J Nurs Scholarsh [JOURNAL]
Sun
200 papers
People's Experiences of Their Involvement in Nursing Care: A Qualitative Systematic Review With Meta-Aggregation Synthesis.
Dos Santos DGSM, Dos Santos EJF, Petronilho FAS … +1 more , Amaral AFS
J Nurs Scholarsh · 2025 Sep · PMID 40471867 · Publisher ↗
INTRODUCTION: Global organizations have pronounced about the importance of involving people in health care, however, this process is challenging. Given the availability of evidence that addresses people's experiences of...
INTRODUCTION: Global organizations have pronounced about the importance of involving people in health care, however, this process is challenging. Given the availability of evidence that addresses people's experiences of involvement in nursing care, it is important to produce recommendations at this point by synthesizing the evidence. So, this review aims to synthesize the available qualitative evidence about people's experiences of their involvement in nursing care in a hospital setting. DESIGN: Systematic review of qualitative evidence. METHODS: This systematic review was conducted according to the JBI methodology for systematic reviews of qualitative evidence. A comprehensive search strategy was conducted in nine databases/resources. The selection process, methodological quality assessment, and data extraction were conducted independently by two reviewers. The data were synthesized using the meta-aggregation approach, and the results were graded according to ConQual. RESULTS: A total of 75 findings and 141 illustrations were extracted from the 15 included studies. These findings were aggregated into 12 categories and generated into three synthesized findings: (1) People who are hospitalized conceptualize and attribute importance to involvement in nursing care as an active process of participation and monitoring of care, decision-making, opinion, and partnership; (2) The establishment of a relationship between hospitalized people and nurses, trust, communication, and information are essential for participation in care; (3) People's participation in care is affected by the person's own constraints and preference for assuming a passive role, by barriers associated with a lack of information, the organization of care, the relationship established between nurses, and paternalistic attitudes. CONCLUSION: People who were admitted to hospital conceptualized and attached importance to this phenomenon, perceived the conditions necessary to promote it, and the barriers they experienced. CLINICAL RELEVANCE: This systematic review provides recommendations for nurses' clinical practice (with grade B). It recommends that nurses should establish a partnership relationship with hospitalized people, through trust, communication and information; give people the opportunity to monitor care, participate in decision-making and give their opinion; assess the person's preferences for involvement and other factors; and that the barriers to this process identified here should be assessed and addressed in each context. As such, this review provides very valuable information for nurses' clinical practice and should also be incorporated into health policy. PROTOCOL REGISTRATION: PROSPERO CRD42024506501.
Peer Review: By Human Reviewers or by Artificial Intelligence?
Matsubara S
J Nurs Scholarsh · 2025 Jul · PMID 40471864 · Publisher ↗
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Efficacy of Nurse-Led Digitalized Diabetes Management Program for Community-Dwelling Patients With Type 2 Diabetes Mellitus: A Systematic Review and Meta-Analysis.
Makhfudli M, Efendi F, Pradipta RO … +3 more , Ismanto AY, Chong MC, Tonapa SI
J Nurs Scholarsh · 2025 Sep · PMID 40462296 · Publisher ↗
PURPOSE: Despite evidence supporting nurse-led digitalized diabetes interventions, gaps persist in understanding their specific impact on community-dwelling patients with type 2 diabetes mellitus (T2DM). Prior reviews la...
PURPOSE: Despite evidence supporting nurse-led digitalized diabetes interventions, gaps persist in understanding their specific impact on community-dwelling patients with type 2 diabetes mellitus (T2DM). Prior reviews lacked a quantitative synthesis of these interventions' effects on outcomes like self-care, HbA1c, and quality of life (QoL), limiting their applicability to clinical practice. This study aimed to systematically evaluate and quantify the effectiveness of nurse-led digitalized diabetes management programmes for community-dwelling adults with T2DM. METHODS: We searched six databases to identify relevant articles from their inception to June 2024. Randomized controlled trials that evaluate the effects of nurse-led digitalized diabetes management programs for community-dwelling patients with T2DM were included. The Cochrane Risk of Bias tool version 2.0 was used to appraise the included studies. The pairwise meta-analysis was performed through the software Comprehensive Meta-Analysis Version 3.0. RESULTS: Eleven RCTs were included, encompassing 2943 participants from various regions. Nurse-led digitalized programs significantly improved self-care behaviors (SMD = 1.15; 95% CI: 0.49 to 1.81), and QoL (SMD = 0.65; 95% CI: 0.37 to 0.94). The interventions also demonstrated a clinically meaningful reduction in HbA1c levels (MD = -0.25%; 95% CI: -0.43 to -0.06), highlighting their potential in improving glycaemic control. Heterogeneity across studies was substantial for self-care but moderate for HbA1c and QoL. CONCLUSIONS: Nurse-led digitalised diabetes management programmes effectively enhance self-care behavior, reduce HbA1c levels, and improve QoL among community-dwelling patients with T2DM. These findings underscore the potential of digitalised interventions as scalable and accessible alternatives to traditional diabetes management, particularly in non-institutionalized settings. CLINICAL RELEVANCE: Nurse-led digitalised diabetes management programmes can empower community-dwelling patients with T2DM to achieve better health outcomes by enhancing self-care and glycaemic control while improving QoL. Their integration into routine clinical practice could address barriers to care, optimize diabetes management, and reduce the long-term burden of the disease. REVIEW REGISTRATION: The International Prospective Register of Systematic Reviews (PROSPERO) identifier: CRD42024594874.
