bluuebunny/crossref_metadata_2025_split huggingface dataset:
Stigma towards a nursing specialty: A qualitative analysis of the perceptions of the addiction nursing workforce
Authors: Searby Adam , Burr Dianna , Abram Marissa D. 
Published: April 2024

AbstractAddiction nurses are highly skilled providers of holistic care and ensuring workforce sustainability is key to providing quality care to a traditionally marginalised group of healthcare consumers. The aim of this study was to explore perceived stigma towards the addiction nursing speciality, addiction nursing (also known as alcohol and other drug nursing) and its impact on workforce sustainability, retention and recruitment. Secondary analysis of qualitative interview data with nurses (n = 50) and survey data (n = 337) was conducted as part of a workforce mapping exercise in 2019. COREQ reporting guidelines were used. After structural coding was applied, three themes emerged: stigma experienced by clients of alcohol and other drug treatment services, stigma experienced by addiction nurses and a lack of awareness of the specialty of addiction nursing itself. Participants overwhelmingly felt that these forms of stigma made addiction nursing less attractive to new entrants, particularly new nurses and posed a threat to the sustainability of the specialty. The findings from this study indicate that urgent attention is required to address stigma towards individuals who use alcohol and other drugs, and the nurses providing care for them. Furthermore, creating awareness of the addiction nursing specialty is paramount to ensure workforce sustainability and to improve care for individuals who use alcohol and other drugs. Beyond addiction nurses, our results indicate that stigma towards other specialties (such as mental health nursing) is a substantive barrier to workforce sustainability.
A country's efforts toward creating an advanced practice nurse in public health
Authors: Zlotnick Cheryl , Jabareen Raifa , Madjar Batya , Hazoref Rivka Hazan , Gens Ilana , Shachaf Sara 
Published: April 2024

AbstractAimThe study goal was to inform the creation of a blueprint for an advanced practice nurse (APN) in public health.BackgroundNo internationally accepted standard for an APN in public health exists. Activities of public health nurses (PHN) traditionally have centered on health promotion and disease prevention, but many have added other population‐based activities such as chronic and acute disease treatment.IntroductionAn APN in public health is needed to address the global challenges threatening the physical, social, and mental health of populations worldwide.MethodsThis qualitative study was comprised of six focus groups, each containing a different group of stakeholders (n = 40). Study results followed the requirements of the consolidated criteria for reporting qualitative research (COREQ).FindingsTwo major themes emerged: the APN role in public health and core expectations. From the APN role theme, four subthemes emerged on APN domains of public health practice and functions. From the core expectations theme, nine subthemes emerged on the APN's qualifications and behaviors.DiscussionAgreement among stakeholders was found in the nine core expectations; however, among the four different visions of an APN in public health, two fit a population‐based model rather than the traditional PHN model.ConclusionsA single APN role in public health is insufficient to address the breadth and complexity of today's global challenges as detailed by the sustainable development goals. Due to the interaction between health and the biopsychosocial environments, we need APNs with different areas of expertise.Implication for nursing policyNurses working at universities, in public health services, and as healthcare policymakers are needed to create a multistage strategy that gradually introduces several different types of APNs in public health.
The association between psychological reactions, resilience, and work engagement among Palestinian critical care nurses in West Bank
Authors: Sawalma Abdelrahman Nedal , Malak Malakeh Z. , Asfour Bara Y. , Khader Imad Abu 
Published: April 2024

