bluuebunny/crossref_metadata_2025 huggingface dataset:
Development of a Nurse Practitioner led Carpal Tunnel Syndrome clinic
Authors: Scanlon Andrew , Perera Chandrashan , Gonzalvo Gus , Fabinyi Gavin
Published: June 2024

Objective: This paper aims to examine how the role of nurse practitioner was implemented within a public hospital Department of Neurosurgery carpal tunnel syndrome clinic.
Setting: Tertiary referral centre outpatient clinic.
Findings: The paper informs practice describing the process of developing, implementing and the requirements to become a nurse practitioner role within a public hospital’s Department of Neurosurgery within Australia.
Conclusions: The introduction of a nurse practitioner role within the Department of Neurosurgery has resulted in more timely access and cost effective care for patients referred to this specialised service. Opportunities to further expand this and similar roles in the future should be considered as demand increases.
Exploring values in nursing: generating new perspectives on clinical practice
Authors: Drayton Nicola , Weston Kathryn
Published: June 2024

Objective: The ‘Essentials of Care’ (EoC) program seeks to develop a shared vision amongst nurses within particular workplace teams. The purpose of this study was to describe the experiences of nurses during the process of exploring their values and developing these into a shared vision at both an individual level and as a team.
Design: A qualitative, focus group design was used to provide an accurate representation of the nurses experiences in reflecting on their values and developing these into individual ward/unit vision statements. Six focus groups were conducted by independent researchers. The focus group discussions were recorded and transcribed by an independent researcher. The transcription provided the data for thematic analysis.
Setting: This study was conducted in two tertiary hospitals from the same Local Health District in New South Wales,Australia.
Subjects: Forty-two nurses from fourteen hospital wards or units participated in the study. Seventeen were facilitators of the program and the remainder were nursing staff who had undertaken the program.
Main outcome measures: The authors independently interpreted the transcripts using inductive qualitative analysis, reaching consensus on emergent themes. Representative quotations were chosen for each theme.
Results: Six themes emerged which describe the experiences of nurses during the exploration of individual and team workplace values which were then developed into shared visions. The emergent themes were: shared values and commitment to patient care; empowerment and ownership for cultural change; real and observable outcomes; the meaning of the team; different active learning approaches equalling the same outcome; and culture change results in new perspectives.
Conclusion: This study supports the benefits of value-based programs. Exploring values led to new perspectives on clinical practice, both individually and collectively by the nursing teams.
The clinical environment – do student nurses belong? A review of Australian literature
Authors: Gilbert Julia , Brown Lynne
Published: June 2024

Objective – broad aim: This paper aims to identify some of the issues related to the nursing students’ experience of belonging on clinical placements from the current Australian literature. Anecdotal and empirical evidence suggests that nursing students on clinical placements often experience problems that can adversely affect their feeling of belonging in the clinical setting and ultimately their career decisions. As nursing shortages increase, retention of student nurses in their chosen profession is often affected by their clinical experiences, both positively and negatively (HWA, 2012).
Setting and Subjects: Health professionals’ attitudes towards nursing students may affect their feelings of belonging to the environment and the health care team. These health professionals include Registered Nurses and a range of other health professionals including medical staff, physiotherapists and dieticians. The clinical settings in which student nurses’ practice vary greatly and may also make a difference to the student experience and their feelings of belonging.
Primary Argument: Student expectations should include feeling welcomed to the clinical area and respected as part of the nursing culture. Clinical placements provide the ‘real world’ experience to complement classroom and laboratory education. These expectations are clearly not met in some clinical environments. Complimentary research reinforces the benefit of partnering students with experienced registered nurses who have an interest in teaching nursing students.
Conclusion: The literature has identified some examples of where students have felt a sense of belonging to the clinical environment and others where the situation has been less than encouraging. Provision of support, guidance and ensuring appropriate clinical education remain ongoing challenges for Australian universities and the health care system (Henderson et al 2011).
Knowledge, attitudes and practices relating to fertility among nurses working in primary health care
Authors: Hammarberg Karin , Collison Lisa , Nguyen Hau , Fisher Jane
Published: June 2024

