Hasil untuk "Nursing"

Fen Xu, Fen Xu, Mei Chan Chong et al.

BackgroundAcne impairs physical appearance and triggers significant psychological distress, particularly depression, in young adults, but the underlying psychological mechanisms remain underexplored.ObjectivesThis study aimed to examine the potential mediating associations of psychological inflexibility and social avoidance in the relationship between body image disturbance and depressive tendencies among young adults with acne in East China, based on the Acceptance and Commitment Therapy (ACT) framework.MethodsA cross-sectional survey was conducted among 201 young adults (18–29 years, 72.1% female) with acne from two tertiary hospitals in East China between December 2024 and February 2025. Validated instruments were used to assess body image disturbance (BIDQ), psychological inflexibility (AAQ-II), social avoidance (SADS-SA), and depression (PHQ-9). A serial mediation model (PROCESS Model 6) was analyzed via SPSS 29 with 5,000 bootstrap samples.ResultsCorrelation analysis showed significant positive relationships between body image disturbance, psychological inflexibility, social avoidance, and depression (all p < 0.01). Mediation analysis revealed that body image disturbance had a significant total effect on depression [Effect = 0.147, 95% CI (0.088, 0.205)], while its direct effect was non-significant. Two indirect pathways accounted for 84.1% of the total effect: (1) a single mediation through psychological inflexibility (70.8% of the effect); and (2) a serial mediation through psychological inflexibility and social avoidance (7.4% of the effect). Additionally, acne severity significantly predicted psychological inflexibility (β = 0.184, p = 0.012).ConclusionBody image disturbance indirectly influences depression primarily through the pathways of psychological inflexibility and social avoidance. Integrating ACT into dermatological care to enhance psychological flexibility may effectively alleviate depressive symptoms in acne patients.

Yao-Yi Kuo, Si-Qi Chiu, Wen-Pei Chang et al.

Abstract Background Full-thickness cartilage defects have a significant impact on the function of joints in young adults, and the treatment of cartilage defects has been a challenge, as cartilage tissue is an avascular tissue. This study aimed to compare the clinical and radiological outcomes of Biphasic Cartilage Repair Implant (BiCRI) and microfracture treatments for knee cartilage defects. Methods This randomized controlled clinical trial enrolled patients with symptomatic knee chondral lesions smaller than 3 cm2. They were randomized to either the BiCRI (n = 11) or microfracture (n = 10) treatment groups. BiCRI or microfracture surgical procedures were performed on the patients, who were subsequently followed for a period of five years. Primary outcome measures included the International Knee Documentation Committee (IKDC) score, Knee Injury and Osteoarthritis Outcome Score (KOOS), Visual Analog Scale (VAS) score, Magnetic Resonance Imaging (MRI) measured cartilage thickness, and the Magnetic Resonance Observation of Cartilage Repair Tissue (MOCART) score. Results 21 patients were enrolled, who were subsequently followed for a period of five years. Both BiCRI and microfracture treatments demonstrated significant improvements in IKDC, KOOS and VAS scores, with no significant differences between the two. MRI analysis indicated a significant increase in minimum cartilage thickness with BiCRI treatment (median of difference: 1 mm, P = 0.026)), in contrast to the nonsignificant change in the microfracture group (median of difference: 1 mm, P = 0.102). The MOCART scores revealed a significant increase percentage of isointense signal intensity identical to the adjacent articular cartilage (P = 0.03) in the BiCRI group from the 2-year to the 5-year mark, while the scores remained stable in the microfracture group. Moreover, the BiCRI technique displayed superior performance in graft infill at 5 years (P = 0.008), border integration at 5 years (P = 0.04), surface contour at 2 years (P = 0.04) compared to microfracture. Conclusions Both BiCRI and microfracture treatments showed significant effectiveness in improving clinical outcomes in patients with small symptomatic articular cartilage defects of the knee, with the BiCRI group demonstrating a superior radiological outcome than microfracture, over a five-year period. However, the sample size of our study is relatively small to reach a definite conclusion, and further studies with larger sample size and longer follow up are recommended. Trial registration The trial was registered on ClinicalTrials.gov under the identifier NCT01477008.

Alex Bawuah, Vicky Q. Wang, Khadijat Adeleye et al.

