Contemporary Nurse[JOURNAL]
Sun
200 papers
A silent weight: the cumulative toll of 'trauma dumping' or unexpected self-disclosure in social situations.
Cleary M, Jackson D
Contemp Nurse · 2025 Dec · PMID 41248250 · Publisher ↗
Abstract loading — click title to view on PubMed.
Workload and role differentiation in medical long-term care and nursing homes: implications for professional care team well-being in dementia care.
Novakova M, Bartova A, Steffl M … +1 more , Holmerova I
Contemp Nurse · 2026 Apr · PMID 41222033 · Publisher ↗
BACKGROUND: As populations age, rising dementia prevalence increases workload in medical long-term care (MLTC) facilities and nursing homes (NHs). OBJECTIVES: This study compared perceived person-centred care (PCC) and d...
BACKGROUND: As populations age, rising dementia prevalence increases workload in medical long-term care (MLTC) facilities and nursing homes (NHs). OBJECTIVES: This study compared perceived person-centred care (PCC) and dementia-related burden (DRB) among care teams in both settings, considering occupation, age, sex, and professional experience. METHODS: A cross-sectional design included 689 participants (81.3% women; 33.5% registered nurses, 43.4% caregivers) from MLTC (n = 531) and NHs (n = 158). Data were collected using the Person-centred Care Assessment Tool and the Professional Care Team Burden scale. Propensity score matching and generalised linear models were used to reduce bias and analyse group differences. RESULTS: MLTC staff reported more environmental challenges, while NH staff perceived more favourable outcomes but greater stress in managing dementia behaviours. Registered nurses tended to be more critical of PCC than caregivers. CONCLUSION: Findings highlight how institutional context, professional role, and demographics shape PCC and DRB perceptions. Tailored support and targeted interventions are essential to enhance dementia care quality and staff well-being.
Effect of grit and subjective risk intelligence on work performance and nurses burnout: the moderating role of social cooperation.
Mert IS, Koksal K
Contemp Nurse · 2025 Dec · PMID 41208161 · Publisher ↗
BACKGROUND: Emergency room nurses often experience high levels of stress and emotional exhaustion due to the fast-paced and high-stakes nature of their work. Understanding the psychological traits that buffer against bur...
BACKGROUND: Emergency room nurses often experience high levels of stress and emotional exhaustion due to the fast-paced and high-stakes nature of their work. Understanding the psychological traits that buffer against burnout and enhance job performance is essential for promoting resilience in this critical workforce. AIM: This study examined the effects of grit and subjective risk intelligence on job performance and burnout among emergency nurses and explored whether social cooperation moderates these relationships. STUDY DESIGN: A cross-sectional quantitative study was conducted with 172 emergency nurses from two public hospitals. Data were collected via self-administered questionnaires. Regression and moderation analyses using Hayes' Process model were applied to test the hypotheses. RESULTS: Grit (specifically consistency of interest) and a positive attitude toward uncertainty were positively associated with job performance and negatively associated with burnout. Social cooperation significantly moderated the relationship between consistency of interest and job performance. However, its moderating role was limited across other variables. CONCLUSIONS: Grit and subjective risk intelligence play significant roles in enhancing performance and reducing burnout among emergency nurses. Social cooperation can further strengthen the impact of grit on work outcomes, though its overall moderating effect may be context-dependent. RELEVANCE TO CLINICAL PRACTICE: Fostering psychological traits such as grit and risk intelligence in emergency nurses can support sustainable performance and emotional resilience. Nursing managers should consider incorporating psychological resilience training and team-based support structures into workforce development strategies. IMPACT STATEMENT: Psychological traits like grit and risk intelligence reduce burnout and improve performance among emergency nurses through social cooperation.
Context-Based mapping of patient educational materials and standard clinical terminology.
Park YE, Han JH, Tak YW … +4 more , Park YJ, Song DS, Lee J, Lee Y
Contemp Nurse · 2026 Feb · PMID 41122049 · Publisher ↗
BACKGROUND: Patient education is crucial for understanding medical conditions, treatment options, and self-management techniques. Digital technology has revolutionised patient education, providing efficient and cost-effe...
