The ICN Global Nursing Leadership Institute: Integrating the SDGs into Leadership and Policy Development

Nurse-led family-based approach in primary health care for patients with type 2 diabetes mellitus: a qualitative study

PURPOSE

The prevalence of Type 2 diabetes is rapidly increasing, with 537 million people estimated to have diabetes in 2021. The literature suggests that nurses can deliver effective person-centred diabetes care and that families can be essential in supporting patients. Thus, a Nurse-led Family-based (NLFB) approach may be particularly effective. This study aims to explore the perceptions of nurses, adults with type 2 diabetes, and family members regarding the NLFB intervention.

METHODS

Guided by the UK Medical Research Council Framework, this seminal study adopted a qualitative, descriptive approach with content analysis. Data were obtained through 16 semi-structured, in-depth interviews. Themes emerged based on an inductive process using constant comparison (Graneheim and Lundman 2004). The COREQ checklist was used in ensuring rigour.

RESULTS

Three main themes emerged includes: (1) nurses' experiences with current diabetes care practices, (2) stakeholders' views on the development of a NLFB approach, and (3) merging the nurse-led family aspects into the diabetes care. The key challenges are the dominant medical model, lack of specialist nurses, and time. The key facilitators are knowledge and social support.

CONCLUSION

The study recommends stakeholders embrace nursing empowerment strategies and involve families to enhance the nurses' advanced roles and family inclusion in healthcare.

Determinants of Turkish nursing students' attitudes towards sustainable development and knowledge of climate change: A descriptive and correlational study

BACKGROUND

Nurses are in a unique position to achieve the Sustainable Development Goals, and to prevent and intervene in climate change. Determining nursing students' levels of attitudes and knowledge on this subject is important in determining the content of nursing education programs.

OBJECTIVES

To determine the nursing students' attitudes towards sustainable development and their knowledge of climate change, and to identify determinants associated with these parameters.

DESIGN

A descriptive and correlational design was used.

SETTINGS

National Student Nurses' Association in Turkey.

PARTICIPANTS

The sample of study consisted of 481 nursing students who were members of the National Student Nurses' Association.

METHODS

Data were collected online with the descriptive characteristics' questionnaire, the Attitudes Towards Sustainable Development Scale, and the Climate Change Knowledge Test. We used Mann-Whitney U test, Kruskal-Wallis test, and Spearman correlation analysis to analyze the data obtained from the scales.

RESULTS

The participants' mean sustainable development attitude score was 82.61 ± 12.69 and mean climate change knowledge score was 6.47 ± 1.44. There was a relationship between the sustainable development attitude and the variables such as gender, grade, warning people around them to be sensitive about environmental pollution, following the news about environmental problems, taking precautions about sustainable development and climate change in daily life, and receiving education about sustainable development and climate change in the nursing education. There was a relationship between climate change knowledge and the variables such as gender, grade, membership in an environmental organization, method of keeping up with environmental issues, and receiving education on sustainable development and climate change in nursing education.

CONCLUSION

Although the students displayed favorable attitudes towards sustainable development at a good level, their knowledge of climate change was not adequate. Thus, we recommend that sustainable development and climate change issues should be integrated into nursing education curricula to improve students' attitudes towards and knowledge and awareness of sustainable development and climate change.

Compromised end-of-life syndrome in cancer patients: A clinical validation study

PURPOSE

To identify the prevalence of the nursing diagnosis of compromised end-of-life syndrome in patients in end-of-life care.

METHODS

This is a clinical validation based on a cross-sectional epidemiological clinical study conducted at the National Cancer Institute in Rio de Janeiro, Brazil. The defining characteristics of a syndrome diagnosis were identified, defined as a "subset of nursing diagnoses," using sensitivity and specificity measures through the application of latent class statistical methods.

FINDINGS

The statistical results revealed seven nursing diagnoses characterizing the syndrome: imbalanced nutrition: less than body requirements, nausea, anxiety, ineffective breathing pattern, disturbed sleep pattern, ineffective thermoregulation, and fatigue. Compromised end-of-life syndrome was present in 76% of the sample.

CONCLUSION

The study demonstrated the presence of compromised end-of-life syndrome in most end-of-life patients from the sample.

IMPLICATIONS FOR NURSING PRACTICE

Recognizing the presence of the syndrome diagnosis enables nurses to have efficient and effective clinical reasoning for implementing the nursing process in palliative care. CAAE Number: 85415618.0.3001.5274.