Background Self-neglect is a significant global public health issue, compromising the health, safety, and wellbeing of older adults. Despite extensive research on the prevalence and.....
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Background Self-neglect is a significant global public health issue, compromising the health, safety, and wellbeing of older adults. Despite extensive research on the prevalence and risk factors of self-neglect, the underlying
psychosocial mechanisms remain underexplored. Social isolation and aging attitudes have been identified as
important correlates of self-neglect; however, the precise interplay between these variables, particularly the
mediating role of aging attitudes, has yet to be fully examined in the context of rural older adults.
Objectives This cross-sectional study aims to investigate the relationships among social isolation, aging attitudes,
and self-neglect, focusing on how aging attitudes mediate the association between social isolation and self-neglect
among rural older adults living alone in China.
Methods Using convenience sampling, we conducted a survey from December 2022 to February 2023 among rural
older adults living alone across eight cities in Guizhou Province, Southwest China. Data were gathered using the
General Information Questionnaire, Attitudes to Ageing Questionnaire, Lubben Social Network Scale-6, and Scale of
the Elderly Self-Neglect. Data were analyzed using SPSS 27.0 and the PROCESS macro tool.
Results The scores for aging attitude, social isolation, and self-neglect among older adults living alone in rural areas
were 75.00 (69.00–82.00), 16.00 (12.00–21.00), and 10.00 (8.00–14.00), respectively. Social isolation was positively
associated with aging attitude (r = 0.353, P < 0.05) and negatively correlated with self-neglect (r = -0.371, P < 0.05). Selfneglect was also negatively correlated with aging attitude (r = -0.367, P < 0.05). Aging attitude partially mediated the
relationship between social isolation and self-neglect among older adults living alone in rural areas, with a mediation
effect of -0.077, accounting for 28.20% of the total effect.
Conclusion The findings suggest that aging attitudes and social isolation among rural older adults living alone
are associated with self-neglect. Furthermore, social isolation may be linked to self-neglect indirectly through its
association with aging attitudes. Healthcare professionals should develop strategies to promote positive aging
Authors: Shima Bordbar, Gholamhossein Mehralian, Fatemeh Rezabeigi Davarani and Ali Reza Yusefi
Abstract:
Background Professional ethics is a cornerstone of the nursing profession, with its observance closely linked to
the enhancement of nursing services and the satisfaction of service.....
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Authors: Shima Bordbar, Gholamhossein Mehralian, Fatemeh Rezabeigi Davarani and Ali Reza Yusefi
Background Professional ethics is a cornerstone of the nursing profession, with its observance closely linked to
the enhancement of nursing services and the satisfaction of service recipients. This study aimed to assess nurses’
compliance with professional ethical codes and its relationship with factors that facilitate such compliance.
Methods This descriptive-analytical, cross-sectional study was conducted in 2021 in a hospital located in southern
Iran. A total of 312 nurses were selected using the census method and participated in the study. Data were collected
through researcher-designed questionnaires that assessed compliance with professional ethical codes and factors
facilitating such compliance. Data analysis was conducted using SPSS software version 23, employing t-tests, ANOVA,
Pearson’s correlation coefficient, and multiple linear regression.
Results The mean scores for compliance with professional ethical codes and factors facilitating compliance were
127.94 ± 8.52 (out of 170) and 98.31 ± 6.22 (out of 180), respectively. Nurse-related factors (β = 0.323, p < 0.001), patientrelated factors (β = 0.286, p = 0.002), and management factors (β = 0.277, p = 0.003) emerged as significant predictors
of compliance with professional ethical codes. Significant differences in compliance scores were observed based on
gender (p = 0.01), marital status (p = 0.02), level of education (p = 0.04), and the number of patients under observation
per work shift (p = 0.03). Additionally, the mean score of factors facilitating compliance with ethical codes was higher
among female nurses (p = 0.03) compared to male nurses.
Conclusion Compliance with professional ethical codes was rated as acceptable, while the factors facilitating
compliance were rated as moderate. Given the predictive role of facilitating factors, targeted improvements in these
areas could significantly enhance nurses’ adherence to professional ethical codes.
Keywords Professional ethics, Facilitating factors, Performance, Nurses
Background A hospital nurse’s clinical decision-making ability is an important core competency that identifies and
solves patient problems in nursing practice. This study aimed to develop.....
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Background A hospital nurse’s clinical decision-making ability is an important core competency that identifies and
solves patient problems in nursing practice. This study aimed to develop a Korean clinical decision-making scale for
hospital nurses, and verify its validity and reliability.
