Nursing & Health Sciences最新文献

The literature suggests that religiosity is a protective factor for substance use. However, individuals with substance use disorder (SUD) may actively cultivate their religiosity during substance use. This qualitative study analyzed the perceptions and meanings homeless people attribute to their substance use trajectories and religiosity, as well as the potential connections between these two themes. The analysis was conducted based on the content analysis technique proposed by Bardin. A total of 40 semi-structured interviews were conducted with 20 Brazilian and 20 Portuguese participants. The present study found that religiosity can play a role in the substance use trajectory and the development of SUD by offering a subjective sense of protection, serving as a marker for the need for change, or providing relief from the suffering associated with SUD. We discuss how homeless people with SUD experience religiosity and how religious aspects traditionally seen as protective in the literature, such as church attendance, may paradoxically become risk factors for these socially vulnerable populations.

Knowledge brokering is a process of connecting knowledge producers with users to facilitate evidence-based practice through relationship building and information sharing. This descriptive qualitative study aimed to clarify knowledge brokering by nurses in Japanese hospitals. Twelve registered nurses in Japanese hospitals participated. They had over 5 years' clinical experience, including experience in conducting research, particularly staff research, and education. Data were collected through semi-structured individual interviews and analyzed using qualitative content analysis. The analysis revealed a central theme: continuous efforts to foster empathy among colleagues and spontaneously promote evidence-based practice: multifaceted brokering activities by clinical nurses. Findings identified 10 categories categorized into four interconnected gears: establishing the foundational ground, assessing clinical needs and staff readiness, tailoring and diffusing evidence, and sustaining and evolving evidence-based practice. Even nurses without formal titles voluntarily bridged the research-practice gap, providing new insights into informal brokering. Brokers communicated considerately, balanced evidence with clinical context, negotiated practical compromises, and fostered staff research competency.

Workplace violence in healthcare is widespread, often triggered by communication breakdowns or emotional outbursts, posing substantial risks to medical staff. As frontline caregivers, nurses' communication ability with angry patients is crucial for conflict prevention and warrants urgent attention. To investigate the combinations of conditional variables that enhance clinical nurses' communication ability with angry patients. This study adopted a cross-sectional design with validated instruments and recruited 450 clinical nurses from two level hospitals in Henan Province, China. This study explored Fuzzy Set Qualitative Comparative Analysis to identify the configurational pathways that contribute to high levels of clinical nurses' communication ability with angry patients. The results indicate that years of nursing experience, stable employment relationship, perceived social mindfulness, moral sensitivity, and self-efficacy collectively shaped nurses' communication ability with angry patients. Five configurations were identified and condensed into three explanatory models that together explained 84.3% of high-level communication ability. Nurses' communication ability with angry patients arises from the combined effects of individual traits, organizational factors, and societal attitudes. Interventions and policies must target these multi-level configurations to ultimately mitigate and prevent hospital workplace violence.

Patients undergoing maintenance hemodialysis often experience significant physical, psychological, and social challenges that affect their quality of life (QoL). Self-efficacy is an important aspect influencing treatment adherence that leads to improved QoL, yet evidence from Indonesia remains limited. To examine the association between self-efficacy and QoL and identify predictors of QoL among patients receiving hemodialysis at three Indonesian hospitals. A cross-sectional study was conducted among 414 adults receiving maintenance hemodialysis. The QoL and self-efficacy data were collected using validated questionnaires. Descriptive, correlation, and regression analyses were performed. Higher self-efficacy was significantly associated with better physical, emotional, and social QoL. Age was the only independent predictor of mental QoL (β = 0.11, p = 0.027; R² = 0.064). Self-efficacy explained an additional 10.7% of variance in physical QoL (ΔR² = 0.107, p < 0.001) beyond clinical variables alone. Self-efficacy is a crucial determinant of QoL in patients undergoing maintenance hemodialysis and is influenced by demographic and clinical factors. Therefore, targeted and nurse-led interventions to strengthen self-efficacy are important and should be integrated into routine care.