BACKGROUND: Patient education is crucial for understanding medical conditions, treatment options, and self-management techniques. Digital technology has revolutionised patient education, providing efficient and cost-effective alternatives to traditional methods. However, challenges persist in customising educational materials to specific clinical settings. OBJECTIVES: We investigated the relationship between healthcare terminology standards and the Systematized Nomenclature of Medicine - Clinical Terms (SNOMED CT) dictionary. Our aim was to provide practical mapping guidance and case examples to help users better understand how to map patient education materials (PEM) to SNOMED CT to generate consistent results across different institutions. METHODS: We mapped the titles of PEM in a single hospital setting using SNOMED CT terms. We focused on materials made between October 1, 2018, and November 30, 2022, and found 1,271 matchable PEM titles. Keywords were identified and sorted into categories like Target, Time, Condition, and Procedure. Two researchers worked independently to match these keywords with SNOMED CT, and any differences were resolved through discussion or third-party review. RESULTS: Out of 1,271 PEM titles that were assigned to categories, only 3.9% remained unmapped. Most of the mapped titles were related to Procedure (93.3%), Condition (56.8%), Time (17.5%), and Target (12%); 2,688 keywords were mapped, with 62.4% single-mapped and 36.9% were multi-mapped. Among the keywords mapped to various categories, Procedures accounted for the highest proportion (49.4%). CONCLUSIONS: Examining the keywords mapped to each SNOMED CT concept in different categories provided valuable insights into how terms are distributed and improved our understanding of the specific terms used in PEM. When educational materials are mapped to standard clinical terminologies and integrated into the Electronic Health Record (EHR), patients receive personalised and relevant health information, potentially improving engagement and health outcomes. This approach may reduce the workload of healthcare personnel, reduce miscommunication, and improve overall healthcare efficiency.
Exploring the use of digital technologies in the management of delirium in acute hospital settings: A scoping review.
Al Siyabi A, Peddle M, Tomlinson EJ
Contemp Nurse · 2026 Feb · PMID 41108096 · Publisher ↗
BACKGROUND: Delirium is a complex cognitive syndrome commonly observed in hospital settings. While non-pharmacological approaches are recommended for its management, delirium-related behaviours can present significant ch...
BACKGROUND: Delirium is a complex cognitive syndrome commonly observed in hospital settings. While non-pharmacological approaches are recommended for its management, delirium-related behaviours can present significant challenges to nursing care. Digital technologies are being increasingly used to predict risk of delirium, however there is limited evidence regarding the use of digital technologies to support delirium management. Understanding the impact of digital technologies on nursing workflow and patient outcomes can help to inform and support the effective implementation of these tools in delirium management. AIM: To examine the use of digital technologies in supporting nurses to care for adult patients with delirium in acute hospital settings. METHODS: A scoping review following the Joanna Briggs Institute (JBI) methodology for scoping reviews undertaken. Tailored search strategies were applied across MEDLINE, CINAHL, APA PsycINFO, and Embase. RESULTS: Fifteen studies were included, examining technologies such as clinical decision systems, mobile apps, family simulations, music interventions, web-based platforms, and EMR-integrated tools. Reported benefits included reductions in delirium incidence and duration, decreased anxiety and agitation, and shorter hospital stays. Technologies improved nurses' adherence to guidelines, offered real-time decision support, and reduced cognitive burden. Interventions featuring personalisation through tailored care plans or familiar sensory stimuli were effective in enhancing patient engagement and outcomes. CONCLUSIONS: This review highlights the potential role of digital technologies in optimising delirium management within hospital settings. Findings emphasise the potential for improving patient care and guiding future research and integration strategies in clinical practice.
Cultural Safety and clinical safety: A symbiotic relationship for improving Aboriginal and Torres Strait Islander Peoples and Communities' health outcomes.
