Effect of extended nursing based on self-efficacy theory on the anxiety of patients with intertrochanteric fracture

BACKGROUND Extended care based on self-efficacy theory to elderly patients with intertrochanteric fractures will provide data reference to optimize the care plan of these patients,reduce patients’concurrent mental diseases,and improve prognosis.AIM To analyze the value of extended nursing based on the self-efficacy theory in older patients with intertrochanteric fractures.METHODS Older patients with intertrochanteric fractures(n=88)admitted to our hospital between January 2021 and December 2024 were randomly divided into two groups-the control group(n=44,routine nursing)and the observation group(n=44,extended nursing)-via balloting and treated for 12 weeks.The mental state,pain severity,limb function,and self-nursing ability of all patients before and after nursing were analyzed.RESULTS After nursing,the Hamilton Anxiety Scale and General Self-Efficacy Scale scores of patients in the two groups improved.Notably,Hamilton Anxiety Scale and General Self-Efficacy Scale scores in the observation group were lower and higher,respectively,than those in the control group(P<0.05).The pain severity in the observation group(2.64±0.22)was lower than that in the control group(2.85±0.41)(P<0.05).The recovery rate of limb function was higher in the observation group than in the control group(P<0.05).In addition,the self-nursing ability scores of the patients in both groups increased,with a significantly higher score in the observation group(P<0.05).CONCLUSION Extended nursing based on the self-efficacy theory can significantly improve mental state,relieve pain,and promote the recovery of limb function and self-nursing ability in older patients with intertrochanteric fractures.

Challenges of Bioethics Education in Pediatric Basic Nursing Education: A Faculty Perspective

In the field of pediatric nursing, in the perinatal period, numerous ethical issues arise alongside the advancement of medical technology. However, sufficient education on bioethics is not provided in the pediatric nursing domain of basic nursing education. The purpose of this research is to examine the current status of bioethics education in the pediatric nursing domain of basic nursing education and explore the challenges perceived by the pediatric nursing faculty regarding bioethics education. The research method was a questionnaire survey on 100 randomly selected pediatric nursing faculty members from nursing universities across Japan. The results revealed that although bioethics issues were considered important, the emphasis remained primarily on addressing bioethics as part of nursing that respects children’s rights. Furthermore, respondents expressed difficulties regarding teaching methods and content related to bioethics.

The Place of Nursing Theory in the Management of Post-Operative Infections in a Hospital Environment: Case of Cibitoke District Hospital

Introduction: Post-operative infections, such as surgical site infections (SSIs), are a significant concern in healthcare settings. Nurses play a crucial role in the prevention and management of these infections. The use of nursing theory could contribute to the prevention of SSIs. The aim of this study was to evaluate the role of nursing theory in the management of surgical site infections (SSIs) in a hospital environment. Method: A cross-sectional study was conducted using descriptive and analytical methods to assess the role of nursing theory in the management of Post-operative infections (POI) in a hospital setting in October 2023. The study population consisted of nurses working in the Surgery, Emergency, and Maternity units at Cibitoke District Hospital. A sample size of 71 nurses working full or part time in the Surgery were invited to participate in this study. A questionnaire was used to collect the data, and SPSS version 21.0 software was used for analysis. Results: The study found that nursing theory did not have any statistically significant place in the management of POI (p-value = 0.523). However, the results showed that experience was the only significant factor influencing the management of POI (p-value = 0.004). This is explained by the analysis of the net effects of the explanatory variable where we noticed that those who had more experience were more likely to manage post-operative infections. The participants’ knowledge regarding nursing theory in the management was poor as they scored less than 30% in all the variables used to measure their knowledge. Conclusion: The study revealed that nurses’ knowledge of nursing theories and their applications in the management of SSIs was poor. Continuing professional development, curriculum review, and in-service training were highly recommended.

