International Journal of Nursing Practice最新文献

{"title":"The Relationship Between the Digital Clinical Practice Environment, Unmet Expectations and the Successful Transition of Nursing Students: A Cross-Sectional Study","authors":"Yuting Feng, Ying Wang, Liyan Lu, Changyong Liang, Li Jiang","doi":"10.1111/ijn.70032","DOIUrl":"https://doi.org/10.1111/ijn.70032","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aims</h3>\u0000 \u0000 <p>This study investigates how unmet expectations in the digital clinical practice environment for elderly care impact the negative affect and turnover intentions of students majoring in elderly care and examines the moderating role of proactive personality traits.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A cross-sectional study was conducted between December 2022 and March 2023. Participants included 609 nursing students from 16 schools in Anhui Province, China, who met inclusion criteria and consented to participate. They completed the Digital Technology Unmet Expectations Scale, Negative Affect Scale, Proactive Personality Scale and Turnover Intention Scale. Data analysis was performed using SPSS and SmartPLS.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Unmet expectations regarding digital technology were identified as significant barriers to the successful transition of elderly care students into the workforce. However, no moderating effects of proactive personality were found on the relationships between unmet expectations concerning system quality and negative affect, unmet expectations regarding information quality and negative affect or unmet expectations regarding system quality and turnover intention.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Findings suggest that unmet expectations related to digital technology in the clinical training environment hinder the transition of elderly care students to the workforce. It is essential to implement measures to facilitate a smoother transition for students in this field.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Summary</h3>\u0000 \u0000 <section>\u0000 \u0000 <p>What Is Already Known About This Topic?</p>\u0000 \u0000 <div>\u0000 \u0000 <ul>\u0000 \u0000 \u0000 <li>The high rate of nursing student turnover is one of the major reasons for the shortage of elderly care nurses.</li>\u0000 \u0000 \u0000 <li>The turnover intention of nursing students is influenced by many factors.</li>\u0000 \u0000 \u0000 <li>Few studies have examined the mechanism of unmet expectations in the digital clinical practice environment of elderly care on the turnover intentions of students.</li>\u0000 </ul>\u0000 </div>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <p>What This Paper Adds?</p>\u0000 \u0000 <div>\u0000 ","PeriodicalId":14223,"journal":{"name":"International Journal of Nursing Practice","volume":"31 3","pages":""},"PeriodicalIF":1.9,"publicationDate":"2025-06-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144299865","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Lived Experience of Contemporary Trainee Nursing Associates: The Evolution of the New Role as a Pathway to Nursing. A Phenomenological Study","authors":"Shubhangi Sarwan, Kathryn Sethi, Victoria Skerrett, Samantha Peck, Katy Sutherland-Hastings, Joanne Brooke","doi":"10.1111/ijn.70030","DOIUrl":"https://doi.org/10.1111/ijn.70030","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>In 2016, a new role, the nursing associate, was implemented within the nursing workforce in England to support the shortfall of registered nurses and create a new pathway into nursing. This study aims to explore trainee nursing associates' lived experience to understand if the new role has been accepted and embedded in the nursing workforce.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Design</h3>\u0000 \u0000 <p>This study used a qualitative inductive phenomenological design. The Consolidated Criteria for Reporting Qualitative Research checklist (COREQ) was adhered to in developing this paper.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Semi-structured focus groups were conducted with participants completing their nursing associate programme in one higher education institute. Four focus groups with 14 participants occurred between June and November 2021. Thematic analysis was completed as described by Braun and Clarke from an inductive phenomenological perspective.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Four themes were identified: (1) new opportunities and knowledge; (2) academic and practice support; (3) pressure within clinical placements; and (4) the need for continued education and training.