Nursing Research Literature Production in Terms of the Scope of Country and Health Determinants: A Bibliometric Study.

PURPOSE: The aim of this paper was to present the results of the first study in which nursing research literature production was studied in the relation to country and health determinants. DESIGN: Bibliometric analysis was used. METHODS: The corpus of nursing publications was harvested from the Scopus indexing and abstracting database. Using research articles' metadata (funding acknowledgments, publication years, and author affiliations), we analyzed global trends in the nursing research literature production of funded and nonfunded publications. Next, we performed a regression analysis and correlation analysis relating nursing research productivity to health and country determinants. FINDINGS: The search resulted in 118,870 papers, among which 22.0% were funded (24.7% for G8 countries). Nursing literature production is exhibiting a positive trend. The United States is by far the most productive country in terms of funded and nonfunded literature production, although it is ranked only ninth in per capita production, for which Sweden is the most productive country regarding funded papers. The study also revealed that gross domestic product, human development factor, and gross national income were related to nursing research literature productivity. CONCLUSIONS: The positive trend in nursing research literature production (both funded and nonfunded) reveals a growth in nursing research funding. Regionally centered research literature production shows that the more developed and "rich" countries produce the majority of publications. A positive correlation is evident between country determinants and research literature production, as is a positive correlation between per capita literature research production and well-being and health determinants. CLINICAL RELEVANCE: Substantial growth in terms of nursing research literature production and research funding has been identified. While a limited amount of research in this area exists, this study revealed some interesting relations between nursing literature production and country and health determinants, which might motivate nursing researchers to pursue more intensive research and funders to support further growth of nursing research funding.

A bibliometric analysis of the Journal of Advanced Nursing, 1976-2015.

AIM: The aim of this study was to examine the publication characteristics and development of Journal of Advanced Nursing during its 40-year history. BACKGROUND: Bibliometric studies of single journals have been performed, but to the best of our knowledge, bibliometric analysis and bibliometric mapping have not yet been used to analyse the literature production of the Journal of Advanced Nursing. DESIGN/METHOD: Using descriptive bibliometrics, we studied the dynamics and trend patterns of literature production and identified document types and the most prolific authors, papers, institutions and countries. Bibliometric mapping was used to visualize the content of published articles and determine the most prolific research terms and themes published in Journal of Advanced Nursing and their evolution through time. We were also interested in determining whether there were any 'Sleeping Beauties' among the articles published in the journal. RESULTS: The study revealed a positive trend in literature production, although recently, the number of articles published in Journal of Advanced Nursing has slightly decreased. The most productive institutions are from the United Kingdom, which ranks in the highest place in terms of successful publishing in the journal. Thematic analysis showed that the most prolific themes corresponded to the basic aims and scope of the journal. CONCLUSION: Journal of Advanced Nursing contributes to advances in nursing research, practice and education as well as the quality of health care, teamwork and family care, with an emphasis on knowledge transfer and partnership between various healthcare professionals.

Trends in nursing ethics research: Mapping the literature production.

BACKGROUND: There have been a number of debates in the field of nursing ethics. Researchers have focused on various aspects of nursing ethics, such as professional ethics, professional, nursing and ethical values. Within this research, a variety of literature reviews have been conducted, but to the best of our knowledge, bibliometric mapping has not yet been used. OBJECTIVE: This article aims to analyse the production of literature within nursing ethics research. RESEARCH DESIGN: In order to examine publishing patterns, we focused on publishing dynamics, prolific research entities and the most-cited articles. We additionally visualised the content of the literature using a novel mixed-method approach, combining bibliometric analysis and mapping with thematic analysis. Ethical considerations: In our study, ethical review was not required. FINDINGS: A total of 1416 information sources were found in the Scopus database. Overall, literature production has increased; however, in recent years, the quantity of published material has begun to decrease. The most prolific countries are the United States, the United Kingdom and Canada, and the most prolific source titles are Nursing Ethics, Journal of Advanced Nursing and Nursing Times. Lately, research in the field of nursing ethics has been focused more on life care (providing for the basic needs of older residents), moral distress and community nursing. DISCUSSION: The dynamics of research literature production showed an exponential rise in the number of published information sources - a rise which started in the period between 1974 and 1998. Since that period, the trend has stabilised, which might indicate that nursing ethics research is starting a transition to a mature phase. CONCLUSION: The innovative use of bibliometric analysis and mapping, together with thematic analysis, is a useful tool for analysis of research production in the field of nursing ethics. The results presented can be an excellent starting point for literature reviews and more exhaustive data, information and knowledge seeking.

Visualising nursing data using correspondence analysis.

