<abstract>
<title style='display:none'>Abstract</title>
<sec>
<title style='display:none'>Objectives</title>
Big data has revolutionized nursing and health care and raised concerns. This research aims to help nurses understand big data sets to provide better patient care.
</sec>
<sec>
<title style='display:none'>Methods</title>
This study used big data in nursing to improve patient care. Big data in nursing has sparked a global revolution and raised concerns, but few studies have focused on helping nurses understand big data to provide the best patient care. This systematic review was conducted based on PRISMA guidelines. PubMed, MEDLINE, CINAHL, Google Scholar, and ResearchGate were used for 2010–2020 studies.
</sec>
<sec>
<title style='display:none'>Results</title>
The most common use of big data in nursing was investigated in eight papers between 2015 and 2018. All research showed improvements in patient outcomes and healthcare delivery when big data was used in the medical-surgical, emergency department, critical care unit, community, systems biology, and leadership applications. Big data is not taught to nurses.
</sec>
<sec>
<title style='display:none'>Conclusions</title>
Big data applications in nursing and health care improve early intervention and decision-making. Big data provides a comprehensive view of a patient’s status and social determinants of health, allowing treatment using all metaparadigms and avoiding a singular focus. Big data can help prepare nurses and improve patient outcomes by improving quality, safety, and outcomes.
</sec>
</abstract>

Big data can help prepare nurses and improve patient outcomes by improving quality, safety, and outcomes

<abstract><title style='display:none'>Abstract</title><sec id="j_fon-2018-0043_s_006_w2aab3b7c10b1b6b1aab1c18b1Aa"><title style='display:none' id="d1089171e11508_w2aab3b7c10b1b6b1aab1c18b1aAa">Objective</title>The aim of this study was to assess the management of early mobilization (EM) in Chinese intensive care units (ICUs).</sec><sec id="j_fon-2018-0043_s_007_w2aab3b7c10b1b6b1aab1c18b2Aa"><title style='display:none' id="d1089171e11516_w2aab3b7c10b1b6b1aab1c18b2aAa">Methods</title>This survey used a cross-sectional, observational design. A total of 65 tertiary and secondary hospitals were enrolled by convenience sampling and investigated using self-designed questionnaires.</sec><sec id="j_fon-2018-0043_s_008_w2aab3b7c10b1b6b1aab1c18b3Aa"><title style='display:none' id="d1089171e11525_w2aab3b7c10b1b6b1aab1c18b3aAa">Results</title>We identified 69 ICUs in Jiangsu, China (response rate: 94.2%). 74.2% (1,004/1,353) of the nurses and nursing managers from 65 ICUs reported mobility practice. For the mobility level, 98.1% (1,327) reported use of in-bed exercise, 5.7% (77) sitting on a side of bed, 21.7% (294) transfer to chair, and 2.4% (33) walking. The most frequently reported barriers to early mobility were unplanned extubation, nursing resource, and absence of physical therapist. Nurses’ educational backgrounds, nursing experience, the lack of nursing resources, absence of physician, and the weakness of patient were the factors that influenced ICU early rehabilitation (<italic>P</italic>&lt;0.01).</sec><sec id="j_fon-2018-0043_s_009_w2aab3b7c10b1b6b1aab1c18b4Aa"><title style='display:none' id="d1089171e11537_w2aab3b7c10b1b6b1aab1c18b4aAa">Conclusions</title>Although implementation rates for EM in critically ill patients are high, the activity level is generally poor in most of the involved ICUs.</sec></abstract>

Management of early mobilization in intensive care units: a multicenter cross-sectional study

