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Nursing Reports
Volume 12
Issue 4
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Nurs. Rep., Volume 12, Issue 4 (December 2022) – 31 articles

Cover Story (view full-size image): Alzheimer is a disease that has a great socioeconomic impact on the health system and on the psychological, physical, and cultural sphere of the patient and caregivers in all countries. In this article, a review has been made to show the effects of this therapy on the life of the person with Alzheimer's disease and the caregiver, to know the current scientific evidence on it.
This review has made it possible to make visible the importance of research into non-pharmacological treatments such as music therapy that improve the quality of life of patients and have a lower cost both at the health and social level. To all this is added the increase in interaction of the Alzheimer's patient with the caregiver and relatives, decreasing the feeling of guilt of the same. It is important to reflect about the need to implement programs on this therapy in the health system and residences. View this paper
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17 pages, 1005 KiB  
Article
Knowledge and Attitudes Regarding Medication Errors among Nurses: A Cross-Sectional Study in Major Jeddah Hospitals
by Alham Alandajani, Bahariah Khalid, Yee Guan Ng and Maram Banakhar
Nurs. Rep. 2022, 12(4), 1023-1039; https://doi.org/10.3390/nursrep12040098 - 16 Dec 2022
Cited by 7 | Viewed by 9151
Abstract
Medication error is a multifactorial problem that mainly involves missing or bypassing the administration, which may have life-threatening impacts on the patient. Nevertheless, there is a dearth of information on medication errors among nurses in Saudi Arabia. This study investigates the knowledge and [...] Read more.
Medication error is a multifactorial problem that mainly involves missing or bypassing the administration, which may have life-threatening impacts on the patient. Nevertheless, there is a dearth of information on medication errors among nurses in Saudi Arabia. This study investigates the knowledge and attitudes toward medication errors and their associated factors among nurses in Saudi Arabia. A cross-sectional study was conducted in four major public hospitals by recruiting a total of 408 nurses using cluster random sampling and proportional stratified sampling techniques. Data were gathered using an online self-administered questionnaire from January to March 2022. Descriptive statistics, Chi-square tests, and binary logistic regression models were performed to analyze the data. The prevalence of medication error among the nurses was 72.1%, only 41.2% were reported, while wrong doses (46.9%) were the most common type of medication error. Approximately 55% and 50% of the respondents demonstrated good knowledge and a positive attitude toward medication errors, respectively. The prevalence of medication error was associated with age groups of less than 25, and 25–35 years old, King Fahad and King Abdulaziz hospitals, no history of attending an MER training course, poor knowledge, and negative attitude. These findings reflect a high prevalence of medication error among nurses in Saudi Arabia, and the factors identified could be considered in mitigating this important health problem. Full article
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9 pages, 257 KiB  
Article
Quality of Nursing Work Life among Nurses in Saudi Arabia: A Descriptive Cross-Sectional Study
by Abbas Al Mutair, Mohammed I. Al Bazroun, Eman M. Almusalami, Faiza Aljarameez, Amal I. Alhasawi, Fatimah Alahmed, Chandni Saha, Hanan F. Alharbi and Gasmelseed Y. Ahmed
Nurs. Rep. 2022, 12(4), 1014-1022; https://doi.org/10.3390/nursrep12040097 - 16 Dec 2022
Cited by 7 | Viewed by 3098
Abstract
Background: Quality of working life (QWL) is a multidimensional concept that describes an employee’s satisfaction with several work life elements. Quality of nurse working life is considered as a stepping stone for health services improvement, as it affects job satisfaction which, in turn, [...] Read more.
Background: Quality of working life (QWL) is a multidimensional concept that describes an employee’s satisfaction with several work life elements. Quality of nurse working life is considered as a stepping stone for health services improvement, as it affects job satisfaction which, in turn, affects the performance of nurses. Understanding and investigating the nurses’ quality of work life in Saudi Arabia is needed for improvement actions. Objectives: This study aimed to examine the quality of nursing work life (QNWL) among nurses working in Saudi Arabia and to determine the association between demographic variables and quality of work life among nurses. Methods: It was a cross-sectional design using Brooks’ quality of nursing work life survey. It was distributed among nurses over the kingdom of Saudi Arabia. Results: There were 860 nurses participating in the study. The mean total score for the participants was 174.5+/− 30.3, indicating moderate to high QNWL. The highest score achieved by the nurses was for the work world context (4.29) while the lowest score was for work design dimension (3.92). The study revealed that nationality, income, and shift duration, having a dependent person, and having family accompany the nurse as significant factors affecting the quality of work life among the nurses. Conclusion: A novel contribution of the current study was that the demographic characteristics of the participants, including nationality, income, having family accompany the nurse, having an independent child, or spouse or parents, and shift duration, tended to have a statistically significant correlation with QNWL. The comprehensive results of this study have practical implications whereby authority bodies can create regulatory plans for enhancing satisfaction and performance over the sole utilization of job satisfaction measurements and can thereby improve nurses’ retention and turnover rates. Full article
10 pages, 331 KiB  
Systematic Review
Tri-Response Police, Ambulance, Mental Health Crisis Models in Reducing Involuntary Detentions of Mentally Ill People: A Systematic Review
by Julia Heffernan, Ewan McDonald, Elizabeth Hughes and Richard Gray
Nurs. Rep. 2022, 12(4), 1004-1013; https://doi.org/10.3390/nursrep12040096 - 13 Dec 2022
Cited by 1 | Viewed by 2141
Abstract
Police, ambulance, and mental health tri-response services are a relatively new model of responding to people experiencing mental health crisis in the community, though limited evidence exists examining their efficacy. Reducing unnecessary involuntary detentions and emergency department presentations is believed to be a [...] Read more.
Police, ambulance, and mental health tri-response services are a relatively new model of responding to people experiencing mental health crisis in the community, though limited evidence exists examining their efficacy. Reducing unnecessary involuntary detentions and emergency department presentations is believed to be a benefit of this model. A systematic review was performed to review the evidence base around the relationship between the police, ambulance, mental health tri-response models in reducing involuntary detentions of people experiencing mental health crisis. We searched key health databases for clinical studies and grey literature as per a previously published protocol. Two researchers completed title and abstract screening and full text screening. Our search identified 239 citations. No studies or grey literature met the inclusion criteria. We report an empty review. It is recommended that further investigation of the tri-response mental health crisis model be undertaken to determine its effectiveness and value as a health and emergency service initiative. Full article
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11 pages, 1823 KiB  
Article
The Effect of Authentic Leadership on Nurses’ Trust in Managers and Job Performance: A Cross-Sectional Study
by Bayan Alilyyani
Nurs. Rep. 2022, 12(4), 993-1003; https://doi.org/10.3390/nursrep12040095 - 09 Dec 2022
Cited by 4 | Viewed by 6608
Abstract
Background: Nurse leaders have the responsibility to build healthy work environments for staff nurses and enhance nurses’ outcomes. Authentic leadership is one of the leadership theories that have been shown to have positive impacts on nurses’ outcomes. The goal of this study was [...] Read more.
