: Several studies have been conducted internationally to assess nursing research output. In Italy, there are some older studies, but a comprehensive analysis of the Italian nursing
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Aim: The aim of this study was to explore Italian nurses’ publications from 1980 to 2020. Background/Objectives: Several studies have been conducted internationally to assess nursing research output. In Italy, there are some older studies, but a comprehensive analysis of the Italian nursing scientific production after 2010 is needed. Methods: A bibliometric analysis was conducted through a retrospective descriptive study. All articles (n = 3423) published by Italian nurses (n = 2170) and indexed in Scopus were included, in accordance with the PRISMA guidelines. Results: Publication trends show a steady growth, with an increase in publications in journals with higher IFs. Most publications were focused on clinical research and used quantitative methods (n = 2473 articles (86.71%)). The most frequently conducted quantitative studies were observational studies (52.91%), followed by experimental studies (12.5%), instrumental studies (6.72%), and other methodologies (0.15%). Qualitative studies accounted for n = 318 articles (11.15%), and mixed-method studies accounted for n = 61 articles (2.14%). Conclusions: The overall improvement in Italian nursing research is due to the increase in the number of nurses with PhDs and academics in the country. More funding and nursing research positions are needed to further improve research.
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Open AccessArticle
H-SVEST: Validation and Adaptation of the Hebrew Version of the Second Victim Experience and Support Tool
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Rinat Cohen, Yael Sela, Or Catz and Rachel Nissanholtz-Gannot
Nurs. Rep. 2024, 14(4), 3919-3932; https://doi.org/10.3390/nursrep14040286 - 9 Dec 2024
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Background: Adverse medical events not only harm patients and families, but also have a significant negative impact on healthcare providers, with the potential to compromise future professional functioning. These “second victims” may need organizational support and rehabilitation to return to functionality. Objectives: We
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Background: Adverse medical events not only harm patients and families, but also have a significant negative impact on healthcare providers, with the potential to compromise future professional functioning. These “second victims” may need organizational support and rehabilitation to return to functionality. Objectives: We analyzed the validity of an adapted tool, the Second Victim Experience and Support Tool (SVEST), on a population in Israel, H-SVEST. Methods: The H-SVEST was completed by 172 nurse participants working in a variety of patient care settings. All of the participants reported experiencing SVP. The H-SVEST was assessed for content validity, internal consistency, and construct validity with confirmatory factor analysis (CFA). Results: The CFA, when run on the initial model with 9 factors and 29 items, did not meet criteria for suitability of fit. After removing three items based on their low-factor loadings and the correlation, the model fit significantly improved with acceptable CFI, TLI, RMSEA, and SRMR. The final version included 26 items and 9 factors with Cronbach α values ranging from 0.66 to 0.94. Conclusion: The H-SVEST demonstrates robust psychometric properties and valuable insights into the second victim experience in the Israeli context. Comparative analysis with other versions highlights potential cultural influences and areas for further investigation. Implementing this tool and developing evidence-based interventions based on its results can significantly improve the well-being and resilience of healthcare providers in Israel and other countries with diverse cultural populations.