Comments from the Editor in Chief

<abstract>
<title style='display:none'>Abstract</title>
<sec>
<title style='display:none'>Objective</title>
Faculty incivility is a growing problem in nursing schools that disrupts the learning process and affects nursing care of patients. Fostering and managing faculty incivility requires knowing this problem using a valid and reliable instrument. The purpose of this research was to evaluate the validity and reliability of the faculty’s perceived incivility questionnaire in the Iranian community.
</sec>
<sec>
<title style='display:none'>Methods</title>
In this methodological study, the participants involved were 357 nursing students. They were selected between October and December 2019. The faculty’s perceived incivility questionnaire was evaluated in terms of content and construct validity. McDonald’s omega and Cronbach’s alpha coefficients were calculated. Exploratory and confirmatory factor analyses were conducted to evaluate the construct validity of the questionnaire.
</sec>
<sec>
<title style='display:none'>Results</title>
The content validity index (CVI) was 0.86–0.91 for the items and 0.87 for the whole instrument. In factor analysis, two factors of violent and irresponsible behaviors were extracted. These factors explained &gt;41.769% of the variance. Model fit indices (Parsimonious Comparative Fit Index [PCFI] = 0.783, Parsimonious Normed Fit Index [PNFI] = 0.756, root mean square error of approximation [RMSEA] = 0.051, Goodness-of-Fit Index [GFI] = 0.955, Adjusted Goodness-of-Fit Index [AGFI] = 0.932, Comparative Fit Index [CFI] = 0.955, χ2/df = 2.26) indicated the proportion of factors. Internal consistency was 0.87–0.93.
</sec>
<sec>
<title style='display:none'>Conclusions</title>
Faculty’s perceived incivility questionnaire is a valid and reliable tool with two factors that can be used to evaluate the incivility in Iranian faculty members.
</sec>
</abstract>

Psychometric evaluation of Iranian version of nursing faculty’s incivility questionnaire<xref ref-type="fn" rid="j_fon-2023-0028_fn_001">†</xref>

<abstract><title style='display:none'>Abstract</title><sec id="j_fon-2019-0009_s_006_w2aab3b7b9b1b6b1aab1c17b1Aa"><title style='display:none' id="d2310613e6290_w2aab3b7b9b1b6b1aab1c17b1aAa">Objective</title>Reflection is considered to be one of the important ways to learn from one’s experience, and one should be encouraged to apply the skill of reflection in lifelong learning. The author used the critical emancipatory reflection theory to reflect on a practice issue, which was related to the relationship between doctors and nurses, and tries to become a lifelong reflective practitioner in clinical work.</sec><sec id="j_fon-2019-0009_s_007_w2aab3b7b9b1b6b1aab1c17b2Aa"><title style='display:none' id="d2310613e6298_w2aab3b7b9b1b6b1aab1c17b2aAa">Methods</title>Smyth’s reflective framework, which includes the steps describe, inform, confront, and reconstruct, will be used in this article to help the author to understand the process of reflection and improve the skill of reflection. Utilizing Smyth’s reflective framework to reflect on an issue in practice allows the author to break the routine way of thinking and learn from experience, as well as providing a higher quality of service for patients.</sec><sec id="j_fon-2019-0009_s_008_w2aab3b7b9b1b6b1aab1c17b3Aa"><title style='display:none' id="d2310613e6306_w2aab3b7b9b1b6b1aab1c17b3aAa">Results</title>The theory of emancipatory reflection along with the critical reflection theory will be used to determine the beliefs and values that rule the author’s action and derive how these are distinct from what the author is supposed to achieve. Besides, critical emancipatory reflection theory will be used to discover the dominant power structures in clinical practice; symbolic interaction and hegemony will be utilized to discover the factors that prevent the author from achieving the desired goals; socialization theory will be applied to facilitate the author in improving the professional identity.</sec><sec id="j_fon-2019-0009_s_009_w2aab3b7b9b1b6b1aab1c17b4Aa"><title style='display:none' id="d2310613e6314_w2aab3b7b9b1b6b1aab1c17b4aAa">Conclusions</title>Using the critical emancipatory reflection on the issue in practice helps the author to find out the constraints in practice, bridge the espoused value and enacted value, and thereafter undertake transformative changes in practice. Eventually, the author can improve the skill of critical emancipatory reflection and become a lifelong reflective practitioner, and the quality of clinical practice can be improved as a result.</sec></abstract>