Objective: To explore knowledge, attitudes and practice relating to factors that affect fertility among nurses working in general practice and other primary health care settings.
Design: Anonymous online survey.
Setting: Primary care.
Subjects: Members of the Australian Primary Health Care Nurses Association (APNA). Main outcome measures: Fertility related knowledge, attitudes and practice.
Results: 102 individuals completed the survey. More than half overestimated the age when male and female fertility declines and the chance of women conceiving with IVF. Most knew that smoking affects a man’s sperm but only one quarter that smoking halves a woman’s fertility. The majority recognised obesity and STI’s as detrimental for fertility and agreed that educating patients about fertility is part of primary health care nurses’ role to ask people of reproductive age about their reproductive life plan and alert them to the factors that influence fertility. The most commonly cited barrier for discussing fertility with patients was perceived lack of knowledge about the subject.
Conclusion: This study identified opportunities and barriers for nurses working in primary health care to proactively discuss fertility and the factors that influence the chance of conceiving with their patients. Appropriate educational resources to improve knowledge and support from general practitioners (GPs) can enable nurses working in general practice and other primary health care settings to provide effective fertility related education as part of their role as health promoters.
Flooded with evidence: using a 'spillway' model to improve research implementation in nursing practice
Authors: Moloney Clint , Taylor Melissa , Ralph Nicholas
Published: June 2024

Objective: To identify barriers to implementing evidence-based practice initiatives in small to medium sub-acute facilities in Queensland.
Design: The study uses a qualitative methodology in which field observations and convergent interviews were employed to generate data.
Setting: Four south-east Queensland sub-acute care facilities participated in the study. Observational and interview data were collected.
Subjects: Field observations were recorded across the sites. Five research fellows collected observational data on evidencebased practice implementation across a period of six months. Nine clinicians participated in in-depth, convergent interviews at the end of the period of observation.
Main outcome measures: The authors analysed observational and interview data using qualitative thematic analysis.
Results: Three themes emerged which described the needs of clinicians when evidence-based practice initiatives were being implemented: (1) valuing evidence; (2) risk prioritisation; and (3) controlling the flow of evidence. A ‘Spillway Model’ is proposed as a mechanism for targeting clinical priorities using integrated risk management.
Conclusion: This study supports the use of integrated risk management as part of a Spillway Model to guide the introduction of evidence-based practice initiatives in the clinical setting.
Nurse empathy and the care of people with dementia
Authors: Digby Robyn , Williams Allison , Lee Susan
Published: June 2024

Objective: Empathy is widely accepted as an essential nursing attribute yet the relationship between nurse empathy and the care of people with dementia in the hospital setting has rarely been explored. A number of themes have emerged from the relevant literature regarding the influences which shape a nurse’s ability to deliver empathetic care to this patient cohort. These issues include a lack of hospital resources, an organisational focus on operational issues such as patient flow and risk management, and widespread stigmatisation of dementia in society.
Setting: Acute and sub-acute facilities.
Subjects: In-patients with dementia and nurses.
Primary argument: Although there is widespread acknowledgment that nurses require empathy to deliver quality care, the complexity of caring for people with dementia in hospital creates further challenges for both nurses and patients. This issue has been discussed previously but there is little evidence that the situation has improved.
Conclusion: This paper details the relevant influences on the ability of nurses to care empathetically for people with dementia in hospital. The recognition that there are distinct factors related to this patient cohort is an important one and may assist nurses and health organisations to identify systemic and individual problems associated with hospitalisation and lead to the implementation of supportive strategies. Appropriate nurse-patient ratios which consider the additional workload attached to caring for people with dementia, clinical supervision and targeted nurse education must be considered to ensure health systems deliver appropriate person-centred care to people with dementia.
The transition of overseas qualified nurses and midwives into the Australian healthcare workforce
Authors: Ohr Se Ok , Holm Doreen , Brazil Sue
Published: June 2024

Objective: The purpose of this paper is to discuss the key elements to consider when developing and implementing strategies to enhance the transition of overseas qualified nurses and midwives (OQNMs) into the Australian healthcare clinical practice environment.
Setting: A local health district with a major metropolitan centre and a mix of large regional centres which provide a range of public health services, to a population of approximately 850,000 people located in New South Wales, Australia.
Subjects: Newly recruited overseas qualified nurses and midwives. Many of these nurses and midwives are from culturally and linguistically diverse backgrounds and different countries.
Primary argument: Within the Australian nursing and midwifery practice environment the recruitment of overseas qualified nurses has gradually increased. While transitioning into the practice environment requires a range of support strategies, there is limited information on how to support them.
Conclusion: The culturally constructed support program and its strategies assisted in minimising the impact of the challenges and difficulties faced by OQNMs in their transition into the Australian nursing workforce. The program was instrumental in improving their well-being and it provided a strategic framework to facilitate a smoother transition. Risks to patient safety were mitigated by providing opportunities for education so the provision of safe quality care was enhanced. This was also seen as a factor that enhanced the recruitment and retention of nurses in the workforce.
Male or Nurse what comes first? Challenges men face on their journey to nurse registration
Authors: Juliff Dianne , Russell Kylie , Bulsara Caroline
Published: June 2024