Moloney A, Stuart L
Contemp Nurse · 2026 Apr · PMID 41105806 · Publisher ↗
DISCUSSION: While the link between Cultural Safety and patient outcomes is clear, consistent application in practice is lacking. Cultural Safety is equally vital as clinical safety in ensuring quality care, particularly...
DISCUSSION: While the link between Cultural Safety and patient outcomes is clear, consistent application in practice is lacking. Cultural Safety is equally vital as clinical safety in ensuring quality care, particularly for Indigenous Australians affected by culturally unsafe practices. RECOMMENDATIONS: In healthcare delivery Indigenous Australians health and the 'Closing the Gap' agenda is everybody's business, it is not the responsibility of the patient, their family or their Community. The authors propose a reconceptualisation of the way health and wellbeing is perceived by health professionals, in which providing culturally safe care is symbiotic with providing clinically safe care. As an integrated foundation for quality and safety in health care, this strategy brings together the social determinants of culturally safe care with competent, evidence-based, equitable and non-bias care for all, and could help advance the Closing the Gap agenda.
Nurses' experiences of using mHealth apps for risk reduction and chronic condition management: A qualitative descriptive study.
Shiyab W, Halcomb E, Ferguson C … +1 more , Rolls K
Contemp Nurse · 2026 Feb · PMID 41090621 · Publisher ↗
BACKGROUND: Chronic conditions negatively impact health and well-being; however, lifestyle risk reduction can slow their progression. Monitoring behaviours, tracking health statistics and receiving health education via m...
BACKGROUND: Chronic conditions negatively impact health and well-being; however, lifestyle risk reduction can slow their progression. Monitoring behaviours, tracking health statistics and receiving health education via mobile Health (mHealth) apps can empower patients with chronic conditions to adopt and maintain healthy lifestyles. Given nurses' roles in managing chronic conditions, they are ideally positioned to integrate mHealth apps into patient care. However, there is currently a gap in our understanding of nurses' experiences using this technology in their practice. AIM: This paper explores nurses' experiences using mHealth apps to support patients with, or at risk of, chronic conditions. DESIGN: This qualitative descriptive study was undertaken within a concurrent mixed methods project. METHOD: Data were collected through semi-structured video interviews with 13 nurses. Interviews were analysed using reflexive thematic analysis. The COREQ checklist was used to guide reporting. RESULTS: Three themes were identified regarding nurses' experiences of using mHealth apps. The first theme focused on perceptions of mHealth app personal use. In the second theme of perceived benefits of mHealth app use in practice, the two subthemes were: a) health tracking and health literacy, and b) mHealth apps are the future. The final theme, perceived confidence in mHealth app recommendation, also included two subthemes, namely: a) perceived role in app recommendation and b) nurses' education needs. CONCLUSION: Exploring nurses' experience with mHealth apps is crucial for improving the uptake of this technology in usual care. Nurses recognise the potential of mHealth apps to increase health literacy and patient independence, but often lack confidence in using them in practice. Therefore, it is essential to prepare nurses to integrate mHealth apps into their routine practice. This can be achieved by developing a clear framework for mHealth app appraisal and providing the necessary education and training to utilise this framework effectively.
Identifying non-technical skills of circulating nurses and their impact on patient safety: a scoping review.
Maguire M, Kourouche S, Jackson Ao D
Contemp Nurse · 2025 Oct · PMID 41078035 · Publisher ↗
AIM: To identify and synthesise the non-technical skills used by circulating nurses to maintain the safety of the surgical patient in the intra-operative setting. DESIGN: Scoping review using the Preferred Reporting Item...
AIM: To identify and synthesise the non-technical skills used by circulating nurses to maintain the safety of the surgical patient in the intra-operative setting. DESIGN: Scoping review using the Preferred Reporting Items for Systematic reviews and Meta-Analyses Scoping Review Extension (PRISMA-ScR) guideline. METHODS: Data were extracted and tabulated based on aim, methods, main findings, and limitations, and non-technical skills were identified. Four electronic databases, including CINAHL, PubMed, Scopus and Medline, were searched in May 2024. Twelve studies met the eligibility criteria. RESULTS: A total of eight non-technical skills were identified from the twelve included studies from six countries. The circulating nurse role was well defined, as well as each NTS, but the link between the use of non-technical skills by circulating nurses and how they maintain patient safety was not clear. There was some ambiguity around which non-technical skills were most applicable to the circulating nurses' role in maintaining patient safety, with various practical examples. CONCLUSION: The use of non-technical skills is essential to safeguarding intra-operative patient safety among all theatre staff, though it remains unclear which skills are most relevant to circulating nurses.
