J Nurs Scholarsh [JOURNAL]
Sun
200 papers
Nurses' Genomic Knowledge, Attitudes, and Perceived Organizational Support: A Comparative Secondary Analysis of Genetics and Genomics in Nursing Practice Survey Data.
Yesilcinar I, Laaksonen M, Halkoaho A … +2 more , Calzone K, Limoges J
J Nurs Scholarsh · 2026 Jul · PMID 42394267 · Full text
AIM: Identify similarities and differences in genomics-informed nursing across five countries to support the development of actionable interventions that will facilitate the implementation of genomics in nursing practice...
AIM: Identify similarities and differences in genomics-informed nursing across five countries to support the development of actionable interventions that will facilitate the implementation of genomics in nursing practice and education globally. INTRODUCTION: The integration of genomics in nursing practice and education is a global challenge which can be addressed through effective policy and leadership that guide the integration of genomics into education and practice. In this study, cross-country comparisons were conducted using secondary data derived from studies that employed the Genetics and Genomics in Nursing Practice Survey (GGNPS). This approach enabled us to analyze results accumulated over a 12-year period and describe global trends in the development of genomic competencies within the nursing workforce. Identifying global trends in the development of genomic competencies and support within the nursing workforce could help unify efforts to strengthen cross-country collaboration and address this long-standing challenge. METHODS: A comparative secondary analysis of the data from 10 studies that used the Genetics and Genomics in Nursing Practice Survey (GGNPS) and the Canadian Adaptation of the Genetics Genomics Nursing Practice Survey (GGNPS-CA) was conducted between 2013 and 2025. RESULTS: Over the past 12 years, the GGNPS/GGNPS-CA survey results have remained largely unchanged. In all five countries utilizing the instrument, the majority of nurses recognized the importance of genomics. However, most nurses self-rated their knowledge as poor, even with the average knowledge score of 8.62 out of 12. Nurses also consistently reported a lack of support from managers and senior staff for integrating genomics. CONCLUSION: Nurses were critical or uncertain of their knowledge, and they were not satisfied with the support they received. The similarity in results across the GGNPS/GGNPS-CA surveys reinforces the global nature of nurses' challenges, underscoring the need for innovative educational approaches, strengthened leadership support, and coordinated global collaboration to address these issues. CLINICAL RELEVANCE: Understanding the international nursing landscape in genomic education, competency, and practice serves as an evidence-based foundation for cross-country collaboration that can focus leadership, education, policies, and research to better support genomics-informed nursing education and practice.
Association Between Frailty and Cognitive Impairment in Chronic Kidney Disease: A Systematic Review and Meta-Analysis.
Bui HT, Apriliyasari RW, Bui QHQ … +1 more , Tsai PS
J Nurs Scholarsh · 2026 Jul · PMID 42375109 · Full text
BACKGROUND: The literature has reported conflicting findings regarding the association between frailty and cognitive impairment in patients with chronic kidney disease (CKD). This systematic review and meta-analysis exam...
BACKGROUND: The literature has reported conflicting findings regarding the association between frailty and cognitive impairment in patients with chronic kidney disease (CKD). This systematic review and meta-analysis examined the association between frailty and cognitive impairment in patients with CKD. METHODS: A comprehensive search of Embase, PubMed, Scopus, Web of Science, CINAHL, and the Cochrane Central Register of Controlled Trials was conducted from database inception to February 2026. Eligible studies comprised cross-sectional, cohort, case-control, randomized controlled trials, and quasi-experimental studies that reported associations between frailty and cognitive impairment in patients with CKD, with no time or language restrictions. RESULTS: A total of 17 studies (9 cross-sectional and 8 cohort) involving 129,868 patients with CKD (mean age 60.88 years) were included in the meta-analysis. The findings indicated that patients with frailty with CKD had significantly higher odds of cognitive impairment than robust patients (odds ratio = 3.13, 95% CI 1.92-5.12). Heterogeneity in association size was influenced by study region, frailty measurement methods, and whether covariate adjustments were made during data analysis (all p < 0.05). CONCLUSIONS: This systematic review and meta-analysis identified a significant association between frailty and cognitive impairment in patients with CKD. Future prospective cohort studies should assess the causal relationships between frailty and cognitive impairment in this population. CLINICAL RELEVANCE STATEMENT: This study systematically assessed the association between frailty and cognitive impairment in patients with CKD, addressing inconsistent findings in prior research. The results highlight the importance of implementing targeted interventions, particularly for nonfrail CKD patients, to reduce the burden of cognitive impairment and improve patients' outcomes.
Rumination, Perceived Stress, and Sleep Quality in Primary Care Nurses: A Cross-Sectional Network Analysis.
