Tag: pubmed

BMC Nurs. 2025 Feb 3;24(1):117. doi: 10.1186/s12912-024-02600-w.

ABSTRACT

BACKGROUND: Nurses’ work engagement is critical for improving quality care, facilitating positive patient outcomes, and solving considering the nursing shortage. This study aimed to identify the mediating effect of job crafting on the relationship between positive psychological capital and work engagement in registered nurses.

METHODS: A total of 132 hospital nurses with clinical experience of more than one year, excluding nurse administrators, participated. The participants were recruited from three hospitals in South Korea from August to September 2021. The SPSS 27.0 and PROCESS macro were used for data analysis.

RESULTS: Positive psychological capital had a significant association with job crafting (β = 0.74, 95% CI = 0.71 to 0.95), and job crafting had a positive association with work engagement (β = 0.51, 95% CI = 0.29 to 0.56). In the mediating effect analysis, the mediating role of job crafting on the relationships between positive psychological capital and work engagement was statistically significant (β = 0.35, 95% CI = 0.24 to 0.48).

CONCLUSIONS: Based on our findings that positive psychological capital and job crafting could improve the work engagement of registered nurses, strengths coaching-based programs for increasing positive psychological capital and job crafting exercises for helping nurses make their job more engaging need to be developed.

PMID:39901251 | DOI:10.1186/s12912-024-02600-w

BMC Nurs. 2025 Feb 3;24(1):119. doi: 10.1186/s12912-025-02769-8.

ABSTRACT

BACKGROUND: Prostate cancer is a worldwide health issue, and current prostate cancer care extends to the patient‒caregiver dyadic setting, where individuals are interdependent and interact with each other as well as possible negative psychological and behavioural outcomes. However, the impact of dyadic care interventions on health outcome indicators for prostate cancer patients and their informal caregivers has yet to be examined.

AIM: To describe the characteristics of dyadic interventions involving patients with prostate cancer and their informal caregivers and investigate their effects on psychosocial health, sexual health, and dyadic relationships.

METHODS: Ten electronic databases (Web of Science, Cochrane Library, PsycINFO, PubMed, Embase, CINAHL, CNKI, Wanfang, VIP, and SinoMed) were thoroughly searched for related publications published between the database’s founding and April 2024. The risk of bias for the included studies was evaluated using the Cochrane risk-of-bias tool, and a meta-analysis was performed using RevMan 5.4.

RESULTS: This study identified and evaluated 19 RCTs reporting 22 different interventions, as well as outcome indicators for the three aspects of psychosocial health, sexual health, and dyadic relationships in prostate cancer patients and informal caregivers. A meta-analysis of pooled data revealed that for prostate cancer patients, the intervention improved dyadic coping (SMD95% CI [95% CI] = 0.22 [0.01;0.42], p = 0.04), and for informal caregivers the dyadic care intervention reduced anxiety (SMD95% CI [95% CI] = -0.35 [-0.65;-0.06], p = 0.02), enhanced self-efficacy (SMD [95% CI] = 0.22 [0.01;0.43], p = 0.04), and improved sexual functioning (SMD [95% CI] = 0.29 [0.05;0.54], p = 0.02). No statistically significant overall effects were observed for the other outcome indicators.

CONCLUSION: The results of this review indicate that dyadic care interventions benefit prostate cancer patients and informal caregivers. However, given features such as research quality and sample size, further randomized controlled trials with excellent study designs are needed in the future to evaluate and validate the efficacy of dyadic care treatments for patients with prostate cancer.

TRIAL REGISTRATION: The protocol for this study is registered in PROSPERO with registration number (CRD42024567542).

PMID:39901243 | DOI:10.1186/s12912-025-02769-8

BMC Nurs. 2025 Feb 3;24(1):118. doi: 10.1186/s12912-025-02775-w.

