Tạp chí Khoa học Điều dưỡng

Discharge planning, family-centered care, and caregiver satisfaction in pediatric nursing in the Southwestern Region of Vietnam

2026-07-03T01:57:04+00:00

Objective: To evaluate the status and relationships between discharge planning care, family-centered care, and caregiver satisfaction within the pediatric healthcare context at three general hospitals in the Southwestern region of Vietnam.

Methods: A descriptive–correlational study was conducted among 400 parent-caregivers of hospitalized children in three general hospitals. Data were collected using validated structured questionnaires, including a Discharge planning scale, a modified Family-Centered Care Assessment for Families, and a Caregiver satisfaction scale, all measured on a five-point Likert scale. Data were analyzed using descriptive statistics, Pearson’s correlation, and mediation analysis.

Results: Discharge planning was generally practiced (mean = 3.72), with lower performance in lifestyle-related guidance and provision of written educational materials. Family-centered care was moderately implemented (mean = 3.40), with notable gaps in shared decision-making and caregiver engagement. Caregiver satisfaction was relatively high (mean = 3.76), particularly in assessment and monitoring domains, although communication and education showed variability. Educational attainment was the only factor significantly associated with satisfaction (p = 0.038). Discharge planning was negatively associated with family-centered care (β = −0.266, p < 0.001), while neither discharge planning nor family-centered care showed a significant association with overall caregiver satisfaction. Mediation analysis indicated that family-centered care did not significantly mediate this relationship (p = 0.898).

Conclusion: Despite favorable satisfaction levels, family-centered care remains suboptimal and its role in linking discharge planning to caregiver outcomes appears limited. Strengthening structured discharge education and enhancing caregiver engagement through standardized family-centered care based protocols may improve pediatric care quality.

Perceptions, attitudes, and factors associated with the use of artificial intelligence in learning among students of the faculty of nursing and medical technology, Can Tho University of Medicine and Pharmacy, academic year 2025–2026

2026-08-27T08:19:20+00:00

Objectives: To assess students’ perceptions and attitudes toward the use of artificial intelligence (AI) in learning and to analyze the associations of academic major, year of study, and academic performance with their perceptions and attitudes.

Methods: An analytical cross-sectional study was conducted among 462 students selected by stratified random sampling from March 1 to May 30, 2026. The questionnaire assessed perceived AI literacy, perceived ease of use, perceived usefulness, concerns/risks, calibrated trust, attitudes, and intention to continue using AI. Data were analyzed using SPSS 27.0, with chi-square/Fisher’s exact tests, odds ratios (ORs), 95% confidence intervals (CIs), and exact p-values.

Results: The mean scores for perceived AI literacy, perceived ease of use, and perceived usefulness were 3.89 ± 0.653, 3.88 ± 0.568, and 3.96 ± 0.585, respectively. The mean concerns/risks score was 3.77 ± 0.62, with the greatest concern being inaccurate medical information generated by AI. Calibrated trust, positive attitude, and intention to continue using AI had mean scores of 3.95 ± 0.633, 3.94 ± 0.630, and 3.88 ± 0.625, respectively. Year of study was significantly associated with attitude (p = 0.002), whereas academic major and academic performance were not.

Conclusion: Students generally had favorable perceptions and attitudes toward AI; however, prompting skills, information verification, academic integrity, and data privacy need to be strengthened. AI education should be introduced early and progressively tailored to students’ year of study.

Knowledge of hand, foot and mouth disease prevention among mothers with children under 5 years old treated at Nam Dinh Children’s Hospital in 2025

2026-08-19T07:17:28+00:00

Objective: To describe knowledge and indentify factors associated with knowledge of hand, foot and mouth disease (HFMD) prevention among mothers with children under 5 years old receiving treatment at Nam Dinh Children’s Hospital in 2025.

Subjects and methods: A cross-sectional descriptive study was conducted among 132 mothers with children under 5 years old receiving treatment in three clinical departments (Respiratory, Emergency–Neonatal, and General Pediatrics) at Nam Dinh Children’s Hospital from April to June 2025.

Results: 58.3% of mothers demonstrated adequate knowledge, with a mean score of 28.08 ± 7.03 (range: 10–39). The highest proportions of correct responses were observed for the age group at higher risk of HFMD (99.2%) and the definition of the disease (98.5%), while the lowest proportion was found for knowledge of proper disposal of children’s feces and waste (47.7%). Maternal knowledge was significantly associated with age, residence, educational level, and household income (p < 0.05).

Conclusion: Health education on HFMD prevention should be strengthened, with particular focus on topics in which mothers demonstrated limited knowledge.

Nutritional knowledge and dietary practices during pregnancy among pregnant women at Hoan My Sai Gon Hospital

2026-09-24T08:51:20+00:00

Objective: To assess nutritional knowledge and dietary practices during pregnancy among pregnant women attending Hoan My Sai Gon Hospital, examine selected demographic, social, and pregnancy-related factors associated with knowledge and practice, and to determine the relationship between nutritional knowledge and dietary practice scores.

Subjects and methods: A cross-sectional study included 392 pregnant women receiving antenatal care during March–June 2026. Nutritional knowledge was assessed using a 15-item questionnaire adapted from the Italian Pregnancy Nutrition Knowledge Questionnaire (ItPreNKQ). Dietary practice was assessed using a 12-food-group Quality Eating Index (QEI) converted to a 0–100 scale. Descriptive statistics, Chi-square tests, Pearson correlation, and multivariable linear regression were performed (p < 0.05).

