International Journal of Nursing Practice最新文献

{"title":"Cobenefits for Participants of a Nurse-Led Telephone-Based Early Childhood Obesity Prevention Intervention: A Multimethod Qualitative Study","authors":"Sarah Taki, Sarah Marshall, Wendy Smith, Christine Phillis, Annmaree Lavery, Trisha Cant, Jennifer Jones, Paola Gordon, Cathy Llewelyn, Louise A. Baur, Li Ming Wen","doi":"10.1111/ijn.70037","DOIUrl":"https://doi.org/10.1111/ijn.70037","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>While preventive health behaviour change interventions target specific behaviours and health-related outcomes, there can be further benefits, that is, cobenefits, for participants. Healthy Beginnings is an established behavioural intervention targeting mothers of young children to promote optimal child nutrition, physical activity and screen time behaviours and to prevent obesity in early childhood.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>To (1) identify the cobenefits among mothers and children participating in the one-to-one telephone support arm of the intervention and (2) explore the factors contributing to these identified cobenefits, both from the perspective of the intervention providers, the Child and Family Health Nurses.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>The telephone-based Healthy Beginnings intervention was conducted as a randomised controlled trial in NSW, Australia from 2017 to 2019. The intervention, delivered by Child and Family Health Nurses, included nine staged intervention telephone calls from pregnancy to child age 24 months. The nurses' notes from all telephone calls were collated and analysed using content analysis to identify cobenefits. A focus group was conducted with four intervention nurses and analysed using thematic analysis to explore their experiences of delivering the calls and their perceptions of factors that enabled intervention cobenefits for participants.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>From the content analysis of the call notes, we derived categories for the types of issues, beyond the target behaviours, for which participants received support. This support primarily pertained to psychosocial and situational factors, for example, relationship challenges. From the thematic analysis of the focus group, we identified two main themes relating to factors that enabled intervention cobenefits for participants: (a) delivery features, relating to the way the intervention was structured and (b) nurse interactions, relating to the way nurses interacted with participants and approached care holistically. The nurses, via the nurse-initiated staged telephone calls, connected with participants, built rapport, offered tailored child–parent-centred support and addressed social determinants of health.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Discussion</h3>\u0000 \u0000 <p>Scheduled nurse telephone support was crucial for delivering tailored intervention messages for targeted b","PeriodicalId":14223,"journal":{"name":"International Journal of Nursing Practice","volume":"31 4","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-08-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/ijn.70037","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144810972","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 Effects of Warm Showers on Fatigue, Mood and Comfort in Women With Spontaneous Vaginal Delivery: A Randomized Controlled Trial","authors":"Rabia Atilla,&nbsp;Mürüvvet Başer","doi":"10.1111/ijn.70039","DOIUrl":"https://doi.org/10.1111/ijn.70039","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>This study was conducted to evaluate the effect of warm shower on fatigue, comfort and mood in women who had spontaneous vaginal delivery.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>This randomized controlled trial was conducted with 128 women (64 in the intervention group and 64 in the control group by computer randomization) in the postpartum clinic of a public hospital. Between 6- and 12-h postpartum, the women in the intervention group took a shower in a standing position at a water temperature of 37°C–41°C for 10–20 min, and the control group received standard care. Data were collected using the Visual Similarity Scale for Fatigue, Visual Analogue Scale, Postpartum Comfort Questionnaire and Brief Mood Insight Scale.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The intervention group experienced a statistically significant decrease in fatigue, discomfort and negative mood levels compared with the control group after the intervention (<i>p</i> &lt; 0.001). In addition, the intervention group had statistically significantly higher levels of energy, physical, mental and sociocultural comfort, and positive mood levels compared with the control group (<i>p</i> &lt; 0.001).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Taking a warm shower in the postpartum 6th–12th hours was effective in decreasing fatigue, discomfort, and negative mood of women, while increasing comfort levels and positive mood.