International Journal of Nursing Practice最新文献

{"title":"The Turkish Version of the Haemodialysis Self-Management Instrument: A Study of Validity and Reliability","authors":"Sevda Tüzün Özdemir,&nbsp;Öznur Usta Yeşilbalkan","doi":"10.1111/ijn.70058","DOIUrl":"10.1111/ijn.70058","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>This study aims to adapt the ‘Hemodialysis Self-Management Instrument (HDSMI-18)’ to Turkish culture, and evaluate its psychometric properties.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Self-management plays a critical role in improving patients' adherence to treatment and quality of life; however, self-management assessment tools specific to haemodialysis patients are limited.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Design</h3>\u0000 \u0000 <p>The research employed a methodological design.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>The data were collected with a total of 200 haemodialysis patients receiving haemodialysis treatment between 15 July and 15 August 2024. Content Validity Index, Exploratory and Confirmatory Factor Analyses, Cronbach's alpha, Test–retest reliability and item-total score correlation were used in data analysis.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The original HDSMI-18 consists of 18 items and four subdimensions (partnership, self-care, problem-solving, emotional management). However, the Turkish version of HDSMI-18 (HDSMI) comprises 17 items and introduces an additional fifth subdimension, ‘self-control’, alongside the four original subdimensions. The five-factor structure of the HDSMI demonstrated acceptable internal consistency and reliability. The scale's overall Cronbach's <i>α</i> coefficient was determined to be 0.77, with subscale coefficients ranging from 0.63 to 0.83.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>The HDSMI is a valid and reliable tool for assessing self-management behaviours among haemodialysis patients in the Turkish population.</p>\u0000 </section>\u0000 </div>","PeriodicalId":14223,"journal":{"name":"International Journal of Nursing Practice","volume":"31 5","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-09-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145075217","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":"Advancing Maternal Well-Being: Development and Psychometric Validation of a Clinic-Based Instrument for Evaluating Healthy Adaptation to Pregnancy","authors":"Wan-Ru Wu,&nbsp;Pei-Jung Yu","doi":"10.1111/ijn.70059","DOIUrl":"10.1111/ijn.70059","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 a clinic-based instrument to assess pregnant individuals' adaptation to pregnancy.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Pregnancy is a multifaceted experience involving physical transformations, psychological adjustments and social role changes, all of which require varying degrees of adaptation. Existing tools often focus narrowly on stress or psychological symptoms and may not fully capture the multidimensional nature of pregnancy adaptation.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Design</h3>\u0000 \u0000 <p>Instrument development and validation were conducted in three stages: generation, scale development and psychometric evaluation.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A cross-sectional study was conducted using convenience sampling. Four hundred thirty-four pregnant individuals were recruited and randomly assigned to exploratory factor analysis (<i>n</i> = 222) or confirmatory factor analysis (<i>n</i> = 212). The 15-item pool was refined to a nine-item scale.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The final Healthy Adaptation to Pregnancy (HAP) scale comprised three factors: acceptance of pregnancy, coping with physical changes and mindfulness of pregnancy health, which explained 56.2% of the total variance. The scale demonstrated acceptable internal consistency and construct validity.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>The HAP scale fills a critical gap in existing measures by providing a concise, multidimensional tool for evaluating adaptation to pregnancy. Its brief format and sound psychometric properties make it a valuable addition to prenatal care screening protocols.</p>\u0000 </section>\u0000 </div>","PeriodicalId":14223,"journal":{"name":"International Journal of Nursing Practice","volume":"31 5","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145069643","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 Influence of Job Burnout on Quiet Quitting Among Nurses: The Mediating Effect of Job Satisfaction","authors":"Petros Galanis,&nbsp;Aglaia Katsiroumpa,&nbsp;Irene Vraka,&nbsp;Olga Siskou,&nbsp;Olympia Konstantakopoulou,&nbsp;Theodoros Katsoulas,&nbsp;Ioannis Moisoglou,&nbsp;Parisis Gallos,&nbsp;Daphne Kaitelidou","doi":"10.1111/ijn.70057","DOIUrl":"https://doi.org/10.1111/ijn.70057","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>To investigate the impact of nurses' job burnout on their quiet quitting and the mediating effect of job satisfaction on this relationship.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A cross-sectional study was conducted in Greece. The Quiet Quitting Scale was used to measure levels of quiet quitting. Levels of job burnout were measured with the Copenhagen Burnout Inventory. The Job Satisfaction Survey was used to measure job satisfaction. Multivariable linear regression analysis was employed to control for confounders. The PROCESS macro was used to test the mediating effect of job satisfaction in the relationship between job burnout and quiet quitting.