Critical emancipatory reflection on establishing an equal, trusting relationship among surgery participants in clinical practice in China

<abstract>
<title style='display:none'>Abstract</title>
<sec><title style='display:none'>Objective</title>
In today's world with sweeping changes, nurses are responsible for providing high-quality and cost-benefit care, which would almost be impossible unless they achieve their high professional status. To date, no precise and comprehensive definition of professionalism in nursing has been evidently proposed. In fact, many of the previously proposed definitions are either complicated or ambiguous. Moreover, there is no consensus in the literature on an exhaustive definition for “a professional nurse.” The present study aimed to illustrate the concept of professionalism in nursing and identify its defining characteristics.
</sec>
<sec><title style='display:none'>Methods</title>
In this study, concept analysis was conducted using Whittemore et al.'s method for the integrated review. A comprehensive search of electronic, scientific databases including Eric, PubMed, Scopus, Web of Science, EBSCO, PsychoINFO, Embass, MagIran, IranDoc, SID, and IRANMEDEX was carried out using the keywords such as professionalism, professional behavior, nursing professionalism (NP), professional attribute, and nursing.
</sec>
<sec><title style='display:none'>Results</title>
In the present study, a comprehensive search of 11 electronic databases retrieved 5738 articles. Then, 2837 duplicate articles were removed by endnote (version 8). Based on a preliminary examination of the titles and abstracts as well as the inclusion and exclusion criteria, 1517 articles were excluded. In addition, 137 articles were removed for scientific reasons. Finally, 52 articles in English and Persian were selected. Content analysis of the articles revealed four major themes, namely, <italic>individual prerequisite</italic>, <italic>professional prerequisite</italic>, <italic>appropriate structure</italic>, and <italic>socio-individual factors</italic>.
</sec>
<sec><title style='display:none'>Conclusions</title>
Professionalism in nursing is a major, multidimensional concept according to the literature that included individual prerequisites, professional prerequisites, appropriate structures, and socio-individual factors. In fact, professionalism in nursing comprises a wide range of personal characteristics, self-regulation, professional values, striving to acquire and enhance professional expertise, professional interactions, social, professional, and legal responsibility, and creation of a sense of belonging, and professional development.
</sec>
</abstract>

Redefining the concept of professionalism in nursing: an integrative review

Erratum to: Psychometric evaluation of Iranian version of nursing faculty’s incivility questionnaire DOI: https://doi.org/10.2478/fon-2023-0028

<abstract>
<title style='display:none'>Abstract</title>
<sec>
<title style='display:none'>Objective</title>
High-quality and successful nursing care delivery in a variety of situations requires critical thinking training and professional commitment. The present study aimed to investigate critical thinking disposition, professional commitment, and the relationship between these 2 variables among nurses.
</sec>
<sec>
<title style='display:none'>Methods</title>
As a result of stratified random sampling, 201 nurses were enrolled in the present cross-sectional study. Data were gathered using a socio-demographic form, the Critical Thinking Disposition Inventory (CTDI), and the Nurses’ Professional Commitment Scale (NPCS).
</sec>
<sec>
<title style='display:none'>Results</title>
Although the critical thinking disposition scores were at a moderate level (115.70 ± 13.55), the mean score for professional commitment was high (91.37 ± 11.77). A positive correlation was found between critical thinking disposition and professional commitment (<italic>r</italic> = 0.67, <italic>P</italic> = 0.001).
</sec>
<sec>
<title style='display:none'>Conclusions</title>
Nursing managers are urged to employ strategies to enhance nurses’ critical thinking disposition and professional commitment.
</sec>
</abstract>

Nurses’ critical thinking disposition and professional commitment: a cross-sectional study

