International Journal of Nursing Studies Advances最新文献

{"title":"Nurses’ and midwives’ knowledge and safe-handling practices related to hazardous drugs: A cross-sectional study","authors":"Pheona van Huizen ,&nbsp;Paul Wembridge ,&nbsp;Philip L. Russo ,&nbsp;Elizabeth Manias ,&nbsp;Clifford J. Connell","doi":"10.1016/j.ijnsa.2025.100331","DOIUrl":"10.1016/j.ijnsa.2025.100331","url":null,"abstract":"<div><h3>Background</h3><div>Hazardous drugs are inherently toxic and can present an occupational exposure risk to healthcare professionals. Hazardous drugs are regularly prescribed for people to treat a variety of medical conditions.</div></div><div><h3>Aim</h3><div>To explore nurses’ and midwives’ knowledge and practices related to the safe handling of hazardous drugs. Also, to discover if controls of risk are available to support nurses and midwives to implement best practices when handling hazardous drugs in health care settings and if there are any obstacles to using these controls.</div></div><div><h3>Method</h3><div>This was a cross-sectional study using a convenience sample of nurses and midwives at six Australian hospitals from a metropolitan health care service. In the self-administered, validated online questionnaire, participants were asked to identify hazardous drugs and their use of hazard controls, including personal protective equipment. Variables for self-efficacy, perceived barriers, perceived risk, interpersonal influences, and workplace safety climate were also measured.</div></div><div><h3>Results</h3><div>A total of 217 nurses and midwives reported they handled hazardous drugs. The questionnaire was completed in full by 156 participants (71.9 %). Participants predominantly identified as women (196/217, 90.3 %) and had completed a bachelor's of nursing (139/217, 64.1 %). The hazardous drugs chloramphenicol, colchicine, and dutasteride were frequently not identified as hazardous (80.6 %, 73.8 %, and 68.2 %, respectively). A total of 78 (35.9 %) participants reported having received hazardous drug handling training, of which 34 (43.6 %) stated it was in the past 12 months. Participants (181/203, 89.2 %) agreed or strongly agreed that they were confident that they could use personal protective equipment correctly and were provided with the best available personal protective equipment (163/203, 80.3 %). Despite this, personal protective equipment was never worn by approximately a third of participants who reported being involved in preparing, administering, and disposing of hazardous drugs (32.2 %, 29.8 %, and 30.9 %, respectively).</div></div><div><h3>Conclusion</h3><div>Nurses and midwives did not always recognise hazardous drugs, and, although they were confident in using appropriate personal protective equipment, some reported never wearing it. A multi-faceted multidisciplinary intervention is needed to improve both knowledge and practice for handling both cytotoxic and non-cytotoxic drugs by nurses and midwives.</div></div>","PeriodicalId":34476,"journal":{"name":"International Journal of Nursing Studies Advances","volume":"8 ","pages":"Article 100331"},"PeriodicalIF":3.1,"publicationDate":"2025-04-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143877060","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Development and application of patient-reported experience measures for cancer patients: a scoping review","authors":"Qiongjie Shao ,&nbsp;Wei Zhang ,&nbsp;Hongjuan Lang ,&nbsp;Yan Wang ,&nbsp;Han Tang ,&nbsp;Juan Du ,&nbsp;Ying Liang ,&nbsp;Pengyu Jing ,&nbsp;Zhongping Gu ,&nbsp;Xiaolong Yan ,&nbsp;Lei Shang","doi":"10.1016/j.ijnsa.2025.100327","DOIUrl":"10.1016/j.ijnsa.2025.100327","url":null,"abstract":"<div><h3>Objective</h3><div>This study examines the currently available Patient-Reported Experience Measures for cancer patients and provides a scoping overview of their definitions, evaluation frameworks, assessment tools, and current applications. The findings aim to inform and guide the development of a patient-centered care model.</div></div><div><h3>Methods</h3><div>Using a combination of subject terms and free-text keywords, studies published by national and international initiatives were reviewed across three online databases (PubMed, Web of Science, and MEDLINE) following the PRISMA guidelines.</div></div><div><h3>Results</h3><div>A total of 2216 papers were reviewed, of which 24 were included in the scoping review. From these, 11 Patient-Reported Experience Measures were identified, each from 10 different national projects. Definitions of Patient-Reported Experience Measures were established, and the current status of Patient-Reported Experience Measures evaluation systems for cancer patients, along with their application across four domains, was analyzed.</div></div><div><h3>Conclusion</h3><div>Currently, research on Patient-Reported Experience Measures in cancer patients remains in its early stages, and the effectiveness of several assessment tools has yet to be fully validated. Future studies should focus on developing high-quality, cancer-specific Patient-Reported Experience Measures assessment tools. These tools should be rigorously evaluated and tailored to the unique characteristics of cancer patients' healthcare experiences, with the aim of supporting and enhancing patient-centered care practices.