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Study sample included 946 nurses. Job burnout was a positive predictor of quiet quitting, while job satisfaction was a negative predictor of quiet quitting. Job satisfaction partially mediated the positive relationship between burnout and quiet quitting.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Job burnout affected quiet quitting within nurses through the mediating effect of job satisfaction. Effective measures should be taken to decrease nurses' job burnout in order to improve their job satisfaction and thereby reduce their quiet quitting.</p>\u0000 </section>\u0000 </div>","PeriodicalId":14223,"journal":{"name":"International Journal of Nursing Practice","volume":"31 5","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-09-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145037728","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 Showering During Labour on Perceived Labour Pain, Parenting Behaviour and Birth Memory: A Randomised Controlled Clinical Trial","authors":"Vildan Kulaç,&nbsp;Yasemin Hamlaci Baskaya","doi":"10.1111/ijn.70055","DOIUrl":"10.1111/ijn.70055","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>This randomised controlled experimental study examined the impact of warm showers during labour on perceived pain, parenting behaviour and birth memory.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Method</h3>\u0000 \u0000 <p>This randomised controlled experimental study (ClinicalTrials.gov Identifier: NCT05529823) was conducted with 81 primiparous pregnant women, assigned to either the experimental group (n:41) or the control group (n:40). ‘Visual Analog Scale’, ‘Postpartum Parenting Behavior Scale’ and ‘Birth Memory and Recall Questionnaire’ were used to collect the data. In the experimental group, participants received warm showers at the onset of the active phase and during the transition phase of labour, whereas the control group received standard care.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The experimental and control groups were similar in terms of sociodemographic characteristics, interventions and medications administered during labour. The pain scores of both groups before the application were similar, while the pain score of the experimental group after both applications was found to be statistically lower compared to the control group (<i>p</i> &lt; 0.05). Postpartum Parenting Behavior Scale scores did not differ between groups. In the Birth Memory and Recall Questionnaire, the control group had higher scores in the emotional memory and involuntary recall sub-dimensions, whereas the experimental group had higher scores in the sensory memory sub-dimension (<i>p</i> &lt; 0.05).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Warm showers during labour reduced perceived labour pain and positively influenced birth memory but had no effect on postpartum parenting behaviour.</p>\u0000 </section>\u0000 </div>","PeriodicalId":14223,"journal":{"name":"International Journal of Nursing Practice","volume":"31 5","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145033135","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":"Decisional Conflict of Proxies in the Thrombolysis Decision-Making Process for Acute Ischaemic Stroke Patients","authors":"Yuanli Guo,&nbsp;Xinyu Cao,&nbsp;Wenfeng Fan,&nbsp;Xiaofang Dong,&nbsp;Caixia Yang,&nbsp;Min Wang,&nbsp;Huanhuan Gao,&nbsp;Peihua Lv,&nbsp;Keke Ma","doi":"10.1111/ijn.70054","DOIUrl":"https://doi.org/10.1111/ijn.70054","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Despite being efficacious for acute ischemic stroke, treatment with thrombolysis is often delayed because of the inaccessibility of informed consent from patient proxies. Decisional conflict could be an important contributor to this delay; however, its influencing factors remain unknown. This study sought to survey the decisional conflict of proxies for sufferers of acute ischaemic stroke and explore the influencing factors.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Method</h3>\u0000 \u0000 <p>This was a correlational study including proxies of patients with acute ischaemic stroke receiving intravenous thrombolysis. The questionnaire comprised general information questions about the patients and proxies, and questions about illness and onset, anxiety levels, social support, trust level in physicians, control preference and the decisional conflict level of proxies. To explore the influencing factors, Spearman's and Pearson correlation analyses as well as ridge regression were conducted using SPSS 22.0. The STROBE checklist was used in this study.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>In total, 343 patients and their proxies participated in this research, 55.98% of whom experienced decisional conflict in the course of making thrombolysis decisions. When the proxies were female, younger, less educated, the payer of this treatment and reported heavier burden, high social support, severe anxiety and low trust in physicians, and when the patients were older, with low financial burden (i.e., where patients' financial resources generally covered their daily needs, creating minimal burden), the proxies had higher decisional conflict. When the patients did not participate in the decision-making process, when the number of decision-makers was lower and the patients had higher stroke severity, the proxies also had higher decisional conflict.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Many decision makers for acute ischaemic stroke patients experience decisional conflict during thrombolysis decision-making. Nurses should consider their psychological traits and use effective communication skills and decision-making aids according to their characteristics in the decision making process.