Healthcare最新文献

{"title":"Exploring the Association Between Physical Activity, Regulatory Emotional Self-Efficacy, Perceived Self-Burden, and Social Isolation Among Older Adults in China.","authors":"Shicheng Yang, Huimin Peng, Longjun Jing, Huilin Wang, Shuyin Chen","doi":"10.3390/healthcare13060687","DOIUrl":"10.3390/healthcare13060687","url":null,"abstract":"<p><p><b>Background</b>: As people age, their physical functions decline, and changes in social roles and life experiences put older adults at a higher risk of social isolation. <b>Methods</b>: In this study, we employed both snowball and purposive sampling techniques to collect valid data from 237 seniors aged 60 to 75 residing in Hunan Province. Using structural equation modeling (SEM) with the partial least squares (PLS) method, we examined the relationship between physical activity and social isolation among this elderly population. <b>Result</b>: Findings from this study indicate a positive association between physical activity and regulatory emotional self-efficacy, while revealing a negative association with the perception of being a burden to others. Moreover, a higher regulatory emotional self-efficacy is linked to reduced social isolation, whereas an increased sense of self-perceived burden is associated with greater social isolation. This study also uncovers that the link between physical activity and reduced social isolation is influenced by both regulatory emotional self-efficacy and the perception of self-burden. <b>Conclusion</b>: It is imperative for a collaborative effort involving government entities, societal groups, family units, and individuals to meticulously address and cater to the diverse requirements of senior citizens.</p>","PeriodicalId":12977,"journal":{"name":"Healthcare","volume":"13 6","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-03-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11942282/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143729855","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Influence of Recreational Hiking on the Prevalence of Cardiovascular and Psychiatric Diseases Among Population of Republic of Serbia.","authors":"Milos Gostimirovic, Jovana Rajkovic, Ana Bukarica, Ljiljana Gojkovic-Bukarica","doi":"10.3390/healthcare13060680","DOIUrl":"10.3390/healthcare13060680","url":null,"abstract":"<p><p><b>Background:</b> Hiking is a physical activity recommended for people of all ages. In an era of increased incidence of cardiovascular and psychiatric diseases, directing individuals to hiking can be very important from both public health and socioeconomic perspectives. Since the health status of recreational hikers and the general population in the Republic of Serbia has not been compared yet, our objectives are to compare the health-related characteristics of those two groups, including the prevalence of comorbidities, pharmacotherapy, and drug consumption. <b>Methods:</b> A descriptive epidemiological study was conducted. Research questions were asked via two specially prepared questionnaires distributed through the Google Forms platform. The means of the two groups were tested by a two-sample Student <i>t</i>-test for independent variables. <b>Results:</b> The sample consisted of 259 hikers and 292 people from the general population. A total of 199 hikers (76.8%) and 218 people from the general population group (74.7%) were declared as healthy. The statistically significant differences between the groups included age, sex, education level, and body mass index. In both groups, the majority of those with pre-existing medical conditions had at least one cardiovascular disease (23.5% of the hikers and 19.5% of the individuals in the general group). Pre-existing psychiatric diseases were noted in 6% of the hikers and in 12% of those in the general group. The average durations of the disease in the hiker and general population were 11.9 and 8.4 years, respectively (<i>p</i> < 0.05), whereas, there were no differences in drug consumption. <b>Conclusions:</b> This pilot study represents the comparison of the cardiovascular and mental health among hikers and the general population in the Republic of Serbia. Although psychiatric diseases were clearly less prevalent among hikers, the prevalence and burden of cardiovascular diseases must be interpreted with caution, due to big age difference between the respondents from both groups. However, our future studies will employ objective measurements and clinical parameters rather than self-reported surveys, so that the health benefits of hiking appear more clearly.</p>","PeriodicalId":12977,"journal":{"name":"Healthcare","volume":"13 6","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-03-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11942088/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143729825","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Intended and Unintended Impacts of '4+7' Volume-Based Drug Procurement on the Use of Drugs in China: A Natural Experimental Study.","authors":"Dantong Zhao, Zhongliang Zhou","doi":"10.3390/healthcare13060686","DOIUrl":"10.3390/healthcare13060686","url":null,"abstract":"<p><p><b>Background:</b> Volume-based drug procurement is regarded as a pharmaceutical cost-containment measure in healthcare provision globally. The Centralized Volume-Based Drug Procurement (CVBDP) launched in March 2019 in China, also known as the '4+7' policy. 