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Open AccessArticle
Challenges Faced by Family Caregivers of Individuals Living with Dementia in Japan During the COVID-19 Pandemic
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Toshiko Tsuyuki, Takeshi Asai, Erina Kurosaki, Atsushi Nakamura, Kaori Kishi and Fumi Takeda
Nurs. Rep. 2024, 14(4), 3907-3918; https://doi.org/10.3390/nursrep14040285 - 7 Dec 2024
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Background/Objectives: This study investigates the challenges faced by family caregivers of individuals with dementia in Japan, particularly in the context of the COVID-19 pandemic. Methods: We conducted a cross-sectional survey of 500 family caregivers of patients with dementia. Results: 56.4% of caregivers reported
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Background/Objectives: This study investigates the challenges faced by family caregivers of individuals with dementia in Japan, particularly in the context of the COVID-19 pandemic. Methods: We conducted a cross-sectional survey of 500 family caregivers of patients with dementia. Results: 56.4% of caregivers reported an increased caregiving burden, primarily due to extended caregiving hours, reduced access to public services, and restrictions on social interactions. This study found a strong preference for formal support, with 75.4% of caregivers desiring access to more comprehensive services. However, 19.4% of dementia patients were not utilizing any public services, largely due to a mismatch between available services and caregivers’ actual needs, as well as societal resistance to inviting formal support into the home. Informal support systems, such as dementia family groups and cafes, were well-known, but participation rates remained low (5.4% and 5.8%, respectively), despite the potential benefits for reducing stress and providing emotional support. Key barriers included privacy concerns, reluctance to engage, and logistical challenges such as inconvenient access and time constraints. Conclusions: To mitigate the above challenges, this study recommends expanding telemedicine and remote support services, improving awareness of available resources, and offering flexible, tailored solutions to meet diverse caregiving needs. Additionally, increasing financial support, enhancing public recognition of caregiver roles, and providing psychological counseling and stress management programs are essential to alleviating both the emotional and economic burdens placed on family caregivers during the pandemic.
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(This article belongs to the Special Issue Patient-Centered Care with Chronic Diseases)
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Open AccessReview
The Use of Technology in the Prevention of Infections Associated with Urinary Catheterization
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Bruna Raquel Fonseca, Maura Filipa Silva, Rogério Ferrinho Ferreira, Sofia Cabecinhas de Sá, Teresa Dionísio Mestre and Marta Sofia Catarino
Nurs. Rep. 2024, 14(4), 3895-3906; https://doi.org/10.3390/nursrep14040284 - 7 Dec 2024
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(1) Background: Urinary tract infections (UTIs) are caused by the proliferation of pathogenic microorganisms, and they are the second most common hospital-acquired infections, with catheter-associated UTIs (CAUTIs) accounting for about 40% of these nosocomial infections. This review aims to identify the impact of
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(1) Background: Urinary tract infections (UTIs) are caused by the proliferation of pathogenic microorganisms, and they are the second most common hospital-acquired infections, with catheter-associated UTIs (CAUTIs) accounting for about 40% of these nosocomial infections. This review aims to identify the impact of technology on preventing infections in patients with urinary catheters; (2) Methods: The search was conducted in April 2024 through the EBSCOhost platform, with access to the American Search Complete, CINHAL Ultimate, Medline databases, and through the Scopus database; (3) Results: In total were included eight articles in this review. Technology interventions can significantly reduce the incidence of CAUTIs, decrease the duration of catheter use, improve diagnosis, and enhance patient safety; (4) Conclusions: Technological advancements show significant benefits in reducing infection rates and improving patient outcomes, like shorter hospital stays and comfort. Multidisciplinary approaches and educational strategies are essential to maximize these benefits.