</p>\u0000 </section>\u0000 </div>","PeriodicalId":14223,"journal":{"name":"International Journal of Nursing Practice","volume":"31 5","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-09-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145007921","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":"Correction to “Economic Analysis of Falls in a Private Hospital in Southern Brazil – A Case – Control Study”","authors":"","doi":"10.1111/ijn.70056","DOIUrl":"https://doi.org/10.1111/ijn.70056","url":null,"abstract":"<p>\u0000 <span>Gonzalez, VA</span>, <span>Febras, LLT</span>, <span>Lima, CCD</span>, <span>Alves, BM</span>, <span>Dos Santos, DT</span>, <span>Souza, MA</span>, <span>Carvalho, SM</span>, <span>Rohsig, V</span>, <span>Pille, A</span>, <span>Wolf, J</span>, <span>Maccari, JG</span>, <span>Mutlaq, MP</span>, <span>Nasi, LA</span>. <span>Economic Analysis of Falls in a Private Hospital in Southern Brazil – A Case – Control Study</span>. <i>Int J Nurs Pract</i>. <span>2024 Dec</span>; <span>30</span>(<span>6</span>):e13313. https://doi.org/10.1111/ijn.13313. PMID: 39431424.\u0000 </p><p>The co-author name Cássia Cristina Damásio de Lima in the above article was incorrect. In the published version, the name appears as Cássia Cristina Damásio de Lima, whereas the correct name is Cássia Cristine Damasio de Lima.</p><p>The online article has been corrected.</p><p>We apologize for this error.</p>","PeriodicalId":14223,"journal":{"name":"International Journal of Nursing Practice","volume":"31 5","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-09-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/ijn.70056","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144935185","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":"Effect of Facilitated Tucking on Cerebral Oxygenation, Physiological Parameters, Comfort and Pain in Premature Infants During Heel Blood Collection: A Randomized Controlled Trial","authors":"Sibel Kücükoglu,&nbsp;Fatma Tas Arslan,&nbsp;Sevinc Akkoyun,&nbsp;Deniz Kocoglu-Tanyer,&nbsp;Hanifi Soylu,&nbsp;Murat Konak","doi":"10.1111/ijn.70051","DOIUrl":"https://doi.org/10.1111/ijn.70051","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aims</h3>\u0000 \u0000 <p>This study was conducted to determine the effects of Facilitated Tucking (FT) with hands or a positioning bed on cerebral oxygenation (rSO₂), physiological parameters, pain and comfort of premature infants during heel blood collection.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>This prospective, single-blinded, randomized controlled trial was conducted in the tertiary neonatal intensive care unit of the Faculty of Medicine Hospital in Türkiye between December 2020 and October 2021. Heel blood collection was performed in the facilitated tucking with hands group (<i>n</i> = 22), facilitated tucking with positioning bed group (<i>n</i> = 22) and routine procedure control group (<i>n</i> = 22); rSO₂, physiological parameters, pain and (dis)comfort were assessed.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>In the facilitated tucking with positioning bed group, rSO₂ and oxygen saturation (SpO₂) were significantly higher during and after the procedure compared with the other two groups, while respiratory rate and pain score were significantly lower and (dis)comfort level was significantly higher. In addition, heart rate during the procedure was significantly lower in the facilitated tucking with positioning bed group than in the other two groups (<i>p</i> &lt; 0.001). According to the results of the analysis, the effect size was moderate for rSO₂, body temperature, heart rate and SpO₂ and large for respiratory rate, comfort and pain.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Positioning bed can help stabilize rSO₂ and physiologic parameters, increase comfort and reduce pain in premature infants.</p>\u0000 </section>\u0000 </div>","PeriodicalId":14223,"journal":{"name":"International Journal of Nursing Practice","volume":"31 5","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-09-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144929805","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":"Effect of Standardized Patients Combined With Situational Simulation Teaching Method on Learning Effect, Working Ability and Enthusiasm of Nursing Interns in a Respiratory Department: A Randomized Controlled Trial","authors":"Jie Zhang,&nbsp;Jinfang Jia","doi":"10.1111/ijn.70050","DOIUrl":"https://doi.org/10.1111/ijn.70050","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>To investigate the effects of integrating standardized patients with the situational simulation teaching method (SSTM) on nursing interns' learning outcomes, work capabilities and engagement in the respiratory department.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Traditional simulation methods may lack realism and interactivity. Combining standardized patients with SSTM may provide a more immersive and effective teaching strategy.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Design</h3>\u0000 \u0000 <p>A randomized controlled trial.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>This randomized controlled trial compared the outcomes of traditional SSTM versus a combined standardized patient and SSTM approach. From April 2022 to April 2023, 108 nursing interns were randomly assigned to either a control group (traditional SSTM) or a research group (combined SSTM and standardized patients). Outcomes measured included theoretical and practical knowledge, self-directed learning, work engagement, caregiving skills, self-efficacy, stress levels and teaching evaluations.