He X, Su N, Zhang Q … +1 more , Ma J
J Nurs Scholarsh · 2026 Jul · PMID 42360130 · Publisher ↗
BACKGROUND: Sleep problems are common among primary care nurses and are closely associated with psychological stress and maladaptive cognitive processing. Understanding the complex interplay among these psychological fac...
BACKGROUND: Sleep problems are common among primary care nurses and are closely associated with psychological stress and maladaptive cognitive processing. Understanding the complex interplay among these psychological factors is critical for improving health outcomes and care quality. OBJECTIVE: This study aimed to examine the relationships between perceived stress, rumination (both positive and negative), and sleep quality in primary care nurses using a network analysis approach. METHODS: A cross-sectional study was conducted among 316 primary care nurses in public primary healthcare institutions in Shapingba District, Chongqing, China. Participants completed standardized self-report measures assessing perceived stress, rumination tendencies, and sleep quality. Network analysis was used to model the associations between these variables and to identify the most influential components. RESULTS: Approximately 64.6% of participants reported poor sleep quality. Network analysis revealed that sleep latency and perceived tension were the most central nodes within the network. Sense of tension and enjoy happiness showed the highest bridge strength, indicating their roles in connecting different psychological domains. Negative rumination-particularly suppression of positive emotions and negative attribution-showed strong links to sleep-related variables, suggesting its importance in the network structure. CONCLUSION: Perceived stress and negative rumination were closely related to sleep problems among primary care nurses. The findings suggest that stress reduction and cognitive-emotional interventions targeting maladaptive rumination may be effective strategies to improve sleep quality and overall well-being in this population. PATIENT OR PUBLIC CONTRIBUTION: No patient or public contribution.
Impacts of Communication Training on Advance Care Planning Implementation: Focus Group Results.
Nilmanat K, Thasaneesuwan S, Raksasataya A … +3 more , Pairojkul S, Jenviriyakul A, Boonthan N
J Nurs Scholarsh · 2026 Jun · PMID 42345335 · Publisher ↗
INTRODUCTION: Advance care planning is a complex process and requires a culturally sensitive communication approach. Competence in initiating advance care planning requires specific education and training for healthcare...
INTRODUCTION: Advance care planning is a complex process and requires a culturally sensitive communication approach. Competence in initiating advance care planning requires specific education and training for healthcare providers. This qualitative descriptive study aims to explore the experiences and perspectives of healthcare providers across 12 Regional Health Sectors in Thailand regarding impacts of communication training on advance care planning implementation. DESIGN: A qualitative descriptive study. METHODS: The participants were healthcare providers who had attended the communication training workshop and engaged in advance care planning from across 12 Regional Health Sectors in Thailand. Focus group discussions were conducted and transcriptions were analyzed following the qualitative framework approach. Several strategies were used to enhance trustworthiness. RESULTS: Sixty healthcare providers participated in the study. Two main themes were identified: (1) a ripple effect of communication training; and (2) key components for successful advance care planning implementation. The communication training enhanced participants' knowledge and skills, and participants gained more confidence to initiate conversations with patients who had serious illnesses and families. The participants shared knowledge with and mentored junior nurses on conducting advance care planning. The participants also extended services to other advanced chronic diseases and advocated for early advance care planning. Finally, the participants took proactive action to raise public awareness of advance care planning in communities. The participants identified key components for successful advance care planning implementation. These included healthcare providers' knowledge, skills, and attitudes towards palliative care, knowing the patients, sufficient and dedicated time, continuity of care and institutional support. CONCLUSION: The communication training had a ripple effect, enhancing health professionals' competence and efficacy. The effects are beyond individual benefits. The training transformed clinical practices and extended to raise public awareness on advance care planning. Essential components for successful advance care planning should be used as a framework to guide clinical practice.
Nurse Practitioner Opioid Prescribing Authority: A Comparative Policy Analysis of New Zealand, United States, and Australia.
Kyei EF, Kyei GK, Forson MM … +1 more , Ansong R
J Nurs Scholarsh · 2026 Jul · PMID 42334022 · Full text
AIM: To examine nurse practitioner opioid prescribing authority across three countries, analyzing safety outcomes, workforce distribution patterns, access equity, and service to vulnerable populations using integrated nu...