<abstract>
<title style='display:none'>Abstract</title>
<sec>
<title style='display:none'>Objective</title>
To determine factors that affect the health-related quality of life (HRQOL) of congestive heart failure (CHF) patients with preserved and reduced ejection fraction.
</sec>
<sec>
<title style='display:none'>Methods</title>
A cross-sectional study design was used for this study. The stratified random sampling was applied for each subgroup. HRQOL was measured with the Minnesota Living with Heart Failure Questionnaire. The data were analyzed using chi-square, Spearman’s correlation analysis, and independent <italic>t</italic>-test.
</sec>
<sec>
<title style='display:none'>Results</title>
A number of 67 respondents participated in the recent study. The total mean scores of HRQOL were significantly different (<italic>P</italic> = 0.001) between heart failure (HF) patients with reduced and preserved ejection fractions, 41.07 ± 7.54 and 54.97 ± 4.36, respectively. It related with the physical (mean ± standard deviation [SD] = 10.4 ± 2.14; <italic>t</italic> = −10.08, 95% CI = −12.46 to −8.34; <italic>P</italic>-value = 0.001) and psychological (mean ± SD = 3.5 ± 0.5; <italic>t</italic> = −6.68, 95% CI = −4.55 to −2.45; <italic>P</italic>-value = 0.001) domain. Strong correlation was found between age (<italic>r</italic> = −0.898, <italic>P</italic> &lt; 0.05), NYHA functional classes (<italic>r</italic> = −0.858, <italic>P</italic> &lt; 0.01), duration of HF (<italic>r</italic> = −0.807, <italic>P</italic> &lt; 0.01), family support (<italic>r</italic> = 0.927, <italic>P</italic> &lt; 0.01), and quality of life (QoL).
</sec>
<sec>
<title style='display:none'>Conclusions</title>
HRQOL in HF patients with reduced ejection fraction was higher than in those with preserved ejection fraction. Family support is a further determinant factor that has a positive correlation to the QoL.
</sec>
</abstract>

Health-related quality of life among congestive heart failure patients with preserved and reduced ejection fraction

<abstract>
<title style='display:none'>Abstract</title>
<sec>
<title style='display:none'>Objective</title>
The aim of the study was to evaluate the quality of sleep in nurses performing shift work in therapeutic and surgical departments and to establish possible relationships between level of blood pressure (BP) and quality of sleep.
</sec>
<sec>
<title style='display:none'>Methods</title>
A total of 20 nurses of the therapeutic departments and 20 nurses of the surgical departments were enrolled in the study. Sleep quality was assessed using the Pittsburgh Sleep Quality Index (PSQI). BP was measured according to the standard protocol using the Korotkoff method; a sphygmomanometer was used for this twice with an interval of 2 min between 10:00 a.m. and 10:30 a.m. The average value for the 2 indicators was calculated. The diagnosis of essential arterial hypertension (AH) was established according to the recommendations of the European Association of Cardiology and the European Association of Hypertension (2018).
</sec>
<sec>
<title style='display:none'>Results</title>
The overall assessment of the sleep quality of the nurses involved in shift work indicates poor sleep quality; this was true in respondents of both the surgical and therapeutic profiles. However, it was observed that the quality of sleep was significantly lower in nurses of the therapeutic departments. Moreover, poor sleep quality was associated with AH, which was diagnosed in 65% of the nurses of the therapeutic departments and 45% of the nurses of the surgical departments, that is, in almost all of the subjects. Herewith, in the nurses of the therapeutic departments, the level of systolic BP exceeded that of the nurses of the surgical departments.
</sec>
<sec>
<title style='display:none'>Conclusions</title>
Poor sleep quality is a significant risk factor for AH development and is relevant to nurses performing shift work. Additional clinical studies should be conducted to better understand the mechanisms underlying such adverse cardiometabolic outcomes associated with sleep disorders in the health-sector shift workers.
</sec>
</abstract>

Relationship between sleep quality and blood pressure level in nurses performing shift work