AbstractAimThis study aimed to assess the association between psychological reactions (e.g., stress, anxiety, and depression), resilience, and work engagement among Palestinian critical care nurses in the West Bank and examine the correlation of psychological reactions and resilience with work engagement.BackgroundWork engagement is associated with psychological reactions and resilience, particularly among critical care nurses. There is a lack of studies on work engagement and these factors in Palestine.MethodsA cross‐sectional, descriptive correlational design was adopted. A convenience sample consisting of 273 critical care nurses from private and governmental hospitals was recruited to participate. Depression, Anxiety, Stress Scale‐21 (DASS‐21), Connor–Davidson Resilience Scale‐25 (CDRS‐25), Utrecht Work Engagement Scale‐9 (UWES‐9), and demographic data were used to collect data during the period from March 20 to May 20, 2023.ResultsFindings demonstrated that 53.9% of the nurses reported mild‐to‐moderate levels of depression, 49.8% reported moderate‐to‐severe levels of anxiety, and 49.1% reported moderate‐to‐severe levels of stress. Additionally, 57.5% and 52.7% of them had low resilience and work engagement, respectively. Moreover, work engagement negatively correlated with depression (r = −0.796, P < 0.01), anxiety (r = −0.654, P < 0.01), and stress (r = −0.796, P < 0.01), while positively correlated with resilience (r = 0.42, P < 0.01) and gender (r = 0.121, P < 0.05). Depression, anxiety, stress, resilience, and gender were the main predictors of work engagement.DiscussionThe majority of the nurses suffered from depression, anxiety, and stress. Additionally, more than half of the participants had low resilience and work engagement. Moreover, increased depression, anxiety, and stress were correlated with decreased work engagement, while high resilience and gender as being female positively correlated with high work engagement.Conclusion and implications for nursing and health policyPolicymakers and hospital administrators should develop interventions to improve critical care nurses’ resilience and minimize psychological reactions, which have a significant influence on work engagement. Future studies should be conducted to examine the effectiveness of these interventions.
Knowledge and management of molar–incisor hypomineralisation amongst dentists in The Netherlands
Authors: Papanikolaou Foteini , Hesse Daniela , Manton David J. , Bruers Josef J. , Garot Elsa , Bonifácio Clarissa Calil 
Published: April 2024

AbstractBackgroundMolar–incisor hypomineralisation (MIH) is a frequently encountered dental condition in the clinical setting, and correct diagnosis can influence management outcomes.AimTo assess the knowledge of and attitudes towards the management of MIH amongst dentists in the Netherlands.DesignThe study was conducted as a cross‐sectional web survey. The questionnaire used included questions regarding respondent characteristics, awareness, knowledge and management of MIH and was distributed through the Royal Dutch Association for Dentistry (KNMT) to a random sample of 900 dentists. Variables were analysed using descriptive statistics, and differences between distinct groups of dentists were tested using the chi‐squared test.ResultsRespondents consisted of 76.6% general dental practitioners, 9.1% paediatric dentists and 14.3% differentiated (specialist) dentists, with a 25.6% overall response rate. The majority knew the term MIH and its clinical characteristics, and could distinguish MIH from other enamel defects. Regarding aetiological factors, 76.6% reported a genetic component. In an asymptomatic case, 47.3% reported non‐invasive treatments. In a mild symptomatic case, treatments from non‐invasive to invasive were reported (p < .05). In a severe symptomatic case, the majority reported invasive treatments. Two‐thirds of respondents were interested in further clinical training about MIH.ConclusionsMost respondents knew the term MIH and its clinical characteristics and would like further clinical training about MIH.
Invertebrates from naturally brackish areas are less impacted by road salt and alternative deicers
Authors: Stander Rachel M. H. , Cahill Abigail E. 
Published: April 2024