BACKGROUND: Digitally stored, large healthcare datasets enable nurses to use 'big data' techniques and tools in nursing research. Big data is complex and multi-dimensional, so visualisation may be a preferable approach to analyse and understand it. AIM: To demonstrate the use of visualisation of big data in a technique called correspondence analysis. DISCUSSION: In the authors' study, relations among data in a nursing dataset were shown visually in graphs using correspondence analysis. The case presented demonstrates that correspondence analysis is easy to use, shows relations between data visually in a form that is simple to interpret, and can reveal hidden associations between data. CONCLUSION: Correspondence analysis supports the discovery of new knowledge. Implications for practice Knowledge obtained using correspondence analysis can be transferred immediately into practice or used to foster further research.

Relationships between Physical Activity and Selected Chronic Diseases among Functionally Independent Long-Term Care Residents during the Post-Lockdown Period in Croatia.

The aim of this observational study was to investigate the level and association of physical activity and selected chronic diseases in functionally independent LTC residents after prolonged physical and social isolation during COVID-19 in Croatia. Adhering to the inclusion criteria, 180 functionally independent residents were included in the study. Assessment of physical activity was carried out by 7-day motor monitoring. Prolonged physical and social isolation negatively affected the achieved level of physical activity of LTC residents (x¯ = 5058.74). Major depressive disorder resulted in significantly lower residents' physical activity scores, demonstrating a shrinking effect ranging from 0.42 to 0.45. A significant negative impact on the residents' physical activity was also found in the presence of osteoarthritis and iron deficiency anemia, where a downward effect was present in the range from 0.66-0.72 and 0.64 to 0.66. The presence of comorbidities has a significant negative impact on the residents' physical activity, where a downward effect is present in the range from 0.91-0.92.

Research Trends in Motivation and Weight Loss: A Bibliometric-Based Review.

Obesity is a complex disease that, like COVID-19, has reached pandemic proportions. Consequently, it has become a rapidly growing scientific field, represented by an extensive body of research publications. Therefore, the aim of this study was to present the research trends in the scientific literature on motivation and weight loss. Because traditional knowledge synthesis approaches are not appropriate for analyzing large corpora of research evidence, we utilized a novel knowledge synthesis approach called synthetic knowledge synthesis (SKS) to generate new holistic insights into obesity research focusing on motivation. SKS is a triangulation of bibliometric analysis, bibliometric mapping, and content analysis. Using it, we analyzed the corpus of publications retrieved from the Scopus database, using the search string TITLE-ABS-KEY((obesity or overweight) and "weight loss" and motiv*) in titles, keywords, and abstracts, without any additional inclusion or exclusion criteria. The search resulted in a corpus of 2301 publications. The United States of America, the United Kingdom, and Australia were the most productive countries. Four themes emerged, namely, weight loss and weight-loss maintenance through motivational interventions, lifestyle changes supported by smart ICT, maintaining sustainable weight with a healthier lifestyle, and weight management on the level of primary healthcare and bariatric surgery. Further, we established that the volume of research literature is growing, as is the scope of the research. However, we observed a regional concentration of research and its funding in developed countries and almost nonexistent research cooperation between developed and less-developed countries.

Bibliometric analysis of the International Medical Informatics Association official journals.

Objectives: This research article aims to analyze the bibliometric characteristics of four official International Medical Informatics Association (IMIA) journals, namely: the International Journal of Medical Informatics, Methods of Information in Medicine, Applied Clinical Informatics, and Informatics for Health and Social Care.Method: We used descriptive bibliometrics to study the trends of literature production, identify documents` types, most prolific authors, institutions, countries, and most cited publications of all four IMIA journals. Additionally, we visualized the content of published publications using bibliometric mapping to identify journals' main themes and the most prolific and most cited research terms.Results: In total, 6,837 publications were published in all four IMIA journals. Among them, there were 5,137 original articles, meaning that articles were the leading document type. Research is being conducted globally among various research institutions. The most prolific countries are the United States of America, the United Kingdom, Germany, the Netherlands, and Canada. Thematic analyses of clusters show that themes are overlapping between all four journals.Conclusion: The journals contribute to the advances in technology related to health information systems, knowledge-based and decision-making systems, health literacy, and electronic health records.

Work ability index in Slovenian hospital nurses aged over fifty years.