11 cities, including Xi'an city in Shaanxi Province, were set up as pilots. This study aims to examine the intended and unintended impacts of the '4+7' policy on the use of original and generic drugs in city-level and county-level hospitals in Shaanxi, China. <b>Methods:</b> The data used in this study came from the Shaanxi Drug and Apparatus Centralized Procurement Platform (SDACPP). In total, 111,999 drug procurement order records of 118 policy-related drugs (including 25 '4+7' policy-list drugs and 93 alternative drugs by generic name) from April 2017 to November 2019 were included in analyses. Policy-list drugs were divided into bid-winning and non-winning drug products. The volume and the expenditure of the drugs served as the outcome variables, measured by Defined Daily Doses (DDDs) and Chinese yuan (CNY), respectively. A difference-in-differences (DID) approach was used to estimate the policy's net effect. <b>Results:</b> After the '4+7' policy, the volume of bid-winning, policy-list, and policy-related drugs increased. An unexpected increase in volume was observed among alternative drugs, especially original drugs in city-level hospitals. The expenditure of policy-list and non-winning drugs declined, whereas that of alternative drugs unanticipatedly increased. Changes in volume and expenditure were both greater in generic drugs and in city-level hospitals, compared to their original and county-level hospital counterparts. <b>Conclusions:</b> Our findings highlight the positive effects of the '4+7' policy on generic drug substitution and pharmaceutical expenditure containment, which are greater in city-level hospitals. The unanticipatedly incremental volume of original drugs in city-level hospitals suggests the potential risk of the poor quality of bid-winning drugs, lower compliance with bid-winning drugs among patients, or physicians' profit-seeking behaviors in urban areas. More regulations and supervisions for the prescription and financial incentives of physicians are needed to address these concerns.</p>","PeriodicalId":12977,"journal":{"name":"Healthcare","volume":"13 6","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-03-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11941950/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143729865","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Health Inequity in the Distribution of Diseases Among Adults in the City of Pécs, Hungary, 2024.","authors":"Addisu Alemayehu Gube, Szimonetta Lohner, Jozsef Vitrai","doi":"10.3390/healthcare13060681","DOIUrl":"10.3390/healthcare13060681","url":null,"abstract":"<p><p><b>Background:</b> Health inequalities between citizens of different European countries and between socially advantaged and disadvantaged groups are seen as challenges to the EU's commitment to solidarity, social and economic cohesion, human rights, and equality of opportunity. This study aimed to assess inequity in the distribution of specific communicable and non-communicable diseases among the adult population of Pécs City, Hungary. <b>Methods:</b> This is an ecological study combined with health inequity analysis. The study population comprised adult patients living in the city of Pécs who were treated for circulatory, neoplasm, or respiratory diseases in 2019. Hospitalization and local socioeconomic data by zip codes were obtained from the National Health Insurance Fund of Hungary and the Hungarian Central Statistical Office. Diseases were classified according to the International Classification of Diseases, 10th revision (ICD-10). The differences and ratios of the proportions of treated diseases were calculated, along with the concentration index (C). Zip codes were ranked into categories 1 to 5 based on socio-demographic variables: education, employment status, and apartment ownership. A <i>p</i>-value of less than 0.05 was used as the cut-off point for statistical significance. IBM SPSS version 25 and STATA version 14.0 software were used for data analysis. <b>Results:</b> All 36 zip codes in the city of Pécs were included in this study. Analysis based on employment status showed a higher prevalence of neoplasms in areas with higher unemployment (C = -0.0528; 95% CI = -0.0975, -0.0080). In terms of apartment ownership, neoplasms (C = -0.0742; 95% CI = -0.1102, -0.0382) and circulatory diseases (C = -0.0280; 95% CI = -0.0520, -0.0039) were more prevalent in zip codes with fewer apartment owners. <b>Conclusions:</b> This study identified significant inequity in the distribution of neoplasms and circulatory diseases among the adult population of Pécs, especially in areas where the low socioeconomic segment of the population lives. Efforts should be made to establish tailored interventions such as targeted healthcare funding and employment programs for the unemployed and National Housing Trust Fund for those who do not own houses through multisectoral collaboration among healthcare providers, employers, governors, and policymakers.