Nursing Research Studies Research Articles

Methodological Considerations in Conducting a Bilingual Study

<i>This methodological reflection is developed from a nursing research study that compared health systems in Canada and Saudi Arabia, using both English and Arabic languages for data collection. Conducting research in a language not spoken by all the research team members is relatively common, yet addressing the nuanced details of implementing bilingual work has limited guidance within extant literature. This includes consideration of promising practices for concept development, translation, data analysis, and presenting the findings. </i><i>This article </i><i>discusses the strengths and limitations of bilingual research and recommendations regarding these issues from our own experiences. Ultimately, it is proposed that via bilingual research, the accumulation of knowledge pertaining to qualitative research concepts, translation, analysis, and dissemination of comprehensive frameworks can be enacted, ultimately enhancing the rigor of qualitative research and increasing confidence in applying knowledge created in the chosen language of participants.</i>

Pediatric psychiatric inpatients' perspectives of aggression management: Discernment in the doorway.

Aggressive behavior is common on psychiatric inpatient units. Seclusion and restraint interventions to manage patients' aggressive behavior may have the consequence of being traumatizing for patients. Pediatric psychiatric patients' perspective on the use of seclusion and restraint interventions is not present in the literature. This hermeneutic nursing research study asked the question, "How might we understand children's experiences of seclusion and restraints on an inpatient psychiatric unit?" Four past pediatric psychiatric inpatients shared their hospitalization experiences that occurred within the previous year when they were 10 years old. The texts of the research interviews were compared to Attachment Theory for a deeper understanding of the meaning of the message. Participants commonly described experiences with seclusion and restraints as feeling trapped and alone in a dark room. They recommended the nurses step into the room with them to help them heal. Interpretively, the rooms on inpatient units could be considered as actual and metaphorical spaces of possible harm or healing. The participant's voices expand understanding of nurse's use of discernment at the doorway of a patient room to ensure the most therapeutic care is provided to the patient in these spaces through a secure nurse-patient relationship.

Regional Transformation: An Integrated System's Approach to Magnet Designation Utilizing High-Reliability Organization Implementation Strategies.

Synergistic opportunity exists between Magnet-aspiring environments and High Reliability Organization (HRO) cultures to elevate safety, quality, new knowledge, continuous improvement, hierarchical flattening, and frontline empowerment. Variation existed across a region's 15 hospitals regarding Magnet-readiness, leadership engagement, journey strategies, and resource capacity. Quality improvement (QI) methodology and a hybrid-hub-spoke-model (HHSM) were used to support region-wide Magnet designation, improve patient outcomes, and advance nursing research. HRO strategies were used region-wide to strengthen implementation and enculturation of Magnet excellence infrastructure. Nine facilities achieved Magnet recognition. Magnet sites demonstrated significantly lower falls with injury ( P =.012), lower health care-associated infections and hospital-acquired pressure injuries than non-Magnet sites. Nursing research studies increased 223%. Utilizing a HHSM and HRO strategies represent effective methods for supporting region-wide Magnet designation and continuous QI.

Legacy Letters Written by Oncology Nurse Residents: Post Hoc Poetic Inquiry.

A qualitative analysis of Legacy Letters written by oncology nurse residents to future nurse residents on what they wish they knew and what they learned at the end of their 1-year residency program showed four themes. This article presents a poetic inquiry of select themes/subthemes, providing a new perspective on the findings. Post hoc poetic inquiry of select subthemes/themes from a previously conducted qualitative nursing research study on nurse residents' Legacy Letters was conducted using a collective participant voice approach. Three poems were created. A sample quote by an oncology nurse resident and an explanation of the relationship of the poem to the Legacy Letters are provided. These poems represent a larger theme of resilience. Learning from mistakes, dealing with emotions, and providing self-care embody the experience and adaptation of the oncology nurse residents to this year of transition from graduation to professional practice. [J Contin Educ Nurs. 2023;54(3):117-120.].

The Arabic Nurse Professional Competence-Short Version Scale (NPC-SV-A): Transcultural Translation and Adaptation with a Cohort of Saudi Nursing Students.

