International Journal of Nursing Practice最新文献

{"title":"The Lived Experiences of Frontline Nurses Who Contracted COVID-19: Does Gender Matter?","authors":"Ruqayya Zeilani,&nbsp;Maysoon S. Abdalrahim,&nbsp;Ahmad Alqunneh,&nbsp;Elham H. Othman","doi":"10.1111/ijn.70130","DOIUrl":"10.1111/ijn.70130","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>This study aimed to explore the lived experiences and responses of nurses who contracted COVID-19 infection at work, with a comparison of gender-based experiences.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Method</h3>\u0000 \u0000 <p>A qualitative–descriptive approach was employed, with purposive sampling of participants from four hospitals in Jordan with specialised COVID-19 units.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Findings</h3>\u0000 \u0000 <p>Seventeen registered nurses were interviewed after full recovery from the disease and returning to work. The analysis revealed disparities in the experience of nurses by gender, with three themes: (a) struggling with mixed emotions, (b) becoming vulnerable and demanding and (c) COVID-19 positively affecting practice. The participants described their struggle with mixed feelings, such as fear and guilt, after the confirmation of being infected with COVID-19. Female nurses more often linked these emotions to family caregiving roles, whilst male nurses more frequently framed their distress around professional identity and responsibility. Furthermore, gendered changes were related in their personalities after being infected with COVID-19, as they became vulnerable and asked people to care for them. Lastly, nurses returning to work after recovering from COVID-19 reported greater compassion and empathy reflected in their patient care.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Policymakers should recognise changes that may affect nurses due to illness and provide adequate psychological counselling and physical support to help them overcome these challenging experiences.</p>\u0000 </section>\u0000 </div>","PeriodicalId":14223,"journal":{"name":"International Journal of Nursing Practice","volume":"32 2","pages":""},"PeriodicalIF":2.0,"publicationDate":"2026-03-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147432769","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 Preoperative Stoma Education Including a Wearable Dummy Stoma on Postoperative Stoma–Related Anxiety, Adjustment and Self-Efficacy: a Randomised Controlled Trial","authors":"Hacer Akbayrak,&nbsp;Yasemin Uslu","doi":"10.1111/ijn.70121","DOIUrl":"10.1111/ijn.70121","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aims</h3>\u0000 \u0000 <p>This study aimed to determine the effects of preoperative stoma education including a wearable dummy stoma on stoma-related anxiety, adjustment and self-efficacy in patients undergoing colostomy/ileostomy.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Materials and Methods</h3>\u0000 \u0000 <p>A randomised controlled trial was conducted in Istanbul between 2021 and 2023. The study included 78 patients aged 18 years or older who underwent colostomy/ileostomy for any indication. Patients in the experimental group received structured preoperative stoma education including a wearable dummy stoma designed as an artefact-based tool to support hands-on stoma care training, whereas those in the control group received standard care. Data were collected with the Stoma Self-Efficacy Scale, Ostomy Adjustment Inventory (at discharge and at weeks 3 and 6) and State Anxiety Inventory (during the first stoma encounter).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Compared with those in the control group, patients in the experimental group demonstrated significantly lower anxiety levels during the first postoperative stoma encounter (<i>p</i> &lt; 0.001), better stoma adjustment (<i>p</i> &lt; 0.001 at discharge and at weeks 3 and 6) and greater stoma self-efficacy levels (<i>p</i> &lt; 0.001 at discharge and at weeks 3 and 6).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Preoperative stoma education including a wearable dummy stoma effectively reduced stoma-related anxiety during the first stoma encounter and improved stoma adjustment and self-efficacy in patients.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Trial Registration</h3>\u0000 \u0000 <p>NCT05308693.</p>\u0000 </section>\u0000 </div>","PeriodicalId":14223,"journal":{"name":"International Journal of Nursing Practice","volume":"32 2","pages":""},"PeriodicalIF":2.0,"publicationDate":"2026-03-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12974553/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147432803","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":"Using Social Cognitive Career Theory to Enhance Care Quality","authors":"Tzu-Ling Huang,&nbsp;Nga Yan Ng,&nbsp;Alice May-Kuen Wong,&nbsp;Yea-Ing Lotus Shyu,&nbsp;Qi Wang,&nbsp;T. C. E. Cheng,&nbsp;Ching-I Teng","doi":"10.1111/ijn.70120","DOIUrl":"10.1111/ijn.70120","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Social cognitive career theory could explain nurses' turnover intention. However, little is known about how the three core elements of this theory could contribute to nurse-assessed care outcomes, that is, the five aspects of care quality.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>To examine how self-efficacy, outcome expectations and career interest are related to nurse-assessed care quality aspects.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Method</h3>\u0000 \u0000 <p>Three-wave data were collected from 438 registered nurses in a major hospital in Taiwan. The elements of social cognitive career theory were measured by using validated scales on self-efficacy, outcome expectations, career interest and care quality aspects.