Background: Nurse leaders have the responsibility to build healthy work environments for staff nurses and enhance nurses’ outcomes. Authentic leadership is one of the leadership theories that have been shown to have positive impacts on nurses’ outcomes. The goal of this study was to test the effect of authentic leadership on trust in managers and job performance among nurses in Saudi Arabia. Methods: A non-experimental, cross-sectional design was applied. A total of 116 nurses who met the inclusion criteria completed the survey. To test the study variables, three different scales were used. The data in this study were analyzed using SPSS version 28.0.1.1. Results: The findings of this study showed that there were significant and positive effects of authentic leadership and its four components on trust in managers. However, no relationships were found between authentic leadership and its four elements, and job performance. Conclusions: Authentic leaders have the ability to improve work environments by building a trustful relationship with nurses. This study focuses on the role of authentic leadership in nursing practice and its essential effects to enhance the work environments. It also provides future researchers in Saudi Arabia with comprehensive knowledge about conducting studies of authentic leadership in nursing and examine its effects on outcomes related to nurses. Full article
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13 pages, 287 KiB  
Article
Properties of Polyunsaturated Fatty Acids in Primary and Secondary Prevention of Cardiovascular Diseases in the View of Patients (Silesia, Poland)
by Karolina Krupa-Kotara, Mateusz Grajek, Agata Wypych-Ślusarska, Sandra Martynus-Depta, Klaudia Oleksiuk, Joanna Głogowska-Ligus, Elżbieta Szczepańska and Jerzy Słowiński
Nurs. Rep. 2022, 12(4), 980-992; https://doi.org/10.3390/nursrep12040094 - 08 Dec 2022
Cited by 3 | Viewed by 1694
Abstract
Background: Cardiovascular diseases are a major cause of morbidity and mortality in Europe. Lifestyle plays an important role in the primary and secondary prevention of cardiovascular diseases, apart from pharmacotherapy and diagnostics. Numerous studies confirm that the type and quality of fat consumed [...] Read more.
Background: Cardiovascular diseases are a major cause of morbidity and mortality in Europe. Lifestyle plays an important role in the primary and secondary prevention of cardiovascular diseases, apart from pharmacotherapy and diagnostics. Numerous studies confirm that the type and quality of fat consumed in the diet have a huge impact on the risk of cardiovascular diseases. Reducing the risk of cardiovascular disease can be helped by minimizing the proportion of saturated fatty acids in the diet and replacing them with polyunsaturated fatty acids. These acids and, above all, their long-chain forms have a positive effect on health. Aim: This study aims to assess the awareness of the properties of polyunsaturated fatty acids in the primary and secondary prevention of cardiovascular diseases in the opinions of patients of the Cardiology Department of the Racibórz Medical Center. Material and Methods: The analysis included 302 patients (113 women and 189 men) hospitalized in the Cardiology Department. The research method was the authors’ questionnaire consisting of the patients’ record and thirty closed questions. To answer the research questions posed and test the hypotheses, statistical analyses were carried out using the IBM SPSS Statistics version 25 package. Results: Among the respondents, the least frequently used healthy eating habit was the infrequent eating of fried foods. A total of 18.2% of respondents had such a habit. The most commonly used healthy eating habit was checking the fat content in products, which was performed by 67.2% of respondents. Among the respondents, 58.3% said that butter and margarine increase serum cholesterol. Conclusions: The analysis of the data shows that the place of residence, education, sex, and reason for hospitalization of the respondents did not affect the frequency of healthy eating habits. In addition, the subjects had a low amount of healthy eating habits. Full article
(This article belongs to the Special Issue Current Trends, Innovations and Issues in Nursing Practice and Education)
12 pages, 1406 KiB  
Study Protocol
Developing a Virtual Reality Simulation Program for Improving Nursing Students’ Clinical Reasoning Skills in Home Settings: A Protocol Paper
by Kyoko Yoshioka-Maeda, Chikako Honda, Yuka Sumikawa, Yuko Okamoto, Megumi Shimada, Hitoshi Fujii, Riho Iwasaki-Motegi, Takahiro Miura and Mai Otsuki
Nurs. Rep. 2022, 12(4), 968-979; https://doi.org/10.3390/nursrep12040093 - 06 Dec 2022
Cited by 2 | Viewed by 2684
Abstract
Most nursing simulation programs focus on persons’ healthcare needs in hospital settings, and little is known about how to identify them in home settings. This study aims to develop and validate a virtual reality (VR) simulation program for nursing students to improve their [...] Read more.
Most nursing simulation programs focus on persons’ healthcare needs in hospital settings, and little is known about how to identify them in home settings. This study aims to develop and validate a virtual reality (VR) simulation program for nursing students to improve their clinical reasoning skills and confidence in assessing persons’ healthcare needs in home settings. We developed a VR simulation program based on a literature review and expert discussion. In Phase 1, home visit nurses or public health nurses will validate the program through their interviews in 2022. In Phase 2, we will conduct a pilot and main single-blinded randomized trial for nursing students to confirm the effectiveness from 2022 and 2023. Participants will be randomly allocated into an intervention group using VR simulations and a control group receiving videos regarding three kinds of community residents’ lives [1:1]. After obtaining informed consent, the students will submit their anonymous data to the researchers to prevent associating their grade evaluation. The primary outcome will be their clinical reasoning skills. The second outcome will include their satisfaction and self-confidence. This study will examine the effectiveness of improving their clinical reasoning skills and confidence in assessing persons’ healthcare needs in home settings. Full article
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10 pages, 285 KiB  
Article
Influence of Skin Phototype on the Level of Pain Perceived by Patients Receiving Enoxaparin: A Cross-Sectional Study
by Candelaria de la Merced Díaz-González, Josefa María Ramal-López, Juan José González-Henríquez and Milagros de la Rosa-Hormiga
Nurs. Rep. 2022, 12(4), 958-967; https://doi.org/10.3390/nursrep12040092 - 02 Dec 2022
Cited by 3 | Viewed by 1506
Abstract
Low Molecular Weight Heparin (LMWH) is commonly used as an antithrombotic in patients with reduced mobility. Its administration is performed by invasive technique (injections) that can cause pain: (1) Background: Pain and bruising are the most common side effects in patients treated with [...] Read more.
Low Molecular Weight Heparin (LMWH) is commonly used as an antithrombotic in patients with reduced mobility. Its administration is performed by invasive technique (injections) that can cause pain: (1) Background: Pain and bruising are the most common side effects in patients treated with LMWH, but the skin phototype (PT) has never been included; (2) Methods: A cross-sectional descriptive study, developed in the Hospital Unit of Orthopedic and Trauma Surgery over one year. To classify all participants in the sample considering their skin PT and the different pain levels “during” and “after” the administration of enoxaparin. The STROBE checklist was used to evaluate the study. Data analyses were carried out: descriptive statistical analysis and analysis of Variance ANOVA of a non-parametric factor; (3) Results: The sample was 202 participants. The most frequent skin PTs were PT II 43.6% and PT III 33.2%. Mean pain after injection (1.96) was greater than pain during injection (1.4). Better natural protection against sunlight (high PT) would indicate greater post-injection pain; (4) Conclusions: Participants with a medium-high phototype (≥III) perceive a greater pain sensation than participants with a low phototype (≤II) after the administration of enoxaparin. Full article
13 pages, 551 KiB  
Article
Primary Healthcare Nurses’ Views on Digital Healthcare Communication and Continuity of Care: A Deductive and Inductive Content Analysis
by Ove Hellzén, Annika Kjällman Alm and Malin Holmström Rising
Nurs. Rep. 2022, 12(4), 945-957; https://doi.org/10.3390/nursrep12040091 - 02 Dec 2022
Cited by 3 | Viewed by 2977
Abstract
Primary healthcare in the Western world faces significant functional challenges, resulting in the implementation of digital communication tools. Nurses are key professionals in primary care and focusing on the impact of digital communication and continuity of care in primary care organisations is important. [...] Read more.