Aspiration in intramuscular injection: a meta-analysis of pain, duration, and clinical outcomes.
Yıldız Karaahmet A, Senturan L
Contemp Nurse · 2025 Oct · PMID 41051060 · Publisher ↗
BACKGROUND: Aspiration during intramuscular (IM) injection is a traditional technique intended to prevent intravascular administration. However, its routine use has been increasingly debated due to potential discomfort a...
BACKGROUND: Aspiration during intramuscular (IM) injection is a traditional technique intended to prevent intravascular administration. However, its routine use has been increasingly debated due to potential discomfort and lack of evidence supporting clinical benefit. AIM: To systematically evaluate the effect of aspiration on pain intensity, procedure duration, and complications in IM injections through a meta-analysis of randomized controlled trials. METHODS: A comprehensive literature search was conducted in PubMed, Cochrane Library, Embase, Web of Science, Scopus, EBSCOhost, TR Dizin, and PsycINFO up to May 2, 2025. Eligible studies compared aspiration versus no-aspiration techniques in IM injections. Data were analyzed using RevMan 5.4.1, with standardized mean differences (SMD) and mean differences (MD) calculated using random-effects models. Subgroup analyses were performed by age group and injection site. Risk of bias was assessed using the Cochrane ROB-2 tool. RESULTS: Six studies involving 693 participants were included. Aspiration significantly increased pain scores (SMD = 0.83; 95% CI: 0.31-1.35; = 0.002), particularly in pediatric populations (SMD = 1.29; 95% CI: 1.12-1.46) and in deltoid injections. It also prolonged injection time by an average of 4.53 s (MD = 4.53; 95% CI: 3.87-5.20). No serious complications were reported in association with omitting aspiration. CONCLUSION: Aspiration during IM injections increases pain and procedure time without reducing complication risk. These findings support current international guidelines discouraging routine aspiration, particularly in pediatric and vaccine-related applications. Injection technique should be individualized based on patient characteristics and medication type.
The digital revolution in cardiovascular care should not escape scientific scrutiny: a discussion paper.
Ferguson C, Chen Y, Davidson PM … +1 more , Wynne R
Contemp Nurse · 2026 Feb · PMID 41047280 · Publisher ↗
BACKGROUND: The rapid evolution and adoption of wearable technologies shows both promise and complexity for contemporary nursing practice. AIM: To critically examine the integration of digital health innovation, particul...
BACKGROUND: The rapid evolution and adoption of wearable technologies shows both promise and complexity for contemporary nursing practice. AIM: To critically examine the integration of digital health innovation, particularly wearable and implantable cardiac monitoring devices, within acute care. DESIGN: Discursive paper. SUMMARY: While these technologies offer opportunities for continuous, real-time monitoring and early detection of arrhythmias such as atrial fibrillation (AF), translation and adoption are hindered by evidence, regulatory challenges, and limited co-design with clinicians and consumers. Nurses are well-positioned to lead the translation and adoption of these technologies into practice, yet must navigate issues of data accuracy, cybersecurity, and workflow disruption. Drawing on recent evidence and clinical guidelines, the potential of wearables to reduce stroke burden through improved AF detection is explored and emerging smart-technologies capable of generating holistic 'digital phenotypes' featured. The ethical and clinical implications of shifting routine nursing activities, such as routine vital sign monitoring, towards automated systems are reviewed in relation to the merits of recalibrating nursing care to focus on high-value care activities. This discussion highlights the need for new and agile research methodologies, cross-disciplinary partnerships, and nurse-led innovation to ensure that wearable technologies are safe, effective, and tailored to patient needs. The paper provides a call to action for a proactive nursing agenda that leads in digital transformation, whilst upholding the principles of person-centred care.