ABSTRACT Background and Aims Cervical cancer is a pressing global public health challenge, with sub‐Saharan Africa (SSA) experiencing disproportionately high incidence and mortality rates compared to other regions. Early detection through screening and timely treatment is essential for mitigating the burden of this disease. Evidence suggests that mass media exposure can play a pivotal role in increasing cervical cancer screening uptake. This study aimed to examine the prevalence of cervical cancer screening in SSA and to identify factors associated with screening uptake, with a specific focus on the influence of mass media among rural women. Methods The analysis utilized data from the Demographic and Health Surveys (DHS) conducted in 11 SSA countries, encompassing responses from 72,565 rural women of reproductive age (15–49 years). The primary outcome variable was cervical cancer screening status. Descriptive statistics, including frequencies and cross‐tabulations, were employed to characterize the sample. Given the skewed distribution of the outcome variable, complementary log‐log regression models were applied to estimate adjusted odds ratios (AORs) in both bivariate and multivariable analyses. Robustness of the statistical models and their fitness were rigorously assessed to ensure the validity of the findings. Results The overall prevalence of cervical cancer screening among women in the 11 countries was 8.47%. Women with exposure to mass media were significantly more likely to undergo screening. Specifically, women who watched television less than once a week (AOR = 1.22, 95% CI: 1.07–1.38) or at least once a week (AOR = 1.39, 95% CI: 1.26–1.53) had higher odds of being screened compared to those with no exposure to television. Similar positive associations were observed for radio and newspaper/magazine exposure. Women who listened to the radio at least once a week (AOR = 1.59, 95% CI: 1.45–1.74) and those who read newspapers/magazines at least once a week (AOR = 1.68, 95% CI: 1.48–1.90) demonstrated increased odds of undergoing screening. Additional predictors of screening included older age, higher education levels, greater wealth, higher parity, and fewer barriers to accessing healthcare, such as not needing permission or assistance to seek care. Conclusion This study highlights the critical role of mass media—television, radio, and newspapers/magazines—in promoting cervical cancer screening among rural women in SSA. Public health stakeholders and governments should prioritize leveraging these platforms to design and disseminate culturally tailored campaigns aimed at overcoming barriers to screening in rural communities. By optimizing the reach and effectiveness of mass media, particularly traditional channels prevalent in rural SSA, cervical cancer screening rates can be significantly improved, thereby reducing the disease burden in the region.

Wenjing Li, Yinji Jin, Xiang Li et al.

Abstract Background Persistent infection with high-risk human papillomavirus (HPV) types is a well-established risk factor for various malignancies, and timely vaccination of university students is a cost-effective strategy to reduce infection rates and the burden of HPV-associated consequences. Although many studies have examined HPV knowledge, vaccine acceptance, and uptake in university students, findings remain heterogeneous, and comprehensive quantitative synthesis is limited. This systematic review and meta-analysis aims to assess global estimates of university students’ knowledge of HPV and its vaccine, willingness to receive the vaccine, and actual vaccination behaviors. Methods The study was reported in accordance with the Preferred Reporting Items for Systematic Review and Meta-analysis (PRISMA) 2020 Checklist. A systematic search was conducted in PubMed, Web of Science, China Biology Medicine disc, China National Knowledge Infrastructure and Wan Fang Database for studies published from January 2006 through August 2024. Studies with quality assessment scores > 5 and published in Chinese or English were included for data extraction. Pooled prevalence estimates and 95% confidence intervals (CI) were calculated using the Freeman-Tukey double arcsine transformation. The heterogeneity statistic I-squared and corresponding p value were also reported. Results A total of 56 studies covering 184,351 university students from four continents (Asia, Africa, Europe and North America) were included. Among students, 68.3% (95% CI 56.4%-79.0%) and 53.5% (95% CI 53.0%-54.1%) were aware of HPV and HPV vaccine, respectively, with significant gaps in knowledge about HPV symptoms, cervical cancer screening methods, and optimal vaccination timing. Pooled HPV vaccination willingness was 52.9% (95% CI 44.2%-61.6%), with higher willingness observed among females and medical students. Only 10.4% (95% CI 6.1%-15.8%) had received at least 1 dose of vaccination and 12.4% (95% CI 3.0%-26.9%) had completed the full three-dose schedule. Vaccination coverage among females was 8.6% (95% CI 3.7%–15.1%), and among medical students, 7.7% (95% CI 1.3%-18.4%). Conclusions This meta-analysis found that university students exhibit limited awareness of HPV and its vaccine, with about half willing to be vaccinated. Actual vaccination rates remain low and vary widely by gender, major, time of year, and geographic regions. These findings highlight the need for targeted intervention strategies, such as precision education and cross-sector collaboration, to effectively increase HPV vaccination coverage in this population.

