Conectar
This study aims to investigate whether higher levels of depression predict increased physical frailty over time and whether worsening physical frailty predicts higher levels of depression over time, at both the between-person and within-person levels.
A longitudinal study.
A total of 269 patients who underwent cardiac surgery were included in this study at T1 (admission). We followed up depression and physical frailty at T2 (the seventh day after surgery), T3 (the day before discharge), and T4 (the three-month follow-up). To determine the temporal order of the association between depression and physical frailty at both between-person or within-person levels, we employed the cross-lagged panel model (between-person effects), and random intercept cross-lagged panel model (within-person effects).
The cross-lagged panel model findings revealed a time-dependent shift in directionality: physical frailty initially predicted depression between T1 and T2, whereas depression subsequently emerged as a significant predictor of physical frailty from T2 to T4. These between-person effects suggest that the dominant direction of influence may vary across different perioperative stages. Notably, the random intercept cross-lagged panel model results identified a robust unidirectional within-person effect, indicating that increases in depression consistently predicted subsequent increases in physical frailty over time, while the reverse pathway was not statistically significant. This finding underscores the potential causal role of depression in driving physical frailty progression, beyond the influence of stable between-person characteristics.
This study advances understanding of the depression-physical frailty relationship in middle-aged and older cardiac surgery patients by delineating temporal precedence and disentangling within- and between-person effects. Depression emerges as a key driver of physical frailty, underscoring the need to prioritize its management in postoperative care protocols. Future research should explore mechanisms linking intraindividual depression to physical frailty progression and evaluate integrated psychosomatic interventions to optimize recovery outcomes.
We have adhered to the STROBE guideline.
This study did not include patient or public involvement in its design, conduct, or reporting.
This study aims to investigate the impact of challenge-hindrance stressors on novice nurses' safety behaviour, the mediating effect of regulatory focus, and the moderating effect of workplace spirituality.
The relationship between challenge-hindrance stressors and novice nurses' safety behaviour has rarely been investigated, despite the global concern for patient safety in healthcare systems. Previous research suggests that regulatory focus and workplace spirituality matter for nurse safety behaviour, but the relationship between them remains unclear.
An on-site cross-sectional survey. The STROBE guidelines were followed to report this study. Stratified sampling was used to recruit participants, and 471 novice nurses completed the Nurse Safety Behaviour Questionnaire, the Challenge-Hindrance Stressors Scale, the Regulatory Focus Scale, and the Workplace Spirituality Scale between January 2024 and May 2024. SPSS 24.0 and SPSS PROCESS 3.5 macros were used to test research hypotheses.
Challenge stressors positively affect novice nurses' safety behaviour, and promotion focus mediates this relationship. Hindrance stressors negatively affect novice nurses' safety behaviour, and prevention focus partially masks this relationship. Workplace spirituality positively moderates the relationship between challenge stressors and novice nurses' safety behaviour.
Challenge-hindrance stressors have a double-edged sword effect on novice nurses' safety behaviours. Regulatory focus and workplace spirituality play significant roles in the relationship between challenge-hindrance stressors and novice nurses' safety behaviour.
Managers should leverage challenge stressors to boost novice nurses' safety behaviours and enhance their intrinsic motivation through regulatory focus. Additionally, managers should highlight workplace spirituality's importance in coping with work stress. This approach can effectively improve safety behaviours and ensure patient safety.
Patients and the public were not involved in the design and implementation of this study. Clinical novice nurses completed a questionnaire for this study.
To summarise and critically appraise the evidence of mindfulness-based interventions for psychological distress in patients with cancer and their partners.
A critical review.
The critical appraisal checklists of the Centre for Evidence-Based Management were utilised for the quality appraisal while reporting the results using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses Statement.
Six electronic databases were searched, including MEDLINE, CINHAL, Embase, PsycINFO, the Cochrane Library, and Web of Science, from inception to August 2023.
A total of six studies were included. Mindfulness-based interventions in general improved psychological distress among patients with cancer and their partners. However, the components of the interventions varied.
Treating patients with cancer and their partners as a unit may improve psychological distress for both parties. It is recommended that cancer couples be involved in mindfulness-based interventions simultaneously to achieve positive effects. Future research into the effectiveness and best practices of mindfulness-based interventions remains necessary.
The findings provide information and evidence for improving psychological distress among patients with cancer and their partners to guide the development of a mindfulness-based intervention.
Mindfulness-based interventions were effective in improving psychological distress in patients with cancer and their partners. The effectiveness of mindfulness-based interventions varied based on intervention formats. Engaging cancer couples in mindfulness-based intervention together may have a positive impact on both partners.
Preferred Reporting Item for Systematic Reviews and Meta-Analyses Statement 2020.
No Patient or Public Contribution.
FreshRSS 