Enhancing the recognition and management of neck haematoma following thyroid surgery among healthcare professionals: a quality improvement project.
Akhavan-Mofrad A, Raveendran S, Gupta KK … +3 more , Thomas E, Wong HY, De M
Contemp Nurse · 2025 Dec · PMID 40977384 · Publisher ↗
BACKGROUND: Post-thyroidectomy haematoma is a life-threatening emergency. As first-responders, it is crucial for nurses to possess training in prompt recognition and escalation. AIMS: Evaluate and enhance the preparednes...
BACKGROUND: Post-thyroidectomy haematoma is a life-threatening emergency. As first-responders, it is crucial for nurses to possess training in prompt recognition and escalation. AIMS: Evaluate and enhance the preparedness of first-responders in recognising and managing post-thyroidectomy haematoma. DESIGN: Closed-loop quality improvement project. METHODS: Knowledge and confidence in managing post-thyroidectomy haematoma was audited over a 2-week period. Data was collected at a primary elective surgical site. Interventions focusing on clinical education were implemented and the results re-audited. RESULTS: Mean confidence scores in recognising and managing post-thyroidectomy haematoma increased on re-audit (2.94-3.22; 2.62-2.83, respectively). Following the intervention, the number of participants who had received prior training rose from 49.1% to 66%. Awareness of the SCOOP protocol increased from 13.2% to 66.7% ( < 0.001). CONCLUSIONS: This quality improvement project highlighted a key knowledge gap, improved confidence in management of post-thyroidectomy haematoma, and emphasised a requirement and desire for further teaching.
Work-family conflict and turnover intention of nurses: the mediating role of psychological capital and the moderating role of transformational leadership.
Yang ZY, Du Y, Plummer V … +3 more , Hu XL, Wang AN, Guo YF
Contemp Nurse · 2025 Dec · PMID 40932421 · Publisher ↗
BACKGROUND: Lacking nursing workforce is a persistent and predicted issue that negatively affects the nursing team's stability, clinical care quality and patient safety. Prior research has examined the significant effect...
BACKGROUND: Lacking nursing workforce is a persistent and predicted issue that negatively affects the nursing team's stability, clinical care quality and patient safety. Prior research has examined the significant effect of work-family conflict on turnover intention, but the exact mechanism remains unclear. OBJECTIVE: To examine how work-family conflict influenced nurses' turnover intention in China. To investigate the mediating effect of psychological capital in work-family conflict affecting turnover intention; and to investigate the moderating effect of transformational leadership and age on work-family conflict, psychological capital and turnover intention. DESIGN: A cross-sectional survey of 1235 nurses employed in 4 hospitals within a single province in China that provided care to approximately 5 million people each year. METHODS: Several measures including Work-Family Conflict Scale, Turnover Intention Scale, Psychological Capital Questionnaire and Transformational Leadership Questionnaire were utilized to collect data. Structural equation modeling approach as well as the multi-group analysis were conducted. RESULTS: Via psychological capital, work-family conflict significantly affected the nurses' turnover intention indirectly ( = 0.08, < 0.001). The mediation association was significantly moderated by transformational leadership ( < 0.001). CONCLUSION: The association of work-family conflict affecting turnover intention among Chinese nurses was mediated by psychological capital, and transformational leadership moderated the relationship of work-family conflict, psychological capital and turnover intention.
Motivational factors influencing clinical nurses' participation in continuing education: a cross-sectional study.
Liu R, Wang J, Li M … +3 more , Yang H, Li X, Ji H
Contemp Nurse · 2025 Oct · PMID 40874829 · Publisher ↗
BACKGROUND: Clinical nurses' motivation to participate in continuing education is critical to improving professional competence and the quality of care delivery, but this motivation remains variable, especially in resour...