Methods A methodological design that develops a scale was used. A total of 71 Preliminary items on clinical
decision-making of hospital nurses were selected using concept validity analysis of and expert opinion on 51
candidate items derived through literature review and qualitative interviews. We conducted a questionnaire survey
with 371 nurses who in direct nursing and decision-making. The collected data were analyzed using exploratory
factor analysis and confirmative factor analysis with SPSS 23.0 and AMOS 24.0 program.
Results Exploratory factor analysis was performed with principal axis factor analysis and Varimax rotation. Nine
factors that accounted for 65.5% of the total variance were identified by deleting the items that not meet the
condition that the commonality should be 0.30 or more and the factor loading over 0.50. The correlation coefficient
between this scale and the Jenkins’ clinical decision-making perception scale was r = 0.70 (p < 0.001), which
determined concurrent validity. The internal consistency for the scale was Cronbach’s α = 0.84, and this was developed
with a total of 36 items.
Conclusion A Korean clinical decision-making ability scale for hospital nurses was developed consisting of nine
factors and 36 items with a five-point Likert. The Korean clinical decision-making ability scale for hospital nurses can
measure clinical decision-making ability from various aspects that were not previously reflected.
Keywords Clinical decision-making, Scale, Nurse, Hospital, Korean
Background Disaster nursing involves systematic and professional care provided to communities affected by natural
or man-made disasters. With limited resources in global disaster settings, nurses play.....
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Background Disaster nursing involves systematic and professional care provided to communities affected by natural
or man-made disasters. With limited resources in global disaster settings, nurses play a crucial role in disaster management. The aim of this study is to investigate the impact of integrating ’Disaster Nursing’ into nursing curricula on nursing students’ perceptions of disaster literacy and preparedness.
Methods This quasi-experimental one-group pretest–posttest study was conducted at a public university in Izmir,
Turkey. The pre-test took place on September 27, 2021, and the post-test on January 7, 2022. The study population
comprised 66 nursing students enrolled in the elective "Disaster Nursing" course, with 62 volunteering for participation. Data collection tools included an individual introduction form, the Disaster Literacy Scale, and the Perception
of Disaster Preparedness in Nurses Scale. The 14-week "Disaster Nursing" course served as the intervention. Data were
collected online and analyzed using descriptive statistics, paired sample t-tests, and Pearson correlation.
Results Of the students, 51.6% were aged 22–23, and 62.9% were female. Additionally, 54.8% reported previous disaster experience. The mean pre-test score on the Disaster Literacy Scale was 32.97 ± 6.47, which increased significantly
to 40.58 ± 5.95 post-test (p < 0.05). The mean pre-test score on the Perception of Disaster Preparedness in Nurses Scale
was 81.66 ± 4.61, rising significantly to 90.64 ± 6.25 post-test (p < 0.05). A statistically significant positive correlation
was found between the total scores of the Disaster Literacy and Disaster Preparedness in Nurses scales (r = 0.79).
Conclusions The integration of "Disaster Nursing" into nursing curricula positively enhanced the disaster literacy
and preparedness perceptions of nursing students. The results demonstrated that higher levels of disaster literacy
were associated with increased disaster preparedness among nurses. These findings can inform the development
of educational policies for disaster nursing education in Turkey.
Background This study aimed to examine the relationship between nursing students’ perceived parental child-rearing attitude, ego identity, and college adjustment.....
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Background This study aimed to examine the relationship between nursing students’ perceived parental child-rearing attitude, ego identity, and college adjustment in Korea and explore factors that influence college adjustment.
Methods This study surveyed 224 nursing students enrolled in universities located in two regions within South
Korea. Data were collected from October 14 to November 31, 2019. Perceived parental child-rearing attitude (paternal emotional warmth, paternal rejection, paternal overprotection, maternal emotional warmth, maternal rejection,
and maternal overprotection) and ego identity of nursing students were used as independent variables on college
adjustment. Collected data were subjected to correlation analysis using SPSS version 26.0 for Windows. Further,
regression analysis was performed on the influence of parental child-rearing attitude and ego identity on college
adjustment.
Results Among the parental child-rearing attitudes, paternal emotional warmth (r = .30, p < .001), maternal emotional
warmth (r = .38, p < .001), and ego identity (r = .71, p< .001) were positively correlated with nursing students’ college
adjustment, whereas maternal rejection was negatively correlated with ego identity (r= − .28, p< .001) and college
adjustment (r = − .15, p= .025). Regression analysis of the effects of nursing students’ perceived parental child-rearing
attitude and ego identity on college adjustment, with grade as a control variable, revealed that ego identity (p < .001)
had a significant effect on college adjustment, and the higher the ego identity (β = 0.712), the higher the college
adjustment. Further, the explanatory power of explaining college adjustment was high at 49.9%.
