International Journal of Nursing Practice最新文献

{"title":"Effects of a Virtual Reality Game or Autogenic Relaxation on Pruritus, Anxiety and Dermatologic Quality of Life in Haemodialysis Patients: A Randomized Controlled Trial","authors":"Nese Altınok Ersoy,&nbsp;Imatullah Akyar,&nbsp;Tolga Yıldırım,&nbsp;Şiyar Erdoğmuş","doi":"10.1111/ijn.70071","DOIUrl":"10.1111/ijn.70071","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>This study aimed to determine the effects of a virtual reality game or autogenic relaxation on pruritus, anxiety and dermatological quality of life in patients undergoing haemodialysis.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Pruritus is a prevalent and disturbing symptom in patients with chronic kidney disease that causes a scratching behaviour with a vicious <i>itch-scratch</i> cycle.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Design</h3>\u0000 \u0000 <p>This is a randomized controlled study.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>The study was conducted with 47 participants at two haemodialysis centres between December 2021 and February 2022. The participants in the intervention group were informed about virtual reality games (<i>n</i>: 15) or autogenic relaxation (<i>n</i>: 16). Data collection was performed face-to-face with the 5-D Itch Scale, State and Trait Anxiety Inventory and Dermatology Quality of Life Index in the first and third haemodialysis sessions in the first week and in the last sessions of the fifth and seventh weeks.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Scores of both intervention groups for the 5-D Itch Scale and State–Trait Anxiety scores decreased significantly in the fifth and seventh weeks, and Dermatology Quality of Life Index scores decreased significantly in the fifth week compared to the control group.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Both virtual reality games and autogenic relaxation interventions, undertaken 1 day before haemodialysis sessions, reduce pruritus and anxiety symptoms and increase dermatologic quality of life.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Trial Registration</h3>\u0000 \u0000 <p>This study was registered in the Clinical Trials protocol registry system (ClinicalTrials.gov identifier: NCT04289038).</p>\u0000 </section>\u0000 </div>","PeriodicalId":14223,"journal":{"name":"International Journal of Nursing Practice","volume":"31 5","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-10-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145258033","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":"Effectiveness of Nursing Care Intervention Among Patients With Hepatocellular Carcinoma Undergoing Surgery: A Systematic Review and Meta-Analysis","authors":"Wei Geng,&nbsp;Danling Wang,&nbsp;Xinwei Feng","doi":"10.1111/ijn.70065","DOIUrl":"10.1111/ijn.70065","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>This meta-analysis examines the effectiveness of nursing interventions on various outcomes, including mortality, postoperative complications, quality of life (QoL), anxiety, depression and pain in HCC patients undergoing surgery.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Hepatocellular carcinoma (HCC) is a prevalent liver malignancy often requiring surgical intervention. Postoperative outcomes in HCC patients are heavily influenced by perioperative management, with nursing interventions playing a critical role in improving recovery, minimizing complications and enhancing QoL.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Design</h3>\u0000 \u0000 <p>Systematic review and meta-analysis.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Review Methods</h3>\u0000 \u0000 <p>This review was conducted following PRISMA guidelines, evaluating studies on nursing interventions in surgical HCC patients. Databases were searched for studies reporting clinical and psychological outcomes, with eligible studies pooled using random-effects models. Heterogeneity, sensitivity analyses and publication bias assessments were performed to ensure robustness.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Result</h3>\u0000 \u0000 <p>Twenty-seven studies were analysed. Nursing interventions significantly reduced postoperative complications (OR 0.23; 95% CI: 0.17–0.31) and shortened hospital stay (WMD −5.92 days; 95% CI: −7.76 to −4.08). Additionally, significant improvements were observed in QoL (SMD 2.00; 95% CI: 0.74–3.27), anxiety (SMD −3.42; 95% CI: −5.95 to −0.89) and depression (SMD −3.70; 95% CI: −6.52 to −0.88). Pain levels were significantly reduced (WMD −2.02; 95% CI: −3.03 to −1.02), while nursing satisfaction was enhanced (OR 4.80; 95% CI: 2.42–9.51). Mortality did not show significant differences between groups.