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Self-efficacy is positively related to outcome expectations and career interest, whilst career interest is positively related to the following five care quality aspects: assurance, reliability, responsibility, empathy and tangibles.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Social cognitive career theory provided an effective framework to identify potential new means to uplift care quality. Increased career interest could be an important means to enhance care quality. Nurse managers could devise means to enhance nurses' self-efficacy and outcome expectations and subsequently improve care quality.</p>\u0000 </section>\u0000 </div>","PeriodicalId":14223,"journal":{"name":"International Journal of Nursing Practice","volume":"32 2","pages":""},"PeriodicalIF":2.0,"publicationDate":"2026-03-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147432928","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 Gamified Infection Control Education on Cognitive Achievement, Academic Self-Efficacy and Learning Motivation in Nursing Students: A Randomized Controlled Trial in Turkiye","authors":"Beratiye Oner,&nbsp;Ozlem Ulku Bulut,&nbsp;Nurettin Oner","doi":"10.1111/ijn.70128","DOIUrl":"10.1111/ijn.70128","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Infection control is essential in nursing education, but traditional methods often lack student engagement and may not support long-term knowledge retention. This randomized controlled trial evaluated the impact of a gamified infection control education program on first-year nursing students in Turkiye.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Sixty students were randomly assigned to either an intervention group (<i>n</i> = 30) or a control group (<i>n</i> = 30). The intervention group received a 4-week gamified program that included physical games, case-based activities and escape-room scenarios, all designed according to Bloom's Taxonomy. The control group received standard lecture-based instruction. Data were collected using the Infection Control Cognitive Achievement Measurement Questionnaire, the Academic Nurse Self-Efficacy Scale and the Learning Motivation Scale in Higher Education. Analyses included <i>t</i>-tests, Mann–Whitney <i>U</i> tests, correlation analyses and regression.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The intervention group showed higher learning motivation (<i>p</i> = 0.025) and greater cognitive achievement in sterilization and asepsis (<i>p</i> = 0.024), though these differences did not remain significant after Holm–Bonferroni correction. No significant difference in academic self-efficacy was observed (<i>p</i> &gt; 0.05). Regression analysis showed that the learning objectives subdimension of the Learning Motivation in Higher Education Scale significantly predicted cumulative grade point average (<i>p</i> &lt; 0.001, <i>R</i> ² = 0.241).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Gamified learning may enhance motivation and specific cognitive outcomes but appears to have a limited impact on self-efficacy. As a complementary method to traditional instruction, it holds promise, particularly when integrated with clinical practice and personalized feedback.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Trial Registration</h3>\u0000 \u0000 <p>ClinicalTrials.gov identifier: NCT06786806</p>\u0000 </section>\u0000 </div>","PeriodicalId":14223,"journal":{"name":"International Journal of Nursing Practice","volume":"32 2","pages":""},"PeriodicalIF":2.0,"publicationDate":"2026-03-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12975316/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147432808","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":"Effectiveness of Nurse-Led Intervention on the Management of Patients With Stroke: A Systematic Review and Meta-Analysis","authors":"Sisi Liang,&nbsp;Jie Liu,&nbsp;Juying Yan","doi":"10.1111/ijn.70115","DOIUrl":"10.1111/ijn.70115","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Stroke remains a leading cause of mortality and long-term disability worldwide, with timely intervention critical for reducing brain injury. Nurse-led interventions may streamline care and improve outcomes in stroke management.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>This study aimed to synthesize current evidence on the effectiveness of nurse-led interventions on the management of patients with stroke.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>This review was reported according to PRISMA 2020 guidelines. Comprehensive searches across multiple databases identified 32 studies providing stroke nurse-led intervention for adult stroke patients (≥ 18 years). Outcomes evaluated included mortality, door-to-needle (DTN) time, neurological function (NIHSS), functional recovery (modified Rankin Scale and Barthel index), quality of life (EQ-5D) and length of hospital stay.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Although a non-significant pooled odds ratio of 0.76 (95% CI: 0.44–1.32) was reported for mortality, nurse-led interventions significantly reduced DTN times (SMD: −1.87, 95% CI: −2.91 to −0.82) and improved neurological outcomes, with NIHSS scores showing a pooled weighted mean difference of −0.81 (95% CI: −1.36 to −0.25). Continuous measures of functional recovery assessed by mRS and the Barthel index also demonstrated significant improvements.