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>The new role has supported widening participation in higher education institutions and an affordable professional nursing pathway. However, challenges, such as a lack of understanding of the nursing associate role, remain in both clinical practice and higher education institutes. The development of the nursing associate role across specialities has commenced, which inevitably causes further confusion.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <div>\u0000 \u0000 <ul>\u0000 \u0000 \u0000 <li>\u0000 \u0000 <p>What is known about this topic?\u0000\u0000 </p><ul>\u0000 \u0000 <li>\u0000 <p>A new role, the nursing associate, was implemented in England in 2016 to support the shortfall of registered nurses.</p>\u0000 </li>\u0000 \u0000 <li>\u0000 <p>Nursing associates are registered with the governing nursing body in England, the Nursing and Midwifery","PeriodicalId":14223,"journal":{"name":"International Journal of Nursing Practice","volume":"31 3","pages":""},"PeriodicalIF":1.9,"publicationDate":"2025-06-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/ijn.70030","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144292222","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":"Current Status and Influencing Factors of Chinese Nurses' Compassion Competence: A Cross-Sectional Study","authors":"XinYue Zhang, Kai Liu, YeFei Sun","doi":"10.1111/ijn.70031","DOIUrl":"https://doi.org/10.1111/ijn.70031","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Compassion serves as the cornerstone for effective nurse–patient communication and humanistic nursing care, recognized as a vital component of emotional labour involved in nursing practice. However, research concerning the current status of nurses' compassion competence and its influencing factors remains limited.</p>\u0000 \u0000 <p>The primary aim of this study was to investigate the current status of compassionate competence among Chinese nurses and to identify its influencing factors—particularly the roles of personality traits and nursing work environments.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Between November 2024 and January 2025, a comprehensive survey was delivered to 300 nurses conveniently sampled from three institutes, utilizing the Demographic Information Scale for Nurses, the Chinese Big Five Personality Inventory, the Practice Environment Scale of the Nursing Work Index and Compassion Competence Scale for the Nurses. Univariate analysis and multivariate analysis were utilized to provide a nuanced understanding of correlations between general information, personality traits and the nursing work environment. Additionally, Pearson correlation analysis was employed to evaluate the associations between compassion abilities, personality traits and the nursing work environment.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The average compassion competence score among the participants was 62.52 ± 9.94, indicating a moderate level of compassion. Various factors were identified as independently influencing nurses' compassion competence, including years of work experience, monthly income, working in gynaecology or paediatrics, participation in nurse–patient communication training, openness in personality traits and the nursing work environment. Collectively, these factors accounted for 44.9% of the variation in compassion competence scores.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>This study examined the prevailing state of nurses' compassion competence and undertook in-depth exploration of the various factors that shape it. Findings offer insights for developing training measures to enhance nurses' emotional connections with patients and reduce compassion fatigue, ultimately improving nursing quality and service development in China.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Summary</h3>\u0000 \u0000 <div>\u0000 \u0000 <ul>\u0000 \u0000 \u0000 <li>What is already known about this topic?</li>\u0000 \u0000 \u0000 <","PeriodicalId":14223,"journal":{"name":"International Journal of Nursing Practice","volume":"31 3","pages":""},"PeriodicalIF":1.9,"publicationDate":"2025-06-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144281482","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Longitudinal Evaluation of Bowel Function Recovery and Determinants in Colorectal Cancer Patients Postileostomy: A Comprehensive Study","authors":"Yinglian Li, Simeng Song, Yang Li, Yingyi Kuang, Lili Chu, Yi Wen, Xingxing Ai, Xiaoying Tian","doi":"10.1111/ijn.70024","DOIUrl":"https://doi.org/10.1111/ijn.70024","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>The aim of this study was to longitudinally observe bowel function changes in colorectal cancer (CRC) patients postileostomy, analyse factors influencing recovery and provide a multidimensional assessment to enhance understanding of early postoperative bowel function and its determinants, supporting personalized care strategies.