</p>","PeriodicalId":12977,"journal":{"name":"Healthcare","volume":"13 6","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-03-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11942578/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143729765","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Healthcare Professionals' Perceptions of Pre-, Peri-, and Postoperative Virtual Reality Immersion in Elderly Patients.","authors":"Kristian Hermander, Pether Jildenstål, Sofia Erestam, Peter Dahm, Sophie Lindgren, Joakim Strömberg, Carina Sjöberg","doi":"10.3390/healthcare13060669","DOIUrl":"10.3390/healthcare13060669","url":null,"abstract":"<p><p><b>Background/Objectives:</b> There is a lack of research examining healthcare professionals' perspectives regarding the potential of non-pharmacological solutions such as immersive virtual reality (VR). The aim of this study was to investigate opportunities and challenges related to the application of immersive virtual reality (VR) technology in patients aged 65 and older undergoing surgery with regional anesthesia and sedation. <b>Method:</b> A qualitative, multicenter study was conducted in the spring of 2024, involving semi-structured interviews with 17 healthcare professionals. <b>Result:</b> A qualitative content analysis of the interviews identified the main theme \"Healthcare professionals' openness to opportunities for this technology for elderly patients\", with the subthemes and themes \"elderly patients\", which included the participants' attitudes towards elderly patients; \"virtual reality\", which concerned opportunities, barriers, and risks; and \"sustainable healthcare\", which comprised the participants' thoughts about its impact on sustainable development. <b>Conclusions:</b> The participants suggested potential areas of use for VR during the perioperative period but also identified limitations and risks. They suggested VR was likely to have a positive impact on sustainable healthcare, as well as economic advantages. For its successful implementation, the equipment must be safe. There also needs to be a clear division of responsibilities for it to be functional and suitable for its users. Strategies such as nudging can be used to facilitate its implementation.</p>","PeriodicalId":12977,"journal":{"name":"Healthcare","volume":"13 6","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-03-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11941898/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143729770","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Nurses' Attitudes and Perceptions Towards Heart Failure Palliative Care: A Mixed Method Systematic Review.","authors":"Dalia Caleffi, Sara Alberti, Sergio Rovesti, Maria Chiara Bassi, Hajer Hassen, Ilaria Saguatti, Domenico Cannizzaro, Paola Ferri","doi":"10.3390/healthcare13060673","DOIUrl":"10.3390/healthcare13060673","url":null,"abstract":"<p><p><b>Background/Objectives:</b> Heart failure assistance is strictly correlated with the concept of palliative care. Supportive treatment should be part of the heart failure patient pathway from the beginning. Palliative care with interprofessional effective collaboration could be an important resource used to reduce heart failure distressing symptoms and improve quality of life. Nurses, as professionals with a holistic vision of care, play a crucial role in palliative care introduction and implementation. The aim was to explore nurses' attitudes and perceptions of heart failure palliative care, updating and adding knowledge to the current evidence. <b>Methods:</b> A systematic mixed-method review following the Joanna Briggs Institute methodology was undertaken. The screening of articles, data extraction and quality appraisal were performed by more than one author. The search was undertaken in May 2024 and applied to PubMed, Cinahl, Embase, Web of science, PsycInfo, Cochrane library and Scopus. A convergent integrated approach allowed us to combine qualitative and quantitative data. The analysis and synthesis of results was guided by the Theoretical Domain Framework. <b>Results:</b> Of the 1048 records identified, 26 met the inclusion criteria. Twelve framework domains were completed with data extracted. A flow chart was elaborated to offer an overview of the main concepts included. <b>Conclusions:</b> Numerous behaviors and elements influenced heart failure palliative care implementations. Analysis has shown that each analyzed element was strictly correlated one with another. When implementation was possible, outcome improvement sustained palliative care benefits with the direct involvement of nurses as educators and coordinators.