AIM: To examine nurse practitioner opioid prescribing authority across three countries, analyzing safety outcomes, workforce distribution patterns, access equity, and service to vulnerable populations using integrated nursing policy and patient-centered access frameworks. DESIGN: Comparative policy analysis employing Russell and Fawcett's nursing policy framework overlaid on Levesque's access framework. METHODS: We analyzed regulatory documents, national prescribing databases, and published literature from New Zealand, United States, and Australia. Systematic searches identified 14 studies meeting inclusion criteria. We synthesized evidence across four policy analysis levels: efficacy, effectiveness, equity, and social justice. Data collection occurred January through December 2024. RESULTS: Evidence demonstrated safety and quality outcomes comparable to physician prescribing, with population-level prescribing decreases and no increase in overdose mortality. Nurse practitioners concentrated in rural areas at 34% compared to the 23% national average, with growth occurring during physician workforce decline. Patient panels showed 44% Medicaid coverage compared to 31% for physicians, with 88% versus 71% new Medicaid patient acceptance despite lower reimbursement. However, racial prescribing disparities persisted across all provider types, indicating systemic rather than individual-level determinants. CONCLUSION: Expanded prescriptive authority advanced multiple policy objectives while revealing distinctive nursing contributions beyond physician substitution. Workforce distribution and patient panel patterns reflected professional values translating into measurable practice serving vulnerable populations. IMPACT: Evidence does not support restrictive policies based on safety concerns. Findings position the nursing workforce as an essential solution for health equity goals, requiring regulatory reform combined with institutional barrier removal and continuing attention to systemic inequities.
Parenting Stress and Nurse Workforce Sustainability: An Integrative Literature Review.
Watson AL, Nelson B, Houston G
J Nurs Scholarsh · 2026 Jul · PMID 42298827 · Publisher ↗
BACKGROUND: Parenting stress among clinical nurses has been associated with turnover-related outcomes. For many nurses, critical periods of career development and accumulated clinical responsibility overlap with reproduc...
BACKGROUND: Parenting stress among clinical nurses has been associated with turnover-related outcomes. For many nurses, critical periods of career development and accumulated clinical responsibility overlap with reproductive and early parenting years. Features of nursing work may shape parenting stress through demands related to scheduling, workload, and limited flexibility. DESIGN: Integrative literature review. METHODS: An integrative literature review was conducted following the methodological framework of Whittemore and Knafl. The final searches across three databases (CINAHL Complete, Medline, and Embase) were completed on May 14, 2026. Eligible articles were published in English, addressed parenting stress, and, when empirical, included nurses as a distinct population. Reporting followed PRISMA guidelines. RESULTS: Eight articles met all inclusion criteria. Countries of origin included South Korea, Turkey, and China. Approximately 1667 nurse-parent participants were represented across the included studies. Main themes included as follows: (1) Work-Family Role Conflict and Parenting Stress, (2) Parenting Stress Across Career and Family Life Stages, (3) Parenting Stress and Nurse Workforce Outcomes, and (4) Organizational and Structural Contributors to Parenting Stress. CONCLUSION: Parenting stress appears to be a relevant nursing workforce issue shaped by structural conditions of practice. The structure and demands of patient care may intensify parenting stress. Additional research is needed to examine the effects of parenting stress in clinical nurses and the implications for nurse retention. IMPLICATIONS: Organizational and policy-level interventions (including family-friendly scheduling, accessible childcare, and structured peer support programs) may support workforce sustainability among nurse-parents.
Hospital-Based Robotic Applications in Nursing Practice: A Scoping Review.
Kim Y, Jung SI, Woo S … +1 more , Lim E
J Nurs Scholarsh · 2026 Jul · PMID 42298824 · Full text
INTRODUCTION: The integration of robots into clinical practice requires careful consideration of their alignment with nursing workflows, patient needs, and clinical contexts. This scoping review aimed to support effectiv...
INTRODUCTION: The integration of robots into clinical practice requires careful consideration of their alignment with nursing workflows, patient needs, and clinical contexts. This scoping review aimed to support effective technology adoption by systematically identifying and classifying how robots are used in hospital-based nursing practice using standardized nursing terminology. DESIGN: A scoping review following Arksey and O'Malley's five-stage framework. METHODS: A structured search was conducted in five peer-reviewed databases (PubMed, Web of Science, Cochrane Library, CINAHL, and EMBASE) for studies published between January 2019 and July 24, 2025. The data were analyzed to classify the types of nursing tasks supported by the robots. Robotic functions were classified into direct care, indirect care, and associated work using standardized nursing terminology, Hurst's framework, and the Clinical Care Classification system to provide a codified and structured analysis of nursing tasks. RESULTS: A total of 40 studies were included in the final review. Thirty-three focused on direct care with robots, primarily supporting psychological, physiological, and functional care. The key interventions included coping support, emotional support, infection control, and vital sign monitoring. Only one study involved indirect care, and nine focused on associated work, such as errands and cleaning. CONCLUSIONS: Robots are primarily used for direct care, such as emotional support and monitoring, while their role in indirect care-requiring professional judgment including documentation-remains limited. This suggests that future development should prioritize user-centered designs and ethical guidelines aligned with actual clinical needs. Properly implemented robotic technology will serve as a strategic tool to enhance nursing efficiency and improve practice environments amidst chronic workforce shortages. CLINICAL RELEVANCE: By categorizing robotic functions using standardized nursing terminology, this review offers a structured understanding of how robots can support nursing. These insights help identify tasks that can be delegated to robots during crises, such as pandemics or staffing shortages, allowing nurses to focus on essential patient care.
