Associations between maternal occupational exposures and pregnancy outcomes among Chinese nurses: a nationwide study.

BACKGROUND: Several studies have provided evidence about adverse pregnancy outcomes of nurses involved in occupational exposure. However, the pregnancy outcomes among nurses in middle-income countries are not well demonstrated. The main aim of this study is to present the prevalence and influencing factors of pregnancy outcomes among female nurses in China. METHODS: We included 2243 non-nurse health care workers, and 4230 nurses in this national cross-sectional study in China. Information on occupational exposures and pregnancy outcomes was collected using a face-to-face investigation. Odds ratios (ORs) were estimated through logistic regression. RESULTS: The proportion of threatened abortion, spontaneous abortion, and stillbirth of female nurses was 2.6%, 7%, and 2.1%, respectively. We found an increased risk of threatened abortion among nurses with overtime work (OR = 1.719, 95% CI 1.158-2.550). The risk of threatened abortion and spontaneous abortion was elevated among nurses handling disinfectant (OR = 2.293 and 1.63, respectively). We found a nearly twofold increased risk of premature birth (OR = 2.169, 95% CI 1.36-3.459) among nurses handling anti-cancer drugs. CONCLUSIONS: Our findings suggested that maternal occupational exposures might be associated with the risk of adverse pregnancy outcomes among female nurses in China. We recommend that policy-markers and hospital managers work together to reduce exposure to occupational hazards and improve pregnancy outcomes among female nurses.

The lived experiences of racial bias for Black, Asian and Minority Ethnic students in practice: A hermeneutic phenomenological study.

AIM: This study explored the lived experiences of racial bias for Black, Asian and Minority Ethnic students undertaking an undergraduate or post-graduate degree in nursing, midwifery and allied health courses in the United Kingdom. BACKGROUND: Previous research indicates that students from Black, Asian and Minority Ethnic groups have fewer opportunities to succeed at university and this has brought about a race awarding gap in their degree attainment. The reasons for this awarding gap are complex and multi-factorial and it is crucial that the lived experiences of racial bias are explored from the student perspective. DESIGN: A hermeneutic phenomenological approach was adopted to elicit individual and collective experiences in the practice environment, a mandatory component of the student's degree. METHODS: A focus group and individual semi-structured interviews were conducted to collect data from sixteen participants and analysed using thematic analysis RESULTS: Three encompassing themes were identified which included a sense of not belonging, trauma impact on mental health and understanding covert and overt racism. Participants reported incidences of racism and appeared to be traumatised by their experiences within practice and the university. They also reported poor mental health and well-being as shared experiences and a lack of confidence in the university and practice to mitigate racial issues. CONCLUSIONS: Meaningful action must be taken by universities and practice partners to advance racial inequality initiatives by having robust anti-racism action plans and processes. These should be co-created with students and staff to reduce the race awarding gap.

Factores motivacionais da equipe de enfermagem, do hospital distrital de catandica: um estudo exploratório / Motivational factors of the nursing staff at the district hospital of catandica: an exploratory study

A motivação deve fazer parte integrante da estratégia organizacional, e é fundamental que os colaboradores sejam continuamente motivados e estimulados a crescer enquanto profissionais, a executarem as tarefas inerentes às funções com eficácia, fazendo com que se sintam realizados no exercício das suas funções. Para tal, as organizações devem adequar os processos de coaching e promover uma liderança eficaz que seja determinante no processo motivacional. O objectivo deste estudo foi Avaliar os factores motivacionais da equipe de enfermagem, no Hospital Distrital de Catandica, bem como conhecer os factores motivacionais existentes no EGFAE (Recompensas, Progressões, Promoções, Gratificações, Prémios), relacionamento entre colegas, Satisfação Salarial para actividades que realiza. De salientar que tratou-se de uma pesquisa descritiva com amostragem não probabilística por conveniência. A colheita de dados foi feita a partir de entrevistas com perguntas abertas e fechadas, que procuravam avaliar os factores motivacionais da equipe de enfermagem. Os resultados demonstraram que a motivação da equipe de enfermagem continua sendo um grande desafio a ser superado, pois conforme a pesquisa, os enfermeiros encontram-se desmotivados e sentem-se desvalorizados. Conclusão: relativamente a factores motivacionais, 56% dos enfermeiros não estão motivados.