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(This article belongs to the Special Issue Advancing Nursing Care through Innovative Technologies)
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Open AccessArticle
Individualized Care in Nursing Homes Before and After the COVID-19 Pandemic
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Aurora García-Camacha Gutiérrez, Irene García-Camacha Gutiérrez, Riitta Suhonen and Beatriz Rodríguez-Martín
Nurs. Rep. 2024, 14(4), 3878-3894; https://doi.org/10.3390/nursrep14040283 - 6 Dec 2024
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Background: Individualizing care is the essence of nursing, and its benefits have been extensively proven in older people. The changes arisen during the COVID-19 pandemic may have affected it. The aim of this study is to analyze the changes produced in the
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Background: Individualizing care is the essence of nursing, and its benefits have been extensively proven in older people. The changes arisen during the COVID-19 pandemic may have affected it. The aim of this study is to analyze the changes produced in the perceptions about the individualization of care, quality of life, and care environment of elderly people living in long-term care centers before and after the pandemic. Methods: A prospective cross-sectional observational study was carried out. For data collection, the Individualized Care Scale-patient, the EuroQol-5D scale, and a reduced version of the Sheffield Care Environment Assessment Matrix test were used, and a statistical analysis was performed. Results: A total of 177 people participated in the study, with 87 pre-COVID-19 and 90 post-COVID-19, 62.7% of whom were women. The average age was 83.3 years. General activities of the individualized care obtained medians of 4, 2.5, and 3 (out of 5) in clinical situation, personal life situation, and decisional control dimensions, respectively, and no substantial change was observed pre- and post-pandemic. Nevertheless, 10 out of 17 items related with the maintenance of individuality in the last shift were higher rated after COVID-19. They are mainly related to the feelings and needs of care, daily life activities, and the expression of opinions. The median of all items was 3 despite the improvement observed after the pandemic. Residents scored an average of 6.47 points (out of 10) in the life quality self-evaluation and were satisfied with the care environment (94%). Patients with higher life quality and adherence to their environment perceived better care. Conclusions: Although slight improvements were observed in the individualized care after the pandemic, the obtained results revealed that there is still room for improvement. Particularly, it is necessary to develop strategies aimed at motivating the family participation or providing individual spaces in the residences.
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Open AccessArticle
Providing Physical Health Checks for People with Severe Mental Illness in Primary Care in England: An Evaluation of a Locally Enhanced Service
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Sheila Hardy
Nurs. Rep. 2024, 14(4), 3864-3877; https://doi.org/10.3390/nursrep14040282 - 6 Dec 2024
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Background/Objectives: People with a severe mental illness die much earlier than the rest of the population from a preventable physical illness. Annual health checks are a way of assessing the person to then offer the appropriate interventions. Integrated Care Northampton, England used
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Background/Objectives: People with a severe mental illness die much earlier than the rest of the population from a preventable physical illness. Annual health checks are a way of assessing the person to then offer the appropriate interventions. Integrated Care Northampton, England used the long-term plan baseline funding allocated to them from the government department that commissions primary care services, to implement a local enhanced service. Their aim was to provide a person-centred physical health check that people with severe mental illness feel comfortable, confident, and able to engage with. Methods: Wellbeing Organisation Research Training Hub Northampton were commissioned by Integrated Care Northampton to provide training, support, and evaluate the locally enhanced service. Training was provided by training trainers who then offered one-to-one support to those delivering health checks in practice. Providers of the health checks could also access individual support from Wellbeing Organisation Research Training Hub staff. Patient data were collected via a template that is part of usual practice. Questionnaires were used to evaluate the education of staff, the delivery of health checks, and the impact on people with severe mental illness. Results: Training was well received but most of the trainers did not continue in their role. The project was successful in highlighting the physical health needs of people with severe mental illness and monitoring in primary care increased. Though methods were put in place to evaluate the delivery of health checks and their impact on people with severe mental illness, these were not utilised by the service. Conclusions: This paper emphasises how difficult it is to implement a new service and evaluate it successfully. Future projects should prioritise measuring the quality of the service.