Retractions in Nursing as a Systems Problem: A Journal Systems Framework Perspective.
Nicoll LH, Oermann MH, Owens JK … +1 more , Carter-Templeton H
J Nurs Scholarsh · 2026 Jul · PMID 42281139 · Publisher ↗
PROBLEM: Retractions in nursing are often framed as isolated instances of author misconduct or editorial failure. Drawing on recent longitudinal analysis of retracted nursing articles and the Journal Systems Framework (J...
PROBLEM: Retractions in nursing are often framed as isolated instances of author misconduct or editorial failure. Drawing on recent longitudinal analysis of retracted nursing articles and the Journal Systems Framework (JSF), this Commentary argues that retractions are better understood as system-level signals reflecting differences in editorial capacity, governance, and infrastructure across journal systems. RESULTS: Between 1997 and 2022, 123 nursing articles were retracted, with persistent concerns related to ethical violations, variability in retraction notice quality, delayed corrective action, and continued post-retraction citation. DISCUSSION: Applying the JSF highlights how corrective capacity varies across journal systems, shaping the timeliness, transparency, visibility, and downstream amplification of retraction practices. High-profile retractions in flagship journals may reflect greater corrective capacity rather than uniquely severe ethical failure. Interpreting retractions as indicators of system stress, rather than moral anomalies, shifts attention from individual blame toward strengthening editorial infrastructure. CONCLUSION: A systems-aware approach positions nursing scholarship to improve transparency, resilience, and trust as publication volume and complexity continue to grow. CLINICAL RELEVANCE: Because nursing scholarship informs clinical care, education, and policy, failures in the scholarly record have implications beyond publishing itself. Greater understanding of retractions and corrective editorial processes can help strengthen trust in evidence used to guide nursing and health care practice.
Predicting the Intention to Sign an Advance Directive: A Machine Learning Model Accounting for Cultural and System-Level Factors.
Su MC, Fang HC, Ni LF … +2 more , Hsu SC, Kuo CY
J Nurs Scholarsh · 2026 Jul · PMID 42244093 · Publisher ↗
PURPOSE: To develop a machine learning model for predicting Taiwanese adults' intention to sign an advance directive (AD) and to identify the psychosocial, demographic, and system-level predictors relevant to culturally...
PURPOSE: To develop a machine learning model for predicting Taiwanese adults' intention to sign an advance directive (AD) and to identify the psychosocial, demographic, and system-level predictors relevant to culturally sensitive nursing. This study distinguishes between the reflective process of advance care planning (ACP) and the formal legal act of AD completion, addressing the need to understand cultural and system-level influences. DESIGN: This was a cross-sectional quantitative study. METHODS: A survey was conducted with 1412 Taiwanese adults by using validated instruments, such as the Knowledge of Advance Care Planning Questionnaire and Advance Care Planning Attitude Scale. Data were analyzed using linear regression, random forest, and extreme gradient boosting models to predict the intention to sign an AD. A SHapley Additive exPlanations analysis was performed to interpret the model and investigate the effects of personal values and system-level barriers. RESULTS: The extreme gradient boosting model outperformed the other models, with mean absolute error and root mean squared error values of 1.68 and 2.13, respectively. The SHapley Additive exPlanations analysis highlighted attitude toward ACP as the strongest predictor of signing intention. In addition to psychosocial factors, system-level factors such as procedural unfamiliarity and high consultation costs emerged as key barriers. Furthermore, older age and a higher number of children were associated with a weaker intention to sign an AD, reflecting a preference for informal family consensus over formal legal documentation. CONCLUSION: Machine learning models effectively identify the interplay between personal attitudes, family dynamics, and institutional conditions that shape AD-related decision-making. The transition from ACP dialogue to formal AD signing is determined by both cultural values and structural factors. CLINICAL RELEVANCE: Nurses should adopt a dual-track strategy-supporting advance care planning through family-inclusive dialogues and serving as "system navigators" to help patients overcome legal and financial barriers to advance directive signing. Data-driven insights from the present study may inform precise, culturally responsive interventions that honor patient autonomy.