AbstractRoad salt (NaCl) is the most common deicer used to melt snow and ice from roadways in cold climates, but its use results in runoff of sodium and chloride ions into sewers and into soil and freshwater ecosystems. Road salt causes harmful effects on wetland habitats, which host an abundance of macroinvertebrate species. Alternatives to road salt, such as beet juice, are commercially available, but their impact on invertebrates is less well studied. We examined the impact of road salt alternatives on four invertebrate species (Daphnia pulex, Eisenia fetida, Heterocypris sp., and Culicoides sp. larvae), some of which come from a naturally brackish area. Our expectation was that road salt alternatives (beet salt, molasses, pickle juice, and sand) would be less toxic to the animals than traditional road salt. This study comprised two experiments: the first exposed individuals of the four invertebrate species to road salt alternatives, and the second exposed the invertebrates to a range of road salt concentrations. Only individuals of D. pulex were negatively impacted by road salt. The other invertebrates were not significantly affected by any salt alternative, demonstrating interspecific differences in response to salt. Species found in naturally salty environments were more tolerant of both road salt and alternatives. This research shows species‐ and habitat‐specific responses to road salt alternatives, which has implications for municipalities looking to salt roads without negatively impacting freshwater ecosystems.
Parents' Trigger Tool for Children with Medical Complexity – PAT‐CMC: Development of a recognition tool for clinical deterioration at home
Authors: Genna Catia , Thekkan Kiara Ros , Geremia Caterina , Di Furia Michela , Cecchetti Corrado , Rufini Emilia , Salata Michele , Perrotta Daniela , Dall'Oglio Immacolata , Tiozzo Emanuela , Raponi Massimiliano , Gawronski Orsola 
Published: April 2024

AbstractAimTo develop a trigger tool for parents and lay caregivers of children with medical complexity (CMC) at home and to validate its content.DesignThis was a multi‐method study, using qualitative data, a Delphi method and a concept mapping approach.MethodsA three‐round electronic Delphi was performed from December 2021 to April 2022 with a panel of 23 expert parents and 30 healthcare providers, supplemented by a preliminary qualitative exploration of children's signs of deterioration and three consensus meetings to develop the PArents' Trigger Tool for Children with Medical Complexity (PAT‐CMC). Cognitive interviews with parents were performed to assess the comprehensiveness and comprehensibility of the tool. The COREQ checklist, the COSMIN guidelines and the CREDES guidelines guided the reporting respectively of the qualitative study, the development and content validity of the trigger tool and the Delphi study.ResultsThe PAT‐CMC was developed and its content validated to recognize clinical deterioration at home. The tool consists of 7 main clusters of items: Breathing, Heart, Devices, Behaviour, Neuro‐Muscular, Nutrition/Hydration and Other Concerns. A total of 23 triggers of deterioration were included and related to two recommendations for escalation of care, using a traffic light coding system.ConclusionPriority indicators of clinical deterioration of CMC were identified and integrated into a validated trigger tool designed for parents or other lay caregivers at home, to recognize signs of acute severe illness and initiate healthcare interventions.ImpactThe PAT‐CMC was developed to guide families in recognizing signs of deterioration in CMC and has potential for initiating an early escalation of care. This tool may also be useful to support education provided by healthcare providers to families before hospital discharge.Patient or Public ContributionParents of CMC were directly involved in the selection of relevant indicators of children's clinical deterioration and the development of the trigger tool. They were not involved in the design, conducting, reporting or dissemination plans of this research.
Factors affecting environmental sustainability attitudes among nurses – Focusing on climate change cognition and behaviours: A cross‐sectional study
Authors: Chung Sophia J. , Lee Haeyoung , Jang Sun Joo 
Published: April 2024

