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  1. Article ; Online: Using "board games" to improve the effectiveness of extracorporeal membrane oxygenation care for nurses in intensive care unit.

    Wang, Hsin-Yi / Huang, Chu-Yu / Hu, Sophia H / Cheng, Su-Fen

    Nurse education in practice

    2024  Volume 75, Page(s) 103895

    Abstract: Aim: The purpose of this study was to evaluate the effectiveness of ECMO care board games facilitated teaching approach (ECMO care board games) in enhancing ECMO care knowledge, clinical reasoning and learning engagement among intensive care unit (ICU) ... ...

    Abstract Aim: The purpose of this study was to evaluate the effectiveness of ECMO care board games facilitated teaching approach (ECMO care board games) in enhancing ECMO care knowledge, clinical reasoning and learning engagement among intensive care unit (ICU) nurses.
    Background: ECMO is a highly complex, relatively low-incidence, high-risk clinical life support device system used in the intensive care unit (ICU). Its usage has increased nearly tenfold over the past 30 years. Traditionally, ECMO education has been delivered through classroom teaching, which has demonstrated limited effectiveness in promoting nurses' learning engagement, clinical reasoning competency and confidence. The literature suggests that well-designed board games can enhance learning engagement, stimulate higher-level thinking and improve the effectiveness and confidence of nurses' learning.
    Design: A quasi-experimental study two-group repeated measure design.
    Methods: A purposive sample of 73 ICU nurses from two campuses of one medical center was recruited (37 in the experimental group and 36 in the control group). The experimental group received ECMO care training through ECMO care board games facilitated teaching approach, whereas the control group completed the training through a traditional teaching approach. Instruments used for data collection include a demographic information sheet, ECMO Care Knowledge Scale, Clinical Reasoning Scale (Huang et al., 2023) and Learning Engagement Scale (Ciou , 2020). Both groups completed a pre-test before the training, a post-test one week after the training and a second post-test three weeks after the training.
    Results: Prior to the intervention, there were no significant differences between the two groups in ECMO care knowledge and learning engagement. However, there was a significant difference in clinical reasoning. One week after the intervention, the experimental group demonstrated significantly higher scores in ECMO care knowledge, clinical reasoning and learning engagement than the control group (p <0.01). Three weeks after the intervention, the experimental group showed significantly higher scores in ECMO care knowledge, clinical reasoning and learning engagement (p <0.001).
    Conclusions: The content for ECMO care is complex and difficult. Board games can enhance ECMO care knowledge, clinical reasoning and learning engagement. This teaching strategy may be applied to learning challenging subjects in the future to improve learning effectiveness. The clinical reasoning framework is conducive to guiding nurses' learning. In future continuing education, board games designed based on the clinical reasoning framework and tailored to the focus of in-service education can effectively enhance nurses' learning effectiveness.
    MeSH term(s) Humans ; Extracorporeal Membrane Oxygenation/education ; Intensive Care Units ; Learning ; Clinical Competence ; Educational Status
    Language English
    Publishing date 2024-01-14
    Publishing country Scotland
    Document type Journal Article
    ZDB-ID 2058575-5
    ISSN 1873-5223 ; 1471-5953
    ISSN (online) 1873-5223
    ISSN 1471-5953
    DOI 10.1016/j.nepr.2024.103895
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article: The Epidemiology, Management, and Outcomes of Civilian Gunshot Wounds to the Upper Extremity at an Urban Trauma Center.

    Muss, Tessa E / Hu, Sophia / Bauder, Andrew R / Lin, Ines C

    Plastic and reconstructive surgery. Global open

    2024  Volume 12, Issue 4, Page(s) e5753

    Abstract: Background: Gunshot wounds (GSWs) create significant morbidity in the United States. Upper extremity (UE) GSWs are at high risk of combined injuries involving multiple organ systems and may require variable treatment strategies. This study details the ... ...

