In their personal lives and workplace, nurses are exposed to traumatic events, which heighten their risk of developing post-traumatic stress disorder. However, targeted interventions to promote ...psychological recovery among nurses are limited. This study explored the emotional and psychological recovery processes of nurses who participated in an Internet-based Trauma Recovery Nursing Intervention (IBTRNI) based on Swanson's Theory of Caring.
This study conducted a secondary qualitative analysis of free-text responses collected from 102 nurses who completed IBTRNI, as part of a survey-based study with both closed- and open-ended questions. Text mining was utilized to identify high-frequency keywords, and thematic analysis provided deeper emotional and psychological insights. The analysis was structured around Swanson's three phases: "Knowing," "Doing For," and "Enabling."
In the "Knowing phase," the participants demonstrated increased self-awareness, recognizing their emotional responses and the effects of negative thoughts on daily life. The "Doing For" phase revealed enhanced emotional regulation, where participants learned to manage and transform negative emotions into positive ones. Finally, the "Enabling" participants developed improved interpersonal relationships and adopted effective coping mechanisms, including communication and mindfulness practices, to manage stress and promote resilience.
Swanson's Theory of Caring provides a robust framework for supporting nurses' trauma recovery. The combination of text mining and thematic analysis offers a comprehensive understanding of the emotional and psychological transformations experienced during the intervention. The findings underscore the potential for theory-based digital interventions to support trauma recovery among healthcare professionals. Future research should expand on these methodologies to enhance their broader applicability.
This study involved secondary data analysis. The primary study was registered at ClinicalTrials.gov-US National Library of Medicine (clinical trial registration number: NCT04989582) on 2022-01-31 and is available online.
People living with human immunodeficiency virus (PLWH) in Korea demonstrate insufficient self-management behaviors. Especially during pandemics such as COVID-19, technology-based self-management ...programs are needed to overcome time and space limitations. The purpose of this study was to evaluate the effects of a self-management program using a mobile app (Health Manager) on self-management outcomes among PLWH in Korea. A randomized controlled pilot trial was performed and participants were enrolled in the infectious outpatient clinic of a single hospital. The intervention group used the mobile app for 4 weeks, while the control group received self-management education materials in a portable document format. The online self-report questionnaire assessed primary outcomes including self-efficacy for self-management, self-management behaviors, and medication adherence, and secondary outcomes including perceived health status, depression, and perceived stigma. Thirty-three participants were randomly assigned to the intervention (n = 17) or the control group (n = 16). In the intention-to-treat analysis, self-efficacy for self-management and self-management behaviors increased, while perceived stigma decreased. The app-based self-management program could be considered a helpful strategy to improve self-management outcomes among PLWH and reduce their perceived stigma during the pandemic. Further studies with larger samples and longer follow-ups are needed.
Trial registration
: Clinical Research Information Service, KCT0004696 04/02/2020.
This study examined the mediating effects of social support on the association between disaster distress and mental health outcomes. We analyzed the data of 1006 participants with either direct or ...indirect exposure to one or more disasters. Disaster distress, social support, depression, and anxiety were significantly correlated. Multiple regression and mediation analyses with bootstrapping showed that social support was a partial mediator between disaster distress and depression, and between disaster distress and trait anxiety. It was a complete mediator between disaster distress and state anxiety. The results suggest that enhancing social support may reduce the negative effects of disaster distress on depression and anxiety. Therefore, comprehensive interventions incorporating disaster distress management and enhanced social support are essential in national disaster management policies and psychiatric and mental health nursing services for individuals who have experienced disasters.
Euglena gracilis (E. gracilis) accumulates paramylon, an immune-functional beta-glucan that can be used as a functional food. Paramylon production is strongly affected by the organic carbon source ...and the initial pH conditions. Food processing byproducts have attracted attention for microalgal cultivation because of their low cost and abundance of nutrients, including carbon and nitrogen. We investigated the optimal carbon source and its concentration for efficient paramylon production. A spent tomato byproduct (STB) generated from a tomato processing plant was applied for biomass and paramylon production from E. gracilis with respect to the initial pH condition. The highest paramylon concentration (1.2 g L−1) and content (58.2%) were observed with 15 g L−1 glucose. The biomass production increased when STB was used as compared with that when a synthetic medium was used (1.6-fold higher at pH 3 and 2-fold higher at pH 8). The optimal initial pH was determined according to the maximum production of biomass and paramylon. Upcycling the food processing byproduct, STB, can contribute not only to cost reduction of the biorefinery process using E. gracilis but also to environmental remediation by removing organic carbon and nitrogen from the byproducts.
Objective:
This study evaluates the efficacy of Internet-Based Training in Trauma Care for Nurses (IBTTCN) to improve nurses’ trauma intervention self-efficacy, professional quality of life, and ...attitudes and knowledge about post-traumatic stress disorder.
Methods:
Forty-one nurses participated from May to July 2021. The assessment points were at baseline (T1), immediately after program completion (4 weeks; T2), and 1 month after T2 (T3). Data were analyzed using repeated-measures analysis and generalized estimating equations.
Results:
In the intervention group, trauma intervention self-efficacy increased significantly after the IBTTCN, and the effect of such self-efficacy over time was significant.
Conclusions:
The IBTTCN improved nurses’ trauma intervention self-efficacy.