Nursing Care in Hospital Settings for Victims of Mental Disorders: Systematic Review With Meta-Aggregation.
Pereira RCD, Reis ACP, Costa AAS … +9 more , Florentino IL, Saraiva AGD, Campos PES, Lopes LPB, Carvalho FO, Alexandre LAC, Macedo LFR, de Almeida CLF, Delmondes GA
J Nurs Scholarsh · 2025 Nov · PMID 40415247 · Publisher ↗
INTRODUCTION: Approximately 25% of the Brazilian population suffers from mental disorders, a prevalence exacerbated by systemic and cultural factors such as socioeconomic inequalities, underfunded mental health services,...
INTRODUCTION: Approximately 25% of the Brazilian population suffers from mental disorders, a prevalence exacerbated by systemic and cultural factors such as socioeconomic inequalities, underfunded mental health services, regional disparities, and persistent stigma. These conditions significantly impact hospital care. Nurses, due to their direct contact with these patients, face challenges ranging from managing physical conditions to handling verbal aggression and psychiatric crises. This study aimed to assess the scientific evidence regarding nursing care for hospitalized patients with psychiatric disorders. METHODS: A systematic review with a mixed-methods approach was conducted, registered in PROSPERO (#CRD42022359288) and guided by PRISMA standards. Databases, such as MEDLINE, LILACS, PubMed, Web of Science, Scopus, and BDEnf, were searched using keywords like "Mental disorder," "Psychiatric health," "Nursing care," and "Hospital." Methodological quality was assessed using JBI and SQUIRE tools. The integration of quantitative and qualitative components occurred through meta-aggregation of qualitative data and frequency-based coding of quantitative themes, allowing thematic convergence across study designs. RESULTS: Six studies were included. Meta-aggregation revealed frequent terms, such as "Nurse," "Emergency," "Screening," "Patient," and "Care." Similarity analysis linked "Nurse" with "perception" and "experience" and "Emergency" with "Screening" and "Mental health," highlighting the importance of experience and training. Five categories emerged: (1) professional experience (19.05%, showing skill gaps despite experience); (2) caring process (19.05%, stressing efficient screening); (3) barriers and challenges (19.05%, revealing difficulty with comorbidities); (4) training process (19.05%, identifying training deficiencies); and (5) therapeutic interventions (23.81%, discussing restraint use). These percentages refer to the proportional frequency of themes identified across the total number of studies analyzed. For thematic classification, only statistically significant chi-square values (p < 0.05) were considered in the grouping of content. CONCLUSION: Nursing care for psychiatric patients in hospitals faces challenges like insufficient training and difficulty managing psychiatric comorbidities. Recommendations include incorporating structured mental health content into nursing curricula and hospital-based continuing education programs. These strategies may guide future healthcare policies in Brazil by improving patient safety, reducing hospital readmissions, and promoting more humane, evidence-based therapeutic interventions. CLINICAL RELEVANCE: The findings emphasize the urgent need for targeted education and training to improve nursing care for psychiatric patients in hospital settings.
Relationship Between Musculoskeletal Disorders and Productivity Loss Among Hospital Nurses: An Analytical Cross-Sectional Study With Secondary Data Analysis.