<abstract>
<title style='display:none'>Abstract</title>
<sec>
<title style='display:none'>Objective</title>
Patient safety is a fundamental factor in improving the quality of care provided in hospitals. Therefore, it is considered a significant parameter by all healthcare organizations around the world. The present study was conducted to investigate the attitude of nurses toward the patient safety climate during the Coronavirus Disease 2019 (COVID-19) pandemic in the southeast of Iran.
</sec>
<sec>
<title style='display:none'>Methods</title>
This is a cross-sectional descriptive study. Among all the nurses working in one of the hospitals in the southeast of Iran, 171 nurses participated in the study through convenience sampling methods. The survey was conducted between June 1 and July 30, 2020. A 2-part questionnaire including demographic information and an assessment of nurses’ attitudes toward patients’ safety climate was used for data collection in 2021. The content validity of the scale is (0.77) and reliability was re-calculated and confirmed by the present study with Cronbach’s alpha (α = 0.9). Data were analyzed by SPSS 20 (IBM Corporation, Armonk, New York, United States) using descriptive and analytical statistical tests.
</sec>
<sec>
<title style='display:none'>Results</title>
The mean score of safety climates was 3.2 ± 5.20 (out of 5 scores). The results showed that among all dimensions of the safety climate, only the education dimension was statistically significant between males and females (<italic>P</italic> &lt; 0.001). Also, there was a significant relationship between the overall average of the safety climate and its dimensions according to the people’s position only in the dimension of supervisors’ attitude (<italic>P</italic> &lt; 0.01) and burnout (<italic>P</italic> &lt; 0.01). Additionally, a significant correlation between the education level and the overall score of safety climate (<italic>P</italic> &lt; 0.01), as well as the supervisor’s attitude dimension (<italic>P</italic> &lt; 0.01), was observed.
</sec>
<sec>
<title style='display:none'>Conclusions</title>
The results showed that the safety climate was at a relatively favorable level. Considering the impact of nurses’ attitudes on the safety climate of patients, its improvement seems necessary. It is recommended to design training courses and educate nurses in order to promote a patients safety climate in hospitals.
</sec>
</abstract>

Nurses’ attitude toward patients’ safety climate during COVID-19 pandemic: a cross-sectional study<xref ref-type="fn" rid="j_fon-2024-0004_fn_001">†</xref>

<abstract>
<title style='display:none'>Abstract</title>
This study aimed to evaluate the correlation between nursing informatics (NI) competency and information literacy skills for evidence-based practice (EBP) among intensive care nurses. This cross-sectional study was conducted on 184 nurses working in intensive care units (ICUs). The study data were collected through demographic information, Nursing Informatics Competency Assessment Tool (NICAT), and information literacy skills for EBP questionnaires. The intensive care nurses received competent and low-moderate levels for the total scores of NI competency and information literacy skills, respectively. They received a moderate score for the use of different information resources but a low score for information searching skills, different search features, and knowledge about search operators, and only 31.5% of the nurses selected the most appropriate statement. NI competency and related subscales had a significant direct bidirectional correlation with information literacy skills for EBP and its subscales (<italic>P</italic> &lt; 0.05). Nurses require a high level of NI competency and information literacy for EBP to obtain up-to-date information and provide better care and decision-making. Health planners and policymakers should develop interventions to enhance NI competency and information literacy skills among nurses and motivate them to use EBP in clinical settings.
</abstract>

Necessary prerequisites for evidence-based practice: results of investigating nurses’ informatics competency and information literacy skills