</p>","PeriodicalId":12977,"journal":{"name":"Healthcare","volume":"13 6","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-03-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11942122/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143729789","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Positive Cycle of Breastfeeding-Mental Health Outcomes of Breastfeeding Mothers Following Birth Trauma.","authors":"Abigail Wheeler, Fay Sweeting, Andrew Mayers, Amy Brown, Shanti Farrington","doi":"10.3390/healthcare13060672","DOIUrl":"10.3390/healthcare13060672","url":null,"abstract":"<p><strong>Background/objectives: </strong>It is established that both birth and infant feeding experiences can impact maternal mental health, but little is known about how the two might interact. Potentially, a positive breastfeeding experience might help to mitigate feelings associated with birth trauma, but conversely, a difficult feeding experience might further compound birth trauma. The aim of this study was therefore to explore how mothers' experiences of breastfeeding following birth trauma might impact their mental health.</p><p><strong>Methods: </strong>To explore this, mothers were invited to complete an online survey about their experiences of birth and breastfeeding and how they felt these affected their wellbeing. There were 501 responses, with 159 (32%) describing their birth experience as traumatic and therefore included in this analysis. A thematic analysis approach was used to explore themes around breastfeeding experiences and the impact on wellbeing.</p><p><strong>Results: </strong>Mothers who described positive breastfeeding experiences felt that breastfeeding helped them to bond with their baby post birth trauma and that this protected their mental health. Conversely, mothers who had a difficult experience described how pain, exhaustion, and low milk supply further negatively impacted their wellbeing.</p><p><strong>Conclusions: </strong>The findings show the importance of enhanced support for breastfeeding mothers who have experienced birth trauma, as feeding experiences can potentially help heal or compound challenging memories, thoughts, and emotions around birth.</p>","PeriodicalId":12977,"journal":{"name":"Healthcare","volume":"13 6","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-03-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11942357/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143729845","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effects of Daily Lifestyle Habits on Non-Neurogenic Orthostatic Hypotension in Older Adults in South Korea: A Cross-Sectional Study.","authors":"Nahyun Kim, Hye-Kyung Oh","doi":"10.3390/healthcare13060674","DOIUrl":"10.3390/healthcare13060674","url":null,"abstract":"<p><p><b>Background:</b> Orthostatic hypotension (OH) is a chronic, debilitating condition common in older adults. This study examined the effects of daily lifestyle habits on non-neurogenic OH in older adults in South Korea. We further compared the effects of daily lifestyle habits on OH to those of the autonomic nervous system (ANS) function. <b>Methods:</b> In a cross-sectional study, 217 community-dwelling older adults aged ≥65 years were recruited using the convenience sampling method. Data were collected using two questionnaires to assess OH and daily lifestyle habits: OH was measured by Orthostatic Grading Scale (OGS) and lifestyle habits included nutrition, sleep, physical activity, and psychological status (stress and depression levels). Plasma catecholamines (epinephrine and norepinephrine) were measured to indicate the ANS function. The data were analyzed using <i>t</i>-tests, Pearson's correlation coefficients, and multiple linear regression analysis. <b>Results:</b> Significant factors related to OGA score included nutritional status (B = -0.20, <i>p</i> ≤ 0.040), poorer sleep quality (B = 0.15, <i>p</i> = 0.005), physical activity (B = -0.01, <i>p</i> = 0.032), stress (B = 0.04, <i>p</i> = 0.001), and depression (B = 0.23, <i>p</i> = 0.001). These together explained 40.5% of the variance in OH. However, no significant association was found between catecholamines and OGS score. <b>Conclusions:</b> These results suggest that lifestyle habits are important factors, while ANS function may be less associated with non-neurogenic OH. Thus, preventive and non-pharmacological interventions for decreasing OH symptoms should focus on maintaining healthy lifestyle habits in older adults.