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12 pages, 297 KiB

Open AccessArticle

An Exploration of Resilience and Positive Affect among Undergraduate Nursing Students: A Longitudinal Observational Study

by L. Iván Mayor-Silva, Alfonso Meneses-Monroy, Leyre Rodriguez-Leal and Guillermo Moreno

Nurs. Rep. 2024, 14(2), 871-882; https://doi.org/10.3390/nursrep14020067 - 03 Apr 2024

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Abstract

Background: The purpose of this study is to analyze the variation in resilience and emotional state scores in nursing students throughout the four years of training for the nursing degree. Methods: This is a longitudinal observational study of a paired and prospective cohort [...] Read more.

Background: The purpose of this study is to analyze the variation in resilience and emotional state scores in nursing students throughout the four years of training for the nursing degree. Methods: This is a longitudinal observational study of a paired and prospective cohort of 176 nursing students who enrolled in the first year of a bachelor’s degree in 2019. The study followed up with the students in 2022 and examined several sociodemographic factors, including sex, marital status, date of birth, living arrangements and occupation. Additionally, the study investigated changes in negative affect, positive affect, and resilience. Results: A total of 176 students participated in the study. The study found that resilience increased from 68.24 ± 10.59 to 70.87 ± 9.06 (p < 0.001), positive affect increased from 28.16 ± 4.59 to 33.08 ± 8.00 (p < 0.001), and the negative affect score decreased from 25.27 ± 5.12 to 21.81 ± 7.85 (p < 0.001). The study also found that married individuals experienced an increase in negative affect (p = 0.03) compared to singles or those in open relationships. Furthermore, the change in resilience was greater in men than in women (p = 0.01). Conclusions: Throughout their four-year training, nursing students experience an increase in resilience and positive affect, as well as a decrease in negative affect. Full article

(This article belongs to the Special Issue Current Trends, Innovations and Issues in Nursing Practice and Education)

13 pages, 220 KiB

Open AccessArticle

Addressing a Critical Voice in Clinical Practice: Experiences of Nursing Students, Teachers, and Supervisors—A Qualitative Study

by Ingrid Rachel Strand, Unni Knutstad, Anton Havnes and Mette Sagbakken

Nurs. Rep. 2024, 14(2), 788-800; https://doi.org/10.3390/nursrep14020061 - 29 Mar 2024

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Abstract

Aim: Our goal was to explore how power asymmetry manifests within the relationships between students, teachers, and supervisors, and how it influences students’ ability for critical reflection. Design: This study has an explorative qualitative design. Methods: Thirty in-depth interviews with nursing students (15), [...] Read more.

Aim: Our goal was to explore how power asymmetry manifests within the relationships between students, teachers, and supervisors, and how it influences students’ ability for critical reflection. Design: This study has an explorative qualitative design. Methods: Thirty in-depth interviews with nursing students (15), teachers (9), and supervisors (6) were conducted in addition to 16 observations of mid-term assessments during clinical practice. The analysis was conducted using Braun and Clarke’s thematic analysis. Results: The students described being a student as a balancing act between humility, conforming to the supervisor’s expectations, and speaking their minds. The view expressed by the teachers and supervisors is that training for the nursing profession is closely linked to the students’ ability to act independently. Due to the supervisors’ hierarchical position, however, students are hesitant to voice any criticism regarding insufficient supervision or unsatisfactory performance of clinical tasks while at the same time being evaluated on their ability to critically reflect on their own and others’ clinical performance. This study was prospectively registered with the Norwegian Centre for Research Data on the 15th of August 2017 with the registration number 54821. Full article

(This article belongs to the Special Issue Current Trends, Innovations and Issues in Nursing Practice and Education)

14 pages, 1063 KiB

Open AccessCommunication

Positive Aspects and Potential Drawbacks of Implementing Digital Teaching/Learning Scenarios in Health Professions Using Nursing Education as an Example: A Research Report from Germany

by Lydia Pfeifer, Sophia Fries, Alexander Stirner, Lisa Nagel, Christian Cohnen, Leona Aschentrup, Marleen Schönbeck, Annette Nauerth, Patrizia Raschper, Tim Herzig and Kamil J. Wrona

Nurs. Rep. 2024, 14(1), 468-481; https://doi.org/10.3390/nursrep14010036 - 22 Feb 2024

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Abstract

Background: Learning arrangements in health care profession education are increasingly taking place in digital environments. Virtual reality (VR) in nursing education, as a digital element, is the subject of controversial debate. On one hand, it supports the authenticity of case studies by adding [...] Read more.