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Stroke nurse-led interventions enhance critical process metrics and neurological recovery in acute stroke care, supporting the integration of specialized nursing protocols in stroke management.</p>\u0000 </section>\u0000 </div>","PeriodicalId":14223,"journal":{"name":"International Journal of Nursing Practice","volume":"32 2","pages":""},"PeriodicalIF":2.0,"publicationDate":"2026-03-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147365182","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":"Empowering New Mothers: A Randomized Trial Exploring the Effect of a Nursing Educational Programme on Breastfeeding Practices and Self-Efficacy Among Primigravida in Saudi Arabia","authors":"Asmaa Mohamed Ali AlAbd,&nbsp;Salwa Ali Marzouk,&nbsp;Aziza Ibrahim Mohamed Hassan,&nbsp;Mahmoud Abdelwahab Khedr,&nbsp;Hamdan Mohamed Albaqawi,&nbsp;Nojoud Abdullah Alrashidi,&nbsp;Layla Salem Alshammari,&nbsp;Joyce B. Buta,&nbsp;Sarah Sulieman Al Nawasreh","doi":"10.1111/ijn.70119","DOIUrl":"10.1111/ijn.70119","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>Breastfeeding is vital for the health of both the mother and the child, but many primigravida, or first-time mothers, encounter obstacles that affect their ability to successfully breastfeed.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>This study sought to explore the impact of a health educational programme on breastfeeding practices and maternal self-efficacy.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A randomized controlled intervention design was employed, with participants allocated to either a control group or a study group receiving the educational programme. The study was conducted at the Maternal and Children Hospital in the Saudi Arabian cities of Hail and Bisha. A total of 442 primigravida mothers were enrolled, with 221 assigned to the study group and 221 to the control group. Data collection utilized the Self-Efficacy Scale Short-Form and a validated questionnaire assessing breastfeeding knowledge, attitude and practices (KAP). Each woman completed a structured interview and observations at five time points: pre-intervention (within the first week post-partum), post-intervention (2–3 weeks post-partum) and at 2, 4 and 6 months.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The study group showed statistically significant improvements in total KAP scores compared to the control group (<i>p</i> &lt; 0.001). Self-efficacy increased significantly in the study group, with more women reporting high self-efficacy at 2 months (25.2%), 4 months (45.1%) and 6 months (50.5%).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>A breastfeeding educational programme is a powerful tool for new mothers, enhancing practical skills and self-efficacy, leading to a more positive and sustained breastfeeding experience, supporting maternal and infant health outcomes.</p>\u0000 \u0000 <p><b>Trial Registration:</b> ClinicalTrials.gov: NCT06423534</p>\u0000 </section>\u0000 </div>","PeriodicalId":14223,"journal":{"name":"International Journal of Nursing Practice","volume":"32 2","pages":""},"PeriodicalIF":2.0,"publicationDate":"2026-03-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147354993","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":"Mobile Health Interventions for Caregivers to Prevent Stunting Among Children: A Scoping Review","authors":"Idham Choliq,&nbsp;Vika Ramadhana Fitriyani,&nbsp;Shu-Yuan Lin","doi":"10.1111/ijn.70117","DOIUrl":"10.1111/ijn.70117","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>To map the current literature on the use of mobile health interventions by caregivers to prevent stunting in children.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Combining mobile technology with health education or community engagement has shown promise as an intervention for preventing child stunting.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Method</h3>\u0000 \u0000 <p>Following Arksey and O'Malley's scoping methodology and PRISMA-ScR guidelines, a systematic search was conducted across multiple databases, including PubMed, Scopus, CINAHL, Cochrane Library and Web of Science. A total of 317 records were assessed, and seven studies were included for critical review.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Included studies composed of three randomized controlled trials, one quasi-experimental trial and three pilot studies. Types of mobile health interventions included mobile apps, interactive voice response (IVR) audio messages, WhatsApp and chatbots, which were delivered through self-guided and provider-assisted modes. Protocols were conducted through daily or weekly messages or structured multi-week modules over periods of weeks to months. Outcomes measured included caregivers' cognition, child diet, child growth and health, service utilization and maternal well-being. Improvements were observed in caregivers' knowledge and feeding practices. However, the results for child growth and immunization were inconsistent.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Mobile health interventions have considerable potential to enhance caregivers' knowledge and improve feeding practices, which are crucial for preventing stunting globally.