<abstract><title style='display:none'>Abstract</title><sec id="j_fon-2018-0032_s_006_w2aab3b7ab1b6b1aab1c17b1Aa"><title style='display:none' id="d1089171e27391_w2aab3b7ab1b6b1aab1c17b1aAa">Objectives</title>To examine the best practice evidence of the effectiveness of the flipped classroom (FC) as a burgeoning teaching model on the development of self-directed learning in nursing education.</sec><sec id="j_fon-2018-0032_s_007_w2aab3b7ab1b6b1aab1c17b2Aa"><title style='display:none' id="d1089171e27398_w2aab3b7ab1b6b1aab1c17b2aAa">Data sources</title>The relevant randomized controlled trial (RCT) and non-RCT comparative studies were searched from multiple electronic databases including PubMed, Embase, Web of Science, Cumulative Index to Nursing and Allied Health Literature (CINAHL), Cochrane Central Register of Controlled Trials (CENTRAL), Wanfang Data, China National Knowledge Infrastructure (CNKI), and Chinese Science and Technology Periodical Database (VIP) from inception to June 2017.</sec><sec id="j_fon-2018-0032_s_008_w2aab3b7ab1b6b1aab1c17b3Aa"><title style='display:none' id="d1089171e27405_w2aab3b7ab1b6b1aab1c17b3aAa">Review methods</title>The data were independently assessed and extracted for eligibility by two reviewers. The quality of included studies was assessed by another two reviewers using a standardized form and evaluated by using the Cochrane Collaboration’s risk of bias tool. The self-directed learning scores (continuous outcomes) were analyzed by using the 95% confidence intervals (CIs) with the standard deviation average (SMD) or weighted mean difference (WMD). The heterogeneity was assessed using Cochran’s <italic>I</italic><xref ref-type="bibr" rid="j_fon-2018-0032_ref_002_w2aab3b7ab1b6b1ab1b6b2Aa">2</xref> statistic.</sec><sec id="j_fon-2018-0032_s_009_w2aab3b7ab1b6b1aab1c17b4Aa"><title style='display:none' id="d1089171e27418_w2aab3b7ab1b6b1aab1c17b4aAa">Results</title>A total of 12 studies, which encompassed 1440 nursing students (intervention group = 685, control group = 755), were eligible for inclusion in this review. Of 12 included studies, the quality level of one included study was A and of the others was B. The pooled effect size showed that compared with traditional teaching models, the FC could improve nursing students’ self-directed learning skill, as measured by the Self-Directed Learning Readiness Scale (SDLRS), Self-Directed Learning Readiness Scale for Nursing Education (SDLRSNE), Self-Regulated Learning Scale (SRL), Autonomous Learning Competencies scale (ALC), and Competencies of Autonomous Learning of Nursing Students (CALNS). Overall scores and subgroup analyses with the SRL were all in favor of the FC.</sec><sec id="j_fon-2018-0032_s_010_w2aab3b7ab1b6b1aab1c17b5Aa"><title style='display:none' id="d1089171e27426_w2aab3b7ab1b6b1aab1c17b5aAa">Conclusions</title>The result of this meta-analysis indicated that FCs could improve the effect of self-directed learning in nursing education. Future studies with more RCTs using the same measurement tools are needed to draw more authoritative conclusions.</sec></abstract>

Effectiveness of the flipped classroom on the development of self-directed learning in nursing education: a meta-analysis

