Life Review the Impact of Combined Watson Care Theory Intervention on Psychological Status and Quality of Life in Patients with Terminal Lung Cancer

Objective: To analyze the impact of combined Watson care theory intervention on the psychological state and quality of life in patients with terminal lung cancer. Methods: 72 patients with terminal lung cancer admitted from March 2021 to January 2024 were selected, which were divided into research group (life review combined with Watson care theory intervention) and control group (conventional intervention), with 36 cases each. Compare the nursing effect between the two groups. Results: The anxiety self-rating scale (SAS) and depression self-rating scale (SDS) scores were significantly lower than those of the control group, and the quality of life score was significantly higher than that of the control group (P < 0.05). Conclusion: Life review combined with Watson care theory intervention can improve the psychological state and improve the quality of life of patients with terminal lung cancer.

The construction and practice of humanistic care teaching model based on 5C care theory

Objective:To construct a scientific and feasible teaching mode based on 5C caring theory and evaluate it,so as to provide a reference basis for future study about nursing humanistic quality education.Methods:Based on the 5C caring theory,the teaching design and teaching content were revising and implementing in the intervention group.Before and after the implementation of the course,a questionnaire survey was conducted using the Caring Ability Inventory(CAI).The results of the surveys were collected,and the data were statistically analysis using SPSS.Results:After the implementation of the course,the cognitive dimension,patience dimension,and humanistic caring ability scores of the nursing students in the intervention group improved compared with those before the implementation of the course(P<0.05).There were no significant difference in the control group(P>0.05).Conclusion:The humanistic caring teaching model based on 5C caring theory has a positive effect on improving nursing students'humanistic caring ability.In the future nursing teaching,the modules with the characteristics of humanistic caring ability can be increased,and carry out the educational reform throughout the humanistic caring ability.Actively guiding nursing students to establish the awareness of humanistic caring,so as to lay a solid foundation for high-quality clinical nursing work.

Concept Development and Implementation of Family Care/Caring Theory in Concentric Sphere Family Environment Theory

Caring is directed toward a variety of things. One of them is thought to be the concept of “family caring” aimed at families. This study attempts to clarify family caring and develop Family Care/ Caring Theory (FCCT), with the aim of implementing it in conjunction with an existing family nursing theory, the Concentric Sphere Family Environment Theory (CSFET). In Japan and in Hong Kong, family ethnography (including formal interviews) was conducted. As a result, the item “family health care nurses and their colleagues” was added to the family external environment of the CSFET. In the family environment, evidence was obtained to the effect that the family system unit is cared for by the nursing professional, and conversely the family system unit cares for the nursing professional, in a circular transaction. Observing the two-dimensional plane formed by the structural distance and functional distance, family caring assumes a structure of concentric circles, and according to transactions, the structural distance and functional distance between the nursing professional and family system unit are gradually approached, and through deepening of mutual trust maintain an appropriate distance. Moreover observing the three-dimensional space-time continuum which is created through addition of the temporal distance, family caring forms a helical structure. As transactions are repeated along the temporal axis, the family system unit’s self-actualization of other individuals and the self-actualization of the nursing professional are realized. Through these processes, a family care/caring relationship is reinforced and established. This is the concept of FCCT. Through future utilization in clinical settings this will be empirically substantiated, and it will be necessary to continue making creative corrections and revisions.

Theoretical framework construction on care complexity in Chinese hospitals: A grounded theory study

Objectives: This study aims to construct a theoretical framework to analyze risk factors and explore hospital nurses' perspectives on care complexity.Methods: The grounded theory method was adopted,and semi-structured in-depth interviews regarding the understanding of care complexity were conducted among the participants,including 31 nurses and nine doctors.In addition,data were coded and strictly analyzed in accordance with the coding strategy and requirements of grounded theory.Results: Our study reveals three factors that are closely related to care complexity,namely,(1) patient factors,including patients' condition,age,self-care abilities,compliance,social support systems,psy chological conditions,expectations,and requirements;(2) nursing staff factors,including work experiences,education,knowledge and operational skills of caring,and communication skills;and (3) organization and equipment factors,including nursing workforce,nursing workload,support from multidisciplinary teams and ancillary departments,and the conditions of medical and hospital services.Conclusions: This study defines care complexity on the basis of its factors.Care complexity refers to the difficulty of nursing tasks during patient care plan implementation,which are affected by patients,nurses,and other factors in nursing and multisectoral,multidisciplinary cooperation.The framework can be beneficial for nursing education and for the improvement of the quality and efficiency of clinical nursing practice.