Objective: This paper aims to provide an account of the first phase of a qualitative longitudinal study that explored the initial challenges men in nursing face to become registered. What is known is that men, a minority group within nursing, face the usual challenges of all new nurses in their quest to register as nurses. In addition, they have added pressures that hinder their quest due to being male.
Primary Argument: An Australian nursing shortage is looming due to nurses retiring from this female-dominate profession. Hence, the retention of men in nursing is an area requiring attention in order to support a sustainable workforce.
Subjects and Setting: Nine newly graduated male registered nurses participated. These nurses had recently commenced employment in the Western Australian metropolitan health region.
Findings: Individual face-to-face interviews produced the theme of role misconception with a major focus on male or nurse what comes first. This theme was derived from the categories of gender stereotyping and marginalisation.
Conclusion: This study suggests the need for a gender-neutral image when promoting nursing within and outside the professional environment. Furthermore, consideration for a professional title mutually accepted by both women and men in nursing, with the gender-neutral ‘nurse’ title preferred by the men in this study. Moreover to acknowledge that men in nursing will augment a technical savvy workforce that will complement emergent complex nursing practices, and enhance a more comprehensive Australian nursing workforce that will assist with meeting the health care needs of a diverse population.
Australian undergraduate nursing students’ opinions on mental illness
Authors: Millar Rebecca
Published: June 2024

Objective: To determine second year Bachelor of Nursing students’ opinions on mental illness and relationship with demographic data for the purpose of curriculum development.
Design: The present study is a pilot study for a larger project which will investigate undergraduate nursing student opinions across the duration of their undergraduate degree at an Australian university. The ‘Student Opinions of Mental Illness Scale’, a 53 point Likert type questionnaire was used in a sample of second year nursing students to investigate their opinions of mental illness.
Setting: Metropolitan nursing school in Victoria, Australia.
Subjects: 133 second year undergraduate Bachelor of Nursing students’.
Main outcome measures: Student opinions based on Likert responses.
Results: The study revealed that student experiences, education, employment history of country of birth may impact upon student opinions of mental illness.
Conclusion: Overall, students were found to have a generally neutral opinion about mental illness except in the sub-scale factors of benevolence, mental hygiene ideology and interpersonal aetiology where students held less positive opinions. Knowing the student populations opinions about a subject matter can assist academics to direct and focus their efforts to improve those opinions in those areas.
Elements to promote a successful relationship between stakeholders interested in mental health promotion in schools
Authors: Handley Christine , McAllister Margaret
Published: June 2024

Objective: An evaluation of a mental health promotion program called iCARE which depended on collaboration between multiple partners.
Design: A qualitative exploratory evaluation that involved purposeful sampling of a range of stakeholders in the School settings.
Setting: Two Secondary Schools in Tasmania.
Intervention: iCARE stands for Creating Awareness, Resilience and Enhanced Mental Health and is a structured six-week program in which trained facilitators engage Year 8 students in learning about mental health and developing resilience. The collaboration involved university researchers, child and youth mental health clinicians, and education staff. It required investment in time and resources as well as intellectual effort and good will from each of the key players.
Results: Successful elements of collaboration were distilled from the interview data, indicating that for a mental health promotion program to succeed in schools, highly tuned negotiation and communication skills are required.
Conclusion: Nurses are increasingly working within the community to promote the health and wellbeing of many groups. To work effectively with young people in schools, and to share the impact of that work with the professional community, requires collaboration between health, education and university stakeholders. This evaluation found that success in this interdisciplinary connection requires respect, communication, negotiation and appreciation for disciplinary differences.
A paediatric nurses’ journal club: developing the critical appraisal skills to turn research into practice
Authors: Purnell Maragaret , Majid Gina , Skinner Virginia
Published: June 2024

Objectives: The aim of this study was to determine if implementation of a regular journal club improves critical appraisal confidence and facilitates integrating research literature into nursing practice.
Design: A survey was distributed to all paediatric nurses across two wards who had potentially attended the journal club in the previous two years.
Setting: This small scale study was undertaken at a northern Australian hospital.
Sample: The surveys were distributed to 58 nurses from the two paediatric wards and 33 of them responded but only 29 of these had attended the journal club leaving 29 surveys to be analysed for this study.
Results: The majority of responses to the survey questions were positive. When statistically analysed by Pearson’s correlation, four variables showed a strong association: increased confidence with interpreting research literature, developing critical appraisal skills, the sharing of knowledge and integrating evidence-based practice into nurses’ workplace. A number of changes in practice have occurred as a direct result of the journal club.
Conclusion: The results from this study support the benefits of utilising nursing journal clubs to promote clinical practice that is informed by research evidence.
Graduate nurses’ experience of feedback, support and anxiety: a pilot study
Authors: Gardiner Isabelle , Sheen Jade
Published: June 2024

