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Al-Juboury AAAA, Al-Janaby MAAKM. Effectiveness of life style change instructions program up on physical activity for patients' undergoing coronary angiography. Curr Probl Cardiol 2024; 49:102727. [PMID: 38971549 DOI: 10.1016/j.cpcardiol.2024.102727] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/20/2024] [Accepted: 06/26/2024] [Indexed: 07/08/2024]
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Lavilla-Gracia M, Pueyo-Garrigues M, Fotopoulou M, Canga-Armayor A, Esandi N, Alfaro-Díaz C, Canga-Armayor N. Training nursing students in motivational interviewing for alcohol misuse: A mixed method study. NURSE EDUCATION TODAY 2023; 125:105775. [PMID: 36924704 DOI: 10.1016/j.nedt.2023.105775] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/15/2022] [Revised: 01/27/2023] [Accepted: 02/28/2023] [Indexed: 06/18/2023]
Abstract
BACKGROUND Motivational interviewing led by nurses has been demonstrated to be effective in reducing alcohol consumption among university students. However, most of these professionals feel that they lack the competence necessary for motivational interviewing due to a lack of formal training in the nursing curriculum. OBJECTIVES To design, implement and evaluate a motivational interviewing training course for alcohol misuse in an undergraduate nursing curriculum and to explore students' experiences with this course. DESIGN A mixed-methods study involving a descriptive comparative quantitative design and qualitative focus group interviews with nursing students. SETTINGS An elective nursing course in a Spanish university. PARTICIPANTS A total of 21 fourth-year nursing students. METHODS The course was developed as a twelve-week, two-hour course. It comprised three modules covering the concepts, tools and skills associated with motivational interviewing for alcohol misuse. Quantitative and qualitative data were collected after the completion of the course to evaluate the training received by students; these data were categorized using Kirkpatrick's model. The quantitative results included students' satisfaction, knowledge, skills and attitudes, which were measured using an ad hoc questionnaire, a multiple-choice exam, and two rater-based assessments (the Peer Proficiency Assessment instrument and an evidence-based checklist). Qualitative focus groups were used to explore students' experiences of the entire programme. RESULTS Students' satisfaction with the course was rated 9 out of 10, highlighting the usefulness and adequacy of the course content. The quantitative and qualitative results both indicated that all students acquired the knowledge necessary to perform motivational interviewing and significantly improved their motivational interviewing microskills. Only half of the students reached the level of proficiency in two of the three ratios calculated. The three main themes identified pertained to the learning atmosphere, module methodologies, and students' self-perceptions of competence. Finally, the students reported having transferred their learning to clinical practice. CONCLUSION A course on motivational interviewing for alcohol misuse positively influences nursing students both personally and in terms of their future professional work by improving their knowledge, skills, attitudes and self-perceived competence.
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Affiliation(s)
- M Lavilla-Gracia
- University of Navarra, School of Nursing, Community, Maternity and Pediatric Nursing, Campus Universitario, 31008 Pamplona, Spain.
| | - M Pueyo-Garrigues
- University of Navarra, School of Nursing, Community, Maternity and Pediatric Nursing, Campus Universitario, 31008 Pamplona, Spain; IdiSNA, Navarra Institute for Health Research, Spain.
| | - M Fotopoulou
- Colin Bell Building, University of Stirling, Stirling FK9 4LA, Scotland, UK.
| | - A Canga-Armayor
- IdiSNA, Navarra Institute for Health Research, Spain; University of Navarra, School of Nursing, Nursing Care for Adult Patients Department, Campus Universitario, 31008 Pamplona, Spain.
| | - N Esandi
- IdiSNA, Navarra Institute for Health Research, Spain; University of Navarra, School of Nursing, Nursing Care for Adult Patients Department, Campus Universitario, 31008 Pamplona, Spain.
| | - C Alfaro-Díaz
- IdiSNA, Navarra Institute for Health Research, Spain; University of Navarra, School of Nursing, Nursing Care for Adult Patients Department, Campus Universitario, 31008 Pamplona, Spain.
| | - N Canga-Armayor
- University of Navarra, School of Nursing, Community, Maternity and Pediatric Nursing, Campus Universitario, 31008 Pamplona, Spain; IdiSNA, Navarra Institute for Health Research, Spain.