</p>","PeriodicalId":12977,"journal":{"name":"Healthcare","volume":"13 6","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-03-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11942563/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143729824","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A Greek Nationwide Survey About Sources of Information on Seasonal Influenza and COVID-19 Vaccination Used by Healthcare Facility Staff During the Pandemic.","authors":"Ioanna Avakian, Katerina Dadouli, Stamatia Kokkali, Konstantinos Fotiadis, Christos Hadjichristodoulou, Varvara Α Mouchtouri","doi":"10.3390/healthcare13060670","DOIUrl":"10.3390/healthcare13060670","url":null,"abstract":"<p><p><b>Background</b>: Workers in healthcare facilities can encourage and serve as role models for the general population regarding vaccination. The information source preferences of employees in healthcare facilities can play an important role in their decisions to receive COVID-19 and seasonal influenza vaccinations (SIVs). A study of specific channels of information and their impact on vaccine acceptance could provide valuable insights. <b>Methods</b>: A cross-sectional questionnaire-based survey was conducted during the first semester of 2021 among 2592 staff members in healthcare facilities (primary, secondary and tertiary). <b>Results</b>: Higher odds of seasonal influenza vaccination (SIV) acceptance were found among staff who were informed by the National Public Health Organization (NPHO) (adjusted Odds Ratio (aOR): 1.47, 95% confidence intervals (CI): 1.13-1.90), the Hellenic Ministry of Health (HMH) (aOR: 1.50, 95% CI: 1.16-1.94) and the Healthcare Facilities Infection Control Committees (ICC) (aOR: 1.35, 95% CI: 1.06-1.73). Professionals who were more willing to accept a COVID-19 vaccine were more likely to obtain information from television (aOR: 1.43, 95% CI: 1.08-1.92), the ICC (aOR: 1.36, 95% CI: 1.03-1.81), the NPHO (aOR: 1.71, 95% CI: 1.28-2.28) and the HMH (aOR: 1.68, 95% CI: 1.26-2.26). Social media presented no statistically significant association with either COVID-19 vaccine acceptance or SIV. <b>Conclusions</b>: Workers in healthcare facilities who received information from highly credible organizations were more likely to accept vaccines. Television was effective in disseminating COVID-19 vaccine campaigns.</p>","PeriodicalId":12977,"journal":{"name":"Healthcare","volume":"13 6","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-03-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11941847/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143729890","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Exploring Influential Factors Shaping Nursing as a Profession and Science in Healthcare System-A Systematic Literature Review.","authors":"Vlora Ejupi, Allison Squires, Brigita Skela-Savič","doi":"10.3390/healthcare13060668","DOIUrl":"10.3390/healthcare13060668","url":null,"abstract":"<p><p><b>Introduction</b>: Nursing faces numerous challenges amidst broader socio-political transitions in many countries. Despite efforts to establish formal nursing education and legislative frameworks, the profession's status remains relatively low within some healthcare systems. This study aims to examine the factors influencing nursing professionalism and provide insights into strategies for its enhancement. <b>Aim:</b> The study seeks to summarize the existing literature on nursing professionalism, assess methodological quality, and derive recommendations for future research. Through a systematic review, the study explores various factors shaping nursing professionalism, including communication skills, resilience, education, and cultural perceptions. <b>Methods:</b> A systematic search was conducted across multiple electronic databases from 2014 to 2024 to identify relevant studies on nursing professionalism. The search strategy encompassed elements of professionalism, nursing, and exclusion criteria. Selected studies underwent methodological quality assessment using the Critical Appraisal Skills Programme Qualitative Checklist. <b>Results:</b> The review identified 421 records, yielding 72 eligible studies after screening and eliminating duplicates. Fourteen studies met the inclusion criteria, revealing a complex framework of factors influencing nursing professionalism. The key determinants include communication skills, resilience, education, and cultural perceptions. Studies emphasized the importance of effective communication, resilience in crisis management, quality education, and understanding psychological and cultural influences on professionalism. <b>Conclusions:</b> Nursing professionalism is influenced by multifaceted factors, including communication skills, resilience, education, and cultural perceptions. Recognizing these factors is vital for promoting high-quality nursing practice and ensuring patient safety. Addressing these elements can inform targeted interventions to enhance nursing professionalism and support nurses in delivering optimal healthcare. This study underscores the importance of investing in nursing education, fostering resilience, and considering cultural nuances to cultivate a culture of excellence and professionalism within healthcare systems.</p>","PeriodicalId":12977,"journal":{"name":"Healthcare","volume":"13 6","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-03-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11941794/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143729842","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}