Wiley

Nursing and Health Sciences

Published by Wiley
Online ISSN: 1442-2018
Print ISSN: 1441-0745
Discipline: Nursing
Learn more about this page
Aims and scope

Nursing & Health Sciences (NHS) is a leading international journal focused on the global exchange of knowledge in nursing and health science, as well as advancing research and practice across health disciplines. The journal provides a forum for articles reporting on original research, systematic and scholarly reviews focused on health science, clinical practice and education from around the world.

 

Editors

Recent publications
Aim: The aim of the study is to estimate the incidence rate of post-natal Depression (PND) and examine its associated factors among studied subjects. Design: A descriptive cross-sectional study design has been used to conduct this research. Setting: The study conducted in postnatal wards in two hospitals at eastern region of Saudi Arabia. Subject: A total of 48 mothers were participating in the study 21 mothers delivered at KFHU and 27 mothers from MCH. The study has two stages, the first stage which include all available women within the first two days of their postnatal period and the second stage is the follow up period where all women who agreed to participate at the day 12-20 postpartum through the phone call. Tool: 10-item Edinburgh Postnatal Depression Scale (EPDS) has been used in this study to find out the rate of PND and second questionnaire to assess factors which associated with PND. Results: The result shows that 35.5% of mothers have a positive postnatal depression. Also there were a positive significant correlation between PND and marital conflicts, exposure of difficult life events, gravidity, parity, newborn birth order, unwanted pregnancy and breastfeeding. Conclusion: In this study, postnatal depression was found almost in third of the mothers which give the health professional alarm to give more attention towards this problem and investigate more on it.
 
This study aimed to determine the experiences of ostomy and wound care nurses in providing care to refugees and asylum seekers with stomas. This study used a descriptive qualitative design. The study population comprised 14 female nurses working as ostomy and wound care nurses in Turkey. Purposive sampling was adopted. The interviews were conducted at times convenient for the participants and researchers and by interviewing each nurse once. Prior to the interviews, the questions of an individual characteristics identification form were read to the participants, and the form was filled out on the basis of their responses. The interviews were conducted using a semistructured approach. Thematic analysis was used to identify, analyze, and report themes within the data. The emerging themes following data analysis were communication problems, problems with stoma supplies, nurses' efforts to prevent inequalities in care, and emotional burden. To maintain appropriate nursing care, this study recommends the expansion of appropriate translation services and the reconsideration of problems related to patients' access to stoma care materials.
 
The turnover of new nurses is a critical issue that not only causes economic loss to hospitals but also negatively affects the quality of nursing services and patient care. This study examined the impact of workplace bullying, which is an external factor, and resilience, which is an internal factor, on new nurses’ turnover intention. The participants of this study comprised 153 nurses from two tertiary hospitals located in Korea with more than eight weeks but less than 12 months of work experience. The factors impacting the turnover intention of new nurses in tertiary hospitals were verbal and non‐verbal bullying (β=.27), tenacity (β=‐.24), not getting placement in the desired department (β=.17), and age group (β=.12). The regression model was significant (F=9.23, p<.001) based on hierarchical regression analysis, and the explanatory power of the model was 29%. It was concluded that reduction of verbal and non‐verbal bullying in the workplace, and programs that promote the tenacity of resilience are necessary to reduce turnover intention of new nurses in tertiary hospitals. This article is protected by copyright. All rights reserved.
 
Burnout is highly prevalent among nurses; however, the effect of personalized music intervention on burnout remains unclear on nurses. We aimed to investigate the effects of personalized music intervention in relieving burnout among nurses. Forty‐two eligible nurses were recruited for an assessor‐blinded, two parallel randomized controlled trial. The participants were randomly assigned to the following two groups: the personalized music group (n = 21), which listened to music of their choice for 30 min per session at 3 times per week for 5 weeks; and the control group (n = 21), which did not listen to any music for relaxation. At baseline, nurses in personalized music group had worse emotional exhaustion and greater depression compared with the control group. Results from an analysis of covariance using baseline emotional exhaustion and depression as covariates indicated that nurses who received personalized music intervention experienced less emotional exhaustion than the nurses in the control experienced. Personalized music intervention can be used for nurses as an adjuvant approach to reduce emotional exhaustion and then improve their well‐being. This article is protected by copyright. All rights reserved.
 
This study aimed to explore women's experiences of support and care received from maternity healthcare professionals for perinatal low mood or depression, and healthcare professionals' experiences of providing support and care for women experiencing perinatal low mood or depression. In this qualitative study, face‐to‐face individual semi‐structured interviews and focus groups were conducted with 15 women and 19 healthcare professionals living or working in Yorkshire and the Humber, England in 2019. Thematic analysis was used to analyse the qualitative data. The following themes were identified: 1) Lack of standardisation in identification and support for perinatal low mood and depression; 2) Unclear and non‐standardised pathways for perinatal low mood and depression; 3) Enablers and barriers of receiving support and care for perinatal low mood and depression. Providing training opportunities for healthcare professionals, especially midwives, may be helpful for filling the grey area for women who do not need a referral to mental health services but require support from healthcare professionals. Improving the variety of psychological therapies for the treatment of perinatal depression may also be helpful to meet women's expectations of treatments. This article is protected by copyright. All rights reserved.
 
This study aims to describe patients' and family caregivers' hospitalization experiences during the COVID‐19 pandemic. Using qualitative exploratory descriptive methods, thirteen patients admitted to the largest hospital in Barcelona (Spain) due to COVID‐19 were interviewed by telephone once discharged, as were eight primary caregivers. Data were analyzed using the content analysis method proposed by Krippendorff. Two main themes were identified: a) Acceptance of mandatory isolation for patients and family caregivers, which refers to the verbalization of a feeling that justifies the imposed isolation and the need for the use of personal protective equipment by the health team for everyone’s safety, and b) Limited autonomy during hospitalization for patients and family caregivers, which describes participants' perceptions of autonomy during hospitalization. Patients and caregivers experienced feelings of loneliness, which negatively affected their emotional health. In addition, they experienced reduced autonomy due to new habits and routines intended to control the pandemic for public and global health.
 