Primary healthcare in the Western world faces significant functional challenges, resulting in the implementation of digital communication tools. Nurses are key professionals in primary care and focusing on the impact of digital communication and continuity of care in primary care organisations is important. This qualitative descriptive study explores digital communication and continuity of care from primary healthcare nurses’ perspective. Data from individual semi-structured interviews with 12 nurses were collected; deductive and inductive content analyses were performed. Three descriptive categories emerged from the deductive (digital communication as interpersonal, information, and management continuities) and inductive (‘digital care does not suit everyone’, ‘new technology is contextually intertwined with daily work’, and ‘patient-positive aspects of digital information’) phases. Additionally, a structural risk of obscuration of patients’ needs by the contextual conditions emerged. To ensure digital communication-aligned continuity of care, compatible information technology systems should be developed. Allowing nurses to provide high-quality care based on their own values would enhance person-centred patient care. Full article
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12 pages, 665 KiB  
Article
External Ventricular Drains: Development and Evaluation of a Nursing Clinical Practice Guideline
by Tainara Wink Vieira, Victória Tiyoko Moraes Sakamoto, Bárbara Rodrigues Araujo, Daiane Dal Pai, Carine Raquel Blatt and Rita Catalina Aquino Caregnato
Nurs. Rep. 2022, 12(4), 933-944; https://doi.org/10.3390/nursrep12040090 - 01 Dec 2022
Cited by 1 | Viewed by 3231
Abstract
External ventricular drains (EVDs) are common in intensive care for neurocritical patients affected by different illnesses. Nurses play an essential role to ensure safe care, and guidelines are tools to implement evidence-based care. Thus, the aim of this study was to develop and [...] Read more.
External ventricular drains (EVDs) are common in intensive care for neurocritical patients affected by different illnesses. Nurses play an essential role to ensure safe care, and guidelines are tools to implement evidence-based care. Thus, the aim of this study was to develop and evaluate the quality of a clinical guideline for critically ill patients with EVDs. Methodological research was conducted. The guideline development was based on a scoping review about nursing care to patients with EVDs. The guideline evaluation occurred in two phases: evaluation of its methodological rigor, with application of the Appraisal of Guidelines Research and Evaluation II to four experts on guidelines evaluation; and the Delphi technique, with a panel of nine specialists in neurocritical care, performed in two rounds. Data were analyzed by descriptive statistics and content validity ratio. In the first phase of the evaluation, three domains did not reach consensus, being reformulated. The second phase was conducted in two rounds, with nine and eight participants respectively, with 13 recommendations being reformulated and reassessed between rounds, inclusion of an EVD weaning category, and two flowcharts on patient’s transport and mobility. Therefore, the guideline can be incorporated into nursing care practices. Further studies are necessary to assess its impact on clinical practice. Full article
(This article belongs to the Special Issue Evidence-Based Practice and Personalized Care)
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11 pages, 818 KiB  
Article
Physical Activity Habits of Latvian Nursing Students: A Cross-Sectional Study
by Una Veseta, Rudīte Lagzdiņa, Maija Rumaka, Lāsma Reide, Voldemārs Arnis, Māra Kampara, Indra Vīnberga, Irēna Upeniece and Maksims Zolovs
Nurs. Rep. 2022, 12(4), 922-932; https://doi.org/10.3390/nursrep12040089 - 30 Nov 2022
Viewed by 1915
Abstract
It is important to integrate knowledge about the need for physical activities (PA) in the prevention and care of human health in nursing study programs so that nurses can promote PA among their patients. This study aims to evaluate the PA habits of [...] Read more.
It is important to integrate knowledge about the need for physical activities (PA) in the prevention and care of human health in nursing study programs so that nurses can promote PA among their patients. This study aims to evaluate the PA habits of Latvian nursing students. Participants were students of three universities in Latvia who were enrolled in a four-year bachelor study program, “Nursing”, with a total of 341 after the data cleaning (population size n = 1554). The questionnaire contained questions about sociodemographic variables derived from the survey of the Centre for Disease Prevention and Control of Latvia “Health Behaviour among Latvian Adult Population”, habits of PA, and International Physical Activity Questionnaire-Short Form. The data were collected between September and November 2021. Both descriptive and inferential statistics (difference between groups, correlation, and association tests) were calculated to analyse the data. Of the study population, 39% did not reach the minimum WHO-recommended PA. Increased PA level in the later study years is related to more frequent engagement in work and fewer table activities in the curriculum study process, but the higher intensity and total PA could be related to the specifics of nurse and nurse assistant work, which could be especially intense due to the overloaded health care system during the COVID-19 pandemic. Full article
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10 pages, 385 KiB  
Review
Nursing Interventions for Head and Neck Cancer Patients That Promote Embracement in the Operating Room/Surgery Unit: A Near-Empty Scoping Review
by Carla Sofia Ramos Cruz, Cristina Lavareda Baixinho, Rafael A. Bernardes and Óscar Ramos Ferreira
Nurs. Rep. 2022, 12(4), 912-921; https://doi.org/10.3390/nursrep12040088 - 29 Nov 2022
Cited by 1 | Viewed by 2572
Abstract
Head and neck tumours are the fifth leading cause of cancer deaths worldwide. They are hostile invasive neoplastic diseases that negatively impact individuals’ functionality. The aim of this study was to map the nursing interventions to be carried out with head and neck [...] Read more.
Head and neck tumours are the fifth leading cause of cancer deaths worldwide. They are hostile invasive neoplastic diseases that negatively impact individuals’ functionality. The aim of this study was to map the nursing interventions to be carried out with head and neck cancer patients in preoperative nursing consultations. Given the study’s aim, a scoping review was chosen based on the principles advocated by the Joanna Briggs Institute and using the CINAHL and Medline databases. The review was conducted in April and May 2021. Of the 56 articles obtained, only 1 met the inclusion criteria, indicating a gap in studies about head and neck cancer patients. Preoperative nursing consultations allow patients and family members to ask questions and voice concerns. The nursing intervention identified by the review included interviews, in which nurses explain the concepts related to the diagnosis, the procedures involved in the surgery, and the inherent consequences. Flyers containing images and photos can be used to facilitate interpretation. Full article
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8 pages, 251 KiB  
Protocol
Prognostic Factors for Delayed Healing of Complex Wounds in Adults: A Scoping Review Protocol
by Raquel Marques, Marcos Lopes, Paulo Ramos, João Neves Amado and Paulo Alves
Nurs. Rep. 2022, 12(4), 904-911; https://doi.org/10.3390/nursrep12040087 - 23 Nov 2022
Cited by 2 | Viewed by 1966
Abstract
(1) Background: The high prevalence of persons with wounds and its consequences for a person’s quality of life makes the issue a relevant focus of attention for healthcare professionals. Through prognostic factors for healing, the individual risk of complications can be predicted, is [...] Read more.
