Volume 10 (2023): Issue 1 (March 2023)

Family resilience is not the sum of the individual psychological resilience of each of the family members, but the family itself as a unit of resilience research. The representative models of family stress tolerance theory mainly include McCubbin’s series of family stress tolerance models and Walsh’s family stress tolerance framework, which are widely used in the practice of family therapy. In the future, empirical studies on family resilience should be strengthened, measurement tools with high reliability and validity should be established, and the combination of family resilience theory and community-based practice should be promoted.

Advance care planning is a process of discussion in which patients can communicate their end-of-life care preferences to family members and health care providers for consideration. Readiness for advance care planning is a patient’s preparedness to engage in advance care planning. This review aims to develop the conceptual framework for advance care planning readiness for Chinese older people. The current knowledge from the published studies was identified and synthesized by an integrative review. The conceptual framework was developed based on the social-ecological model and the theory of planned behavior. The factors from the social environment/community, health care professionals, and individual/family layers were defined. These factors may influence an individual’s medical decision-making, which in turn triggers individual behavioral mechanisms that arise from interactions between motivations, attitudes, and beliefs. Relevant factors should be considered when assessing the behavior of personnel engaged in advance care planning or formulating appropriate intervention measures to improve advance care planning participation in China. This framework can be used to guide studies that explore how the social/familial/individual factors predict the readiness for advance care planning among Chinese older people, and to design intervention studies to test the effect of family function on the readiness for advance care planning.

Objectives: To examine the level of successful aging and the relationship between successful aging and activities of daily living (ADL), life satisfaction, social support, income, and self-efficacy among community-dwelling elderly in Wenzhou, China.

Methods: A descriptive correlational design was applied. Subjects were community-dwelling elderly in 4 districts of Wenzhou, China. Simple random sampling was used to recruit 83 participants. All participants were screened using the Mini-Cog tool. Data were collected using 6 questionnaires such as a demographic questionnaire, the Successful Aging Inventory (SAI), the Barthel Index for ADL, the Satisfaction With Life Scale (SWLS), the Social Support Rating Scale (SSRS), and the General Self-Efficacy Scale (GSES). Data were analyzed using descriptive statistics and Pearson correlation analysis.

Results: The results showed that 53% of the participants had a higher level of successful aging and 43.4% had a moderate level of successful aging with a mean score of 56.76 (standard deviation [SD] = 12.31). Factors such as elderly income (r = 0.73, P < 0.001) and self-efficacy (r = 0.72, P < 0.001) had high correlations with successful aging, whereas ADL (r = 0.67, P < 0.001), life satisfaction (r = 0.63, P < 0.001), and social support (r = 0.36, P < 0.001) had moderate correlations with successful aging.

Conclusions: There was a significant positive correlation between successful aging and ADL, life satisfaction, social support, income, and self-efficacy among community-dwelling elderly in Wenzhou, China. The findings may guide the formulation of more effective health education and intervention measures to improve successful aging among the elderly.

Background: According to previous studies on professional English course teaching, the evaluation of course teaching was positive, but the vast majorities focus on medical English literature reading, professional English vocabulary, and professional English translation. As an alternative, the course design based on academic learning needs under the outcome-oriented education/model emphasizes the improvement of students’ comprehensive ability in oral expression, literature reading, writing, and academic communication.

Objectives: The objective of this study was to analyze nursing postgraduates’ opinions on learning the outcome-oriented academic English course.

Methods: This is a cross-sectional descriptive study. A total of 150 first-year nursing postgraduates enrolled in the “Academic Professional English for Nursing Postgraduates” course. After completing the course learning, students scanned QR codes generated by the online questionnaire and completed it anonymously within 48 h.

Results: The students who participated in this course strongly believed that it “helped them strengthen their English speakability” (4.8 points), “made them more confident to participate in international academic conferences and exchanges in the future” (4.8 points), and “helped them apply English more in the nursing professional field in the future” (4.7 points).

Conclusions: The implementation of outcome-oriented course teaching helps students to understand the research of foreign scholars and effectively express their own research content with English as a tool. It motivates them to continuously use English for professional and academic communication.

Objective: To investigate the quality of life (QOL) of living donor liver transplantation (LDLT) donors.

Methods: The EuroQol 5-dimensional questionnaire (EQ-5D) was used to measure the QOL of donors.

Results: One donor reported “a little problem” of mobility (MO), and 2 donors (9.1%) reported “a little problem” of usual activities (UA). Moreover, there were 8 donors (36.4%) and 7 donors (31.8%) declaring “a little problem” of pain/discomfort (PD) and anxiety/depression (AD), respectively. And both dimensions have a donor reporting “moderate problem.” The mean visual analog scale (VAS) was 83.1 ± 12.4.

Conclusions: Donors can gain a stable and preferable QOL after donation in both the short and long terms. ED-5D application in the field of liver transplant could be an effective choice in QOL studies.