Facemasks represent an essential measure of prevention against the spread of COVID‐19; however, they lessen the ability to convey and understand emotions through facial expressions. In blood donation settings, facemasks may interfere with professionals’ tasks. This qualitative study aims to describe healthcare staff's experiences, beliefs and attitudes towards facemask wearing, and strategies used to overcome communication and relational barriers along the blood donation process. Semi‐structured qualitative interviews were conducted with twenty‐five healthcare professionals (14 physicians and 11 nurses) working in Italian blood donation centers. The framework analysis method was used to organize the data and identify emerging themes. More than 70% of participants reported discomfort and a negative impact on communicating effectively with donors and building empathic relationships. The difficulty to detect early signs of adverse reactions was reported by almost all nurses, while physicians were concerned that facemasks limited the identification of donors and the detection of deferral criteria. Facemasks have changed the blood donation process, reducing the healthcare professionals’ ability to build empathic relationships and communicate with donors effectively. New strategies should be developed to overcome these limitations. This article is protected by copyright. All rights reserved.
 
Background: Adolescence is a crucial period in the life of a girl child because of its unique features. Menstrual hygiene has been an issue of global importance as far as girl child education is concerned. Studies have revealed that girls generally have insufficient knowledge regarding menstruation prior to menarche, and that most of them do not know the source of menstrual blood. More than 70% of primary school going adolescents miss 3 days every month, about 11% of the total school days per term due to menstruation. This is associated with increased school dropouts rates and poor academic performance. Thus the purpose of the study was to examine challenges and establish ways of coping with menstrual hygiene challenges among primary school going adolescents such that school attendance during menses can improve. Materials and Methods: Descriptive design was used to establish ways of coping with menstrual hygiene challenges; data collection was done using in-depth individual interviews. A total of nine (09) participants were selected using a purposive sampling technique, and the data collected was analyzed using thematic content analysis. Results: Themes generated from challenges included personal attributes such as pain, teasing by boys and fear of sharing menstrual issues with guardians, teachers and friends. Another theme was resources which had the categories of; lack of pads, no designated room for changing, lack of water to use after changing. Ways of coping were either positive, like confidence, use of menstrual charts, speaking about menses among others and then negativity included hiding from others and not telling answers in class. Conclusion:Adolescents faced numerous challenges in their menses and coped through school absenteeism and less class participation which is associated with poor performance in class. Therefore, interventions to improve school attendance and class room participation are crucial for better outcomes of academic performance among adolescent girls.
 
COVID‐19 has led to procedural changes in vascular access services in order to protect healthcare workers and patients from further spread of the virus. Operational changes made by the vascular access service at a healthcare system in New York City during the first wave of the COVID‐19 (SARS‐CoV‐2) pandemic in New York City included a team‐based approach as well as consideration for types of lines placed to address the increase in patient volume while providing safety to healthcare workers and conserving PPE equipment. The study consists of two samples of adult inpatients admitted to Mount Sinai Hospital in NYC in need of vascular access. Chi‐square tests of independence were utilized to analyze trends in data. By the fourth wave, usage of shorter life span ultrasound‐guided peripheral IVs increased significantly and the use of longer lasting intravenous catheters decreased significantly between the first and fourth waves of COVID‐19. The goals of this paper are to show that with greater knowledge about proper PPE and mindful resource utilization, hospitals are able to become more comfortable and efficient while providing increasingly frequent vascular access services in the current and future pandemics.
 
Conceptual framework
Total mean scores of SCS‐SF34; group A = newly diagnosed cases; group B = recurrent; T0 ~ T3 = time of data collection. Abbreviation: SCS‐SF34, Supportive Care Needs Survey‐Short Form 34
Between‐group differences on support questionnaire (NSSQ‐T over time). Abbreviation: NSSQ‐T, Norbeck Social Support Questionnaire
Changes in means for Herth Hope Index (HHI) over time
The experience of a life‐threatening illness, such as cancer, can have an array of health impacts and social and psychological well‐being can be comprised. This study compared differences in unmet care needs, social support, and hope of Taiwanese women with either newly diagnosed (n = 72) or recurring (n = 39) gynaecological cancer at baseline (T0) and three follow‐up surveys every two months (T1; T2; T3). Sociodemographic questions and three standardized self‐administered questionnaires were used. The Generalized Estimating Equations (GEE) method was used to analyse data. Women with recurrent cancer reported higher levels of care needs and lower levels of hope than those with a primary diagnosis. Significant positive correlations between social support and hope scores were observed for women with recurring cancer at T1 and T2. However, these women reported less hope at T3 compared to those with a primary diagnosis. Routine assessment of women’s care needs related to their medical condition and provision of different kinds of support can aim to improve well‐being and their hope for the future.
 
The aim of this study was two‐fold: to illuminate registered nurses’ experiences of palliative care and of caring for patients transitioning from curative to palliative care in hospitals. A qualitative descriptive design was used. Group interviews were conducted with eleven registered nurses in three different hospital settings. Content analysis was performed. The results are presented in four themes: Understanding palliative care in a hospital setting; Involving, supporting and caring for patients and families; Striving for consensus and common goals of care; and Struggling with the hospital environment. The registered nurses described struggling with the interpretation of palliative care and with how to transfer it into clinical practice in their specific care settings. Teamwork and collaboration was challenging, and goals of care incongruent within the team. Further implementation of a palliative care approach, with core components symptom relief, teamwork, communication and relationship, and family support, is crucial to improve both patient care and the conditions enabling registered nurses to provide good care for the patients and their families in hospital settings. This article is protected by copyright. All rights reserved.
 
The main themes of the study adopted from Watson's Theory of Human Caring (Watson 2008, 2012)
Metaphors about COVID‐19
This study aims to investigate the experiences of survivors of COVID‐19 in Turkey. The research questions and results are structured according to Watson’s Theory of Human Caring. The study was conducted using a descriptive qualitative research design. The phenomenological method was used to explore the experiences of survivors of COVID‐19. A total of 34 survivors of COVID‐19 were included in the study. Data were collected using semi‐structured and open‐ended questions online and via telephone interviews between February and March 2020. Data were evaluated using thematic analysis and descriptive analysis. Six main themes and twenty‐five sub‐themes were defined that describe the experiences of survivors of COVID‐19 regarding the illness: (a) Denial and adaptation, (b) Fear, (c) Feeling of hopelessness, (d) Preventions (e) Meaning attribution, and (f) Metaphors about COVID‐19. Information from this research may be used by healthcare professionals to develop new strategies for the care of survivors of COVID‐19. Moreover, it can be said that Watson’s Theory of Human Caring is suitable for monitoring the psychosocial development of patients with COVID‐19.
 
Grit has been linked to increased performance, retention and well‐being in various fields. Defined as having perseverance and passion for long‐term goals, grit is a personality trait related to one's perseverance of effort (perseverance) and consistency of interests (passion) toward their goals. In the fifteen years since the original grit scale was published, many studies have investigated factors that promote grit. However, a scale has not yet been developed measuring characteristics that can contribute to higher levels of grit. This study aimed to develop a novel scale to measure the psychological resources of grit. The Delphi technique was used to obtain consensus from an international panel of academics and practitioners who are experts in grit and related constructs. A total of 30 participants rated 100 scale items conducted over three rounds of online surveys. Experts agreed that items selected for the final scale (n = 20) were essential, with 85% rating these as important or very important. This scale would be a helpful diagnostic tool for practitioners involved in staff development and support building capabilities that contribute to goal achievement. This article is protected by copyright. All rights reserved.
 