Objective:  The aims of this study were to investigate the association between feedback and anxiety, while also exploring the feedback and support experiences of graduate nurses.
Design: This study used a mixed methods approach.
Setting: Participants completed an online survey.
Subjects: The study included 107 Australian graduate nurses.
Main outcome measures: Anxiety and feedback.
Results: Using bivariate regression a negative relationship was identified between feedback and anxiety. Further analysis using one-way analysis of variance revealed that participants who received regular and quality feedback and support reported the lowest anxiety. The second aim was assessed by reviewing participants’ subjective comments regarding their experiences as graduate nurses. Results revealed high variability in feedback and support experiences. The data gathered suggests graduate nurses experience anxiety during their transition from university to professional nursing.
Conclusion: The provision of regular feedback and support was associated with reduced anxiety in graduate nurses. Thesepreliminary findings highlight the importance of regular and appropriate feedback and support to facilitate learning,successful role transition and improved patient outcomes.
A nurses’ guide to ethical considerations and the process for ethical approval of nursing research
Authors: Ingham-Broomfield Rebecca
Published: June 2024

Objective: A sound knowledge of the ethical principles that guide nursing practice and research are essential for any researcher. This article provides discussion regarding the principles as well as the history behind ethical practice in the construction of nursing research. The article also breaks down the process for achieving ethical consent and includes a simplified framework to guide the process of seeking ethical approval.
Primary Argument: Nurses new to the field of conducting research may benefit from an organised structure that helps them understand the sequence of events required to gain appropriate ethical approval and ensure an ethical approach is adopted. It is crucial for all researching nurses to understand, and adhere to, already well developed nationally and globally prescribed ethical and validated research study structures to be able to achieve ethical, valid and reliable research outcomes.
Conclusion: A framework is provided within this article to outline the process of gaining ethical consent for research. The information presented in the framework is based upon the discussion within the article and may assist the nurse researcher, who is unfamiliar with the process of obtaining ethics committee consent, to plan and prepare for their research approval, in a systematic logical manner. The framework reflects the National Health and Medical Research Council (NHMRC) criteria which guides Human Research Ethics Committees (HRECs). Nursing research needs to be able to ethically contribute to the body of Evidence Based Practice.
Improving diabetes control in the community: a nurse managed intervention model in a multidisciplinary clinic
Authors: Ginzburg Tatyana , Hoffman Robert , Azuri Joseph
Published: June 2024

Objective: To assess diabetes management and control measures in a central multidisciplinary primary care clinic, conducted by a nurse.
Design: A cross sectional study.
Setting: Central, multidisciplinary, primary care clinic.
Subjects: Randomly selected 100 people with diabetes.
Interventions: People with diabetes with suspected non-optimal glucose control (HbA1c > 7%), were invited to the clinic nurse to discuss optimal personal diabetes control, treatment and follow up. All were provided the necessary referrals to consultants and were called in for follow up visits, and received telephone reminders. All interventions were made according to the current American Diabetes Association Standards of Medical Practice recommendations.
Main outcome measures: Retrospective data were collected. Data included demographics and diabetes control measures (e.g. HbA1c, LDL, blood pressure, ophthalmologic examination etc.). Data was collected for three x 6 months periods: 1) six months before the nurse visit; 2) six months following the first nurse visit (the intervention); and 3) for patients who were followed up for at least one year after the intervention, the last six months of follow-up.
Results: With a median follow up of 25 months, HbA1c, LDL and systolic blood pressure levels dropped significantly from before starting the clinic through the intervention and remained low in the last half year of follow up. GP, Ophthalmologist and Dietician visits increased significantly during the study. Non-significant trends were observed with total and diabetes-related hospitalisations decreased, foot examination rates increased and mild weight loss.
Conclusion: Multidisciplinary intervention managed by a nurse, improve diabetes management and control measures. Observed changes persisted after the intervention period. A cross sectional study.
Effect of an evidence based quality improvement framework on patient safety
Authors: Montgomery Amy , Riley Therese , Tranter Shelley , Manning Vicki , Fernandez Ritin
Published: June 2024

Objectives: To investigate the impact of the introduction of The Productive Ward Program™ on two patient safety indicators; patient falls and medication errors.
Design: Retrospective quantitative study.
Setting: The study was conducted at a major metropolitan acute care hospital in Sydney, Australia.
Subjects: This study was conducted in a medical, surgical and two aged care wards, with a combined total of 120 inpatient beds over a 32 month time period.
Main Outcome Measures: The number of patient falls and medication errors for each of the participating wards.
Results: The implementation of The Productive Ward Program™, did not have an overall significant statistical reduction in the number of falls and medication incidents. Aged Care 1, had a reduction of 13 falls between intervention and post intervention phase, these results were not statistically significant (OR 1.17; 95% CI 0.86, 1.59). For Aged Care 1 ward there was a statistically significant reduction in medication errors from 66 errors pre intervention to 27 medication errors post intervention (OR 2.73;95% CI 1.71, 4.38).
Conclusion: The results of this small study indicate that the implementation of The Productive Ward Program™, did not have an overall significant statistical reduction in the number of falls and medication errors. This paper highlights the need for future research on the impact of the Productive Ward Program on patient safety.
Validity testing of a tool for assessing nurse safety behaviour against blood borne infections
Authors: Oh HyunSoo , Seo WhaSook
Published: June 2024