Bibliometric and Visual Analysis in the Field of Telemedicine Application in Palliative Care From 2005 to 2024.
Li S, Feng J, Yin Y … +3 more , Zhang Y, Chen X, Li W
J Nurs Scholarsh · 2026 May · PMID 42157388 · Publisher ↗
BACKGROUND: Telemedicine applications in palliative care have increased significantly in recent years. OBJECTIVES: A bibliometric analysis was performed to highlight prevailing research hotspots and emerging trends and p...
BACKGROUND: Telemedicine applications in palliative care have increased significantly in recent years. OBJECTIVES: A bibliometric analysis was performed to highlight prevailing research hotspots and emerging trends and provide a reference to support future investigations in this field. DESIGN: A bibliometric analysis was performed on literature retrieved from the Web of Science Core Collection database. METHODS: A total of 2635 publications on telemedicine applications in palliative care, published between 2005 and 2024, were retrieved from the Web of Science Core Collection. We employed Bibliometrix, VOSviewer, and CiteSpace to analyze these contributions quantitatively and visually in terms of countries, institutions, authors, journals, and keywords. RESULTS: Annual publications increased from 13 (2005) to 336 (2024), with the United States dominating the field (41% output, H-index = 70). Harvard University and the University of California System were identified as core research institutions, and Bakitas, Marie A. and Dionne-Odom, James N. were identified as leading authors. Keyword clustering identified three research domains: cancer patients (home-based care), patient-centered themes (depression, anxiety, symptoms, burden, information, pain management, and quality of life) and technological applications (digital health and artificial intelligence, i.e., AI). Emerging areas of focus include chronic disease management and post-pandemic priorities (social media, mental health, digital integration, information, preference, and consultation). These results also suggest that telemedicine applications in the palliative care of chronic noncancer patients are very promising. CONCLUSIONS: Research on telemedicine in palliative care has undergone rapid growth and a paradigm shift from disease intervention to patient experience. Future studies should prioritize cross-regional collaboration and equitable access to care for noncancer populations, with anticipated hotspots transitioning toward chronic conditions and digitally enhanced psychosocial support. CLINICAL RELEVANCE: Integrating telemedicine into palliative care is crucial for expanding access to specialized care, especially for homebound patients and those in underserved regions. This approach facilitates remote symptom monitoring, patient education, and timely consultations, which can directly improve symptom management, patient empowerment, and quality of life. Understanding the evolving research trends, as mapped in this study, helps clinicians and healthcare systems identify effective tele-palliative care models to implement in practice.
Mental Health Nurses' Perceived Appropriateness of Coercive Measures and Security Technologies in Psychiatric Settings: A National Cross-Sectional Study.
Anastasi G, Latina R, Longobucco Y … +2 more , Stievano A, Bambi S
J Nurs Scholarsh · 2026 May · PMID 42080234 · Full text
INTRODUCTION: Psychiatric settings are high-risk environments for violence. Coercive measures (CMs) and security technologies (STs) can be used to ensure safety. However, limited evidence exists on how Italian mental hea...
INTRODUCTION: Psychiatric settings are high-risk environments for violence. Coercive measures (CMs) and security technologies (STs) can be used to ensure safety. However, limited evidence exists on how Italian mental health nurses (MHNs) perceive the appropriateness of such practices and the influencing factors. This study aimed to fill this gap. DESIGN: Cross-sectional study. METHODS: An online survey collected sociodemographic data and validated measures of depression, anxiety, stress, stigma toward mental illness, and humanization of care. The perceived appropriateness of various CMs and STs was rated on a 5-point Likert scale using a validated item set. Data were analyzed using descriptive statistics, bivariate tests, and multilevel mixed-effects linear regression. RESULTS: A total of 707 MHNs participated in the study. CMs were considered moderately appropriate (mean = 3.56 ± 0.92), with pharmacological restraint and locked-door policies rated as more appropriate than physical restraint. STs were evaluated better (mean = 3.74 ± 0.95), with alarms and closed-circuit television judged more appropriate than body-worn cameras and metal detectors. CMs were considered less appropriate by non-believers (p = 0.009), head nurses (p < 0.001), and those in non-acute settings (p = 0.004), and more appropriate by those in Central Italy (p = 0.036), on daytime shifts (p = 0.042), and with higher stigma (p = 0.012). STs were considered less appropriate by males (p = 0.004), head nurses (p = 0.040), and more experienced MHNs (p < 0.001), and more appropriate by those in Southern Italy (p < 0.001) and in non-acute settings (p < 0.001). CONCLUSION: MHNs consider CMs and STs moderately appropriate. Perceptions are influenced by both individual and contextual factors. Targeted training, anti-stigma education, and inclusive policies are needed to ensure ethical and evidence-based safety practices in psychiatric care. CLINICAL RELEVANCE: Targeted education and training in mental health nursing, both continuing and post-graduate, are essential to support cultural change among MHNs and ensure the appropriate use of CMs and STs. Integrating anti-stigma initiatives and involving MHNs in policy development can strengthen clinical decision-making and foster safer, more ethical, and person-centred psychiatric care.