Results: The mean knowledge score was 10.01 ± 2.10 out of 15; 54.1% of participants had moderate knowledge, 30.1% good knowledge, and 15.8% poor knowledge. The lowest correct-response rates concerned the recommended daily iron intake (40.6%), fish with high mercury content (47.2%), and recommended gestational weight gain for women who were overweight before pregnancy (47.4%). The mean QEI score was 54.18 ± 12.85 out of 100; 35.2% had good dietary practice and 64.8% required improvement. Higher education was independently associated with higher knowledge scores (β = 0.353; p < 0.001; adjusted R² = 0.128). Knowledge score was the only variable independently associated with QEI score in the reported multivariable model (β = 0.416; p < 0.001; adjusted R² = 0.170). Knowledge and QEI scores were moderately and positively correlated (r = 0.419; p < 0.001), although 47.5% of women with good knowledge still did not achieve good dietary practice.

Conclusion: Nutritional knowledge was predominantly moderate, whereas the proportion of pregnant women achieving good dietary practice remained low. Nutritional knowledge was positively associated with dietary practices but only a limited proportion of the variance in dietary behavior. Antenatal nutrition care should combine nutrition education with individualized counseling, behavior-change support, and follow-up of dietary practices.

Diabetes self-management: A concept analysis

2026-09-18T00:24:07+00:00

Objectives: To analyze the concept of diabetes self-management.

Methods: A systematic concept-analysis approach based on Walker and Avant’s eight-step model was utilized. Relevant literature was synthesized through searches across PubMed, Google Scholar, Cochrane databases, and professional guidelines without time restrictions.

Results: Based on the literature review, the defining attributes of diabetes self-management include: proactiveness and awareness responsibility; glycemic control and adjustment of daily disease management behaviors; and problem-solving and decision-making capacities. The primary antecedents comprise disease knowledge, self-efficacy in disease management, social support, and access to necessary resources. The consequences of effective self-management include improved health behaviors, enhanced self-confidence, and superior clinical outcomes.

Conclusion: Diabetes self-management extends beyond merely performing care behaviors or adhering to treatment regimens; it encompasses proactiveness, problem-solving, decision-making, and continuous adaptation to changes in the disease state and living conditions. Clarifying this concept establishes a foundation for nurses to evaluate self-management capacity and develop tailored interventions for patients with diabetes.

Nursing students’ attitudes towards mental illness and mental health nursing education at Hanoi Medical University

2026-09-21T02:32:29+00:00

Objective: To describe nursing students’ attitudes towards mental illness and mental health nursing education and examine correlations among attitude domains at Hanoi Medical University.

Methods: A descriptive cross-sectional study was conducted among 81 nursing students (response rate: 53%) who had completed both theoretical and clinical components of the mental health nursing course. Attitudes were assessed using the Mental Health Nurse Education Survey (MHNES).

Results: Most students were willing to care for people with mental illness in the same way as other patients (91.4%) and agreed that mental health nursing contributes positively to care (90.2%) and supports recovery (90.1%). Overall, 74.1% reported that theoretical education prepared them well for clinical placement, and 87.7% considered the clinical placement valuable for nursing practice. After graduation, 85.2% intended to further develop their mental health knowledge and skills, although 40.7% reported anxiety about working with people with mental health problems, and only 24.7% intended to pursue a career in mental health nursing. Preparedness for the mental health field was positively correlated with knowledge (r = 0.25, p < 0.05), perceived positive contribution (r = 0.49, p < 0.01), course effectiveness (r = 0.76, p < 0.01) and negatively correlated with negative stereotypes (r = −0.26, p < 0.05). The correlations with knowledge and negative stereotypes did not remain significant after Bonferroni adjustment.

Conclusion: Participating nursing students generally demonstrated positive attitudes towards mental illness and mental health nursing education, although anxiety and negative stereotypes persisted. Although the associations were cross-sectional, educational strategies should focus on reducing stigma and strengthening students’ preparedness for mental health care.

Prevalence of geriatric syndromes and their association with age among older patients at Thai nguyen National Hospital

2026-09-16T08:07:58+00:00

Objective: To determine the prevalence of geriatric syndromes and their association with age among older adults attending the Department of Geriatrics – Health Protection, Thai Nguyen National Hospital. Subjects and

Methods: A cross-sectional descriptive study was conducted on 475 older patients. Data were collected through face-to-face interviews and medical records using validated instruments, including the Katz Activities of Daily Living (ADL) index, Lawton Instrumental Activities of Daily Living (IADL) scale, SARC-F questionnaire, 21-item Fall Risk Index (Fri-21), Mini-Mental State Examination (MMSE), Edmonton Frail Scale (EFS), and 15-item Geriatric Depression Scale (GDS-15) and analysed using SPSS 25.0, applying the Chi-square test and univariable logistic regression.

Results: Mean age was 76.83 ± 6.89 years. Most participants were aged ≥70 years, and females outnumbered males. The prevalence of geriatric syndromes was as follows: multimorbidity (67.4%), polypharmacy (66.7%), sarcopenia (44.8%), IADL impairment (46.5%), cognitive impairment (47.4%), frailty (36.8%), ADL impairment (36.6%), high risk of falls (33.1%), and depression (26.5%). Univariate logistic regression analysis showed that, compared with the 60–69 age group, those aged ≥80 had significantly higher odds of polypharmacy, frailty, sarcopenia, and multimorbidity, while in the 70–79 group only polypharmacy was significantly associated with age (OR 1.88 vs. 2.49 for the ≥80 group).

Conclusion: Geriatric syndromes are highly prevalent among older adults. Comprehensive geriatric screening should be strengthened, especially for medication use, sarcopenia, and frailty in patients aged ≥ 80 years to enable timely and appropriate interventions.