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Nursing interventions significantly enhance postoperative outcomes in HCC patients by reducing complications, improving QoL and alleviating psychological distress. These findings support integrating comprehensive nursing protocols into postoperative HCC care, emphasizing both physical and mental health.</p>\u0000 </section>\u0000 </div>","PeriodicalId":14223,"journal":{"name":"International Journal of Nursing Practice","volume":"31 5","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145258245","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":"Efficacy of Progressive Muscle Relaxation in Ulcerative Colitis: A Randomised Controlled Trial","authors":"Yağmur Artan,&nbsp;Yasemin Yıldırım,&nbsp;Nalan Gülşen Ünal","doi":"10.1111/ijn.70068","DOIUrl":"10.1111/ijn.70068","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Purpose</h3>\u0000 \u0000 <p>This study aimed to determine the effect of progressive muscle relaxation on disease activity, anxiety, sleep quality and quality of life in patients with ulcerative colitis.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Method</h3>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <p>This randomised, assessor-blinded, three-arm study was conducted in a university hospital in western Turkey between February and December 2022. Sixty patients were randomly assigned to three groups of 20: a progressive muscle relaxation group, a relaxing music group and a standard care group. The intervention groups received their respective therapies for 8 weeks, while the standard care group received routine treatment. Data were collected using instruments measuring disease activity, anxiety, sleep quality and quality of life. Repeated-measures ANOVA was used for comparisons.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Findings</h3>\u0000 \u0000 <p>There were improvements in the quality of life, anxiety and sleep quality in the progressive muscle relaxation group compared to the relaxing music and standard care groups. Although disease activity was evaluated, no statistically significant differences were observed between the groups.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Progressive muscle relaxation, an affordable and easily applicable method, was found to be an effective nursing intervention for improving psychological and functional outcomes in patients with ulcerative colitis.</p>\u0000 </section>\u0000 </div>","PeriodicalId":14223,"journal":{"name":"International Journal of Nursing Practice","volume":"31 5","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-10-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145238668","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":"Trauma-Informed Care and Nurses' Secondary Trauma, Burnout and Posttraumatic Growth: A Study With the Structural Equation Model","authors":"Eman Alhalal","doi":"10.1111/ijn.70066","DOIUrl":"10.1111/ijn.70066","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Trauma-informed care is recommended in healthcare settings. However, the understanding of its effects on nurses' well-being, including secondary trauma, burnout and posttraumatic growth, remains lacking.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>This study aimed to investigate the hypothesis that trauma-informed care is associated with nurses' negative outcomes, including secondary traumatic stress and burnout, and positive outcomes, including posttraumatic growth.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Design</h3>\u0000 \u0000 <p>This is a cross-sectional study.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>This study randomly recruited 291 nurses from two tertiary hospitals in Saudi Arabia. The online survey was sent to nurses in different clinical settings. Structural equation modelling analysis and confirmatory factor analysis were conducted to evaluate the hypothesised model.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The study revealed that trauma-informed care exhibited a significant negative association with secondary trauma (β = −0.351, <i>p</i> &lt; 0.0001) and burnout (β = −0.535, <i>p</i> &lt; 0.0001) and a positive association with posttraumatic growth (β = 0.281, <i>p</i> &lt; 0.0001). Further, trauma-informed care is indirectly associated with posttraumatic growth through the mediation of burnout (β = 0.265, <i>p</i> &lt; 0.0001) and secondary traumatic stress (β = −0.103, <i>p</i> = 0.003).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>The study provides evidence that trauma-informed care is significantly associated with nurses' outcomes, including reducing secondary trauma and burnout and promoting posttraumatic growth. Therefore, implementing trauma-informed care training and integrating its principles into daily nursing practice may have a positive effect on nurses.