Kang M, Kim I, Park C … +1 more , Min A
J Nurs Scholarsh · 2025 Sep · PMID 40400100 · Full text
AIM: To identify the prevalence of musculoskeletal disorders among hospital nurses and explore their effects on productivity loss. DESIGN: An analytical cross-sectional study with secondary data analysis was conducted. M...
AIM: To identify the prevalence of musculoskeletal disorders among hospital nurses and explore their effects on productivity loss. DESIGN: An analytical cross-sectional study with secondary data analysis was conducted. METHODS: Data were collected via an online survey of 607 registered nurses working in general and tertiary hospitals in South Korea. Multivariate logistic regression analysis was performed to examine the association between musculoskeletal disorders and four productivity loss indicators: absenteeism, presenteeism, perceived productivity loss, and work limitations. RESULTS: Musculoskeletal disorders were highly prevalent among hospital nurses, with 83.9% of participants reporting musculoskeletal disorder symptoms in the past week. Lower back complaints had the highest prevalence. Nurses with musculoskeletal disorders were 3.74 times more likely to experience presenteeism than those without musculoskeletal disorders. They were also 3.00 times more likely to report perceived productivity loss and 2.24 times more likely to experience work limitations. However, no significant relationship was observed between musculoskeletal disorders and absenteeism. CONCLUSION: Musculoskeletal disorders contribute to presenteeism, productivity loss, and work limitations among hospital nurses. Targeted interventions for preventing and managing musculoskeletal disorders are essential to mitigate productivity losses and improve nurses' health and job performance. Strategies such as ergonomic workplace modifications, early detection, and effective management of musculoskeletal disorders can help maintain nurses' productivity and well-being. CLINICAL RELEVANCE: Addressing musculoskeletal disorders is critical for enhancing nurse productivity and for ensuring the delivery of high-quality patient care. Healthcare organizations can safeguard nurses' health and patient outcomes by reducing presenteeism and work limitations.
The Overlooked Dark Side of Generative AI in Nursing: An International Think Tank's Perspective.
Topaz M, Peltonen LM, Michalowski M … +4 more , Pruinelli L, Ronquillo CE, Zhang Z, Babic A
J Nurs Scholarsh · 2025 Jul · PMID 40322969 · Publisher ↗
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Response to a Letter to the Editor on "Integrating Machine Learning in Nursing Practice: Addressing Ethical, Practical, and Educational Challenges".
Wieben AM
J Nurs Scholarsh · 2025 Jul · PMID 40320620 · Publisher ↗
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Integrating Machine Learning in Nursing Practice: Addressing Ethical, Practical, and Educational Challenges.
Santos C
J Nurs Scholarsh · 2025 Jul · PMID 40271966 · Publisher ↗
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The Scottish Safe Staffing Act at Baseline: Quantitative Findings.
Lake ET, Shamsuddin A, Kiely S … +4 more , Lee L, Golinelli D, Villani D, Atherton I
J Nurs Scholarsh · 2025 Jul · PMID 40265490 · Full text
INTRODUCTION: Amid a global nurse staffing crisis, in 2019 Scotland legislated the Health and Care (Staffing) (Scotland) Act to address health care workforce challenges. Instead of requiring patient-to-nurse ratios as le...
INTRODUCTION: Amid a global nurse staffing crisis, in 2019 Scotland legislated the Health and Care (Staffing) (Scotland) Act to address health care workforce challenges. Instead of requiring patient-to-nurse ratios as legislated elsewhere, this act requires staffing decisions according to guiding principles, duties, and a common staffing method. Measuring variation in hospitals' adherence to the act's provisions at baseline is important for policymakers to evaluate fulfillment of the act's requirements and goals. Results will inform policymakers about which provisions are achieved at baseline and which require support for employers to achieve. The purpose of the study was to establish the baseline of nurse staffing standards in Scotland at April 2024 implementation of the Act. Nurse reports of quality, safety, and their intent to leave were measured to complement assessment of the implementation status. DESIGN/METHODS: A cross-sectional study design was used. A convenience sample of registered nurses and nursing support workers was recruited through professional organizations and trade unions. Nurses were invited to complete an online survey between May 1 and July 31, 2024. The survey content included demographic and professional characteristics, international nursing metrics, the Act's provisions, and job intentions. Descriptive statistics were calculated to describe the sample, act's provisions, and nurses' job intentions. RESULTS: The sample comprised 1870 nurses, of whom 93% were registered nurses, from all regions with characteristics reflecting the Scottish nursing workforce. Regarding the act's provisions, 9% reported that nursing staffing is appropriate to provide safe, high-quality care every shift. Similarly, few nurses reported that the quality of care was excellent (17%) or graded safety an A (10%). Most nurses disagreed that current staffing levels met the eight guiding principles. Most nurses reported that the common staffing method and duties regarding real-time staffing decisions were followed at best occasionally. Nearly half of nurses (45%) intend to stay in their current job over the next year. Among those intending to leave their current job, about half plan to leave the profession through retirement or another unspecified job change. The other half plan to seek another similar nursing job or promotion. CONCLUSION: Few nurses report that the act's overarching goal is being met at the point of implementation. Although most nurses see nursing as a long-term career, workforce disruption is anticipated through routine turnover, promotion, or retirement, requiring workforce retention policies. Whether the act's complex provisions can be achieved and its goals fulfilled may not reverse the trend of exiting nurses. The complexity of the approach will be a challenge to achieving the objective of safe staffing. Therefore, this approach to achieving safe staffing may be too complex to be recommended widely. These remain urgent questions for Scottish policymakers, nurse leaders, and researchers.