Employment Satisfaction and Maslow’s Hierarchy of Needs Expansion Theory by the Pastoral Care Department

The author decided to explore Maslow’s theory of needs within a Catholic hospital in which 80%of the medical and service staff are non-Christians.The requirements to be focused on include a vision of medical care and service in accordance with the values and mission of Catholicism,and in the context of the highest level of attachment of employees to Cardinal Tien Hospital.The author also wondered whether there was evidence of a shift in employee needs for a sense of meaning in the workplace.If so,how should,or could,the organization and its leaders respond to it?

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.

The Process of Compliance with Self-Care among Patients with Hypertension: A Grounded Theory Study

Introduction: Controlling hypertension across world continues to be challenging. Managing hypertension is not only concerned with lowering blood pressure by using antihypertensive medications;it also aims to minimize its consequences through adopting self-care practices. Compliance with self-care practices among patients with hypertension is considered a multidimensional phenomenon. The phenomenon of hypertension has been studied quantitatively, however;little qualitative studies were conducted to understand the compliance with self-care among patients with hypertension. Aim: To understand the process that patients with hypertension go through to comply with self-care practices. Methods: This study used a qualitative design that followed constructivist grounded theory approach;purposive sampling was used to recruit participants from cardiac clinics;semi structured, in-depth and face-to-face interview was used as a major method for data collection. Findings: Four participants with hypertension participated in this study;the phenomena of self-care was identified as the central phenomena;the start of the disease was identified as a casual condition;beliefs toward hypertension disease, beliefs toward self-care practices, knowledge and awareness regarding hypertension disease and self-care practices were identified as strategies;experiencing self-care practices was identified as consequence and being patients with hypertension in a social context. Conclusions: The process of compliance with self-care has a path of actions and interactions. The process started from the moment of diagnosis where the patients start to think about self-care. The absence of health care context leads to varying level of compliance with self-care among patients with hypertension. This indicated the need for more effective patient and health care provider relationship, education and awareness campaign.

Human Care Theory and Influences on the Life Quality Index of Cancer Patients in Household Life

To investigatetheinfluences of the application of human care theory on the life quality and happiness of cancer patients after they receiveda community nursing care which was implemented by the human care theory. The quality life and the happiness index of 93 patients with cancer living in the six communities in Jillin were assessed, the assessment of the life quality was based on a life quality scale (SF-36) and that of the happiness index was based on Memorial University of Newfoundland Scale of Happiness (MUNSH). The community nurses cared for these patients by applying the theory of human care and the life quality and the happiness index of the patients were observed after the care. The results showed that there were significant differences in the score of 5 dimensions in the eight dimensions of the life quality between before the care and after the care (<0.05), and there were significant differences in the average sores of the positive emotion, positive experience, negative emotion, negative experience and level of happiness included in the happiness index between before the care and after the care (<0.05), suggesting that the theory of human care can be used for the care of patients with cancer and the application of the theory can effectively improve the life quality and the happiness index of the patients, strengthen their problem-solving abilities and let them have a positive attitude towards their lives.