</p>\u0000 </section>\u0000 </div>","PeriodicalId":14223,"journal":{"name":"International Journal of Nursing Practice","volume":"31 5","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-10-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145238654","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":"Learning With Fun: The Effect of Flipped Learning and Escape Room Method on Nursing Students' Infection Control Knowledge and Learning Skills","authors":"Aysun Acun,&nbsp;Aliye Yildirim","doi":"10.1111/ijn.70067","DOIUrl":"10.1111/ijn.70067","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Flipped learning and escape room (gamification) are among the innovative teaching strategies frequently used in interactive education methods today, focusing on problem-solving learning. These methods are important in promoting achievement by taking responsibility for learning.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Objectives</h3>\u0000 \u0000 <p>The study aimed to evaluate the effect of flipped learning and the escape room method on nursing students' knowledge and skill learning about infection control.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Materials and Methods</h3>\u0000 \u0000 <p>The study was a randomized controlled trial with open-label pretest-posttest. The research was conducted with 76 students in the experimental and control groups. In the study, while the experimental group students were taught using the flipped learning method, which is an effective way of learning outside the classroom, their learning was reinforced with gamification using the escape room method. These teaching methods also encouraged students to take responsibility for their own learning. Data were collected by administering the ‘Characteristics Form for the Student Group’, the ‘Knowledge Test on Infection Control Measures’ and the ‘Self-Directed Learning Skills Scale’.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The post-test and follow-up test knowledge scores of the experimental group are statistically significantly higher than those of the control group (<i>p</i> &lt; 0.001), and the difference has a high effect (<i>d</i> = 4.15). When the total score and all sub-dimensions of the Self-Directed Learning Skills Scale were analysed, a significant increase was found between the pretest and posttest scores of the experimental group compared with the control group (<i>p</i> = 0.003; <i>p</i> = 0.023; <i>p</i> = 0.023; <i>p</i> = 0.001; <i>p</i> = 0.049; <i>p</i> = 0.033; <i>p</i> &lt; 0.05).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>The study showed that flipped learning and escape room methods significantly improved nursing students' knowledge and skills related to infection control. Students' self-learning ability, taking responsibility and teamwork skills were strengthened.</p>\u0000 \u0000 <p><b>Trial Registration:</b> ClinicalTrials.gov identifier: NCT06670469.</p>\u0000 </section>\u0000 </div>","PeriodicalId":14223,"journal":{"name":"International Journal of Nursing Practice","volume":"31 5","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145199338","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":"Missed Nursing Care Infection Prevention and Control Practices in Acute Hospitals in Ireland During the COVID-19 Pandemic","authors":"Marcia Kirwan,&nbsp;Elizabeth Egan,&nbsp;Anne Matthews","doi":"10.1111/ijn.70062","DOIUrl":"10.1111/ijn.70062","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>The nursing contribution to patient safety is often linked to their proximity to patients and ability to intervene when quality of care is compromised. However, the quality of nursing care provided also directly contributes to patient outcomes and is associated with increased rates of healthcare-associated infections.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>This study aimed to measure and compare nurses' perceptions of the frequency of and reasons for missed IPC practices in their workplaces and to examine nurses' perceptions of their ability to conduct IPC activities and their hospital capacity to support them.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>This study used a <b>c</b>ross-sectional online survey of nurses in acute general hospitals (<i>n</i> = 113) using the Missed Nursing Care Infection Prevention and Control (MNCIPC) instrument (March 21–May 26, 2022). Study reportage was informed by the STROBE guidelines.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Care activities relating to <i>hand hygiene</i> and <i>minimisation of hospital-acquired infections</i> were identified as the most frequently missed infection prevention and control practices. Factors that hindered best practice occurred at systemic (staffing/resources) and environmental (patient room overcrowding/bathroom sharing) levels.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Best practice infection prevention and control care is hampered by factors outside of individual nurse control. Unit-specific infection prevention and control training, including support staff, is recommended to help prevent hospital-acquired infections.