ABSTRACT

INTRODUCTION: The persistent attrition of nurses from the profession is a significant challenge for both healthcare policymakers and administrative bodies within numerous low-income countries. In Ethiopia, various cross-sectional studies have been conducted regarding nurses’ intention to stay in the nursing profession; however, the results have demonstrated inconsistency. Hence, this study aims to pool the level of nurses’ intention to persist in the nursing profession.

METHODS: In our systematic review and meta-analysis, targeted findings were searched from a variety of electronic databases; including Pub Med, Google Scholar, African Journal Online, the Cochran Library, and Science Direct. To determine the pooled prevalence and associated factors of intent to stay in nursing profession among nurse in Ethiopia, all the necessary data was extracted by using a standardized data extraction format. We analyzed the data by using Stata 17 statistical software. Heterogeneity between the primary studies was assessed by I-square tests. A random-effect model was applied to estimate the pooled intention of nurses to continue within the nursing profession.

RESULT: We included a total of 12 full-text studies in our analysis. The findings of this meta-analysis revealed that the pooled prevalence of nurses’ intention to stay in nursing profession among Ethiopian nurses was 45.57% (95% CI; 38.43, 52.72). The subgroup analysis data revealed that the highest pooled prevalence of intention to stay was reported in the Tigray region which is 56.1% (95% CI 52.24, 59.96). In contrast the lowest prevalence was documented in Addis Ababa city administration which was 19.4% (95% CI 15.56, 23.24). Factors such as job satisfaction (OR = 2.69, 95% CI = 1.11 – 6.53), professional development (OR = 2.49, 95%CI = 1.27- 4.9), level of education (OR = 2.7, 95% CI = 1.92-3.8), payment and benefit (OR = 1.9, 95%CI = 1.15- 3.19) all were the significant determinants of nurses’ intention to continue in the nursing profession.

CONCLUSION: The results of our investigation suggested that the degree of intention to continue in the nursing profession among Ethiopian nurses was inadequate. The nurses’ intention to depart from the nursing profession is an alarming. Therefore, it’s imperative for healthcare policymakers and stakeholders to prioritize on retention strategies encompassing job satisfaction, recognition, incentives, career opportunities, professional support, and autonomy were necessary.

PMID:39901229 | DOI:10.1186/s12912-025-02775-w

BMC Pulm Med. 2025 Feb 3;25(1):59. doi: 10.1186/s12890-025-03532-0.

ABSTRACT

BACKGROUND: Advances in the field of genetics of interstitial lung diseases (ILDs) have led to the recent consensus statements made by expert groups. International standards for genetic testing in ILD have not yet been established. We aimed to examine current real-world strategies employed by pulmonologists working with familial ILD.

METHODS: A panel of pulmonologists with expertise in ILD developed an international survey aimed at clinicians working with ILD. The survey consisted of 74 questions divided into eight topics: characteristics of respondents, diagnosis, screening of first-degree relatives, screening tools, genetic testing methods, lung transplantation, ethical concerns, and future needs.

RESULTS: Overall, 237 pulmonologists from 50 countries participated. A family history of ILD was asked for by 91% of respondents while fewer asked for symptoms related to telomere disorders. Respondents stated that 59% had access to genetic testing, and 30% to a genetic multidisciplinary team (MDT). Many respondents were unaware of specific genetic testing methods. Pathogenic genetic variants were seen as a potential contraindication for lung transplantation in 6-8% of respondents. Genetic screening of relatives was supported by 80% of respondents who indicated insufficient evidence and a lack of formal guidelines for genetics and ILD. Only 16% had a standardized program.

CONCLUSION: Most pulmonologists ask for a family history of ILD and recommend genetic testing for ILD and screening in relatives but have limited knowledge of specific tests and access to genetic MDT. Evidence-based guidelines to inform patients, relatives, and physicians are still warranted.

PMID:39901224 | DOI:10.1186/s12890-025-03532-0

BMC Sports Sci Med Rehabil. 2025 Feb 3;17(1):19. doi: 10.1186/s13102-025-01054-0.

ABSTRACT

OBJECTIVE: To analyze the effects of different track and field events on human cardiovascular function and physiological energy metabolism.