Background: Learning arrangements in health care profession education are increasingly taking place in digital environments. Virtual reality (VR) in nursing education, as a digital element, is the subject of controversial debate. On one hand, it supports the authenticity of case studies by adding realistic perspectives and information. On the other hand, the costs of developing and maintaining software and hardware hinder its long-term implementation. Based in the German context, our aim is to promote the adoption of innovative digital methods in nursing education and to offer invaluable experiences from the field. Methods: In this paper, we describe our findings and insights from two different research projects focused on the incorporation of digital tools, particularly VR, into nursing education. Results: Starting with a brief recapitulation of the projects, we elucidate pedagogical strategies for embedding VR-driven scenarios in nursing education. Based on our experiences during the projects, we identify various positive aspects, such as changing perspective and simulating acute situations. Key findings: Although potential drawbacks remain, we advocate the long-term implementation and specific use of VR at the interface between theory and practice. Nevertheless, it is crucial to establish regular evaluation, observing the value of digitalisation, especially VR, for nursing education. Full article

(This article belongs to the Special Issue Current Trends, Innovations and Issues in Nursing Practice and Education)

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10 pages, 206 KiB

Open AccessArticle

Challenges Faced by University of Limpopo Learner Nurses during Psychiatry Clinical Exposure: A Qualitative Study

by L. S. Hlahla, C. Ngoatle, M. N. Kgatla and E. M. Mathapo-Thobakgale

Nurs. Rep. 2024, 14(1), 164-173; https://doi.org/10.3390/nursrep14010014 - 09 Jan 2024

Viewed by 715

Abstract

Clinical exposure of learner nurses to psychiatric hospitals is a requirement by the South African Nursing Council. Clinical experience helps learner nurses build cognitive and affective skills, cultural acculturation, and professional identity. The clinical placement also aids nursing learner nurses in making decisions [...] Read more.

Clinical exposure of learner nurses to psychiatric hospitals is a requirement by the South African Nursing Council. Clinical experience helps learner nurses build cognitive and affective skills, cultural acculturation, and professional identity. The clinical placement also aids nursing learner nurses in making decisions regarding future career paths. The goal of psychiatric nursing practice is to enhance mental and physical health and improve the patient’s quality of life and rehabilitation. A qualitative research approach was followed, and a descriptive, explorative, and contextual design was used in this study to explore the challenges faced by University of Limpopo learner nurses during psychiatry clinical exposure. The population included learner nurses from level two to level four who registered for psychiatric nursing science practice. Convenience sampling was adopted. Semi-structured interviews were used to collect data, and the data were analyzed using the Tesch open coding method. Measures to ensure trustworthiness were adhered to, and ethical considerations were observed. The findings of this study indicated that learner nurses go through challenges and discomfort in the form of mental health care users, clinical environment matters, and the attitude of clinical staff in the hospital. Proper preparation of the learner nurses and clinical areas can assist in reducing the challenges that learner nurses go through. Full article

(This article belongs to the Special Issue Current Trends, Innovations and Issues in Nursing Practice and Education)

12 pages, 1413 KiB

Open AccessArticle

Virtual Active Learning to Maximize Knowledge Acquisition in Nursing Students: A Comparative Study

by Guillermo Moreno, Alfonso Meneses-Monroy, Samir Mohamedi-Abdelkader, Felice Curcio, Raquel Domínguez-Capilla, Carmen Martínez-Rincón, Enrique Pacheco Del Cerro and L. Iván Mayor-Silva

Nurs. Rep. 2024, 14(1), 128-139; https://doi.org/10.3390/nursrep14010011 - 08 Jan 2024

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Abstract

Background: Nursing students need to acquire knowledge through active methods that promote critical thinking and decision making. The purpose of this study is to analyze whether there are differences in the acquisition of knowledge by nursing students between active face-to-face or virtual teaching [...] Read more.

Background: Nursing students need to acquire knowledge through active methods that promote critical thinking and decision making. The purpose of this study is to analyze whether there are differences in the acquisition of knowledge by nursing students between active face-to-face or virtual teaching methods. Methods: In this comparative study, nursing students enrolled in the psychology course were divided into two groups: a face-to-face group that received active teaching methods and a virtual group. The virtual group was exposed to the Effective Learning Strategy (ELS), which included seminars based on video content through the Virtual Campus and answering questions using the H5P tool. In addition, participants engaged in reflection tasks on the content. Covariate data were collected, and knowledge tests were administered to both groups before and after the course. After three months, subjects were re-evaluated with a final exam to assess content retention. Results: A total of 280 students were randomized. No differences were found in students’ scores at the end of the knowledge test or in their final grades in the subject. Having study habits (b = 0.12, p = 0.03) and social support from relevant people (b = 0.09; p = 0.03) were associated with better post-intervention scores, and inversely with social support from friends (b = −0.12, p < 0.01). Final grades were inversely associated with digital safety literacy (b = −0.101, p = 0.01). No factors were associated with the scores of each group separately. Conclusions: The ELS virtual active learning model is as effective as face-to-face active learning methods for teaching psychology to first-year nursing students. This study was not registered. Full article

(This article belongs to the Special Issue Current Trends, Innovations and Issues in Nursing Practice and Education)

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11 pages, 306 KiB

Open AccessArticle

Nomophobia and Its Relationship with Social Anxiety and Procrastination in Nursing Students: An Observational Study

by Irene Tárrega-Piquer, María Jesús Valero-Chillerón, Víctor Manuel González-Chordá, Irene Llagostera-Reverter, Águeda Cervera-Gasch, Laura Andreu-Pejo, Víctor Pérez-Cantó, Víctor Ortíz-Mallasén, Guillem Blasco-Palau and Desirée Mena-Tudela

Nurs. Rep. 2023, 13(4), 1695-1705; https://doi.org/10.3390/nursrep13040140 - 05 Dec 2023

Viewed by 1362

Abstract

Nomophobia is a phenomenon that describes the fear of not having one’s mobile phone accessible. This study aimed to evaluate the presence of nomophobia among nursing students as well as its relationship with procrastination and social anxiety. Methods: An observational, descriptive, cross-sectional study [...] Read more.

