Maintaining good oral hygiene is essential for preventing and managing oral health problems. This systematic review aimed to identify and assess clinical practice guidelines on oral hygiene, focusing on quality and key areas. A comprehensive search was conducted in PubMed, CINAHL, Scopus, Cochrane, and organizational websites. Guidelines from health organizations that focused on oral health, hygiene education, and disease prevention were included. Guidelines based on expert opinions and those focusing on specific pathologies were excluded. The AGREE II tool was used to evaluate quality, and a narrative synthesis summarized recommendations across pediatric, adult, and senior age groups. Nine studies were reviewed. Results showed that electric toothbrushes do not significantly outperform manual ones in preventing cavities, though they may reduce plaque. Fluoride toothpaste is less effective if followed by rinsing with water. For adults, mouthwashes with chlorhexidine or sodium fluoride are recommended. Checkups every six months are advised for healthy children and adults. Proper denture care is also emphasized. Regular updates to oral care guidelines are necessary, as oral health affects essential functions and social well-being.

This study aimed to develop and validate the Situational Nursing Awareness Probe-Missed Nursing Care Edition (SNAP-MNC) questionnaire, a novel tool designed to assess nurses' situational awareness in the context of missed nursing care. Data were collected from March to October 2022, following a rigorous five-phase questionnaire development process. The five-item questionnaire was developed through literature review and expert evaluation, establishing face and content validity. It was tested with 190 nurses across three shifts. Construct validity was assessed via confirmatory factor analysis, reliability via Cronbach's alpha, and criterion validity by correlating with the MISSCARE survey. The final five-item questionnaire demonstrated suitability for assessing personal situational awareness. The findings established content, construct, criterion validity, and good internal reliability. Confirmatory factor analysis displayed suitable loadings and an excellent fit to a one-dimensional model. Nurses received, on average, low situational awareness scores. The SNAP-MNC effectively assesses nurses' situational awareness, focusing on missed nursing care. This tool evaluates the identification of relevant clinical factors, understanding their implications, and projecting strategies to address challenges, offering actionable insights for improving nursing care quality and outcomes.

The widespread adoption of artificial intelligence (AI) tools in academic settings has the potential to revolutionize learning experiences, enhance educational outcomes, and streamline academic processes. The aim of this research was to explore the perceptions of Lebanese health sciences students regarding the use of generative AI in higher education. A qualitative descriptive research design informed by descriptive phenomenology was employed. Semi-structured interviews were carried out among 23 health sciences students at one major private university in Beirut. Inductive thematic analysis was conducted over the period of 3 months. The inductive thematic analysis generated two themes, and eight subthemes highlighting the benefits and concerns in using AI; customized, self-paced, and autonomous learning, improved language and writing skills, development of innovative concepts, enhanced efficiency, accuracy of information, overreliance on AI, equitable access, unclear policies. Results from this study emphasized the importance of combined efforts across sectors to close access gaps, encourage inclusiveness, and develop well framed policies that enable students to utilize these new technologies for their maximum benefits.

Health professional engagement ensures relevant, clinically focused research that informs evidence-based care. Research shows health professionals may not engage optimally in research. Understanding barriers and enablers influencing participation is necessary to enhance engagement. This systematic review explores these factors among primary healthcare professionals. We searched peer-reviewed studies using CINAHL, Medline, and SCOPUS in February 2023, updated in June 2024. The review followed PRISMA and the ENTREQ checklist. Studies included those published in English, reporting factors influencing engagement among primary healthcare professionals. Qualitative data were extracted and thematically synthesized. Methodological quality was assessed using the Joanna Briggs Institute Critical Appraisal Checklist. Nineteen studies were included. Enablers include individual positive attitudes and a scholarly environment. Barriers include negative attitudes, an unconducive environment, and system constraints. Primary health professionals view research engagement positively, recognizing its potential to enhance health outcomes, professional growth, and business performance. Balancing clinical responsibilities, workload and research is challenging. Targeted strategies promoting partnerships and stakeholder involvement can foster a scholarly environment and empower research engagement.