The Effect of an Integrative Cognitive Training Program by Family Caregivers on Cognitive Function Among Persons With Traumatic Brain Injury: A Randomized Controlled Trial.
Chuaykarn U, Thato R, Crago EA
J Nurs Scholarsh · 2025 Jul · PMID 40241346 · Publisher ↗
PURPOSE: This study aimed to examine the effect of an integrative cognitive training program by family caregivers on cognitive function among persons with traumatic brain injury. DESIGN: A randomized controlled trial, re...
PURPOSE: This study aimed to examine the effect of an integrative cognitive training program by family caregivers on cognitive function among persons with traumatic brain injury. DESIGN: A randomized controlled trial, repeated measures design was utilized. METHODS: The participants were adult persons diagnosed with mild-to-moderate TBI and their family caregivers. They were recruited from the neurology ward at a tertiary hospital in Thailand. One hundred participants were randomly assigned to the experimental group (n = 50) and the control group (n = 50). The experimental group received an integrative cognitive training program from family caregivers based on the theory of neural plasticity in combination with a systematic review, while the control group received usual care. Cognitive function was assessed at baseline and week 2, week 4, and week 6 follow-up using the Montreal Cognitive Assessment. Data were analyzed using descriptive statistics, Chi-square, Fisher's exact test, and repeated measures ANOVA. FINDINGS: The results showed a significant improvement in cognitive function scores in the experimental group over time (p < 0.001). Additionally, participants in the experimental group who received an integrative cognitive training program by family caregivers demonstrated significantly higher cognitive function scores compared to the control group at week 4 and week 6 follow-up assessments (p < 0.001). The effect sizes were large (η = 0.14) with a test power of 90%. CONCLUSIONS: An integrative cognitive training program can enhance neuroplasticity and improve cognitive function among persons with mild-to-moderate traumatic brain injury. Moreover, involving family caregivers in the rehabilitation process can improve community engagement and cognitive abilities in persons with traumatic brain injury. CLINICAL RELEVANCE: Healthcare professionals in neurological settings should incorporate an integrative cognitive training program into their usual care and educate family caregivers to continue the intervention at home for improving cognitive function among persons with mild-to-moderate traumatic brain injury. TRIAL REGISTRATION: TCTR20230828002.
Global Prevalence, Incidence, and Factors Influencing Falls in Older Adults With Dementia: Implications for Nursing and Healthy Aging.
Octary T, Sung CM, Chen R … +5 more , Chiang KJ, Lee CK, Arifin H, Banda KJ, Chou KR
J Nurs Scholarsh · 2025 Jul · PMID 40237091 · Publisher ↗
INTRODUCTION: Dementia notably increases fall risk in older adults, leading to major injuries and considerable concerns from health-care professionals. However, comprehensive evidence regarding the prevalence, incidence...