Nurses with reduced work ability are highly susceptible to the deleterious effects of their working environments, and their rates of sick leave, disability, and early retirement are higher than average. The aim of this study was to evaluate work ability in 433 Slovenian hospital nurses aged over fifty years providing secondary care in thirteen hospitals across Slovenia. To do that we used a standardised instrument known as work ability index (WAI). Mean WAI was 36.98±6.46 and median 38. WAI was not associated with age (Spearman's ρ=-0.034, p=0.475). Total WAI score strongly correlated with the 1st item of the WAI questionnaire "current work ability" (ρ=0.726, p<0.001). Higher WAI scores were also associated with academic education, full-time employment, and working in a single (morning) or three shifts. Our WAI findings in nurses over fifty call for systemic changes in the nursing environment to maintain good work ability among nurses until the retirement age and beyond.

Adapting nurse competence to future patient needs using Checkland's Soft Systems Methodology.

BACKGROUND: New emerging technologies, health globalization, demographic change, new healthcare paradigms, advances in healthcare delivery and social networking will change the needs of patients in the future and consequently will require that new knowledge, competence and skill sets be acquired by nurses. METHOD: Checkland's Soft Systems Methodology, focusing on the enriched CATWOE and PQR elements of the root definitions, combined with our own developed "Too much - Too little constraint" approach was used to devise impending knowledge, competence and skill sets. RESULTS: The analysis revealed ten needs among patients of the future, 63 constraints and 18 knowledge, competence and skill sets for the future nurse. CONCLUSION: The completed study showed that SSM is an appropriate tool for high level structuring of a "messy" real-world problem situation to meet prospective nursing challenges.

Dehydration of Older Patients in Institutional Care and the Home Environment.

Dehydration in older adults is an important clinical problem associated with more comorbidities, longer hospital stays, and higher mortality rates. However, in daily clinical practice, no single gold standard marker of hydration status in older adults is available. The aim of the current study was to define the fluid balance status in older adults residing in institutional care or the home. Four hundred ten patients (192 from institutional care and 218 from home care) 65 and older from the region of lower Styria (Slovenia) were included in the study. Serum osmolality, electrolytes, and blood urea nitrogen to creatinine (BUN:Cr) ratio were used to identify dehydration. Statistically significant differences were found between groups in serum osmolality and BUN:Cr ratio. Moreover, dehydration (defined as increased serum osmolality) was significantly more common in patients in institutional care than home care (51% versus 41.3%, respectively). The results confirm that dehydration is a common clinical problem in older adults, especially in those from institutional care. Although many methods of determining hydration status in older adults have been proposed, no gold standard exists, making hydration evaluation difficult in this population. [Res Gerontol Nurs. 2017; 10(6):260-266.].

Is the burnout syndrome associated with elder mistreatment in nursing homes: results of a cross-sectional study among nurses.

As this issue has not yet been addressed in Croatia, our aim was to explore the presence of the burnout syndrome in nurses and see how it is related to their perception of elder mistreatment in nursing homes and extended care units. The burnout syndrome was assessed in 171 nursing professionals with a standardised Maslach Burnout Inventory for Human Services Survey (MBI-HSS) for three dimensions: emotional exhaustion (EE), depersonalisation (DP), and personal accomplishment (PA). High EE was reported by 43.9 %, high DP by 22.2 %, and low PA by 39.8 % of the respondents. Their perception of elder abuse and neglect was investigated with two self-completion questionnaires. The answers suggest that elder mistreatment in Croatian nursing homes and extended care units is more common than expected: 55 % witnessed shouting at a resident in anger, 43 % insulting and swearing at a resident, 42 % force-feeding the resident, 39 % ignoring a resident when they called, and 38 % neglecting to turn or move a resident to prevent pressure sores. We also established associations between a number of questionnaire items on perceived abuse and neglect and the burnout syndrome dimensions and determined the items that predicted the type and level of burnout in our respondents. One way to avoid the pitfalls that lead to abuse and neglect is education in schools and at work. We believe our research could contribute to this end.

Bibliometric Patterns of Research Literature Production on Nursing Informatics Competence.

BACKGROUND: Nursing informatics competence is a prerequisite for successful information management, evidence-based practices optimizing patient care health promotion, and communication with information communication technology-literate patients. METHOD: The aim of this study was to assess the trends in the production of nursing informatics competence research literature and to identify the most productive bibliometric entities. In addition to the correspondence analysis, bibliometric analysis and mapping were used to achieve the aim. RESULTS: A total of 366 information sources were extracted, 14.5% of which were sponsored studies. The production of research literature on nursing informatics competence is growing, but this research is only occasionally published in the most recognized nursing journals. CONCLUSION: Identifying where the intensive research on nursing informatics competence is beneficial to care for the patient of the future and building user-friendly online lifelong learning platforms, where a required level of nursing informatics competence could be acquired, are two gaps in the current research that should be covered in future.