The study utilized a cross-sectional design to determine the relationship between positive and negative mentoring experiences and intentions to engage in future formal mentoring and the mediating role of aspects of social exchange theory particularly Negotiated Exchange Orientation and Perceived Organization Support. The study was conducted among 303 nurses and midwives working in acute care hospitals in Uganda. The results showed that, in the negative mentoring model, Perceived Organization Support fully mediated the relationship between lack of mentor expertise and willingness to participate in formal mentoring programs (B = -0.201, 95% CI [-0.399, -0.056]). In the positive mentoring model, indirect effects were observed for the relationship between Individual Influence variable and willingness to participate in formal mentoring programs mediated by Perceived Organization Support (B = 0.131, 95% CI [0.011, 0.283]). Furthermore, indirect effects were observed between the Relational Quality variable and willingness to participate in formal mentoring programs mediated by Negotiated Exchange Orientation (B = 0.081, 95% CI [0.008, 0.183]). Therefore, the social exchange theory can explain the relationship between past mentoring experiences and future intentions to engage in mentoring activities.

To explore the chain mediating role of social support and trust in between decision self-efficacy and decision conflict of stroke caregivers. Convenient sampling was used to select stroke caregivers who were admitted to the department of neurology, neurosurgery and rehabilitation in a four-3A hospital in Henan Province from September 2023 to April 2024. General information questionnaire, Decisional Self-efficacy Scale, Social Support Scale, Wake Forest Physician Trust Scale and Decisional Conflict Scale were adopted. Using SPSS plug-in PROCESS to analyze the mediating effect, and constructing a chain mediating model between social support and physician trust in decision self-efficacy and decision conflict. The direct effect of decision self-efficacy of stroke caregivers on decision conflict was significant, accounting for 33.16% of the total effect. Social support, trust in physician and their mediating effects in decision self-efficacy and decision conflict are significant, accounting for 41.77%, 18.23%, and 6.84% of the total indirect effects respectively. The decision self-efficacy of stroke caregivers directly or indirectly affects the decision conflict through the chain intermediary effect of social support and trust in physician.

This study aimed to externally validate two 10-year stroke risk prediction models: one developed in Korea (Model 1) and the other in China (Model 2), using community-based cohort data. Data from 8432 participants in Model 1 and 8915 participants in Model 2 were analyzed. Stroke risk was calculated based on each model's equations, and model performance was assessed using the area under the receiver operating characteristic curve (AUC). Age, blood pressure, and diabetes mellitus were significant common risk factors for stroke in both men and women. The AUCs of Model 1 were 0.72 for men and 0.68 for women, while those of Model 2 were 0.70 for men and 0.66 for women. When simplified to include 3-5 significant factors, the AUCs of Model 1 remained almost unchanged for both sexes, while those of Model 2 were 0.68 for men and 0.63 for women. In conclusion, the performance of both models was insufficient for the participants in this study. Therefore, it is suggested that stroke prediction models be developed using the most significant risk factors of each target population.

To explore the level and influencing factors of caregivers' benefit finding in stroke patients from both the patient and caregiver perspectives. The growing number of stroke patients with physical impairments has presented significant challenges for caregivers. Benefit finding refers to the positive experience caregivers derive from their caregiving roles, which can help mitigate the adverse effects on their mental health. Although previous research has confirmed that demographic factors affect the benefit finding of caregivers of stroke patients, few studies explore the impact of uncertainty in illness, care ability, and self-efficacy on benefit finding. Consequently, the current research on this relationship is still quite limited. Cross-sectional study. Data were collected from 428 caregivers among stroke patients. The research tools included demographic and disease characteristics, Benefit Finding Scale, Mishel Uncertainty in Illness Scale for Family Member, Family Caregiver Task Inventory, and General Self-Efficacy Scale. The STROBE checklist was used to guide the presentation of this study. The caregivers' benefit finding among stroke patients are found to be at a medium low level. The result of multiple linear regression analysis showed that that stroke patients' self-care ability, caregivers average monthly household income, illness complexity, managing own emotional needs, appraising supportive resources and self-efficacy were influential factors in the benefit finding of caregivers. These factors accounted for 71.8% of benefit finding. The level of benefit finding for caregivers of stroke patients requires enhancement. Healthcare professionals could tailor interventions better to fit the unique characteristics of the target population thereby fostering a greater sense of benefit finding and supporting both the physical and mental well-being of caregivers. The basic characteristics and benefit-finding influence factors of the caregivers could help nurses identify caregivers who need help. If healthcare personnel can take some corresponding interventions based on the influencing factors of benefit finding, it can reduce the negative impact of caring for patients on caregivers and improve the well-being of caregivers.