</p>\u0000 </section>\u0000 </div>","PeriodicalId":14223,"journal":{"name":"International Journal of Nursing Practice","volume":"31 5","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12481232/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145191490","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":"Translation, Cross-Cultural Adaptation and Validation of the Nurse Professional Competence Scale Into Bahasa Indonesia","authors":"Lely Lusmilasari,&nbsp;Melyza Perdana,&nbsp;Heny Suseani Pangastuti,&nbsp;Ariani Arista Putri Pertiwi,&nbsp;Jan Nilsson,&nbsp;Margret Lepp","doi":"10.1111/ijn.70064","DOIUrl":"10.1111/ijn.70064","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aims</h3>\u0000 \u0000 <p>The aim of this study was to evaluate the cross-cultural adaptation and examine the psychometric properties of the Indonesian version of the 35-item Nurse Professional Competence Scale Short Version (NPC Scale SV).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Method</h3>\u0000 \u0000 <p>This descriptive cross-sectional study involved translation, cross-cultural adaptation and evaluation of psychometric properties. Data were collected from 352 registered nurses (RNs) working in various healthcare settings across Indonesia. The NPC Scale SV was translated into Bahasa Indonesia. Preliminary psychometric testing was conducted with content validation using an expert panel and pilot testing. Psychometric testing included confirmatory factor analysis (CFA), construct reliability, and finally the Model Fit.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The 35-item Bahasa Indonesia version (NPC Scale SV-INA) demonstrated six domains evident from the CFA. This was confirmed with fit indices: CMIN/df 1.346; GFI 0.914; NFI 0.967; TLI 0.989; CFI 0.991; and RMSEA 0.031. Factor loadings in each domain were more than 0.5 and showed good construct reliability (&gt; 0.7).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>The NPC Scale SV-INA has been tested among RNs across Indonesia and evaluated from a cultural perspective.</p>\u0000 </section>\u0000 </div>","PeriodicalId":14223,"journal":{"name":"International Journal of Nursing Practice","volume":"31 5","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-09-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145185941","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":"Results of Interventions to Increase Breastfeeding Self-Efficacy: Systematic Review and Meta-Analysis","authors":"Doğan Çağrı Tanrıverdi,&nbsp;Aysu Yıldız Karaahmet,&nbsp;Fatma Şule Bilgiç","doi":"10.1111/ijn.70063","DOIUrl":"10.1111/ijn.70063","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>The objective of this study was to determine the effectiveness of various interventions—including educational programmes, counselling, mobile applications, peer support and home visits—on improving breastfeeding self-efficacy, breastfeeding success and infant-feeding attitudes in pregnant and postpartum women.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Method</h3>\u0000 \u0000 <p>The literature review for this systematic review was conducted between September and October 2024 by searching four electronic databases. Studies related to ‘in vivo’ were identified using MeSH-based keywords. Only Randomized Controlled Trials (RCTs) published within the last decade were eligible for inclusion in the review.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Result</h3>\u0000 \u0000 <p>The analysis was conducted with 3677 women and a total of 26 studies. Subgroup analysis showed no significant difference in breastfeeding self-efficacy before the intervention (MD: −0.53, 95% CI: −1.43 to 0.38, <i>p</i> = 0.25), while a significant increase was observed after the intervention (MD: 53.53, 95% CI: 29.34 to 77.72, <i>p</i> &lt; 0.0001). Breastfeeding success also improved significantly postintervention (MD: 1.22, 95% CI: 0.52 to 1.92, <i>p</i> = 0.0007). No significant change was found in infant-feeding attitudes (SMD: 0.01, 95% CI: −0.18 to 0.16, <i>p</i> = 0.47). Postnatal interventions were significantly more effective than antenatal ones in increasing breastfeeding self-efficacy (MD: 53.53, 95% CI: 29.34 to 77.72, <i>p</i> &lt; 0.0001).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Subgroup analyses demonstrated that interventions significantly increased breastfeeding self-efficacy and success, particularly when delivered in the postnatal period. Antenatal interventions were not found to be effective. These findings highlight the importance of the timing of maternal support, suggesting that postnatal interventions are more beneficial in improving breastfeeding-related outcomes.