AbstractAimsTo investigate the relationship between climate change cognition and behaviours (awareness, concern, motivation, behaviours at home and behaviours at work), positive and negative future cognition, and environmental sustainability attitudes in nurses and to identify the factors affecting environmental sustainability attitudes.DesignA cross‐sectional study.MethodsIn total, 358 nurses currently working in tertiary hospitals in Korea were recruited. Data were collected using an online questionnaire link from 1 August to 7 August 2022. Climate change cognition and behaviours were measured using the Korean version of the Climate, Health, and Nursing Tool. Positive and negative future cognition were measured using the Korean version of the Future Event Questionnaire. Environmental sustainability attitude was measured using the Korean version of the Sustainability Attitudes in Nursing Survey‐2. Multiple regression analysis was used to identify the factors affecting environmental sustainability attitudes.ResultsMotivation, concern and behaviours at work were factors affecting environmental sustainability attitudes. Motivation was a pivotal influencing factor. Better scores for environmental sustainability attitudes were specifically correlated with higher scores for motivation, concern and behaviours at work.ConclusionsNurses' motivation, climate change concern and pro‐environmental workplace practices should all be considered to improve their attitudes towards environmental sustainability.Implications for the Profession and/or Patient CareTo enhance nurses' environmental sustainability attitudes and behaviours, nurse educators must educate them to increase their motivation for climate action.ImpactNurses are increasingly expected to contribute to environmental sustainability. Hence, awareness of climate change and environmental sustainability among nurses must be improved, and nursing engagement and action encouraged. Nurse educators and managers should explore barriers to pro‐environmental behaviour engagement among nurses, examine workplace cultures that encourage pro‐environmental behaviours and develop policies/regulations to develop more environmentally sustainable workplaces.Reporting MethodWe adhered to the Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) guidelines.Patient or Public ContributionNeither patients nor the public were involved in our research's design, conduct, reporting or dissemination plans. The nurses partook in this study exclusively as research participants and were not involved in any research process.
Anti‐inflammatory and immunoregulatory effects of colistin sulphate on human PBMCs
Authors: Chen Huiling , Yang Tianli , Xu Yiran , Liang Beibei , Liu Xianyong , Cai Yun 
Published: April 2024

AbstractIn previous studies, CST has been identified as having an immunostimulatory effect on Caenorhabditis elegans and macrophage of rats. Here, we further investigated its immunomodulatory effects on human peripheral blood mononuclear cells (PBMCs). LPS‐stimulated PBMCs inflammatory model was established. Flow cytometry was applied to measure phagocytosis of PBMCs. Cytokine mRNA and protein expression levels of LPS‐stimulated PBMCs with or without CST were measured by qRT‐PCR and ELISA. The transcriptomic profile of CST‐treated PBMCs was investigated by RNA‐sequencing. Gene Ontology (GO) and Kyoto Encylopedia of Genes and Genomes (KEGG) were applied to find potential signalling pathways. PBMCs showed a significant increase in phagocytic activity at 6 h after being incubated with CST at the concentration of 10 μg/mL. In the presence of LPS, CST maintained and promoted the expression of TNF‐α and chemokine CCL24. The content of pro‐inflammatory cytokines, such as IL‐1β, IL‐6 and IFN‐γ, which were released from LPS‐stimulated PBMCs, was reduced by CST at 6 h. Anti‐inflammatory cytokines, such as IL‐4, IL‐13 and TGF‐β1, were significantly increased by CST at 24 h. A total of 277 differentially expressed immune‐related genes (DEIRGs) were detected and cytokine‐cytokine receptor interaction was highly enriched. CST presented obvious anti‐inflammatory and immunoregulatory effects in LPS‐induced PBMCs inflammatory model not only by improving the ability of PBMCs to clear pathogens but also by decreasing pro‐inflammatory cytokines and increasing anti‐inflammatory cytokines. And the mechanism may be related to cytokine‐cytokine receptor interaction.
A One‐Parameter Diagnostic Classification Model with Familiar Measurement Properties
Authors: Madison Matthew J. , Wind Stefanie A. , Maas Lientje , Yamaguchi Kazuhiro , Haab Sergio 
Published: April 2024

AbstractDiagnostic classification models (DCMs) are psychometric models designed to classify examinees according to their proficiency or nonproficiency of specified latent characteristics. These models are well suited for providing diagnostic and actionable feedback to support intermediate and formative assessment efforts. Several DCMs have been developed and applied in different settings. This study examines a DCM with functional form similar to the 1‐parameter logistic item response theory model. Using data from a large‐scale mathematics education research study, we demonstrate and prove that the proposed DCM has measurement properties akin to the Rasch and one‐parameter logistic item response theory models, including sum score sufficiency, item‐free and person‐free measurement, and invariant item and person ordering. We introduce some potential applications for this model, and discuss the implications and limitations of these developments, as well as directions for future research.
Implementation of a 4Ms approach in age‐friendly oral health care at an Academic Specialty Care Dental Clinic
Authors: Arany Szilvia , Cavalcanti Lia , Phildor Doris , Watson Gene E. , Kopycka‐Kedzierawski Dorota T. , Eliav Eli , Medina‐Walpole Annette , Caprio Thomas 
Published: April 2024