Objective: This study was conducted to develop and verify a tool for assessing nurse safety behaviour against blood borne infections.
Design: A cross-sectional correlation study design was used.
Setting and Subjects: Items were developed based on reviews of related literature, published guidelines regarding the prevention of blood borne infections, and existing tools designed to assess compliance with blood borne infection control precautions.Face and content validities of the tool was assessed by expert panels. Construct validity and reliability were examined on 320 staff and charge nurses whose duties involved direct contact with patients.
Results: A 12-item, 5-point Likert-type assessment tool of nurse safety behaviour against blood borne infections was devised. Construct validity, which was investigated by exploratory and confirmatory factor analysis, and reliability of the devised tool were well supported. The devised tool has a three-factor structure, ‘use of personal protective equipment’, ‘hygiene’, and ‘compliance with precautions’. These factors were found to be interrelated, were not independent of each other, and their correlations and loading coefficients indicated good discriminant and convergent validities.
Conclusion: The devised 12-item assessment tool offers a clinically useful means of properly assessing safety related behaviours, and provides specific guidelines for preventive practices that should be followed by healthcare workers.
Factor analysis to validate a survey evaluating cultural competence in maternity care for Indigenous women
Authors: Aitken Robyn , Stulz Virginia
Published: June 2024

Objective: This research set out to develop and validate a tool to assess the self-reported progress of Australian publicly funded maternity services towards the goal of culturally competent maternity care for Indigenous women. The tool aimed to measure the degree to which these services had incorporated actions towards achieving 149 identified characteristics into the current fabric of their organisation.
Design: An online exploratory survey was distributed to consenting respondents nationally.
Setting: Public maternity services in each State and Territory of Australia.
Subjects: The survey was distributed to 149 public maternity organisations, with 85 organisational consents and 44 respondents completing the survey.
Main outcome measure: Construct validity of a survey designed to describe progress in working towards organisational cultural competence in maternity services was assessed by principal factor analysis and varimax with Kaiser rotation.
Results: The results support the two subscales identified as appropriate groups of questions to address 1) assessment of cultural competence and 2) assessment of the survey. Reliability was assessed by Cronbach’s reliability and results established evidence of a reliable survey.
Conclusion: The results of this study show that the survey assessing and identifying organisational cultural competence in public maternity care for Indigenous women demonstrated acceptable reliability and validity for a newly developed instrument. Responses to the survey provided participants of this study with a baseline for assessing further progress. Upon further testing and refinement, the survey can provide a validated tool to guide both national and local activity to improve the maternity experiences of Indigenous women.
Perceived barriers and enablers to conducting nursing assessments in residential aged care facilities in Victoria, Australia
Authors: Bauer Michael , Fetherstonhaugh Deirdre , Winbolt Margaret
Published: June 2024

Objective: Nurses working in aged care facilities need to be adequately prepared to manage the increasingly complex care needs of older people. This paper reports on the views of nurses on the barriers and enablers to conducting nursing assessments with older people in residential aged care, six weeks after attending a four day education and training workshop on this topic.
Design: Descriptive evaluation.
Setting: Data were collected in a range of venues in which the education was delivered.
Subjects: Registered (RNs) and enrolled (ENs) nurses (n= 345) working in residential aged care facilities in Victoria, Australia.
Findings: Fourteen barriers and eight enablers, which affect the capacity of nurses to conduct assessments with older people, were identified. The most common cited barriers included lack of time (78%), residents’ poor state of health (41%) and the absence of equipment (33%). Common enablers were organisational support (38%); staff  education and training (29%); having the appropriate equipment (22%); positive staff attitudes (17%) and the resident’s condition and cooperation (16%).
Conclusion: Nursing assessments are vital to the delivery of quality and evidence based aged care. The issues identified provide aged care services and managers with a basis for ensuring that nurses have the necessary preparation, training and ongoing support to perform the appropriate and required assessments to provide the best possible care.
Bioelectrical impedance analysis as a marker of nutritional status in chronically ill patients
Authors: Krel Cvetka , Piko Nejc , Tomažič Jožica , Bevc Sebastjan
Published: June 2024