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A prospective longitudinal study was conducted on 116 CRC patients postileostomy at a tertiary hospital in Guangdong Province. After exclusions, data from 102 participants were analysed. Data were collected at four time points: preoperative admission, postoperative day 5, 1 month and 2 months after surgery. Validated tools, including the Memorial Sloan Kettering Cancer Center Bowel Function Instrument (MSKCC BFI), the International Physical Activity Questionnaire Short Form (IPAQ-SF), the Self-Rating Anxiety Scale (SAS), the Stoma Self-Efficacy Scale (SSES) and the Stoma-Quality of Life (Stoma-QOL) questionnaire, were used. Generalized estimating equations analysed associations between bowel function and demographic, clinical and lifestyle factors such as age, gender, comorbidities and physical activity.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>BFI scores significantly improved from 69.00 (SD = 7.00) at admission to 47.00 (SD = 5.00) at 2 months postsurgery (<i>p</i> < 0.05). Physical activity levels declined initially (postoperative day 5) but gradually recovered over time (<i>p</i> < 0.05). SAS scores peaked on postoperative day 5 and then declined (<i>p</i> < 0.05). Both SSES and Stoma-QOL scores improved significantly over 2 months (<i>p</i> < 0.05). Several factors significantly influenced changes in bowel function, including demographic and clinical characteristics, physical activity, anxiety, self-efficacy and quality of life (<i>p</i> < 0.05). Generalized estimating equations revealed that bowel function improved over time, influenced by age, gender, adjuvant therapy, ostomy output, complications and self-efficacy (<i>p</i> < 0.05).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Recovery of bowel function after ileostomy is a dynamic process influenced by various demographic, clinical and psychosocial factors, emphasizing the need for tailored rehabilitation strategies.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Summary</h3>\u0000 \u0000 <div>What is already known about this topic?\u0000\u0000 <ul>\u0000 \u0000 <li>\u0000 <p>Colorectal cancer is a leading cause of morbidity and mortality, with an in","PeriodicalId":14223,"journal":{"name":"International Journal of Nursing Practice","volume":"31 3","pages":""},"PeriodicalIF":1.9,"publicationDate":"2025-06-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144273054","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Effect of Music on Fear and Anxiety of Children During Tomography: A Randomized Controlled Double-Blind Study","authors":"Fatma Kurudirek, Zülbiye Demir Barbak, Zeynep Demir İmamoğlu, Kamile Çiftci, Orhan Delice","doi":"10.1111/ijn.70029","DOIUrl":"https://doi.org/10.1111/ijn.70029","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>This study was conducted to determine the effect of a musical intervention during computed tomography (CT) on fear, anxiety and vital signs of children.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Method</h3>\u0000 \u0000 <p>This randomized, double-blind controlled trial was conducted according to the Consolidated Standards of Reporting Studies (CONSORT) guidelines. The study sample included children aged between 6 and 10 years who met the inclusion criteria and underwent CT scan in the emergency department of a public hospital in eastern Turkey between 18 April and 20 May 2023. The research was completed with a total of 60 children, randomized to one of two groups. The nursing intervention of the study was playing music. Data were collected through face-to-face interviews using the Child and Family Information Form, the Children's Fear Scale (CFS), Children's Anxiety Meter-State (CAM-S) and the Vital Signs Monitoring Form (pulse, blood pressure and oxygen saturation). Ethical principles were followed in the research.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The level of fear, anxiety, pulse rate and respiratory rate of the children in the musical intervention group during CT scanning were lower than in the control group (<i>p</i> < 0.05). No difference was found between the groups in terms of oxygen saturation (<i>p</i> < 0.05).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion and Recommendations for Implementation</h3>\u0000 \u0000 <p>The results of this study suggest that musical intervention during CT scanning in children is effective in reducing the level of fear and anxiety and stabilizing vital signs. By using such nonpharmacologic methods, nurses can provide support to children and alleviate emotional difficulties during procedures.</p>\u0000 \u0000 <p><b>Trial Registration:</b> NCT06086509</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Summary</h3>\u0000 \u0000 <div>What is already known about this topic?\u0000\u0000 <ul>\u0000 \u0000 <li>Music therapy is recognized as an effective nonpharmacologic intervention to reduce fear and anxiety in paediatric patients undergoing medical procedures.