The Johns Hopkins Mobility Goal Calculator tool. Individualized mobility goals on the Johns Hopkins Highest Level of Mobility Scale (JH‐HLM) are based on patients' most recent mobility capacity scored by the Activity Measure for Post‐Acute Care (AM‐PAC) Basic Mobility Short Form
Bland Altman Plot for Highest JH‐HLM achieved within session by discipline. Red = zero line. Solid gray line = mean difference. Dashed lines = 2 from mean difference. Abbreviation: JH‐HLM, Johns Hopkins Highest Level of Mobility. Difference is calculated by subtracting JH‐HLM achieved with physical therapist from JH‐HLM achieved with nurse. These results show that patients with lower average JH‐HLM (<6) achieve higher JH‐HLM scores during mobility sessions with physical therapists compared to nurses, but patients with higher average JH‐HLM scores achieve similar JH‐HLM values when mobilized by nurses or physical therapists
Individualized mobility goals created using a goal calculator have been shown to increase patient mobility on medical nursing units, but have not been studied among postoperative populations. This study aimed to examine the feasibility of an automated mobility goal calculator on a postoperative nursing unit. To examine this, we utilized the goal calculator to create goals for patients (N=128) following surgery and mobilized each patient with either a nurse or physical therapist. Each patient's highest level of mobility was recorded and providers completed surveys on the appropriateness of calculated goals. Overall, 94% of patients achieved calculated goals. Patients with more pain achieved goals significantly less often than those with less pain. Those with higher mobility achieved their goals similarly with either provider. Providers reported 47% of goals were appropriate, with goals being set too low as the primary reason for goals being inappropriate. We conclude that the automated goal calculator can be used on postoperative nursing units to set realistic goals for patients after surgery. This article is protected by copyright. All rights reserved.
 
“Happy workplace” is a concept focused on working with the personnel who are the important main target group of an organization. The underpinning ideas are that, the happier the members of an organization are, the better products they will produce, and the more commitment they will have to the organization. These ideas are applied to guidelines to promote and develop policies for enhancing the quality of the employees’ working life, especially those new hires who are adapting to a new work environment. Newly graduated nurses are also in a transition from being nursing students to becoming professional nurses with more responsibilities. Thus, they might feel fearful, anxious, or confused about their roles and their new working systems. Some of them may encounter situations with work conflicts or low compensation. Consequently, they may feel their jobs are tedious or boring, lose their feelings of compassion, quit the job, or provide low quality nursing care. The purposes of this article are to describe the situations and working life quality of new nurse graduates and offer guidelines for creating a happy workplace for them. The concept of a happy workplace is integrated to the recommendations for the organizational development guidelines in order to ensure creating a better quality of working life that will provide happiness and satisfaction to their employees. This should result in building a stronger commitment and deeper dedication to the organization among their employees, which will, in turn, benefit the organization and lead to sustainable growth.
 
The study procedureAbbreviation: PPE, personal protective equipment
This study aimed to develop and verify the effect of a new personal protective equipment donning and doffing program for nurses in military hospitals. A total of 40 nurses (20 experimental group, 20 control group) participated in this non‐equivalent control group experimental study. The new program consisted of the description of the design modification of the inner and outer boundary marks of coveralls and a video with verbal instructions and footswitch that the participants could watch at their own pace. Data collection was carried out before, immediately after, and two weeks after the intervention. The effects of the program on accuracy, self‐efficacy, and time were analyzed using a generalized estimating equation. PPE donning and doffing accuracy, self‐efficacy, and time were significantly increased in the experimental group compared to those in the control group, both immediately after and two weeks after intervention. As this program has been confirmed to be effective in improving PPE donning and doffing accuracy and self‐efficacy, we recommend to use this program for training nurses on donning and doffing of PPE.
 
Introduction: The aim of the study was to determine the socio demographic characteristics of Community Health Workers in Kibwezi Sub-county and their effect on performance. Methods: It was a cross-sectional comparative study in which socio demographic characteristics of Community Health Workers receiving monetary incentives was compared to those not receiving monetary incentives and each characteristic was assessed for its influence on performance of CHWs. Data was collected using a structured questionnaire, key informant interview guide and focus group discussion guide. Relationship between variables was determined using chi square and odds ratios. Results: Sex was not associated with performance in this study. [OR= 1.2406 P-value=0.535]. Age was significantly associated with performance of CHWs, performance of those who were in the age bracket of 40-49 years was three times better than those aged 20-29 Years [OR= 3.6327 P= 0.022).Marital status was significantly associated with performance of CHWs. The odds of performance was three times higher for those CHWs who were single compared to those who were married. [OR 3.306 P-value= 0.018]. Education level was significantly associated with performance, CHWs who had an education level up to primary school were better performers than those with secondary school education level.[OR 2.901786 P value= 0.002).Conclusion: Socio demographic characteristics of CHWS have an influence on their performance. Married, middle aged and CHWs who had primary school level of education were found to have better performance. The Selection criteria of CHWs should consider the age, level of education and marital status for optimal performance and results.
 
Providing care to methamphetamine‐related callout events in the pre‐hospital environment is often complex and resource‐intensive, requiring staff to manage agitation and violence related side effects of methamphetamines. In Australia, emergency responders are increasingly required to attend events related to methamphetamines, even though reports suggest methamphetamine use across Australia has declined. The aim of the study was to explore Australian Police and Paramedic experiences attending methamphetamine‐related events. Qualitative descriptive phenomenology design was employed using semi‐structured interviews with employed police (10) and paramedics (8) from Australia. Data were analysed using thematic analysis. Participants described the complexities associated with providing pre‐hospital care of people affected by methamphetamines. Participants described associated domestic/family violence, increased levels of violence, challenges with communication, and responder emotional and psychological distress and physical injury. Violence associated with methamphetamine use is a critical factor in pre‐hospital care. Workplace violence and family/domestic violence are important issues that require further research to ensure families and staff are well supported and have the services they need to continue responding to people affected by methamphetamine use. This article is protected by copyright. All rights reserved.
 