METHOD: The research subjects were ordinary male students majoring in physical education at a certain university, aged between 18 and 25 years old. A total of 42 people were divided into four sub sample groups: sprint group (10 people), jump group (10 people), long-distance running group (10 people), and regular student group (12 people). The COSMED K5 portable gas metabolism analysis system was used to measure cardiopulmonary function, and key indicators such as Maximum Oxygen Uptake (VO₂max) were evaluated using a Stepwise Increasing Load Test (SILT). The two factor repeated measures ANOVA method was used to analyze the effects of different load levels and groups on cardiopulmonary function and energy metabolism.

RESULT: The weight, systolic blood pressure, and diastolic blood pressure of different populations were not statistically significant in a quiet state (p > 0.05). The waist to hip ratios of the short-distance and long-distance running teams were 0.75 ± 0.03 and 0.76 ± 0.03, respectively, which showed significant differences compared to ordinary students (p < 0.05). There was also a significant difference in heart rate between different track and field teams and ordinary students in a quiet state (p < 0.05). The termination load of different track and field teams varied, with the long-distance running team having the highest load (p < 0.01), followed by the jumping team. Compared with ordinary students, there was a significant difference (p < 0.05) in the termination heart rate among the sprinting, long-distance, and jumping teams. However, there was p > 0.05 in the systolic blood pressure index among the four groups of subjects. There was a significant difference (p < 0.05) in diastolic blood pressure between sprinting and jumping teams and ordinary students. In a quiet state, the energy metabolism of long-distance running teams, sprinting teams, jumping teams, and ordinary students was 1.52 ± 0.64, 1.81 ± 0.91, 1.86 ± 0.87, and 2.87 ± 0.96, respectively.

CONCLUSION: In a quiet state, there are significant differences in body shape and function between different track and field training teams and the general population. In a quantitative load state, long-distance runners have the strongest adaptability to load.

PMID:39901223 | DOI:10.1186/s13102-025-01054-0

BMC Psychol. 2025 Feb 3;13(1):94. doi: 10.1186/s40359-025-02371-2.

ABSTRACT

OBJECTIVE: Academic stressors among adolescents, strongly associated with emotional disturbance, increase the chance of psychiatric problems, and their severity increases over time when emotional and educational issues remain unresolved. The present study is designed to investigate the impact of cognitive behavioural therapy (CBT) on procrastination, burnout, self-handicapping behaviour, test anxiety, and school functioning among adolescents facing academic problems.

MATERIALS AND METHODS: A total of 200 adolescents were enrolled for eligibility assessment; 129 participants met the eligibility criteria, and they were allocated to the experimental and waitlist control conditions. After the baseline assessment, participants were involved in the treatment condition, and after 6-8 follow-up sessions, they were referred for the post-assessment. We used different assessment measures to assess the outcome, i.e. General Procrastination Scale (GPS), Maslach Burnout Inventory-Student Survey (MBI-SS), Self-handicapping Scale (SHS), Test Anxiety Inventory (TAI), and Living up to Parental Expectation Scale (LPES). Repeated measures ANOVA was used to analyze the results.

RESULTS: The current RCT findings suggest that CBT was found an effective treatment condition to address the emotional problems among adolescents. CBT significantly reduced the degree of procrastination {F (1, 63) = 25.01, p < .000, η² = 0.29} academic burnout {F (1, 63) = 11.08, p < .000, η² = 0.16}, test anxiety {F(1, 63) = 88.17, p < .000, η² = 0.59}, and self-handicapping {F (3, 56) = 10.17, p < .000, η² = 0.16} among adolescents. CBT also significantly helped the students to manage parental unrealistic expectations through providing relationship skills and training {F (3,56) = 546.46, p < .001, η² = 0.89). Further analysis reveals that counseling sessions substantially improved students’ academic performance and students functioning at school in term of attendance and punctuality.