</p>\u0000 </section>\u0000 </div>","PeriodicalId":14223,"journal":{"name":"International Journal of Nursing Practice","volume":"31 4","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-08-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144782565","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":"Relationships Between Nurses' Personal and Professional Characteristics and Career Decision Regret, Occupational Stress and Turnover Intention: A Descriptive Cross-Sectional Study","authors":"Şehrinaz Polat,&nbsp;Aslı Yeşil","doi":"10.1111/ijn.70040","DOIUrl":"https://doi.org/10.1111/ijn.70040","url":null,"abstract":"&lt;div&gt;\u0000 \u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Aims&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;This study aimed to (a) examine the relationship between perceived career decision regret and turnover intention among nurses and (b) explore the mediating role of occupational stress and career decision regret in this relationship within the context of hospital-based nursing practice.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Design&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;A descriptive cross-sectional study.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Methods&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;Data were collected between 1 November 2023 and 20 February 2024, from a final sample of 512 nurses employed across various hospital settings in Türkiye. Standardized questionnaires measured career decision regret, occupational stress and turnover intention. Ethical approval was obtained from the institutional ethics committee, and informed consent was obtained from all participants. Group comparisons were performed using independent samples &lt;i&gt;t&lt;/i&gt; tests and one-way analysis of variance (ANOVA). Pearson correlation analysis assessed relationships between continuous variables. The mediating effect of occupational stress was evaluated using the bootstrap method at a 95% confidence interval, with statistical significance set at &lt;i&gt;p&lt;/i&gt; &lt; 0.05.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Results&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;Nurses working in public hospitals reported significantly higher levels of occupational stress, career decision regret and turnover intention compared to those in private hospitals. Career decision regret had a direct positive effect on turnover intention (&lt;i&gt;β&lt;/i&gt; = 0.37) and an indirect effect mediated by occupational stress (&lt;i&gt;β&lt;/i&gt; = 0.33).&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Conclusion&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;Career decision regret directly and positively influences turnover intention, with occupational stress serving as a significant mediator. These results have important implications for the development of targeted interventions aimed at reducing occupational stress, particularly among nurses experiencing career decision regret, to improve retention and reduce turnover intentions.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Reporting Method&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;This study adhered to the STROBE guidelines.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Patient or Public Contribution&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;There was no patient or public involvement in this study.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 ","PeriodicalId":14223,"journal":{"name":"International Journal of Nursing Practice","volume":"31 4","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-08-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/ijn.70040","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144773697","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":"Breastfeeding Self-Efficacy Among First-Time Mothers: A Mixed-Methods Study Comparing Spontaneous and Assisted Conceptions in Turkey","authors":"Sevcan Özöztürk,&nbsp;Merlinda Aluş Tokat,&nbsp;Hande Aslan","doi":"10.1111/ijn.70036","DOIUrl":"https://doi.org/10.1111/ijn.70036","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>This mixed-method study aimed to examine the relationship between mode of conception and breastfeeding self-efficacy among first-time mothers in Turkey, comparing outcomes between those who conceived spontaneously and those who conceived through assisted reproductive technologies (ART). A secondary objective was to explore the lived experiences of women with low breastfeeding self-efficacy in both groups.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Using an exploratory sequential mixed-methods design, quantitative data were collected from 100 mothers, 50 with spontaneous pregnancies and 50 with ART-conceived pregnancies, using a validated breastfeeding self-efficacy scale. In the qualitative phase, in-depth interviews were conducted with six mothers who scored low on the scale or reported breastfeeding difficulties. The qualitative component was guided by Dennis' Breastfeeding Self-Efficacy Framework.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Quantitative findings revealed significantly higher breastfeeding self-efficacy scores among mothers with spontaneous pregnancies compared to those who conceived through ART. Qualitative analysis identified key influencing factors such as emotional adjustment to motherhood, perceived social expectations and physical challenges related to breastfeeding. A critical gap in targeted breastfeeding education and postnatal support was noted across both groups.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>The findings underscore the need for individualized, culturally sensitive breastfeeding interventions, particularly for mothers who have conceived through ART. Tailored support strategies addressing both psychological and physical aspects of the postpartum experience may enhance breastfeeding outcomes in this growing population.