Motivation should be an integral part of organizational strategy, and it is essential that employees are continuously motivated and encouraged to grow as professionals, to perform the tasks inherent to the functions effectively, making them feel fulfilled in the exercise of their functions. To this end, organizations must adapt coaching processes and promote effective leadership that is decisive in the motivational process. The aim of this study was to evaluate the motivational factors of the nursing team at the Catandica District Hospital, as well as to know the motivational factors existing in EGFAE (Rewards, Progressions, Promotions, Bonuses, and Awards), relationship between colleagues, Salary Satisfaction for activities it performs. It should be noted that this was a descriptive study with non-probabilistic sampling for convenience. Data were collected from interviews with open and closed questions, which sought to analyze the motivational factors of the nursing team. The results showed that the motivation of the nursing team remains a great challenge to be overcome, because according to the research, nurses are unmotivated and feel devalued. Conclusion: Regarding Motivational Factors, 56% of nurses are not motivated.

Perfil dos pacientes com crise hipertensiva atendidos em uma unidade de pronto atendimento / Perfil de los pacientes con crisis hipertensiva atendidos en una unidad de pronta atención / Profile of patients with hypertensive crisis seen in an emergency care unit

RESUMO Objetivo: descrever o perfil dos pacientes com crise hipertensiva atendidos em uma Unidade de Pronto Atendimento. Método: estudo transversal descritivo, realizado por meio da análise de 80 prontuários de pacientes com quadro de crise hipertensiva, atendidos em uma unidade de pronto atendimento, entre o período de março de 2018 a fevereiro de 2019. Os dados foram coletados por meio de roteiro estruturado e receberam tratamento estatístico descritivo. Resultados: Após a análise dos 80 prontuários, constatou-se que a média de idade entre os pacientes atendidos foi de 58,03, sendo a faixa etária adulta a mais prevalente (53,8%). Constatou-se que a média da pressão arterial sistólica foi significativamente maior em homens em relação às mulheres (p=0,013). Quanto à sintomatologia, a cefaleia foi a mais prevalente, com 35,0%. Verificou-se que durante o atendimento da crise hipertensiva, a maioria dos pacientes fez uso de apenas uma droga para redução da PA, sendo o inibidor adrenérgico de ação central o mais citado. Quanto ao desfecho, grande parte dos pacientes recebeu alta (93,8%) logo após o atendimento, porém, 6,3% permaneceram em internamento de curta permanência até a estabilização do quadro. Considerações finais: Este estudo possibilitou a caracterização da população com crise hipertensiva atendida em um pronto atendimento, a qual evidencia uma possível fragilidade existente entre a articulação dos níveis de atenção à saúde.

RESUMEN Objetivo: describir el perfil de los pacientes con crisis hipertensiva atendidos en una Unidad de Pronta Atención. Método: estudio transversal descriptivo, realizado por medio del análisis de 80 registros médicos de pacientes con cuadro de crisis hipertensiva, atendidos en una unidad de pronta atención, entre el período de marzo de 2018 a febrero de 2019. Los datos fueron recogidos por medio de guion estructurado y recibieron tratamiento estadístico descriptivo. Resultados: después del análisis de los 80 registros médicos, se constató que el promedio de edad entre los pacientes atendidos fue de 58,03, siendo la franja etaria adulta la más prevalente (53,8%). Se constató que el promedio de la presión arterial sistólica fue significativamente mayor en hombres que en las mujeres (p=0,013). En cuanto a la sintomatología, la cefalea fue la más prevalente, con 35,0%. Se verificó que, durante la atención de la crisis hipertensiva, la mayoría de los pacientes hizo uso de solo una droga para reducción de la PA, siendo el inhibidor adrenérgico de acción central el más relatado. Respecto al resultado, gran parte de los pacientes recibió el alta (93,8%) inmediatamente después de la atención, sin embargo, el 6,3% permaneció en internamiento de corta estancia hasta la estabilización del cuadro. Consideraciones finales: este estudio posibilitó la caracterización de la población con crisis hipertensiva atendida en una pronta atención, la cual evidencia una posible fragilidad existente entre la articulación de los niveles de atención a la salud.

