摘要：Objective:To investigate the effect of a pain management core competency education program on surgical nurses’pain knowledge and pain management nursing practice ***:An 8-h education program focused on pain management core competency was provided twice in two weeks including the multidimensional nature of pain,pain assessment,pharmacological and nonpharmacological management,and knowledge application was developed and implemented for surgical nurses by a multidisciplinary *** teaching approaches such as didactic teaching and vignettes of cases for nurses to discuss were *** Clinical Pain Knowledge Test(CPKT)was completed by 135 and 107 nurses from 17 surgical wards pre and post-program,*** hundred and three patients’medical records were randomly sampled according to the number of operations in each ward one week before and in the fifth week after the intervention,*** of patients’postoperative pain management nursing practice behaviors and pain intensity scores were ***:After the intervention,the CPKT scores of nurses significantly increased from 45.6%±12.3%to 54.2%±10.2%(t=5.786,P<0.001).nurses’postoperative pain management nursing practice improved,with proportion of pain assessment documentation increased from 59.6%(121/203)to 74.9%(152/203)(χ^(2)=10.746,P=0.001),those using pain intensity assessment tools increased from 81.8%(99/121)to 95.4%(145/152)(χ^(2)=13.079,P<0.001),and intramuscular injection of nonopioids decreased from 12.6%(13/103)to 2.7%(3/111)(χ^(2)=7.598,P=0.006).Patients’average worst pain score on the operation day significantly decreased(Z=-2.486,P=0.013),and scores from the first to the third postoperative day also decreased(Z=-2.172,P=0.030).Conclusions:Implementation of a pain management core competency education program for surgical nurses can increase their knowledge of core competencies of pain management,improve selected pain management practices,and decrease p

摘要：Objective Considering the importance of out-of-hospital services,the emergence of home care nursing,and the need for an ethical framework in nursing practice,the present study aimed to explore the nurses’experience of ethical values of home care *** The data of the study was collected using face-to-face individual *** purposive sampling,20 nurses who worked in the home care centers in four cities of Iran in 2020 were *** shared their experiences of the ethical values of home care ***,the interviews were analyzed based on the content analysis approach and using Graneheim and Lundman *** In the present study,416 codes were *** these codes based on the similarity,seven main themes,and 16 sub-themes were *** themes included perception of the professional identity,respect for the client’s autonomy,respecting privacy,establishing human interaction,maintaining mutual safety,observance of justice,and cultural-religious *** sub-themes included responsibility,development of professional and inter-professional interactions,maintaining the professional status at home,providing the holistic artistic care,patient’s privacy,nurse’s privacy,and maintaining the confidentiality of information,respect for the client’s choice,honestly informing,empathetic interaction,adjusting the power positions,client's safety,nurse’s safety,establishing justice,respect for the religious beliefs at home and cultural *** The participants stated that due to entering the patient’s privacy in the home care cases,the ethical values such as perception of the professional identity,privacy,family interactions’management,mutual security,and cultural-religious competence became doubly important compared to the hospital caring.

摘要：Objective:The study aimed to investigate the level and factors associated with the resilience of nurses practicing at the main COVID-19 referral center in ***:The study utilized a cross-sectional survey *** were collected electronically in the spring of 2020 from 265 *** questionnaire included five sections:demographic characteristics,job satisfaction,turnover intentions,exposure to violence,and resilience *** linear regression was used to determine factors associated with ***:Results showed that the overall score of resilience among nurses was 66.91±*** nurses were satisfied with their job(67.8%),and most nurses reported that it is unlikely for them to quit their present work in the coming year(76.2%).Over the last year,three-quarters of nurses(74.7%)reported being ever exposed to a form of occupational *** resilience of nurses was directly associated with job satisfaction and male gender and inversely associated with intention-to-quit and exposure to violence(P<0.05).Conclusions:Enhancing the resilience of nurses at the frontline of the COVID-19 pandemic improves their job satisfaction and retention and would help support the effectiveness and efficiency of care *** managers can regularly investigate the resilience of nurses and offer interventions that would strengthen it,especially at times of crisis.

摘要：Objectives:This study was conducted to examine the differences between perceptions and practices of family-centered care among Thai pediatric ***:This mixed-methods study consisted of two phases,in the first phase,a descriptive comparative design using the Family-Centered Care Questionnaire-Revised(FCCQ-R)was administered to 142 pediatric nurses from a university hospital in Bangkok,*** the second phase,qualitative interviews were conducted with 16 pediatric nurses to gather complementary information regarding the major findings from the first ***:The results revealed that family strengths and individuality were rated the highest as the most important elements and the most frequent ***/professional collaboration was perceived as the least important element,while the design of the heath care delivery system was rated as the least frequent *** qualitative data revealed that the major reasons for suboptimal implementation included a common perception that family-centered care is a Western concept,nurses'weak attitudes towards their roles,and a shortage of ***:nurses agreed that the identified elements of family-centered care were necessary but that they did not incorporate the concepts into their daily nursing practice to maintain their endorsement of the family-centered care *** study is needed to explore how family-centered care is understood and operationalized by Thai nurses and how hospital administration and environments can be modified to support this care model.