Sexual Diversity and Homophobia in Health Care Services: Perceptions of Homosexual and Bisexual Population in the Cross-Cultural Theory

The provision of care by health professionals seems to be related to cultural patterns in which these workers are inserted. The relationship between culture and care becomes a challenge for the provision of health care to homosexual and bisexual population. Thus, this study aimed to identify the perception of Gays, Lesbians, Bisexuals and Transgenders in relation to the care received from health professionals, in the light of Cross-Cultural Theory. This is a qualitative, ethnographic study, conducted with 30 members of sexual minorities in Juazeiro do Norte, Brazil. The data analysis lead to the elaboration of five categories based on of the Theory of Cultural Care Diversity and Universality. The participants emphasized the constant violation of their rights to universal and equitable access to the National Health System, stating that they have suffered from prejudice and exclusion, as result of a heteronormative culture. They highlighted that homophobia and dehumanization of care have a strong relation to sexual orientation. The transvestites are the most prone to humiliation and pejorative attitudes of professionals and such condition is a barrier to accessing services.

Service-Learning Practices and Reflections in the Perspective of Nel Noddings’Theory of Caring Education:The“Care for the Elderly”Service-Learning Program as an Example

Nel Noddings’ethics of care is an important lineage of Western moral education thought,which contains deep humanistic values.Service-learning advocates the equal importance of service and learning,and emphasizes more on the discovery of educational connotations in practice.Based on the social background of aging,this paper takes the“Care for the Elderly”service-learning program as an example,attempts to take the care ethics as the entry point,adopts interviews,questionnaires,and other research methods,and opens-up the service-learning practice path under the threshold of Nel Noddings’care education theory.

Intraoperative Care of the Conscious Patient from the Perspective of the Operating Theatre Nurse:A Grounded Theory

Introduction: Intraoperative care includes a unique knowledge of how to perform a safe and effective surgery procedure. Surgery performed under regional or local anaesthesia allows the patient to remain conscious during the procedure and is rather common in Swedish healthcare today. Aim: The aim was to obtain a deeper understanding of the main concerns of operating theatre nurses (OTN) when caring for conscious patients during the intraoperative phase. Methods: Interviews were conducted with 23 OTNs from five different hospitals in Sweden and analysed according to grounded theory. Findings: The main concern among the OTNs was to take the patient in consideration. The core category “achieve and maintain ethical treatment of patients” in the operating theatre (OT) was a strategy used throughout the intraoperative process. Ethical treatment was described as moral behaviour at different levels and included the team’s behaviour, respectful and individualised patientcare, and the working-morale of the professionals. Being vigilant and being flexible were the categories related to the core category. The OTNs constantly assessed where to pay most attention as they balanced between the needs of the patient, the team, and the surgery procedure. Conclusion: It is important that every patient is taken into consideration and that ethical principles are held to the highest standards in the OT. A familiar team can facilitate that. The complex skills that operating theatre nurses develop can be added to explain important competencies within the profession.

Establishing Patient Safety in Intensive Care—A Grounded Theory

Background: The modern intensive care unit (ICU) is a complex and high-risk environment, and even small adverse events and changes may deteriorate the patient’s conditions and eventually cause harm. Many factors can potentially be associated within an increased amount of errors, leading to adverse events. Nurses, nurse managers, and other leaders all play important roles in establishing patient safety. Aim: This study aimed to obtain a deeper understanding of leaders’ and nurses’ main concerns in establishing patient safety in Swedish intensive care units. Method: A grounded theory methodology was used. Data from 15 interviews with leaders and nurses involved in critical care in Sweden were collected, analysed and constant compared. Findings: The main concern in establishing patient safety was promoting quality of care, work engagement, and staffs well-being in strained ICUs. The core category building trust explained how the leaders’ and nurses’ strove for quality of care and wished a healthy, safe work environment. This is further explained in the categories “Being an accessible and able leader”, “Creating knowledge and understanding”, and “Establishing collaborative practice”. Conclusion: Establishing patient safety in the ICU requires that staffs enjoy going to work, have good work relations, are committed and want to stay at the unit. A healthy, salutogenetic unit with a work environment marked by trust provides a better opportunity to establish patient safety, and various leaders have potential to achieve this.