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Continuity of Nursing Care in Patients with Coronary Artery Disease: A Systematic Review. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:ijerph19053000. [PMID: 35270693 PMCID: PMC8910524 DOI: 10.3390/ijerph19053000] [Citation(s) in RCA: 5] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 01/28/2022] [Revised: 02/27/2022] [Accepted: 03/02/2022] [Indexed: 02/01/2023]
Abstract
Coronary artery disease is the leading cause of death worldwide and patient continuity of care is essential. Health professionals can help in the transition stage by providing resources to achieve pharmacological treatment adherence, as well as social and emotional support. The objective was to analyse the effects of nursing interventions based on continuity of care in patients with coronary artery disease after hospital discharge. A systematic review of randomised controlled trials and quasi-experimental studies was carried out. Cochrane, CINAHL, Health & medical collection, Medline, and Scopus databases were consulted in January 2022. PRISMA guidelines were followed with no time limits. In total, 16 articles were included with a total of 2950 patients. Nurse-led continuity of care programs improved the monitoring and control of the disease. Positive effects were found in the quality of life of patients, and in mental health, self-efficacy, and self-care capacity dimensions. Clinical parameters such as blood pressure and lipid levels decreased. The continuity of care provided by nurses had a positive influence on the quality of life of patients with coronary artery disease. Nurse-led care focused on the needs and resources, including continuity of care, plays a key role.
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Bohplian S, Bronas UG. Motivational Strategies and Concepts to Increase Participation and Adherence in Cardiac Rehabilitation: AN INTEGRATIVE REVIEW. J Cardiopulm Rehabil Prev 2022; 42:75-83. [PMID: 34753873 DOI: 10.1097/hcr.0000000000000639] [Citation(s) in RCA: 5] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
Abstract
INTRODUCTION Low participation and adherence to cardiac rehabilitation (CR) leads to ineffective care and increased risk of cardiac complications. There is a need to identify effective motivational strategies and concepts to increase participation and adherence to CR. PURPOSE The aim of this review was to synthesize and integrate the current knowledge about motivational strategies and concepts to increase participation and adherence to CR. METHODS A literature search was performed using five electronic databases: CINAHL, Medline via PubMed, Scopus, Embase, and Rehabilitation & Sports Medicine Source. The search was limited to peer-reviewed studies, written in English, and publications from 2010 to 2019. A matrix and narrative synthesis were employed to organize and synthesize the findings, respectively. RESULTS Eight of 522 articles met the inclusion criteria. Four articles used motivational interviewing (MotI) and counseling strategy, three articles investigated the autonomy, competence, and relatedness of self-determination theory (SDT) concepts, and one article used a reinforced motivational strategy. Use of MotI led to improving the CR completion rate from 14% to 39%. The number of sessions attended/patient improved from 12 to 20 when the staff was provided attendance feedback and a reward. Autonomy, competence, and relatedness motivated patients to participate in and adhere to CR. CONCLUSIONS Motivational interviewing and counseling, motivational and reinforcement strategies, and the autonomy, competence, and relatedness of SDT concepts should be utilized to promote participation and motivation for CR. The effects of these techniques on long-term CR require further research, including combining the identified methods to investigate the efficacy of these techniques on CR adherence.
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Affiliation(s)
- Suweena Bohplian
- Department of Biobehavioral Health Science, University of Illinois at Chicago, Chicago
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Kocanda L, Schumacher TL, Kerr J, May J, Rollo ME, Neubeck L, Brown LJ. Current Nutrition Practice in Cardiac Rehabilitation Programs. J Cardiopulm Rehabil Prev 2021; 41:E32-E38. [PMID: 34727567 DOI: 10.1097/hcr.0000000000000588] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
Abstract
PURPOSE This study sought to determine current practice regarding nutrition care within cardiac rehabilitation (CR) programs, including perceived barriers and facilitators to providing nutrition care in this setting. METHODS A cross-sectional survey was conducted in October and November 2019. Potential participants were program coordinators, identified through the Australian Cardiovascular Health and Rehabilitation Association program directory and invited to participate via e-mail. RESULTS Forty-nine respondents (response rate: 13%) are included in this analysis. Programs provided group (n = 42, 86%) and/or individual (n = 25, 51%) nutrition education, and most were supported by a dietitian (63%). However, the availability of dietitians and nutrition care provided at CR was variable. For example, individual education was consistently provided at 13 programs and usually by health professionals other than dietitians. Eight programs (16%) used a formal behavior change framework for nutrition care. Generally, respondents were positive about the role of nutrition; CR coordinators perceived nutrition as a valuable component of the program, and that they had good nutrition knowledge. An identified barrier was the financial resources available to support the provision of nutrition care. CONCLUSIONS To ensure that patients receive the benefits of evidence-based nutrition care, program staff may require additional support, particularly regarding the use of evidence-based behavior change techniques. Key facilitators that may be leveraged to achieve this include the high value and priority that CR program coordinators place on nutrition care.