INTRODUCTION: Dementia notably increases fall risk in older adults, leading to major injuries and considerable concerns from health-care professionals. However, comprehensive evidence regarding the prevalence, incidence rate, and moderating factors of falls in institutional settings is limited. This study aimed to evaluate the prevalence, incidence rates, and moderating factors of falls among older adults with dementia in nursing homes and dementia-specialized care units. DESIGN: A meta-analysis. METHODS: We searched CINAHL, PubMed, Embase, ProQuest, Scopus, Web of Science, and PsycINFO from database inception to April 30, 2024. Older adults with dementia in nursing homes or dementia-specialized care units were included. The pooled prevalence was analyzed using a generalized linear mixed model with random effects using R software. Incidence rates were reported per person-year using comprehensive meta-analysis software. Study quality was assessed using Hoy's criteria. Variations in the pooled prevalence of falls were explored through moderator analyses. RESULTS: This meta-analysis included 21 studies involving 35,449 participants. The pooled prevalence of falls was 45.6%, with subtypes showing 39.2%, 35.2%, and 29.0% among Alzheimer's dementia, vascular dementia, and mixed dementia subtypes, respectively. Falls were more prevalent in dementia-specialized care units (53.0%) than in nursing homes (42.6%). The overall incidence rate was 3.61 per person-year, higher in dementia-specialized care units (5.80) than in nursing homes (3.17). Subgroup analyses revealed higher fall prevalence in women (70.0%) than in men (30.6%). Meta-regression indicated that comorbidities, including delirium, visual impairment, and arthritis, increased fall risk. CONCLUSIONS: This meta-analysis revealed a high incidence of falls in nearly half of older adults with dementia, particularly among those in dementia specialized care units. CLINICAL RELEVANCE: Healthcare professionals should prioritize regular fall risk assessments, tailored interventions, and environmental safety modifications, particularly in dementia-specialized care units, to reduce fall-related injuries and improve patient outcomes.
Experiences and Challenges of Rural Nurses in Botswana Handling Births Outside the Hospital Environment.
Mamalelala TT, Holzemer WL, Seloilwe ES … +1 more , Iwu E
J Nurs Scholarsh · 2025 Jul · PMID 40231734 · Full text
AIM: This study aims to explore the experiences and challenges faced by rural nurses in Botswana who manage births outside the hospital environment, providing insights into the impact of these experiences on maternal and...
AIM: This study aims to explore the experiences and challenges faced by rural nurses in Botswana who manage births outside the hospital environment, providing insights into the impact of these experiences on maternal and neonatal health outcomes. DESIGN: A qualitative descriptive design was employed to gain a comprehensive understanding of the participants' perspectives and experiences. METHODS: Twenty-six registered nurses from four remote health districts in Botswana were selected using a purposive convenience sampling technique. Semi-structured interviews were conducted to gather in-depth data regarding their experiences managing childbirth in rural settings. RESULTS: The analysis revealed that nurses face significant emotional and practical challenges, including feeling unprepared for emergencies, lack of access to resources, and high levels of stress associated with managing complications without specialized training. Many participants reported a strong commitment to their communities despite the hurdles, underscoring their vital roles in maternal healthcare. DISCUSSION: The findings indicate a pressing need for enhanced training programs and support systems for rural nurses to better equip them for the complexities of childbirth management outside hospital settings. Addressing these gaps is essential to improve clinical outcomes for mothers and infants and to minimize the risks associated with unsupervised births. CLINICAL RELEVANCE: This study highlights the crucial role rural nurses play in maternal health and stresses the need for targeted training and policy interventions. By strengthening the capacity of these healthcare providers, we can work toward reducing maternal and neonatal morbidity and mortality rates in Botswana and similar rural settings worldwide.
Experiences of Family Caregivers of Children Aged 1-23 Months Who Have Received Pediatric Palliative Care: A Systematic Review With Qualitative Metasynthesis.
Sánchez JMV, Sánchez MR, Mota Romero E … +4 more , Burgos AAE, Montoya Juárez R, Montoro CH, Puente Fernández D
J Nurs Scholarsh · 2025 Jul · PMID 40169364 · Full text
INTRODUCTION: Family caregivers of children receiving pediatric palliative care (PPC) play a crucial role in their care and wellbeing, especially during the early stages of life. OBJECTIVE: To explore the experience of f...