</li>\u0000 \u0000 <li>Previous studies have shown that musical intervention during CT scans can calm children, potentially reducing the need for sedation and improving compliance.</li>\u0000 \u0000 <li>Knowledge gaps remain regarding the specific effects of music on physiological parameters like pulse and respiratory rates during paediatric CT scans.</li>\u0000 </ul>\u0000 </div>\u0000 ","PeriodicalId":14223,"journal":{"name":"International Journal of Nursing Practice","volume":"31 3","pages":""},"PeriodicalIF":1.9,"publicationDate":"2025-06-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144273055","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Evidence-Based Practice Implementation Strategies Used by Formal Nursing Leaders in a Portuguese Context","authors":"Diana Gabriela Simões Marques dos Santos, Daniela Filipa Batista Cardoso, Ana Filipa dos Reis Marques Cardoso, Filipa Margarida Gonçalves Duque, Beatriz Sofia Lavos Fernandes, Maria do Rosário Charneca Caixeiro Pinto Sousa, António Fernando Salgueiro Amaral","doi":"10.1111/ijn.70028","DOIUrl":"https://doi.org/10.1111/ijn.70028","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>To identify the strategies used by formal nursing leaders to implement and sustain Evidence-Based Practice (EBP) in clinical contexts.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Formal nursing leaders are responsible for ensuring resources for implementing and sustaining EBP in clinical settings.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A descriptive study with a qualitative approach was developed. Seventeen semistructured interviews were conducted with formal nursing leaders of three Portuguese health institutions. For data analysis, content analysis was conducted according to Bardin (2020) using the MAXQDA Analytic Pro 2022 software.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Findings</h3>\u0000 \u0000 <p>Eight categories emerged that reflect the strategies adopted: (i) dissemination and availability of resources; (ii) reflection about clinical practice; (iii) involvement of nurses in working groups to support decision-making; (iv) monitoring and dissemination of the EBP impact; (v) dissemination and implementation of nurses' projects; (vi) partnership between academic world and the clinical practice; (vi) shared decision-making meetings; and (viii) the Nurses' job rotation.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>This study allowed identification of the strategies adopted by formal nursing leaders to implement and sustain EBP in three Portuguese healthcare institutions. Future studies should explore and evaluate the effectiveness of these strategies.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Summary statement</h3>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> What is already known about this topic</h3>\u0000 \u0000 <div>\u0000 \u0000 <ul>\u0000 \u0000 \u0000 <li>A culture of EBP is crucial in healthcare organization to improve health outcomes and experience, and to reduce healthcare costs.</li>\u0000 \u0000 \u0000 <li>Formal nursing leaders have a key role to promote EBP.</li>\u0000 </ul>\u0000 </div>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> What this paper adds</h3>\u0000 \u0000 <div>\u0000 \u0000 <ul>\u0000 \u0000 \u0000 <li>This study increased knowledge about the strategies developed and/or implemented by formal nursing leaders to promote EBP implementation in three Portuguese clinical contexts.</li>\u0000 ","PeriodicalId":14223,"journal":{"name":"International Journal of Nursing Practice","volume":"31 3","pages":""},"PeriodicalIF":1.9,"publicationDate":"2025-06-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144264544","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"An Examination of Relationships Between Postural Habits and Awareness of Fatigue and Musculoskeletal Discomfort in Nurses","authors":"Metin Tuncer,&nbsp;Gülsüm Zekiye Tuncer,&nbsp;Şeyma Turan,&nbsp;Leyla Khorshtd","doi":"10.1111/ijn.70027","DOIUrl":"https://doi.org/10.1111/ijn.70027","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>Prolonged fatigue, caused by the hospital's demanding workload and physical demands, can increase strain on the musculoskeletal system, leading to musculoskeletal issues that may negatively impact nurses' job performance and quality of life. High postural awareness, on the other hand, can help nurses develop correct posture and movement habits, reducing the risk of experiencing discomfort, thus preserving their physical health and supporting workforce sustainability. Therefore, it is of particular importance to determine the relationship of postural awareness to fatigue and musculoskeletal discomfort in nurses working in a hospital environment with heavy working conditions and many ergonomic risks.