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Fattahi Ardakani M, Sotoudeh A, Asadian A, Heydari S, Zareipour M. The Effect of an Educational Intervention Based on the Health Action Process Approach on Nurses' Communication Skills. INVESTIGACION Y EDUCACION EN ENFERMERIA 2024; 42:e13. [PMID: 39083825 PMCID: PMC11290895 DOI: 10.17533/udea.iee.v42n1e13] [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: 11/16/2023] [Accepted: 02/06/2024] [Indexed: 08/02/2024]
Abstract
Objective This study aimed to the effects of the Health Action Process Approach (HAPA) in promoting the quality of nurses' communication skills among nurses. Methods The present quasi-experimental research was conducted on 148 nurses (76 in the intervention and 72 in the control group) in Yazd province (Iran). In this study, the total number of nurses in one hospital was selected as the intervention group, while the nurses from another hospital were chosen as the control group. The participants were recruited from public hospitals in Ardakan and Meibod cities. The data collection instrument was a questionnaire based on the Health Action Process Approach (HAPA) Constructs and a communicative skill questionnaire. The data were collected from the two groups before, one month after, and four months after the intervention. The control group did not receive any educational training during the course of the study. Results In the pretest, no statistically significant difference was found between the intervention and control groups regarding the behavioral stages of effective communication with patients. In the posttest, the mean task self-efficacy score was significantly increased in the intervention group compared to the control (p<0.001). The mean coping self-efficacy score was also significantly higher in the intervention group than the control in the posttest (p<0.001). Moreover, the mean coping planning score was significantly increased in the post-test intervention group(p < 0.001). The mean communicative skill score was also significantly increased in the intervention group compared to the post-test control (p=0.03). Conclusion The intervention used in the present study based on the target model (HAPA) significantly affected nurses' self-efficacy and communicative skills in the experimental group.
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Affiliation(s)
| | - Ahmad Sotoudeh
- Department of Public Health, Bushehr University of Medical Sciences, Bushehr, Iran.
| | - Ali Asadian
- Social Determinants in Health Promotion Research Center, Hormozgan University of Medical Sciences, Bandar Abbas, Iran.
| | - Sara Heydari
- Assistant Professor of Medical Education, Shahid Sadoughi University of Medical Sciences, Yazd, Iran.
| | - Moradali Zareipour
- Department of public Health, Khoy University of Medical Sciences, Khoy, Iran.
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Tian F, Xi Z, Ai L, Zhou X, Zhang Z, Liu J, Mi Y, Gui S, Li C, Liu M. Investigation on Nurses' Willingness to "Internet + Nursing Service" and Analysis of Influencing Factors. J Multidiscip Healthc 2023; 16:251-260. [PMID: 36726482 PMCID: PMC9885965 DOI: 10.2147/jmdh.s396826] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/21/2022] [Accepted: 01/11/2023] [Indexed: 01/28/2023] Open
Abstract
Objective To investigate the willingness of nurses in Yichang to participate in "Internet plus nursing services" and analyze the influencing factors in order to provide reference for the implementation of "Internet plus nursing services". Methods Using the "Internet plus Nursing Service" questionnaire, a cross-sectional survey was conducted among 1447 nurses in Yichang by convenience sampling from July to September in 2022, and the related influencing factors were analyzed. The questionnaire was composed of two parts: the demographic characteristics and the questionnaire of nurses' willingness to participate in "Internet plus nursing service", including 4 dimensions: awareness, promoting factors, concern factors and training needs. Likert 5-point scoring method was used for scoring. Binary logistic regression was used to screen the variables, and the ROC curve and Nomogram risk prediction model were drawn. Results A total of 1233 valid questionnaires were collected. It shows that 76.07% of nurses in Yichang are willing to participate in "Internet plus nursing services". Among them, education background, specialist nurses, awareness, promotion factors, concerns and training needs are the independent influencing factors (all P < 0.05). The area under the ROC curve (AUC) of the prediction model is 0.802, and the consistency index (c-index) of nomogram is 0.800. The average absolute error of internal calibration is 0.014, and the model has good accuracy and discrimination. Conclusion Nurses in Yichang have a high willingness to participate in "Internet plus nursing services", a low awareness of the program and a high demand for relevant professional training. It is suggested that the government and hospitals should strengthen the publicity of "Internet plus nursing services", improve relevant laws and regulations and strengthen the construction of specialist nurses' team, so as to provide a good practice environment for nurses' door-to-door service.
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Affiliation(s)
- Fei Tian
- The First College of Clinical Medical Science, China Three Gorges University, Teaching and Research Section of Clinical Nursing, Yichang, People’s Republic of China,Correspondence: Fei Tian, The First College of Clinical Medical Science, China Three Gorges University, Teaching and Research Section of Clinical Nursing, Yichang, 433000, People’s Republic of China, Tel +86 13687271927, Email
| | - Zuyang Xi
- The First College of Clinical Medical Science, China Three Gorges University, Teaching and Research Section of Clinical Nursing, Yichang, People’s Republic of China
| | - Ling Ai
- Nursing Department, China Xingshan County People’s Hospital, Xingshan, People’s Republic of China
| | - Xiaojing Zhou
- The First College of Clinical Medical Science, China Three Gorges University, Teaching and Research Section of Clinical Nursing, Yichang, People’s Republic of China
| | - Zhaohui Zhang
- The First College of Clinical Medical Science, China Three Gorges University, Teaching and Research Section of Clinical Nursing, Yichang, People’s Republic of China
| | - Jinglan Liu
- The First College of Clinical Medical Science, China Three Gorges University, Teaching and Research Section of Clinical Nursing, Yichang, People’s Republic of China
| | - Yuanyuan Mi
- Department of Critical Care Medicine, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, People’s Republic of China
| | - Shengmin Gui
- The First College of Clinical Medical Science, China Three Gorges University, Teaching and Research Section of Clinical Nursing, Yichang, People’s Republic of China
| | - Chaxiang Li
- The First College of Clinical Medical Science, China Three Gorges University, Teaching and Research Section of Clinical Nursing, Yichang, People’s Republic of China
| | - Min Liu
- The First College of Clinical Medical Science, China Three Gorges University, Teaching and Research Section of Clinical Nursing, Yichang, People’s Republic of China
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Determinants of Sailors' Protective Behaviors in Fishing Spots against the Risks of Sunlight and Skin Cancer: A Qualitative Study in Iran. J Skin Cancer 2021; 2021:9954946. [PMID: 34327024 PMCID: PMC8310437 DOI: 10.1155/2021/9954946] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/13/2021] [Accepted: 07/13/2021] [Indexed: 11/18/2022] Open
Abstract
Introduction The growing rate of nonmelanoma skin cancer (NMSC) and melanoma has been a great challenge for global health system. The present research aims to determine sailors' protective behaviors against the risks of sunlight and skin cancer in Iran. Materials and Methods The present research was qualitative in type, and its data were collected from August to December 2019. To this aim, 23 participants were recruited with whom semistructured interviews were held. The data collection continued until data saturation, and the interviews were coded in MAXQDA 10. Conventional content analysis was used to analyze the qualitative data. Results Analysis of sailors' perceptions and experiences revealed 7 categories: protective behaviors, hard personal and familial conditions, social interactions, poor social support, feeling of satisfaction, self-care, and fear. Conclusion Sailors are prone to skin cancer due to their specific work conditions. Perceptions and determinants of skin cancer and protective behaviors against sunlight were identified among sailors. Promotion of protective behaviors and beliefs that impeded preventive behaviors are among issues that require special attention.
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