</p>\u0000 </section>\u0000 </div>","PeriodicalId":14223,"journal":{"name":"International Journal of Nursing Practice","volume":"31 4","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-08-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144758515","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 Efficacy of Postoperative Nursing Management for Patients Undergoing Prostate Surgery: A Meta-Analysis","authors":"Peng Gao,&nbsp;Lei Bao,&nbsp;Xiaonan Liu,&nbsp;Zhongbao Zhou","doi":"10.1111/ijn.70035","DOIUrl":"https://doi.org/10.1111/ijn.70035","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>The efficacy of postoperative nursing management in patients undergoing prostate surgery remains poorly recognized. To address this, we conducted a meta-analysis to evaluate the effectiveness of this approach.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>From January 2000 to February 2024, seven randomized controlled trials were selected, involving a total of 593 patients from PubMed, EMBASE and the Cochrane Library to evaluate the efficacy of postoperative nursing management in patients undergoing prostate surgery. All data were analysed using the Review Manager 5.4 software. Outcomes assessed included nursing satisfaction, psychological scores, hospital stay, urinary frequency, residual urine volume (RUV), incidence of complications, frequency of urinary incontinence (UI), urinary tract infection (UTI), pain scores and incidence of UI.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Postoperative nursing management for prostate surgery significantly increased patients' nursing satisfaction (OR 6.46, 95% CI 3.53–11.83, <i>p</i> &lt; 0.00001), improved psychological scores (MD −4.88, 95% CI −8.67 to −1.09, <i>p</i> = 0.01) and shortened hospital stay (MD −4.19, 95% CI −6.14 to −2.25, <i>p</i> &lt; 0.0001). Regarding urinary symptoms, urinary frequency (MD −4.28, 95% CI −8.00 to −0.55, <i>p</i> = 0.02) was significantly reduced, although no significant difference was observed in RUV. In addition, postoperative nursing management significantly reduced the incidence of complications (OR 0.36, 95% CI 0.21–0.62, <i>p</i> = 0.0003), primarily reflected in a decrease in the frequency of UI (MD −2.72, 95% CI −4.70 to −0.74, <i>p</i> = 0.007). However, no significant differences were found in terms of UTI, pain scores or the incidence of UI.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Collectively, our findings suggest that targeted and systematic postoperative nursing management is essential for optimizing recovery and should be integrated as a standard component of perioperative care for patients undergoing prostate surgery.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Registration Number</h3>\u0000 \u0000 <p>CRD42024617179.</p>\u0000 </section>\u0000 </div>","PeriodicalId":14223,"journal":{"name":"International Journal of Nursing Practice","volume":"31 4","pages":""},"PeriodicalIF":1.9,"publicationDate":"2025-07-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144666342","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":"A Crosswalk Analysis of Commonly Used Evidence-Based Practice Models","authors":"Annette M. Bourgault,&nbsp;Jean W. Davis,&nbsp;Jacqueline LaManna,&nbsp;Dawn Turnage,&nbsp;Norma E. Conner","doi":"10.1111/ijn.70034","DOIUrl":"https://doi.org/10.1111/ijn.70034","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aims</h3>\u0000 \u0000 <p>This article aimed to critically analyse three frequently used evidence-based practice models to determine similarities and differences in their process steps, terminology, tools and implementation models.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Evidence-based practice is an essential competency taught across academic nursing curriculums to prepare nurses for problem solving throughout their career in clinical practice.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Design</h3>\u0000 \u0000 <p>A crosswalk analysis was used to compare and contrast the Advancing Research and Clinical Practice Through Close Collaboration (ARCC) Model, the Iowa Model and the Johns Hopkins Evidence-Based Practice (JHEBP) Model.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Findings suggest that although these models contain similar principles, there are differences in terminology and process steps (both alignment and emphasis), leading to a lack of congruence.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Differences in terminology may be confusing to both novice and experienced users of the evidence-based practice process. We suggest that educational and clinical settings adopt a primary evidence-based practice model to use throughout their organization, in addition to purposefully creating awareness of the variety of other models and resources available, including their similarities and differences.</p>\u0000 </section>\u0000 </div>","PeriodicalId":14223,"journal":{"name":"International Journal of Nursing Practice","volume":"31 4","pages":""},"PeriodicalIF":1.9,"publicationDate":"2025-07-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144635523","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 “Current Status and Influencing Factors of Chinese Nurses' Compassion Competence: A Cross-Sectional Study”","authors":"","doi":"10.1111/ijn.70033","DOIUrl":"https://doi.org/10.1111/ijn.70033","url":null,"abstract":"<p>\u0000 <span>Zhang, X</span>, <span>Liu, K</span>, <span>Sun, Y</span>. <span>Current Status and Influencing Factors of Chinese Nurses' Compassion Competence: A Cross-Sectional Study</span>. <i>Int J Nurs Pract.</i> <span>2025 Jun</span>; <span>31</span>(<span>3</span>):e70031. https://doi.org/10.1111/ijn.70031.