There is broad consensus that assessing and improving the competence of nurses is a crucial element of nursing education and practice. Numerous national and international nursing research studies have used the 35-item Nurse Professional Competence Scale (NPC-SV) to measure the self-reported competence of nursing students and registered nurses. To increase its usage in Arabic-speaking nations, however, a culturally adapted Arabic version of the scale with the same level of quality was necessary. The study aimed to develop a culturally adapted Arabic version of the NPC-SV and evaluate its reliability and validity (construct, convergent, and discriminant types). Methodological descriptive cross-sectional design was utilized. A convenience sampling technique was employed to recruit 518 undergraduate nursing students from three Saudi Arabian institutions. The translated items were appraised by a panel of experts, who considered the content validity indexes. The structure of the translated scale was examined using exploratory and confirmatory factor analysis, structural equation modelling, and the Analysis of Moment Structure method. When utilized with nursing students in Saudi Arabia, the Arabic short version of the Nurse Professional Competence Scale (NPC-SV-A) was shown to be reliable and valid in terms of its content, construct, convergent, and discriminant validity. Cronbach's alpha for the entire NPC-SV-A scale was 0.89 and varied from 0.83 to 0.89 for each of the six subscales. Exploratory factor analysis (EFA) revealed six significant factors with 33 items that accounted for 67.52 percent of the variance. The scale was congruent with the suggested six-dimensional model, as confirmed by confirmatory factor analysis (CFA). The Arabic version of the NPC-SV, which was reduced to 33 items, showed good psychometric properties, with a six-factor structure accounting for 67.52% of the total variance. When used alone, this 33-item scale can allow for more in-depth evaluations of self-reported competence among nursing students and licensed nurses.

Doctoral education, advanced practice and research: An analysis by nurse leaders from countries within the six WHO regions.

Doctoral education, advanced practice and research are key elements that have shaped the advancement of nursing. Their impact is augmented when they are integrated and synergistic. To date, no publications have examined these elements holistically or through an international lens. Like a three-legged stool they are inter-reliant and interdependent. Research is integral to doctoral education and influential in informing best practice. This significance and originality of this discussion paper stem from an analysis of these three topics, their history, current status and associated challenges. It is undertaken by renowned leaders in 11 countries within the six World Health Organisation (WHO) regions: South Africa, Egypt, Finland, United Kingdom, Brazil, Canada, United States, India, Thailand, Australia, and the Republic of Korea. The first two authors used a purposive approach to identify nine recognized nurse leaders in each of the six WHO regions. These individuals have presented and published papers on one or more of the three topics. They have led, or currently lead, large strategic organisations in their countries or elsewhere. All these accomplished scholars agreed to collect relevant data and contribute to the analysis as co-authors. Doctoral education has played a pivotal role in advancing nurse scholarship. Many Doctor of Philosophy (PhD) prepared nurses become faculty who go on to educate and guide future nurse researchers. They generate the evidence base for nursing practice, which contributes to improved health outcomes. In this paper, the development of nursing doctoral programmes is examined. Furthermore, PhDs and professional doctorates, including the Doctor of Nursing Practice, are discussed, and trends, challenges and recommendations are presented. The increasing number of advanced practice nurses worldwide contributes to better health outcomes. Nonetheless, this paper shows that the role remains absent or underdeveloped in many countries. Moreover, role ambiguity and role confusion are commonplace and heterogeneity in definitions and titles, and regulatory and legislatorial inconsistencies limit the role's acceptance and adoption. Globally, nursing research studies continue to increase in number and quality, and nurse researchers are becoming partners and leaders in interdisciplinary investigations. Nonetheless, this paper highlights poor investment in nursing research and a lack of reliable data on the number and amount of funding obtained by nurse researchers. The recommendations offered in this paper aim to address the challenges identified. They have significant implications for policy makers, government legislators and nurse leaders.

The Fast Track Surgery in Perioperative Nursing of HoLEP Operation

Objective: The Fast-track surgery for transurethral holmium laser prostatectomy a perioperative nursing research study.
 Methods: We performed a retrospective analysis of transurethral holmium laser enucleation of the prostate in 89 patients with bladder outlet obstruction (BOO) due to benign prostatic hyperplasia (BPH) who were admitted to and treated at our hospital between 2018 and 2019. Measures such as early postoperative feeding and early catheter removal, adequate preoperative preparation, psychological counseling, intraoperative warming, unobstructed lavage, ensuring postoperative sleep, indwelling analgesic pump, and prevention and treatment of postoperative complications, as well as a successful job in postoperative health guidance and discharge guidance, were all implemented, and the extubation was performed, during the perioperative period in which advanced fast track surgery was used.
 Results: All 89 patients who underwent holmium laser enucleation of the prostate made a full recovery, with only one experiencing post-operative recurrent hyphema, five experiencing post-operative urinary tract infection, and ten experiencing transient and urge urinary incontinence; all were discharged after conservative treatment.
 Conclusion: Using fast track surgery as a guide for perioperative care of HoLEP surgeries might lessen the number of issues that arise after surgery and help patients get back to normal quicker.