Conclusions The nursing students’ perceived paternal emotional warmth, maternal emotional warmth, and ego
identity were positively correlated with college adjustment. Additionally, ego identity was found as the influencing
factor in Korean nursing students’ college adjustment. Therefore, programs to strengthen ego identity should be
developed and implemented for college adjustment among nursing students.
Coronary artery disease (CAD) is one among the major causes of mortality in patients all around the globe. It has been
reported by the World Health Organization (WHO) that approximately 80% of cardiovascular diseases could be prevented through lifestyle modifications. Management of CAD involves the prevention and control of cardiovascular risk
factors, invasive and non-invasive treatments including coronary revascularizations, adherence to proper medications
and regular outpatient follow-ups. Nurse-led clinics were intended to mainly provide supportive, educational, preventive measures and psychological support to the patients, which were completely different from therapeutic clinics.
Our review focuses on the involvement and implication of nurses in the primary and secondary prevention and management of cardiovascular diseases. Nurses have a vital role in Interventional cardiology. They also have major roles
during the management of cardiac complications including congestive heart failure, atrial fibrillation and heart transplantation. Today, the implementation of a nurse-led tele-consultation strategy is also gaining positive views. Therefore, a nurse-led intervention for the management of patients with cardiovascular diseases should be implemented
in clinical practice. Based on advances in therapy, more research should be carried out to further investigate the effect
of nurse-led clinics during the long-term treatment and management of patients with cardiovascular diseases.
Authors: Camilla Collan, Lina Dahl, Maria Henström, Christine Delisle Nyström, Marie Löf and Susanne Andermo
Abstract:
Background As unhealthy lifestyle habits have been found to be established early in life and often track into
adulthood, early preventive.....
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Authors: Camilla Collan, Lina Dahl, Maria Henström, Christine Delisle Nyström, Marie Löf and Susanne Andermo
Background As unhealthy lifestyle habits have been found to be established early in life and often track into
adulthood, early preventive initiatives are important. ‘Saga Stories in health talks’ is a newly developed material that is
intended to be used as a support for nurses at child health care (CHC) centers in their health talks with children and
parents in Sweden. The aim of this study is to explore how CHC nurses experience the usability of the ‘Saga Stories in
health talks’ material.
Methods This study used a qualitative design. The material ‘Saga Stories in health talks’ was tested by 33 CHC nurses
working in 11 CHC centers in three regions in Sweden. All CHC nurses were invited to participate in the interviews
and 17 agreed. The interviews were transcribed and analysed using content analysis.
Results Three categories and eight sub-categories emerged. The categories were: (1) An appreciated tool suitable for
health talks, (2) Illustrations to capture children’s interest in the conversation with families, and (3) Barriers and facilitators.
Saga Stories in health talks’ was experienced by the CHC nurses as an appreciated tool with content highly relevant
to what should be discussed during the health talks. The CHC nurses described the material as well-designed with
illustrations that helped them capture the child’s interest and increase their participation, while still involving the
parents. Support from colleagues, the researchers, and managers were seen as important facilitators. Challenges
included structural factors such as how and when to best use the material, especially concerning that the 4-year visit
contained many other mandatory parts.
Conclusions This pilot study show that the material ‘Saga Stories in health talks’ was highly appreciated by CHC
nurses and facilitated their health talks with families in CHC. Important aspects with the material were the relevant
content and the focus on healthy living habits, as well as the child friendly illustrations. These findings can be used
when similar material is developed to facilitate health talks with families in other contexts. Our results also highlight
the importance to adjust the implementation of a new material with already established practice and routines.
Keywords Health promotion, Nurse, Children, Families, Lifestyle behaviours, Child health care, Illustrative material
Background Infection risk was significant for front-line nurses during the Covid-19 outbreak. The pandemic
presented several ethical difficulties and sapped nurses’.....
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Background Infection risk was significant for front-line nurses during the Covid-19 outbreak. The pandemic
presented several ethical difficulties and sapped nurses’ drive to labor harder for longer periods. This study evaluates
registered nurses’ perceptions of Covid-19 infection risk, ethical dilemmas, and motivating factors.