Funda Karaman, Buse Saygin Şahin, Ayşe Nur Yerebakan Şen et al.

Abstract Objective To develop an empathy scale to measure the empathy in nurses. Materials and methods The sample of the study were collected between March and May in 2023 from 720 nurses working in private and state hospitals in İstanbul. Both exploratory factor analysis and confirmatory factor analysis were carried out. IBM SPSS and AMOS were utilized for statistical analyses. Results KMO and Bartlett’s test values of scale showed that the dataset was convenient for factor analyses (KMO = 0.94, Chi-Square = 9683.89, df = 595). In exploratory factor analysis, the 16 items comprising scale were distributed in three subscales. The confirmatory factor analysis revealed that the scale was in sufficient model fit. Cronbach’s alpha of the total scale was 0.91. Conclusion Empathy scale is a valid and reliable measurement tool to evaluate the empathy levels of nurses in three subscales: Emotional Empathy, Cognitive Empathy and Compassionate Empathy. The scale is a valuable tool for quality nursing care and contributes to the definition of strategies that advance the quality of nursing care.

Hamidreza Amiri, Samira Peiravi, Seyedeh sara rezazadeh shojaee et al.

Abstract Background Nowadays, Artificial intelligence (AI) is one of the most popular topics that can be integrated into healthcare activities. Currently, AI is used in specialized fields such as radiology, pathology, and ophthalmology. Despite the advantages of AI, the fear of human labor being replaced by this technology makes some students reluctant to choose specific fields. This meta-analysis aims to investigate the knowledge and attitude of medical, dental, and nursing students and experts in this field about AI and its application. Method This study was designed based on PRISMA guidelines. PubMed, Scopus, and Google Scholar databases were searched with relevant keywords. After study selection according to inclusion criteria, data of knowledge and attitude were extracted for meta-analysis. Result Twenty-two studies included 8491 participants were included in this meta-analysis. The pooled analysis revealed a proportion of 0.44 (95%CI = [0.34, 0.54], P < 0.01, I2 = 98.95%) for knowledge. Moreover, the proportion of attitude was 0.65 (95%CI = [0.55, 0.75], P < 0.01, I2 = 99.47%). The studies did not show any publication bias with a symmetrical funnel plot. Conclusion Average levels of knowledge indicate the necessity of including relevant educational programs in the student’s academic curriculum. The positive attitude of students promises the acceptance of AI technology. However, dealing with ethics education in AI and the aspects of human-AI cooperation are discussed. Future longitudinal studies could follow students to provide more data to guide how AI can be incorporated into education.

Rizki Maulina, Chairul Anna Nur Afifah

ASI eksklusif adalah pemberian ASI selama 6 bulan pertama masa kehidupan bayi tanpa diselingi makanan ataupun minuman lain kecuali obat, vitamin, dan oralit. Metode penelitian ini adalah metode kuantitatif dengan pendekatan cross sectional dengan jumlah sampel 59 ibu menyusui yang dipilih dengan menggunakan metode purposive sampling. Data dikumpulkan memakai lembar kuesioner, kemudian dianalisis dengan Chi-Square. Hasil penelitian menunjukkan bahwa terdapat hubungan antara pelaksanaan Inisiasi Menyusu Dini (IMD) terhadap pemberian ASI eksklusif dengan nilai p 0,000 (p ≤ 0,05) dan nilai OR 13, terdapat hubungan antara jenis persalinan dengan pemberian ASI eksklusif dengan nilai p 0,001 (p ≤ 0,05) dan nilai OR 9, dan terdapat hubungan antara dukungan keluarga dengan pemberian ASI eksklusif. dengan nilai p 0,000 (p ≤ 0,05) deingan nilai OR 11,5. Simpulan dari penelitian ini yakni ada hubungan antara IMD, jenis persalinan dan dukungan keluarga terhadap pemberian ASI Eksklusif