INTRODUCTION: Family caregivers of children receiving pediatric palliative care (PPC) play a crucial role in their care and wellbeing, especially during the early stages of life. OBJECTIVE: To explore the experience of family caregivers of children aged 1-23 months who are receiving pediatric palliative care (PPC). METHODS: A systematic review of qualitative studies was conducted using the databases PubMed, Scopus, Web of Science, CINAHL, PsycINFO, and Cuiden. The studies were appraised using the Critical Appraisal Skills Programme tool. The selected studies were synthesized using Noblit and Hare's meta-ethnographic method. RESULTS: Eleven studies, 169 themes, 36 metaphors and four main themes were identified. Caregivers develop coping strategies related to meaning-making, faith, maintaining hope, and decision-making abilities. They perceive limited time with the child due to structural constraints and the child's deteriorating health, which sometimes prevents them from recognizing their child's identity. Caregivers strive to remain united and rebuild the daily family life they long for, but face challenges related to self-care, maintaining employment, and caring for siblings and their partner. In many cases, they are unsatisfied with the care they receive, attributed to a lack of technical training and understanding of the principles of pediatric palliative care (PPC) by healthcare staff, poor communication skills, and inadequate coordination. Caregivers highlight the role of nurses and the PPC team, advanced care planning, and post-mortem care as positive aspects. DISCUSSION/CONCLUSION: Caregivers' experiences reveal coping strategies, active decision-making, constant challenges, healthcare interactions, and a need for improved comprehensive support. CLINICAL RELEVANCE: This study underscores the importance of addressing the unique needs of family caregivers of children aged 1-23 months receiving pediatric palliative care (PPC), highlighting their struggles with social isolation, neglected self-care, and disrupted family life. Healthcare providers should prioritize age-specific approaches to PPC, focusing on improving communication, care coordination, and understanding of palliative care principles to better support these caregivers.
Caregiver Contribution to Patient Self-Care in Multiple Chronic Conditions in a Low-/Middle-Income Country.
Adëraj S, Arapi A, Mazzotta R … +8 more , Saurini M, Taҫi D, Ivziku D, Bernalte-Martí V, Stievano A, Vellone E, Rocco G, De Maria M
J Nurs Scholarsh · 2025 Jul · PMID 40152119 · Publisher ↗
INTRODUCTION: Caregivers make an essential contribution to the self-care of patients with multiple chronic conditions (MCCs), but no studies have described caregiver contribution (CC) and caregiver self-efficacy in contr...
INTRODUCTION: Caregivers make an essential contribution to the self-care of patients with multiple chronic conditions (MCCs), but no studies have described caregiver contribution (CC) and caregiver self-efficacy in contributing to patient self-care in low-/middle-income countries (LMICs). This study aimed to describe the CC to patient self-care and caregiver self-efficacy of patients affected by MCCs living in a low-middle-income country such as Albania. DESIGN: A Multicenter cross-sectional study design was used. METHODS: A sample of 376 Albanian caregivers was enrolled if identified by the patient with MCCs as the primary unpaid informal caregiver in outpatient settings in Albania. The Caregiver Contribution to Self-Care of Chronic Illness Inventory (CC-SCCII) and the Caregiver Self-Efficacy in Contributing to Patient Self-Care Scale (CSE-CSC) were used to measure the CC to patient self-care maintenance, monitoring, and management and the caregiver's confidence in their ability to contribute to patient self-care, respectively. RESULTS: Participants' mean age was 48.10 (15.14) years. Most of the caregivers were women (67.9%), adult children (53.2%) or spouses (46.8%) of the patient. Regarding the CC to self-care maintenance, inadequate behaviors were observed in caregiver recommendations for physical activity (41%) and stress management (33%). In the CC to patient self-care monitoring, inadequate behaviors in recognition of symptoms were reported (20%) by caregivers. In the CC to patient self-care management, inadequate behaviors were found in caregiver ability to recognize reflecting on the effectiveness of the remedy used to manage signs and symptoms of the patient's illness (60%) and in alerting the healthcare provider (25%). Caregiver self-efficacy was lower in the ability to persist in finding a remedy for symptoms of the person for whom they care (27%) and to evaluate the effectiveness of a remedy they used (27%). CONCLUSION: We found, on average, adequate CC to patient self-care maintenance, monitoring, management behaviors, and caregiver self-efficacy in contributing to patient self-care of MCCs, but specific CC behaviors were found to be insufficient. CLINICAL RELEVANCE: This study described CC and caregiver self-efficacy in contributing to patient self-care in a low-middle-income country. This knowledge will enable healthcare professionals to identify inadequate caregiver contributions to self-care and strengthen them through targeted educational interventions, thus optimizing the scarce resources available in these contexts.
Competence, Solidarity and Kindness: Nursing's Best Weapons.
Hirschfeld MJ
J Nurs Scholarsh · 2025 May · PMID 40130462 · Publisher ↗
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Does Grit Matter? The Relationship Between Grit and Drinking Behavior Among Adolescents: A Cross-Sectional Study of a Nationally Representative Sample of Korean Adolescents.