Work-related stress, a major contributor to physical and mental health issues of nurses, has a direct impact on patient safety and nurses' well-being. However, few studies have investigated the effectiveness of cognitive behavioral therapy in reducing psychological distress in nurses. Systematic search of six databases including CINAHL Plus with Full Text, Cochrane Library, Embase, Medline, PubMed, and Web of Science from their inception to February 27, 2024. The primary outcomes assessed were reductions in stress, anxiety, and depression following the implementation of cognitive behavioral therapy. A random effects model, accounting for study differences, was applied in the meta-analyses. Egger's regression test was utilized to assess potential publication bias in the pooled analyses. The meta-analysis included 10 studies that demonstrated the intervention's beneficial effects in reducing stress, anxiety, and depression among nurses. Despite the positive effects observed with cognitive behavioral therapy (CBT) in alleviating psychological distress among nurses, the generalizability of these findings may require further confirmation due to the diversity of cognitive behavioral therapies.

The COVID-19 pandemic had immediate impact on nursing students enrolled in postgraduate and post-registration nursing courses. Some students were required to undertake additional clinical hours and place their studies on hold, while others had clinical experiences and face-to-face classes suspended, with online learning modes quickly mobilized. While there have been many reports on the impact and experience of these changes on undergraduate students, limited reports have focused on challenges for nursing students who were registered for practice following completion of their undergraduate studies, and were enrolled in higher degree, postgraduate education programs. A scoping review was conducted to examine the literature reporting on education changes and challenges that occurred during the COVID-19 pandemic, with specific focus on the postgraduate student learning experience. The review followed reporting guidance by PRISMA-ScR and was underpinned by JBI methods. Seven databases were searched for relevant citations, published in any language, between 2019 and 2022. A protocol was registered on Open Science Framework. From 4207 citations retrieved, 14 studies were included focusing specifically on postgraduate student experiences and/or impact following curriculum changes from the pandemic. These studies included 2476 graduate students across various courses. Findings included mixed responses to e-learning and changes in clinical environments, and with additional concerns such as financial stress, mental health needs and basic food needs reported. Inequity in resources and training was also highlighted. The few studies found to focus specifically on this cohort is a notable finding and highlights a need for further research specific to post-graduate nursing students' educational needs.

To explore the experiences of nurses in maintaining the dignity of patients with life-limiting illnesses. A phenomenological study was conducted with 15 purposively selected nurses who provide care for patients with life-limiting illnesses. Colaizzi's naturalistic phenomenological approach was utilized to analyze the data. The study followed the COREQ guidelines for qualitative research reporting. Three themes emerged: (1) Establishing a therapeutic environment, (2) Respecting the humanity of patients, and (3) Strengthening the spirituality of patients. Building trust, providing compassionate care, and motivating patients are integral to establishing a therapeutic environment. Nurses emphasized enhancing patients' spirituality by encouraging religious rituals and supporting positive interpretations of illness from religious perspectives. Creating a therapeutic environment is fundamental to dignified care. In addition, humanized care and spirituality are critical components of providing dignified care. These findings have implications for nursing practice, education, and policy, highlighting the need to integrate dignity into nursing care through humanized and spiritual/religious support.

Regret over COVID-19 vaccine decisions is a post-pandemic phenomenon that needs further research. This mixed-method research was conducted to examine nursing-midwifery students' COVID-19 vaccine decision regret and their intention to get vaccinated in the next pandemic. The research includes quantitative and qualitative research processes. In the first phase, a quantitative (cross-sectional) study was conducted, collecting data from 602 participants who met the inclusion criteria. In the second phase, semi-structured interviews were conducted with 16 participants. Data were collected using the Decision Regret Scale and semi-structured interview form. Data were analyzed using Student's t-test, one-way anova test, and inductive content analysis, and reported using Good Reporting of a Mixed Methods Study. In the study, it was determined that 96.3% of the participants had received the COVID-19 vaccine and 50.0% regretted getting vaccinated. As a result of the analysis of qualitative data, the following themes emerged that could reveal the reasons for vaccine regret; forced compliance, a strange pandemic, unknown effects, and vaccine hesitancy. Students' experiences in the COVID-19 pandemic have the potential to increase negative attitudes towards their vaccines.

