A systematic review and meta-analysis of the effectiveness of social support on turnover intention in clinical nurses.

Background: Nurse turnover has become a salient issue in healthcare system worldwide and seriously compromises patient outcomes. Social support is considered an effective contributor to alleviate nurse turnover intention (TI). However, the degree of correlation between social support and nurse TI remains elusive. Aims: This study aims to evaluate the strength of the effectiveness of social support on TI among nurses as well as its potential moderators. Design: This systematic review and meta-analysis followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses. Methods: To obtained qualified studies, two researchers searched Embase, PubMed, Web of science, CINAHL, CNKI, WanFang, and Chinese Medical Journal Full Text Database from inception to January 6, 2024. Meta-analysis, publication bias, and sensitivity analysis were carried out on the included studies using CMA 3.0 software, and the moderating effect was verified through meta-analysis of variance (ANOVA). Results: A total of 38 studies were obtained, involving 63,989 clinical nurses. The comprehensive effect size of the random effect model showed a significant medium negative correlation between social support and TI among nurses (p < 0.001). The sample size and TI measurement tools significantly moderated the correlation between social support and TI (p < 0.050). However, nurse department, gender, data collection time, and social support measurement tools did not moderate the correlation between the two variables. Conclusion: Social support is negatively associated with TI in nurses. Nursing administrators and the medical community should fully recognize the importance of social support for nurses and take corresponding measures to enhance it, thereby reducing TI and ensuring the stability of the nursing team.

Symptom burden, family resilience, and functional exercise adherence among postoperative breast cancer patients.

Objective: This study examines the relationships among family resilience, functional exercise adherence, and symptom burden in postoperative breast cancer patients. Methods: In this cross-sectional study, participants consisted of 192 women with breast cancer who had undergone breast cancer surgery in two hospitals in Shandong Province, China. Family resilience, functional exercise adherence, and symptom burden were measured using the 32-item shortened Chinese version of the Family Resilience Assessment Scale (FRAS-C), Postoperative Functional Exercise Compliance Scale for Breast Cancer Patients, and the Chinese version of the M. D. Anderson Symptom Inventory (MDASI-C), respectively. Structural equation modeling was conducted to examine the path relationships among family resilience, functional exercise adherence, and symptom burden. Results: Family resilience and its subscales were significantly negatively correlated with symptom burden (r â€‹= â€‹-0.17 to -0.14, P â€‹< â€‹0.05), whereas positively correlated with functional exercise adherence (r â€‹= â€‹0.64 to 0.69, P â€‹< â€‹0.01). Functional exercise adherence was significantly positively correlated with symptom burden (r â€‹= â€‹-0.32 to -0.35, P â€‹< â€‹0.01). Family resilience indirectly affected symptom burden through functional exercise adherence (ߠ​= â€‹-0.319, 95% CI: -0.491, -0.169). Conclusions: Family resilience, as a positive psychological factor, could indirectly impact postoperative breast cancer patients' physical function. Specifically, family resilience can alleviate the patients' symptom burden by strengthening their functional exercise adherence. In addition to improving functional exercise adherence, nurses can also improve family resilience when helping to alleviate the symptom burden of postoperative breast cancer patients. Family resilience-based interventions could be implemented to alleviate the symptom burden among such patients.

Sleep quality, caregiver burden, and individual resilience among parents of children with epilepsy.

PURPOSE: Parents caring for children with epilepsy have poor sleep quality and experience a certain level of caregiving burden. Individual resilience is a crucial psychological variable that contributes to health during extraordinary challenges. This study aimed to determine the relationships among individual resilience, caregiver burden, and sleep quality. METHODS: This was a descriptive cross-sectional study with a convenience sample, following the STROBE guidelines. One hundred and ninety-one parents of children with epilepsy were invited to participate in the study. Of these, 173 participants completed measures of sleep quality, caregiver burden, and individual resilience. Path analysis was performed to probe the indirect relationship between individual resilience and sleep quality via caregiver burden. RESULTS: Correlation analysis revealed that individual resilience total scores were significantly and marginally negatively correlated with caregiver burden and sleep quality total scores (r = -0.215, P <.01; r = -0.250, P <.01). Moreover, there was a significant moderate positive correlation between the total caregiver burden scores and total sleep quality scores (r = 0.389, P <.001). The path model showed that individual resilience is indirectly associated with sleep quality via caregiver burden. CONCLUSION: The higher the level of individual resilience, the less the caregiver burden and the better the sleep quality for parents of children with epilepsy.