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Open AccessSystematic Review
The Long-Lasting Effect of Multidisciplinary Interventions for Emotional and Social Loneliness in Older Community-Dwelling Individuals: A Systematic Review
by
Georgiana Zaharia, Vanessa Ibáñez-del Valle, Omar Cauli and Silvia Corchón
Nurs. Rep. 2024, 14(4), 3847-3863; https://doi.org/10.3390/nursrep14040281 - 6 Dec 2024
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Background: Loneliness can occur at any age, but it is more prevalent among older adults due to the associated risk factors. Various interventions exist to improve this situation, but little is known about their long-term effects. Our aims were to determine if these
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Background: Loneliness can occur at any age, but it is more prevalent among older adults due to the associated risk factors. Various interventions exist to improve this situation, but little is known about their long-term effects. Our aims were to determine if these interventions have long-lasting effects and for how long they can be sustained. Additionally, we aimed to analyze if the interventions carried out by volunteers affected the outcomes regarding loneliness and psychological impact. Methods: A systematic review was performed by searching the literature in the MEDLINE PubMed, SCOPUS, Web of Science, PsycINFO, and Web of Science databases for interventions focused on the lonely population. The inclusion criteria for this review were the assessment of loneliness using a validated tool, and loneliness being the primary or secondary outcome. The CASPe checklist was used to assess the risk of bias in the selected studies, and the PRISMA-ScR recommendations were followed to present and synthesize the results. Results: Thirty articles were included. The interventions identified were classified into five categories: psychosocial, technological, health promotion, physical exercise, and multicomponent interventions. Loneliness improved in 24 studies during the post-intervention analysis. Social connectivity and depressive symptoms also improved in most interventions. Long-term follow-ups were conducted with positive results in a total of 16 interventions. Depressive symptoms and social connectivity were also improved. Eight of the interventions were carried out by volunteers and showed good results regarding loneliness. Conclusions: The results obtained in this work suggested that multidisciplinary interventions can reduce loneliness, but more controlled clinical studies are needed.
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Open AccessArticle
Increasing Self-Efficacy for the Management of Patients with Type 2 Diabetes Through an Advanced Practice Education Program for Primary Care Professionals
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Bushra Yunis, Paloma Echevarría-Pérez, Juan Jose Hernandez Morante and Isabel Morales-Moreno
Nurs. Rep. 2024, 14(4), 3830-3846; https://doi.org/10.3390/nursrep14040280 - 5 Dec 2024
Abstract
Background/Objectives: Previous studies have shown that primary care (PC) professionals have a low knowledge about the management of patients with type 2 diabetes, despite being one of the most common chronic diseases. The objective of this study is to analyze the impact of
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Background/Objectives: Previous studies have shown that primary care (PC) professionals have a low knowledge about the management of patients with type 2 diabetes, despite being one of the most common chronic diseases. The objective of this study is to analyze the impact of an educational program for health professionals on the metabolic control of their patients diagnosed with type 2 diabetes. Methods: This work follows a quasi-experimental longitudinal design following a double perspective. First, an educational intervention was conducted on primary care health professionals. Previous diabetes knowledge was evaluated on 157 PC health professionals. Those with lower knowledge scores (<3.5 out of 7) were allocated to the intervention group. An 8-week advanced education program was conducted on 77 PC health professionals. Self-efficacy and quality of care were evaluated. Second, a prospective cohort study was conducted to evaluate changes in metabolic parameters in their patients with type 2 diabetes. A total of 4099 patients with type 2 diabetes attending PC services were divided depending on the formation of health professionals. Biochemical and other clinical parameters were determined at baseline and after 12 months; the study was allocated in the Primary Health Centers of Meuhedet North District (Israel), from January 2022 to June 2023. Changes from the baseline were compared using ANOVA. Additionally, a mixed-effect model was conducted to capture variability within primary care staff and between groups of patients. Results: The education program significantly improved health staff knowledge (p < 0.001) and all dimensions of self-efficacy (p < 0.001 in all cases). These improvements were mirrored in patients’ outcomes, since those managed by health professionals attending the advanced practice education showed, after 6 months, better glucose (p < 0.001), HbA1c (p < 0.001), and eGFR (p = 0.006) levels. Conclusions: The advanced practice education program oriented to PC professionals was able to significantly improve their self-efficacy and perceived quality of care, which induced a significant effect on metabolic markers of patients with type 2 diabetes. Overall, the data reinforce the usefulness of advanced education programs, especially in chronic complex diseases like type 2 diabetes.