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Nursing interns in the research group showed significant improvements in theoretical and practical knowledge, autonomous learning, work engagement, caregiving skills and self-efficacy, with a reduction in stress levels. Teaching evaluations rated the research group higher across multiple aspects.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>The integration of standardized patients with SSTM is an effective educational strategy that enhances learning outcomes, practical capabilities and motivation among nursing interns, offering a valuable approach for better preparing students for clinical practice.</p>\u0000 </section>\u0000 </div>","PeriodicalId":14223,"journal":{"name":"International Journal of Nursing Practice","volume":"31 5","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-09-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144935119","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":"Balancing Benefits and Risks of AI Adoption in Nursing Practice in Saudi Arabia","authors":"Ateya Megahed Ibrahim","doi":"10.1111/ijn.70053","DOIUrl":"https://doi.org/10.1111/ijn.70053","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>This study assessed the balance between the benefits and risks associated with artificial intelligence (AI) adoption in nursing practice across multiple healthcare centres, focusing on innovative potential and ethical considerations.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>AI integration into healthcare presents various ethical challenges, particularly for nurses. Thus, it is important to ensure that AI adoption optimises patient care without compromising ethical norms.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>This cross-sectional study assessed 246 nurses from three hospitals in Al-Kharj, Saudi Arabia, through stratified random sampling. Data were collected on 6 December 2024 in person using five validated surveys: the Healthcare Technology Adoption Survey, Ethical Issues in Technology Usage Survey, Nursing Practice Perception Survey, Technology Acceptance Model Survey, and Data Privacy and Security Assessment. Correlation and regression analyses examined the relationships between factors and provided insights into technological integration in nursing practice.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Nurses reported a moderate level of AI use, noting its benefits for patient care and workflow efficiency. However, primary concerns include data privacy and the potential for job displacement. The perceived usefulness of AI and ethical awareness were predictors of fewer ethical concerns.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>This study emphasises balancing AI adoption in nursing by integrating ethics with technology for optimal patient care. Healthcare institutions must enhance their ethical training to help nurses address AI challenges. Policymakers should improve AI adoption regulations.</p>\u0000 </section>\u0000 </div>","PeriodicalId":14223,"journal":{"name":"International Journal of Nursing Practice","volume":"31 5","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-09-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144935120","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 Mediating Effects of Sleep Quality and Fatigue on Post-Intensive Care Syndrome Among Intensive Care Unit Survivors","authors":"Hui-Fang Yeh,&nbsp;Tzu-Yu Tseng,&nbsp;Ling-Hua Wang,&nbsp;Chia-Lun Lo,&nbsp;Jun-Yih Chen,&nbsp;Hui-Ju Cheng,&nbsp;Yu-Hua Lin","doi":"10.1111/ijn.70047","DOIUrl":"https://doi.org/10.1111/ijn.70047","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aims</h3>\u0000 \u0000 <p>This study examines the impact of sleep quality in patients during the first week after transfer from the intensive care unit on post-intensive care syndrome, as well as the mediating role of fatigue levels.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Design</h3>\u0000 \u0000 <p>A cross-sectional design was employed in a hospital in southern Taiwan.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>One hundred twenty-six intensive care unit survivors were included in the analysis. The outcome measures included a post-intensive care syndrome scale, the Brief Fatigue Inventory-Taiwan, and a 10-point analogue scale for sleep quality. Statistical and hierarchical linear regression methods were used.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The mean score for post-intensive care syndrome was 19.9 (SD = 7.6). The mean score for fatigue levels was 40.4 (SD = 15.5), with 93.7% of participants reporting severe fatigue and significant life interference. The mean score for sleep quality was 5.1 (SD = 3.3). The findings indicated that fatigue was a significant predictor of post-intensive care syndrome, accounting for 78.4% of the variances. Furthermore, fatigue served as a complete mediator in the primary relationship examined in this study.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Study results demonstrate that intensive care survivors experience post-intensive care syndrome, which is negatively correlated with sleep quality and positively correlated with fatigue.</p>\u0000 </section>\u0000 </div>","PeriodicalId":14223,"journal":{"name":"International Journal of Nursing Practice","volume":"31 5","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144929674","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}