Reframing the Global Nursing Shortage: Migration, Equity, and the Future of Care: Introduction: A Structural Shortage in a Turbulent World.
Preziosi P
J Nurs Scholarsh · 2026 May · PMID 42068184 · Publisher ↗
Abstract loading — click title to view on PubMed.
Editorial.
Gennaro S
J Nurs Scholarsh · 2026 May · PMID 42068183 · Publisher ↗
Abstract loading — click title to view on PubMed.
Risk Profiles in Hospitalized Adults Based on Functional Capacity, Pressure Injury Risk, and Fall Risk: A Cluster and Multiple Correspondence Analysis.
Llagostera-Reverter I, Ortiz-Mallasén V, Valero-Chillerón MJ … +4 more , Luna-Aleixos D, Cervera-Gasch Á, Orts-Cortés MI, González-Chordá VM
J Nurs Scholarsh · 2026 May · PMID 42068180 · Full text
BACKGROUND: Patient safety is a global priority, as adverse events represent the 14th leading cause of morbidity and mortality worldwide. Among the most common complications in hospitalized adults are functional decline,...
BACKGROUND: Patient safety is a global priority, as adverse events represent the 14th leading cause of morbidity and mortality worldwide. Among the most common complications in hospitalized adults are functional decline, pressure injuries, and falls, all of which increase hospital stays, healthcare costs, and mortality. Although these risks are typically assessed independently, their interaction has been scarcely explored, and the identification of integrated patient risk profiles could better guide nursing care. OBJECTIVE: To establish profiles of adult inpatients based simultaneously on their level of functional capacity, risk of pressure injuries, and risk of falls. DESIGN: Cross-sectional observational study. PARTICIPANTS: A total of 2.666 patients were admitted to adult inpatient units in a Spanish hospital. METHODS: Data from the Barthel, Braden, and Downton scales collected within 24 h of admission were analyzed. A hierarchical cluster analysis followed by the k-means method was used to classify patients. Relationship between profiles and clinical variables were explored through multiple correspondence analysis, and predictors for each profile were identified using multinomial logistic regression. RESULTS: Three patient profiles were identified: profile 1 (low risk), minor dependency, low risk of pressure injuries and falls (68.5%); profile 2 (moderate risk), moderate dependency and intermediate risk (15.4%); and profile 3 (high risk), severe dependency with high risk of pressure injuries and falls (16.1%). Older age, female sex, and higher comorbidity were significantly associated with higher-risk profiles (p < 0.001). CONCLUSIONS: Hospitalized adults can be reliably classified into risk profiles based on functional capacity and the risk of pressure injuries and falls. IMPLICATIONS: The identification of combined risk profiles may potentially guide nursing strategies to enhance patient safety, support individualized care planning, and contribute to optimizing resource distribution in hospital settings. IMPACT: Loss of functional capacity, pressure injuries, and falls are key nursing-sensitive indicators of care quality. Profile-based stratification offers a new framework for personalized, data-driven, and safety-oriented nursing care. CLINICAL RELEVANCE: The identification of integrated risk profiles based on functional capacity, pressure injury risk, and fall risk may support more comprehensive nursing assessment in hospitalized adults. These profiles may help inform care prioritization, facilitate early identification of vulnerable patients, and contribute to more efficient allocation of nursing resources. Incorporating multidimensional risk stratification into clinical practice may enhance coordinated and patient-centered care planning.
Before we Build: The Missing Use Case in Nursing AI Enthusiasm.
Dykes PC, Simpson RL, Hertzberg VS
J Nurs Scholarsh · 2026 May · PMID 42068171 · Publisher ↗
Abstract loading — click title to view on PubMed.
Toward Health System Reform: Unveiling the Relationship Between Nurses' Psychological Empowerment and Job Embeddedness Under the Umbrella of the New Universal Health Insurance System.
Osman YM, El Moaty AEEA, Badr EIA … +1 more , Shaban M
J Nurs Scholarsh · 2026 May · PMID 42068169 · Publisher ↗
BACKGROUND: The new Universal Health Insurance (UHI) reforms aim to improve equity and quality of healthcare delivery; however, their sustainability depends on engagement and retention of the nursing workforce. Psycholog...