CONCLUSION: It is concluded that CBT efficiently addressed emotional and academic problems (i.e. procrastination, burnout, test anxiety, and self-handicapping behavior), improved students’ functioning at school (i.e. attendance & and academic grades), and guided the students to manage unrealistic parental expectations.

PMID:39901214 | DOI:10.1186/s40359-025-02371-2

BMC Public Health. 2025 Feb 3;25(1):431. doi: 10.1186/s12889-025-21568-z.

ABSTRACT

INTRODUCTION: Global evidence suggests that natural disasters are on the rise, and that earthquake harm disproportionally impacts developing countries. To mitigate these harms, disaster preparedness is an important behavioral strategy in earthquake risk mitigation. However, there is limited evidence about the levels of preparedness in developing countries, especially Iran. Therefore, this study aimed to investigate earthquake preparedness among the general public, using the Theory of Planned Behavior (TPB) as a theoretical framework.

METHOD: This methodological study was conducted in Iran in 2022, involving 302 participants selected through stratified random sampling. Data was collected using a valid and reliable questionnaire. Structural equation modeling (SEM) was employed to analyze TPB constructs, including attitudes, subjective norms, perceived behavioral control, and intentions, in relation to earthquake preparedness behaviors. The statistical analyses encompassed descriptive statistics, t-tests, ANOVA, correlation coefficients, confirmatory factor analysis, and structural equation modeling.

RESULTS: Results show that attitudes toward disaster preparedness, subjective norms, and perceived behavioral control significantly (< 0.05) influenced residents’ disaster preparedness intentions. Additionally, there was good model fit of the TPB in explaining earthquake preparedness behavior. For confirmatory factor analysis (CFA) of TPB model the fit indices were CMin/df = 1.35 (< 3), RMSEA = 0.03 (< 0.05); CFI = 0.96 (> 0.95); TLI = 0.95 (= 0.95), and for SEM model they were CMin/df = 1.36 (< 3), RMSEA = 0.03 (< 0.05); CFI = 0.96 (> 0.95); TLI = 0.96 (> 0.95).

CONCLUSION: The overall fit indexes were acceptable indicating the TPB model is a valid and reliable measurement model for screening population-level readiness for earthquake preparedness, developing and/or implementing health promotion interventions. The findings also suggest that disaster education programs should emphasize the importance of attitudes, subjective norms, and perceived behavioral control in promoting disaster preparedness.

PMID:39901211 | DOI:10.1186/s12889-025-21568-z

J Orthop Surg Res. 2025 Feb 3;20(1):130. doi: 10.1186/s13018-025-05539-z.

ABSTRACT

PURPOSE: The purpose of this study was to introduce and evaluate the Descriptive Ankle Fracture Classification (DAFC) system, a novel alphanumeric method for categorizing ankle fractures and fracture dislocations, and to assess its reliability and prognostic value compared to traditional classification systems (AO/OTA, Weber, and Lauge-Hansen).

MATERIALS AND METHODS: A retrospective review was conducted on 90 patients who underwent surgical treatment for ankle fractures. Four observers of varying experience levels classified the fractures using the DAFC, AO/OTA, Weber, and Lauge-Hansen classification systems. Interobserver and intraobserver reliability were evaluated using Fleiss’ Kappa coefficient. Functional outcomes were assessed with the American Orthopaedic Foot & Ankle Society (AOFAS) and Olerud Molander Ankle Score (OMAS) systems, and comparisons were made across classification systems to determine prognostic value.

RESULTS: The DAFC system demonstrated superior interobserver reliability, particularly for medial malleolus fractures (Kappa = 0.935-0.954) and syndesmotic injuries (Kappa = 0.873-0.891), compared to the other systems. Intraobserver reliability was consistently high across all categories in the DAFC system, with Kappa values ranging from 0.967 to 1.000. Functional outcomes revealed significant associations with the DAFC classification: patients with complete dislocation (D2) had significantly lower AOFAS and OMAS scores than those without dislocation (D0) (P = 0.011), and those with larger posterior malleolus fractures (P2) had poorer OMAS scores (P = 0.014). No statistically significant differences in AOFAS or OMAS scores were observed across AO/OTA, Weber, or Lauge-Hansen classifications.