Materials and methods During March and April 2022, 400 registered nurses from a newly established tertiary
care hospital participated in this cross-sectional exploratory survey. The risk assessment scale, motivation to work
scale, and ethical dilemma scale were used to assess the perceived risk of infection, motivational factors and ethical
challenges experienced by the nurses. Appropriate descriptive and inferential statistics were applied to compute the
results.
Results 76.4% of nurses feared working as a nurse put them at higher risk of infection. Besides the fear of contracting
infection, nurses believed they were the source of infection to family members (70.8%) and people around (67.5%).
63.3% of nurses agree that they do not have the right to refuse treatment and every patient has the right to receive
optimal care, regardless of age, gender, and medical conditions. Professional obligation to treat patients (72.3%)
and sound professional knowledge and experience (83.5%) are important motivating factors to work during the
pandemic. Multilinear regression analysis revealed that professional education (95% CI, 3.845 − 0.694, p = 0.005), Covid-
19 positive status (95% CI,0.455-2.756, p = 0.006), and post-Covid-19 hospitalization (95% CI, 1.395–6.978, p = 0.003)
and duration of hospitalization (95% CI, 0.754-0.058, p = 0.022) are independent predictors of higher perceived risk of
infection among nurses.
Conclusions During the pandemic, nurses were afraid to work and faced personal and family risks of contracting
the virus. Despite these challenges, they still feel a strong sense of commitment and dedication to providing the best
possible care. Nurse administrators need to create a supportive environment that follows ethical principles and meets
the needs of nurses to boost their motivation and encourage them to continue working for longer periods.
Authors: Jian Liu, Tiantian Lu, Yan Li, Hongyuan Dai and Li Li
Abstract:
Background At the onset of their professional journey, novice nurses often undergo a multifaceted psychological
experience as they transition from theoretical knowledge to clinical practice, potentially.....
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Authors: Jian Liu, Tiantian Lu, Yan Li, Hongyuan Dai and Li Li
Background At the onset of their professional journey, novice nurses often undergo a multifaceted psychological
experience as they transition from theoretical knowledge to clinical practice, potentially impacting their development
of professional identity. However, limited research has been conducted on the psychological aspects pertaining to
newly graduated nurses in stomatological hospitals in our country.
Methods The phenomenological method and semi-structured interviews were used in this study, and the sample
size of the interview was purposive sampling method. A semi-structured virtual interview was conducted with 21
new nurses in the department of stomatology. Colaizzi’s analysis method was used to analyse the interview data.
Results Based on Kramer’s reality shock theoretical framework and analyzing interview data, this study extracted the
psychological experiences of novice nurses during their first year of employment across four distinct stages. The four
stages include: cheerful period, frustration period, adjustment period and competency period. Six themes and nine
sub-themes were derived from the four period.
Conclusion Due to the lack of professional knowledge, novice oral nurses will experience a series of complex
positive and negative emotions at the beginning of their career. Through the research, the training of oral specialty
theory, good psychological counseling and peer support can improve their participation in oral outpatient nursing.
At the same time, the establishment of oral care quality assurance system and the improvement of oral care higher
education in our country will become the focus of future research.
Keywords Novice nurse, Stomatological hospital, Psychology, Qualitative study, Phenomenological research
Authors: Sameh Elhabashy, Michiko Moriyama, Eman Ibrahim El-Desoki Mahmoud and Basem Eysa
Abstract:
Background Evidence-Based Practice (EBP) has been recognised worldwide as a standardised approach for
enhancing the quality of healthcare and patient outcomes......
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Authors: Sameh Elhabashy, Michiko Moriyama, Eman Ibrahim El-Desoki Mahmoud and Basem Eysa
Background Evidence-Based Practice (EBP) has been recognised worldwide as a standardised approach for
enhancing the quality of healthcare and patient outcomes. Nurses play a significant role in integrating EBP, especially
in Intensive Care Unit (ICU). Consequently, this study aims to examine the effect of an adapted evidence-based
nursing practices training programme on the competency level of nurses caring for mechanically ventilated patients.
Methods A prospective open-label parallel 1:1 randomised controlled trial was conducted on 80 nurses caring for
ICU patients at the National Hepatology and Tropical Medicine Research Institute, Egypt. The trial was carried out
between November 2022 and February 2023 under the registration number NCT05721664. The enrolled nurses were
randomly divided into intervention and control groups. The intervention group received the evidence-based nursing
practice training programme (EBNPTP) in accordance with the Johns Hopkins EBP conceptional model, whereas the
control group received traditional in-service education. Four assessments (one pre- and three post-assessments) were
conducted to evaluate nurses’ competency level over time using the adapted evidence-based nursing competency
assessment checklist. The primary endpoint was an increase the competency levels among nurses caring for
mechanically ventilated patients.