</div></div>","PeriodicalId":34476,"journal":{"name":"International Journal of Nursing Studies Advances","volume":"8 ","pages":"Article 100327"},"PeriodicalIF":3.1,"publicationDate":"2025-04-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143850152","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Surgical transitional care interventions and their outcomes: a scoping review","authors":"G. Tobiano ,&nbsp;W. Chaboyer ,&nbsp;K. Turner ,&nbsp;A.M. Eskes ,&nbsp;B. Patel ,&nbsp;J. Colquhoun ,&nbsp;L. Ferronato ,&nbsp;B.M. Gillespie","doi":"10.1016/j.ijnsa.2025.100328","DOIUrl":"10.1016/j.ijnsa.2025.100328","url":null,"abstract":"<div><h3>Background</h3><div>The few reviews available on surgical transitional care interventions focus on intervention effectiveness on readmissions, showing that transitional care interventions may reduce readmissions. More detailed guidance is needed for clinicians and researchers to adapt and implement these interventions and evaluate their effect.</div></div><div><h3>Objective</h3><div>To identify, synthesise and map the evidence on surgical transitional care intervention components and surgical patient outcomes.</div></div><div><h3>Design</h3><div>Scoping review.</div></div><div><h3>Methods</h3><div>Medline, CINAHL and EMBASE were searched, followed by backward and forward citation searching. Two researchers independently screened titles and abstracts, and then full-texts. Data were extracted about study and intervention characteristics by one researcher, and checked for accuracy by a second researcher. To summarise the data, intervention components and outcome measures were categorised according to an existing list of transitional care intervention components and a core outcome set for perioperative patients, which were presented as tables, figures, and text.</div></div><div><h3>Results</h3><div>Of 5176 articles found, 30 studies were included. Most studies focussed on cardiothoracic, general and orthopaedic surgery, and were primarily conducted in Asia and North America. Outcomes frequently measured were hospital readmissions, followed by health-related quality of life. Pre-discharge assessment, education and discharge planning, post-discharge telephone calls, and caregiver involvement were the most common intervention components. Generally, they demonstrated positive outcomes for hospital readmission and patient satisfaction.</div></div><div><h3>Conclusions</h3><div>There is large focus on re-admission as an outcome measure, presenting an opportunity to explore a broader range of patient-centred and transition specific outcome measures. While common transitional care intervention components were uncovered, the evidence-base for each individual component is unclear. Gaps were found in surgical populations and settings, with most transitional care interventions focussing on cardiothoracic surgery across a limited geographic context, highlighting the opportunity to build the evidence-base for surgical transitional care interventions across a range of contexts.</div></div><div><h3>Review registration</h3><div>The Open Science Framework (<span><span>https://osf.io/kf2v7/</span><svg><path></path></svg></span>).</div></div>","PeriodicalId":34476,"journal":{"name":"International Journal of Nursing Studies Advances","volume":"8 ","pages":"Article 100328"},"PeriodicalIF":3.1,"publicationDate":"2025-04-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143936710","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Analysis of Risk Factors and Prediction Model Construction for Poor Healing of Perineal Wounds after Vaginal Delivery: A Retrospective Case-Control Study","authors":"Chunyu Cai ,&nbsp;Shanshan Shan ,&nbsp;Xiaoyan Chen ,&nbsp;Xiao Yao ,&nbsp;Ying Liu ,&nbsp;Hui Jiang","doi":"10.1016/j.ijnsa.2025.100326","DOIUrl":"10.1016/j.ijnsa.2025.100326","url":null,"abstract":"<div><h3>Background</h3><div>Perineal wounds after vaginal delivery are very common, but the existing evidence for poor healing of perineal wounds is limited. Although some studies have analyzed the risk factors for poor perineal wound healing, there are currently no simple and practical predictive tools available for clinical use.</div></div><div><h3>Objective</h3><div>To retrospectively analyze the independent risk factors for poor perineal wound healing after vaginal delivery and to establish a risk prediction model for poor perineal wound healing.</div></div><div><h3>Design</h3><div>A Retrospective Case-Control Study.</div></div><div><h3>Data Source</h3><div>A total of 167 cases of poor perineal wound healing after vaginal delivery who visited the emergency department from May 2021 to September 2023 in our hospital were selected as the poor perineal wound healing group. The control group was randomly selected by the random number table method at a ratio of 1:2 from those with normal perineal wound healing during the same period.