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(This article belongs to the Special Issue Self-Management of Chronic Disease)
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Open AccessArticle
Enhancing Nursing Students’ Attitudes Toward Older Adults Through an Artificial Intelligence Virtual Simulation: A Mixed-Method Design
by
Anne White, Mary Beth Maguire and Austin Brown
Nurs. Rep. 2024, 14(4), 3819-3829; https://doi.org/10.3390/nursrep14040279 - 3 Dec 2024
Abstract
Background/Objectives: The projected increase from 58 million older adults in 2022 to 82 million by 2050 in the United States highlights the urgency of preparing nursing students to care for this aging population. However, studies reveal negative attitudes among nursing students toward older
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Background/Objectives: The projected increase from 58 million older adults in 2022 to 82 million by 2050 in the United States highlights the urgency of preparing nursing students to care for this aging population. However, studies reveal negative attitudes among nursing students toward older adults. A three-phased educational intervention that included an artificial intelligence (AI)-driven virtual simulation was implemented to address this. AI-generated simulations promise to expose marginalized groups and strengthen future nurses’ knowledge, skills, and attitudes. Methods: A convergent mixed-method design was used to measure the change in nursing students’ attitudes toward older adults, as measured by the UCLA Geriatrics Attitudes Survey and a Guided Reflection survey after participating in an Artificial Intelligence in Education learning event (n = 151). Results: The results indicate that post-intervention scores (M = 35.07, SD = 5.34) increased from pre-intervention scores (M = 34.50, SD = 4.86). This difference was statistically significant at the 0.10 significance level (t = 1.88, p = 0.06). The qualitative analysis indicated that the attitudes impacted were challenging and overcoming ageism, increased empathy and patience, and enhanced communication skills. Conclusions: Utilizing artificial intelligence technology during educational events effectively yields measurable learning outcomes. Cultivating positive attitudes toward older adults is essential for competent care in an aging society. This study was prospectively approved by the university’s Institutional Review Board (IRB) on 30 July 2021, IRB-FY22-3.
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Pre-Implementation Strategies to Support Adaptation of Thrive: A Care Transitions Model for Economically Disadvantaged Patients with Serious Mental Illness
by
J. Margo Brooks Carthon, Celsea Tibbitt, Kelvin Eyram Amenyedor, Amanda P. Bettencourt, Erin Babe, Pamela Z. Cacchione and Heather Brom
Nurs. Rep. 2024, 14(4), 3803-3818; https://doi.org/10.3390/nursrep14040278 - 2 Dec 2024
Abstract
Background: Economically disadvantaged patients diagnosed with serious mental illness (SMI) experience post-hospitalizations disparities due to fragmented care transitions. Purpose: To describe the pre-implementation strategies used to adapt and implement a nurse-led transitional care intervention (Thrive) to meet the needs of economically disadvantaged patients
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Background: Economically disadvantaged patients diagnosed with serious mental illness (SMI) experience post-hospitalizations disparities due to fragmented care transitions. Purpose: To describe the pre-implementation strategies used to adapt and implement a nurse-led transitional care intervention (Thrive) to meet the needs of economically disadvantaged patients diagnosed with an SMI. Methods: Two pre-implementation strategies, Evidence Based Quality Improvement (EBQI) meetings and Formative Evaluation (FE) research, were used to adapt intervention components. FE data included semi-structured interviews analyzed using Rapid Qualitative Analysis. Findings: Adaptations were made to core components of Thrive and strategies to support implementation were identified. Conclusions: Participatory strategies help to adapt interventions that are person-centered and tailored to the organizational context. Trial: NCT06203509.
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(This article belongs to the Special Issue Nursing Innovation and Quality Improvement)
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Open AccessArticle
Dementia Prevention Self-Management in Older Thai Adults with Type 2 Diabetes: Development and Psychometric Properties of Two Questionnaires
by
Noppamas Pipatpiboon, Jirapas Sripetchwandee, Eakachai Kantawong, Ruksanudt Budda and Daniel Bressington
Nurs. Rep. 2024, 14(4), 3786-3802; https://doi.org/10.3390/nursrep14040277 - 2 Dec 2024
Abstract
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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
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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.