ABSTRACT Objective: to describe the profile of patients with hypertensive crisis treated at an Emergency Care Unit. Method: descriptive cross-sectional study carried out through the analysis of 80 medical records of patients with hypertensive crisis, treated at an emergency care unit, between March 2018 and February 2019. Data were collected using a structured script and were subjected to descriptive statistical treatment. Results: after analyzing the 80 medical records, it was found that the mean age of the treated patients was 58.03, with the adult age group being the most prevalent (53.8%). It was found that the mean systolic blood pressure was significantly higher in men than in women (p=0.013). As for symptoms, headache was the most prevalent, with 35.0%. It was found that during the treatment of the hypertensive crisis, most patients used only one drug to reduce BP, with centrally acting antiadrenergic drugs being the most cited. Regarding the outcome, most of the patients were discharged (93.8%) soon after treatment; however, 6.3% remained in short-term hospitalization until their condition stabilized. Final considerations: this study made it possible to characterize the population with hypertensive crisis treated in an emergency room, showing a possible fragility in the articulation between health care levell

A vivência do medo por estudantes universitários durante a pandemia de Covid-19 / La vivencia del miedo por estudiantes universitarios durante la pandemia de Covid-19 / The experience of fear by university students during the Covid-19 pandemic

RESUMO Objetivo: compreender a vivência do medo por estudantes universitários durante a pandemia de COVID-19. Métodos: estudo exploratório, qualitativo, realizado com 16 estudantes matriculados em instituições de ensino superior brasileiras. Os dados foram coletados em junho de 2020, através de grupo focal realizado virtualmente, utilizando-se um roteiro semiestruturado com questões norteadoras. A partir da análise de conteúdo, modalidade temática, emergiram as categorias: Medo do desconhecido e suas repercussões na vida de estudantes universitários e viver daqui por diante: desafios impostos pela pandemia e semelhanças com experiências anteriores. Resultados: a pandemia de COVID-19 simbolizava o novo, evidenciado pelo sentimento de medo dos participantes frente ao imprevisível, à solidão, ao sofrimento e à finitude humana. As narrativas mostraram mudanças no viver dos estudantes universitários. Conclusão: apesar de seu ineditismo, a vivência da pandemia encontrou semelhanças em experiências pregressas de eventos estressores que possibilitaram aos participantes aprender e desenvolver sua capacidade de resiliência.

RESUMEN Objetivo: comprender la vivencia del miedo por estudiantes universitarios durante la pandemia de COVID-19. Métodos: estudio exploratorio, cualitativo, realizado con 16 estudiantes inscriptos en instituciones de enseñanza superior brasileñas. Los datos fueron recolectados en junio de 2020, a través de un grupo focal realizado virtualmente, utilizando una guion semiestructurado con cuestiones orientadoras. A partir del análisis de contenido, modalidad temática, surgieron las categorías: Miedo a lo desconocido y sus repercusiones en la vida de estudiantes universitários y Vivir de aquí en adelante: desafíos impuestos por la pandemia y semejanzas con experiencias anteriores. Resultados: la pandemia de COVID-19 simbolizaba lo nuevo, evidenciado por el sentimiento de miedo de los participantes frente a lo impredecible, a la soledad, al sufrimiento y a la finitud humana. Los relatos mostraron cambios en el vivir de los estudiantes universitarios. Conclusión: pese su carácter inédito, la vivencia de la pandemia encontró similitudes en experiencias anteriores de eventos estresantes que permitieron a los participantes aprender y desarrollar su capacidad de resiliencia.

ABSTRACT Objective: aprehending the experience of fear by university students during the Covid-19 pandemic. Methods: an exploratory, qualitative study conducted with 16 students enrolled in Brazilian higher education institutions. Data were collected in June 2020 through a virtually performed focus group using a semi-structured script with north-section questions. From the content analysis, thematic modality, the following categories emerged: Fear of the unknown and its repercussions on the lives of university students and Living going forward: challenges imposed by the pandemic and similarities with previous experiences. Results: the Covid-19 pandemic symbolized the new, evidenced by the participants' feeling of fear in the face of the unpredictable, loneliness, suffering and human finitude. The narratives showed changes in the lives of university students. Conclusion: despite its originality, the experience of the pandemic found similarities in previous experiences of stressful events that allowed participants to learn and develop their resilience.

Association Between Electronic Patient Symptom Reporting With Alerts and Potentially Avoidable Urgent Care Visits After Ambulatory Cancer Surgery.