Nomophobia is a phenomenon that describes the fear of not having one’s mobile phone accessible. This study aimed to evaluate the presence of nomophobia among nursing students as well as its relationship with procrastination and social anxiety. Methods: An observational, descriptive, cross-sectional study was conducted in a sample of 308 nursing students. Data were collected using the Nomophobia Questionnaire, Academic Procrastination Scale-Short Form, and Social Anxiety Questionnaire for Adults. Additionally, sociodemographic variables related to academic performance and smartphone use were collected. We performed a descriptive, bivariate, and multivariate analysis of the Nomophobia Questionnaire score. Results: 19.5% (n = 60) of the students presented with or were at high risk of nomophobic behaviour. Moreover, nomophobic behaviour was positively correlated with high levels of social anxiety (p < 0.001), longer daily smartphone usage time (p < 0.001), and a high frequency of smartphone checking in class (p < 0.001). The predictive variables for nomophobic behaviour included age, variables related to smartphone use, social anxiety levels, work, procrastination tendency, sex, and self-reported average grade. Conclusion: One out of five students in the sample studied presented with or were at high risk of nomophobic behaviour. Additionally, nomophobic behaviour was associated with social anxiety and variables related to smartphone use. This study was not registered. Full article

(This article belongs to the Special Issue Current Trends, Innovations and Issues in Nursing Practice and Education)

13 pages, 300 KiB

Open AccessArticle

Locus of Control and Self-Directed Learning Readiness of Nursing Students during the COVID-19 Pandemic: A Cross-Sectional Study from Saudi Arabia

by Hanan A. Alkorashy and Hanan A. Alotaibi

Nurs. Rep. 2023, 13(4), 1658-1670; https://doi.org/10.3390/nursrep13040137 - 30 Nov 2023

Cited by 1 | Viewed by 1117

Abstract

Background: Coronavirus disease (COVID-19) has caused one of the worst global pandemics in recent decades. It has disrupted education systems worldwide, leading to a forced shift from traditional face-to-face to blended or fully distanced learning, requiring a higher level of student readiness for [...] Read more.

Background: Coronavirus disease (COVID-19) has caused one of the worst global pandemics in recent decades. It has disrupted education systems worldwide, leading to a forced shift from traditional face-to-face to blended or fully distanced learning, requiring a higher level of student readiness for self-directed learning (SDL) and a more internal locus of control (LOC). Objective: This study explored the relationship between locus of control and level of readiness for SDL among Saudi nursing students and whether the COVID-19 pandemic has impacted this relationship. Methods: A cross-sectional correlational descriptive study was conducted to survey 277 Saudi nursing students enrolled in the bachelor program at one of the reputable universities in Saudi Arabia. An E-questionnaire containing two scales, the Self-Directed Learning Readiness Scale for Nursing Education, and the Locus of Control Scale, was used to collect data in addition to the selected participants’ characteristics. Results: Nursing students had a moderate-to-low level of readiness for SDL (mean = 144.0), and the majority had an external LOC. There was a significant association between locus of control and level of readiness for self-directed learning (r = 0.19 *, p = 0.001), and the internal locus of control was more significantly associated with self-directed learning (r = 0.22 *, p = 0.0001) than with external locus of control. Conclusion: The study findings indicate a propensity of respondents indicating an external locus of control, whereas most of the respondents’ reported levels of readiness ranged between low and moderate across all dimensions of self-directed learning. This study was not registered. Full article

(This article belongs to the Special Issue Current Trends, Innovations and Issues in Nursing Practice and Education)

10 pages, 275 KiB

Open AccessArticle

Evaluation of the Use of Project-Based Learning in the Nursing Degree

by Laura Parra-Anguita, María Dolores López-Franco, Juan Miguel Martínez-Galiano, Manuel González-Cabrera, Sara Moreno-Cámara and Nani Granero-Moya

Nurs. Rep. 2023, 13(4), 1648-1657; https://doi.org/10.3390/nursrep13040136 - 21 Nov 2023

Viewed by 968

Abstract

Project-based learning (PBL) is a teaching methodology that allows students to acquire knowledge and competencies through the completion of projects that respond to real-life problems. The aims of this study were to evaluate the acquisition of knowledge of students of the Aging Nursing [...] Read more.

Project-based learning (PBL) is a teaching methodology that allows students to acquire knowledge and competencies through the completion of projects that respond to real-life problems. The aims of this study were to evaluate the acquisition of knowledge of students of the Aging Nursing subject through a PBL-based intervention and determine the degree of student satisfaction with the use of this methodology. A mixed, quasi-experimental, pre–post study was conducted without a control group using an educational intervention based on PBL and descriptive phenomenology with content analysis of the experiences reported after it. A knowledge questionnaire about nursing homes was administered before the start of the intervention. After using PBL to carry out the subject project, the same knowledge questionnaire and an ad hoc questionnaire on satisfaction, assessment, and improvement aspects were administered. In total, 111 nursing students participated. The difference in knowledge after the educational intervention was significant. The mean pre-intervention score was 5.56, SD 1.50, and the mean post-intervention score was 7.14, SD 1.59, (p = 0.001). In total, 74% of the students stated that they were very satisfied with the use of this methodology. The students had a positive perspective on the process of acquiring knowledge that PBL allows. The students improved their knowledge about the planning and management of nursing homes with the use of the project-based learning teaching methodology. They were very satisfied with said activity. Teachers must be adequately trained for the correct implementation of this teaching methodology. This study was not registered. Full article