AbstractBackgroundImplementing the Age‐Friendly Health System (AFHS) framework into dental care provides a significant opportunity to link oral health to healthy aging. This project aimed to implement the AFHS 4Ms (what matters, medications, mentation, and mobility) in the provision of oral health care. This article describes the planning, integration, training development, and outcome measurements supporting a 4Ms approach at an academic dental clinic.MethodsThe Eastman Institute for Oral Health (EIOH) implemented screening instruments based on the 4Ms framework recommended for ambulatory care clinics by the Institute for Health Care Improvement (IHI). These ambulatory instruments were integrated into the workflows of a Specialty Care Clinic through the development of a plan–do–study–act cycle, utilization of available clinic resources, and creation of interdisciplinary collaborations.ResultsThis project demonstrated the feasibility of implementing an AFHS checklist and tracking forms in dental practice by integrating available resources and prioritizing the 4Ms elements. This effort necessitated interdisciplinary collaborations between dental, medical, and social service professionals. It also created a new age‐friendly focused education and training curriculum for dental residents and faculty.ConclusionsThis pilot project is the first to establish dental standards for AFHS implementation, adapting the 4Ms assessment and metrics to oral health. This AFHS underscores key oral health processes, including assessment, planning, and personalized oral health care, adapted to the unique needs of the older adult population, especially those with cognitive impairment.
The Association Between Unintended Pregnancy and Perinatal Outcomes in Low‐Risk Pregnancies: A Retrospective Registry Study in the Netherlands
Authors: van Tintelen Amke M.G. , Jansen Danielle E.M.C. , Bolt Sophie H. , Warmelink J. Catja , Verhoeven Corine J. , Henrichs Jens 
Published: April 2024

IntroductionPeople with unintended pregnancies might be at increased risk of adverse perinatal outcomes due to structural factors, distress, or delayed prenatal care. Existing studies addressing this association yielded inconsistent findings. Using contemporary data from a large Dutch midwifery care registry, we investigated the association between unintended pregnancy ending in birth and neonatal outcomes, parental morbidity, and obstetric interventions. We extend previous research by exploring whether delayed initiation of prenatal care mediates these associations.MethodThis study used data (N = 9803) from a Dutch nationally representative registry of people with low‐risk pregnancies receiving primary midwife‐led care in the Netherlands between 2012 and 2020. Using logistic (mediation) regression analyses adjusted for potential confounders we investigated associations between unintended pregnancy and neonatal outcomes (low Apgar score, small for gestational age, and prematurity), parental morbidity (hypertension and gestational diabetes mellitus), and obstetric interventions (induction of labor, pain medication, assisted vaginal birth, and cesarean birth) and whether delayed initiation of prenatal care mediated these associations.ResultsUnintended pregnancies were associated with increased odds of low Apgar scores (odds ratio [OR], 1.68; 95% CI, 1.09 –2.59), preterm birth (OR, 1.27; 95% CI, 1.02‐1.58), small for gestational age (OR, 1.19; 95% CI, 1.00‐1.41), and induction of labor (OR, 1.14; 95% CI, 1.01‐1.28). Conversely, unintended pregnancy was associated with a decreased odds of cesarean birth (OR, 0.83; 95% CI, 0.71‐0.97). The timing of prenatal care initiation did not mediate any of these associations.DiscussionOur findings suggest that people in primary midwifery‐led care with unintended pregnancies ending in birth are at increased risk for adverse perinatal health outcomes and that structural factors might underlie this link. Health care professionals and policy makers should attend to their own biases and offer nonjudgmental, tailored preventive preconception care and antenatal care strategies for people with higher vulnerabilities.