</p>\u0000 </section>\u0000 </div>","PeriodicalId":14223,"journal":{"name":"International Journal of Nursing Practice","volume":"32 1","pages":""},"PeriodicalIF":2.0,"publicationDate":"2026-02-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147271021","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":"Point-of-Care Ultrasound by Nurses: A Niche Skill or a Global Core Competence?","authors":"Daniele Privitera,&nbsp;Christian Nicole,&nbsp;Lin Perry,&nbsp;Davide Giustivi","doi":"10.1111/ijn.70118","DOIUrl":"10.1111/ijn.70118","url":null,"abstract":"","PeriodicalId":14223,"journal":{"name":"International Journal of Nursing Practice","volume":"32 1","pages":""},"PeriodicalIF":2.0,"publicationDate":"2026-02-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146213125","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 Sleep Quality on Work Functioning Among Critical Care Nurses at an Academic Tertiary Hospital","authors":"Haneen M. Almotary,&nbsp;Waleed M. Kattan,&nbsp;Abrar K. Thabit","doi":"10.1111/ijn.70116","DOIUrl":"10.1111/ijn.70116","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>Poor sleep quality can impair nurses' ability to function effectively. We aimed to investigate the impact of sleep quality on the work functioning of intensive care unit (ICU) nurses.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>This cross-sectional questionnaire-based study was conducted at an academic tertiary hospital in Saudi Arabia between December 2023 and January 2024. Eligible participants included any ICU nurses. The self-administered questionnaire included basic demographics and questions from the Pittsburgh Sleep Quality Index (PSQI) and Nurses Work Functioning Questionnaire (NWFQ).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Of the 131 participants, 60 (45.8%) were 35–44 years old and 118 (90.1%) were females. The median [interquartile range] number of years working in the ICU was 8 [4–16]. Participants with poor sleep quality had a significantly higher median NWFQ score (27.57 vs. 17.44; <i>p</i> &lt; 0.0001) and all the NWFQ subscales (<i>p</i> ≤ 0.02) except for the item ‘conflicts and irritations with colleagues.’ NWFQ scores demonstrated a moderate negative correlation with Global PSQI Scores (<i>r</i>_<i>s</i> = −0.37; <i>p</i> &lt; 0.0001) and mild-to-moderate negative correlations were observed with six of seven NWFQ subscales (<i>r</i>_<i>s</i> = −0.21 to −0.41; <i>p</i> ≤ 0.05). Multivariable regression analysis revealed that none of the participants' characteristics were associated with poor work functioning. However, poor sleep was associated with poor work function (OR 4.29; 95% CI, 1.74–10.58).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>The sleep quality of ICU nurses was significantly associated with work functioning. Addressing sleep-related challenges is essential to ensuring high-quality patient care and the overall sustainability of the nursing profession.</p>\u0000 </section>\u0000 </div>","PeriodicalId":14223,"journal":{"name":"International Journal of Nursing Practice","volume":"32 1","pages":""},"PeriodicalIF":2.0,"publicationDate":"2026-02-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12907533/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146201592","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effects of Mindfulness Therapy on Stress and Mindfulness Levels in Nursing Students: A Network Meta-Analysis","authors":"Yunrui Jin,&nbsp;Qian Tang,&nbsp;Min Shui,&nbsp;Xiaoyun Yang,&nbsp;Yinchun Liu","doi":"10.1111/ijn.70105","DOIUrl":"10.1111/ijn.70105","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>This study employed a network meta-analysis to compare the effects of multiple mindfulness-based interventions on stress and mindfulness levels among nursing students.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Systematic searches were conducted in PubMed, the Cochrane Library, EMBASE and Web of Science for clinical randomized controlled trials evaluating mindfulness therapies for stress and mindfulness outcomes in nursing students. The search spanned from each database's inception to 28 February 2025. Study quality was assessed using the Cochrane-recommended Risk of Bias tool. Analyses were performed using Stata 14.0 software.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Eight articles, encompassing 744 participants, were incorporated into the analysis. Compared with acceptance and commitment therapy, mindfulness-based stress reduction therapy, mindfulness meditation and the control group were all effective in reducing stress scores among nursing students. The surface under the cumulative ranking curve values indicated the following ranking for the efficacy of reducing stress scores in nursing students: mindfulness-based stress reduction therapy &gt; mindfulness meditation &gt; control &gt; acceptance and commitment therapy.</p>\u0000 \u0000 <p>Regarding the enhancement of mindfulness scores, mindfulness meditation demonstrated more significant improvement in nursing students' mindfulness scores than the control and acceptance and commitment therapy groups. Additionally, mindfulness-based stress reduction therapy led to greater increases in mindfulness scores compared with acceptance and commitment therapy. The surface under the cumulative ranking curve values suggested the following ranking for improving nursing students' mindfulness scores: mindfulness meditation &gt; mindfulness-based stress reduction therapy &gt; control &gt; acceptance and commitment therapy.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Mindfulness meditation might represent the optimal intervention. Nevertheless, considering the quality and methodological constraints associated with the included diverse interventions, findings require further validation to strengthen the robustness of the conclusions.</p>\u0000 </section>\u0000 </div>","PeriodicalId":14223,"journal":{"name":"International Journal of Nursing Practice","volume":"32 1","pages":""},"PeriodicalIF":2.0,"publicationDate":"2026-02-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146201602","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}