(This article belongs to the Special Issue Current Trends, Innovations and Issues in Nursing Practice and Education)

11 pages, 289 KiB

Open AccessArticle

Analysis of the Attitudes towards Sexuality in People with Intellectual Disabilities: A Cross-Sectional Study

by José Carlos López-García, Azucena González-Sanz, Elena Sutil-Rodríguez, Carlos Saus-Ortega, Regina Ruiz de Viñaspre-Hernádez, Raúl Juárez-Vela, Vicente Gea-Caballero, Juan Luis Sánchez-González, Clara Isabel Tejada-Garrido, Ana Cobos-Rincón, José María Criado-Gutiérrez and Consuelo Sancho-Sanchez

Nurs. Rep. 2023, 13(4), 1624-1634; https://doi.org/10.3390/nursrep13040134 - 11 Nov 2023

Viewed by 1049

Abstract

The barriers faced by people with intellectual disabilities are many. One of the areas in which many problems have been identified is the sexual domain. This descriptive study aims to analyze the attitudes of the family environment, professional carers, and the general population [...] Read more.

The barriers faced by people with intellectual disabilities are many. One of the areas in which many problems have been identified is the sexual domain. This descriptive study aims to analyze the attitudes of the family environment, professional carers, and the general population toward their sexuality. A cross-sectional descriptive study was carried out between 2022 and 2023, using convenience sampling among family members and carers from different centers working with people with intellectual disabilities in Spain, and among the general population not related to people with intellectual disabilities. A total of 583 responses were received and significant differences were found for all variables, with the variables related to family or work proximity being those that provided the most significant and relevant results. It was observed that the male sex has a more paternalistic attitude and that in rural areas there is a more permissive attitude towards the sexuality of people with intellectual disabilities. People who work with people with disabilities have more positive attitudes towards this group, while direct relatives have more paternalistic attitudes. Nursing care in the community and specialized centers should be based on an adequate therapeutic relationship and personalized care. Full article

(This article belongs to the Special Issue Current Trends, Innovations and Issues in Nursing Practice and Education)

15 pages, 265 KiB

Open AccessArticle

Nursing Care for Stroke Patients: Current Practice and Future Needs

by Lisa A. Babkair, Razan A. Safhi, Raghad Balshram, Rahaf Safhei, Atheer Almahamdy, Fatimah Hamad Hakami and Ali Matouq Alsaleh

Nurs. Rep. 2023, 13(3), 1236-1250; https://doi.org/10.3390/nursrep13030106 - 10 Sep 2023

Viewed by 4326

Abstract

Background: Stroke is the second leading cause of death and the third leading cause of disability worldwide. Stroke nurses play an important role in the care of patients living with stroke by using best practices and adhering to stroke-management guidelines. This study aims [...] Read more.

Background: Stroke is the second leading cause of death and the third leading cause of disability worldwide. Stroke nurses play an important role in the care of patients living with stroke by using best practices and adhering to stroke-management guidelines. This study aims at examining the current nursing practice for stroke patients in Saudi Arabia. Method: A cross-sectional descriptive design was used to collect data from nurses working in the stroke unit and intensive care unit between the period of February and June 2022 using electronic self-administered questionnaires. Results: A convenience sample of 131 nurses who provided care for stroke patients was enrolled. Significant differences in nursing practice were found between the stroke units and the intensive care units regarding the activation of the stroke code, X² (4, N = 131) = 48.34, p < 0.001; transferring stroke patients to a designated bed, X² (4, N = 131) = 48.74, p = 0.002; applying the NIHSS, X² (4, N = 131) = 70.11, p < 0.001; using the modified Rankin scale, X² (4, N = 131) = 61.24, p < 0.001; providing intervention for neglect syndrome, X² (4, N = 131) = 44.72, and hemianopsia, X² (4, N = 131) = 39.22; screening for poststroke depression, X² (4, N = 131) = 101.59, p < 0.001; assessing for psychosocial needs, X² (4, N = 131) = 74.44, p < 0.001, and encouraging patients to express their feelings, X² (4, N = 131) = 58.64, p < 0.001; educating patients and families about stroke prevention, X² (4, N = 131) = 40.51, p < 0.001. Conclusion: As per the results of the study, there is an urgent need for stroke units run by specialized stroke nurses to provide early stroke management and improve survivors’ outcomes. Structured stroke-care programs are needed to improve nursing practice and meet the international standard of stroke care. Full article

(This article belongs to the Special Issue Current Trends, Innovations and Issues in Nursing Practice and Education)

15 pages, 268 KiB

Open AccessArticle

Validity and Reliability of a Short Form of the Questionnaire for the Reflective Practice of Nursing Involving Invasive Mechanical Ventilation: A Cross-Sectional Study

by Makoto Tsukuda, Atsuko Fukuda, Junko Shogaki and Ikuko Miyawaki

Nurs. Rep. 2023, 13(3), 1170-1184; https://doi.org/10.3390/nursrep13030101 - 01 Sep 2023

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Abstract

The number of patients on ventilators is rapidly increasing owing to the coronavirus pandemic. The previously developed Questionnaire for the Reflective Practice of Nursing Involving Invasive Mechanical Ventilation (Q-RPN-IMV) for the care of patients on ventilators includes nurses’ thought processes as items. This [...] Read more.