Objective: The aim of the study was to evaluate different methods of nutritional status analysis like basic anthropometric data, laboratory data and bioelectrical impedance analysis (BIA) with phase angle (PA) in patients with chronic diseases.
Setting: Clinic for Internal Medicine, Department of Nephrology, University Clinical Centre Maribor, a tertiary referral centre in Slovenia, Europe.
Subjects: Patients with chronic disease and increased nutritional risk (≥1 fulfilled NRS 2002 criterion) at the time of inclusion in the study.
Results: Patients had chronic kidney disease (93%), arterial hypertension (80%), active infection (33.3%), heart failure (23.3%), diabetes mellitus (20%), active malignancy (10%), autoimmune disease (6.6%), history of stroke (6.6%), chronic obstructive pulmonary disease (3.3%) and/or liver cirrhosis (3.3%). Mean serum albumin was 33.6±5.7 g/L, mean BMI 25.6±4.4 kg/m2 and mean PA 4.4±1.2º. No correlation between serum albumin and BMI was found. Lower PA was associated with lower serum albumin (p=0.045) and advanced age (p=0.043). The department nurses conducted nutritional education for all patients included in the study. Study was performed in accordance with the Strengthening the reporting of observational studies in epidemiology.
Conclusion: Results of the study show the importance of nutritional risk assessment in all chronically ill patients. BIA is a promising method of determining nutritional status. PA values have important diagnostic, therapeutic and prognostic implications as they are a marker of body cell mass, membrane function and metabolic health. A multifaceted approach to assess malnutrition in patients with chronic diseases is important, followed by a prompt nutritional intervention.
Fast-track rehabilitation and nursing care in postanesthesia care unit on orthopedic patients
Authors: Zou Xiulan , Cong Ling , Yu Zhiping , Wang Junru
Published: June 2024

Objective: To assess the efficacy and outcome of fast-track rehabilitation (FTR) for orthopedic surgery patients.
Design: Randomised trial.
Setting: primary care.
Subjects and Methods: Two hundred and twenty patients undergoing orthopedic surgery under general anesthesia between November 2015 to March 2017 were randomly divided into traditional care (control, n=110) and fast-track rehabilitation (FTR,n=110) groups. Patients in the control group were given regular and routine care, while those in FTR group were cared for with multimodal rehabilitation. Demographic and data, postoperative hospital stays, surgical and general complications were assessed.
Results: One hour postoperative body temperature was higher in FTR group than in the control, and the incidence of restlessness, pain and 24 hour postoperative nausea and vomiting were significantly lower (P < 0.05, P < 0.01). The hospital stays were shorter following the FTR, but the difference was not statistically significant as compared with the control.
Conclusion: FTR can effectively reduce the complications and promote the recovery of the orthopedic patient.
Exploring life history methodology in chronic illness: a study in Relapsing Remitting Multiple Sclerosis
Authors: Burke Therese , Patching Joanna
Published: June 2024

Objective: The aim of this study was to gain insights into the lived experience of a chronic disease, Relapsing Remitting Multiple Sclerosis (RRMS). Selecting the most effective methodology to reflect the life span proved challenging. However, the life history approach proved to be a data-rich methodology for this study and is explored in detail in this paper as a qualitative nursing tool.
Setting: This study recruited participants through a state based Multiple Sclerosis organisation in the community.
Subjects: Thirteen participants living with RRMS were purposively recruited, ten female and three male, to discuss their lived experience. Participants were from diverse backgrounds and were at various stages of disease progression.
Primary argument: Ethnography and life history is an under-utilised methodology in nursing research. However, the life history approach was used effectively to collect data to explore the life trajectory of living with a chronic illness. Semistructured interviews and Braun and Clarke’s (2006) method of thematic data analysis ensured a systematic, robust exploration of the lived experience of RRMS. The study developed eight key themes and over 70 subthemes, providing clarity into the experience of living with RRMS.
Conclusion: Employing the life history approach to living with RRMS reflected the ebbs and flows of life, themes intertwining and changing positions of importance according to life events, whether directly or indirectly related to RRMS. Life history proved to be an effective method to gain a greater understanding of chronic illness and although often overlooked in nursing research, may represent an excellent methodology choice for nurse researchers working in other areas of chronic illness.
Mapping global research trends: Nutrition associations with nonalcoholic fatty liver disease - a Scopus bibliometric analysis
Authors: Shakhshir Muna , Zyoud Sa'ed H
Published: June 2024

BACKGROUND

Several bibliometric analyses have been carried out to identify research hotspots and trends in nonalcoholic fatty liver disease (NAFLD) research. Nonetheless, there are still significant knowledge gaps that must be filled to advance our understanding of and ability to treat NAFLD.