Han Y, Hwang Y
J Nurs Scholarsh · 2025 Jul · PMID 40119605 · Full text
INTRODUCTION: Drinking is the most problematic health behavior among adolescents. Adolescent drinking behavior is likely to continue into adulthood and can lead to various social problems, development of multiple disease...
INTRODUCTION: Drinking is the most problematic health behavior among adolescents. Adolescent drinking behavior is likely to continue into adulthood and can lead to various social problems, development of multiple diseases, and even death. Grit is defined as the ability to persist in the face of a struggle. While grit can be a protective factor against risky health behaviors, there is a lack of information on how grit is related to adolescent drinking behavior. Based on the integrative model of adolescent health risk behavior, this study aimed to examine how intrapersonal, interpersonal, and cultural/environmental factors were related to adolescent drinking behaviors. Especially, this study aimed to examine the relationship between grit and adolescent drinking behavior by adding grit as a psychosocial maturity factor. DESIGN: A cross-sectional study using a nationally representative sample of Korean adolescents. METHODS: A secondary data analysis of the 5th wave of the Korean children and youth panel survey (N = 2252) was conducted. The study sample comprised 11th-grade high school students. Descriptive statistics and logistic regression analyses were performed RESULTS: Model 1 included intrapersonal, interpersonal, and cultural/environmental factors associated with adolescent drinking behavior. Model 2 added grit to the factors in model 1 to examine how grit is related to adolescent drinking behavior. After controlling for intrapersonal, interpersonal, and cultural/environmental factors, a higher level of grit was associated with lower odds of drinking behavior among adolescents (OR = 0.413, 95% CI = 0.257-0.662, p < 0.001) CONCLUSION: A higher level of grit was associated with lower odds of drinking behavior among adolescents after adjusting for intrapersonal, interpersonal, and cultural/environmental factors CLINICAL RELEVANCE: As grit can help deter risky health behaviors, guardians, teachers, and school nurses should focus on fostering grit among adolescents through education, mentorship, and intervention programs.
Supporting Nurse Leaders to Recognize and Intervene in Team Members' Suicidality.
James KE, Rogers J, Accardi R … +3 more , Aryal G, Ludwig-Beymer P, Davidson JE
J Nurs Scholarsh · 2025 Jul · PMID 40116005 · Full text
INTRODUCTION: Nurses and healthcare support staff have a higher suicide risk than the public. This elevated risk calls for increased efforts to support mental health. Additionally, nursing leaders' education on employee-...
INTRODUCTION: Nurses and healthcare support staff have a higher suicide risk than the public. This elevated risk calls for increased efforts to support mental health. Additionally, nursing leaders' education on employee-specific suicide prevention is lacking. DESIGN: An evidence-based project was implemented using the PICO question: Among nurse leaders at an academic healthcare system in California, does the provision of an educational program using role-playing practice and the creation of a suicide prevention toolkit versus no standard education or training improve self-efficacy and knowledge on how to take action with a team member who is suspected of being suicidal or voicing suicidal ideation? METHODS: Education sessions were planned based on the literature, with surveys collected preintervention, immediately posteducation, and 1-month postintervention to assess suicide prevention self-efficacy and knowledge. Knowledge was measured using a researcher-constructed questionnaire validated by six suicide prevention experts. The General Self-Efficacy Scale (range: 10-40) was used. RESULTS: Sixty participants attended one of 11 scheduled remote-learning sessions. Mean self-efficacy significantly improved (pre: 31.3 [n = 46, min: 18, max: 40]; immediate post: 33.49 [n = 37, min: 24, max: 40]; 1-month post: 33.77 [n = 31, min: 28, max: 40]) (X = 8.0184, df = 2, p = 0.01815). The proportion of incorrect knowledge questions was significantly lower postintervention (mean pre: 24.5%, immediate post: 11.5%, 1-month post: 10.7%, X = 23.195, df = 2, p = 0.000001). All participants (100%, n = 55) recommended the program. Leaders reported feeling better prepared to support suicidal employees. CONCLUSION: Project results demonstrate the need to provide suicide prevention training for leaders. The authors recommend requiring training/return demonstration competency as a component of new leaders' onboarding. This program can easily be modified for nurses from prelicensure through senior leadership. CLINICAL RELEVANCE: Suicide rates in healthcare members are higher than those of the general population. Suicide prevention programs can help nursing leaders feel better prepared to support and connect at-risk healthcare workers with resources.
