Caring for cancer patients requires both technical and psychosocial nursing skills.The aim of this study was to determine the psychosocial care skill levels of nurses and affecting factors.This multicenter,cross-secti...Caring for cancer patients requires both technical and psychosocial nursing skills.The aim of this study was to determine the psychosocial care skill levels of nurses and affecting factors.This multicenter,cross-sectional study was conducted with 1,189 nurses providing direct care to adult cancer patients in 32 hospitals in 12 geographical regions of Turkey.A questionnaire,the Psychosocial Skills Form,and the Professional Quality of Life Scale were used to collect the data.Nurses’psychosocial skill level was in the range of 2.72±0.98 and 2.47±0.89 out of four points.Communication skills such as empathic response,active listening,and the ability to provide information were found to be at a higher level than skills such as the activation of social support systems,therapeutic touch,and development of coping methods.Approximately 40%of nurses had received psychosocial care training,and 87%were interested in receiving additional psychosocial training.Gender,educational status,previous training in psychosocial care,and work experience with cancer patients were shown to affect psychosocial skill levels.There was a positive relationship between the level of psychosocial skills and the level of compassion satisfaction,and a negative relationship between the level of psychosocial skills and the level of burnout and compassion fatigue(p<0.05).Nurses perceive themselves as having a medium to high level of psychosocial skills yet desire additional training.The results of this study may contribute to the development of training programs according to the needs of nurses who care for cancer patients.展开更多
Background:Horizontal violence has negatively affected the students’active learning,interpersonal relationship,and occupational belonging.However,little attention has been paid to the relationship between horizontal ...Background:Horizontal violence has negatively affected the students’active learning,interpersonal relationship,and occupational belonging.However,little attention has been paid to the relationship between horizontal violence and occupational belonging among nursing students.Objective:The objective of this study was to explore the frequency,types,perpetrators,effects,and responses of horizontal violence experienced by nursing students and the relationship between occupational belonging and horizontal violence.Materials and Methods:The present study used a descriptive,cross-sectional survey design.The data were collected from the 277 undergraduate nursing students selected by convenience sampling method using personal characteristics form,horizontal violence survey,and occupational belonging subscale at nursing faculty in Istanbul.Results:The first three horizontal violence behaviors experienced by nursing students were found,respectively:being forced to do trivial and unimportant work which are not the students’responsibility(84.1%),being exposed to sarcastic remarks by nurses(80.9%)and unwillingness of the nurse to help and lack of support(80.9%)and being ignored by nurses(77.3%).Nearly half of the students(48.4%)considered leaving nursing profession as a result of horizontal violence.There was a negative relation between horizontal violence and occupational belonging(P<0.05).As horizontal violence scores increased,occupational belonging scores decreased.Conclusions:Findings from this study shown that horizontal violence decreasing occupational belonging,and so nursing students consider leaving nursing profession or education.Further studies are needed to better demonstrate addressing the horizontal violence bilaterally and the effective preventive interventions.展开更多