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>The aim of this study was to describe the postural habits, awareness, occupational fatigue levels and musculoskeletal disorders of nurses working in hospitals and to examine the relationships between these factors.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Method</h3>\u0000 \u0000 <p>This study used a quantitative cross-sectional design. The study sample consisted of 132 nurses working in a hospital in Türkiye. The data for the study were collected between July and October 2023 using the Occupational Fatigue Exhaustion/Recovery Scale (OFER), Cornell Musculoskeletal Discomfort Questionnaire (CMDQ) and Postural Habits and Awareness Scale (PHAS).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>A significant positive, low-level correlation was found between the Recovery subscale of the OFER scale and the Postural Habits subscale of the PHAS scale (<i>r</i> = 0.277, <i>p</i> &lt; 0.05). A significant negative, moderate-level correlation was observed between the Chronic Fatigue subscale of the OFER scale and the Postural Habits subscale of the PHAS scale (<i>r</i> = −0.311, <i>p</i> &lt; 0.001). Additionally, a significant negative, moderate-level correlation was found between the Acute Fatigue subscale of the OFER scale and the Postural Habits subscale of the PHAS scale (<i>r</i> = −0.326, <i>p</i> &lt; 0.001).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>This study found that as nurses' correct postural habits improved, both acute and chronic fatigue decreased, whereas recovery increased. It is suggested that interventions aimed at enhancing postural awareness and promoting correct postural habits in nurses may also positively influence occupational fatigue and exhaustion.</p>\u0000 </section>\u0000 </div>","PeriodicalId":14223,"journal":{"name":"International Journal of Nursing Practice","volume":"31 3","pages":""},"PeriodicalIF":1.9,"publicationDate":"2025-06-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144256330","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Linking Emotional Exhaustion to Adverse Patient Events in Paediatric and Women's Health Nursing Units: The Mediating Role of Nurses' Adherence to Patient Safety Protocols","authors":"Leodoro J. Labrague,&nbsp;Sulaiman Al Sabei,&nbsp;Omar Al Rawajfah,&nbsp;Ikram Burney,&nbsp;Raeda AbuAlRub","doi":"10.1111/ijn.70026","DOIUrl":"https://doi.org/10.1111/ijn.70026","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Emotional exhaustion among nurses is a critical factor that significantly impacts patient safety and the overall quality of care in healthcare settings. Despite its recognized importance, the specific mechanisms by which emotional exhaustion influences adverse patient events are not fully understood.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>This study examined whether adherence to patient safety protocols could mediate the relationship between emotional exhaustion and adverse patient events.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>This cross-sectional study involved a sample of 318 registered nurses from various paediatric and women's health units across selected hospitals in nine governorates of the Sultanate of Oman. Data were collected using self-administered questionnaires, including the Emotional Exhaustion Subscale of the Maslach Burnout Inventory, the Patient Safety Adherence Scale and the Adverse Patient Events Scale. Hayes' PROCESS macro in SPSS (Model 4) was used to conduct mediation analysis.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Findings</h3>\u0000 \u0000 <p>Higher levels of emotional exhaustion among nurses were associated with lower adherence to patient safety protocols (β = −0.26, <i>p</i> &lt; 0.001) and increased adverse patient events (β = 0.32, <i>p</i> &lt; 0.001). Adherence to patient safety protocols partially mediated the relationship between emotional exhaustion and adverse patient events (β = 0.014).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Addressing emotional exhaustion through theoretically driven interventions, supportive policies and leadership can enhance adherence to safety protocols and improve patient safety outcomes. By mitigating the impact of emotional exhaustion, healthcare organizations strengthen workforce resilience and promote a culture of safety.</p>\u0000 </section>\u0000 </div>","PeriodicalId":14223,"journal":{"name":"International Journal of Nursing Practice","volume":"31 3","pages":""},"PeriodicalIF":1.9,"publicationDate":"2025-06-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144256329","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Stoma Acceptance and Valuable Actions Scale for Colorectal Cancer Patients With Permanent Stomas: A Reliability and Validity Study","authors":"Guopeng Li,&nbsp;Rui Qin,&nbsp;Xiangyu Zhao,&nbsp;Di Zhao,&nbsp;Meiling Qi,&nbsp;Ping Li","doi":"10.1111/ijn.70023","DOIUrl":"https://doi.org/10.1111/ijn.70023","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aims</h3>\u0000 \u0000 <p>This study aimed to develop and evaluate the psychometric properties of the Stoma Acceptance and Valuable Actions Scale (SAVAS), which measures the degree of stoma acceptance and the extent of personal actions aligned with values among colorectal cancer (CRC) patients with permanent stomas.