Marianne Hauan PhD Candidate, MSc, RN, Kari Kvigne PhD, RN, Johanne Alteren PhD, CNSc, RN

Introduction To accommodate challenges threatening the healthcare sector's sustainability, district nursing in Norway implemented the rehabilitative and health promoting mindset of everyday coping. When implementing new ideas and practices in nursing care, understanding the significance of this mindset on patient care and whether it corresponds to nursing values are important to ensure healthcare quality. Objective This study aimed to understand how nurses practice care where everyday coping is implemented in district nursing and their experience of everyday coping as a mindset in relation to nursing values. Methods A qualitative study was conducted including 19 observations and 19 narrative interviews with 10 district nurses, during two data collection periods. Data were analyzed using a phenomenological-hermeneutic method. The analysis process consisted of three steps: naïve reading, structural analysis, and comprehensive understanding. Results The following two main themes and four sub-themes emerged from the data analyses: (i) Understanding individual patient situations; “Creating a nurse–patient relationship to understand the patient landscape” and “providing care based on individual patient needs,” (ii) knowing when and how to motivate or help patients; “distinction between motivating patients and causing stress” and “realistic and desirable demands to motivate patients to perform tasks.” Conclusion Participants determined how to provide care to patients based on their values, professional knowledge, and individual patient situations. The patient landscape is diverse and everyday coping is unable to capture the diversity of patient groups. Thus, everyday coping is not expressed as an overall mindset in nursing practice.

Roni Robson da Silva, Leandro Andrade da Silva, Andréa Ferreira Leite Inácio et al.

Objetivo: apresentar o estado da arte das publicações expressas na literatura cientifica mundial sobre a temática, bem como identificar os benefícios terapêuticos da Cannabis medicinal no tratamento da dor.  Método: trata-se de uma revisão integrativa da literatura, cuja busca de dados foi realizada nas bibliotecas virtuais. Web of Science, Scopus, Medline, IBECS, Lilacs, Cochrane Library, Emerald Insight e Scielo no período de agosto a outubro de  2021. Resultados: foram encontrados 367 artigos. Quarenta e três artigos foram selecionados para serem lidos na íntegra e 15 atenderam aos critérios desta revisão. Conclusão: as evidências mostram que embora cada vez mais prescritos ou autorizados, a cannabis medicinal ou os Canabinóides para a dor crónica continuam a ser controversos para muitos médicos.  

Nimrah Bader, Mahmood Khattab, Fahmi Farah

Abstract Background The topic of natural immunity related to severe acute respiratory syndrome coronavirus 2 remains controversial. Although evidence suggests postinfection immunity can be achieved, there have been reported cases of reinfection with similar or milder symptoms. Information on severe disease manifestation during reinfection is not known. We present a case of reinfection with a more severe presentation as compared with the initial infection. Case Report We describe a white male patient from a nursing home who was reinfected with severe acute respiratory syndrome coronavirus 2 with severe disease manifesting as dyspnea, fevers, and encephalopathy with hypoxemic respiratory failure requiring intubation, elevated inflammatory markers, and lung infiltrates on imaging, after initially testing positive with mild symptoms 2 months prior to presentation. Notably, severe acute respiratory syndrome coronavirus 2 antibodies were detected, which indicated this was a coronavirus disease 2019 reinfection. After treatment with remdesivir, dexamethasone, and convalescent plasma, he was subsequently extubated and discharged home after 2 weeks. Conclusion It is not clear whether an initial infection with severe acute respiratory syndrome coronavirus 2 and recovery provides prolonged immunity beyond 2 months. Furthermore, even if antibodies are present, it does not guarantee an attenuated course during reinfection. Therefore, vaccination plays an important role in prevention. Long-term cohort studies will be needed to study the factors behind reinfection.

Sultana A. Alhurishi, Khalid M. Almutairi, Jason M. Vinluan et al.

