Objective: To review the scope of interventional studies on horticultural therapy (HT) applied to elderly people in nursing institutions to support the efficient implementation of HT among this target group. Methods: In accordance with the scoping review framework proposed by the Joanna Briggs Institute (JBI), the PubMed, JSTOR, Web of Science, CNKI, and Wanfang databases were searched. Data from the retrieved literature were summarized and analyzed. Results: In all, 18 studies were included in this review. The target population groups of interventions included self-supporting elderly people, cognitively impaired elderly people, elderly people with negative emotions, and elderly people with frailty living in nursing institutions. HT interventions, including planting, craft activities, derivative activities, and outdoor viewing activities, are implemented indoors, outdoors, or in mixed settings. The most common duration of the intervention was 8 weeks, the most common frequency was once per week, and the most common session duration was 60 min. Conclusions: The measurements used in HT interventions included assessments of physical, psycho-mental, and social health; quality of life; and activity effects. Future studies should include partially dependent groups and completely dependent groups of elderly individuals, interventions that last at least 6 months, scientifically designed activity intensity and safety-guarantee plans, and outcomeevaluation indicators such as compliance and intervention benefits

Objective: To define soft skills in nursing. Methods: This is a concept analysis using the Walker and Avant approach. Multiple electronic databases in the English language including CINAHL, ScienceDirect, MEDLINE on EBSCOhost, and Scopus were consulted. Results: Soft skills in nursing include the intrapersonal attributes, interpersonal skills, and creativity of the nurse, which, when combined with professionalism, teamwork, and effective communication skills, improve the quality of nursing care and client satisfaction. Conclusions: Although hard and soft skills are compatible and synergetic, soft skills are to be prioritized for the success of nursing care in the healthcare industry. This concept analysis adds to the body of knowledge by identifying the attributes of soft skills in nursing and revealing that a good nurse needs more than just good grades to be successful.

Pain catastrophization is one of the negative emotional factors and an important psychological factor associated with patients with lumbar disc herniation (LDH). Currently, the concept of pain catastrophization of LDH is relatively mature abroad; however, there are only few research studies on this in China. To understand the status quo of pain catastrophization (PC) in patients with LDH and its influencing factors, the intervention measures of PC and their efficacy were further analyzed. In the present paper, the research status of PC at home and abroad is briefly expounded, and the influencing factors and clinical intervention measures for PC are analyzed. This paper reviews the concept of PC, the assessment tools, influencing factors, and the relevant intervention measures. In order to evaluate the pain degree of patients, understand the incidence of pain in patients, and improve the cure rate and quality of life of patients, the basic situation of patients with pain disaster is summarized to provide reference for medical personnel.

Objective: To determine the impact of applying the theory of human becoming and self-care deficit theory of nursing in overcoming insomnia in patients of urinary incontinence (UI) after stroke. Insomnia is a sleep disorder experienced by UI patients after stroke which can exacerbate problems related to brain damage and can complicate the recovery process. Methods: This study was a quasi-experimental conducted in 4 hospitals. Fifty-six patients were selected by convenience sampling and divided into 2 groups (the intervention and control group). Participants in the intervention group received “applying the theory of Human becoming and self-care deficit theory of nursing,” starting when the patient is about to go home from the hospital and continuing at the house. Measurement of insomnia is done using the Pittsburgh Sleep Quality Index (PSQI). Results: The mean insomnia scores of participants from both groups increased in the first and third measurements. The second and third insomnia measurements found a significant difference (P < 0.001). This intervention decreased the average score of insomnia by 4.11 times in the second measurement and 5.82 times in the third measurement. The most important item that decreased in the third measurement of insomnia was sleep efficiency. Conclusions: Applying the theory of human becoming and self-care deficit theory of nursing in this study significantly decreased the insomnia score of post-stroke UI patients. It can be used as a guide for nurses, patients, and families in managing insomnia. In addition, the application of nursing theory in nursing practice can systematize nursing care plans and organize the knowledge of professionals into a conceptual framework, as well as provide effective guidance for nurses on what to do.