Importance: Increasingly complex surgical procedures are being performed in the outpatient setting, increasing the burden on patients and caregivers to manage their postoperative symptoms. Electronic patient-reported symptom tracking may reduce this burden and help patients distinguish between expected symptoms and those requiring intervention. Objective: To determine whether electronic symptom reporting with clinical alerts for 10 days after ambulatory cancer surgery is associated with a reduction in potentially avoidable urgent care visits, defined as a visit not leading to admission. Design, Setting, and Participants: This retrospective cohort study was conducted at the Josie Robertson Surgery Center (JRSC), Memorial Sloan Kettering Cancer Center's ambulatory surgery center with overnight stay capacity from September 20, 2016, to December 31, 2018. Patients undergoing prostatectomy, nephrectomy, mastectomy with or without immediate reconstruction, hysterectomy, or thyroidectomy at the surgery center before (n = 4195) and after (n = 2970) implementation of the Recovery Tracker (RT) electronic postoperative symptom survey were included. Data analyses were conducted from February 1 to November 24, 2020. Exposures: A short electronic survey assessing symptoms daily for 10 days after surgery, administered via the patient portal, with alerts to the clinical team and follow-up for concerning responses. Main Outcomes and Measures: The main outcome was Memorial Sloan Kettering urgent care center visits with and without readmission and any readmission within 30 days after surgery. Nursing workload was measured by patient phone calls, emails, and secure messages as documented in the electronic medical record. Results: A total of 7165 patients were analyzed, including 4195 (median age, 53 [interquartile range (IQR), 44-63] years; 3490 women [83%]) from the pre-RT implementation period and 2970 (median age, 56 [IQR, 46-65] years; 2221 women [75%]) from after full implementation. On multivariable, intent-to-treat analysis by study period, having surgery in the post-RT period was associated with a 22% decrease in the odds of an urgent care center visit without readmission (OR, 0.78; 95% CI, 0.60-1.00; P = .047). Having responded to at least 1 survey was associated with a 42% reduction in the odds of an urgent care center visit without readmission (OR, 0.58; 95% CI, 0.39-0.87; P = .007). There was no change in the risk of admission. Nursing calls increased by a mean of 0.86 (95% CI, 0.75-0.98) calls per patient after RT implementation (P < .001), a 34% increase. Conclusions and Relevance: In this cohort study, electronic symptom reporting with nursing follow-up for clinical alerts was associated with a reduction in potentially avoidable urgent care visits. The low risk and high benefit of this intervention suggest that these systems should be more broadly implemented.

Taking a Stand Against Workplace Incivility.

BACKGROUND: Workplace incivility is a common problem in nursing, and novice nurses are particularly vulnerable to incivility. METHOD: Cognitive rehearsal training to defend against incivility was presented to resident nurses. RESULTS: Three months after the educational intervention, 55% of nurses reported that they had witnessed incivility in the past month and 45% reported that they had responded to the incivility when it occurred. CONCLUSION: Most of the nurses expressed that the training improved their ability to manage incivility. Responses to open-ended comments revealed that incivility adversely affects the workplace and that leaders also may benefit from education on incivility and cognitive rehearsal. [J Contin Educ Nurs. 2021;52(5):232-239.].

Nursing Experts, Hygienic Modernity, and Nation Building: The Case of Nursing in Ethiopia in the Post-Colonial Era.

This is a tale in three parts. It begins with an exploration of the story of Princess Tsahai, daughter of Haile Selassie, and the highly successful British campaign led by suffragette E. Sylvia Pankhurst to bring British-style nursing and medicine to Ethiopia in the 1940s and 1950s. Second, it examines the role of foreign women, most notably Swedish missionary nurses, in building health services and nursing capacity in the country. Finally, it examines the way in which nursing brought together gendered notions of expertise and geopolitical pressures to redefine expectations for Ethiopian women as citizens of the new nation-state.

Methodology of Interdisciplinary Studies in Nursing Based on Islamic Documents.

To meet the needs of people from various cultures, nursing research must be performed on the basis of these cultures. This research aims to invent interdisciplinary research method based on Islamic documents. This method is with three stages: first, to describe a desired concept; second, to define the concept from the viewpoint of humans. Finally, a nursing discipline is achieved on the basis of the human knowledge and its findings, and Islamic documents. Results of this research method assist nurses in offering nursing care with regard to Muslim's beliefs in addition to their culture and customs.

Effect of high-quality nursing on alleviating depression and anxiety in patients with thyroid cancer during perioperative period: A protocol for systematic review.