Objective: In this descriptive cross-sectional study we aimed, to assess the level of depression, anxiety, insomnia and distress symptoms experienced by healthcare providers during the COVID-19 pandemic in Saudi Arabia.Methods: All healthcare providers currently working in different hospitals were invited to participate in this study. Data gathering started in March 2020 to May 2020. The participants answered a five-part questionnaire which includes demographic data, a 9-item Patient Health Questionnaire, a 7-item Generalized Anxiety Disorder, a 7-item Insomnia Severity Index, and a 22-item Impact of Event Scale-Revised, which assess the level of depression, anxiety, insomnia, and distress.Results: Out of 200 healthcare providers, 40% were males. 52% were aged 31–40 years old, 61% were married. The majority of the participants were Saudi nationals (84%), 74% were nurses, 11% were physicians and 15% were other healthcare providers. More than half of the participants worked as front-liners (57%). Overall, 73, 69, 62, and 83% of all healthcare providers reported symptoms of depression, anxiety, insomnia, and distress, respectively. The analysis showed severe symptoms level of depression for physicians and nurses was 35% and 20% (p &lt; 0.05), respectively. Only three of the independent variables made a unique contribution to the model (gender, profession, and working position) (p &lt; 0.05).Conclusion: COVID-19 pandemic has a significant impact on the mental health of healthcare providers in Saudi Arabia. Female nurses and healthcare providers working in the frontline who were directly treating patients with COVID-19 are at increased risk of severe depression, anxiety and distress.

Kurnia Putri Yuliandari

Emergency nurses often find themselves doing triage under time pressure and with only limited information, while the accuracy and rapidity of triage assessment may well determine a patient’s safety. A question may emerge as to whether novice nurses, who may have lack of experience and knowledge, could deal with such a demanding practice. In response to this, equipping novice nurses with important aspects in triage decision-making processes is pivotal. The aim of this literature review is to identify elements that could be utilised as supports for novice nurses in developing their expertise of making decision in triage. This study employed CINAHL, ScienceDirect, and PsycINFO to find relevant articles, using search terms “triage”, “decision-making”, “clinical decision-making”, combined with “expert”, and “novice”. The publication dates of those articles ranged from 1990 to 2015. 1487 articles was found and sorted based on inclusion and exclusion criteria, resulting in seventeen articles that had been used in this study. Literature review suggests four important elements for developing novices’ expertise in triage decision making: understanding the difference of novices’ and experts’ performance, critical analysis on theoretical approaches of clinical decision-making processes, defining factors that may influence nurses’ triage decision making, and using appropriate learning strategies.

Giampietro Beltramello, Carmelo Sgarlata, Marco Rollone et al.

Hyperglycemia is a negative prognostic factor in both critical and non-critical patients. Many critically ill patients admitted to internal medicine wards present hyperglycemia and may benefit from an IV insulin therapy. The Yale Insulin Infusion Protocol (YIIP) is effective and safe in achieving the desired glucose range. However, to be used properly and safely, it requires a considerable availability of nursing resources. This probably represents the main limiting factor in using these protocols outside intensive care units. This study was performed to assess the effectiveness of a computer application which reduces the nursing workload related to managing a nurse implemented modified YIIP in our internal medicine department. Our experience showed that computerizing the YIIP algorithm is safe and effective. It leads on average to a net 30-min nursing time saving per day per patient.

Claudia Izquierdo-Martínez, Jorge Montoya-Rivera, Celia Ledo-Royo

<p class="Resumen">Nursing career professionals with solid-humanistic way scientific, ethical and basis in order that they can properly integrate the multidisciplinary team to creatively solve health problems through nursing care. This article analyzes the formation of the military nurse in Venezuela, with the help of logical historical method to uncover trends and regularities that characterize this process. The nurse is a professional attitudes, values, knowledge and skills to assume their social responsibility, applying theories and models of discipline in the promotion, prevention, recovery and rehabilitation of health. Similarly, military nurse career provides to the military institution and especially health institutions of the country leadership training in the management of custodial care, management and research on health and committed to education continues in his practice.</p>

Carolina Luiza Bernardes, Lucinda Helena da Silva de Vasconcelos, Silmar Maria da Silva et al.

Objective: To identify the issues occurred with nursing workers through a Health Monitoring System for Nursing Workers (SIMOSTE) and to describe the consequences of those problems. Method: This is a quantitative, exploratory and descriptive study realized in a teaching hospital in the west region of the city of São Paulo. Results: From the SIMOSTE, 1.847 occurrences were registered in a six month period. Within the main occurrences, medical licenses, work related accidents with and without removals; psychiatric consultations and psychotherapy were highlighted. Conclusion: The data points out to the need for the development of new health vigilance actions to notify accidents and illness related to work, besides the prevention of issues.

C. Johns

K. Chitty

A. Oldnall