    Abstract Background: Gunshot wounds (GSWs) create significant morbidity in the United States. Upper extremity (UE) GSWs are at high risk of combined injuries involving multiple organ systems and may require variable treatment strategies. This study details the epidemiology, management, and outcomes of civilian UE GSWs at an urban level 1 trauma center.
    Methods: Using the University of Pennsylvania Trauma Registry, all adult patients with UE GSWs from 2015 to 2020 who were at least 6-months postinjury were studied for demographics, injury pattern, operative details, and postoperative outcomes. Fisher exact and Wilcoxon rank sum tests were used to determine differences in treatment modalities and outcomes.
    Results: In 360 patients, the most common victim was young (x̄ = 29.5 y old), African American (89.4%), male (94.2%), and had multiple GSWs (70.3%). Soft tissue-only trauma (47.8%) and fractures (44.7%) predominated. Presence of fracture was independently predictive of neurologic, vascular, and tendinous injuries (
    Conclusions: Civilian GSWs to the UE with only soft tissue involvement can often be managed conservatively with antibiotic administration, bedside washout, and local wound care. Even with combined injuries and open fractures, single-stage operative debridement and fracture care with primary or secondary closure often prevail. As civilian ballistic trauma becomes more frequent in the United States, these data help inform patient expectations and guide management.
    Language English
    Publishing date 2024-04-17
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2851682-5
    ISSN 2169-7574 ; 2169-7574
    ISSN (online) 2169-7574
    ISSN 2169-7574
    DOI 10.1097/GOX.0000000000005753
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article: From the eyes of nurse practitioner: Challenges and solutions to practice in Lanyu island.

    Shen, Shu-Fen / Tung, Heng-Hsin / Huang, Hui-Chuan / Hu, Sophia

    Journal of the Formosan Medical Association = Taiwan yi zhi

    2023  Volume 123, Issue 4, Page(s) 531–532

    MeSH term(s) Humans ; Nurse Practitioners
    Language English
    Publishing date 2023-08-26
    Publishing country Singapore
    Document type Letter
    ZDB-ID 2096659-3
    ISSN 1876-0821 ; 0929-6646
    ISSN (online) 1876-0821
    ISSN 0929-6646
    DOI 10.1016/j.jfma.2023.08.018
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: Older residents' perceptions of loneliness in long-term care facilities: A qualitative study.

    Huang, Pi-Hua / Wang, Shou-Yu / Hu, Sophia H / Chuang, Yeu-Hui

    International journal of mental health nursing

    2022  Volume 31, Issue 3, Page(s) 601–610

    Abstract: Loneliness is a negative emotional feeling often experienced by older residents in long-term care facilities (LTCFs). Previous studies have shown that loneliness is related to depression, inferior quality of life, cardiovascular disease, and suicidal ... ...

    Abstract Loneliness is a negative emotional feeling often experienced by older residents in long-term care facilities (LTCFs). Previous studies have shown that loneliness is related to depression, inferior quality of life, cardiovascular disease, and suicidal thoughts. Thus, it is important to understand older residents' viewpoints about loneliness to provide better care in the long-term care context. This study aimed to explore residents' perceptions of loneliness in LTCFs. For this qualitative research, data were collected from two LTCFs in northern Taiwan, and purposive sampling was used. In-depth interviews with 16 older residents were conducted using a semi-structured interview guide. Content analysis was performed to analyse the data. Four themes with nine subthemes were generated. The themes were: being cut off from continually meaningful relationships, experiencing tears of pain, feeling alone, and lacking a sense of belonging. The findings of this study can provide information for health care professionals to better understand older residents' views on loneliness and remind them to re-examine care protocols for psychological health care. Thus, this study found that in order to prevent or alleviate older residents' feelings of loneliness, the LTCFs should maintain continually meaningful relationships, accompany them, and give them a sense of belonging. The consolidated criteria for reporting qualitative research (COREQ) guidelines were used to report this study.
    MeSH term(s) Humans ; Loneliness/psychology ; Long-Term Care ; Nursing Homes ; Qualitative Research ; Quality of Life/psychology
    Language English
    Publishing date 2022-02-03
    Publishing country Australia
    Document type Journal Article
    ZDB-ID 2076760-2
    ISSN 1447-0349 ; 1445-8330
    ISSN (online) 1447-0349
    ISSN 1445-8330
    DOI 10.1111/inm.12979
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: Factors Associated With Diabetes Self-Care Performance in Indonesians With Type 2 Diabetes: A Cross-Sectional Study.