BACKGROUND: This study will assess the effect of high-quality nursing (HQN) on alleviating depression and anxiety (DA) in patients with thyroid cancer (TC) during perioperative period (PPP). METHODS: We will search the following electronic databases (MEDLINE, EMBASE, PsycINFO, Cochrane Library, CINAHL, Web of Science, CBM, WANGFANG, and CNKI) from inception to the present and other literature sources without language limitation. All potential randomized controlled trials reporting on effect of HQN on DA in patients with TC during PPP will be considered for inclusion. Two researchers will separately carry out study selection, data extraction, and study quality evaluation. Any different opinion will be solved by a third author through discussion. All statistical analysis will be performed by RevMan 5.3 software. RESULTS: We will appraise the effect of HQN on DA in patients with TC during PPP through assessing outcomes of depression, anxiety, pressure, quality of life, and adverse events. CONCLUSION: This study will provide evidence to determine whether HQN is effective or not on DA in patients with TC during PPP. OSF REGISTRATION:: osf.io/sb5r8.

Socio-demographic analysis of free-lance nurses in a non-institutional employment regimen.

INTRODUCTION: The free-lance nurse, not bound to rigid organizational systems, can offer personalized assistance always respecting the rights of the person and of the profession. More recent graduates have decided to undertake the nursing profession by moving towards the free-lance nursing, considering it both as a career opening and as a professional opportunity, although this option never got much attention from the researchers in the Italian nursing scene. Free-lance nursing is now considered a valuable opportunity to develop a nursing career. This market is destined to grow for different reasons, such as an increasing chronicity of health conditions of more and more ageing population and the deficits of the National Health Service (Servizio Sanitario Nazionale - SSN) in community and home care. AIM: The aim of the study was to evaluate the correlation between the development of the free-lance nursing and the Italian socio-economic context. METHODS: The design of the study was descriptive - observational. Data collection and observation was carried out from January 2018 until April 2108. For the analysis a linear regression model was adopted to quantify a cause-effect relationship between one or more independent variables and the dependent variable which interprets the phenomenon investigated. The regression carried out was descriptive to analytically express the observed reality and represent it in a plausible way. The specification model was represented as: Free-lance nurses per capita = per capita income + Out of Pocket expense per capita + waiting lists in days + number of beds per inhabitants + NHS nurses per inhabitants. RESULTS: The estimate carried out had an R of 0.813, R-square equal to 0.6612, adjusted R-square 0.540 and standard error of the estimate 1.277, highlighting a correlation between the variables adopted in the model and a p = 0.005. From the analysis of the variables used, the average per capita income (p = 0.045) and the nurses working in the National Health Service /1,000 beds (p = 0.017) were statistically significant. CONCLUSIONS: It can be stated that the free-lance nursing profession is costly for patients and therefore develops more revenue where the average per capita income grows, but the research also seems to show that, where the National Health Service has too few nurses, the private demand increases in order to satisfy healthcare needs.

Barriers to career advancement in the nursing profession: Perceptions of Black nurses in the United States.

BACKGROUND: There is a paucity of Black and minority ethnic group nurse leaders and faculty in the nursing profession, even though the overall number of nurses within this demographic has increased. This study aimed to examine Black nurses' perceptions of the barriers to career advancement in nursing profession in the United States. PROCEDURE: Participants included 30 Black nurses aged 25 to 65 from health care settings across five US states recruited through purposive sampling. The study used a focused ethnographic design with semi-structured interviews to elicit responses about participants perceptions and experiences of seeking leadership and faculty positions. RESULTS: Thematic analysis revealed seven main themes: maintaining white comfort, distrust, no one like me, paving the way, worthy of representation, leadership role not expected of Black nurses, and an advanced degree does not equal advanced opportunities. CONCLUSION: The findings suggest that Black nurses face significant challenges in entering leadership or faculty positions. They face racial discrimination and lack access to mentorship and support which discourages sufficiently qualified and experienced nurses from applying for high-level positions. Ensuring all nurses are afforded equal opportunity for career advancement is essential for the nursing profession's continued growth.

Ranking Cuiden Citación de Revistas de Enfermería más citadas en Iberoamérica: resultados del año 2019 / Ranking Cuiden Citation of the most cited Enfermería Journals in Ibero- America: results of the year 2019