Objective: This paper presents an analysis of the concept of patient outcomes. Methods: The present study conducted searches on various databases, including Wanfang, Sinomed, CNKI, PubMed, Cochrane Library, Embase, Web of Science, and Ovid. The paper followed the Walker and Avant concept-analysis approach. Results: Initially, 899 pieces of literature were identified through the search process, and after screening, 41 of them were ultimately included in the analysis. The identified attributes of the concept included (1) capability, (2) decision making, and (3) action. These antecedents were shaped by factors such as illness perception, self-efficacy, and family and social. The consequences included (1) physiological effects, (2) psychological effects, and (3) social influence. Conclusions: The concept analysis of self-management in patients with diabetic foot ulcers (DFUs) not only aids in clinical practice and supports interventions, but also contributes to the development of self-management theory. The common goal of clinical medical staff is to assist DFU patients in improving cognitive ability, making correct self-management decisions, and enhancing self-management behavior

Objective: Validation is an important aspect of an instrument, and it ensures the confidence of researchers to employ the instrument in their studies. This study was conducted to develop and validate an instrument to assess knowledge, attitudes, and practices (KAP) on digital health among nurses since digital health capacity is a major concern in health care that needs to be assessed. Methods: We conducted a methodological study to assess the content validity and reliability of the instrument. First, items were generated through a comprehensive literature review and by obtaining an expert opinion. Second, content and face validity were assessed by a panel of 7 experts. Both the item-level content validity index (I-CVI) and the scale-level content validity index (S-CVI) were established. Moreover, test–retest reliability and internal consistency of the instrument were assessed. Data were analyzed using SPSS version 25. Results: The initial pool consisted of 60 items and after obtaining content, face, and construct validity, 51 items remained. Items with an I-CVI <0.78 were considered relevant. The S-CVI for relevancy, clarity, ambiguity, and simplicity were 0.93, 0.91, 0.94, and 0.92, respectively. Five subcomponents were constructed in each knowledge and attitudes domain, and the test–retest reliability test revealed that the instrument has good reliability, showing correlation coefficient values for the KAP domains and the total questionnaire of 0.76, 0.98, 0.99, and 0.99, respectively. The independent Cronbach’s α for all items was 0.76, indicating good internal consistency. Conclusions: The present study established the acceptable validity and ensured the good reliability and internal consistency of the instrument, which can serve as an assessment tool of KAP on digital health among healthcare professionals.

Objective: To study the causality relationship between diastolic blood pressure (DBP) and hypertensive renal disease with renal failure (HRDRF) and the mediating role of heart failure (HF) in the causality relationship by network Mendelian randomization (MR). Methods: Genome-wide analysis of DBP, HRDRF, and HF was downloaded from the public database (Genome-Wide Analysis Study [GWAS]) and was used to analyze the results and to conduct mediated MR analysis. Results: Analysis showed that DBP was positively correlated with HRDRF (OR = 1.0002, 95% CI: 1.0001–1.0003, P = 1.8076e−05) and DBP was positively correlated with HF (OR = 1.0295, 95% CI: 1.0221–1.0370, P = 2.5292e−15). HF and HRDRF had a positive causal effect (OR = 1.0001, 95% CI: 1.0000–1.0001, P = 0.0152). Mediation analysis showed that the contribution ratio of HF to the combined effect of DBP and HRDRF was 24.69%. Conclusions: DBP can increase the risk of renal disease with renal failure, and HF may play an important role in mediating this causal relationship.