<abstract><title style='display:none'>Abstract</title><sec><title style='display:none'>Objective</title>The aim of this study was to assess the effectiveness of mindfulness meditation (MM) on anxiety, depression, stress and mindfulness in nursing students.</sec><sec><title style='display:none'>Methods</title>A comprehensive search and screening procedures were conducted to locate all MM interventions implemented with nursing students. For randomized controlled trials (RCTs) in accordance with the inclusion criteria, a search was conducted in PubMed, Embase, Web of Science, Medline, PsycINFO, Cumulative Index to Nursing and Allied Health (CINAHL), Cochrane Central Register of Controlled Trials (CENTRAL), China Biology Medicine (CBM), Chinese National Knowledge Infrastructure (CNKI) and Wanfang. Databases were retrieved from inception through August 2018. Additional studies were identified through hand searches and Internet searches. Two reviewers collected relevant data of eligible articles according to the data extraction tables. Based on <italic>Cochrane Handbook</italic>, critical appraisal of the methodological quality was assessed by two other reviewers. An Excel form was used to extract main characteristics of included RCTs. Meta-analysis and trial sequential analysis (TSA) were carried out using software RevMan 5.3 and TSA 0.9.</sec><sec><title style='display:none'>Results</title>Five RCTs with 257 nursing students were included. Only two studies were assessed as high quality and three studies were evaluated as moderate quality. Meta-analysis showed that, comparing with the control group, MM could significantly improve anxiety (SMD = −0.45, 95% CI −0.73 to −0.17, <italic>P</italic> = 0.001) and stress (SMD = −0.69, 95% CI −0.97 to −0.40, <italic>P</italic> &lt; 0.001). TSA results confirmed that the outcome of the merger is credible. It could also significantly improve depression level of nursing students after 8 weeks intervention duration (SMD = −0.70, 95% CI −1.14 to −0.26, <italic>P</italic> = 0.002). However, there was no beneficial effect on depression level of nursing students with 1 week intervention duration (SMD = 0.09, 95% CI −0.42 to 0.59, <italic>P</italic> = 0.74) and its effects on mindfulness level of nursing students also did not show statistical significance (SMD = 0.37, 95% CI −0.04 to 0.77, <italic>P</italic> = 0.07). No definitive conclusions were drawn from the TSA.</sec><sec><title style='display:none'>Conclusions</title>The results of this meta-analysis indicated that MM could effectively reduce the level of anxiety and stress of nursing students. TSA confirmed that the results of meta-analysis are credible. For depression, it could also significantly improve depression of nursing students with 8 weeks intervention, but there was no significant effect on nursing students with 1 week intervention duration. There was also no beneficial effect on mindfulness level of nursing students. However, TSA indicated that the accumulated evidence is still inconclusive. We suggest that more well-designed clinical trials with large sample and higher quality would be required in future to draw a definitive conclusion.</sec></abstract>

Effects of mindfulness meditation on anxiety, depression, stress, and mindfulness in nursing students: a meta-analysis and trial sequential analysis of randomized controlled trials

<abstract><title style='display:none'>Abstract</title><sec id="j_fon-2018-0011_s_006_w2aab3b7b9b1b6b1aab1c18b1Aa"><title style='display:none' id="d965974e6508_w2aab3b7b9b1b6b1aab1c18b1aAa">Objective</title>Problem-solving should be a fundamental component of nursing education because it is a core ability for professional nurses. For more effective learning, nursing students must understand the relationship between self-directed learning readiness and problem-solving ability. The aim of this study was to investigate the relationships among self-directed learning readiness, problem-solving ability, and academic self-efficacy among undergraduate nursing students.</sec><sec id="j_fon-2018-0011_s_007_w2aab3b7b9b1b6b1aab1c18b2Aa"><title style='display:none' id="d965974e6517_w2aab3b7b9b1b6b1aab1c18b2aAa">Methods</title>From November to December 2016, research was conducted among 500 nursing undergraduate students in Tianjin, China, using a self-directed learning readiness scale, an academic self-efficacy scale, a questionnaire related to problem-solving, and self-designed demographics. The response rate was 85.8%.</sec><sec id="j_fon-2018-0011_s_008_w2aab3b7b9b1b6b1aab1c18b3Aa"><title style='display:none' id="d965974e6525_w2aab3b7b9b1b6b1aab1c18b3aAa">Results</title>For Chinese nursing students, self-directed learning readiness and academic self-efficacy reached a medium-to-high level, while problem-solving abilities were at a low level. There were significant positive correlations among the students’ self-directed learning readiness, academic self-efficacy, and problem-solving ability. Furthermore, academic self-efficacy demonstrated a mediating effect on the relationship between the students’ self-directed learning readiness and problem-solving ability.</sec><sec id="j_fon-2018-0011_s_009_w2aab3b7b9b1b6b1aab1c18b4Aa"><title style='display:none' id="d965974e6534_w2aab3b7b9b1b6b1aab1c18b4aAa">Conclusions</title>To enhance students’ problem-solving ability, nursing educators should pay more attention to the positive impact of self-directed learning readiness and self-efficacy in nursing students’ education.</sec></abstract>