Innovation and Practice of the Concept of“Post-Course-Competition-Certificate”in Nursing Professional Experimental Teaching from the Perspective of Multidimensional Education Theory

[Objective]From the perspective of multi-dimensional education theory,explore the situation of the concept of“Post-Course-Competition-Certificate”in nursing professional experimental teaching.[Methods]Through investigation and research,collect relevant data on the concept of“Post-Course-Competition-Certificate”in nursing major,including the understanding degree of the concept,the cognition of the role in nursing major learning,the cognition of the importance of each part,the participation degree,practical operation problems and overall satisfaction,etc.[Results]The survey found that the proportion of those who have a deep understanding of the concept of“Post-Course-Competition-Certificate”is low(very understanding 12.45%,relatively understanding 14.16%),and most are at the general level or below;most respondents recognize that this concept has a positive effect on nursing major learning,especially in improving practical ability(80.13%agree);post practice is considered the most important(accounting for 57.02%),but the participation degree in course learning is the highest(65.94%);insufficient practical opportunities(61.81%)and the disconnection between courses and practice(52.39%)are prominent problems in practical operations;on the whole,most respondents have a positive attitude towards this concept(very satisfied 28.82%,relatively satisfied 36.87%),but there are still a small number of dissatisfied people.[Conclusion]The concept of“Post-Course-Competition-Certificate”has important value in nursing major learning,but its popularization degree needs to be improved,and there are many problems in practical operations.When promoting this concept in nursing professional experimental teaching,existing problems should be solved and the needs of a small number of people should be paid attention to so as to improve the overall effect.

Analysis of the Effect of The Error Method Demonstration in The Teaching of Basic Nursing Laboratory Operation

Objective: This paper is mainly to deeply study and systematically explore the practical application of the error- demonstrating method in the teaching of basic nursing laboratory operation and the impact and effect it produces. Methods: 80 cases of nursing interns in our school were randomly selected for analysis and research from January 2023 to December 2023, 40 cases of traditional teaching methods were named as the reference group, and 40 cases of demonstration and error methods were named as the seminar group and in-depth analysis and evaluation of the teaching effect of the two groups after the implementation of different teaching modes were carried out. Results: The seminar group achieved remarkable results in terms of teaching effect, and the performance of the interns in this group was significantly better than that of the reference group in terms of medical key skills such as aseptic operation technique, intravenous infusion operation, intramuscular injection operation, and catheterization operation, P < 0.05, which is of research value. Conclusion: After the nursing interns received the teaching intervention of the demonstration of the error method, their experimental operation performance and hands-on ability were significantly improved, and at the same time effectively stimulated their interest in learning, which is worth using.

Impact of Nursing Interventions Based on Self- Efficacy Theory on HAMA and HAMD Scores in Patients with Hepatitis B Cirrhosis

Objective:To explore the effect of nursing interventions based on self-efficacy theory guidance on psychological stress indicators in patients with hepatitis B cirrhosis.Methods:70 patients with hepatitis B cirrhosis from October 2023 to May 2024 were selected and grouped by random number table.The observation group received nursing intervention based on self-efficacy theory,while the control group received routine nursing.The differences in psychological stress indicators,self-efficacy indicators,and nursing satisfaction were compared between the two groups.Results:Hamilton Anxiety Rating Scale(HAMA)and Hamilton Depression Rating Scale(HAMD)scores of the observation group were significantly lower than those of the control group(P<0.05);Chronic Disease Self-Efficacy Scale(CDSES)scores of the observation group were significantly higher than those of the control group(P<0.05);and nursing satisfaction scores of the observation group were significantly higher than those of the control group(P<0.05).Conclusion:Hepatitis B cirrhosis patients receiving nursing care based on self-efficacy theory can stimulate patients'self-efficacy,calm their emotions,and their overall satisfaction is high.

A Study on the Work Process-Based Practical Training Model for Basic Nursing Skills in Vocational Colleges

Objective:To explore and analyze the work process-based practical training teaching model for basic nursing skills in vocational colleges and its implementation effects.Methods:A total of 82 nursing students from our school were selected for the study,which was conducted from April 2023 to April 2024.Using a random number table method,the students were divided into an observation group and a control group,each with 41 students.The control group received conventional practical training teaching,while the observation group followed the work process-based practical training model for basic nursing skills.The assessment scores and teaching satisfaction of the two groups were compared.Results:The comparison of assessment scores showed that the observation group performed significantly better than the control group(P<0.05).The comparison of teaching satisfaction also indicated that the observation group had significantly higher satisfaction than the control group(P<0.05).Conclusion:The work process-based practical training teaching model for basic nursing skills in vocational colleges can improve students’assessment scores and enhance teaching satisfaction,demonstrating its value for wider application.