Liver transplant recipients experience many uncertainties after transplantation. Also, sleep problems are common among them. This study aimed to examine intolerance of uncertainty and sleep quality in liver transplant recipients. A descriptive and cross-sectional study was conducted with 117 liver transplant recipients followed in the outpatient clinic of a liver transplant center. Data were collected using a sociodemographic and clinical features form, the Intolerance of Uncertainty Scale-12 and the Pittsburgh Sleep Quality Index between May and September in 2023. The data were analyzed using descriptive statistics, correlation analysis and regression analysis. The recipients had a high mean score of 41.04 ± 13.11 (min-max: 12-60) on the Intolerance of Uncertainty Scale-12. Age was predictive of uncertainty. Indeed, young recipients had higher intolerance of uncertainty. The recipients had a low score of 7.33 ± 3.57 (min-max: 1-21) on the Pittsburgh Sleep Quality Index. The prevalence of sleep problems was 65%. Experiencing complications after transplantation was predictive of and worsened sleep quality. The sleep quality of the recipients had no relation with intolerance of uncertainty and inhibitory anxiety, but it had a relation with prospective anxiety.

Resilience was a core factor for mitigating the risks of adverse impacts of workplace violence (WPV) and may be determined by perceived organizational support (POS) and coping styles. The aim of this study was to examine the potential mediation effects of coping styles between POS and resilience in emergency nurses exposed to WPV. Participants were 670 emergency nurses (84.0% female; mean age 30.94 [SD 6.13]) reporting WPV exposure in the past 3 months. Potential mediation effects of coping styles were explored using structural equation modeling. Results showed that POS, negative coping style, and positive coping style were associated with resilience in emergency nurses exposed to WPV. Coping styles mediated the association of POS with resilience. Two indirect pathways explained 21.8% and 22.4% of the variance in nurse resilience, respectively. The findings underscore the importance of POS and coping skills in promoting resilience of emergency nurses exposed to WPV. Nurse management programs are warranted to improve the resilience of emergency nurses at the organizational and individual levels.

The aim of this study was to develop and validate a predictive model to enhance self-management and quality of life in patients undergoing hemodialysis, using the Information-Motivation-Behavioral (IMB) skills model. A cross-sectional study design was employed, with data collected from 245 participants selected through convenience sampling from seven hemodialysis centers in the Republic of Korea. Data were gathered using a structured questionnaire and analyzed with descriptive statistics, Pearson's correlation coefficients, and path analysis, utilizing Statistical Package for the Social Sciences 27 and Amos 23.0. In patients undergoing hemodialysis, family income, self-management knowledge, attitude toward self-management, and social support were found to influence quality of life indirectly through self-efficacy and self-management. In contrast, comorbidities and duration of hemodialysis were found to have a direct impact on quality of life. The IMB model, incorporating individual-level factors proves to be an effective framework for predicting self-management and quality of life in patients undergoing hemodialysis. Enhancing self-management and quality of life remains a critical issue for this population.

The global aging demographic trend has led to an increased demand for home care services among older people. We measured the preferences and willingness to pay (WTP) of older adults in China for home care services using a discrete choice experiment (DCE) design. A total of 496 valid responses from older adults were included. The analysis was performed using conditional logit and mixed logit models to estimate utility parameters, WTP, and uptake rates. The attributes for home care services included the following: home care service content, service quality, supervision, and feedback collection during service provision, and out-of-pocket payment. The findings indicated that respondents were willing to pay RMB 197.487 more per month for medical care services, RMB 76.227 more per month for higher quality services, and RMB 134.397 more for services with supervision. Improving these attributes could increase the likelihood of older adults using home care services by 29.33%. Policymakers should reduce the economic burden on older adults, enhancing service content as well as supervision and quality to improve the acceptability and sustainability of home care services.

The aim of this study is to determine the mediating role of moral sensitivity in the effect of nurses' professional values on missed nursing care. A descriptive and correlational study was conducted with 640 nurses working in the inpatient units of a public and a private hospital with the MISSCARE Survey-Turkish, the Moral Sensitivity Questionnaire, and the Revised Nursing Professional Values Scale. Data analyses were performed using the Statistical Package for Social Sciences 26.0, Hayes' PROCESS macro for SPSS v4.0, and the Analysis of Moment Structures 24.0. It was determined that nurses' professional values had a significant and positive effect on moral sensitivity, and nurses' moral sensitivity had a significant and negative effect on missed nursing care. In addition, the direct and indirect effects of nurses' professional values on missed nursing care were statistically significant. The research model showed that increasing nurses' professional values and moral sensitivity decreased missed nursing care, and moral sensitivity significantly mediated the interaction between nurses' professional values and missed nursing care.