Role of academic self-efficacy in the relationship between self-directed learning readiness and problem-solving ability among nursing students

<abstract><title style='display:none'>Abstract</title><sec><title style='display:none'>Objective</title>To describe the development of interpretive profiles for a hermeneutic phenomenological research study.</sec><sec><title style='display:none'>Methods</title>literature review was conducted to identify research that has used interpretive profiles. An initial interpretive profile was constructed.</sec><sec><title style='display:none'>Results</title>The final outcome was an interpretive profile that contained a case summary and addressed the aims of the researcher's study. The interpretive profile contained background material, coded excerpts, and interpretive comments.</sec><sec><title style='display:none'>Conclusions</title>Interpretive profiles can assist emerging scholars in describing self-world relations and experiential variations within and across participants. Interpretive profiles can facilitate the writing of dissertations and manuscripts since the data is systematically archived and easily retrievable.</sec></abstract>

Analysis methods in hermeneutic phenomenological research: interpretive profiles

<abstract><title style='display:none'>Abstract</title><sec id="j_fon-2018-0028_s_006_w2aab3b7b5b1b6b1aab1c17b1Aa"><title style='display:none' id="d7278785e9149_w2aab3b7b5b1b6b1aab1c17b1aAa">Objective</title>This meta-analysis aimed to examine the effects of parental involvement in infant care in neonatal intensive care units (NICUs).</sec><sec id="j_fon-2018-0028_s_007_w2aab3b7b5b1b6b1aab1c17b2Aa"><title style='display:none' id="d7278785e9158_w2aab3b7b5b1b6b1aab1c17b2aAa">Methods</title>PubMed, Embase, Cochrane Library, Web of Science, China National Knowledge Infrastructure (CNKI), Wanfang database, and VIP database were searched till November 2017. Randomized controlled trials (RCTs) and controlled clinical trials (CCTs) examining the effect of parental involvement in the NICU were considered for inclusion.</sec><sec id="j_fon-2018-0028_s_008_w2aab3b7b5b1b6b1aab1c17b3Aa"><title style='display:none' id="d7278785e9167_w2aab3b7b5b1b6b1aab1c17b3aAa">Results</title>We included 10 studies (three RCTs, seven CCTs) with a total of 1,851 participants. The meta-analysis demonstrated that there were no statistically significant differences on nosocomial infection between two groups (risk ratio [RR] = 0.90, 95% CI 0.63–1.30, <italic>P =</italic> 0.58). Compared with no parental involvement groups, parental involvement groups showed more weight gain (mean difference [MD] = 1.47, 95% CI 0.65–2.29, <italic>P &lt;</italic> 0.05), higher breast-feeding rate (RR = 1.38, 95% C11.25–1.53, <italic>P &lt;</italic> 0.05), lower readmission rate (RR = 0.35, 95% CI 0.15–0.80, <italic>P &lt;</italic> 0.05), and higher satisfaction rate (RR = 1.09, 95% CI 1.02–1.16, <italic>P&lt;</italic> 0.05).</sec><sec id="j_fon-2018-0028_s_009_w2aab3b7b5b1b6b1aab1c17b4Aa"><title style='display:none' id="d7278785e9191_w2aab3b7b5b1b6b1aab1c17b4aAa">Conclusions</title>Parental involvement in the NICU interventions could not increase the rate of nosocomial infection of neonates, but could improve their weight gain, breast-feeding and parental satisfaction and decrease their readmission. However, since the conclusion of this meta-analysis was drawn based on the limited number of high-quality RCTs, more high-quality studies should be conducted in the future to confirm its positive intervention effects.</sec></abstract>

Effects of parental involvement in infant care in neonatal intensive care units: a meta-analysis

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