(1) Background: The high prevalence of persons with wounds and its consequences for a person’s quality of life makes the issue a relevant focus of attention for healthcare professionals. Through prognostic factors for healing, the individual risk of complications can be predicted, is possible to predict imminent delays and guide decision-making, thus helping healthcare professionals. (2) Methods: A scoping review performed according to JBI methodology and guided by the Preferred Reporting Items for Systematic Reviews extension for Scoping Reviews (PRISMA-ScR) checklist will aim to identify the studies that meet predefined eligibility criteria. Five databases and gray literature will be the sources used to research adults with pressure ulcers, venous leg ulcers, arterial ulcers, or diabetic foot ulcers and report the prognostic factors for delayed healing in any care setting. (3) Results: This review will consider all quantitative and mixed studies in the last five years. The selection of articles will be carried out by two reviewers independently, using EndNoteWeb and Rayyan. Prognostic factors will be presented by design study, sampling, setting, outcome, wound type, and statistical methods. (4) Conclusions: Mapping prognostic factors for delayed healing could also be a starting point for a systematic review and meta-analyses to quantify the value of each factor. Full article
(This article belongs to the Special Issue Evidence-Based Practice and Personalized Care)
10 pages, 240 KiB  
Article
Perspectives on Collaboration between Physicians and Nurse Practitioners in Japan: A Cross-Sectional Study
by Mari Igarashi, Ryuichi Ohta, Akinori Nakata, Yasuo Kurita, Yuta Mitobe, Miho Hayakawa, Tsutomu Yamazaki and Harumi Gomi
Nurs. Rep. 2022, 12(4), 894-903; https://doi.org/10.3390/nursrep12040086 - 21 Nov 2022
Cited by 2 | Viewed by 2049
Abstract
Background: Nurse practitioners (NPs) are known as effective healthcare providers worldwide. In Japan, nurse practitioner adoption is considered to be in a shaky period. Although nurse practitioners were introduced approximately 10 years ago at the initiative of educational institutions in Japan, the full [...] Read more.
Background: Nurse practitioners (NPs) are known as effective healthcare providers worldwide. In Japan, nurse practitioner adoption is considered to be in a shaky period. Although nurse practitioners were introduced approximately 10 years ago at the initiative of educational institutions in Japan, the full extent of this trend is not known. Therefore, we have clarified the whole picture of nurse practitioners from two directions: the perception of nurse practitioners in Japan and the perception of physicians who work with nurse practitioners. This will inform discussions regarding the recruitment of nurse practitioners at the national level in Japan. Methods: From 18 June to 24 July 2021, we administered a nationwide cross-sectional survey of NPs and physicians working in the same clinical settings as NPs in Japan. The domains of the survey included “scope and content of work”, “perceptions of NPs’ clinical practice”, and “individual clinical practice characteristics”. The survey was distributed and collected digitally. Results: The total number of respondents to the survey was 281, including 169 NPs and 112 physicians; the percentage of NPs who responded was 50.5%. The number of valid responses was 164 NPs and 111 physicians, for a total of 275 respondents. Approximately 60% of NPs are concentrated in Tokyo, the capital of Japan, and the three prefectures adjacent to Tokyo. They also worked fewer hours per week, cared for fewer patients per day, and earned less money than physicians. More physicians than NPs indicated that “more NPs would improve the quality of care”. A total of 90.1% of physicians and 82.3% of NPs agreed that “Nurse practitioners should practice to the full extent of their education and training,” and 73.9% of physicians and 81.7% of NPs agreed that “Nurse practitioners’ scope of practice should be uniformly defined at a national level”. Conclusions: This study clarified the present working conditions of NPs from NPs’ and physicians’ perspectives in Japanese contexts. Japanese NPs may be able to work effectively in collaboration with physicians. Therefore, the implementation of NPs in Japanese medical conditions should be discussed further for better healthcare. Full article
10 pages, 223 KiB  
Article
Challenges of Caregivers Regarding Homecare to Type 1 Diabetic Children in Vhembe District, South Africa: A Qualitative Study Report
by Margaren Ndou, Ndidzulafhi Selina Raliphaswa and Azwidihwi Rose Tshililo
Nurs. Rep. 2022, 12(4), 884-893; https://doi.org/10.3390/nursrep12040085 - 21 Nov 2022
Cited by 1 | Viewed by 1866
Abstract
Background: Worldwide, type 1 diabetes mellitus disease is a devastating health condition for both the diagnosed children and caregivers taking care of them. These challenges were drastically affecting caregivers in rendering the required homecare service for their patients. Caring for a child with [...] Read more.
Background: Worldwide, type 1 diabetes mellitus disease is a devastating health condition for both the diagnosed children and caregivers taking care of them. These challenges were drastically affecting caregivers in rendering the required homecare service for their patients. Caring for a child with diabetes mellitus often hurts the caregivers and other family members. Aim: This study aimed to explore the challenges experienced by caregivers during the provision of care to type 1 diabetic children. Setting: The study was conducted in selected health facility of Vhembe District, South Africa. Methods: A qualitative design that was both descriptive and exploratory was used. Non-probability purposive sampling was used to select the caregivers who were taking care of children with type 1 diabetes mellitus at their homes. Semi-structured interviews were conducted with 15 participants from the Vhembe district of Limpopo province. Results: Caregivers experienced various challenges related to re-admission, poor understanding of medication, low level of literacy, committed mistakes, poor adherence, and fear of giving an injection. Conclusion: It is imperative to educate the caregivers on the care of children with type 1 diabetes mellitus for them to be competent and knowledgeable in assisting their diabetic children at home. Full article
11 pages, 221 KiB  
Article
Healthcare Workers’ Perception of Measures to Reduce the Risk of New Tuberculosis Infections: A Qualitative Study Report
by Debra Madzinga, Takalani Grace Tshitangano, Ndidzulafhi Selina Raliphaswa and Lufuno Razwiedani
Nurs. Rep. 2022, 12(4), 873-883; https://doi.org/10.3390/nursrep12040084 - 17 Nov 2022
Cited by 1 | Viewed by 2399
Abstract
Tuberculosis, which is an infectious airborne disease remained the main leading cause of death in South Africa for three consecutive years from 2016 to 2018. In 2020 alone, the country had an estimated 328,000 people who suffered from TB, with 61,000 dying from [...] Read more.