BACKGROUND: Clinical nurses' motivation to participate in continuing education is critical to improving professional competence and the quality of care delivery, but this motivation remains variable, especially in resource-limited settings. Understanding the underlying characteristics of motivation and the factors that influence it is essential for nurse managers to develop targeted interventions. OBJECTIVES: This study aimed to identify distinct motivational profiles among clinical nurses in a third-tier city in western China and explore factors associated with these profiles, with a focus on self-efficacy and demographic variables. DESIGN: A cross-sectional survey was conducted from January to April 2025. METHODS: Participants included 400 clinical nurses from a tertiary hospital in a third-tier city in western China, a resource-limited setting with fewer continuing education opportunities compared to developed regions. Inclusion criteria required registered nurses with ≥1 year of clinical experience, recent continuing education participation, and voluntary consent. Exclusion criteria included nursing educators, trainees, and those on leave. Data were collected using the Education Participation Scale (EPS), General Self-Efficacy Scale (GSES), and demographic questionnaires. Latent profile analysis (LPA) was employed to categorize motivational profiles, and multivariate logistic regression analyzed associated factors. RESULTS: LPA identified three motivational profiles: high motivation-self-efficacy driven (25%), moderate motivation-career development oriented (49.25%), and low motivation-externally pressured (25.75%). Univariate analysis showed that self-efficacy and parental responsibilities were significantly associated with motivation category ( < 0.05). Multivariate logistic regression demonstrated that self-efficacy was a strong predictor of high motivation (OR = 0.392, 95% CI: 0.331-0.464), while other factors like age and marital status showed no significant effects. CONCLUSION: Clinical nurses' motivation for continuing education exhibits significant heterogeneity, with self-efficacy being a key determinant. Stratified interventions, such as enhancing self-efficacy, optimizing career support, and addressing external barriers, are recommended to improve participation and service quality. Future research should explore longitudinal effects and additional influencing factors.
Self-care-associated needs in inpatients with heart failure: a descriptive, cross-sectional pilot study.
Hutter M, Eßl-Maurer R, Glarcher M … +1 more , Ewers A
Contemp Nurse · 2025 Dec · PMID 40853348 · Publisher ↗
BACKGROUND: Interventions to promote heart failure self-care may be tailored to self-care needs, which are as yet unknown for patients with heart failure in Austria. AIMS: To describe the self-care needs of Austrian inpa...
BACKGROUND: Interventions to promote heart failure self-care may be tailored to self-care needs, which are as yet unknown for patients with heart failure in Austria. AIMS: To describe the self-care needs of Austrian inpatients with heart failure and to examine the relationship of self-care with health-related quality of life, age, and living arrangement. METHODS: This cross-sectional pilot study was conducted at a university hospital. A convenience sample of thirty adult inpatients (53.3% female, mean age = 76.13 year) was included, who (2) were previously diagnosed with Heart Failure, (3) were able to speak and read in German language, and (4) gave informed consent. Otherwise eligible patients were excluded if they (1) were diagnosed with a mental disorder (ICD-10-Codes F00-F99), (2) showed signs of disorientation, (3) were living in a nursing facility, (4) suffered from immediately life-threatening or end-stage terminal illness. Self-care needs were assessed with the European Heart Failure Self-Care Behaviour Scale and the Kansas City Cardiomyopathy Questionnaire (KCCQ-23). Data were analysed with descriptive and inferential statistical methods. RESULTS: Overall self-care was reported as adequate (Mean = 74.26). Inadequate self-care was reported in 7 out of 9 self-care behaviours. Self-Care was adequate in fluid Intake (Median = 1.0) and medication adherence (Median = 1.0). Participants had a poor to fair health-related quality of life (Median = 36.85) and clinical condition (Median = 43.22). The sample was highly socially limited (Median = 21.87) but had a fair to good self-efficacy (Median = 62.50). Self-Care did not correlate with age, health-related quality, and living arrangements. CONCLUSIONS: Self-care needs were identified in all self-care dimensions. Symptom perception, self-care management as well as patients' clinical condition and social limitations should be considered in Self-Care interventions. Health-related quality of life, age, and living arrangement were not identified as self-care needs.