Spiritual Wellbeing and Quality of Life among Hemodialysis Patients in Jordan: A Cross-Sectional Correlational Study.

Purpose: Nursing research studies investigating the relationship between spiritual wellbeing and health-related quality of life are lacking among Arab hemodialysis patients in Jordan or any other Arab country. The purpose of this study was to explore the associations between spiritual wellbeing, its religious and existential wellbeing dimensions, and health-related quality of life among Jordanian Muslim hemodialysis patients. Design: A cross sectional, quantitative correlational study. Methods: A convenience sample of 150 Jordanian hemodialysis patients completed a structured, self-administered questionnaire. Descriptive, bivariate, and multivariate regression models were used. Findings: The Jordanian hemodialysis patients had a moderate level of spiritual wellbeing and religious wellbeing, a low level of existential wellbeing, and a poor health-related quality of life. The findings revealed a significant moderate positive correlation between the spiritual wellbeing and its dimensions, and health-related quality of life. The existential wellbeing was the strongest predictor, with a large, positive, and significant effect after controlling for other spiritual, demographic and medical-related variables. Conclusion: Overall, the study suggests Jordanian hemodialysis patients use their religious and spiritual beliefs and practices as a coping mechanism, especially as sources of satisfaction, peace, comfort, strength and support, to help improve their health-related quality of life.

The Power of Mentoring Clinical Nurses: A Strategy to Advance Nursing Research

Mentorship is a reciprocal relationship geared toward developing inexperienced individuals' professional competencies. This hospital-based, mentorship account presents case studies illustrating mentorship examples of engagement in the research process and shares anecdotes of nurses' mastery of nursing research studies. Evidence and mentorship principles are oriented in the context of caritas processes. The mentorship affiliation benefits mentees' progress in employing research methods, building a stronger nursing research program, and advancing a healthcare system's nursing research agenda. It highlights mentees' professional journeys and development as a local and regional research committee chair, research study coinvestigator, principal investigator, and manuscript author.

Kuzey Kıbrıs’ta Kadın Sağlığı ile İlgili Yapılmış Hemşirelikte Lisansüstü Tezlerin Özellikleri: Bir İçerik Analizi Çalışması

There are health criterion data gaps indicating the status of women’s health in North Cyprus and therefore, this situation affects adversely the planning of women’s health services. Insufficient quality and quantity of research studies in the field of nursing is a significant problem in the way of scientification of nursing. Considering all of these problems, it is deemed important to examine nursing research studies conducted on women’s health in the country. The aim of this article is to investigate the postgraduate dissertation studies conducted regarding the women’s health at one of the universities in North Cyprus in Nursing. The research has been conducted by using document analysis and content analysis tools, which are included in the qualitative research methods. The universe of this research consists of postgraduate dissertations in English and Turkish languages (93 theses) written between 2010 and 2020 in the Institute of Health Sciences, Nursing Program, at a university in North Cyprus. The sample of this research also consists of 21 postgraduate dissertation studies concerning women’s health. Data collection technique through documents/publications has been used in the data collection process. Dissertations indexed in databases of library of the university have been scanned and the data has been collected by the way of publication classification form generated by researchers. This form has been classified into six categories: research strategies/methods, topic titles, data collection techniques, sampling technique, organization type, and visual content type. It has been determined in the study that the majority of the dissertations are master’s theses with 81%, 57.1% of them are descriptive studies, only one experimental study was done, and 66.7% of them have the visual content. It has also been ascertained that most of the studies have been written regarding the improvement of women’s health. In the study, it has been found out that there are errors and deficiencies in data collection technique and sampling technique type statements on dissertations. Also, the use of scale has been found to be insufficient with the percentage of 33.3%. It is recommended to increase the number of multifaceted Nursing research devoted to the protection, development, improvement and maintenance of women's health in the country, to convert these studies into publications, to use theories/models in doctoral dissertations in Nursing, and to consider the deficiencies observed in the methods and techniques of the studies for future studies.

Association of nurses’ characteristics and level of knowledge with ageist attitudes toward older adults: a systematic review

Purpose This study aims to examine the association between nurses’ ageism and their knowledge about aging and socio-demographic and professional characteristics in recent international nursing research studies. Design/methodology/approach An extensive search of seven databases covering papers since 2000 was undertaken and Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines were followed. Findings Ageism among nurses is still poorly understood. It is evident that ageism is associated with poor nurses’ level of knowledge about aging. A range of nurses’ demographical and professional characteristics have been examined as potential predictors of ageism, but they were inconsistent with positive, negative and neutral associations. Originality/value There is a lack of robustly designed studies investigating the association of nurses’ level of knowledge about aging and their socio-demographical and professional characteristics to ageism. Future descriptive-correlational and interventional studies are recommended to understand and target ageism in health-care settings.