The number of patients on ventilators is rapidly increasing owing to the coronavirus pandemic. The previously developed Questionnaire for the Reflective Practice of Nursing Involving Invasive Mechanical Ventilation (Q-RPN-IMV) for the care of patients on ventilators includes nurses’ thought processes as items. This study aims to develop a short form of the Q-RPN-IMV for immediate use in practice and to test its reliability and validity. A convenience sample of 629 participants was used to explore the factor structure using factor analysis. The test–retest reliability was assessed using the intraclass correlation coefficient (ICC). The study was a cross-sectional design instrument development study and was reported according to GRRAS guidelines. Q-RPN-IMV short form was divided into ventilator management and patient management. The ventilator management comprised 31 items organized into six factors. Cronbach’s alpha ranged from 0.82 to 0.91, and the ICC ranged from 0.82 to 0.89. The patient management comprised 27 items organized into five factors. Cronbach’s alpha ranged from 0.75 to 0.97, and ICC ranged from 0.75 to 0.97. The Q-RPN-IMV short form is a reliable and validated instrument for assessing care for patients on ventilators. This study was not registered. Full article

(This article belongs to the Special Issue Current Trends, Innovations and Issues in Nursing Practice and Education)

10 pages, 263 KiB

Open AccessArticle

A Modified Guideline for High-Fidelity Patient Simulation to Improve Student Satisfaction and Self-Confidence in Learning: A Mixed Study

by Florence M. F. Wong and David C. N. Wong

Nurs. Rep. 2023, 13(3), 1030-1039; https://doi.org/10.3390/nursrep13030090 - 28 Jul 2023

Cited by 1 | Viewed by 1489

Abstract

The coronaviral pandemic has led to a shift in traditional teaching methods to more innovative approaches, such as high-fidelity patient simulation (HFPS), which can improve students’ clinical judgment and decision making for quality patient care. A modified guideline was introduced to enhance students’ [...] Read more.

The coronaviral pandemic has led to a shift in traditional teaching methods to more innovative approaches, such as high-fidelity patient simulation (HFPS), which can improve students’ clinical judgment and decision making for quality patient care. A modified guideline was introduced to enhance students’ satisfaction and self-confidence in learning through HFPS. The study involved 189 baccalaureate nursing students, with 92 in the intervention group and 97 in the control group. The intervention group received the modified HFPS guideline, while the control group received standard treatment with basic instruction. After the HFPS debriefing session, students provided narrative feedback on their learning experiences. The quantitative results showed that students in the intervention group reported a significant improvement in satisfaction and self-confidence in learning compared to the control group. The modified HFPS guideline provided clear guidance for students to learn and apply knowledge and skills more effectively, leading to increased engagement during interactive simulation sessions. The results suggest that the HFPS guideline should be added to the curriculum to enhance students’ satisfaction and self-confidence in learning, even for junior students. After the pandemic, innovative teaching methods, such as HFPS, can be necessary and beneficial for healthcare professional training. Full article

(This article belongs to the Special Issue Current Trends, Innovations and Issues in Nursing Practice and Education)

10 pages, 256 KiB

Open AccessArticle

Degree of Alarm Fatigue and Mental Workload of Hospital Nurses in Intensive Care Units

by Yoonhee Seok, Yoomi Cho, Nayoung Kim and Eunyoung E. Suh

Nurs. Rep. 2023, 13(3), 946-955; https://doi.org/10.3390/nursrep13030083 - 07 Jul 2023

Cited by 1 | Viewed by 2215

Abstract

This study aimed to determine the degree of alarm fatigue and mental workload of ICU nurses, and to clarify the relationship between these two variables. A cross-sectional, descriptive research design was used. Data were collected from 90 nurses working in four ICUs in [...] Read more.

This study aimed to determine the degree of alarm fatigue and mental workload of ICU nurses, and to clarify the relationship between these two variables. A cross-sectional, descriptive research design was used. Data were collected from 90 nurses working in four ICUs in Seoul, Republic of Korea, using a questionnaire determining their degree of alarm fatigue and mental workload. Data were collected from 6 March to 26 April 2021 and were analyzed using a t-test, ANOVA, and Pearson’s correlation coefficient. The average alarm-fatigue score was 28.59 out of 44. The item with the highest score was “I often hear a certain amount of noise in the ward”, with a score of 3.59 out of 4. The average of the mental workload scores was 75.21 out of 100. The highest mental workload item was effort, which scored 78.72 out of 100. No significant correlation was found between alarm fatigue and mental workload. Although nurses were consistently exposed to alarm fatigue, this was not directly related to their mental workloads, perhaps owing to their professional consciousness as they strived to accomplish tasks despite alarm fatigue. However, since alarm fatigue can affect efficiency, investigations to reduce it and develop appropriate guidelines are necessary. This study was not registered. Full article

(This article belongs to the Special Issue Current Trends, Innovations and Issues in Nursing Practice and Education)

12 pages, 265 KiB

Open AccessArticle

Nursing Students’ Preferences for Learning Medical and Bioscience Subjects: A Qualitative Study

by Lars Kyte, Ingrid Lindaas, Hellen Dahl, Irene Valaker, Ole T. Kleiven and Solveig Sægrov

Nurs. Rep. 2023, 13(2), 622-633; https://doi.org/10.3390/nursrep13020055 - 07 Apr 2023

Viewed by 1812

Abstract

(1) Background: There are considerable challenges and concerns related to learning medical and bioscience subjects (MBS) in nursing education and integrating this knowledge into nursing. The aim of this study was to explore what learning methods nursing students prefer when studying MBS, and [...] Read more.