摘要：Objectives: This study was conducted to evaluate oncology nurses' knowledge and compliance with oral mucositis (OM) management ***: A cross-sectional design with a nonparticipant observation approach was *** phase Ⅰ,a cross-sectional convenience sample (n =140) of oncology nurses completed the knowledge *** phase Ⅱ,a random sample (n =20) of oncology nurses from participants in phase I was observed during their ***: Fifty-seven (40.7%) of the participants had an unsatisfactory level of *** of them had knowledge deficits regarding pathology,OM definition,assessment,scoring,treatment,and patient education and advice.A significant difference existed among nurses with diploma,bachelor,and postgraduate degrees as determined by one-way ANOVA (P =0.001).There were no significant difference between average scores of male and female nurses were higher than those of nurses (P=0.45).No significant difference was observed among knowledge scores of nurses with different job titles (P =0.51).The average score of male nurses in terms of skill performance was higher than that of female nurses (29.20 ± 2.10 vs 27.10 ± 1.80) without statistical ***: The knowledge and compliance with OM management guidelines among Jordanian oncology nurses need to be *** OM prevention and management guidelines are adopted in *** education and training are also recommended.

摘要：Objective:The introduction of the vicarious resilience concept in psychology and mental health nursing literature is a highly promising *** utilizing this novel concept,experts in various domains can enhance their comprehension of how to foster resilience in individuals by observing and learning from the resilience of *** concept analysis aims to elucidate the concept of vicarious resilience in mental health nursing by defining its related attributes,antecedents,and ***:Walker and Avant’s strategy for concept analysis method was *** review specifically examined mental health nurse providers.A comprehensive literature search was performed in the PubMed,Medline,the Cochrane Library,and CINAHL *** inclusion criterion was Englishlanguage documents on vicarious resilience within mental health ***:A total of 24 articles were *** concept’s attributes were empathy,hope,resourcefulness,awareness,and *** were associated with listening to patients’trauma narratives,self-care,self-awareness,and support from *** were enhanced well-being,changes in life goals,adaptation,personal growth,and increased personal ***,there is only one tool in the empirical ***:Interpreting the concept of vicarious resilience in mental health nursing and determining its characteristics can be utilized to design nursing interventions to develop vicarious resilience and enhance the quality of care in mental health facilities.

摘要：Objectives Even though guidelines are available to guide dysphagia identification and management practice,there is still a gap between evidence and practice,which requires *** purpose of this study was to determine the effect of using tailored,multifaceted strategies to improve evidence-based post-stroke dysphagia identification and management practice in a community *** Guided by the Knowledge to Action framework,the tailored,multifaceted strategies were developed and implemented for 5 months in a community hospital using a before-and-after study *** strategies consisted of training intervention,policy intervention,and audit and feedback ***’level of knowledge and adherence,were collected in March 2019 and again in January ***’quality of life and satisfaction were evaluated during the pre-intervention period(between February 2019 and April 2019)and the post-intervention period(between November 2019 and January 2020).Results A total of 55 patients with post-stroke dysphagia(28 in the pre-intervention period and 27 in the post-intervention period)and 17 registered nurses were *** implementation,there were statistically significant improvements in patients’outcomes(quality of life and satisfaction)and nurses’outcomes(level of knowledge and adherence).Conclusions This study assists in closing the research-practice gap by using tailored,multifaceted strategies to increase the use of evidence-based nursing care for dysphagia identification and management practices.

摘要：Objectives:Competence motivates newly employed nurses to provide high-quality care,which leads to appropriate patient care and satisfaction.A nursing orientation program can have a positive impact on new nurses who are joining healthcare *** research examined the orientation program for new nurses in a multicultural setting to redesign the ***:The study was carried out in a multicultural tertiary *** research was used as a research strategy with qualitative content analysis and quantitative *** nurses were part of the orientation *** competence of the nurses was assessed using the Nurse Competence ***-group discussions were also conducted to find the views of the beneficiaries about the ***:The study revealed that the overall competence was high,and there was an overall gain in the competence score(5.48%)among the *** their competence in different dimensions,new nurses had a maximum gain in competence for the dimension of ensuring ***,they showed low competence gain in teaching *** results show that the difference in the overall pre-and post-test scores was statistically significant(P<0.05)in all dimensions except teaching coaching and managing situations,and the program was ***,a few challenges were identified in the ***:New nurses were found to be competent,and the orientation program had a significant impact on the competence of the *** findings emphasized the need for modification of some content and strategy for future *** strategies developed from the findings were *** helps hospitals to consider examining specific aspects of the orientation program and redesigning it so it can enrich the experiences of new nurses.