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Acceptance of a stoma and the enactment of actions consistent with personal values are crucial for psychosocial adaptation following stoma formation. However, these aspects have not been adequately explored, largely due to the lack of valid and reliable measurement tools.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Design</h3>\u0000 \u0000 <p>This is an instrument development and validation study with a cross-sectional design.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Items were created through a literature review and guided by Acceptance and Commitment Therapy (ACT) theory. Content validity was evaluated using two rounds with a consensus panel of 12 experts. The psychometric properties of the SAVAS were tested using two separate convenience samples (Ns = 201 and 213). Key aspects assessed included content validity, internal consistency, test–retest reliability, convergent validity, discriminant validity and concurrent validity.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The content validity of the SAVAS was high at 0.921, and a two-factor solution emerged from the final 12 items: stoma acceptance and valuable actions. The Cronbach's alpha for the overall scale and its factors was strong (0.888 for the total scale, 0.879 for stoma acceptance and 0.872 for valuable actions). Acceptable test–retest reliability was demonstrated, with values of 0.939, 0.872 and 0.864, respectively. The study also confirmed good convergent, concurrent and discriminant validity for the SAVAS.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>The SAVAS demonstrated good validity and reliability for assessing stoma acceptance and valuable actions among CRC patients with permanent stomas. Future observational and interventional studies are needed to further assess and refine the psychometric properties of the SAVAS.</p>\u0000 </section>\u0000 </div>","PeriodicalId":14223,"journal":{"name":"International Journal of Nursing Practice","volume":"31 3","pages":""},"PeriodicalIF":1.9,"publicationDate":"2025-05-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144100812","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Impact of Telecounselling, Home Monitoring and Exercise on Hospital Readmissions and Quality of Life in Chronic Obstructive Pulmonary Disease: A Randomized Controlled Trial","authors":"Nejla Köksal,&nbsp;Hanife Durgun","doi":"10.1111/ijn.70021","DOIUrl":"https://doi.org/10.1111/ijn.70021","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Individuals with Chronic Obstructive Pulmonary Disease (COPD) should engage in regular exercise, emphasizing the importance of home-based practices.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>This study aimed to investigate the effects of home follow-up, counselling and exercise training through telecounselling on hospital readmissions and the quality of life of individuals with COPD.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>This was a single-blind, randomized controlled clinical trial. Individuals in the intervention group were given breathing exercise training and following the training, the patients received weekly exercise programmes. It was added as a control tally on the back page of the training booklet, and a phone call was made to the patients once a week for 12 weeks. No intervention was applied to the control group patients during the 12 weeks. The research report was structured according to CONSORT.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>There was a statistically significant difference between the pretest and posttest difference averages of the SF 36 Quality of Life Scale and the number of hospital readmissions of individuals with COPD in the intervention and control groups (<i>p</i> &lt; 0.05).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>It was determined that exercise training and 12-week teleconsultancy and home-based monitoring service applied to the intervention group patients increased the quality of life of individuals with COPD and reduced hospital readmissions.</p>\u0000 </section>\u0000 </div>","PeriodicalId":14223,"journal":{"name":"International Journal of Nursing Practice","volume":"31 3","pages":""},"PeriodicalIF":1.9,"publicationDate":"2025-05-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/ijn.70021","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144085359","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}