</p>\u0000 </section>\u0000 </div>","PeriodicalId":14223,"journal":{"name":"International Journal of Nursing Practice","volume":"31 5","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-09-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145130701","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":"Perceived Organizational Support as a Factor in Managing Work–Family Conflict and Enhancing Occupational Well-Being: Findings From Iranian Nurses","authors":"Fateme Z. Kazemi,&nbsp;Hossein Mohsenipouya,&nbsp;Abolfazl Hosseinnataj,&nbsp;Nitai Roy,&nbsp;Mohammed A. Mamun","doi":"10.1111/ijn.70061","DOIUrl":"10.1111/ijn.70061","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aims</h3>\u0000 \u0000 <p>The purpose of this study is to determine the relationship between organizational support, work–family conflict and occupational well-being in nurses.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>The sensitivities and problems in the nursing profession may lead to conflicts between work and family. The available solution to moderate this conflict is the organizational support available in hospitals, which can ultimately lead to job well-being in the nurses' work environments.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>In this cross-sectional study, 291 nurses from four hospitals in the Iranian province of East Mazandaran were interviewed between November and January 2022 using the well-being at work scale (WBWS), the work–family conflict scale, the family–work conflict scale and the perceived organizational support (POS) questionnaire. Descriptive analysis, independent <i>t</i>-tests, analysis of variance, and linear regression were performed for data analysis.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The overall mean scores of nurses' organizational support, work–family conflict, and occupational well-being were 16.70 ± 5.10, 29.62 ± 7.6 and 75.22 ± 17.81, respectively. In addition, organizational support was negatively correlated with work–family conflict (<i>B</i> = −0.25, <i>p</i> &lt; 0.003), and by increasing one score of organizational support, the conflict score decreased by 0.25. Organizational support was positively correlated with occupational well-being (<i>B</i> = 0.81, <i>p</i> &lt; 0.001).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Employees who are supported by their organization are more likely to experience higher levels of well-being, which may reduce conflict in both the home and the workplace. These findings are valuable to hospitals because they can improve the quality of care provided by nurses.</p>\u0000 </section>\u0000 </div>","PeriodicalId":14223,"journal":{"name":"International Journal of Nursing Practice","volume":"31 5","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-09-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145130675","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":"Developing Nurse-Accessible Hypertension Prediction Tools for Low-Income Populations: A Comparative Analysis of Machine Learning Algorithms With SHAP Interpretation","authors":"Chuan Huang,&nbsp;Jiaojiao Xu,&nbsp;Hai Qiu,&nbsp;Yuchuan Yue","doi":"10.1111/ijn.70060","DOIUrl":"https://doi.org/10.1111/ijn.70060","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>The aim of this study is to develop and compare machine learning algorithms for hypertension prediction in low-income populations, with emphasis on model interpretability for nursing implementation in resource-limited settings.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>This retrospective cross-sectional study analysed data from seven iterations of NHANES (2005–2018) focusing on low-income populations. After LASSO regression identified eight key predictors, eight machine learning models were developed and evaluated using ROC curves, calibration plots and decision curve analysis, with SHAP methodology applied for interpretation.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Among 12 506 participants, 39.96% had hypertension. Logistic regression and neural networks both achieved the highest discriminative ability (AUC = 0.853). SHAP analysis identified age as the most influential predictor, followed by waist circumference and diabetes status. A clinical nomogram with three-tier risk stratification (&lt; 30%, 30%–60% and &gt; 60%) was developed for nursing assessment.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Neural network models with SHAP interpretation achieved optimal hypertension prediction (AUC = 0.853) while maintaining clinical transparency essential for nursing practice. The resulting nurse-accessible nomogram with a visual scoring system supports evidence-based screening in low-income populations, pending external validation in clinical settings.</p>\u0000 </section>\u0000 </div>","PeriodicalId":14223,"journal":{"name":"International Journal of Nursing Practice","volume":"31 5","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-09-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145111271","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}