Perceived level of teamwork as reported by registered nurses: a cross-sectional study.
Kohanová D, Sollárová A, Kolarczyk E … +1 more , Bartoníčková D
Contemp Nurse · 2025 Oct · PMID 40851464 · Publisher ↗
BACKGROUND: While teamwork is widely recognized as essential to safe and high-quality nursing care, its evaluation has been underexplored in Central and Eastern Europe. This study offers original insights by systematical...
BACKGROUND: While teamwork is widely recognized as essential to safe and high-quality nursing care, its evaluation has been underexplored in Central and Eastern Europe. This study offers original insights by systematically assessing nursing teamwork in Slovak public hospitals. By identifying strengths and weaknesses in team dynamics through structured evaluation, it becomes possible to implement targeted, context-specific improvements that reflect the realities of the local healthcare system. OBJECTIVES: This study aimed to explore how registered nurses (RNs) perceive the level of teamwork in selected public hospitals in Slovakia and to identify key factors that influence these perceptions, addressing a significant gap in research within the Central and Eastern European healthcare context. DESIGN: The cross-sectional study. METHODS: The study included 346 RNs from four selected hospitals in the Slovak Republic. Data were collected using the Nursing Teamwork Survey (NTS) instrument between April 2022 and February 2023 and analyzed using descriptive and inferential statistics. RESULTS: Registered nurses perceived moderate teamwork during their last working shift. Perceived level of teamwork was significantly influenced by the unit type, the number of overtime hours in the past month, and the intention to leave the position. The results show significant associations between the perceived level of teamwork and overall job satisfaction, job satisfaction in the current position, satisfaction with teamwork, and overall patient safety level. Several variables were found to be significant predictors of teamwork among RNs ( ≤ 0.05). CONCLUSIONS: Effective teamwork among nurses is crucial for optimal patient outcomes. The study highlights the importance of enhancing teamwork in the Slovak healthcare setting and identifies factors influencing nurses' perceptions of teamwork. Addressing these factors can lead to a more positive teamwork environment and improved work satisfaction among nursing professionals. Targeted interventions based on identified predictors could be beneficial in achieving this goal.
The outcomes of cardiac rehabilitation in out-of-hospital cardiac arrest - a narrative review.
Singh KN, Baird S, Singh HN … +1 more , Gurung A
Contemp Nurse · 2025 Dec · PMID 40811046 · Publisher ↗
BACKGROUND: Out-of-hospital cardiac arrest survivors often face physical, cognitive, and psychosocial challenges that reduce health-related quality of life. While cardiac rehabilitation programs aim to aid recovery, thei...
BACKGROUND: Out-of-hospital cardiac arrest survivors often face physical, cognitive, and psychosocial challenges that reduce health-related quality of life. While cardiac rehabilitation programs aim to aid recovery, their effectiveness in improving health-related quality of life for Out-of-hospital cardiac arrest survivors remains uncertain. AIM: This narrative review evaluates the impact of cardiac rehabilitation and tailored rehabilitation programs on the health-related quality of life of out-of-hospital cardiac arrest survivors during their first year of recovery. METHODS: A literature review on cardiac rehabilitation was conducted using four databases (MEDLINE Complete, CINAHL, Scopus, and Embase). The review focused on studies published between 2014 and 2024. The inclusion criteria specified out-of-hospital cardiac arrest survivors aged eighteen years and older who were engaged in rehabilitation post-hospital discharge. A narrative review was conducted, adhering to the Joanna Briggs Institute guidelines. The database searches initially identified 365 articles, which were reduced to 347 after removing duplicates and non-English articles. Subsequent screening of titles and abstracts excluded 333 studies, leaving 57 full-text articles for further consideration. Ultimately, 14 studies were included. RESULTS: Traditional cardiac rehabilitation programs showed limited improvement in health-related quality of life, particularly in addressing cognitive and emotional needs. Tailored interventions, incorporating cognitive and emotional cardiac rehabilitation programs, multidisciplinary teams, and peer support, demonstrated better health-related quality of life outcomes, though physical health differences were minimal. Challenges in societal reintegration and return to work remained unaddressed by both approaches. CONCLUSION: Person-centred, evidence-based rehabilitation programs addressing cognitive, emotional, and societal challenges are essential for improving the health-related quality of life of out-of-hospital cardiac arrest survivors. Further research is needed to establish robust guidelines and optimise outcomes for this vulnerable population.