Depression and Opioid Misuse in Elderly Individuals With Chronic Pain: A Latent Class Analysis.

BACKGROUND: Chronic pain patients tend to have comorbid depressive symptoms, and empirical data investigating differences related to depressive symptoms classes and opioid misuse are scant. AIMS: The aim of this study was to identify heterogeneous depressive symptoms trajectories in elderly individuals with chronic pain who take opioids, and investigate the association between depressive symptoms subgroups and opioid misuse. DESIGN: Secondary data analysis of a cross-sectional study. SETTINGS: Twelve communities were selected from a city in Shandong Province, China, using multi-stage cluster sampling. PARTICIPANTS/SUBJECTS: Individuals aged ≥60 years with self-reported chronic pain lasting more than one year and who took opioids under prescription were screened. METHODS: Latent class analysis was used to identify homogeneous depressive symptoms groups within the elderly population with chronic pain. Multinomial logistic regression, and one-way analysis of variance were also performed. RESULTS: The best-fitted model suggested three depressive symptoms subgroups: "Impaired Memory," "Perceived Stress in Life and Work," and "Low Mood." Age, education level, and marital status were depression risk factors. The odds of opioid misuse varied among the depressive symptoms subgroups. CONCLUSIONS: These findings may help improve depressive symptoms and chronic pain management by identifying high-risk elderly individuals for early intervention and personalizing treatment according to the depressive symptoms subgroup and severity of opioid misuse.

Family resilience and subjective responses to caregiving for children with epilepsy.

OBJECTIVES: This study quantified caregiver burdens and the positive aspects of caregiving for the parents of children with epilepsy, with a focus on the impacts of family resilience as a protective factor for the caring process. METHODS: This cross-sectional study was conducted among 173 parents of children with epilepsy, all of whom responded to questionnaires containing the shortened Chinese version of the Family Resilience Assessment Scale (FRAS-C), positive aspects of caregiving scale (PAC), and Chinese version of the Zarit Caregiver Burden Interview (CZBI). They also provided relevant sociodemographic data. RESULTS: The mean CZBI total score was 22.16 (SD, 14.26; range, 0-71), while the mean PAC total score was 40.05 (SD, 11.09; range 11-55). The FRAS-C total score was positively correlated with the PAC total score (r = 0.368, p < 0.001), but negatively correlated with the CZBI total score (r = -0.301, p < 0.001). A multiple linear regression analysis showed that family resilience explained PAC and CZBI at rates of 11.4% and 5.5%, respectively. CONCLUSIONS: Parents have both positive and negative experiences when caring for children with epilepsy. In this context, family resilience may enhance the positive aspects of caregiving while reducing the frequency of negative feelings, thus highlighting the need for clinicians to focus on adequate interventions aimed at improving family resilience.

Dyadic effects of family resilience on post-traumatic stress symptoms among breast cancer patients and their primary family caregivers: A cross-sectional study.

PURPOSE: The aims of this study were to verify actor and partner effects, by examining the effects of family resilience on post-traumatic stress symptoms (PTSS) among Chinese breast cancer patients and their primary family caregivers. METHODS: In this cross-sectional study, 104 breast cancer patients (age range 20-75, Mean = 47, Standard Deviation = 10), and their principal caregivers (n = 104), were recruited from a comprehensive cancer center of a public hospital in China. The patients and their caregivers self-reported sociodemographic, family resilience, and PTSS factors. The actor-partner interdependence model were adopted to examine whether the patients and caregivers' perceived family resilience could contribute to their own ("actor effect") and each other's ("partner effect") PTSS. RESULTS: There were significant correlations between patients' and caregivers' shortened Chinese version of Family Resilience Assessment Scale scores (r = 0.58, p < 0.01) and Post-traumatic Stress Disorder Checklist-Civilian Version scores (r = 0.69, p < 0.01). Caregivers' perceived family resilience was negatively related to their PTSS (actor effect), and the patients' PTSS (partner effect). However, the patients' perceived family resilience was not significantly related to their or the caregivers' PTSS. CONCLUSIONS: The primary caregivers' perceived family resilience had both actor and partner effects on patient/caregiver PTSS within the first year of breast cancer diagnosis. Family-based interventions should be designed to enhance family resilience to decrease PTSS within families dealing with cancer patients. Supportive care should focus on the primary family caregivers within the first year of breast cancer diagnosis.