El objetivo es analizar los resultados del Ranking Cuiden Citación-2019 con las revistas de Enfermería más citadas en Iberoamérica. Se incluyen 51 publicaciones procedentes de seis países (Brasil, Colombia, España, Uruguay, Portugal y Cuba) que han registrado impacto bibliométrico en el último periodo analizado. Se analizan dos indicadores: Repercusión Inmediata Cuiden (RIC) e Índice de Inmediatez. Además se identifican otras revistas de enfermería citadas dentro y fuera del Espacio Científico Iberoamericano (ECI). Destacan las revistas brasileñas, que ocupan las principales posiciones del repertorio, siendo la revista Esc Anna Nery R Enferm la más citada con una RIC de 2,216. El mayor índice de imediatez lo registra la revista Enferm Clínica. Aparecen cinco revistas citadas con posibilidades de incorporarse como revistas fuente en siguientes análisis. Se aprecia un cierto estancamiento en el ritmo de crecimiento de citas en los últimos años, sin que aún podamos hablar de saturación. El número de revistas con repercusión permanece estable, con una ligera tendencia al decrecimiento

The objective is to analyze the results of the Ranking Cuiden Citación-2019 with the most cited Nursing magazines in Latin America. It includes 51 publications from six countries (Brazil, Colombia, Spain, Uruguay, Portugal and Cuba) that have registered bibliometric impact in the last period analyzed. Two indicators are analyzed: Immediate Impact Cuiden (RIC) and Immediateness Index. In addition, other nursing journals cited inside and outside the Ibero-American Scientific Space (ECI) are identified. Noteworthy are the Brazilian magazines, which occupy the main positions in the repertoire, the Esc Anna Nery R Enferm magazine being the most cited with a RIC of 2,216. The highest index of imediacy is recorded by the journal Enferm Clínica. Five cited journals appear with the possibility of being incorporated as source journals in subsequent analyzes. There is a certain stagnation in the rate of growth of dating in recent years, without which we can still speak of saturation. The number of journals with an impact remains stable, with a slight downward trend

Grey literature citations in top nursing journals: a bibliometric study.

OBJECTIVE: As access to information grows in tandem with the growth of the Internet, access to grey literature also increases. Because little is known about the use of grey literature in nursing journals, the authors investigated the prevalence and types of grey literature citations in top nursing journals. METHODS: We analyzed all citations (n=52,116) from articles published in 2011 in 6 top nursing journals selected from the Medical Library Association's Nursing and Allied Health Resource Section's 2012 "Selected List of Nursing Journals." Grey literature citations were identified and categorized by type. RESULTS: Grey literature accounted for 10.4% of citations across all 6 journals. Publications from governments (54.3%) and corporate organizations (26.8%) were the most common types of grey literature. CONCLUSION: The substantial citation of grey literature in nursing journals shows that nursing scholars seek and use this category of information. These findings have implications for teaching and learning among nursing researchers and the information professionals who serve the nursing research community.

Theater of the Oppressed and bullying: nursing performance in school adolescent health.

OBJECTIVE: to assess the effects of an intervention based on the Theater of the Oppressed in reducing school bullying. METHOD: a quasi-experimental study with 232 first-year high school students from two public schools in the city of Cuiabá, Mato Grosso State, Brazil. An intervention was performed with the Theater of the Oppressed, a theatrical methodology created by Augusto Boal and inspired by Paulo Freire's "Pedagogy of the Oppressed", in which one school composed the intervention group, and another school, the comparison group. Both groups were assessed for involvement in bullying situations before and after intervention. For data analysis, Poisson Regression models with random effect were used. RESULTS: intervention group presented a significant decrease in direct victimization (physical and verbal aggression). CONCLUSION: the Theater of the Oppressed represents an important strategy in reducing bullying victimization among school adolescents.

Identifying trends in nursing start-ups using text mining of YouTube content.

This study uses YouTube content to explore trends in nursing start-ups. YouTube content can be used to understand the current trends regarding interest and awareness in various fields. The study was conducted in three stages: text mining, Delphi survey, and comparison. The frequency and degree centrality of keywords were analyzed in the text mining stage. In the Delphi survey, the 100 most frequent keywords were classified using a synthesis framework for nursing start-ups. In the comparison stage, the results of text mining and the Delphi survey were matched using a 2x2 matrix. Text mining identified "area," "business," "competence," "idea," and "success" as the most commonly used keywords. The keywords that showed the highest level of classification agreement in Delphi were "motivation," "advice," "obstacle," "business," "charisma," and "result." In the comparison using a 2x2 matrix, "dream," "idea," "opportunity," "leadership," "success," "benefit," and "satisfaction" emerged. The results indicate that interest in nursing start-ups develops at an early stage. In order to encourage nursing start-ups, it is necessary to strengthen business skills such as finance and budgeting, establish active policy support for such start-ups, and develop new nursing start-up items appropriate for the Fourth Industrial Revolution.