A scoping review of autoethnography in nursing

Objective:Autoethnography combines personal experiences with cultural analysis,emerging as a response to the limitations of traditional ethnography.This review aimed to explore,describe,and delineate the utilization of autoethnography by nurses published in peer-reviewed journals.Methods:A scoping review was conducted according to the Arksey and O’Malley framework.On October 12,2023,autoethnographic studies in nursing were identified through searches of CINAHL,PubMed,PsycINFO,and Scopus.Peer-reviewed articles published in English language were retrieved.We applied no date restriction.Data were extracted on nursing,epiphany,results,style of writing,implications for nursing,and ethical considerations.Results:Twenty-six articles met the inclusion criteria.Mental health nursing,covered by nine articles,elucidated experiences of stigma,ethical dilemmas,and professional identity.Nursing education,represented by seven articles,highlighted identity struggles,systemic biases,and evolving pedagogies.Palliative care,addressed by three articles,provided insights into communication challenges and emotional complexities in end-of-life care.The remaining articles explored rehabilitation,cultural competence,and chronic pain management.A conceptual framework integrating ontological,epistemological,ethical,and practical dimensions was developed,emphasizing the interplay between personal and professional roles.Conclusions:This review underscores autoethnography’s value in uncovering the cultural and ethical dimensions of nursing.This framework advocates for a reflective,culturally attuned approach to healthcare,fostering transformative changes in nursing.Further research should explore underrepresented nursing specialties to harness autoethnography’s potential fully.

Application Progress of Teaching in the Form of Traffic Short Videos in Nursing Education

With the rapid development of the information technology era,the teaching quality requirements continue to surge,and the mode of education in colleges and universities has also carried out certain innovations.The integration of modern information technology into the teaching process and the combination of medical content has become a new hotspot for reform and innovation of medical education at home and abroad.In this paper,we will describe the application of traffic short videos as the main teaching form in nursing education in domestic and foreign studies,and the role of the application of this teaching form in the improvement of theoretical knowledge and clinical skills of nursing students,as well as the impact on the cultivation of nursing students’professional cognition,communication skills,critical thinking,etc.,with the aim of providing new perspectives for the subsequent nursing education.

Timing theory continuous nursing,resistance training:Rehabilitation and mental health of caregivers and stroke patients with traumatic fractures

BACKGROUND Stroke is the leading cause of adult lifelong disability worldwide.A stroke is an acute cerebrovascular disease with a variety of causes and corresponding clinical symptoms.Around 75%of surviving stroke patients experience impaired nerve function,and some suffer from traumatic fractures,which can lead to special care needs.AIM To determine the effect of timing theory continuous care,with resistance training,on the rehabilitation and mental health of caregivers and stroke patients with traumatic fractures.METHODS Between January 2017 to March 2021,we selected 100 hospital admissions with post-stroke hemiplegia complicated with a traumatic fracture.Two participant groups were created:(1)Control group:given resistance training;and(2)Observation group:given timing theory continuous care combined with resistance training.The degree of satisfaction and differences in bone and phosphorus metabolism indexes between the two groups were compared.The self-perceived burden scale(SPBS)and caregiver burden questionnaire were used to evaluate the psychological health of patients and caregivers.The Harris hip function score,ability of daily living(ADL)scale,and global quality of life questionnaire(GQOL-74)were used to evaluate hip function,ability of daily living,and quality of life.RESULTS Data were collected prior to and after intervention.Alkaline phosphatase(ALP),osteocalcin,and vitamin D3 in the observation group and control group increased after intervention(P<0.05),and carboxy-terminal peptide of type I collagenβSpecial sequence(β-CTX)decreased(P<0.05).ALP and osteocalcin in the observation group were higher than in the control group(P<0.05).There was no significant difference inβ-CTX and vitamin D3 between the two groups(P>0.05).The SPBS score of the observation group was lower and the ADL score was higher than the control group.The burden score was lower and the Harris hip function and GQOL-74 scores were higher than that of the control group(P<0.05).The observation group’s satisfaction rating was 94.00%,which was higher than the rating from the control group(P<0.05).CONCLUSION Timing theory continuous nursing with resistance training can reduce hip dysfunction in stroke patients with a traumatic fracture and enhance quality of life and mental health of patients and caregivers.

Exploration on the Reform of PBL Mode of Course:Comprehensive Experiment of Basic Medicine for Nursing Undergraduates in Colleges and Universities of Traditional Chinese Medicine

The undergraduate education of nursing science produces higher practical operational talents to the society,and the importance of experimental teaching cannot be ignored in the training of nursing students.The basic experimental teaching method of undergraduate nursing has been explored and reformed by the College of Basic Medicine of Guangxi University of Chinese Medicine.After the reform,the experimental teaching adopts the teaching method of PBL mode,and the experimental course is composed of several specific and important medical problems.The specific tasks involved in each problem include relevant morphological knowledge,functional knowledge,diagnostic and laboratory knowledge,and clinical medical knowledge.It makes the teaching content of experimental course more comprehensive,and leads to the transition from basic medicine to clinical medicine.This has gradually and effectively improved the practical ability,scientific research thinking,clinical comprehensive ability and learning interest of undergraduate nursing students.