(1) Background: There are considerable challenges and concerns related to learning medical and bioscience subjects (MBS) in nursing education and integrating this knowledge into nursing. The aim of this study was to explore what learning methods nursing students prefer when studying MBS, and how this learning may be enhanced to facilitate the integration of these subjects into nursing. (2) Methods: Individual interviews with 10 nursing students. Transcripts from the interviews were analysed by systematic text condensation and the COREQ checklist for qualitative studies was completed. (3) Results: Students prefer varied and active learning methods in MBS. The participants in the study highlighted both organised tutorials in groups and working with fellow students outside of organised teaching. All participants used educational videos. Learning MBS by drawing was appreciated both during lectures and in student-initiated colloquia. Strategies that favour in-depth learning were appreciated, and it was found that lectures did not have to cover the entire curriculum. Teachers’ attitudes toward students also were seen to have a considerable impact on students’ motivation for learning. (4) Conclusion: Applying active learning methods and focusing on the most relevant topics in MBS appears to improve students’ ability to integrate this knowledge into nursing; teachers should also be aware of their role as a motivator. Full article

(This article belongs to the Special Issue Current Trends, Innovations and Issues in Nursing Practice and Education)

11 pages, 254 KiB

Open AccessArticle

Development and Validity of the Japanese Version of the Questionnaire on Factors That Influence Family Engagement in Acute Care Settings

by Makoto Tsukuda, Yoshiyasu Ito, Shota Kakazu, Katsuko Sakamoto and Junko Honda

Nurs. Rep. 2023, 13(2), 601-611; https://doi.org/10.3390/nursrep13020053 - 04 Apr 2023

Viewed by 1590

Abstract

There exists an international consensus on the importance of family-centered care (FCC) in intensive care settings and the evaluation of collaboration between nurses and families; however, FCC is currently practiced blindly in Japan. In this study, we developed a Japanese version of the [...] Read more.

There exists an international consensus on the importance of family-centered care (FCC) in intensive care settings and the evaluation of collaboration between nurses and families; however, FCC is currently practiced blindly in Japan. In this study, we developed a Japanese version of the questionnaire, Factors that Influence Family Engagement (QFIFE-J) and examined its reliability and validity. A web-based survey was conducted with 250 nurses working in the intensive care unit (ICU). Exploratory and validatory factor analyses were used to ascertain factor validity. Criterion-related validity was tested using correlation analysis with the ICU Nurses’ Family Assistance Practice Scale. Internal consistency and reproducibility were verified for reliability. Following exploratory and confirmatory factor analyses, a 15-item measure emerged comprising four factors: “ICU environment”, “nurses’ attitudes”, “nurses’ workflow”, and “patient acuity”. Confirmatory factor analyses showed a generally good fit. Cronbach’s α for the overall scale was 0.78, indicating acceptable internal consistency. The intraclass coefficient for test–retest reliability was 0.80. It was found that the QFIFE-J was reliable and valid and may help determine the factors that promote or inhibit FCC. Additionally, this study has also clarified the current status and family support related issues in ICUs in Japan. Full article

(This article belongs to the Special Issue Current Trends, Innovations and Issues in Nursing Practice and Education)

15 pages, 279 KiB

Open AccessArticle

Challenges Regarding Transition from Case-Based Learning to Problem-Based Learning: A Qualitative Study with Student Nurses

by Ramoipei J. Phage, Boitumelo J. Molato and Molekodi J. Matsipane

Nurs. Rep. 2023, 13(1), 389-403; https://doi.org/10.3390/nursrep13010036 - 02 Mar 2023

Cited by 1 | Viewed by 2247

Abstract

Background: The transition from case-based learning to problem-based learning can be challenging and may have negative effects on the academic, psychological, emotional, or social well-being of student nurses. As a result, this exposes student nurses to high failure rates, anxiety disorders, a loss [...] Read more.

Background: The transition from case-based learning to problem-based learning can be challenging and may have negative effects on the academic, psychological, emotional, or social well-being of student nurses. As a result, this exposes student nurses to high failure rates, anxiety disorders, a loss of uniqueness, and fear of the unknown. However, student nurses employ different strategies aimed at overcoming challenges faced during this transition period. Methods: An exploratory, and descriptive research approach was used. A purposive non-probability sampling technique was used to select participants. Focus group discussions via Zoom video communication were used to collect data, which were analysed using Braun and Clarke’s six steps of thematic analysis. Results: The following three themes emerged: challenges regarding facilitation, challenges regarding assessment, and strategies to overcome challenges. Conclusions: The study established that student nurses are faced with different challenges during the transition from one teaching strategy to another. Student nurses suggested strategies that could be used to overcome these challenges. However, these strategies are not enough and therefore more needs to be done to support and empower student nurses. Full article