Tuberculosis, which is an infectious airborne disease remained the main leading cause of death in South Africa for three consecutive years from 2016 to 2018. In 2020 alone, the country had an estimated 328,000 people who suffered from TB, with 61,000 dying from it. Collins Chabane Municipality had 129 and 192 new TB cases recorded in 2017 and 2018, respectively, which is far from reaching the END TB STRATEGY targets. WHO scientific evidence demonstrates that TB control measures are effective in reducing the spread and development of new cases. Though scientific evidence revealed negative attitudes towards the recommended TB control measures in public hospitals of the Vhembe district, a deeper understanding of these attitudes is needed to remedy the situation. This study aimed to describe healthcare workers’ perceptions of TB control measures at Collins Chabane Municipality in South Africa. A qualitative, exploratory case study design was adopted. Multi-stage sampling technique was used to select both the healthcare facilities and the participants. Only 24 healthcare workers trained on tuberculosis management were voluntarily recruited. However, data were saturated at the twelfth (12) participant purposively selected from six healthcare facilities of Collins Chabane Municipality. Data collected through unstructured in-depth individual interviews were analyzed thematically. The proposal for this study was ethically cleared by the University of Venda Ethics Committee (SHS/20/PDC/35/1111). Results indicate that TB administrative, environmental and respiratory control measures are well understood by health workers even though there are challenges with implementation concerning some, such as closing windows during winter, UVGI lights that are non-functional and taking too long to be fixed, no specimen collection during weekends and holidays thereby delaying TB diagnosis and lack of skills concerning how to use respirators and cough etiquette. The Vhembe district TB control programme should intensify infection control training and continue monitoring giving the needed support. Full article
12 pages, 265 KiB  
Article
Combination Relationship between Features of Person-Centered Care and Patient Safety Activities of Nurses Working in Small–Medium-Sized Hospitals: A Cross-Sectional Study
by Myoung Soo Kim, Young Ok Cho and Jiwon Park
Nurs. Rep. 2022, 12(4), 861-872; https://doi.org/10.3390/nursrep12040083 - 15 Nov 2022
Cited by 2 | Viewed by 1931
Abstract
Perceived safety culture and nursing work environment are considered important prerequisites for a patient safety activity. Patient safety is also associated with person-centered care; however, few studies apply the person-centered care framework which includes staff attributes and care environment. This study aimed to [...] Read more.
Perceived safety culture and nursing work environment are considered important prerequisites for a patient safety activity. Patient safety is also associated with person-centered care; however, few studies apply the person-centered care framework which includes staff attributes and care environment. This study aimed to examine the canonical correlations of person-centered care factors, including professional self-concept, patient safety culture, nursing work environment, and patient safety activities of nurses working in small–medium-sized hospitals. A cross-sectional survey was used. Participants included 171 nurses from seven small–medium-sized hospitals in Busan metropolitan city, in Korea. Data were analyzed using descriptive statistics, t-test, one-way analysis of variance (ANOVA), Pearson’s correlation coefficients, and canonical correlations. Two significant canonical variates were found. First, better professional self-concept, a positive patient safety culture, and better nursing work environment were associated with better patient safety care activities. Second, a negative patient safety culture and healthy nursing work environment were associated with a lack of communication between medical staff. Person-centered framework factors such as staff attributes and care environment were positively associated with patient safety activities. Based on the results, nurses in small–medium-sized hospitals should be highly aware of their professional self-concept. Moreover, nurses should be equipped with psychological safety and a healthy work environment to enhance patient safety activities. Full article
11 pages, 264 KiB  
Article
Development and Evaluation of a Massive Open Online Course on Healthcare Redesign: A Novel Method for Engaging Healthcare Workers in Quality Improvement
by Mitchell Dwyer, Sarah J. Prior, Pieter Jan Van Dam, Lauri O’Brien and Phoebe Griffin
Nurs. Rep. 2022, 12(4), 850-860; https://doi.org/10.3390/nursrep12040082 - 14 Nov 2022
Cited by 2 | Viewed by 1695
Abstract
Healthcare workers are under increasing pressure to use limited resources more efficiently and improve patient outcomes. Healthcare redesign, a quality improvement methodology derived from the automotive industry, is a proven means of achieving these goals. Continuing Professional Development (CPD) opportunities for nurses seeking [...] Read more.
Healthcare workers are under increasing pressure to use limited resources more efficiently and improve patient outcomes. Healthcare redesign, a quality improvement methodology derived from the automotive industry, is a proven means of achieving these goals. Continuing Professional Development (CPD) opportunities for nurses seeking to build their capacity for healthcare redesign often come in the form of university courses, which can be costly and prohibitively time-consuming. We developed a Massive Open Online Course (MOOC) with a view to increasing the number of healthcare workers undertaking CPD in healthcare redesign and subsequently using these principles in their workplaces. The aim of the current study is to describe the development of our MOOC and its initial feedback from users. Materials and Methods: The theoretical and practical components of an existing postgraduate award course unit were made fit for purpose by being arranged into six weekly modules, before being transposed to an established learning management platform for MOOCs. Related quizzes, videos and interactive activities were then developed and included in each of these modules. Peer review of this content was completed by subject matter and teaching and learning experts prior to the MOOC being launched. Results: After running for nine months, 578 participants had enrolled in the MOOC, of whom 118 (20%) had followed through to completion. Participants were overwhelmingly from Australia (89%) and identified as female (78%). Preliminary feedback obtained from participants was positive, with 81% of respondents agreeing that they were satisfied with their experience, and 82% intending to apply their knowledge in practice. Conclusions: The MOOC has addressed a learning need by providing a brief and free form of education; learning from its development will help others seeking similar educational solutions. Initial feedback suggests the MOOC has been well-received and is likely to be translated into practice. Full article
14 pages, 625 KiB  
Review
Intergenerationality Programs—Between Children and Older Adults—For Portuguese Population: A Scoping Review
by Maria Inês Carvalho, Maria João Póvoa, Mariana Neves, Joana Bernardo, Ricardo Loureiro, Rafael A. Bernardes, Inês F. Almeida, Elaine Santana and Rosa Silva
Nurs. Rep. 2022, 12(4), 836-849; https://doi.org/10.3390/nursrep12040081 - 14 Nov 2022
Viewed by 1814
Abstract
The aging process is characterized by diverse and complex changes in the individual’s various dimensions, requiring continuous adaptation. In this sense, this transition can be faced from an active aging standpoint through strategies such as intergenerationality programs/projects, resulting in an active social participation [...] Read more.
The aging process is characterized by diverse and complex changes in the individual’s various dimensions, requiring continuous adaptation. In this sense, this transition can be faced from an active aging standpoint through strategies such as intergenerationality programs/projects, resulting in an active social participation and valorization that is so important to life in society. This review aimed to map existing programs/projects to promote interaction between children and older adults in Portugal to understand the extent and type of evidence available. A scoping review was developed guided by the JBI methodology and using PRISMA-ScR. The studies included six programs/projects promoting intergenerationality identified in Portugal, focusing their actions on promoting active aging and preventing problems associated with aging. The evaluated dimensions along the implementation of these programs were in the cognitive, motor, emotional and communicational domains, including parameters such as self-esteem, self-confidence, self-worth, well-being, loneliness and depression. These programs/projects present themselves as potential senior mental health promoters. However, other dimensions have been evaluated during these programs’/projects’ applications. Full article
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12 pages, 398 KiB  
Article
Effects of a Nonviolent Communication-Based Empathy Education Program for Nursing Students: A Quasi-Experimental Pilot Study
by Jieun Sung and Youngran Kweon
Nurs. Rep. 2022, 12(4), 824-835; https://doi.org/10.3390/nursrep12040080 - 11 Nov 2022
Viewed by 2482
Abstract
This study aimed to develop and examine the effects of a nonviolent communication empathy education program, based on a cyclical empathy model of self-esteem, empathic ability, interpersonal relationships, and communication competency for nursing students. Participants were first-grade nursing students from two different colleges [...] Read more.