The purpose of the present research is to determine the effects of pranayama and deep breathing exercises applied to patients after laparoscopic cholecystectomy on shoulder pain and sleep quality. The research was conducted at the General Surgery Clinics of the University of Health Sciences, Van Training and Research Hospital between March 2023 and June 2024. The study was carried out using a pretest-posttest control group randomized controlled experimental trial design. A total of 66 patients (22 in the pranayama group, 22 in the deep breathing group, and 22 in the control group) were included in the study. The research data were collected using the "Patient Descriptive Form," "Visual Analog Scale," and "Richard-Campbell Sleep Scale." The three groups had similar mean preoperative pain and sleep scores (p > 0.05). Mean pain scores were lower in the pranayama and deep breathing groups than in the control group after the exercise at the 6th, 12th, and 24th postoperative hours and discharge (p < 0.05). Deep breathing exercises were revealed to decrease postoperative pain more effectively than pranayama breathing exercises. Considering sleep scores, the pranayama and deep breathing groups had higher mean sleep scores in comparison with the control group (p < 0.05). Trail Registration: This study was registered in the ClinicalTrials.gov database as (NCT06495411) Protocol Registration and Result System. This study was conducted as a master thesis.

Work engagement in oncology nurses is crucial for improving nurse practice and healthcare outcomes. The study aimed to define and understand work engagement from the perspective of experienced oncology clinical nurses. This qualitative descriptive study used purposive sampling to select 15 oncology nurses from a University Oncology Hospital in Türkiye. Participants had at least 3 years of experience and volunteered for the study. Data were collected through face-to-face interviews using a "Nurse Data Form" and a "Semi-structured Interview Form." The analysis identified six themes and 12 sub-themes. These themes include a sense of engagement, personal resources, organizational resources, professional resources, elements specific to the nature of oncology, and areas that need improvement. Sub-themes indicate that facilitators of work engagement included altruism, job satisfaction, teamwork, and nursing competencies. Nurses may require assistance in caring for patients with high psychosocial demands, long-term care or repetitive hospitalizations. In conclusion, nurses emphasized the facilitating and challenging factors in work engagement in the oncology clinics. This study suggests that oncology nurses' work engagement can be enhanced by empowering them professionally, individually, and organizationally.

This study examined the factors associated with medical expenses among LTCI (long-term care insurance) recipients in Korea. Secondary data analysis was performed using the 2019 Korea National Health Insurance (KNHI) reimbursement data of I metropolitan city. Data from 52 434 older adults who were LTCI recipients and living in I metropolitan city areas were included. Based on the Andersen healthcare utilization model, the variables included the predisposing (age, sex, and living alone), enabling (health insurance and place of residence), and need factors (disability, LTC grade, use of LTCI services, and participation in health screening). All the predisposing, enabling, and need factors were significant. Older age, higher LTC grade, use of visiting nursing service, admission to an aged care facility, and participation in health screenings were negatively associated with medical expenses. Females, those living alone, non-disabled individuals, medical aid beneficiaries, and rural residents were less likely to incur medical expenses. Appropriate use of LTCI services (e.g., visiting nursing) will help reduce unnecessary medical expenses. Nevertheless, access to health care services for older adults living alone in rural areas must be improved.

Experiencing side effects when wearing N95/P2 masks has negative impacts on health workers and increases exposure to pathogens. While side effects of wearing P2/N95 masks have been reported previously, these masks have never been used as widely as during the COVID-19 pandemic. This study examines Australian hospital nurses' experiences and perceptions of P2/N95 mask usage and its impacts on patient care at a time when P2/N95 masks were widely used. A qualitative exploratory-descriptive design involving semistructured interviews and focus groups was conducted with 12 nurses employed at a public health service in Melbourne, Australia. The data were thematically analyzed. Participants shared experiences resulted in four themes derived from the data: "adverse health impacts," "occupational challenges caused by scarcity of P2/N95 masks," "impact of wearing P2/N95 masks on patient care and work practices," and "adaptive strategies to improve patient care." Nurses experienced notable adverse effects from P2/N95 masks, affecting patient care quality. This study's findings underscore the importance of enhancing training, education, and policies regarding mask usage to uphold high standards of patient care and reduce exposure to pathogens.