What Is a Good Death in South Asia? A Systematic Review and Narrative Synthesis.
Wijeyaratne L, Spruijt O, Jayasinghe S … +3 more , Kane S, Ramadasa U, Philip J
J Nurs Scholarsh · 2025 Jul · PMID 40099669 · Full text
INTRODUCTION: To deliver palliative care, it is important to understand what a "good death" means to the relevant people. Such studies have mostly occurred in high-income settings that usually live by Western ideals. Wha...
INTRODUCTION: To deliver palliative care, it is important to understand what a "good death" means to the relevant people. Such studies have mostly occurred in high-income settings that usually live by Western ideals. What matters to people is likely to vary across different regions of the world, influenced by multiple factors. Although there is a great need for palliative care in South Asia, there is a lack of comprehensive understanding of what a good death means in this setting. This study aimed to increase understanding of what is considered a good death in South Asia. DESIGN: Systematic review and narrative synthesis. METHOD: A systematic search was conducted across eight databases, an Advanced Google search, and a bibliography search of selected articles. A data-based convergent synthesis was performed, along with quality appraisal. RESULTS: Twenty-five empirical studies were selected for analysis from India, Pakistan, Bangladesh, Sri Lanka, and Bhutan. Four themes emerged. Mutual care and connection support a continued sense of self: contributing to others, while receiving connection through relationships and spiritual practices, was important for patients and supported by families and healthcare workers. Freedom to choose-privilege or burden?: the choice to participate in care was necessary for some patients but a burden for others, who preferred the family to lead their care. Severe uncontrolled pain and financial distress precluded choice for some patients, who felt death was the only option. Decisions regarding artificial prolongation of life were complex for patients and healthcare workers. Opportunities in the last days: when actively dying, there was general agreement on the importance of being pain-free, feeling safe, and having family present. Home was not always the preferred place of death. For family, it was critical to perform last rites. After death matters: What happens after death-influenced by leaving a legacy and religious beliefs-affected all parties before, during, and post-death. CONCLUSIONS: To our knowledge, this is the first review of what a good death means in South Asia. There is a dearth of research from most South Asian countries. Although the South Asian perspective has similarities with the Western perspective, we note important nuances around decision-making, prolongation of life, prognostic awareness, and wanting to end one's life, moderated by culture, religion, and poverty. We support policies that account for these variations. Ongoing work is required to provide good symptom management, thus increasing opportunities for patient participation in care. Further research is needed in areas of ethics and religion at the end of life in South Asia.
Cultural Competence of European Nursing Faculty. An International Cross-Sectional Study.
Visiers-Jiménez L, Baeza-Monedero MI, Ríos-Díaz J … +2 more , Llinares SML, Martínez-Gimeno ML
J Nurs Scholarsh · 2025 May · PMID 40090875 · Full text
INTRODUCTION: The diverse cultural landscape of Europe underscores the importance of culturally safe healthcare. There is a necessity to assess cultural competence among European nursing faculty to provide an internation...
INTRODUCTION: The diverse cultural landscape of Europe underscores the importance of culturally safe healthcare. There is a necessity to assess cultural competence among European nursing faculty to provide an international perspective on cultural competence. DESIGN: A descriptive, cross-sectional study. METHODS: An assessment of cultural competencies was conducted using the Cultural Competence Assessment scale, either in its original language (English) or in its translated and validated versions in Spanish, Italian, Portuguese, and Turkish. An online questionnaire was used to collect data. The study was conducted in 71 higher institutions, distributed across 17 countries through a consecutive sample of 1364 nursing faculty. The ethical principles of biomedical research were respected during the study, and the confidentiality of the data was guaranteed. RESULTS: The mean level of cultural competence of the European nursing faculty was at the level of 'good'. They showed greater cultural awareness and sensitivity than cultural competence behaviors. Significant associations were found between cultural competence level and the language of the questionnaire, level of education, having a nursing degree, leisure stays abroad, having friends from other countries or cultures, and international experiences abroad and at home. The better levels of cultural competence were found in profiles with the categories of: women with a Nursing Degree, a higher level of education, and with an ERASMUS+ stay experience. CONCLUSIONS: This study offers an international overview of the cultural competence of nursing faculty. While the overall level of cultural competence was good, there is a need to reinforce the behaviors and factors that influence it.
Artificial Intelligence and Peer Review.
Gennaro S
J Nurs Scholarsh · 2025 Mar · PMID 40090873 · Publisher ↗
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