This study aimed to develop and examine the effects of a nonviolent communication empathy education program, based on a cyclical empathy model of self-esteem, empathic ability, interpersonal relationships, and communication competency for nursing students. Participants were first-grade nursing students from two different colleges in Korea. There were 62 participants: 32 and 30 in the experimental and control groups, respectively. The experimental group received six sessions of 120 min each. The sessions were based on nonviolent communication content and utilized teaching methods such as lectures, presentations, personal activities, group activities, role plays, assignments, and reflective journals. The data were analyzed with percentage, χ²-test, Fisher’s Exact test, and a two-group independent means t-test using the SPSS 24.0 program. There were significant increases in self-esteem (t = 4.06, p < 0.001), empathic ability (t = 5.22, p < 0.001), interpersonal relationships (t = 5.14, p < 0.001), and communication competency (t = 5.27, p < 0.001) in the experimental group compared to the control group. Therefore, a nonviolent communication empathy education program based on the cyclical empathy model is expected to be useful for the humanities and social education in a nursing curriculum. Furthermore, it can improve human nursing competency based on multidimensional empathy in clinical settings. Full article
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10 pages, 479 KiB  
Article
Usefulness of Midline Catheters versus Peripheral Venous Catheters in an Inpatient Unit: A Pilot Randomized Clinical Trial
by Marcela Villalba-Nicolau, Elena Chover-Sierra, Carlos Saus-Ortega, Maria Luisa Ballestar-Tarín, Pilar Chover-Sierra and Antonio Martínez-Sabater
Nurs. Rep. 2022, 12(4), 814-823; https://doi.org/10.3390/nursrep12040079 - 31 Oct 2022
Cited by 3 | Viewed by 2757
Abstract
Canalization of vascular accesses is one of the most used techniques in hospitalization units. When talking about peripherally inserted catheters, we can differentiate between peripheral intravenous catheters (PIVC), midline catheters, and long peripheral catheters (LPC). Midline catheters are rarely used despite being recommended [...] Read more.
Canalization of vascular accesses is one of the most used techniques in hospitalization units. When talking about peripherally inserted catheters, we can differentiate between peripheral intravenous catheters (PIVC), midline catheters, and long peripheral catheters (LPC). Midline catheters are rarely used despite being recommended for intravenous therapies lasting more than six days. This research is a pilot study of a longitudinal clinical trial. It aims to compare the complications associated with intravenous therapy between the control group (CG) with a PIVC and the experimental group (EG) with a midline in an Internal Medicine Unit of a Spanish hospital for three months. In this study, 44 subjects participated, 25 in the CG and 19 in the EG. The duration of cannulation was longer in the experimental group (8.13 days vs. 3.22, p < 0.001), and the appearance of phlebitis was more significant in the control group (19 patients in CG and 25 patients in EG). Midlines have presented a longer duration of cannulation and fewer complications than the PIVC. This protocol was registered with ClinicalTrials.gov (NCT05512117). Full article
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10 pages, 290 KiB  
Article
Service Learning Experience on Health Habits in High School Students Conducted by Nursing Students: A Qualitative Design
by Reig-Garcia Glòria, Cámara-Liebana David, Maria Carme Malagón-Aguilera, Belén Pérez-Jiménez, Susana Mantas-Jiménez and Marta Roqueta-Vall-llosera
Nurs. Rep. 2022, 12(4), 804-813; https://doi.org/10.3390/nursrep12040078 - 29 Oct 2022
Cited by 1 | Viewed by 1800
Abstract
Service learning is a teaching methodology that combines learning and service to the community in the same well-articulated project, where the participants are trained to improve and work on the real needs of the environment. This paper aimed to explore learning about healthy [...] Read more.
Service learning is a teaching methodology that combines learning and service to the community in the same well-articulated project, where the participants are trained to improve and work on the real needs of the environment. This paper aimed to explore learning about healthy habits and standards of nursing professional practice through a service learning activity between nursing students and high school students. Data of participants (N = 127 high school students and N = 12 nursing students) were collected by the high school students’ healthy habits mind map and with the help of the nursing students’ reflective journals. A generic qualitative design using content analysis was performed. After the activity, high school students identified which habits they should improve, such as diet, physical activity, resting time, and emotional health. By performing the activity, nursing students increased their knowledge about health habits, as well as their communication skills, confidence in public speaking, and awareness about community nurses’ tasks. Service learning activity on health habits conducted by nursing students in a high school has a positive effect on the knowledge of healthy habits for both participants, nursing and high school students. Participating in an activity of service learning improves communication skills among first-year nursing students and narrows the gap between university theory and nursing practice. Full article
13 pages, 255 KiB  
Article
Life with an Indwelling Urinary Catheter: Experiences from Male Patients Attending the Urology Clinic at a Tertiary Hospital in Northwestern Tanzania—A Qualitative Study
by Asteria L. M. Ndomba, Rose M. Laisser, Eveline T. Konje, Joseph R. Mwanga and Stephen E. Mshana
Nurs. Rep. 2022, 12(4), 791-803; https://doi.org/10.3390/nursrep12040077 - 26 Oct 2022
Cited by 3 | Viewed by 2540
Abstract
Experiences from patients living with a long-term indwelling urinary catheter (IUC) at home among men attending urology clinics have not been reported. Evidence-based information on such experiences is important for improving nursing care in low- and middle-income countries such as Tanzania. Using a [...] Read more.
Experiences from patients living with a long-term indwelling urinary catheter (IUC) at home among men attending urology clinics have not been reported. Evidence-based information on such experiences is important for improving nursing care in low- and middle-income countries such as Tanzania. Using a descriptive phenomenological qualitative research design, we observed two main themes: “Adjustments to positive living with a catheter at home”, denoting that social interaction and psychological and spiritual support are important to positively live with the catheter, and “The home environment influences negative or positive living”, considering intimacy and altered body image to significantly influence the ability to practice sex, leading to wives’ self-sacrifice. Respondents experienced difficulties in living with a long-term IUC at home due to a lack of information from healthcare professionals on how to manage their catheters and urine bags. In adjusting to positive or negative living with a catheter at home, respondents had to figure out strategies to minimize psychological and emotional trauma and hasten the adjustment process. A clear guideline or checklist is needed to ensure that all important information is provided by health professionals at the time of discharge and during subsequent visits to patients on how to care for the catheter insertion sites and help them adjust to living with a long-term IUC. Full article
16 pages, 687 KiB  
Article
Effect of Music Therapy as a Non-Pharmacological Measure Applied to Alzheimer’s Disease Patients: A Systematic Review
by E. Begoña García-Navarro, Ana Buzón-Pérez and María Cabillas-Romero
Nurs. Rep. 2022, 12(4), 775-790; https://doi.org/10.3390/nursrep12040076 - 20 Oct 2022
Cited by 6 | Viewed by 5956
Abstract
The objective of this research was to learn about the effects of music as a non-pharmacological therapeutic intervention applied to Alzheimer’s disease. To this aim, we evaluated its results regarding symptomatology and caregiver burden. Methods: This systematic review followed the Preferred Reporting Items [...] Read more.