Objectives: Non-healing wounds have been one of the major challenges in health care because of increased morbidity, especially for those who have diabetes mellitus. Numerous regimens are being innovated to produce an evidence-based practice that would minimize complications and promote healing. Topical oxygen therapy is an innovation in wound care that has been considered influential in the wound healing process. This intervention aims to increase the oxygen concentration in the affected limb to promote wound healing.

Methods: This research applied an experimental design that targeted a total of 60 adult patients aged 45–64 years with diabetic foot ulcers. A randomized systematic sampling technique was used to allow equal chances and prevent bias. In total, 30 patients in the control group received usual care for diabetic foot ulcers, and the remaining 30 patients in the experimental group received topical oxygen therapy together with standard care for diabetic foot ulcers. Subjects were assessed using the Wagner-Meggitt Wound Classification System.

Results: The result proved that there was a significant difference in the wound grade of patients in the experimental group after the application of the usual wound care plus the topical oxygen therapy using Friedman’s test. The control and experimental groups were compared using Mann–Whitney statistical analyses, and the results showed that there was a significant difference between the control and experimental groups after the application of topical oxygen therapy.

Conclusions: Topical oxygen therapy was demonstrated to be effective to aid in the wound healing process of patients with diabetic foot ulcers. Further research was recommended to improve the application of topical oxygen therapy to patients with chronic wounds and promote the wound healing process.

Objectives: To identify the dermatological system drugs that may be prescribed by Chinese dermatological nurses through expert consensus.

Methods: A 2-round study, consisting of 32 medical and nursing experts, was conducted using the Delphi method from September 2019 to June 2020. Microsoft Excel 2019 and IBM SPSS Ver. 22 were used to analyze the results of the consultations.

Results: A total of 63 drugs across 13 categories were identified as relevant to Chinese nurses working in dermatological departments. Among these drugs, 1 drug was generally prescribed independently, 17 drugs tended to be prescribed collaboratively, and 45 were prescribed either independently or in collaboration with others.

Conclusions: This expert consensus determines the prescription drugs that may be prescribed by dermatology nurses in China, which can be used as the key content of prescription drug training for dermatology nurses in future. The results of the study could provide a basis for the implementation of nurses’ prescription rights in China in future and provide a reference for the formulation of relevant legislation on nurses’ prescription rights.

Objective: To investigate the relation between sleep quality and glycemic control among type 2 diabetic patients.

Methods: Across sectional descriptive design was used; the study sample including 125 diabetic patients was recruited at diabetic clinics in Zagazig University hospitals. The interview questionnaire sheet consists of 4 parts: (1) demographic data, (2) medical history, (3) an Arabic version of the Pittsburgh sleep quality index (PSQI), and (4) glycated hemoglobin A1c (HbA1c) analysis test.

Results: The mean of sleep duration was the highest score of PSQI components, 96.8% of diabetic patients had poor sleep quality, and 90.4% of diabetic patients had poor glycemic control. A highly statistically significant relationship was found between HbA1c and sleep quality. Moreover, income, duration of disease and smoking were independent positive predictors of HbA1c level, while the female gender was a statistically significant negative predictor. Additionally, female gender and income were statistically significant independent positive predictors of PSQI score.

Conclusions: Poor sleep quality and poor glycemic control were very common among type 2 diabetic patients. There was a highly significant relation between sleep quality and glycemic control.

Objectives: A good patient safety culture (PSC) is linked to a reduced risk of patient problems and minimal undesirable occurrences. This study investigated the PSC levels from nurses’ perspectives during the COVID-19 pandemic.

Methods: A descriptive cross-sectional design was applied. The Hospital Survey on Patient Safety Culture (HSOPSC) questionnaire was administered to 315 nurses working at 2 major hospitals in Jeddah, Saudi Arabia. The data were analyzed using descriptive statistics, a t-test, and a one-way ANOVA test. The statistical significance of the correlation was determined at the 0.05 level.

Results: PSC was rated as medium overall according to the nurses, with a weighted mean of 2.88–0.76 and a relative weight of 57.57%. In addition, all PSC composites were rated from medium to high, except organizational learning, which was rated low. The correlation between sociodemographic variables as well as PSC levels was investigated using the t-test and one-way ANOVA test. The association is statistically significant when P ≤ 0.05. The findings revealed a statistically significant correlation between nurse nationality (t = −4.399, P = 0.000), age (F = 7.917, P = 0.000), experience in years (F = 3.760, P = 0.024), and hospital (t = −0.401, P = 0.689).

Conclusions: The nurses in this study had a medium overall PSC level, and all PSC composites ranged from a medium to a high level, except organizational learning, which had a low level. In addition, the findings showed that there is a significant relationship between PSC levels, nurses’ nationalities, experience in years, and the hospital itself.