BACKGROUND: The new Universal Health Insurance (UHI) reforms aim to improve equity and quality of healthcare delivery; however, their sustainability depends on engagement and retention of the nursing workforce. Psychological empowerment has been identified as a key factor influencing nurses' attitudes and work-related behaviors, yet the evidence on how it relates to job embeddedness among nurses working in the early phase of UHI implementation in Egypt remains underexplored. AIM: This study aimed to assess the association between psychological empowerment and job embeddedness among nurses under the umbrella of the new Universal Health Insurance in Egypt. METHODS: A descriptive cross-sectional design was employed from August 2025 to November 2025. A total of 213 nurses working at Aswan Specialized Hospital, affiliated with the UHI system in Upper Egypt, were recruited. Data were collected using a demographic questionnaire, and psychological empowerment was measured using the Psychological Empowerment Scale, and job embeddedness was assessed using the Global Job Embeddedness Scale. Descriptive statistics, Pearson correlation analysis, and hierarchical linear regression were used for data analysis. RESULTS: Among 213 nurses, the mean score of psychological empowerment was reported at high overall levels of 5.75 (SD = 0.77), particularly in the dimensions of competence and meaning, alongside moderately high levels of job embeddedness, with a mean score of 4.76 (SD = 0.89). Psychological empowerment showed a significant positive correlation with job embeddedness (r = 0.512, p < 0.001). In hierarchical regression analysis adjusting for demographic and professional covariates, psychological empowerment emerged as a strong and independent predictor of job embeddedness (β = 0.55, 95% CI: 0.398-0.701, p < 0.001), explaining an additional 16.5% of the variance after controlling for covariates (ΔR = 0.165). In adjusted analyses, the covariates were not independently associated with job embeddedness. CONCLUSION: Psychological empowerment was positively associated with nurses' job embeddedness in the UHI implementation setting. Higher levels of empowerment-related factors were positively associated with greater embeddedness, suggesting their relevance to workforce engagement and retention during health system reform. CLINICAL RELEVANCE: Our study findings highlight that psychological empowerment plays a crucial role in fostering nurses' job embeddedness, which is critical for sustaining workforce retention and stability. Enhancing supportive leadership and nurses' involvement in decision-making is critical, especially during the early phase implementation of the universal health insurance system reform.
Children on the Move in ECOWAS: A Structural Violence Approach to Child Migration and Protection Frameworks.
Braimah JI, Kyei-Gyamfi S
J Nurs Scholarsh · 2026 May · PMID 41989185 · Publisher ↗
INTRODUCTION: Children on the move in the ECOWAS subregion are part of historical mobility networks shaped by structural poverty, inadequate services, and inequalities. Using the Structural Violence Theory framework, the...
INTRODUCTION: Children on the move in the ECOWAS subregion are part of historical mobility networks shaped by structural poverty, inadequate services, and inequalities. Using the Structural Violence Theory framework, the review examines how economic, social service, and governance policies interact to both create the demand for migration and increase the risks faced by children on the move. The review has three research objectives. DESIGN: Systematic literature review guided by PRISMA. METHODS: There was an overwhelming response of relevant literature sources. Literature from 1966 to 2025 on child migration, trafficking, displacement, and protection by ECOWAS was collected. Among the 987 sources identified through a literature search of central academic databases and institutional repositories, 56 met the selection criteria. Qualitative analysis was employed to evaluate the robustness of the sources based on their methods. RESULTS: Findings indicate rising levels of children on the move, driven by independent migration from rural areas to cities and cross-border migration along traditional migration routes. Factors such as economic hardship, limited access to quality education, conflict, gender-related labor market conditions, and family dynamics are interconnected and play crucial roles. Children on the move are increasingly vulnerable to exploitation, labor dangers, trafficking, and social exclusion. While international, regional, and national frameworks set standards legally, their implementation remains inefficient. CONCLUSION: Children on the move within ECOWAS are seen as an inevitable result of structural factors rather than isolated incidents. One policy implication of this analysis is to include children on the move within the ECOWAS mobility framework. Additionally, social protection programs for children need to be expanded in countries with high emigration rates. CLINICAL RELEVANCE: Nurses and allied frontline providers are well-positioned to identify mobility-related risks, deliver trauma-informed, non-discriminatory care, document safeguarding concerns, and activate referral pathways for child protection, psychosocial support, and legal assistance.
Updates of the Status Quo of Situation-Specific Theories (2015-2025).