The objective of this research was to learn about the effects of music as a non-pharmacological therapeutic intervention applied to Alzheimer’s disease. To this aim, we evaluated its results regarding symptomatology and caregiver burden. Methods: This systematic review followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) criteria. We searched Pubmed/Medline (NLM), Web of Science, Scopus, Cochrane and Google Scholar, including articles from 1 January 2011–20 July 2021, using the keywords “Alzheimer’s disease”, “Music therapy”, “Caregivers overload”, “Amnesia retrograde” and “Clinical evolution”. To select the articles our criteria included complete text availability, quantitative research of an experimental nature and studies which, at least, figured in SJR or in JCR. Results: We found a relationship between the application of music therapy in patients with Alzheimer’s disease and an improvement regarding symptomatology, as it smoothed down the progress of the disease. Using music therapy in Alzheimer’s patients also led to a decrease in caregivers’ burden and an increase in their well-being. Conclusions: Our results showed the benefits of music therapy, as it improved both patients’ symptomatology and caregivers’ burden. Full article
(This article belongs to the Topic Healthy, Safe and Active Aging)
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17 pages, 2739 KiB  
Article
How Are You Feeling? Interpretation of Emotions through Facial Expressions of People Wearing Different Personal Protective Equipment: An Observational Study
by José Luis Díaz-Agea, María José Pujalte-Jesús, Vanessa Arizo-Luque, Juan Antonio García-Méndez, Isabel López-Chicheri-García and Andrés Rojo-Rojo
Nurs. Rep. 2022, 12(4), 758-774; https://doi.org/10.3390/nursrep12040075 - 17 Oct 2022
Cited by 1 | Viewed by 2159
Abstract
(1) Background: The perception of others’ emotions based on non-verbal cues, such as facial expressions, is fundamental for interpersonal communication and mutual support. Using personal protection equipment (PPE) in a work environment during the SAR-CoV-2 pandemic challenged health professionals’ ability to recognise emotions [...] Read more.
(1) Background: The perception of others’ emotions based on non-verbal cues, such as facial expressions, is fundamental for interpersonal communication and mutual support. Using personal protection equipment (PPE) in a work environment during the SAR-CoV-2 pandemic challenged health professionals’ ability to recognise emotions and expressions while wearing PPE. The working hypothesis of this study was that the increased limitation of facial visibility, due to the use of a personal protective device, would interfere with the perception of basic emotions in the participants. (2) Methods: Through a cross-sectional descriptive study, the present research aimed to analyse the identification of four basic emotions (happiness; sadness; fear/surprise; and disgust/anger) through three types of PPE (FFP2 respirator, protective overall and powered air-purifying respirator (PAPR)), by using 32 photographs. The study was conducted using volunteer participants who met the inclusion criteria (individuals older than 13 without cognitive limitations). Participants had to recognise the emotions of actors in photographs that were randomly displayed in an online form. (3) Results: In general, the 690 participants better recognised happiness and fear, independently of the PPE utilised. Women could better identify different emotions, along with university graduates and young and middle-aged adults. Emotional identification was at its worst when the participants wore protective overalls (5.42 ± 1.22), followed by the PAPR (5.83 ± 1.38); the best scores were obtained using the FFP2 masks (6.57 ± 1.20). Sadness was the least recognised emotion, regardless of age. (4) Conclusions: The personal protective devices interfere in the recognition of emotions, with the protective overalls having the greatest impact, and the FFP2 mask the least. The emotions that were best recognised were happiness and fear/surprise, while the least recognised emotion was sadness. Women were better at identifying emotions, as well as participants with higher education, and young and middle-aged adults. Full article
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11 pages, 259 KiB  
Article
Rural Nurses’ Views on Breastmilk Banking in Limpopo Province, South Africa: A Qualitative Study
by Mantji Annah Mahlatjie, Makoma Bopape and Tebogo Maria Mothiba
Nurs. Rep. 2022, 12(4), 747-757; https://doi.org/10.3390/nursrep12040074 - 16 Oct 2022
Cited by 1 | Viewed by 1786
Abstract
The development of breastmilk banks is being established among the African population, including in Limpopo Province. However, the views of nurses directly handling the donated breastmilk in the province remain unknown. This study was aimed at exploring and describing the views of nurses [...] Read more.
The development of breastmilk banks is being established among the African population, including in Limpopo Province. However, the views of nurses directly handling the donated breastmilk in the province remain unknown. This study was aimed at exploring and describing the views of nurses towards breastmilk banking in the Mankweng area, Limpopo Province. A qualitative, descriptive, and explorative study was undertaken at a tertiary hospital and a rural feeder clinic in the Mankweng area. Purposive sampling was employed to obtain participants for the interviews. One-on-one, semi-structured interviews were conducted to explore the views of these nurses. Data were analysed using Tesch’s open coding method, with the information obtained being grouped into different themes and sub-themes. Almost all nurses were willing to donate their breastmilk to the bank. However, receiving donated breastmilk for their own children seemed to be a challenge due to the safety of the donated breastmilk, uncertainty about the screening process, and cultural issues. Although donation of breastmilk appeared to be well supported by almost all the nurses, the use of donated breastmilk seemed to be not fully acceptable. Increased awareness about breastmilk donation and banking should be prioritised in the province. Full article
14 pages, 270 KiB  
Article
Participating in the Illness Journey: Meanings of Being a Close Relative to an Older Person Recovering from Hip Fracture—A Phenomenological Hermeneutical Study
by Cecilia Segevall and Siv Söderberg
Nurs. Rep. 2022, 12(4), 733-746; https://doi.org/10.3390/nursrep12040073 - 13 Oct 2022
Viewed by 1416
Abstract
When an older person suffers an acute event, such as a hip fracture, it influences the whole family. Research shows that while close relatives want to be a part of the older person’s life during recovery it is associated with a high perceived [...] Read more.
When an older person suffers an acute event, such as a hip fracture, it influences the whole family. Research shows that while close relatives want to be a part of the older person’s life during recovery it is associated with a high perceived level of stress and burden. To provide in-depth knowledge of close relatives’ experiences in this situation, the aim of this study was to elucidate meanings of being a close relative to an older person recovering from hip fracture surgery. This study has a qualitative descriptive phenomenological hermeneutical design. Narrative interviews were conducted with ten close relatives. Analysis was conducted using phenomenological hermeneutical interpretation which provided a deeper understanding of the close relatives’ lived experiences of their older person’s recovery from hip fracture surgery. The structural analysis revealed two themes; “Participating in the illness journey”, which was constructed of the subthemes of facing the unimaginable yet expected, encountering healthcare personnel, and noticing recovery and “Putting oneself aside”, which was constructed of the subthemes of placing daily life on hold, giving support, and feeling concern and fear. Full article
7 pages, 1091 KiB  
Commentary
Verbal Communication with the Patient Is Not Enough: The Six Languages of the Sick
by Carlo Valerio Bellieni
Nurs. Rep. 2022, 12(4), 726-732; https://doi.org/10.3390/nursrep12040072 - 13 Oct 2022
Viewed by 2352
Abstract
Evidence shows that verbal communication is just one of the ways patients indicate their wishes. For a sufficiently careful communication, we should also grasp other five unusual though evident languages: (a) body language, (b) the way patients manage their environment, (c) unconscious language, [...] Read more.