Objective: Clinical education plays a key role in preparing students for patient care. Laparoscopy is one of the most important minimally invasive surgeries (MISs) wherein surgical technologists are responsible for camera navigation and assistant surgeons are responsible for peg transfer. Therefore, it is necessary to improve the attitude of the operating room students toward these skills during their study period. The present study was conducted to determine the effect of simulating training in the fundamentals of laparoscopic surgery (FLS) on the attitude of the operating room students. Methods: This interventional study was conducted on 28 operating room students of Iran University of Medical Sciences in 2019. The census sampling method was used. The data-collection tool included the “Intrinsic motivation inventory (IMI) questionnaire.” The educational intervention was carried out in theoretical (booklet design) and practical (simulation) sections. Data analysis was carried out using descriptive and inferential analyses including the paired t-test, Mann–Whitney U test, and independent t-test. The collected data were analyzed using R and SPSS software. P-value <0.05 was considered as the significant level. Results: The mean ± SD of the participants’ age was 22.93 ± 2.14 years, and the majority of them were women (67.9%). There was a significant difference in the mean scores of students’ attitudes toward the FLS before and after the educational intervention (P < 0.001) in all dimensions (interest, perceived competence, perceived choice, and tension). There was also a significant correlation between gender and interest dimension (P = 0.005). Conclusions: The results of the present study showed that simulating the training FLS curriculum positively affects students’ attitudes. Therefore, the researchers suggest that for creating a positive attitude, increasing students’ interest in laparoscopic surgery, and ensuring a more effective presence in the operating room, this training should be considered in the operating room curriculum.

Objective: To understand the latent categories of perceived stress in colorectal cancer patients and analyze the characteristics of different categories of patients. Methods: A total of 255 colorectal cancer patients receiving treatment in the gastrointestinal surgery and oncology departments of a tertiary Grade A hospital in Sichuan Province, from January 2023 to June 2023, were selected as the study subjects. General information questionnaire, Chinese version of the Perceived Stress Scale (CPSS), and Comprehensive Score Table for Patient-Reported Outcome Measures of Economic Toxicity (COST-PROM) were used for data collection. Results: Perceived stress in colorectal cancer patients was classified into 3 latent categories: C1 “Low stress-stable type” (19.2%), C2 “Moderate stress-uncontrolled type” (23.9%), and C3 “High stress-anxious type” (56.9%). The average score of perceived stress was (34.07 ± 5.08). Compared with C1 type, patients with a monthly household income of ≤3000 RMB were more likely to belong to the C2 and C3 types (P < 0.05), and patients without a stoma were less likely to belong to C3 type (P < 0.05). Compared with C2 type, male patients were more likely to belong to C3 type (P < 0.05), and patients without a stoma were less likely to belong to C3 type (P < 0.05). Compared with C3 type, patients with higher economic toxicity scores were more likely to be classified into C1 and C2 types (P < 0.05). Conclusions: Perceived stress in colorectal cancer patients exhibits distinct categorical features. Male gender, lower income, presence of a stoma, and higher economic toxicity are associated with higher levels of perceived stress in colorectal cancer patients.

Objective: Evidence-based practices (EBPs) have been taught to students by identifying the best evidence/evidence from research results. However, the experiences of Indonesian nurse preceptors in helping students implement research findings have not been explored thoroughly. This study aimed to explore Indonesian nurse preceptors in guiding nursing students to use research findings. Methods: This study used interpretive phenomenology analysis that involves 9 nurse preceptors from hospitals in West Kalimantan, Indonesia. Semi-structured in-depth interviews were recorded and then transcribed verbatim. Results: Three themes were generated during the analysis: “types of student supervision,” “issues during supervision,” and “the need for research literacy and supervision.” Conclusions: Nurse preceptors need support to supervise the nursing students to use research findings. In addition to upgrading nursing skills, nurse preceptors must receive training in research and its utilization. Developing an appropriate strategy to assist students in using research findings will enhance the promotion of evidence-based nursing practices on a daily basis.