Federal funding of nursing research by the National Institutes of Health (NIH): 1993 to 2017

BackgroundThere has been a dramatic increase in the number of doctoral programs (PhD and DNP) that prepare nurse research scientists and advanced practitioners since establishment of the National Institute of Nursing Research (NINR) at the National Institutes of Health (NIH) in 1985. PurposeThe purpose of this report is to examine the historical context of federal research funding to schools/colleges of nursing to determine if the NINR/NIH budget is adequate. MethodData were extracted from the NIH RePORT/ER database from 1993 to 2017. Additional data were obtained from the American Association of Colleges of Nursing. A return on investment analysis for four landmark nursing studies is included. FindingsThe percent of the NINR budget awarded to schools/colleges of nursing peaked in 2005; since 2011, more funding to schools/colleges of nursing was received from all other NIH institutes combined, compared to NINR. The return on investment for four nursing research studies, ranged from $1:$202 to $1:$1,206, and far exceeds the Standard and Poor's 500 Index (S&P 500) of 10%. DiscussionFederal funding of nursing research is inadequate and a chokepoint relative to the number of doctoral programs. We suggest the NINR budget would need to increase at least fivefold to over $763 million to adequately fund nursing science. The impact of inadequate funding on the discipline is discussed.

A Virtual Nursing Journal Club: Bridging the Gap Between Research Evidence and Clinical Practice.

Creating a nursing journal club is an initiative to promote nurses' use of best evidence in practice. A virtual nursing journal club (VNJC) was implemented in a Magnet-designated, midsize community hospital. The VNJC fostered nurses' reading nursing research studies and subsequent interaction with other nurses. The VNJC's formation, implementation, and evaluation are described. Quantitative and qualitative research critique items and an evaluation form are included that are essential to the site's ongoing processes.

Qualitative Data Management and Analysis within a Data Repository.

Data repositories can support secure data management for multi-institutional and geographically dispersed research teams. Primarily designed to provide secure access, storage, and sharing of quantitative data, limited focus has been given to the unique considerations of data repositories for qualitative research. We share our experiences of using a data repository in a large qualitative nursing research study. Over a 27-month period, data collected by this 15-member team from 83 participants included photos, audio recordings and transcripts of interviews, and field notes. The data repository supported the secure collection, storage, and management of over 1,800 files with data. However, challenges were introduced during analysis that required negotiations about the structure and processes of the data repository. We discuss strengths and limitations of data repositories, and introduce practical strategies for developing a data management plan for qualitative research, which is supported through a data repository.

Nursing Research Priorities in the Pediatric Emergency Care Applied Research Network (PECARN): Reaching Consensus Through the Delphi Method

IntroductionPediatric emergency nurses who are directly involved in clinical care are in key positions to identify the needs and concerns of patients and their families. The 2010 Institute of Medicine report on the future of nursing supports the active participation of nurses in the design and implementation of solutions to improve health outcomes. Although prior efforts have assessed the need for research education within the Pediatric Emergency Care Applied Research Network (PECARN), no systematic efforts have assessed nursing priorities for research in the pediatric ED setting. MethodsThe Delphi technique was used to reach consensus among emergency nurses in the PECARN network regarding research priorities for pediatric emergency care. The Delphi technique uses an iterative process by offering multiple rounds of data collection. Participants had the opportunity to provide feedback during each round of data collection with the goal of reaching consensus about clinical and workforce priorities. ResultsA total of 131 nurses participated in all 3 rounds of the survey. The participants represented the majority of the PECARN sites and all 4 regions of the United States. Through consensus 10 clinical and 8 workforce priorities were identified. DiscussionThe PECARN network provided an infrastructure to gain expert consensus from nurses on the most current priories that researchers should focus their efforts and resources. The results of the study will help inform further nursing research studies (for PECARN and otherwise) that address patient care and nursing practice issues for pediatric ED patients.

Celluloid zombies: A research study of nurses in zombie-focused feature films.