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Affiliation(s)
- Lucy Kocanda
- Department of Rural Health, Faculty of Health and Medicine, The University of Newcastle, Tamworth, New South Wales, Australia (Ms Kocanda and Drs Schumacher, May, and Brown); School of Medicine and Public Health, Faculty of Health and Medicine (Ms Kocanda and Dr May), Priority Research Centre for Physical Activity and Nutrition (Ms Kocanda and Drs Schumacher, Rollo, and Brown), Priority Research Centre for Health Behaviour (Ms Kocanda and Dr Schumacher), and School of Health Sciences, Faculty of Health and Medicine (Drs Schumacher, Rollo, and Brown), The University of Newcastle, Callaghan, New South Wales, Australia; Hunter Medical Research Institute, New South Wales, Australia (Ms Kocanda and Dr Schumacher); Hunter New England Local Health District, Tamworth, Australia (Ms Kerr); School of Health and Social Care, Edinburgh Napier University, Edinburgh, Scotland (Dr Neubeck); and The Susan Wakil School of Nursing and Midwifery, The University of Sydney, Sydney, New South Wales, Australia (Dr Neubeck)
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Nurmeksela A, Pihlainen V, Kettunen T, Laukkanen J, Peltokoski J. Nurse-led counseling for coronary artery disease patients: A 1-year follow-up study. Nurs Health Sci 2021; 23:678-687. [PMID: 33991019 DOI: 10.1111/nhs.12852] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/18/2020] [Revised: 04/12/2021] [Accepted: 04/27/2021] [Indexed: 11/29/2022]
Abstract
Nurse-led counseling and systematic follow-up have been shown to reduce cardiovascular risk factor levels. The study aims were to investigate if cardiovascular risk factor levels could be reduced in patients with coronary artery disease with a nurse-led intervention and to report patients' evaluations of nurse-led counseling. The study design was a real-life longitudinal follow-up counseling intervention. Data were collected from November 2017 to May 2020. The nurse-led intervention and patients' follow-up time was 1 year. Of the 78 patients recruited, 74 completed the study. The most significant findings were in the levels of total cholesterol, low-density lipoprotein cholesterol, and triglycerides at every follow-up visit compared to their baseline levels and that waist circumference decreased during the 1-year follow-up. Patients assessed the quality of nurse-led counseling to be very good, though it decreased slightly during follow-up. The results suggest the integrated care path and specialized and primary care for coronary artery disease patients need further development. More research is needed on how to strengthen patients' self-management and what kind of counseling would best promote it.
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Affiliation(s)
- Anu Nurmeksela
- Faculty of Health Sciences, Department of Nursing Science, University of Eastern Finland, Kuopio, Finland
| | | | - Tarja Kettunen
- Faculty of Sport and Health Sciences and Central Finland Health Care District, Unit of Primary Health Care, University of Jyvaskyla, Jyvaskyla, Finland.,Unit of Primary Health Care, Jyvaskyla, Finland
| | - Jari Laukkanen
- Department of Medicine, Institute of Clinical Medicine, University of Eastern Finland, Kuopio, Finland.,Department of Medicine, Central Finland Health Care District, Jyvaskyla, Finland
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Abstract
BACKGROUND Although many genetic and environmental causes of cancer are uncontrollable, individuals can choose behaviors that significantly increase or reduce their risk for cancer. OBJECTIVES This article discusses known cancer-protective behaviors, including exercising regularly, maintaining a healthy weight, vaccinating against cancer-associated viruses, and minimizing exposure to tobacco products, alcohol, processed meats, and ultraviolet light. METHODS The author performed a review of guidelines and techniques for counseling patients about risky behaviors, with an emphasis on patients with cancer. FINDINGS Much remains to be learned about the most effective clinical interventions for encouraging patients to adopt healthy behaviors, but oncology nurses should become familiar with the fundamental principles of counseling patients about health-promoting behaviors.