AIM

To evaluate, through bibliometric and visual analysis, the current status of related research, related research frontiers, and the developmental trends in the field of diet and NAFLD.

METHODS

We retrieved publications about diet and NAFLD published between 1987 and 2022 from Scopus. Next, we used VOSviewer 1.6.20 to perform bibliometric analysis and visualization.

RESULTS

We found a total of 1905 studies, including 1637 (85.93%) original articles and 195 (10.24%) reviews, focused on the examination of NAFLD and its correlation with diet that were published between 1987 and 2022. Among the remaining five types of documents, 38 were letters, notes, editorials, meeting minutes, or brief surveys, representing 1.99% of the total documents. The countries with the most publications on this topic were China (n = 539; 28.29%), followed by the United States (n = 379; 19.90%), Japan (n = 133; 6.98%), and South Korea (n = 127; 6.6%). According to the citation analysis, the retrieved papers were cited an average of 32.3 times and had an h -index of 106, with 61014 total citations. The two main clusters on the map included those related to: (1) Inflammation and oxidative stress; and (2) Dietary interventions for NAFLD.

CONCLUSION

This was the first study to use data taken from Scopus to visualize network mapping in a novel bibliometric analysis of studies focused on diet and NAFLD. After 2017, the two domains that received the most attention were “dietary interventions for NAFL”’ and “‘inflammation and oxidative stress implicated in NAFLD and its correlation with diet.” We believe that this study provides important information for academics, dietitians, and doctors, and that additional research on dietary interventions and NAFLD is warranted.
The Influence of the Stand Composition on the Cycle Time of the Harvester
Authors:   Volga State University of Technology, Rukomojnikov Konstantin P. , Sergeeva Tat’yana V. , Gilyazova Tat’yana A. , Tsarev Evgeniy М. , Anisimov Pavel N.
Published: June 2024

A brief analysis of studies on logging equipment has allowed us to conclude that it is necessary to further study the degree of influence of silvicultural and taxation indicators of the stand, containing quantitative data on the trees harvested and remaining for rearing, on the productivity of the harverster. The degree of influence of quantitative indicators of the stand on the work of the harvester is random, which is due to the infinitely wide variety of options for the spatial arrangement of trees in forest swathes. The article presents the results of a production experiment to assess the impact of the quantitative characteristics of the forest stand on the duration of individual elements of the cycle time of the harvester. The analyzed factors included the total number of trees per 1 hectare and the proportion of the felled component of the stand. These factors play a significant role in assessing the shift and hourly productivity of machines, however, when analyzing the duration of a number of elements of cycle time of manipulator machines, the importance of these indicators is underestimated by many researchers and, in order to increase the convenience and simplicity of calculations, these indicators are not used in justifying labour costs. Both factors have been considered at three levels of variation. As a result, the significant influence of the analyzed factors on the duration of 3 independent elements of cycle time of the machine (pointing the manipulator at the tree, hauling the trunk to the processing zone and moving the harvester between operating positions) has been proven. The experiment has been carried out using the Silvatec 8266TH harvester under conditions of its operation in the swathes characterized by various silvicultural and taxation indicators. The sequence of conducting the production experiment and statistical processing of the obtained data has been shown. The analysis of variance has allowed us to conclude that it is necessary to comprehensively take into account the analyzed factors when assessing each technological operation. The results can be used to improve mathematical relationships in calculating productivity and labour costs when designing logging operations.
Analysis of original bis-arylazaazkanes derivatives compliance with the calculated pharmacophoric models of biaromatic ligands of cardioprotective drugs biotargets
Authors: Mokrov G. V. , Pantileev A. S. , Vorobieva T. Yu. , Biryukova V. E. , Kryzhanovskii S. A. , Dorofeev V. L.
Published: June 2024

Eight important biotargets of biaromatic cardioprotective drugs were selected in this work: calcium Cav1.2-channel, sodium Nav1.5-channel, potassium hERG-channel and Kv1.5-channel, HCN-channel, β1-adrenergic receptor, ryanodine RyR2-receptor and σ1-receptor. Biaromatic ligands databases were collected for each of them, on the basis of which their pharmacophore models were calculated in the Phase Schrödinger program. Using the PhaseScore function, we analyzed the correspondence of previously synthesized and studied bis-arylazaazlkanes to calculated pharmacophore models. It was found that the vastmajority of molecules have a correspondence of more than 50 % to all models, which indicates a high probability of the involvement of these biotargets in the possible cardioprotective effects of bis-arylazaazlkanes, and also confirms the hypothesis of the multitargetability of substances with this structure.
THE REGIONAL LEADERSHIP: THE EXPERIENCE OF THE ISLAMIC REPUBLIC OF IRAN
Authors:   Sevastopol State University, Maksimova E. N. , Ryabtseva E. E. ,   Sevastopol State University
Published: June 2024