Evidence shows that verbal communication is just one of the ways patients indicate their wishes. For a sufficiently careful communication, we should also grasp other five unusual though evident languages: (a) body language, (b) the way patients manage their environment, (c) unconscious language, (d) lab-evidenced language, and (e) the way they master technology. So, we have six languages that should be intertwined to understand the real language of the sick. Grasping these languages helps health professionals frame the patient’s mood, their level of suffering or mental growth, and understand what words alone cannot express. Words cannot express completely what a patient senses: for subjection, shyness, because some patients are still non-verbal or because verbal communication is just a useful way of freezing concept but has not the same fluidity and liberty of the other above-described languages. It is mandatory for caregivers to wonder how many of these languages they are actually decrypting during an interview with the patient. On the other hand, caregivers unconsciously communicate much through two unexpected languages: the architectural language and the language of medical procedures. The way they welcome or obstruct the patient, their hesitations across a treatment, or in showing a serene collegiality are forms of subtle communication. A paradigmatic scenario where all these languages should be implemented is the “informed consent” process, which should be turned into a “shared therapeutic pathway”, summing up all the communicative modes illustrated in the text. Full article
(This article belongs to the Special Issue New Advances in Nursing Care)
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9 pages, 719 KiB  
Case Report
A Novel Approach to Managing a COVID-19 Outbreak at a Farm in Outer Regional Victoria, Australia
by Mwila Kabwe, Jennifer L. Dittmer, Jaimee Oxford, Catina Eyres, Ancara Thomas, Andrew Mahony and Bruce Bolam
Nurs. Rep. 2022, 12(4), 717-725; https://doi.org/10.3390/nursrep12040071 - 07 Oct 2022
Viewed by 1736
Abstract
The coronavirus disease (COVID-19) has been established as a major occupational health and safety issue that compounds pre-existing socioeconomic inequalities such as access to basic health services. This is exacerbated in migrant farmworkers who are an essential workforce in maintaining food supply across [...] Read more.
The coronavirus disease (COVID-19) has been established as a major occupational health and safety issue that compounds pre-existing socioeconomic inequalities such as access to basic health services. This is exacerbated in migrant farmworkers who are an essential workforce in maintaining food supply across the country. An outbreak occurred in a remote part of Victoria with limited access to healthcare resources. Existing relationships allowed the Loddon Mallee Public Health Unit to quickly engage farm management and local pathology services and provide cultural and language support. After contact-tracing and comprehensive clinical review, rather than isolate positive cases, those who were asymptomatic and willing to work continued to do so whilst negative workers were in quarantine. Outbreak management and public health actions were quickly implemented even when the nationwide state-testing and contact-tracing systems were experiencing significant strain due to the rapid escalation in case numbers. Despite a large outbreak (68/74 workers), the management of the outbreak allowed asymptomatic cases to perform their work so farm productivity remained uninterrupted. Cases’ health status was closely monitored, with no adverse outcomes in a high-risk population. COVID-19 negative workers safely quarantined away from positive cases until the closure of the outbreak. Full article
(This article belongs to the Special Issue Nursing and COVID-19 Ⅰ  )
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9 pages, 291 KiB  
Article
Stressor Factors for Spanish Nursing Students in a Pandemic Context: An Observational Pilot Survey
by Silvia Reverté-Villarroya, Elsa Gil-Mateu, Esther Sauras-Colón, Josep Barceló-Prats, Núria Albacar-Riobóo and Laura Ortega
Nurs. Rep. 2022, 12(4), 708-716; https://doi.org/10.3390/nursrep12040070 - 30 Sep 2022
Cited by 1 | Viewed by 1534
Abstract
Background: The context of the pandemic in Spain meant a high demand for care. The purpose of this pilot work was to determine the stress factors, conducted on final-year nursing students at a Spanish university, who volunteered to carry out healthcare tasks, in [...] Read more.
Background: The context of the pandemic in Spain meant a high demand for care. The purpose of this pilot work was to determine the stress factors, conducted on final-year nursing students at a Spanish university, who volunteered to carry out healthcare tasks, in pandemic and post-pandemic contexts. Methods: An observational prospective cohort pilot survey was conducted with an intentional sampling of the forty-seven students. We collected sociodemographic and stressor data using the validated KEZKAK questionnaire. The STROBE checklist was used to evaluate the study. Results: The median scores obtained from nursing students incorporated as auxiliary health workers are lower than those who were not incorporated, and statistically significant differences were found: lack of skills and abilities (p = 0.016); relationship with tutors and colleagues (p = 0.004); impotence and uncertainty (p = 0.011); inability to manage the relationship with the patient (p = 0.009); emotional involvement (p = 0.032); distress caused by the relationship with patients and item overload (p = 0.039); and overload items (p = 0.011). The post-pandemic only maintained “lack of skill and abilities” (p = 0.048), from nursing students incorporated as auxiliary health workers. Conclusion: This pilot study showed that nursing students who joined as auxiliary health personnel presented less perceived stress than non-incorporated nursing students. Still, more prospectively designed clinical research is needed. Full article
15 pages, 1409 KiB  
Article
Translation and Validation of the Greek Version of the Evidence-Based Practice Competency Questionnaire for Registered Nurses (EBP-COQ Prof©)
by Stefania Schetaki, Evridiki Patelarou, Konstantinos Giakoumidakis, Alexandra Trivli, Christos Kleisiaris and Athina Patelarou
Nurs. Rep. 2022, 12(4), 693-707; https://doi.org/10.3390/nursrep12040069 - 27 Sep 2022
Cited by 3 | Viewed by 1797
Abstract
(1) Background: Evidence-based nursing is the benchmark of the nursing profession. It is widely recognized that evidence enhances knowledge, skills, and competencies in nursing education and thus the quality of patient care. Although several proposals have been introduced to reinforce nurses through education [...] Read more.
(1) Background: Evidence-based nursing is the benchmark of the nursing profession. It is widely recognized that evidence enhances knowledge, skills, and competencies in nursing education and thus the quality of patient care. Although several proposals have been introduced to reinforce nurses through education in evidence-based practice (EBP) for clinical practice, there is no validated EBP competence tool to determine how nurses approach evidence-based nursing in healthcare practices in Greece. Therefore, the aim of the present study was to translate and validate the Greek version of the Evidence-Based Practice Competency Questionnaire, Professional version (EBP-COQ Prof©). (2) Methods: A cross-sectional study was conducted in a sample of registered nurses working in the public sector. (3) Results: 414 clinical nurses were recruited in total with a response rate of 75.3% and a mean age of 43 years old. Most of the nursing personnel were females, 354 (85.5%), and there were 60 (14.5%) males. Confirmatory factor analysis (CFA) showed a confirmation of the developer’s four-factor design. The estimated association between items on each scale showed a strong relationship. The competence questionnaire showed a high internal consistency between the components of attitude, knowledge, skills, and utilization. (4) Conclusions: The competence questionnaire shows a strong relationship between four the components, highlighting the four factors that should be promoted to improve the use of EBP nursing practices. Full article
(This article belongs to the Special Issue Evidence-Based Practice and Personalized Care)
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