    Sukarno, Anita / Hu, Sophia Huey-Lan / Chiu, Hsiao-Yean / Lin, Yen-Kuang / Fitriani, Kep S / Wang, Chao-Ping

    The journal of nursing research : JNR

    2024  Volume 32, Issue 2, Page(s) e318

    Abstract: Background: In Indonesia, the number of Type 2 diabetes cases is increasing rapidly, making it the third leading cause of death and among the leading noncommunicable disease healthcare expenditures in the country. Thus, there is a critical need for ... ...

    Abstract Background: In Indonesia, the number of Type 2 diabetes cases is increasing rapidly, making it the third leading cause of death and among the leading noncommunicable disease healthcare expenditures in the country. Thus, there is a critical need for Indonesians with Type 2 diabetes to perform better self-care to optimize their health and prevent the onset of comorbidities.
    Purpose: This study was designed to investigate the influence of knowledge, depression, and perceived barriers on Type 2 diabetes self-care performance in Indonesia.
    Methods: A cross-sectional study was conducted on 185 patients with Type 2 diabetes, with demographic, diabetes history, obesity status, diabetes knowledge, depression, perceived barriers, and self-care performance data collected. The Indonesian version of the Revised Diabetes Knowledge Test, Depression Anxiety Stress Scale, Perceived Barrier Questionnaire and Self-Care Inventory-Revised were used. Descriptive, bivariate, and multiple linear regression analyses were performed.
    Results: Study participants were found to have moderate diabetes self-care performance scores. Annual eye checks, blood glucose self-monitoring, healthy diet selection, and regular exercise were the least common self-management techniques performed and were consistent with the perceived difficulties of the participants. Being illiterate or having an elementary school education (β = 4.59, p = .002), having a junior or senior high school education (β = 3.01, p = .006), having moderate depression (β = -0.92, p = .04), diabetes knowledge (β = 0.09, p = .006), and perceived barriers (β = 0.31, p < .001) were found to explain 40% of the variance in self-care performance. Educational level, depression, and perceived barriers were the strongest factors that impacted Type 2 diabetes self-care performance in this study.
    Conclusions/implications for practice: Nurses should not only provide diabetes education but also identify barriers to diabetes self-care early, screen for the signs and symptoms of depression, and target patients with lower levels of education.
    MeSH term(s) Humans ; Diabetes Mellitus, Type 2/complications ; Cross-Sectional Studies ; Self Care ; Obesity ; Southeast Asian People
    Language English
    Publishing date 2024-04-01
    Publishing country China (Republic : 1949- )
    Document type Journal Article
    ZDB-ID 2277010-0
    ISSN 1948-965X ; 1682-3141
    ISSN (online) 1948-965X
    ISSN 1682-3141
    DOI 10.1097/jnr.0000000000000601
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article ; Online: Effects of early warm water sitz bath on urinary retention and pain after haemorrhoidectomy: A randomized controlled trial.

    Liao, Wan-Chun / Cheng, Yu-Yi / Hsu, Chieh-Kuan / Chiu, Yi-Chun / Chiu, Hsiao-Yean / Chang, Shih-Chang / Hu, Sophia H

    International journal of nursing studies

    2024  Volume 154, Page(s) 104765

    Abstract: Background: Haemorrhoids are a common chronic anorectal disease, and haemorrhoidectomy is the standard treatment for advanced (grade III and IV) haemorrhoids. Warm water sitz has commonly been used to stimulate urination, cleanse wounds, and decrease ... ...