This study explored the impact of intrapersonal (stroke severity, physical dysfunction, and fear of stroke recurrence), interpersonal (loneliness), and extra‐personal (economic status) stressors on the quality of life of people with stroke. A correlational cross‐sectional research design was employed. This study was based on Betty Neuman's systems theory. 139 people with stroke were recruited from ten hospitals in South Korea. Data were collected from January to February 2020 using a structured questionnaire. Data were analyzed using descriptive statistics, independent t‐test, one‐way analysis of variance, Scheffé test, Pearson's correlation coefficients, Spearman's correlation coefficients, and hierarchical multiple regression analysis. Stroke severity had the strongest association with quality of life among people with stroke, followed by loneliness and fear of stroke recurrence. These variables accounted for approximately 77% of the variance in the quality of life. Stroke severity, loneliness, and fear of stroke recurrence should be systematically monitored to enhance the quality of life in people with stroke. Additionally, a detailed intervention that considers all these stressors must be developed, and its effectiveness must be verified through further research. This article is protected by copyright. All rights reserved.
 
Questionnaire development flow chart
As the world goes through the fourth wave and the continued emergence of new COVID‐19 variants, the general and work‐related risks of the healthcare professionals are expected to rise. This has the capacity to adversely affect productivity and efficiency in healthcare delivery system, particularly in this era of global shortage of trained healthcare professionals. We aimed to develop and validate a new instrument known as the COVID‐19 responses impact questionnaire (COVRiQ) to evaluate the impact of the pandemic on the healthcare professionals managing COVID‐19 pandemic. This methodological study involved 3 steps; the formulation of COVRiQ draft, content and face validation and construct validity. A total of 61questions were drafted with 3‐point Likert scale answers. From the list, 39 were rated valid by panel of experts and subsequently tested on 301 participants. The results were analysed and validated using exploratory factor analysis on SPSS. Components were extracted and questions with low factor loading were removed. The internal consistency was measured with Cronbach's alpha. Following analysis, 3 components were extracted and named as behavioural, social and economic impacts. In general, 29 items were deleted leaving 32 out of 61questions were retained as the final validated COVRiQ. Internal consistency showed high reliability with Cronbach's alpha of 0.91. Participants scored a total cumulative mean of 118.74 marks. A sub analysis by occupation showed that medical assistants scored the lowest in the group with a score of 22.3% whilst medical specialists scored the highest at 77.7%. Higher score indicates higher impact of COVID‐19 responses among healthcare professionals. The new COVRiQ consisting of 32 demonstrated to be users‐friendly with good psychometric properties, and valid for assessing the impacts of COVID‐19 responses among healthcare professionals. This article is protected by copyright. All rights reserved.
 
Anxiety perceived by Japanese female college students under the pandemic restrictions
The spread of COVID‐19 has dramatically changed our lives. This study aimed to examine the lifestyles of female college students, focusing on physical activity, sleep status, and anxiety status during the pandemic (a state of emergency) in Japan. 184 female college students completed two questionnaires, anthropometric measurements, and daily activity log and diet record: 115 and 69 participants before and during the pandemic, respectively. Findings showed a significant decrease in physical activity: physical activity levels fell from “normal” to “low” and the daily step counts decreased by half, from 8671 to 4640. In addition, the results from the questionnaires revealed that half of the participants were at risk of having sleep disturbances, and their cycles became more nocturnal, which may have caused higher anxiety states and lower sleep quality during the pandemic. In addition, anxiety states worsened, with 100% of the participants experiencing high anxiety during the pandemic. Monitoring lifestyle disturbances during the pandemic is needed for the development of interventions to improve health among young women.
 
This retrospective, multicenter, descriptive study aimed to evaluate the conditions of inpatients in acute care hospitals using the “Severity of a Patient’s Condition and Extent of a Patient's Need for Medical/Nursing Care” tool. The study included 4,234,253 patients admitted to acute care hospitals in Japan between April 2019 and March 2020. Electrocardiographic monitoring, provision of respiratory care, and administration of antiarrhythmic agent injections and treatment were performed in a sterile room for >20%, >10%, and <1% of patient‐days, respectively. More than 40% of inpatients needed support with performing activities of daily living, such as dressing and undressing, turning over, and oral care. The proportion of patients requiring daily medical/nursing care was generally high at the beginning of hospitalization, gradually decreased, and subsequently increased. Patients in acute care hospitals in Japan were not hospitalized unnecessarily early or for inappropriately long periods, and the efficiency of medical care improved over time. The “Severity of a Patient’s Condition and Extent of a Patient's Need for Medical/Nursing Care” tool is useful for evaluating patient conditions in acute care hospitals.
 
Response rate
Distribution of empowering and significant experiences for mother
Distribution of safety, risk, and optimizing outcomes of breastsleeping
To date, attitudes towards breastsleeping among certified nurse‐midwives caring for post‐partum women are not well known. This study describes the validation procedures of two instruments assessing the attitudes of certified nurse‐midwives (CNMs) towards breastsleeping. These tools were validated using an 18‐item survey administered to a convenience sample of certified nurse‐midwives. Participating CNMs were recruited for anonymous participation in an online survey in September‐November of 2019. Factor analysis and parallel analysis each revealed a two‐factor solution, suggesting that there were two main concepts representing the attitudes of certified nurse‐midwives towards breastsleeping; breastsleeping safety and breastfeeding experience. Statistically significant differences for mean breastsleeping safety scores were noted by age group, place of practice, and US geographical region. This article is protected by copyright. All rights reserved.
 
Transitioning from a lecture to a flipped classroom involves flexibility, preparation, and continual learning for faculty. The flipped method involves pre-recording lectures and creating case studies, games, and discussions that encourage critical thinking and ownership of learning. A project was completed to determine the impact of implementing a flipped classroom method on first-semester undergraduate junior nursing students in a pharmacology course. A non-probability convenience sample was used that consisted of 94 students. The study's outcome revealed no significant statistical difference (p=.63) in the flipped class's exam grades students in the flipped class. This finding demonstrates that students can understand content regardless of the method of instruction. However, course evaluations illustrated a need to improve the method of delivery and learning activities. The flipped method has been continued in pharmacology and incorporated in the sophomore-level health assessment course. Evaluations with the adjustments and revisions illustrate student learning and satisfaction in the courses. Faculty need to assess and evaluate their courses to ensure learning continually.
 