Results The current study results revealed statistically significant differences between intervention and control
groups in relation to their level of competency across the three post-assessments, with (p <.001). The study also
demonstrated that the nurses’ competency level continued to decline significantly over time, with (p <.001).
Additionally, a significant correlation was found between the nurses’ pre-assessment and educational level, acting as
independent variables (predictors), and the third endpoint assessment (p <.01), indicated by multiple linear regression.
Conclusion The EBP training programme demonstrated a significant increase in the nurses’ level of competency
compared with traditional in-service education. This suggests that by training the nurses in various settings with the
essential skills and knowledge for EBP, their competency level can be enhanced, leading to the delivery of effective
Authors: Olga María Luque-Alcaraz, Pilar Aparicio-Martínez, Antonio Gomera and Manue Vaquero-Abellán
Abstract:
Background People worldwide are concerned with the possibility of climate change, microplastics, air pollution,
and extreme weather affecting human health. Countries.....
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Authors: Olga María Luque-Alcaraz, Pilar Aparicio-Martínez, Antonio Gomera and Manue Vaquero-Abellán
Background People worldwide are concerned with the possibility of climate change, microplastics, air pollution,
and extreme weather affecting human health. Countries are implementing measures to reduce environmental
impacts. Nurses play a vital role, primarily through Green Teams, in the process of promoting sustainable practices and
minimizing the environmental footprint of health care facilities. Despite existing knowledge on this topic, assessing
nurses’ environmental awareness and behavior, including the barriers they face, is crucial with regard to improving
sustainable health care practices.
Aim To analyze the environmental awareness and behavior of nurses, especially nurse leaders, as members of the
Green Team and to identify areas for improvement with regard to the creation of a sustainable environment.
Methods A sequential mixed-method study was conducted to investigate Spanish nurses. The study utilized
an online survey and interviews, including participant observation. An online survey was administered to collect
quantitative data regarding environmental awareness and behavior. Qualitative interviews were conducted with
environmental nurses in specific regions, with a focus on Andalusia, Spain.
Results Most of the surveyed nurses (N = 314) exhibited moderate environmental awareness (70.4%), but their
environmental behavior and activities in the workplace were limited (52.23% of participants rarely performed relevant
actions, and 35.03% indicated that doing so was difficult). Nurses who exhibited higher levels of environmental
awareness were more likely to engage in sustainable behaviors such as waste reduction, energy conservation, and
environmentally conscious purchasing decisions (p < 0.05). Additionally, the adjusted model indicated that nurses’
environmental behavior and activities in the workplace depend on the frequency of their environmental behaviors
outside work as well as their sustainable knowledge (p < 0.01). The results of the qualitative study (N = 10) highlighted
certain limitations in their daily practices related to environmental sustainability, including a lack of time, a lack of bins
and the pandemic. Additionally, sustainable environmental behavior on the part of nursing leadership and the Green
Team must be improved.
Background Japan has been accepting foreign nurse candidates since 2008 under Economic Partnership
Agreements (EPAs). As globalisation progresses, nurses from diverse.....
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Background Japan has been accepting foreign nurse candidates since 2008 under Economic Partnership
Agreements (EPAs). As globalisation progresses, nurses from diverse backgrounds are expected to play an active role
in the medical field. Using an interview survey, this study examined the factors associated with EPA nurses’ willingness
to continue working in Japan.
Methods We conducted semi-structured interviews from January 2022 to July 2023 with eight EPA nurses and one
EPA nurse candidate working in Japan to investigate the factors associated with foreign-educated nurses’ willingness
to continue working in Japan. The interview guide included items on the status of the daily performance of their
duties, what they found pleasurable in their nursing experience in Japan, difficulties they encountered in carrying out
their nursing duties, and their expectations of the Japanese staff around them. Data were analysed using thematic
analysis.
Results From the interview data, seven themes were extracted. To continue working in Japan, it was important
for EPA nurses to be able to communicate with patients and colleagues, maintain self-esteem and motivation, be
resilient, have support from EPA peers and family members, be accepted by others such as patients and colleagues,
and be satisfied with the support they received.
Conclusion The EPA nurses experienced many difficulties after becoming nurses and tended to be isolated because
of their non-Japanese status. The results suggest that not only support from colleagues and supervisors but also a
general understanding of EPA nurses from Japanese society is necessary. As globalisation accelerates, the Japanese
nursing field needs to understand the diversity of the nursing profession and build a support system that will enable
them to continue to take pride and feel motivated in their work.