Based on statistical data, the author analyzed specific measures of the united West against the Islamic Republic of Iran to apply sanctions in response to the creation of a nuclear program. It is determined that, based on the principles of the "economy of resistance", Iran has managed to reorient its industry, solve the problems of technology development, establish a national payment system, change the assortment and volumes of exports and imports. The author states that the anti-sanctions experience of the Islamic Republic of Iran makes it possible to claim the role of a regional leader.
THE POLITICAL PARTICIPATION DURING THE FIGHT AGAINST COVID- 19: INTERNATIONAL RETROSPECTION
Authors:   Pyatigorsk State University, Nefedov S. A. , Nechaev V. D. ,   Sevastopol State University, Gandaloev I. I. ,   Ingush State University
Published: June 2024

In the article the authors consider the impact of the COVID-19 pandemic on political participation. They prove that restrictive measures in some states have increased the popularity of ultra-right political forces, transformed the models of political participation in favor of an unconventional form, and also led to the strengthening of authoritarian tendencies and, consequently, the restriction of political participation.
THE THE MODEL OF INFORMATION SUPPORT OF POLITICAL PARTICIPATION OF MODERN YOUTH ORGANIZATIONS
Authors:   Plekhanov Russian University of Economics, Itiuridze L. A. , Shebzukhova T. A. ,   Pyatigorsk Institute (branch) of the North Caucasus Federal University
Published: June 2024

The article examines the main aspects of problematic issues of political participation of modern youth organizations in the public life of the Russian Federation. The author summarizes the theoretical foundations of the formation of the political culture of youth, political participation of youth organizations and technologies of its support. Among the significant solutions to increase the political activity of young people in modern political processes in Russia, the author highlights the components of information support for the political participation of modern youth organizations based on the theoretical model of such support. The model includes variable components, with key criteria indicating the effectiveness of the presented information system. The conclusion is summarized that the most effective means of influence by youth organizations on the intensity of political involvement of its target audience mainly belong to information technologies and media means via the Internet.
BIOTECHNOLOGICAL BASES OF A FUNCTIONAL DRINK BASED ON WHEY
Authors:   FSAEI HE ", Rodionov I. S. ,   North-Caucasus Federal University", Evdokimov I. A.
Published: June 2024

The relevance of obtaining whey after enzymatic hydrolysis for various types of functional drinks is substantiated. A comparative analysis of the enzymatic activity of different enzymes was carried out, and a composition of a functional drink was developed.
PROSPECTS FOR THE USE OF PUMPKIN PLANTS AS A NATURAL BIOCORRECTOR IN THE TECHNOLOGY OF FUNCTIONAL MEAT PRODUCTS
Authors:   Don State Technical University, Alekseyev A. L. , Krotova O. E. ,   Don State Technical University, Sangadzhieva O. S. ,   Kalmyk State University named after B.B. Gorodovikov
Published: June 2024

In the current conditions, the search for new biologically active substances of various functional orientation from affordable and inexpensive plant raw materials, the development of meat products with functional additives, the study of their consumer properties and effectiveness are promising tasks. Pumpkin flour is a naturally biologically active proteinvitamin-mineral complex of plant origin, combining the main essential amino acids, macroand microelements, vitamins and fiber. The purpose of the work is to study the chemical composition and functional and technological properties of zucchini seeds with the prospect of being used as a biocorrector in the technology of functional meat products. The research was carried out at the Department of Food Technologies of the Don State Agrarian University and at the Meat Processing Plant LLC, Razvilnoye village, Peschanokopsky district, Rostov region. It has been established that the introduction of zucchini seed additives into the formulations of meat products improves the organoleptic and physico-chemical characteristics of finished products. The prototypes were distinguished by a more delicate consistency and higher uniformity of minced meat on the cut, an increase in the mass fraction of protein and a decrease in the proportion of fat were also noted.
Distinctive features of the biochemical composition sea buckthorn fruits of Altai selection
Authors:   Polzunov Altai State Technical University, Biysk Institute of Technology (branch), Rozhnov E. D. , Shkolnikova M. N. ,   Ural State University of Economics, Chugunova O. V. ,   Ural State University of Economics
Published: June 2024

The article presents data on the biochemical composition of sea buckthorn fruits zoned and grown on the territory of the Altai Territory. The information on the distinctive features of the most common varieties in the selection of Azhurnaya, Altai, Inya, Chechek, Chuiskaya is summarized. The biochemical composition of sea buckthorn fruits of these varieties has been studied. A wide variability in the content of sugars, titrated acids, ascorbic acid and aroma-forming compounds affecting the taste characteristics of sea buckthorn fruits and determining its further use has been established.