This study explores the correlates of sociodemographic factors, smoking and caloric knowledge to body mass index awareness with a focus on Malaysia. Logistic regressions were estimated to examine sociodemographic factors associated with body mass index awareness. More than half of respondents were unaware of their body mass index (54.8%). Age was negatively associated with body mass index awareness (aOR: 0.993, 95% CI: 0.984, 1.001). Adults without formal education were less likely to know their body mass index than those with tertiary‐level education (aOR: 0.279, 95% CI: 0.170, 0.457). Adults were less likely to be aware of their body mass index if they engaged in smoking (aOR: 0.779, 95% CI: 0.594, 1.023). Adults with knowledge of the definition of calories were more aware of their body mass index than others (aOR: 2.224, 95% CI: 1.805, 2.742). The findings emphasise the urgent need for a forthcoming sociodemographic factors‐specific policy directed towards improving body mass index awareness to lower the prevalence of obesity in Malaysia.
 
Introduction: Tuberculosis remains a major problem globally despite it being a fairly preventable and curable disease. TB remains a major cause of morbidity and mortality in Kenya and the greatest burden is in the most productive age group. Lack of knowledge on TB within communities affects the health seeking behavior of patients which in turn presents ample time for infection to spread to the healthy population and poses a formidable challenge towards controlling the disease. Objectives: The aim of the study was to assess the Knowledge, Attitude and Practices on prevention of Tuberculosis among residents of Lari Sub-County. Methods: The study was a hospital based cross sectional study which was conducted at the Outpatient Department in Lari Hospital in Kenya. A total of 337 clients were selected using systemic random sampling and interviewed. The data collected was analyzed using SPSS version 21.Findings: Knowledge level was average (62.6%) with 15% being aware of the causative agent, 35 % aware of the signs and symptoms and 42% recognizing BCG vaccine as a preventive measure to TB. Majority of the respondents did not have a favorable attitude towards TB and there existed stigma towards TB infected people. The average mean for good practices was 65% with some of the respondents exhibiting poor practices towards prevention of TB. Conclusion: Knowledge level was average with knowledge gaps existing. A significant number did not have favorable attitude towards TB and there was stigma associated with TB infection and some poor practices were reported. There is need to step up health education to empower the communities with knowledge on TB and reduce stigma towards TB patients.
 
Nursing handovers represent an important and complex form of communication in healthcare organizations that involve the exchange of patient‐related information between nurses. This qualitative descriptive study aimed to identify the intershift handover experiences among nurses working in small and medium‐sized hospitals. Focus‐group interviews were conducted with 30 nurses who directly participated in patient care in such hospitals in South Korea. The reporting of the study findings adhered to the Consolidated Criteria for Reporting Qualitative Research checklist. The data were analysed using content analysis. Under the main theme of “baton touch in a relay”, 6 categories, 17 subcategories and 45 codes (concepts) were derived. The six categories were “procedural rituals for shifts”, “non‐standardized handover training”, “inconsistent handover style”, “stress due to handovers”, “coping strategies for handovers” and “interruptions of handovers”. Nurses in small and medium‐sized hospitals strive to improve the quality of handovers by preparing individual‐level coping strategies under difficult conditions. This indicates that standardized handover education strategies need to be developed for nurses that are suitable for the personnel systems of small and medium‐sized hospitals.
 
On‐site clinical training is essential in nursing practicum, which has been greatly hindered during the COVID‐19 pandemic. This study aimed to identify the predictors of nursing students' motivational and self‐regulated learning in clinical nursing practicum during the pandemic. This cross‐sectional study aimed to identify the predictors of motivational and self‐regulated learning among nursing students in clinical nursing practicum during the COVID‐19 pandemic. An online survey was completed by 195 nursing students in Korea in 2021. Students' moral sensitivity and motivational and self‐regulated learning were assessed using the Moral Sensitivity Questionnaire and the Motivated Strategies for Learning Questionnaire. Multiple regression analysis revealed that moral sensitivity was the most potent predictor of motivational and self‐regulated learning, followed by online clinical practicum experience, determination to become a nurse, and online practicum type; these factors explained 21.0% of the variance. Practicum courses using a tailored hybrid model, combining online and in‐person approaches for imparting nursing practices and inspiring moral sensitivity, can enhance nursing students' motivational and self‐regulated learning. Modules to enhance nursing students' moral sensitivity should be included in online practicum curricula. This article is protected by copyright. All rights reserved.
 
Distribution of High school students according to their demographic proforma n=80
Frequency and percentage distribution of high school students according to their attitude level n=80
Association between early adolescents' Level of Attitude ratings and their chosen demographic characteristics n=80
Association of the level of practice of high school students with their selected demographic variables n=80
First-aid (FA) is the practice of providing initial care for an illness or injury by a trained but unqualified person while waiting for access to medical attention. Every year, over a million kids worldwide pass away from injuries that may have been avoided. This study aimed to evaluate the high school student's knowledge, attitude, and practices at a few schools in the Chamarajanagar District. A questionnaire on demographic Performa and a standardized self-administered questionnaire was used to collect the data. An explorative method has been adopted, and using a straightforward random sampling method, 80 students were chosen for the study. Only 30% of the 80 respondents have a high level of knowledge, with the bulk of participants (70%) having a weak understanding. A mere 17.5% of participants have a positive attitude, 32.5 percent have a moderately positive attitude, and 50% of individuals have an unfavorable view. 47.5 percent of the subjects don't practice first aid or practice it poorly. The findings indicate that most students have poor first-aid practices, many have unfavourable attitudes about this first aid, and many people who participated lack first-aid knowledge. IEC activities should thus start picking up in all schools, particularly in rural regions.
 
Flow chart of article identification.
An integrative review of the literature has been developed to explore barriers and facilitators in screening for gender‐based violence in pregnant women and identify available tools for this screening. Studies were identified via a systematic search on the PubMed, CINAHL Plus, Scopus, LILACS databases and a manual reverse reference search to obtain literature published between 2015‐2020. The methodology followed the recommendations made by Whittemore & Knafl (2005). The quality of studies was evaluated using the Critical Skills Appraisal Program tool. Twenty‐three of the 4,202 articles fulfilled the inclusion criteria. The principal barriers identified were: lack of training for professionals (mainly nurses and midwives), lack of support policies, and lack of human and material resources. The main facilitators were: to increase professional training programs on case detection, availability of effective instruments, and greater investment in resources to guarantee safety and referral of cases. With regard to the available tools, the Abuse Assessment Screen (AAS) continues to be the most widely used, although others such as the Humiliation, Afraid, Rape, and Kick questionnaire (HARK) could be suitable for antenatal care settings.
 