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James S, Mcinnes S, Halcomb E, Desborough J. General practice nurses’ communication strategies for lifestyle risk reduction: A content analysis. J Adv Nurs 2020; 76:3082-3091. [DOI: 10.1111/jan.14518] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/14/2020] [Revised: 06/21/2020] [Accepted: 07/23/2020] [Indexed: 12/21/2022]
Affiliation(s)
- Sharon James
- School of Nursing Faculty of Science, Medicine & Health University of Wollongong Bega Australia
| | - Susan Mcinnes
- School of Nursing Faculty of Science, Medicine & Health University of Wollongong & Illawarra Health & Medical Research Institute Wollongong Australia
| | - Elizabeth Halcomb
- School of Nursing Faculty of Science, Medicine & Health University of Wollongong & Illawarra Health & Medical Research Institute Wollongong Australia
| | - Jane Desborough
- Department of Health Services Research and Policy Research School of Population HealthCollege of Medicine, Biology and the EnvironmentAustralian National University Acton Australia
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Analyzing the Job Demands-Control-Support Model in Work-Life Balance: A Study among Nurses in the European Context. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2020; 17:ijerph17082847. [PMID: 32326169 PMCID: PMC7215557 DOI: 10.3390/ijerph17082847] [Citation(s) in RCA: 13] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 04/01/2020] [Revised: 04/16/2020] [Accepted: 04/18/2020] [Indexed: 01/23/2023]
Abstract
The balance of personal life with professional life is a topical issue that is increasingly worrisome due to globalization, the rapid introduction of new technologies into all areas of human life, the overlap between time between work and family, new organizational systems, and changes in the nature of work. This problem is accentuated by professions subjected to intense labor demands, as is the case of nurses. Adopting the Job Demand–Control–Support model, the main purpose of this research is to analyze how these factors lead to a greater or lesser degree of work–life balance. The research proposes a logistic regression model, which was constructed with a sample of 991 nursing professionals from the V European Working Conditions Survey. The results obtained confirm, on the one hand, that there is a significant effect of physical demands (but not psychological demands) on work–life balance. On the other hand, the moderating effects of job control are partially confirmed for psychological demands, and those of supervisor support (but not co-worker support) are partially confirmed for physical demands. In conclusion, the present research shows that effective management of nurses’ work context can decisively contribute to finding the difficult balance between personal and professional time.
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Dalfó‐Pibernat A, Duran X, Garin O, Enjuanes C, Calero Molina E, Hidalgo Quirós E, Cladellas Capdevila M, Rebagliato Nadal O, Dalfó Baqué A, Comin-Colet J. Nursing knowledge of the principles of self‐care of heart failure in primary care: a multicentre study. Scand J Caring Sci 2019; 34:710-718. [DOI: 10.1111/scs.12775] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/09/2019] [Accepted: 09/18/2019] [Indexed: 12/28/2022]
Affiliation(s)
- Artur Dalfó‐Pibernat
- Department of Medicine, Universitat Autònoma de Barcelona Bellaterra Spain
- Horta Primary Care Center Catalan Institute of Health Barcelona Spain
- Grup de Recerca Biomedica en Malalties del cor GREC (Heart Diseases Biomedical Research Group) IMIM (Hospital del Mar Medical Research Institute) Barcelona Spain
- Sant Joan de Déu Nursing’s School University Barcelona Spain
| | - Xavier Duran
- Health Services Research Group IMIM (Hospital del Mar Medical Research Institute) Barcelona Spain
| | - Olatz Garin
- Health Services Research Group IMIM (Hospital del Mar Medical Research Institute) Barcelona Spain
- Department of Experimental and Health Sciences, Center for Research in Occupational Health (CiSAL) Universitat Pompeu Fabra (UPF) Barcelona Spain
- CIBER in Epidemiology and Public Health (CIBERESP) Barcelona Spain
| | - Cristina Enjuanes
- Community Heart Failure Program Department of Cardiology Bellvitge University Hospital and IDIBELL Catalan Institute of Health Hospitalet de Llobregat University of Barcelona Barcelona Spain
| | - Esther Calero Molina
- Community Heart Failure Program Department of Cardiology Bellvitge University Hospital and IDIBELL Catalan Institute of Health Hospitalet de Llobregat University of Barcelona Barcelona Spain
| | - Encarnación Hidalgo Quirós
- Community Heart Failure Program Department of Cardiology Bellvitge University Hospital and IDIBELL Catalan Institute of Health Hospitalet de Llobregat University of Barcelona Barcelona Spain
| | - Mercè Cladellas Capdevila
- Grup de Recerca Biomedica en Malalties del cor GREC (Heart Diseases Biomedical Research Group) IMIM (Hospital del Mar Medical Research Institute) Barcelona Spain
| | | | | | - Josep Comin-Colet
- Community Heart Failure Program Department of Cardiology Bellvitge University Hospital and IDIBELL Catalan Institute of Health Hospitalet de Llobregat University of Barcelona Barcelona Spain
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