The application of scientific theory of humanistic care in nursing

In recent years,with the continuous development of medical technology,people pay more and more attention to patient-centered care.Humanistic care reflects the“people-oriented”nursing concept,patient-centered,to actively understand the needs of patients and psychological activities,to give the corresponding nursing services,the current scientific theory of humanistic care is also widely used in clinical nursing and nursing education.This review summarizes the application of humanistic care theory in nursing,covering the origin,basic content,clinical application and nursing education of humanistic care theory.This review aims to provide reference for the development of nursing humanistic care theory and practice.

Diversified Teaching Methods in Nursing:Using Animal Experimentation to Promote Core Professional Competencies in Basic Nursing Training

Objective： The aim of this project was to train highly professional and specialized nursing students from medical colleges to adapt to bedside clinical care by exploring and discussing various methods of injection and IV infusion in animal experimentation to hone the core professional nursing competencies. Methods： Two classes from the 2012 senior graduating nursing class were randomly selected by a computer to conduct the diversified practical teaching methods based on animal experimentation. A hospital environment was simulated by requiring students to perform different types of injections and practical IV infusion techniques. A comprehensive evaluation of the core professional competencies, as well as other integrated competencies, was conducted to determine the effectiveness of the teaching methods. Results： Two-sampled, pairwise u-tests were performed between the scores of the experimental （nursing class 2） and control （nursing class 1） groups. These findings showed that the overall test scores were significantly higher in the experimental group compared to the control group and that the average P-values for the competencies in various categories were 〈0.01, which indicated statistically significant results. Conclusions： Based on the data from this project, diversified teaching methods for basic nursing training founded on animal experimentation can help nursing students perfect their core professional competencies and improve their overall professional standing. The introduction of animal experimentation requires further verification, and an increased acknowledgement of its benefits through the widespread dissemination of this information.

Progress in the application of Meleis transition theory in the nursing field

This paper reviews the development of Meleis transition theory,explores the trajectory of the development of transition theory,analyses of the transition theory at home and abroad and research status,discusses the research prospect of transition theory,in order to better apply Meleis transition theory to clinical nursing work,provide a certain basis for discipline development and nursing research.

Development of the Emerging Theory of Encountering Nursing in a Nurse-Nursed Dyadic Relationship (ThENNDyR)

Encounters are celebrated experiences between persons with connectedness in human situations as expectation. While being in a human dynamic and rhythmic interaction, nursing encounters are dyadic relationships illuminated as patterns of an interconnected relationship moving between the nurse and the nursed, and reflecting person-and-otherness events. The purpose of this paper is to describe the theory of Encountering Nursing in a Nurse-Nursed Dyadic Relationship (ThENNDyR) and to illuminate the four nursing practice processes on which the theory is founded: Knowing as appreciating relational moments;Reflecting as engaging moments;Realizing as patterns of living moments;and Transcending as celebrating moments. Nursing practice occurs in moments in which dyadic relationships transpire as nursing encounters. As fleeting as moments are, the four processes of nursing simultaneously take place as understanding conditions that the who and what of the person warrants persons. “Encountering nursing” is a momentary co-existence of persons in a person-and-otherness situation communicating connectedness-interconnectedness in distinct patterning. Interactions in nursing exist as persons remain wholes and complete in the moment.

Development of the Emergent Theory of Aesthetic Nursing Practice (AesNURP)

Theory is necessary to science and science grounds legitimate and essential practice. This is true for Nursing as a discipline of knowledge and a practicing profession. Nevertheless, should all science or research within a scientific field be focused on theoretical development and testing? Currently, various nursing theories exist to describe and explain the phenomena of nursing. Often, the development of nursing theory is in response to advancing ontologies and epistemologies of nursing. The advent of technology is one of these advances challenging the professional practice of nursing. How will nursing practice be made visible and realistic in the face of traditional nursing care practice? Nursing practice processes, derived from theories of nursing, provide opportunities for demonstrating practice grounded in the science of nursing. The purpose of this article is to describe the development of the emergent theory of Aesthetic Nursing Practice, focus on illuminating caring for person through the process of encountering, co-creating caring relationships, and meaningful engaging between the nurse and nursed through caring encounters occurring in caring situations. Five assumptions and a model of practice are described. As a contemporary theory of Nursing, it describes caring for persons who remain wholes and enhance their well-being.