Keywords Diversity, Economic partnership agreement, Foreign-educated nurses, Japan, Willingness to work
Authors: Jing Hua, Akiko Kondo, Congcong Wang and Sambuu Ganchulun
Abstract:
Aim This study explored the relationship between language confidence and job satisfaction, the mediating role
of workplace discrimination, and the moderating.....
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Authors: Jing Hua, Akiko Kondo, Congcong Wang and Sambuu Ganchulun
Aim This study explored the relationship between language confidence and job satisfaction, the mediating role
of workplace discrimination, and the moderating role of immigration duration among foreign-born nurses in Japan.
Introduction Job satisfaction is an important factor in preventing migrant nurses’ turnover intentions; however,
the relationships among language confidence, immigration duration, workplace discrimination, and job satisfaction
among foreign-born nurses remain unclear.
Methods A cross-sectional study was conducted. Data were collected between June and August 2022
through an online survey of nurses who were born outside of Japan but were currently working as registered nurses
in Japan. PROCESS v4.0 Macro for SPSS 28.0 was applied to analyze the effect of language confidence on job satisfaction, the mediator effect of workplace discrimination (model 4), and the moderator effect of immigration duration
(model 15).
Results Data from 187 participants were analyzed. The results showed that 1) foreign-born nurses’ language confidence was negatively correlated with workplace discrimination and positively correlated with job satisfaction; 2)
workplace discrimination played a partially mediating role between language confidence and job satisfaction; and 3)
immigration duration positively moderated the relationship between language confidence and job satisfaction.
Conclusion Foreign-born nurses with stronger confidence in their proficiency in Japanese perceived less workplace discrimination and higher job satisfaction. Workplace discrimination acted as a mediator in the relationship
between language confidence and job satisfaction, and this relationship was strengthened with longer migration
periods. Managers and policymakers should implement policies and strategies to combat workplace discrimination
and provide tailored support to improve foreign-born nurses’ job satisfaction, which may contribute to their retention
in Japan.
Keywords Non-native nurses, Workplace discrimination, Job satisfaction, Language confidence
Authors: Ayse Sahin, Bedia Tarsuslu, Aslı Yilmaz, Filiz Kuni and Gulgun Durat
Abstract:
Background Humanistic nursing practices scientifically improve the knowledge structure of nursing, enrich its
theoretical system and support its development. Therefore, it.....
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Authors: Ayse Sahin, Bedia Tarsuslu, Aslı Yilmaz, Filiz Kuni and Gulgun Durat
Background Humanistic nursing practices scientifically improve the knowledge structure of nursing, enrich its
theoretical system and support its development. Therefore, it is crucial to evaluate the humanistic practice abilities of
nurses.
Objective This study aimed to test the psycholinguistic features, language and construct validity of the Humanistic
Practice Ability of Nursing Scale and to examine it according to nurses’ demographic characteristics.
Design and methods This study was a methodological type of analytical research conducted with 397 clinical
nurses working in a hospital. A questionnaire including demographic information and evaluating empathy and
compassion adequacy was used. Data were analyzed using explanatory and confirmatory factor analysis, Cronbach’s
alpha, item-total score correlation, split-half analysis, t-test, analysis of variance and correlation analysis.
Results The scale consists of 29 items and four factors, explaining 61.15% of the total variance. Factor loads were
> 0.30. confirmatory factor analysis results were χ2/df: 2.58, GFI: 0.86, TLI: 0.91, IFI: 0.92, CFI: 0.92, RMSEA: 0.06, and
SRMR: 0.03. The Cronbach alpha value for the full scale is 0.95. A significant relationship was found between the scale
and empathy and compassion proficiency. It was observed that the scale scores differed according to the nurses’
education level, working years and job satisfaction (p < 0.05).
Conclusion This study shows that the Turkish version of the HPAN scale is valid and reliable for 29 items and four
factors. The humanistic practice ability of nurses differ according to postgraduate education, years of working in the
profession and professional satisfaction.
Keywords Humanism, Humanistic practice ability, Nursing, Validity-reliability
Authors: Zvonka Fekonja, Sergej Kmetec, Urška Fekonja, Nataša Mlinar Reljić, Majda Pajnkihar and Matej Strnad
Abstract:
Background Triage is a dynamic process prioritising the patient coming to the emergency department. Caring
behaviour and patient safety during the.....
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Authors: Zvonka Fekonja, Sergej Kmetec, Urška Fekonja, Nataša Mlinar Reljić, Majda Pajnkihar and Matej Strnad
Background Triage is a dynamic process prioritising the patient coming to the emergency department. Caring
behaviour and patient safety during the triage process are essential for ensuring a good care experience and
treatment outcome.