To explore how nurses, who are the principal character of zombie-focused feature films are portrayed. A mixed methods study with a quantitative exploration of 44,000 feature film synopsis and additional online material for films made between 1900 and 2018 was used. Zombie-focused films (485) were reviewed for their genre, county, year of production, and plot-lines. Ten zombie films featuring nurses in key roles were analysed via an interpretive, qualitative thematic analysis. The study was undertaken between May 2018 - November 2018. A quantitative review of film synopses and relevant movie specific web sites or key literature for the word, 'zombie' and/or 'zombie nurse' and an interpretive, qualitative thematic analysis of nurse specific zombie films. Most of the 485 zombie-focused films located were produced or co-produced in the USA. Only 115 zombie-focused feature films were identified with health professionals, of these, 27 films featured nurses, 10 with nurses in the main role. Nurses were portrayed as romantic, sexualized, caring, self-sacrificial and strong or evil, however, the over-arching representation of nurses in zombie films was tied to the depravity from which zombie sub-culture is based. Few zombie films feature nurses in the main role. However, the negative, violent and deprived nature of this genre offers a poor reflection on nursing. How nurses are portrayed in films is important because it influences how the public, patients, and nurses themselves view their profession and role. Understanding the way nurses are portrayed may help professional bodies to better prepare recruitment material.

A Special Message to Students and Graduates About Publishing in a Journal

The Journal of Excellence in Nursing and Healthcare Practice (JENHP) was created to promote innovations, translation, and dissemination of evidence supporting improved outcomes in the nursing practice environment. The journal welcomes manuscripts focusing on topics such as national and international workforce issues, quality improvement projects, evidenced-based practice initiatives, nursing research studies, interprofessional practice, educational issues, improvements in technology, innovative practice problem solutions, and the impact of social change in society. Although we accept submissions from all types of researchers, both new and experienced, one central purpose of this journal is to provide an outlet for research conducted by students. Hence, individuals from doctoral, master’s, and baccalaureate programs are especially welcomed to submit manuscripts based on scholarly projects or papers completed while in or after graduating from an accredited program.

How to calculate sample size for observational and experiential nursing research studies?

Sample size estimation for a research study is the most crucial part of the research process because it helps to produce reliable results which improve generalizability of study results. A researcher must have understanding about significance level, effect size, study’s power, and effect size; margin of error and ratio in event among population and design effect to use sample size calculation formulas efficiently. There are different formulas of sample size calculation for different types of variables measured in distinct study designs, namely descriptive, epidemiological, comparative, and interventional research studies which are covered in this article. Review authors searched online and grey literature related to sample size and read extensively. There were two authors who extracted and complied information related to topic.

Refocusing Nursing's Lens on Followership.

The nursing profession has long acknowledged the importance of leadership and like many other professions has been criticized as "leader-centric." The role of leadership is to influence followers towards a common goal. Leaders, therefore, must have a clear understanding of followership, including the factors that promote followers' effectiveness and engagement. They must be able to identify following and non-following behaviours, and they must practice leadership styles that support effective followership. Although nurse authors in the 1980s and early 1990s advocated for the inclusion of followership in nursing education and practice, the role has received little attention. Currently, it is not included in standards and guidelines, and there are few nursing research studies on this topic. Our understanding of leadership is incomplete without also understanding followership; without the following role, there is no leadership role. The purpose of this article is to focus the lens on followership, clarify what it is, outline the different styles, explain the importance of the role to nursing and offer recommendations that guide its integration into the nursing profession.

I’M STILL HERE: THE EXPERIENCE OF LIVING WITH EARLY ONSET DEMENTIA

Dementia is a growing social and health care concern in today’s world. Although dementia is most often associated with the aging process, younger people can also be diagnosed with the disease. Early onset dementia (EOD) is dementia onset before the age of 65. Dementia’s degenerative nature is particularly challenging for younger people, as the disease tends to occur during a phase of life occupied with and characterized by middle-age tasks. In effect, younger people with dementia are forced to navigate and live a health experience normally encountered later in life. This presentation will summarize a Master’s of Nursing research study that examined the EOD experience from the point of view of four adults under the age of 65 living with dementia, in particular examining how these individuals perceived their own personhood. Using Interpretative Phenomenological Analysis (IPA) as the research method, as well as integrating an arts-based approach, this qualitative study revealed that the EOD experience can be incorporated into six themes: A Personal Journey, Navigating the System, The Stigma of Dementia, Connecting to the World, A Story Worth Telling and I’m Still Here. The participants’ stories as presented via these six thematic threads show that despite the challenges of living with dementia, people with EOD can have a strong sense of personhood. Implications for practice and policy making, as well as recommendations for future dementia research will be discussed.