    Abstract Background: Haemorrhoids are a common chronic anorectal disease, and haemorrhoidectomy is the standard treatment for advanced (grade III and IV) haemorrhoids. Warm water sitz has commonly been used to stimulate urination, cleanse wounds, and decrease pain. Although urinary retention and pain usually occur within the first 24 h after surgery, the warm water sitz bath is provided 24 h after haemorrhoidectomy, which might be a missed opportunity to optimize the quality and efficiency of the care provided.
    Objective: To investigate the effect of early warm water sitz bath on the day of haemorrhoidectomy surgery on preventing urinary retention and reducing wound pain.
    Design: This was a longitudinal double-blind study with a permuted block randomization design.
    Setting(s): This study was conducted in a surgical ward of a medical center. An average of 18 patients receiving hemorrhoid surgery in that ward every month.
    Participants: A total of 64 participants (32 each in the experimental and control groups) were enrolled. (The first recruitment date is January 16, 2020.) METHODS: Patients who received haemorrhoidectomy for grade III or IV haemorrhoids from January to December 2020 were enrolled. The experimental and control groups received the same conventional treatment and care before the haemorrhoidectomy. The experimental group started warm-water sitz bath 6 h after the surgery, and the control group started warm water sitz bath on post-haemorrhoidectomy day 1 as usual. Urinary retention was defined as use of Foley catheter during the hospital stay or remaining urine volume ≧ 300 ml using the bladder scan. A numerical rating scale was used to rate the pain level. Each participant was evaluated 6 times in total until hospital discharge. The data were analysed by descriptive statistics, chi-square test, and independent samples t test. Generalized estimating equations and intention to treat were used to identify changes in urinary retention and pain over time and missing data, respectively.
    Results: There was no significant difference in the degree of change in the number of people with urinary retention between groups. A change in the wound pain index was noted; the study group had a statistically significant lower pain score than the control group (B = -0.81, 95 % CI: -1.44 to -0.18).
    Conclusions: Early warm water sitz bath was a safe and effective strategy to decrease post-haemorrhoidectomy pain, but not urinary retention. Nurses could provide early warm water sitz bath for post-haemorrhoidectomy patients' comfort.
    Registration: ClinicalTrials.gov ID: NCT04535765.
    Language English
    Publishing date 2024-03-31
    Publishing country England
    Document type Journal Article
    ZDB-ID 80148-3
    ISSN 1873-491X ; 0020-7489
    ISSN (online) 1873-491X
    ISSN 0020-7489
    DOI 10.1016/j.ijnurstu.2024.104765
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article ; Online: Assertive communication training for nurses to speak up in cases of medical errors: A systematic review and meta-analysis.

    Chen, Hui-Wen / Wu, Jen-Chieh / Kang, Yi-No / Chiu, Yu-Jui / Hu, Sophia H

    Nurse education today

    2023  Volume 126, Page(s) 105831

    Abstract: Background: Several authors have previously assessed the effects of assertive communication training for nurses to speak up in cases of medical errors. Inconsistent results regarding the nurses' attitudes, behaviors, and confidence levels were noticed.!# ...

    Abstract Background: Several authors have previously assessed the effects of assertive communication training for nurses to speak up in cases of medical errors. Inconsistent results regarding the nurses' attitudes, behaviors, and confidence levels were noticed.
    Objective: To identify the effectiveness of assertive communication training on nurses' behaviors, attitudes, and confidence levels for speaking up in cases of medical errors and to identify vital components for success.
    Design: Systematic review and meta-analysis.
    Data sources: PubMed, ERIC, Embase, Scopus, and CINAHL were searched up for studies published from the inception of the database to December 16, 2022.
    Methods: Two researchers independently performed a primary screening of titles and abstracts for relevant studies, followed by a review of full texts if the references met inclusion criteria and quality assessment. Data were retrieved for nurses and nursing students who received medical error-related assertive communication training for speaking up, and learning outcomes for attitudes, behaviors, and confidence levels were reported based on pooled data. Pooled estimates were calculated using a random-effects model.
    Results: A total of eleven studies with 1299 participants were included in systematic review, and among them nine studies with 804 participants were analyzed in meta-analysis. From the pooled results, the intervention group, which received assertive communication training, exhibited substantially improved speaking-up behaviors compared with the control group (SMD = 0.58; 95 % CI, 0.14-1.03). Considerable differences were noted in the nurses' times of speaking up in cases of medical errors between pretest (38 %; 95 % CI, 0.14-0.68) and posttest (78 %; 95 %CI, 0.70-0.85) based on the pooled data. The nurses' attitudes and confidence levels for speaking up varied markedly between pretest and posttest.
    Conclusion: Structured assertive communication training may improve nurses' speaking-up behaviors in cases of medical errors. To conduct effective assertive communication training, nursing educators should incorporate multiple teaching approaches into structured training and ensure an adequate training duration.
    MeSH term(s) Humans ; Medical Errors ; Communication ; Learning ; Assertiveness ; Nurses
    Language English
    Publishing date 2023-04-20
    Publishing country Scotland
    Document type Meta-Analysis ; Systematic Review ; Journal Article ; Review
    ZDB-ID 1062570-7
    ISSN 1532-2793 ; 0260-6917
    ISSN (online) 1532-2793
    ISSN 0260-6917
    DOI 10.1016/j.nedt.2023.105831
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Article ; Online: Reliability of self-reported data on social media versus National Residency Match Program charting outcomes for dermatology applicants.