Objective To describe triage nurses’ perceptions on caring behaviors and patient safety in the triage area.
Design Strauss and Corbin’s Grounded theory method was used to develop the model.
Methods The study was conducted in the emergency department in northeastern Slovenia. Semi-structured
interviews were used for data collection, and 19 triage nurses were selected by theoretical sampling, guided by
emerging categories between November 2021 and July 2022. The data analysis was conducted according to Strauss
and Corbin’s coding framework.
Results The analysis of the interviews generated one category: The process of creating a caring and safe triage
encounter for the patient, together with two categories that explain the key phenomenon: (1) Triage caring and (2)
Safety in the triage process. Within the category “Triage caring”, four subcategories were developed: (1) Assurance of
triage nurses’ presence, (2) Connectedness, (3) Respectful attitude, and (4) Knowledge and skills. The category Safety
in the triage process consists of three identified subcategories: (1) Conception and perception of safety, (2) Factors
influencing patient safety, and (3) Improving the triage safety.
Conclusions The triage nurses’ perceptions about caring for the patient and his safety in the triage area show that
caring and safety are inseparably linked and coincide when triaging a patient. Namely, caring for the patient means
ensuring the patient’s safety at the same time.
Implications for the nursing field A better understanding of the importance of triage nurses’ caring behavior and
patient safety emerges from the findings, highlighting the challenges faced in a busy emergency department where nurses must balance providing care and responding to patients’ needs while ensuring safety. Findings in the study
show that patient care and safety are inseparably linked and coincide when triaging a patient. Moreover, applying
caring behaviour during triage encounter results in greater patient safety.
No patient or public contribution The study’s design, evaluation of the findings, and execution did not need the
involvement of patients or the general public. Participants were triage nurses working in the emergency department.
Triage nurses were interviewed about their perceptions of triage nurses on caring behaviors and patient safety during
triage encounter.
Keywords Triage, Grounded theory method, Patient safety, Workload, Caring, Perception
Authors: Julia Seidel-Fischer, Milena Trifunovic-Koenig, Bianka Gerber, Baerbel Otto, Michael Bentele, Martin R. Fischer and Stefan Bushuven
Abstract:
Background Undergraduate training in hand hygiene is a keystone of infection control. Several studies have
shown overconfidence effects in hand hygiene.....
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Authors: Julia Seidel-Fischer, Milena Trifunovic-Koenig, Bianka Gerber, Baerbel Otto, Michael Bentele, Martin R. Fischer and Stefan Bushuven
Background Undergraduate training in hand hygiene is a keystone of infection control. Several studies have
shown overconfidence effects in hand hygiene practices, which can impair metacognition. We hypothesized that
overconfidence might be prevalent in the early education stages of nursing students and that these effects could be
reduced through frequent interactive learning formats, such as learning groups.
Methods We conducted a multicenter cross-sectional questionnaire with 196 German nursing students, including
general, surgical, and anesthetic nursing specializations.
Results Overconfidence was observed in nursing students across all specialties and years of education. The cluster
analyses showed three different types of learners: two characterized by overconfidence and one demonstrating
justifiable confidence. Furthermore, the moderation analysis indicated that providing feedback and promoting
metacognition regarding students’ learning achievements could mitigate overplacement, particularly through the
frequent implementation of interactive teaching formats.
Discussion Despite some limitations, these findings highlight the prevalence of overconfidence effects in nursing
students, the presence of different learning profiles, and the importance of incorporating feedback within interactive
learning formats concerning hand hygiene. Accordingly, educators need to be trained and supervised to deliver these
learning formats and provide feedback to students effectively.
Keywords Hand hygiene, Hand disinfection, Learning format, Metacognition, ICAP-model, Nursing, Nursing students,
Education, Overconfidence
Authors: Rachael Hinds, Ross Goldstone, Rose McCarthy, Ged Byrne and David Keen
Background Nurses contribute to the largest demographic of the healthcare workforce. However, given current
global shortages of workforce capacity, this often leads to limited capacity to engage in extracurricular educational
developments beyond their immediate role. Consequently, this significantly limits the range of workforce training and
development opportunities that are available to them, which could enhance the variety of skills that are brought to
the National Health Service (NHS).
Objective We aimed to understand prior, current, and future participation in global health activities such as
global health conferences, networks, and placements, among National Health Service (NHS) staff. Furthermore, we
investigated the barriers and facilitators to participation in global health activities for nurses in our sample.