Nursing Theory and Its Practices in Two Health Care Facilities of Bujumbura

Introduction: Nursing theory provides a systematic explanation and description of nursing phenomena. It is very important during nursing practice in healthcare facilities (HCFs) because it guides nurses on how to collect data, which data to collect, decide how to interpret the data through the perspective of the theorist, how to plan and implement care, how to make a change and how to evaluate the patient’s outcomes. This study aims to illustrate how nursing theory can be applied during the implementation of nursing care in HCFs of Burundi by orienting the nurses to understand its application during practice. Methods: A cross-sectional study design was used to assess the use of nursing theories in healthcare facilities. A purposive sampling method was used also to select 81 nurses working full and part by applying Alain Bouchard’s formula and the questionnaire was used as the data collection instrument. Results: The current study had revealed a poor knowledge among the participants on the use of nursing theory in these two HCFs as for all variables, their average scores were almost 24.1% whilst those who had no notion related to nursing theory reach a percentage of 75.9%. Conclusion: The study findings were slightly poor as for all variables, they scored less than 40%. Therefore, the use of theories to guide their practice was highly recommended to enhance the patients’ outcomes based on the use of scientific-based experts which could result from continuous education.

Comparing Basic Social Competencies among Nursing Students before and during the Pandemic

Background: Due to the COVID-19 pandemic, the practical curriculum in over 80% of Japanese nursing universities is shorted. The study aimed to clarify the change in basic social competencies among nursing students by comparing their scores before and during the pandemic. Method: Retrospective data from 235 responses from 3rd-grade nursing students were analyzed. The data were separated into two groups—158 respondents before-pandemic and 77 respondents during-pandemic. Respondents were asked to complete a measurement scale two months after the beginning of the 3rd-grade module. Results: Our results showed the during-pandemic group’s averages were higher than the before-pandemic group’s. During the pandemic, nursing students using home-based online learning could not self-evaluate accurately because they could not practice in the field. Conclusion: Nursing students who were studying during the during-pandemic self-assessed themselves higher than those who were studying during the before-pandemic because they could not compare with the other students, and the results showed that misunderstandings may arise.

Effect of Targeted Nursing Based on Basic Living Care on Patients With Chronic Gastric Ulcer

Objective:To explore the effect of targeted nursing based on basic living care on patients with chronic gastric ulcer.Method:Ninety patients with chronic gastric ulcer treated in our hospital from August 2018 to August 2019 were selected and divided into observation group(n=45)and control group(n=45)randomly.The control group was given routine care.On the basis of the control group,the observation group was given targeted care based on basic living care.Compare the compliance behavior in two groups.Results:After the intervention,the compliance score of the observation group was higher than that of the control group,and the difference was statistically significant(P<0.05).Conclusion:The use of targeted care based on basic living care for patients with chronic gastric ulcer can improve their compliance behavior,which is worthy of clinical application.

Bibliometric analysis of researches of empowerment theory applied to nursing in China

Objective:To analysis the development trend and research focus of empowerment theory applied to Nursing in China.Methods:Literatures related to the objective were searched and collected from CNKI,WangFang,VIP and CBM,then Excel 2003 was used to setup the database and co-word matrix,SPSS 21.0 was utilized to make the visualized analysis by way of multivariate statistics analysis,cluster analysis and multidimensional scaling analysis.Results:Literatures with the number of 486 were selected out and 18 high frequency keywords were retrieved from 140 journals.Among the literatures,the first one was published in 2002,then a tremendous rising started since 2009,and reached the peak in 2017,mainly from the southern part of China,such as the province of Jiangsu,Guangdong,and Zhejiang.Regarding the content of the literatures,the research of intervention accounted for 61.32%,then the research of description came to the second at the ratio of 24.49%.What’s more,378(77.78%)were cited,154(31.69%)were funded.Conclusion:Nowadays,empowerment applied in the therapy of chronic disease is the focus and trend of the research of empowerment theory,and the psychological empowerment to nursing staff,as well as the constructed empowerment is going mature.In the future,more attention should be paid to the study and practice of empowerment theory,in order to vary the direction of research and enrich the theory.