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Open AccessArticle
Is a No-Restraint Policy Associated with Increased Aggression Towards Healthcare Professionals Among Inpatient Psychiatric Units? A 16-Year Retrospective Observational Study Conducted in Italy
by
Marco Colizzi, Carla Comacchio, Marco Garzitto, Giovanni Napoli, Chiara Battiston, Tatiana Tam, Marco Bertoli, Calogero Anzallo, Alvisa Palese and Matteo Balestrieri
Nurs. Rep. 2024, 14(4), 3779-3785; https://doi.org/10.3390/nursrep14040276 - 2 Dec 2024
Abstract
The aim of this study was to investigate aggression-related work accidents in an inpatient psychiatric unit before and after implementing a no-restraint policy in Italy. Results revealed that, over the study period (2007–2022), 113 accidents occurred, mostly related to physical aggression (81.4%), with
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The aim of this study was to investigate aggression-related work accidents in an inpatient psychiatric unit before and after implementing a no-restraint policy in Italy. Results revealed that, over the study period (2007–2022), 113 accidents occurred, mostly related to physical aggression (81.4%), with healthcare assistants and psychiatric nurses being the most affected and more accidents occurring during the morning shift (49.6%). A transitory peak of accidents occurred during the policy transition (χ22 = 16.0, p < 0.001; V = 1.000), falling rapidly in the subsequent years. In conclusion, adopting a no-restraint policy is not associated with increased aggression toward staff in psychiatric healthcare in the longer term, although greater support is needed during the transition phase to minimize risks.
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(This article belongs to the Special Issue Workplace Violence in Nursing and Midwifery)
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Enhancing Nursing Competencies: An Assessment of Knowledge and Attitudes Toward Dental Trauma Management Among Nursing Students—An Interventional Study
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Beatriz Emilia Carrion-Ruiz, Alberto Cabrera-Fernandez, Isabel Crespo-Gallardo, Daniel Cabanillas-Balsera, Juan J. Segura-Egea, Manuel Pabón-Carrasco and Jenifer Martin-Gonzalez
Nurs. Rep. 2024, 14(4), 3765-3778; https://doi.org/10.3390/nursrep14040275 - 29 Nov 2024
Abstract
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Introduction: Traumatic dental injuries (TDIs) present a significant challenge for healthcare professionals. Nurses, often the first point of contact for patients, may lack essential knowledge in dental trauma first aid, as noted in the existing literature. Objective: To assess the knowledge of traumatic
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Introduction: Traumatic dental injuries (TDIs) present a significant challenge for healthcare professionals. Nurses, often the first point of contact for patients, may lack essential knowledge in dental trauma first aid, as noted in the existing literature. Objective: To assess the knowledge of traumatic dental injuries (TDIs) among undergraduate nursing students before and after a targeted educational intervention. Materials and Methods: This quasi-experimental study evaluated the effectiveness of an educational intervention involving 300 nursing students from two universities in Seville. The educational intervention was led by specialist dentists. A pre-test survey was administered to assess students’ baseline knowledge. The session included a lecture on TDI management, followed by a simulation in which students practiced emergency splinting techniques for referral to a dentist. A post-test survey was then conducted to measure changes in students’ knowledge and attitudes towards dental trauma. Results: Only 25.4% of students had prior training in dental trauma. After the intervention, there was a significant improvement in students’ self-assessed knowledge of first aid for TDIs (p < 0.05). A high percentage of students also reported increased confidence in their ability to reimplant a tooth. Statistical analysis of pre- and post-intervention survey results showed a substantial increase in average scores (p < 0.05). Conclusions: Nursing students initially exhibited limited knowledge in managing dental trauma but demonstrated a positive attitude toward learning this new skill. The targeted educational intervention significantly enhanced their understanding, underscoring the need to incorporate such training into nursing curricula. By improving nursing students’ competence in managing dental injuries, this training can help better preserve dental structures and improve the prognosis for dental trauma cases.
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