(This article belongs to the Special Issue Current Trends, Innovations and Issues in Nursing Practice and Education)

12 pages, 887 KiB

Open AccessArticle

The Effectiveness of NIV and CPAP Training on the Job in COVID-19 Acute Care Wards: A Nurses’ Self-Assessment of Skills

by Stefano Bambi, Eustachio Parente, Yari Bardacci, Samuele Baldassini Rodriguez, Carolina Forciniti, Lorenzo Ballerini, Christian Caruso, Khadija El Aoufy, Marta Poggianti, Antonio Bonacaro, Roberto Rona, Laura Rasero and Alberto Lucchini

Nurs. Rep. 2023, 13(1), 17-28; https://doi.org/10.3390/nursrep13010002 - 27 Dec 2022

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Abstract

Background: Noninvasive ventilation (NIV) in COVID-19 patients outside of intensive care unit (ICU) settings was a feasible support during the pandemic outbreak. The aim of this study was to assess the effectiveness of an “on the job” NIV training program provided to 66 [...] Read more.

Background: Noninvasive ventilation (NIV) in COVID-19 patients outside of intensive care unit (ICU) settings was a feasible support during the pandemic outbreak. The aim of this study was to assess the effectiveness of an “on the job” NIV training program provided to 66 nurses working in 3 COVID-19 wards in an Italian university hospital. Methods: A quasi-experimental longitudinal before–after study was designed. The NIV Team education program, provided by expert ICU nurses, included: 3 h sessions of training on the job during work-shifts about the management of helmet-continuous positive airway pressure (CPAP) Venturi systems, and NIV with oronasal and full-face masks. An eleven-item “brief skills self-report tool” was administered before and after the program to explore the perception of NIV education program attendees about their level of skills. Results: In total, 59 nurses responded to the questionnaire. There was an improvement in the skill levels of the management of Helmet-CPAP (median before training 2, inter-quartile range (IQR) 0–6; median after training 8, IQR 3–9; p < 0.0001), and mask-NIV (median before training 2, IQR 0–6; median after training 8, IQR 3–9; p < 0.0001). Conclusions: Training on the job performed by expert ICU nurses can be a valuable and fast means to implement new Helmet-CPAP and mask-NIV skills outside of ICUs. Full article

(This article belongs to the Special Issue Current Trends, Innovations and Issues in Nursing Practice and Education)

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13 pages, 287 KiB

Open AccessArticle

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 1702

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)

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14 pages, 603 KiB

Open AccessSystematic Review

Umbrella Review: Stress Levels, Sources of Stress, and Coping Mechanisms among Student Nurses

by Leodoro J. Labrague

Nurs. Rep. 2024, 14(1), 362-375; https://doi.org/10.3390/nursrep14010028 - 05 Feb 2024

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Abstract

Prelicensure nursing students face significant stress from their education and clinical placements, highlighting the crucial need for the development of effective coping mechanisms with which to manage both academic and clinical responsibilities, ultimately enhancing the wellbeing and academic performance of these students. This [...] Read more.

Prelicensure nursing students face significant stress from their education and clinical placements, highlighting the crucial need for the development of effective coping mechanisms with which to manage both academic and clinical responsibilities, ultimately enhancing the wellbeing and academic performance of these students. This umbrella review aims to evaluate and synthesize existing review articles that examine stress levels and coping mechanisms among student nurses during their education and training. Five databases (PsycINFO, PubMed, CINAHL, Scopus and Web of Science) were searched for review articles published from 2010 onwards. This review includes twelve articles, encompassing 189 studies. The review findings demonstrate that student nurses experience moderate-to-high levels of stress during their nurse education. Major sources of stress include academic demands, patient care responsibilities, and interactions with nursing staff and faculty. Commonly utilized coping skills involve problem-solving behaviors, transference, and maintaining an optimistic outlook. Given the adverse consequences of stress, nurse educators play a critical role in the development of strategies with which to reduce stress and enhance coping skills among student nurses. This study was not registered. Full article

(This article belongs to the Special Issue Current Trends, Innovations and Issues in Nursing Practice and Education)

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14 pages, 598 KiB

Open AccessSystematic Review

Media Exposure of Suicidal Behaviour: An Umbrella Review

by Teresa Sufrate-Sorzano, Marco Di Nitto, María Elena Garrote-Cámara, Fidel Molina-Luque, José Ignacio Recio-Rodríguez, Pilar Asión-Polo, Ángela Durante, Vicente Gea-Caballero, Raúl Juárez-Vela, Jesús Pérez and Iván Santolalla-Arnedo

Nurs. Rep. 2023, 13(4), 1486-1499; https://doi.org/10.3390/nursrep13040125 - 25 Oct 2023

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Abstract

Aim: To analyse recommended interventions for the safe and responsible dissemination of suicidal behaviour in the media for preventive purposes. Background: Suicide is a serious public health problem that leads to more than 700,000 deaths per year, which translates into one death every [...] Read more.