Co-designing the future of nursing education: Integrating tradition and innovation.
Crowfoot G
Contemp Nurse · 2025 Oct · PMID 40709728 · Publisher ↗
Abstract loading — click title to view on PubMed.
Experiences of nurse preceptors in a continuity-aligned dedicated education unit.
Stubbs MA, Porteous B, Reis J … +12 more , Kelly M, Vandy C, Olaisen JA, Makaza M, Mollart L, Koizumi N, Volegoff K, Martin J, Orsina M, Bembridge E, Noble D, Crowfoot G
Contemp Nurse · 2025 Oct · PMID 40650998 · Publisher ↗
BACKGROUND: A continuity-aligned dedicated education unit is a novel professional experience model focused on teaching and learning in clinical environments. Students complete repeat placements within a clinical ward des...
BACKGROUND: A continuity-aligned dedicated education unit is a novel professional experience model focused on teaching and learning in clinical environments. Students complete repeat placements within a clinical ward designed to support student learning. Evidence reports high student and preceptor satisfaction within dedicated education units. However, information concerning nurse preceptor experiences within a continuity-aligned dedicated education unit have not been explored. AIMS: To explore the experiences of nurse preceptors who mentor students in a continuity-aligned dedicated education unit at the commencement of the initial four weeks of professional experience placement. DESIGN: Qualitative descriptive study. METHODS: Registered nurses ( = 8) employed for >6 months with a minimum of 12 months' experience working within the clinical ward participated in group or individual 30-minute recorded interviews. The interviews were conducted face-to-face or via Zoom. All recordings were transcribed verbatim. Data analysis was undertaken using inductive thematic analysis. RESULTS/FINDINGS: Participants had a median (Q1, Q3) age of 44 (25, 36) years. Four themes emerged: (i) preceptorship is a multifaceted role, (ii) precepting is important and positive, (iii) continuity-aligned dedicated education unit model brings hope, and (iv) endorsed model. CONCLUSION: Preceptors perceive the continuity-aligned dedicated education unit as beneficial for students' learning and their professional development. However, the model can be impacted by occasional staffing challenges. Further studies are required to explore the long-term impact of continuity-aligned dedicated education units on both student nurses and nurse preceptors.
Factors contributing to work motivation of nurses: Synthesis of qualitative studies.
Kurucová R, Čáp J, Bóriková I … +2 more , Tomagová M, Kohanová D
Contemp Nurse · 2025 Oct · PMID 40613604 · Publisher ↗
The motivation of healthcare workers is a multifaceted challenge that demands a sustained and structured approach. The aim of the review was to gather and summarize findings from qualitative research exploring the factor...
The motivation of healthcare workers is a multifaceted challenge that demands a sustained and structured approach. The aim of the review was to gather and summarize findings from qualitative research exploring the factors that motivate nurses. A literature review search was conducted across five databases: Scopus, ProQuest, PubMed, Web of Science, and ScienceDirect. Fourteen papers were identified as appropriate for quality evaluation using a standardized tool. Eleven studies, all demonstrating high quality, met the inclusion criteria. Through the analysis of 11 qualitative studies, 4 primary themes emerged, each with multiple sub-themes. These themes collectively provided a comprehensive understanding of the key motivational factors for nurses, including Appreciation, Support and Professional Development. The findings highlight the key factors motivating nurses. Investing in employee motivation leads to improved care quality, reduced turnover, and increased overall well-being.
Truth, service, and sovereignty: the impact of ANZAC Day actions on Aboriginal and Torres Strait Islander wellbeing.
Mackay J, Best O
Contemp Nurse · 2025 Aug · PMID 40554732 · Publisher ↗
Abstract loading — click title to view on PubMed.
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