Kim D, Im EO
J Nurs Scholarsh · 2026 May · PMID 41952368 · Full text
INTRODUCTION: Situation-specific theories (SSTs) have emerged as an important approach for bridging the gap between nursing theory, research, and clinical practice. Unlike grand or middle-range theories, SSTs address spe...
INTRODUCTION: Situation-specific theories (SSTs) have emerged as an important approach for bridging the gap between nursing theory, research, and clinical practice. Unlike grand or middle-range theories, SSTs address specific nursing phenomena within clearly defined populations or contexts. Since their introduction, SSTs have gained prominence as tools for uniting empirical evidence, patient experience, and theoretical guidance. The purpose of this article is to provide an updated synthesis of nursing SSTs published between 2015 and 2025, mapping their purposes, target populations, theorizing methods, and linkages to research and clinical practice. METHODS: A comprehensive literature search was conducted to identify SSTs published between 2015 and 2025. Five electronic databases were systematically searched using the keywords "situation-specific theory". Only peer-reviewed, English-language primary studies describing the development, testing, or application of SSTs were included. Titles, abstracts, and full texts were reviewed against inclusion criteria, resulting in 23 eligible studies. Data were extracted into a standardized table summarizing study characteristics, purposes, target populations, theorizing methods, and practice or research linkages. Findings were synthesized narratively to identify recurring themes and methodological trends in SST development, providing an integrated overview of the current state and application of SSTs. RESULTS: Five overarching themes were identified across the 23 studies: (a) Broadened Scope, (b) Purpose-Driven Theorizing, (c) Dynamic Theory Lifecycle, (d) Methodological Maturity, and (e) Integration Across Practice, Education, and Research. Based on these findings, five recommendations are proposed: (a) Creative and Innovative Methods, (b) Collaborative and Interdisciplinary Development, (c) Broad Theoretical Integration, (d) Sustain Multi-Source Synthesis, and (e) Ongoing Theory Testing and Refinement. CONCLUSIONS: In summary, this review demonstrates that SSTs have evolved into dynamic, context-sensitive frameworks that unite theory, research, and practice. Continued innovation, interdisciplinary collaboration, and empirical refinement will be essential to sustain their relevance and strengthen nursing's theoretical and clinical foundations. CLINICAL RELEVANCE: Utilizing SSTs in clinical settings may enhance the relevance and effectiveness of care by aligning interventions with the unique needs of particular patient populations or situations.
High Levels of Well-Being and Being Infected With the COVID-19 Virus Predicted Post-Traumatic Growth in Healthcare Workers.
Angelone C, Pira GL, Ruini C
J Nurs Scholarsh · 2026 May · PMID 41952350 · Full text
INTRODUCTION: Healthcare workers (HCWs) are continuously exposed to stress and potentially traumatic experiences, as during the COVID-19 pandemic. This research aims to investigate the correlates and predictors of Post-t...
INTRODUCTION: Healthcare workers (HCWs) are continuously exposed to stress and potentially traumatic experiences, as during the COVID-19 pandemic. This research aims to investigate the correlates and predictors of Post-traumatic growth (PTG), a positive outcome following adversity, in a group of HCWs during the COVID-19 pandemic. DESIGN: Cross-sectional design. METHODS: The sample included 168 HCWs (almost 43% were nurses working in hospitals or aging facilities) who were assessed with the PTG Inventory (PTGI) and other indicators of psychological distress (DASS-21) and well-being such as the Positive and Negative Affect Schedule (PANAS), the Mental Health Continuum Short-Form (MHC-SF), and the Satisfaction with Life Scale (SWLS). Regression analyses were calculated to evaluate the relationships among variables. RESULTS: PTG Inventory positively correlated with SWLS (r = 0.256, p < 0.001) and MHC (r = 0.315, p < 0.001), but no correlations with anxiety and depression emerged. Female gender (β = 0.248, p = 0.001), COVID-19 infection (β = 0.222, p = 0.003), and MHC Total score (β = 0.294, p = 0.008) predicted PTGI. Additionally, a significant curvilinear U-shaped relationship existed between DASS-stress and PTGI levels (β = 0.541, p = 0.021), meaning that PTG was lower at a medium level of stress. CONCLUSIONS: During the pandemic PTGI in HCWs was more directly predicted by well-being indicators than distress. Prioritizing their well-being, especially in times of crises, could aid in managing stress and trauma in healthcare settings.
Diabetes Stigma in Ghana: Reframing the Psychological Pathways Linking Stigma and Glycemic Control.
Chen LH, Wei LC
J Nurs Scholarsh · 2026 May · PMID 41952307 · Publisher ↗
Abstract loading — click title to view on PubMed.
About
- Frequency
- Sun
- Papers found
- 200
- RSS feed
- Subscribe