Mean scores for advanced practice nursing domain activity according to role category. , Direct comprehensive care; , Support of systems; , Education; , Research; , Publication and professional leadership.
A career ladder for nurses, including several levels of nursing practice and specific roles for advanced practice nurses, was introduced in Hong Kong around the turn of the century. To date no studies have distinguished the practices of advanced practice nurses in Hong Kong. This cross‐sectional study, conducted between November 2020 and March 2021, aims to identify and differentiate the practice patterns of advanced practice nurses by utilizing the Advanced Practice Role Delineation tool. A total of 191 responses was obtained. Three roles were identified: nurse consultant, advanced practice nurse, and advanced practice nurse in management. From the advanced practice nursing domains, the nurses were most frequently involved in Education and Direct Comprehensive Care activities, while Research and Publication and Professional Leadership activities were the least utilized. Identifying activities in various nursing roles helps to differentiate their responsibilities and provides new insights for role utilization and support. Although the role characteristics are shaped by country contexts, research evidence on practice patterns may be used to support international discussion and efforts to promote role clarity and effective role introduction and optimization.
 
Hypothesis model of timely linkage to care among Chinese men who have sex with men newly diagnosed with HIV
The final model of timely linkage to care among Chinese men who have sex with men newly diagnosed with HIV
HIV prevalence among men who have sex with men in China has increased dramatically, and timely linkage to care after being diagnosed with HIV is important to treatment success. This cross‐sectional study aims to utilize structural equation modeling to test a hypothesized model of timely linkage to care adapted from the HIV‐related stigma framework. Data were collected from 257 men who have sex with men living with HIV. The proportion of participants with timely linkage to care within one month was 63.42%. The model result showed a good fit. Higher HIV‐related stigma was significantly associated with a lower level of social support, mental health, maladaptive coping (three mechanism variables), and attitude toward linkage to care. Higher CD4+ T‐cell count, disclosure of HIV positivity to sexual partners, and greater convenience of accessing care were related to timely linkage to care (p< 0.05). These model results suggest that enhancing attention to family reactions and social support are needed for further research and interventions to accelerate newly diagnosed people’s access to HIV care in China.
 
Flow diagram of the study
This study aimed to develop a smartphone‐based home workout program for shift‐work nurses to increase their levels of exercise and examine its effects on health (sleep disturbance, fatigue, musculoskeletal problems, and resilience) and nursing performance. For this quasi‐experimental study with a nonequivalent control group, 54 shift‐work nurses were recruited from two general wards at a hospital in Korea and assigned to the intervention and control groups. Nurses in the intervention group were encouraged to exercise regularly using the home workout application for 18 weeks. For the first 12 weeks, text‐message counseling and environmental improvement were carried out; only environmental improvement was implemented in the remaining 12–18 weeks. The control group did not receive any intervention. After excluding dropouts, the data of the final 25 participants in the intervention group and 24 participants in the control group were analyzed. Compared with the control group, the intervention group showed statistically significant improvements in physical and psychological health. Hospital organizations could adopt a smartphone‐based home workout program to overcome obstacles to exercise, which could lead to positive health outcomes for shift‐work nurses. This article is protected by copyright. All rights reserved.
 
Chronic hepatitis B (CHB) is a prevalent disease with various negative consequences. The lived experience of coping and recovery of a patient with CHB was explored in this study. A semi‐structured interview was conducted with one participant who had been recovered from CHB for ten years. Data were analyzed using interpretative phenomenological analysis. Five super‐ordinate themes emerged, including lingering in the shadow of death anxiety, diminished functioning of the self, adopting a highly disciplined lifestyle, receiving social support, and the return of the self with scars. The findings revealed that the disease is deeply associated with moral standing, which means the diagnosis of CHB might imply a loss of moral face for Chinese people living with the condition. Our findings point to the need for increasing knowledge about CHB, decoupling the disease from a moral standpoint, and providing a supportive environment.
 
Welders are a group of workers whose working ability and health condition are affected by specific work-related activities, condition or materials which are hazardous to health. Welding despite its importance has been regarded as a very risky job. People usually experience occupational injuries and diseases and majority even die at work due to frequent exposure to welding hazards. Incidentally, very few studies have addressed occupational hazards and use of personal protective equipment among small scale welders in Imo State Nigeria. But to the best of the researcher's knowledge, none of these studies included Owerri North Local Government Area Imo State, Nigeria. It is in view of the above that this work was carried out to determine occupational hazards and use of personal protective equipment (PPE) among small scale welders in Owerri North LGA, Imo State. The aim of the study was to assess occupational hazards and use of personal protective equipment (PPE) among small scale welders in Owerri North LGA Imo State. The study employed a descriptive cross sectional study design to elicit information from 212 small scale welders located in Owerri North LGA, Imo State. A well-structured interview guide and a hazard assessment checklist were used to collect data and the data was analyzed using descriptive statistics. Chi square test was used for comparing study variables. The level of significance was set at P≤0.05. The findings revealed that from observation, welders were exposed to hazards such as bright light, heat, noise and fumes (100%) respectively. The study showed that majority (40.1%) of the welders had low awareness regarding welding hazard, as bright light (91.5%) was the most common hazard identified, while majority (50.0%) of the welders had high awareness regarding PPE, as welding goggle (90.6%) was the most common PPE identified. The most commonly used PPE reported by welders were foot PPE and body PPE (62.7% and 53.8%) respectively. Also none of the welders used all the recommended PPE at the same time during their work. The findings also revealed that, socio-demographic characteristics such as age, marital status, level of education and work experience of welders influenced their awareness regarding hazards and their awareness regarding PPE. Welders in this study also used non-recommended PPE such as sunglasses, cotton mask and ordinary shoe during welding operations. Hence this study concluded that welders worked under dangerous conditions that exposed them to numerous hazards. A lot of welders in this study were not aware of welding hazards. Although most welders were aware of PPE but a much smaller proportion among them actually uses PPE during welding. These hazards if not prevented would lead to increase in occupational injuries and diseases and even death amongst welders. Therefore, there should be an intense focus on education on hazard identification and also strict enforcement on proper use of PPE among small scale welders in Owerri North LGA.
 