The temporal synchrony of auditory and visual signals is known to affect the perception of an external event, yet it is unclear what neural mechanisms underlie the influence of temporal synchrony on ...perception. Using parametrically varied levels of stimulus asynchrony in combination with BOLD fMRI, we identified two anatomically distinct subregions of multisensory superior temporal cortex (mSTC) that showed qualitatively distinct BOLD activation patterns. A synchrony-defined subregion of mSTC (synchronous>asynchronous) responded only when auditory and visual stimuli were synchronous, whereas a bimodal subregion of mSTC (auditory>baseline and visual>baseline) showed significant activation to all presentations, but showed monotonically increasing activation with increasing levels of asynchrony. The presence of two distinct activation patterns suggests that the two subregions of mSTC may rely on different neural mechanisms to integrate audiovisual sensory signals. An additional whole-brain analysis revealed a network of regions responding more with synchronous than asynchronous speech, including right mSTC, and bilateral superior colliculus, fusiform gyrus, lateral occipital cortex, and extrastriate visual cortex. The spatial location of individual mSTC ROIs was much more variable in the left than right hemisphere, suggesting that individual differences may contribute to the right lateralization of mSTC in a group SPM. These findings suggest that bilateral mSTC is composed of distinct multisensory subregions that integrate audiovisual speech signals through qualitatively different mechanisms, and may be differentially sensitive to stimulus properties including, but not limited to, temporal synchrony.
This integrative review assesses the effectiveness of psychological interventions for reducing the severity of Internet addiction and/or Internet gaming disorder. We searched five databases, and both ...a narrative synthesis and meta-analyses were conducted. Five randomized controlled trials (RCTs) and six quasi-experimental studies met the inclusion criteria. The included interventions were categorized as cognitive-behavioral therapy, family-based intervention, and counseling program. A meta-analysis showed significant effects of psychological interventions, whereas a narrative synthesis showed some evidence that they could reduce addiction severity. Psychological interventions may help to reduce addiction severity, but further RCTs are needed to identify the most effective type.
Background Nursing students' practical training should begin when students can apply core knowledge, skills, and attitudes related to patient safety. This necessitates an integrated curriculum in ...nursing education that links practice to the theory concerning patient safety to enhance patient safety competencies and quality in nursing care. This study aimed to develop an integrated curriculum that incorporates patient safety factors in the existing curriculum to increase patient safety competencies in nursing students. Method A case study approach was adopted to explain the development processes of a new curriculum integrating patient safety in the existing outcome-based curriculum of a nursing college. Based on the existing outcome-based curriculum of a nursing college, a four-step process was performed to integrate patient safety component, including quality improvement, into the curriculum: 1) literature review, 2) analysis of course syllabus, 3) selection of courses related to patient safety topics, and 4) development of evaluation tool. Results The integrated patient safety curriculum was based on six topics: patient safety principles, teamwork, communication, patient engagement, risk management and, quality improvement, and International Patient Safety Goals. Based on the characteristics of the course according to the level of students in each year, the curriculum was integrated to address patient safety topics in seven courses (four theoretical and three practical). A Patient safety Competency self-assessment checklist was developed for students to naturally acquire patient safety competencies in clinical settings. Conclusions This study demonstrated that patient safety topics should be addressed in both theoretical and practical settings across the entire nursing curriculum per the continuity and sequence of education principles. Keywords: Patient safety, Nursing education, Curriculum, Nursing student, Competency
Anticoagulation with warfarin in Asian patients with atrial fibrillation (AF) often has been decreased as an international normalized ratio (INR) of prothrombin time 1.6-2.6 due to fear of bleeding, ...although universal criteria recommend an INR of 2.0-3.0. In this randomized, open-label trial, low-intensity anticoagulation (INR 1.6-2.6) was compared with standard-intensity anticoagulation (INR 2.0-3.0) with warfarin. A total 616 patients with AF and at least 1 risk factor for stroke were randomized to low-intensity anticoagulation (n = 308) and standard-intensity anticoagulation (n = 308) groups. The intention-to-treat analysis was performed to determine differences. The baseline characteristics of the two groups were comparable. New-onset stroke occurred in 2 patients (0.44% per year) in the low-intensity group and 5 patients (1.05% per year) in the standard-intensity group (HR 0.42, 95% CI 0.08-2.15). Major bleeding occurred in 4 patients (0.89% per year) in the low-intensity group and 5 patients (1.06% per year) in the standard-intensity group (HR 0.84, 95% CI 0.22-3.11). The rate of the net clinical outcome (composite of stroke, systemic embolism, major bleeding, and death) was 1.33% per year in the low-intensity group compared with 2.12% per year in the standard-intensity group (HR 0.63, 95% CI 0.23-1.72). In Asian patients with AF, clinical outcomes were not different between low-intensity and standard-intensity anticoagulation with warfarin.
The purpose of this study is to reveal the effect of personal value as a part of creating shared value (CSV). We extracted factors of personal value through a literature review. Personal value ...consists of social commitment, self-actualization, goal setting, and solidarity. Self-actualization is the universal motivation of the individual, goal setting is the basis for the occurrence of action, and solidarity is the relationship factor that defends competition and personalization. This study was conducted on three hypotheses. Hypothesis 1 is that self-actualization will have an effect on CSV. Hypothesis 2 is that goal setting will have an effect on CSV. Hypothesis 3 is that solidarity will have an effect on CSV. The proxy of CSV is social commitment. We examine the effects of these personal values on CSV by surveying 557 university students. This study applied the regression model to test the hypotheses. The empirical results are as follows. CSV increases when we are more self-actualized. Goal setting positively affects CSV. CSV goes up as we have many relationships with organizations and are more cooperative in work. This study suggests the important elements of personal values in a university setting for CSV, and enables setting the direction of the education by setting the index of the attitude to increase the value of the individual in CSV.
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