CONCLUSIONS: The DAFC system offers a reliable and comprehensive framework for ankle fracture classification, with the added benefit of prognostic insights, particularly regarding dislocation and posterior malleolus involvement. Its high interobserver and intraobserver reliability, even among observers with varying experience, suggests that the DAFC system is valuable for clinical use. Future research should focus on validating these findings in larger cohorts and assessing the DAFC system’s impact on long-term patient outcomes.

LEVEL OF EVIDENCE: Level IV, Retrospective cohort.

PMID:39901191 | DOI:10.1186/s13018-025-05539-z

BMC Nurs. 2025 Feb 3;24(1):122. doi: 10.1186/s12912-025-02753-2.

ABSTRACT

BACKGROUND: Lower back pain (LBP) is the main cause of workplace impairment and a significant contributor to absenteeism. Implementing relaxation techniques in the workplace can be considered an investment because it can eventually lower the incidence of chronic LBP (chronic lower back pain).

AIM: The purpose of the current study was to evaluate the effect of relaxation techniques on the quality of working life, pain and disability level, with nurse-led interventions among occupational workers with chronic lower back pain (CLBP).

METHOD: A quasi-experimental design with a pre- and post-test method was used.

SETTING: The study took place at a yarn and textile factory in Kafr El-Sheikh City, Kafr El-Sheikh Governorate, Egypt.

SAMPLE: A purposive sample of 100 industrial workers with persistent LBP was chosen. The participants were matched and sorted into two equal groups: the study group and the control group.

INSTRUMENTS: The study used a structured interview questionnaire, the Visual Analogue Scale (VAS), the Quality of Working Life Scale (QWL), and the Oswestry Disability Index.

RESULTS: Participants’ average age was 41.4 ± 8.7 years in the study group and 40.5 ± 7.8 years in the control group. Following the relaxation technique intervention, the study group’s pain intensity, frequency, and duration were significantly lower than in the control group. Following the intervention, the study group’s overall quality of working life improved statistically significantly, with the mean score rising from 72% in the pretest to 93.3% in the post-test. The research group’s daily activities and the overall quality of working life improved dramatically when compared to the control group. Furthermore, after the intervention, the study group’s disability levels decreased significantly, with only 46% having a disability compared to 86% before the intervention.

CONCLUSIONS: The implementation of relaxation techniques greatly improved the quality of working life in the study group when compared to the control group. There was a notable and statistically significant difference in pain intensity between the study group and the controls. Following the intervention, industrial workers’ daily living activities improved, despite persistent LBP.

RECOMMENDATION: Health education and awareness programs should be conducted to improve the quality of life for industrial workers with LBP. Additionally, occupational health nurses’ roles in the early detection and referral of LBP patients in diverse industrial settings should be strengthened.

PMID:39901190 | DOI:10.1186/s12912-025-02753-2

BMC Psychol. 2025 Feb 3;13(1):95. doi: 10.1186/s40359-025-02398-5.

ABSTRACT

The dual-factor model (DFM) of mental health has received increasing support in recent years. However, researchers have limited knowledge regarding the longitudinal changes in the DFM of mental health. This study considered the dual-factor mental health among adolescents using latent profile analysis (LPA). It explored the impact of childhood maltreatment on mental health using latent transition analysis (LTA). The sample comprised adolescents who reported depression, anxiety, and life satisfaction. An interpretable LTA solution identified three classes: flourishing, moderately mentally healthy, and troubled. The flourishing class displayed the most stable mental health, followed by the moderately mentally healthy class. The troubled class was the least stable. In examining the effects of maltreatment experiences, we found that previous physical neglect was a risk factor for suboptimal mental health. The study’s findings emphasize the importance of regular monitoring of adolescents’ dual-factor mental health to inform mental health promotion.

PMID:39901184 | DOI:10.1186/s40359-025-02398-5