Overview of the study design showing the 6‐week Resilience and Wellbeing Program delivered in Year 3 of the bachelor of nutrition & dietetics in the trimester before attending final year placement in Year 4
Mean ratings of students' perceived knowledge and application of theory and skills before (Survey 1, n = 84) and after (survey 2, n = 74) the Resilience and Wellbeing Program, and after placement (Survey 3, n = 94). * significantly different from Survey 1, p < 0.01
Percentage frequency of student perceptions of how often they found placement stressful/challenging at completion of final placement in Year 4 (n = 94)
Percentage frequency of student perceptions of the most challenging aspects of professional placement (n = 98)
Percentage frequency of students' perceptions of how valuable it is to have a Resilience and Wellbeing Program before placement, captured at completion of final year placement (n = 94)
In response to growing evidence that student health care professionals find professional practicum stressful and that it negatively impacts their mental health, a six‐session psycho‐education Resilience and Wellbeing Program was implemented by a professional counselor in Year 3 of the Bachelor of Nutrition and Dietetics at (withheld for peer review) University. The aim of this study was to evaluate student dietitians’ perceptions of whether the Program improved their ability to cope with practicum stressors. The study used a longitudinal cohort design, with students completing surveys at three timepoints: before and after the Program, and after the final practicum. The study was completed with two cohorts of students between 2018 and 2020 (n=111). Most respondents (95%) found their professional practicum to be stressful or challenging on at least some occasions, mostly due to constantly being assessed (56%), finances (40%), and being away from usual supports (38%). Almost all students rated the Program as having some value (99%), with the content about stress and self‐care the most highly rated. Qualitative comments revealed the Program helped students to manage stress by prioritizing their personal needs. Students used stress management skills during the practicum to achieve balance in their lives, despite pandemic conditions. This article is protected by copyright. All rights reserved.
 
Spiritual care as an aspect of holistic or person‐centered care has been well documented. Studies on spirituality and spiritual care in nursing have taken place in various countries and contexts. Studies about spiritual care from the nurse perspective in the primary health care setting of Australian General Practice are not evident. Using an Interpretive Descriptive study design, data about views on spirituality, spiritual care experiences and descriptions about any spiritual care provided were collected from eight Practice Nurses. Four themes were drawn from the findings: the personal importance of spiritualty and spiritual care to nurses and patients; spiritual care as an aspect of person‐centered care; spiritual care practices; barriers and enablers to addressing spiritual needs. Participants identified that Practice Nurses require improved education about spirituality to adequately address spiritual needs as expressed by patients, as well as the tools to be able to provide spiritual care. They also identified that documentation templates used in General Practice should include prompts to address spiritual and/or religious needs.
 
Worldwide, critical care staff are vulnerable to mental health difficulties. Support is varied and uptake is minimal, therefore barriers need to be understood in order to be addressed; doing so may improve staff’s mental health, resulting in positive consequences. This qualitative research took place between September 2020‐November 2020 at a National Health Service critical care unit in England. Participants were critical care staff (n=9). Data were collected through semi‐structured interviews and analysed using thematic analysis. The COREQ was used to report the findings, with analysis resulting in six themes: support is the team together in the moment, keeping work related difficulties from the forefront of the mind, it’s just part of the job, stigma makes it hard to speak up about psychological difficulties, normalising psychological support, and desire for psychological support within critical care. Psychologist presence in critical care, as well as further options for support may help to reduce barriers and improve staff mental health. Further research is needed to evaluate staff outcomes across multi‐sites to refine understanding and interventional approach.
 
This descriptive‐predictive, cross‐sectional study aimed to explore organizational commitment and to determine the predictability of years of experience, level of education, position, perceived organizational support, and work‐life balance on each component of organizational commitment. The participants included 234 nurses who were randomly selected from four general hospitals in the Republic of the Union of Myanmar. The research instruments included a demographic data form, the Organizational Commitment Scale, the Survey of Perceived Organizational Support, and the Work‐Life Balance Scale. The data were analyzed using descriptive statistics and stepwise multiple regression. The results revealed that the nurses perceived the three components of organizational commitment at a moderate level. Years of experience, position, perceived organizational support, and work‐life balance explained 38.0% of the total variance for affective commitment, 28.3% for continuance commitment, and 35.9% for normative commitment. The findings of this study can inform administrators and policymakers regarding the development of strategies to improve organizational commitment among nurses based on four predictors. This article is protected by copyright. All rights reserved.
 
Data analysis procedure
Cultural competency is essential for providing transcultural nursing care. This qualitative study explores nurses’ experiences of providing transcultural nursing care to ethnic minority patients in Yunnan province, China, with the aim of supplementing and enriching previous quantitative research. Yunnan is home to 25 ethnic minorities with the highest proportion (33.1%) of ethnic minority people in China. A descriptive qualitative method was used to describe the experiences of 12 nurses. Data were collected in October 2020 through semi‐structured interviews and analyzed using conventional content analysis methods. Three themes were generated, including limitations of resources to provide transcultural nursing care, challenges in providing transcultural nursing care, and concerns about the quality of nursing care. The results suggest that there is scope for improving cultural competence of nurses in Yunnan through education that would enable them to provide high‐quality transcultural nursing care. Training topics could include transcultural knowledge, cultural sensitivity, minority languages, and immersive multicultural experiences. Other suggested improvements include a resource room for transcultural care, the accommodation of religious and dietary needs, and dedicated staff who lead transcultural care in hospitals.
 
The Preferred Reporting Items for Systematic Reviews and Meta‐Analysis (PRISMA) flow diagram of the search and inclusion process
This scoping review was conducted to identify and describe constructs of frameworks and theories used to guide the design, implementation, and evaluation of simulation in nursing education globally, with a focus on their applicability to a low‐resource setting. Six electronic databases, three of which were on EBSCO Host (CINAHL, MEDLINE, ERIC), PubMed, Scopus, and ProQuest, as well as Google Scholar, were searched to retrieve studies published in English language between 2012 and February 2022. The review adhered to the Preferred Reporting Items for Systematic Reviews and Meta‐Analysis extension for Scoping Reviews (PRISMA‐ScR) checklist, and was guided by Arksey and O'Malley's five‐step scoping review methodological framework (Scoping studies: Towards a methodological framework. International Journal of Social Research Methodology, 2005, 8(1), 19–32). Data was extracted from five studies (four frameworks and a theory) and narratively synthesized. Hence, seven constructs were identified and described: context, background, simulation design, educational practices, facilitator, participant, and outcomes. The four frameworks and theory were developed in the context of first‐world countries which reveals the lack of a context‐specific framework to guide the design, implementation, and evaluation of simulation in nursing education in low‐resource settings. Given resource limitations and the apparent gaps in applying simulation‐based framework(s) developed in first‐world countries to low‐resource settings, the findings of this review underscored the need for a context‐specific framework that is locally tailored to the needs and resources of low‐resource settings, to promote access to and use of simulation pedagogy in enhancing student learning, and the development of clinical competence. This article is protected by copyright. All rights reserved.
 
