International Journal of Nursing Knowledge

Quality of care is one of the most critical issues in nursing care today. Moreover, all health care employees are responsible for providing support and high-quality, safe care. However, nurses caring for COVID-19 patients face problems such as unfamiliar work environments, exposure to the disease, lack of experience in their new positions, and close public and media attention. This study aimed to investigate missed nursing care and the reasons for missed nursing care during the coronavirus disease 2019 (COVID-19) pandemic in Iran.

This cross-sectional study included 135 nurses working in COVID-19 units. Data were collected using the MISSCARE Survey. The significance level for the statistical tests was set at p < 0.05.

Most of the participants were women and had a bachelor's degree in nursing. There was a lack of supportive and necessary care more than any other form of care. According to nurses, the most common reasons for missed care were urgent patient situations, inadequate staff, and an unexpected rise in patient volume and/or patient acuity on the unit.

Generally, the results showed that being positioned in a new situation and unfamiliarity with the disease had a significant impact—among nurses—on the amount of care provided. Managers can use this information to solve existing missed-nursing-care problems and contribute to improving the quality of care.

These results can be helpful in controlling missed nursing care and finding a more optimal solution for this problem; thus, we can improve the quality of care delivery and increase the satisfaction of nurses and patients. Additionally, an understanding of the kind of missing nursing care during a pandemic can positively enhance the management of similar situations in the future.

Due to disability and reduced activities of daily living (ADL), older adult stroke survivors face difficulties deciding whether to receive care at home or move to a facility after discharge. The study aims to evaluate the impact of decision-aid (DA) use on decision-making participation and conflict regarding the selection of post-discharge care locations for older adult stroke survivors and their families.

A randomized controlled trial will be conducted among older adult stroke survivors at a medical rehabilitation facility during their recovery period. Randomization units will be blinded and allocated according to the patient's room, and the intervention period will be approximately 2 months, from admission to discharge. The study participants will include (1) people over 65 years of age, (2) stroke survivors, and (3) those facing the need to make decisions regarding the location of post-discharge care. However, those who have difficulty making their own decisions due to severe dementia, aphasia, or altered consciousness will be excluded. In the intervention group, a DA will be provided with its utilization confirmed approximately 1 month after hospitalization. Similarly, the control group will be provided with an informative brochure, with the provision being confirmed approximately 1 month after hospitalization.

The primary outcome (decision-making conflict) and secondary outcome (decision-making participation) will be evaluated using the decisional conflict scale (DCS) and revised control preference scale (CPS), respectively. Intergroup differences in DCS and CPS will be analyzed using two-way repeated measures analysis of variance and z-test, respectively.

Verification using randomized controlled trials is necessary to determine the effectiveness and versatility of DAs.

By deepening the knowledge of our priority research areas, the results of the proposed study will strengthen our fundamental knowledge by revealing older adult stroke survivors’ care preferences after discharge.

This study aimed to determine posttraumatic growth and psychological resilience and understand the relationship between posttraumatic growth and psychological resilience in frontline nurses.

This study was conducted on 263 nurses working at the pandemic clinics of a hospital of a healthcare group in Istanbul and a public hospital in Bursa between June 20 and September 01, 2020. Data were collected online to avoid the risk of infection using the personal information form, the Connor–Davidson resilience scale and the posttraumatic growth inventory.

There is a significant relationship between posttraumatic growth and psychological resilience in frontline nurses. Nurses with a master's degree have higher psychological resilience than those with a bachelor's degree. Also, those who are reported that they receive organizational support from the nursing services management have higher psychological resilience and posttraumatic growth scores. Participants who worked for the hospital in Istanbul, those who stayed at hotels, and those who had no communication problems with the healthcare team had statistically significant higher posttraumatic scores and subscale scores than others. Also, those who do not think that they can protect themselves from the virus enough have lower posttraumatic growth than those who think so.

Psychological resilience was positively correlated with posttraumatic growth and its subscales.

Future studies should follow up on frontline nurses to determine the long-term impacts of the COVID-19 pandemic on psychological resilience and posttraumatic growth.