Aim: To analyse recommended interventions for the safe and responsible dissemination of suicidal behaviour in the media for preventive purposes. Background: Suicide is a serious public health problem that leads to more than 700,000 deaths per year, which translates into one death every forty seconds. The media play a significant role in shaping public perceptions and reflecting societal issues. Because of its active role in the construction of reality, the way in which the media report and expose suicidal behaviour has the capacity to influence the population in either a preventive or harmful way. Design: An umbrella review was carried out and a report was written according to the Preferred Reporting Items for Overviews of Reviews. Methods: We systematically searched for reviews published from inception to February 2023 in MEDLINE (PubMed), CINAHL and PsycInfo (via EBSCOhost), Web of Science, Embase, Cochrane Library of Systematic Reviews, Scopus, and Google Scholar. A narrative synthesis of the results was conducted. Results: Six systematic reviews with a moderate to high quality level were selected. Among the recommended interventions were the inclusion of positive messages of hope, resilience, or of overcoming the event, narratives with information on available resources or the promotion of support-seeking attitudes as an effective prevention mechanism, as well as the avoidance of repetitive reporting of the same suicide. The appropriate and responsible dissemination of information on suicidal behaviour in the media with complete and up-to-date information on available centres, organisations, institutions, and resources has proven to be effective, especially in vulnerable populations. Conclusion: Educating and training the media in an appropriate approach to disseminating suicidal behaviour helps to reduce the number of suicidal behaviours. Knowing what information is advisable to include in the news item as well as what information to avoid is a strong point. Guidelines to promote responsible media reporting are a key component of suicide prevention strategies. This study was prospectively registered in the International Prospective Register of Systematic Reviews (PROSPERO) on 23 April 2022 with the registration number CRD42022320393. Full article

(This article belongs to the Special Issue Current Trends, Innovations and Issues in Nursing Practice and Education)

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10 pages, 1777 KiB

Open AccessSystematic Review

The Influence of Smartphones on Adolescent Sleep: A Systematic Literature Review

by Sofia de Sá, Ana Baião, Helena Marques, Maria do Céu Marques, Maria José Reis, Sandra Dias and Marta Catarino

Nurs. Rep. 2023, 13(2), 612-621; https://doi.org/10.3390/nursrep13020054 - 07 Apr 2023

Cited by 2 | Viewed by 3748

Abstract

(1) Background: Sleep is considered to be a complex condition for human beings, with the aim of ensuring physical and psychological recovery. Technology, including the cell phone, is a tool for teenagers that ensures they are always available to interact, even at night. [...] Read more.

(1) Background: Sleep is considered to be a complex condition for human beings, with the aim of ensuring physical and psychological recovery. Technology, including the cell phone, is a tool for teenagers that ensures they are always available to interact, even at night. This study aims to understand the influence of the use of smartphones on adolescent sleep quality. (2) Methods: The guidelines proposed by the Joanna Briggs Institute were followed. The search was conducted in October 2022 through the EBSCOhost platform, with access to the CINAHL Complete and Medline databases and through the b-On database. (3) Results: The use of electronic equipment plays an important role in adolescents’ lives. There is a negative relationship between the use of electronic equipment, such as smartphones, and sleep, for reducing both the quality and quantity of sleep. There is also a relationship between nighttime smartphone use, insufficient sleep, and mental health problems. (4) Conclusions: The use of new technologies at night causes a change in the behavior of adolescents with repercussions in terms of the quality of sleep and sleep duration and consequent well-being and performance during the day. Full article

(This article belongs to the Special Issue Current Trends, Innovations and Issues in Nursing Practice and Education)

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8 pages, 266 KiB

Open AccessStudy Protocol

Nurses’ Motivations, Barriers, and Facilitators to Engage in a Peer Review Process: A Qualitative Study Protocol

by Júlio Belo Fernandes, Josefa Domingos, John Dean, Sónia Fernandes, Rogério Ferreira, Cristina Lavareda Baixinho, Cidália Castro, Aida Simões, Catarina Bernardes, Ana Silva Almeida, Sónia Loureiro, Noélia Ferreira, Isabel Santos and Catarina Godinho

Nurs. Rep. 2023, 13(1), 307-314; https://doi.org/10.3390/nursrep13010029 - 22 Feb 2023

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Abstract

Peer review supports the integrity and quality of scientific publishing. However, although it is a fundamental part of the publishing process, peer review can also be challenging for reviewers, editors, and other stakeholders. The present study aims to explore the nurses’ motivations, barriers, [...] Read more.

Peer review supports the integrity and quality of scientific publishing. However, although it is a fundamental part of the publishing process, peer review can also be challenging for reviewers, editors, and other stakeholders. The present study aims to explore the nurses’ motivations, barriers, and facilitators in engaging in a peer review process. This qualitative, descriptive exploratory study will be developed in partnerships with three research centers. Researchers followed the consolidated criteria for reporting qualitative research (COREQ) checklist to ensure the quality of this study protocol. According to the selection criteria, the purposive sampling will be used to recruit nurse researchers that act as peer reviewers for several scientific journals in various fields of knowledge. Interviews will be conducted until data have been sufficiently consistent with meeting the initial objectives. Researchers will develop a guide comprising a set of open-ended questions to collect participants’ characteristics, descriptive review behavior, and perceptions regarding their motivations, barriers, and facilitators. Researchers will analyze data using an inductive process of content analysis with the help of the QDA Miner Lite database. Findings from this study will generate knowledge that may help stakeholders identify facilitating factors and barriers and guide the development of strategies to remove or minimize these barriers. Full article

(This article belongs to the Special Issue Current Trends, Innovations and Issues in Nursing Practice and Education)

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