目的旨在调查埃及护士专业共享治理及职业动机的现状,并探讨其相关性。方法采用横断面调查法,于2022年5—8月选取埃及亚历山大大学附属医院内科、外科和ICU工作的724名护士为研究对象。采用专业护理治理指数(Index of Professional Nurs...目的旨在调查埃及护士专业共享治理及职业动机的现状,并探讨其相关性。方法采用横断面调查法,于2022年5—8月选取埃及亚历山大大学附属医院内科、外科和ICU工作的724名护士为研究对象。采用专业护理治理指数(Index of Professional Nursing Governance,IPNG)和职业动机量表进行调查。结果本组护士IPNG总分为(109.18±22.76)分(量表得分范围50~250分,50个条目),表明护士感知专业治理水平较低。其中获取信息维度的均分最高,为(2.81±0.76)分;其次是设定目标和解决冲突的能力维度,为(2.75±0.53)分;参与委员会组织维度均分最低为(1.65±0.37)分。职业动机的总分为(69.82±9.70)分(量表得分范围25~105分),表明护士职业动机处于中等水平,其中职业洞察力维度均分最高为(3.56±0.34)分,职业适应力维度均分最低为(3.07±0.49)分。男性、年龄在30岁以下、本科学历、在ICU工作的护士IPNG和职业动机量表总分较高(P<0.001)。相关分析结果显示,护士专业共享治理得分与职业动机得分呈正相关(r=0.239,P=0.003)。结论研究结果可以为护理管理者提供理论依据,重新规划管理模式,并制订相应策略,从而为护士提供更好的职业规划。展开更多
Objectives:The prevalence and burden of disease of depression necessitates effective and accessible treatment options worldwide.Since April 2016,Japanese national health insurance has covered nurseadministered cogniti...Objectives:The prevalence and burden of disease of depression necessitates effective and accessible treatment options worldwide.Since April 2016,Japanese national health insurance has covered nurseadministered cognitive behavioral therapy(CBT)for mood disorders.However,empirical support for nurse-led CBT for depression in Asian countries,especially in Japan,is still lacking.This preliminary study aimed to examine the feasibility and acceptability of nurse-led group CBT for Japanese patients with depression.Methods:In this single-arm study,we evaluated the effects of a 6-week group CBT,led by trained nurses,on patients with major depression.The primary outcome was the Beck Depression Inventory-Ⅱ(BDI-Ⅱ).Assessments were conducted at the beginning and end of the intervention.Results:Of 25 participants screened,23 were eligible for the study(of these,three dropped out during the trial but were included in the analysis).Nurse-led group CBT led to significant improvements in the severity of depression(BDI-Ⅱ,P<0.001).The mean total BDI-Ⅱscore improved from 23.1(SD=7.56)to 12.4(SD=8.57),and the pre-to post-effect size was large(Cohen's d=1.33).After CBT,45%of the participants were judged to be treatment responders,and 34%met the remission criteria.Conclusions:Our preliminary findings indicate that 6 weeks of nurse-led group CBT produced a favorable treatment outcome for individuals with major depression in a Japanese clinical setting.The results of this study might encourage more Asian nurses to provide CBT as a part of their nursing practice.Further controlled trials that address the limitations of this study are required.展开更多
基金supported by the Vehbi KoçFoundation Nursing Fund,in Istanbul,Turkey (Grant Number 2016.2-2).
文摘Caring for cancer patients requires both technical and psychosocial nursing skills.The aim of this study was to determine the psychosocial care skill levels of nurses and affecting factors.This multicenter,cross-sectional study was conducted with 1,189 nurses providing direct care to adult cancer patients in 32 hospitals in 12 geographical regions of Turkey.A questionnaire,the Psychosocial Skills Form,and the Professional Quality of Life Scale were used to collect the data.Nurses’psychosocial skill level was in the range of 2.72±0.98 and 2.47±0.89 out of four points.Communication skills such as empathic response,active listening,and the ability to provide information were found to be at a higher level than skills such as the activation of social support systems,therapeutic touch,and development of coping methods.Approximately 40%of nurses had received psychosocial care training,and 87%were interested in receiving additional psychosocial training.Gender,educational status,previous training in psychosocial care,and work experience with cancer patients were shown to affect psychosocial skill levels.There was a positive relationship between the level of psychosocial skills and the level of compassion satisfaction,and a negative relationship between the level of psychosocial skills and the level of burnout and compassion fatigue(p<0.05).Nurses perceive themselves as having a medium to high level of psychosocial skills yet desire additional training.The results of this study may contribute to the development of training programs according to the needs of nurses who care for cancer patients.