Paternal postnatal depression is an emerging public health concern, with negative outcomes for men, their partners, and the newborn. There is a dearth of data on paternal postnatal depression in lower‐middle‐income countries like Pakistan. This study aimed to identify risk factors of postnatal depression in Pakistani men. Men who consented to this cross‐sectional study completed a questionnaire that included socio‐demographic information, and Urdu translated versions of the Edinburgh Postnatal Depression Scale and the Pittsburgh Sleep Quality Index, 10–12 weeks post‐partum. Descriptive analyses for the socio‐demographic variables were calculated. Univariate analyses were conducted to calculate the relative risk and 95% confidence interval of the independent variables with an EPDS score of>10. Multivariate binary logistic regression models were performed for risk factors of paternal postnatal depression. Fifty‐one questionnaires were analysed and 23.5% of the participants scored more than 10 on the EPDS. Spouse's EPDS score > 12, and own sleep disturbance were risk factors of paternal postnatal depression in Pakistani men. There is an imminent need to incorporate fathers in the existing and future perinatal mental health programs in Pakistan. This article is protected by copyright. All rights reserved.
 
This study developed a psychometric scale based on the Health Belief Model to predict preventive behaviors against emerging respiratory infectious diseases and verified its validity and reliability. Initial items on five constructs of the Health Belief Model were derived through focus group interviews and a literature review. These items were revised and supplemented through expert consultation to verify content validity. Data were collected from June 27, 2021, to July 5, 2021. We used the data of 201 adults aged 19–65 years for item analysis and assessment of construct, convergent, and discriminant validities and reliability. The final Health Belief in Emerging Infectious Respiratory Disease Preventive Behaviors’ Scale (HB‐EIRD Preventive Behaviors’ Scale) included 23 items on five factors, and cumulative explanatory variation was 63.0%. The fit indices were acceptable. Cronbach's α was .77. The scale can be scored 23–92; a higher score indicates stronger preventive behaviors. The HB‐EIRD Preventive Behaviors’ Scale can be used to evaluate patients’ health beliefs and predict preventive behaviors against emerging respiratory infectious diseases. This foundational knowledge can facilitate disease prevention and promote public health measures. This article is protected by copyright. All rights reserved.
 
The flowchart of participant selection
This study was aimed to identify the social determinants related to COVID‐19 infection. This secondary data analysis study used data from 2020 Community Health Survey, a nationwide sample survey to understand the health status of Korean residents. The participants were 220,970 adults, 19 years of age or older. COVID‐19‐related social determinants were age, education level, marital status, household income, hypertension, eating habits, social support, and regional income. The risk of COVID‐19 infection increased in those who were under 40 years, were high school graduates or higher, were single, had a household income over US$ 4,166.7, ate breakfast 5‐7 times a week, had three or more helpers during COVID‐19, and lived in a region with above‐average income. Hypertension reduced the risk of COVID‐19 infection. In conclusion, adults with high socioeconomic activity showed a high risk for COVID‐19 infection, which was assumed to include only adults living in residential housing in the community. Further studies are required to include adults living in long‐term care or communal living facilities, known to be frequently infected with the corona virus. This article is protected by copyright. All rights reserved.
 
Consolidated Standards of Reporting Trials (CONSORT) flow diagram
This study determined the effects of skin‐to‐skin contact between the mother and the infant during the third stage of labor on postpartum hemorrhage and pain. This assessor‐blinded randomized controlled trial was conducted with primiparous women. Skin‐to‐skin contact interventions between the infants and their mothers occurred for 30 min after birth (n:34), whereas the infants in the control group were provided routine care (n:34). Data were gathered using a Personal Information Form, the Visual Analog Scale‐Pain, postpartum bleeding follow‐up bags and records of blood oxytocin and beta‐endorphin levels. There was no significant difference in beta endorphin levels in both groups (p: 0.771), whereas it was determined that the 30th min oxytocin level was significantly higher in the intervention group (Intervention group:225,81±256,87; Control group:152,76±181,70; p: 0.043). The Visual Analog Scale‐Pain score at the postpartum 6th hour was significantly lower in the intervention group (Intervention group:1,56±0,96; Control group:2,92±1,89; p: 0.024). It was found that skin‐to‐skin contact made at the 3rd stage of labor reduced the amount of postpartum hemorrhage (p: 0.041). The results of this study suggested that skin‐to‐skin contact intervention may have beneficial effects on postpartum pain and postpartum hemorrhage in the early postpartum period. This article is protected by copyright. All rights reserved.
 
Study design
Flow chart showing survey respondents
Interprofessional care teams can play a key role in supporting older adults (and caregivers) in making informed health decisions, yet shared decision‐making is not widely practiced in home care. Based on an earlier needs assessment with older adults (and caregivers) with home care experience, we aimed to explore the perceptions of home care teams on the decisions facing their clients and their perceived involvement in shared decision‐making. A cross‐sectional study was conducted with 614 home care providers (nurses, personal support workers, rehabilitation professionals) in three Canadian provinces (Quebec, Ontario and Alberta). Home care providers considered the decision “to stay at home or move” as the most difficult for older adults. Those most frequently involved in decision‐making with older adults were family members, and least involved were physicians. Although all home care providers reported high levels of perceived shared decision‐making, we detected an effect of respondent’s discipline on self‐perceived shared decision‐making; nurses and rehabilitation professionals reported significantly higher levels of shared decision‐making than personal support workers. A more tailored approach is required to support shared decision‐making in interprofessional care teams.
 
Cycle process of coping with changes
The emergence of the coronavirus disease 2019 (COVID‐19) has brought pressure and challenges to nurses worldwide. This study aims to understand the lived experiences of nurses in overcoming challenges when delivering care for patients with COVID‐19 in Indonesia. The study employed a phenomenological research design. The researchers purposely selected nine nurses who provided care for patients with COVID‐19 at an urban public hospital in Yogyakarta, Indonesia, between September and December 2020. The researchers conducted face‐to‐face interviews with participants. The interview data transcriptions were analyzed using Colaizzi's phenomenological analysis. The experiences of nurses in providing care for patients with COVID‐19 can be summarized into three themes: (1) getting caught unprepared, (2) understanding and adapting to a new working situation, and (3) finding new meaning in the nursing profession. This study suggested that nurses overcame difficulties in caring for patients with COVID‐19 by using multidimensional and culturally informed coping strategies. Hospital managers and policymakers need to consider culturally relevant coping strategies (i.e., religious‐based coping strategies) when supporting healthcare providers during public health emergencies.
 
Journal metrics
$3,900 / £2,600 / €3,250
Article Processing Charges (APC)
9%
Acceptance rate
7 days
Submission to first decision
2.214 (2021)
Journal Impact Factor™
2.6 (2021)
CiteScore™
Top-cited authors
Mojtaba Vaismoradi
  • Nord University
Hannele Turunen
  • University of Eastern Finland
Terese Bondas
  • University of Stavanger (UiS)
Tim Lee
  • Kaiser Permanente
Rod Lim
  • Nowhere