    Hu, Sophia / Laughter, Melissa R / Dellavalle, Robert P

    Journal of the American Academy of Dermatology

    2020  Volume 83, Issue 6, Page(s) 1842–1844

    MeSH term(s) Academic Performance/standards ; Academic Performance/statistics & numerical data ; Data Accuracy ; Dermatology/standards ; Dermatology/statistics & numerical data ; Humans ; Internship and Residency/statistics & numerical data ; Personnel Selection/standards ; Personnel Selection/statistics & numerical data ; Reproducibility of Results ; Self Report/statistics & numerical data ; Social Media/statistics & numerical data
    Language English
    Publishing date 2020-04-18
    Publishing country United States
    Document type Letter
    ZDB-ID 603641-7
    ISSN 1097-6787 ; 0190-9622
    ISSN (online) 1097-6787
    ISSN 0190-9622
    DOI 10.1016/j.jaad.2020.04.052
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  9. Article ; Online: Reply to Response to: "Reliability of self-reported data on social media vs National Residency Match Program charting outcomes for dermatology applicants".

    Hu, Sophia / Laughter, Melissa / Dellavalle, Robert P

    Journal of the American Academy of Dermatology

    2020  Volume 83, Issue 6, Page(s) e475

    MeSH term(s) Dermatology/education ; Humans ; Internship and Residency ; Reproducibility of Results ; Self Report ; Social Media
    Language English
    Publishing date 2020-08-18
    Publishing country United States
    Document type Letter ; Comment
    ZDB-ID 603641-7
    ISSN 1097-6787 ; 0190-9622
    ISSN (online) 1097-6787
    ISSN 0190-9622
    DOI 10.1016/j.jaad.2020.08.055
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  10. Article ; Online: Assessing practice gaps in the outpatient management of cutaneous small vessel vasculitis.

    Hu, Sophia / Shangraw, Sarah / Newman, Sabrina

    Journal of the American Academy of Dermatology

    2020  Volume 83, Issue 2, Page(s) 657–659

    MeSH term(s) Adult ; Aged ; Aged, 80 and over ; Ambulatory Care/economics ; Ambulatory Care/organization & administration ; Ambulatory Care/statistics & numerical data ; Biopsy/economics ; Biopsy/statistics & numerical data ; Dermatology/economics ; Dermatology/organization & administration ; Dermatology/statistics & numerical data ; Female ; Health Expenditures/statistics & numerical data ; Humans ; Male ; Middle Aged ; Primary Health Care/economics ; Primary Health Care/organization & administration ; Primary Health Care/statistics & numerical data ; Professional Practice Gaps/economics ; Professional Practice Gaps/organization & administration ; Professional Practice Gaps/statistics & numerical data ; Skin/blood supply ; Skin/pathology ; Urinalysis/economics ; Urinalysis/statistics & numerical data ; Vasculitis, Leukocytoclastic, Cutaneous/diagnosis ; Vasculitis, Leukocytoclastic, Cutaneous/economics ; Vasculitis, Leukocytoclastic, Cutaneous/pathology ; Vasculitis, Leukocytoclastic, Cutaneous/urine ; Young Adult
    Language English
    Publishing date 2020-01-19
    Publishing country United States
    Document type Comparative Study ; Letter
    ZDB-ID 603641-7
    ISSN 1097-6787 ; 0190-9622
    ISSN (online) 1097-6787
    ISSN 0190-9622
    DOI 10.1016/j.jaad.2020.01.024
    Database MEDical Literature Analysis and Retrieval System OnLINE

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