Analysis of the Nursing Effect of Hierarchical Extended Nursing Based on The Guidance of Orem’s Theory in Patients with PICC Catheterization

Objective:To analyze the nursing effect of hierarchical extended nursing based on the guidance of Orem’s theory in patients with peripherally inserted central(PICC)catheterization.Methods:Ninety-one patients with PICC catheterization admitted to the hospital from May 2021 to May 2023 were selected and divided into a control group and an observation group,with 45 and 46 cases,respectively.The control group received routine nursing care,while the observation group received routine nursing care combined with hierarchical extended nursing based on the guidance of Orem’s theory for 3 months.Relevant indicators between the two groups were compared.Results:The improvement degree of various indicators in the observation group after nursing was better than that of the control group(P<0.05).Conclusion:Graded extended nursing based on the guidance of Orem’s theory improved the knowledge,belief,behavior,and self-efficacy of patients with PICC catheterization,and relieved their anxiety,depression,and other negative emotions.The nursing effect was deemed to be significant.

以社会视角审视老年护理机器人面临的挑战

目的探讨老年护理机器人面临的挑战,为老年护理机器人的应用及推广提供参考。方法2023年4-10月,通过目的抽样,选择2名政府人员、2名技术提供商、2名养老机构管理者、2名养老护理员、3名老年人、2名大学教师、2名保险公司代表和2名媒体代表进行半结构式访谈。采用描述性质性研究,以社会生态系统理论为指导,访谈的关键问题涉及技术本身的优势和潜在风险、利益相关者的责任和态度、社会大众需要了解的信息、可能面临的障碍,以及技术引入可能对社会产生的影响。采用主题分析法分析访谈资料。结果老年护理机器人的应用及推广面临三大挑战共12个主题:对个人或团体的挑战(对技术的期望值过高、接受度不足、伦理冲突和对知识的挑战)、对社会层面的挑战(社会资源利用不均、数字基础设施不完善、文化和社会认可、法律法规滞后、预算和采购困难)和产品推广的挑战(技术与需求的鸿沟、推广的困境、安全与隐私问题)。结论为了成功引入和推广老年护理机器人,需要综合考虑个人、团体和社会文化等方面的挑战,除了克服技术上的困难,还需要考虑社会观念、法规制度和社会资源分配等层面的问题以及如何融入现有的护理体系。

基于博弈论-可拓云模型的养老机构消防安全韧性评估

为评估养老机构消防安全韧性水平,首次系统构建了由4个一级指标、25个二级指标组成的养老机构消防安全韧性评估指标体系。其后运用博弈论理论,综合了分别以G1法和CRITIC法计算的指标权重,构建了养老机构消防安全韧性博弈论-可拓云评估模型。最后,应用该评估指标体系和模型实证研究了西安市某养老机构的消防安全韧性,得出其消防安全韧性等级为Ⅲ级(较高韧性),通过了可信度评价,且其结果与基于博弈论-物元可拓模型评估结果一致,表明该评估体系的适用性和有效可靠性,研究结果可为养老机构消防安全韧性评估提供一种新方法。

数智环境下价值网络对社区养老服务精准化的影响机理研究——基于扎根理论的探索

[目的/意义]精准化是社区养老服务发展的主要目标,是衡量社区养老服务水平的重要标准。当前社区养老服务发展存在供需失衡,服务精准化水平不高。大数据、人工智能等数智环境飞速发展为社区养老服务精准化水平提升带来了历史机遇,而探索社区养老服务精准化水平的影响机理是更加有效提升服务精准化水平的前提。[方法/过程]基于价值网络模型,采用扎根理论研究方法,对社区养老服务相关参与主体代表的半结构化访谈语料进行编码分析,参照“背景-条件-行动-结果”的扎根理论经典范式,分析数智环境下价值网络对社区养老服务精准化的影响机理。[结果/结论]构建影响机理“火箭模型”,从宏观、中观、微观3个层面,分析价值网络对社区养老服务精准化水平的影响因素和作用机理,其中“数智技术赋能”是关键影响因素。研究回答了数智环境下价值网络对社区养老服务精准化的“影响机理是什么”的问题,为后续探索提升服务精准化水平的策略指明方向。