Objective: To explore the meaning of care experienced by people with blindness in hospitals. Methods: Interpretive phenomenology along with the 6-step method of van Manen was used to conduct the study. Using purposeful sampling, 15 people with legal blindness were interviewed. Thematic analysis was used to isolate the meaning of care. Results: Five themes emerged: (a) nurses in the eyes of patients with blindness; (b) negligence in the caring moments; (c) being cared for in ambiguity; (d) Uncoordinated care; and (e) Psychological discomfort. These sub-themes were condensed into an overarching theme titled as “marginalized patients inside the stereotypical healthcare system.” Conclusions: Lived experiences of patients with blindness revealed that hospitals provide stereotypic or inappropriate care for this minority group in society. Health professionals particularly nurses should be skilled to provide person-centered and coordinated care for patients with blindness.

Objective: To explore the effect of the Plan-Do-Check-Action (PDCA) cycle on hand hygiene and nosocomial infection quality of orthopedic medical staff. Methods: The whole year of 2021 was selected to monitor the quality of hand hygiene and hospitalization. Follow-up monitoring and real-time recording during the period of morning shift and medical operation concentration time, and compare the compliance of hand hygiene before and after implementation, and evaluate the quality of nosocomial infection. Results: The hand hygiene compliance of doctors and nurses in stage P was 82%. The compliance of medical staff in stage D was 93%. The compliance of stage C was 94% and that of stage A was 95%. The quality score of hospital self-examination nosocomial infection was also significantly increased. Conclusions: The PDCA management cycle can effectively improve the compliance of hand hygiene and the nosocomial infection quality, which is worthy of circulatory application in orthopedic nosocomial infection quality control, especially improving the quality of hand hygiene.

Objective: Healthcare-seeking behavior (HSB) would affect the prevalence of morbidity and mortality. There are various factors that affect one’s HSB. This study aimed to determine if health awareness and lifestyle might relate to HSB. Methods: A cross-sectional study was applied by using three questionnaires to determine participants’ health awareness, lifestyle, and HSB. This study took place in Universitas Advent Indonesia and the students were recruited to be participants. Results: There were 39 participants joined in this study. Most of the participants were females, third-year students, and from Accounting major. Almost all participants were aware of their low risk of health issues, had a fine lifestyle, and had moderate HSB. Conclusions: One’s urge to seek health care facilities was not related to their health awareness and lifestyle. There was no further study to contradict with this finding at this moment.

Objective: Despite trials and programs for the prevention of childhood mortality due to pneumonia, Ethiopia is among the top five countries with the highest number of deaths due to pneumonia. Although the prevalence of pneumonia has increased in the abovementioned trials, little is known about the recovery time from severe pneumonia and its predictors in the study area. Therefore, this study aimed to assess the time to recovery from severe pneumonia and its predictors among pediatric patients admitted to Mizan-Tepi University Teaching Hospital, Ethiopia, in 2022. Methods: A total of 591 children admitted for severe pneumonia were selected using simple random sampling. Data were entered into Epi-data version 4.4.2.1 and exported to STATA version 14 for analysis, and the assumptions of Cox proportional hazard models and goodness of fit were assessed through Shoenfeld residual and Cox-Snell residual, respectively. Bivariate and multivariable Cox regression models were used to identify the predictors of mortality. Results: This study revealed that 91.54% (95% confidence interval [CI]: 89.00–93.53) of participants recovered with an incidence rate of 24.10 (95% CI: 22.15–26.21) per 100 person-day–observations. The hmedian recovery time of children was 4 days (95% CI: 2–6). Children who were not exclusively breastfed (AHR = 1.3; 95% CI: 1.03–1.66), who had a history of inability to suck/feed (AHR = 0.81; 95% CI: 0.65–0.99) were independent predictors of the time to recovery. Conclusions: Children with severe pneumonia who had not exclusively breastfed and who had a history of inability to suck/feed were independent predictors of time to recovery. Therefore, all stakeholders and concerned health care providers should focus more on early diagnosis and management and hasten early recovery based on the identified factors.