Method Qualitative and quantitative data was gathered from an online survey conducted in England from July
to November 2021. Thematic analysis was used to examine the qualitative data collected from one open-ended
question, whereas statistical analysis was used to examine the remaining quantitative data.
Results Most (84%) nurses in our sample had not participated in a global health activity. Our results highlighted
three barriers to participation, including insufficient communication, a lack of awareness, and capacity issues.
Conclusion This study showed that, despite low levels of prior participation, there is a strong desire among
surveyed nurses to be involved in global health activities and education. Our findings also suggest that enhanced
communication of opportunities available is needed, in addition to organisational support which incorporates
strategies to overcome capacity constraints.
Keywords Global health participation, Global health education, Nurses’ global health education, Nurses’ global health
placements, Global health, Qualitative
Background Because of the importance of nursing surveillance, there is a need to develop a scale to measure
nursing surveillance that reflects the roles of nurses in South Korea. This study aimed to develop a scale to measure
surveillance by Korean nurses and to test its reliability and validity.
Methods In the development phase, a literature review was conducted to verify the attributes of nursing
surveillance, and preliminary items were developed based on the surveillance activities in the Nursing Intervention
Classification (NIC) and the interviews of Korean nurses and modified through content validation and a pilot study. In
the psychometric testing phase, two surveys were conducted with Korean nurses working in acute hospitals, using
the preliminary scale in exploratory factor analysis (EFA, n = 220) and confirmatory factor analysis (CFA, n = 219). Data
were analyzed through EFA, CFA, correlation, and reliability analyses to verify convergent validity, discriminant validity,
criterion validity, and reliability. To verify the validity of the preliminary scale, the exploratory factor analysis and
confirmatory factor analysis convergent validity, discriminant validity, criterion validity, and reliability were performed.
Results In the EFA, 16 items were grouped into four factors, accounting for 70.1% of the cumulative variance. In
the CFA, the model exceeded the criteria for all fit indices (χ2 = 155.62 [df = 94, p < .001], CMIN = 1.65, SRMR = .048,
RMSEA = .055, GFI = .921, NFI = .916, TLI = .955, CFI = .964) and was acceptable. The convergent validity, discriminant
validity, criterion validity, and reliability were verified. The final Korean nursing surveillance scale consists of four
factors: ‘anticipation of problems and decision-making’ with six items; ‘systematic assessment’ with five items;
‘recognition of patterns’ with three items; and ‘identification of the patient’s self-care and coping strategies’ with two
items.
Conclusion The Korean nursing surveillance scale developed in this study comprised questions that included
NIC’s surveillance activities and empirical data from Korean nurses; based on the attributes of nursing monitoring
derived from concept analysis, its validity and reliability were verified. This study can provide precedent to motivate
the development of nursing surveillance scales in other countries, and ultimately stimulate studies on nursing
surveillance, which is essential for patient safety.
Authors: Shaimaa Mohamed Amin, Mutaz DREIDI, Eman Ghallab, Shadia Ramadan Morsy Mohamed and Intima Alrimawi
Aim To assess food and nutrition literacy status and its determinants among elementary school students in El-Beheira
Governorate, Egypt.
Background Developing strategies to enhance food and nutrition literacy necessitates a deeper understanding
of the food and nutrition literacy situation among elementary school students and associated factors.
Design A cross-sectional descriptive research design was adopted.
Methods A final sample of 400 primary school students (aged 6–12 years) at Itay El Barud public elementary schools
in El-Beheira Governorate were administered (1) a socio-demographic characteristics and anthropometric measurements questionnaire developed by the researchers, and (2) the Food and Nutrition Literacy Scale. The derived data
were analyzed using descriptive and non-parametric tests.
Results The majority (61%) of students had low food and nutrition literacy scores. The results have shown that overall
socio-demographic variables were significant in predicting understanding food and nutrition information, nutritional health knowledge, interactive functional and nutritional literacy, critical food and nutritional literacy, and food
labeling.
Conclusion The study reveals that elementary school students in Egypt have poor knowledge and skills in food
and nutrition literacy, largely due to a lack of nutrition education and family awareness. Factors like residential location, income, and education level also contribute to this disparity.
Implications for the profession To improve nutrition literacy among students, a nursing approach involving
community stakeholders and school nurses is recommended. This includes integrating nutrition-related topics
into the school curriculum, organizing workshops, and conducting age-appropriate health education sessions. Active
engagement between community health and school nurses is crucial for raising awareness about healthy nutritional
choices.
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