数字健康背景下社区老年人家庭社会资本对健康自助行为影响的路径分析

目的探讨数字健康素养和技术焦虑在社区老年人家庭社会资本与健康自助行为之间的中介作用,为制订针对性的干预措施提供参考。方法2024年1-5月,便利选取延吉市2所社区卫生服务中心门诊的428名老年人作为研究对象,采用一般资料调查表、家庭社会资本量表、数字健康素养评估量表、技术焦虑量表、健康自助行为量表进行调查,并建立结构方程模型进行链式中介效应检验。结果社区老年人家庭社会资本得分为(33.56±7.57)分、数字健康素养得分为(44.25±10.50)分、技术焦虑得分为(36.72±9.05)分、健康自助行为得分为(78.63±16.81)分。家庭社会资本可以直接影响社区老年人健康自助行为,还可通过数字健康素养、技术焦虑的单独中介作用及链式中介作用间接影响健康自助行为(均P<0.05)。结论社区老年人健康自助行为处于中等水平,家庭社会资本可直接或间接通过数字健康素养和技术焦虑影响健康自助行为。应重视社区老年人的家庭社会资本作用,通过提高其数字健康素养,降低技术焦虑,以提升其健康自助行为。

基于ERG需求理论的出院早产儿主要照护者照护需求的质性研究

目的深入了解出院早产儿主要照护者的照护需求,为提供针对性的照护服务提供参考。方法采用描述性质性研究方法,基于ERG需求理论制订访谈提纲,2023年10-11月以目的抽样法选取从湖北省某三甲医院出院6个月内的25名早产儿主要照护者进行半结构式访谈,应用主题分析法对访谈资料进行整理分析。结果出院早产儿主要照护者照护需求归纳为3个主题:生存需求(日常照护知识与技能需求、异常情况识别与处理技能需求、发展性照护需求),相互关系需求(专业团队支持需求、社会团队支持需求和家庭支持需求),成长需求(角色适应需求和角色认可需求)。结论早产儿出院后,其主要照护者照护需求具有特殊性和多样性,应针对性地提供有效支持以满足照护者照护需求,减轻照护者照护负担和提升照护质量。

基于价值感知的老年照护机器人接纳态度质性研究

目的:探索基于价值感知的老年照护机器人接纳态度理论框架。方法:对32名社区中老年人进行半结构式访谈,采用经典扎根理论及“6C”模型对资料进行编码分析。结果:共获得9个主范畴,核心范畴为老年照护机器人价值感知,包含期望价值和感知价值。通过对期望价值和感知价值进行比较,形成了4种接纳态度。智慧养老现实需要、个人需求、养老观念、人机信任、弱势身份感知、机器人要素和支持融入路径可以视作中老年人价值感知和接纳态度的影响因素。结论:构建了基于价值感知的老年照护机器人接纳态度理论框架,为机器人接纳态度和感知价值研究拓宽了视角,也对引导机器人融入老年生活具有实践指导意义。

基于保护动机理论延续护理在胆囊切除术患者术后的应用效果

目的分析基于保护动机理论延续护理在胆囊切除术患者术后的运用效果。方法选取2022年4月至2023年4月在福建省立医院的86例胆囊切除术患者,随机数字表法分为试验组(43例,采用基于保护动机理论延续护理)和对照组(43例,采用常规护理),对比两组临床指标恢复时间、术后不同时间疼痛量表、不良心理评分以及并发症总发生率。结果试验组胆囊切除术患者首次排便时间、下床活动时间、首次排气时间、住院时间、肠鸣音恢复时间均短于对照组(均P<0.05);试验组胆囊切除术患者术后6 h、24 h视觉模拟量表(VAS)评分均低于对照组(均P<0.05);试验组护理后胆囊切除术患者抑郁自评量表(SDS)、焦虑自评量表(SAS)评分以及并发症总发生率均低于对照组(均P<0.05)。结论基于保护动机理论延续护理在胆囊切除术患者术后具有良好的运用效果,能有效缩短患者恢复时间,减轻胆囊切除术患者术后疼痛程度,改善患者不良心理,减少并发症情况的发生。