文摘Background:Horizontal violence has negatively affected the students’active learning,interpersonal relationship,and occupational belonging.However,little attention has been paid to the relationship between horizontal violence and occupational belonging among nursing students.Objective:The objective of this study was to explore the frequency,types,perpetrators,effects,and responses of horizontal violence experienced by nursing students and the relationship between occupational belonging and horizontal violence.Materials and Methods:The present study used a descriptive,cross-sectional survey design.The data were collected from the 277 undergraduate nursing students selected by convenience sampling method using personal characteristics form,horizontal violence survey,and occupational belonging subscale at nursing faculty in Istanbul.Results:The first three horizontal violence behaviors experienced by nursing students were found,respectively:being forced to do trivial and unimportant work which are not the students’responsibility(84.1%),being exposed to sarcastic remarks by nurses(80.9%)and unwillingness of the nurse to help and lack of support(80.9%)and being ignored by nurses(77.3%).Nearly half of the students(48.4%)considered leaving nursing profession as a result of horizontal violence.There was a negative relation between horizontal violence and occupational belonging(P<0.05).As horizontal violence scores increased,occupational belonging scores decreased.Conclusions:Findings from this study shown that horizontal violence decreasing occupational belonging,and so nursing students consider leaving nursing profession or education.Further studies are needed to better demonstrate addressing the horizontal violence bilaterally and the effective preventive interventions.
文摘目的旨在调查埃及护士专业共享治理及职业动机的现状,并探讨其相关性。方法采用横断面调查法,于2022年5—8月选取埃及亚历山大大学附属医院内科、外科和ICU工作的724名护士为研究对象。采用专业护理治理指数(Index of Professional Nursing Governance,IPNG)和职业动机量表进行调查。结果本组护士IPNG总分为(109.18±22.76)分(量表得分范围50~250分,50个条目),表明护士感知专业治理水平较低。其中获取信息维度的均分最高,为(2.81±0.76)分;其次是设定目标和解决冲突的能力维度,为(2.75±0.53)分;参与委员会组织维度均分最低为(1.65±0.37)分。职业动机的总分为(69.82±9.70)分(量表得分范围25~105分),表明护士职业动机处于中等水平,其中职业洞察力维度均分最高为(3.56±0.34)分,职业适应力维度均分最低为(3.07±0.49)分。男性、年龄在30岁以下、本科学历、在ICU工作的护士IPNG和职业动机量表总分较高(P<0.001)。相关分析结果显示,护士专业共享治理得分与职业动机得分呈正相关(r=0.239,P=0.003)。结论研究结果可以为护理管理者提供理论依据,重新规划管理模式,并制订相应策略,从而为护士提供更好的职业规划。
基金This work was financially supported by the Grants-in-Aid for Scientific Research(KAKENHI)from the Japan Society for the Promotion of Science(JSPS),Grant Number 25463556 to YS.
文摘Objectives:The prevalence and burden of disease of depression necessitates effective and accessible treatment options worldwide.Since April 2016,Japanese national health insurance has covered nurseadministered cognitive behavioral therapy(CBT)for mood disorders.However,empirical support for nurse-led CBT for depression in Asian countries,especially in Japan,is still lacking.This preliminary study aimed to examine the feasibility and acceptability of nurse-led group CBT for Japanese patients with depression.Methods:In this single-arm study,we evaluated the effects of a 6-week group CBT,led by trained nurses,on patients with major depression.The primary outcome was the Beck Depression Inventory-Ⅱ(BDI-Ⅱ).Assessments were conducted at the beginning and end of the intervention.Results:Of 25 participants screened,23 were eligible for the study(of these,three dropped out during the trial but were included in the analysis).Nurse-led group CBT led to significant improvements in the severity of depression(BDI-Ⅱ,P<0.001).The mean total BDI-Ⅱscore improved from 23.1(SD=7.56)to 12.4(SD=8.57),and the pre-to post-effect size was large(Cohen's d=1.33).After CBT,45%of the participants were judged to be treatment responders,and 34%met the remission criteria.Conclusions:Our preliminary findings indicate that 6 weeks of nurse-led group CBT produced a favorable treatment outcome for individuals with major depression in a Japanese clinical setting.The results of this study might encourage more Asian nurses to provide CBT as a part of their nursing practice.Further controlled trials that address the limitations of this study are required.