\u0000 </p><p>The affiliation of YeFei Sun in the above article was incorrect. The affiliation was “Department of Gastrointestinal Surgery, The First Affiliated Hospital of China Medical University, Guangzhou China”. The correct affiliation should be “Department of Gastrointestinal Surgery, The First Affiliated Hospital of China Medical University, Shenyang, China”.</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 4","pages":""},"PeriodicalIF":1.9,"publicationDate":"2025-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/ijn.70033","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144551138","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 Effect of Inclusive Leadership on Nurses' Taking Charge Behaviour: The Mediating Role of Psychological Security and the Moderating Role of Power Distance","authors":"Min Shi,&nbsp;Yi Gao,&nbsp;Jie Jing,&nbsp;YunLian Wu,&nbsp;Xin Wen,&nbsp;Danju Liu","doi":"10.1111/ijn.70025","DOIUrl":"https://doi.org/10.1111/ijn.70025","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>To explore the influence of inclusive leadership on nurses' taking charge behaviour by examining the mediating role of psychological security and the moderating role of power distance, and to provide a reference for nursing management practice.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Nursing is facing a stage of high-quality development, where improvements in nurses' taking charge behaviour can enhance the quality of nursing care, ensuring nursing safety. Inclusive leadership has been shown to promote the maintenance and formation of a dynamic and harmonious two-channel relationship system. However, there are relatively few studies on the effects of inclusive leadership on nurses' taking charge behaviour, and it is unclear whether inclusive leadership affects nurses' taking charge behaviour and the specific pathways of its effects, which are worth exploring in depth.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A cross-sectional questionnaire survey was conducted among 532 nurses in five tertiary-level A public hospitals in Sichuan Province, China. Structural equation models and bootstrapping methods were utilized to examine the hypotheses. STROBE reporting guidelines were followed.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Inclusive leadership positively influences nurses' taking charge behaviour (<i>β</i> = 0.46, <i>p</i> &lt; 0.001). Inclusive leadership positively affects nurses' psychological security (<i>β</i> = 0.63, <i>p</i> &lt; 0.001). Psychological security positively affects nurses' taking charge behaviour (<i>β</i> = 0.36, <i>p</i> &lt; 0.001). The mediating effect value of psychological security between inclusive leadership and nurses' taking charge behaviour was 0.23, <i>p</i> &lt; 0.001, 95% CI[0.14, 0.32]. The interaction effect of inclusive leadership and power distance reached statistical significance (<i>β</i> = −0.10, <i>p</i> &lt; 0.05).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Inclusive leadership has a positive effect on increasing nurses' taking charge behaviour. Strengthening nurses' psychological security and minimizing nurses' power distance can foster nurses' proactive change behaviours.</p>\u0000 </section>\u0000 </div>","PeriodicalId":14223,"journal":{"name":"International Journal of Nursing Practice","volume":"31 3","pages":""},"PeriodicalIF":1.9,"publicationDate":"2025-06-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144315199","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 Relationship Between the Digital Clinical Practice Environment, Unmet Expectations and the Successful Transition of Nursing Students: A Cross-Sectional Study","authors":"Yuting Feng,&nbsp;Ying Wang,&nbsp;Liyan Lu,&nbsp;Changyong Liang,&nbsp;Li Jiang","doi":"10.1111/ijn.70032","DOIUrl":"https://doi.org/10.1111/ijn.70032","url":null,"abstract":"&lt;div&gt;\u0000 \u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Aims&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;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.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Methods&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;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.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Results&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;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.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Conclusion&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;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.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Summary&lt;/h3&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;p&gt;What Is Already Known About This Topic?&lt;/p&gt;\u0000 \u0000 &lt;div&gt;\u0000 \u0000 &lt;ul&gt;\u0000 \u0000 \u0000 &lt;li&gt;The high rate of nursing student turnover is one of the major reasons for the shortage of elderly care nurses.&lt;/li&gt;\u0000 \u0000 \u0000 &lt;li&gt;The turnover intention of nursing students is influenced by many factors.&lt;/li&gt;\u0000 \u0000 \u0000 &lt;li&gt;Few studies have examined the mechanism of unmet expectations in the digital clinical practice environment of elderly care on the turnover intentions of students.&lt;/li&gt;\u0000 &lt;/ul&gt;\u0000 &lt;/div&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;p&gt;What This Paper Adds?&lt;/p&gt;\u0000 \u0000 &lt;div&gt;\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,&nbsp;Kathryn Sethi,&nbsp;Victoria Skerrett,&nbsp;Samantha Peck,&nbsp;Katy Sutherland-Hastings,&nbsp;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}