</div></div><div><h3>Methods</h3><div>Clinical indicators of the two groups were analyzed, and the risk factors for poor perineal wound healing were analyzed using univariate and multivariate Logistic regression analysis, and a risk prediction model was constructed. A nomogram was drawn, and the model was evaluated by discrimination and calibration.</div></div><div><h3>Results</h3><div>This study ultimately included four independent risk factors to construct the risk prediction model, including primiparity, perineal laceration, perineal laceration combined with laceration, and vaginal hematoma. The model formula was Z = 2.256 + 2.7 × (episiotomy with laceration) + 1.5 × (episiotomy) + 1.321 × (vaginal hematoma) + 0.904 × (primiparity). The area under the ROC curve of the constructed model was 0.757 (95% CI: 0.712-0.803), and the optimal cutoff value was 0.194, at which the model sensitivity was 0.952 and specificity was 0.759.</div></div><div><h3>Conclusions</h3><div>The risk prediction model for poor perineal wound healing after vaginal delivery can reasonably predict the risk of poor incision healing, providing a basis for obstetric medical staff to take preventive management measures for high-risk groups before the discharge of parturient women, thereby reducing the occurrence of poor perineal wound healing.</div></div>","PeriodicalId":34476,"journal":{"name":"International Journal of Nursing Studies Advances","volume":"8 ","pages":"Article 100326"},"PeriodicalIF":3.1,"publicationDate":"2025-04-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143820917","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Unravelling typology of family life when a parent has heart disease: A qualitative study of families with adolescents","authors":"Matilda Holmbom ,&nbsp;Hanna Grundström ,&nbsp;Frida Andréasson ,&nbsp;Camilla Rotvig ,&nbsp;Hege Andersen ,&nbsp;Camilla Bernild ,&nbsp;Tone Merete Norekvål ,&nbsp;Selina Kikkenborg Berg ,&nbsp;Anna Strömberg","doi":"10.1016/j.ijnsa.2025.100324","DOIUrl":"10.1016/j.ijnsa.2025.100324","url":null,"abstract":"<div><h3>Background</h3><div>When a parent is living with heart disease, it impacts the entire family. To fully understand the effect, the perspectives of all family members need be analysed together as a unit.</div></div><div><h3>Objective</h3><div>To identify what characterises family life and relationships in families with adolescents, with a parent living with heart disease.</div></div><div><h3>Design</h3><div>Qualitative study with an inductive approach.</div></div><div><h3>Setting</h3><div>In three Scandinavian countries between 2019 and 2022.</div></div><div><h3>Participants</h3><div>A total of 28 families with 83 family members, from three university hospitals were included. Inclusion criteria were families with a parent living with any type of heart disease, within six months and up to five years since diagnosis and having one or more adolescents living at home.</div></div><div><h3>Methods</h3><div>Data was collected through semi-structured individual interviews. Reflexive thematic analysis was used to identify patterns within families. This was followed by an ideal-type analysis, which resulted in a typology defining aspects of family experiences and responses of living with heart disease.</div></div><div><h3>Results</h3><div>A typology was developed describing four different family responses to heart disease: resilient, fragile, overwhelmed, and resigned. A family with a resilient response exhibits a collective approach, fostering solidarity and adaptability as they manage heart disease. A family with a fragile response shares a sense of belonging among family members, but struggles with concurrent stressors, navigating challenges individually without external support. A family with an overwhelmed response experience breakdowns in communication and helplessness in managing heart disease alongside various demands. A family with a resigned response relies on individual strategies leading to challenges for them to interact and understand each other.</div></div><div><h3>Conclusions</h3><div>Families affected by heart disease handle their new life circumstances in various ways. Strong family cohesion and supporting networks emerged as crucial elements in helping families cope with the multifaceted challenges associated with living with heart disease.</div></div>","PeriodicalId":34476,"journal":{"name":"International Journal of Nursing Studies Advances","volume":"8 ","pages":"Article 100324"},"PeriodicalIF":3.1,"publicationDate":"2025-04-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143817696","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Psychological distress and suicidal ideation in patients with depressive disorders: the chain mediation of psychological resilience and neuroticism","authors":"Xueqing Wang ,&nbsp;Huafang Li","doi":"10.1016/j.ijnsa.2025.100325","DOIUrl":"10.1016/j.ijnsa.2025.100325","url":null,"abstract":"<div><h3>Objective</h3><div>Suicide in depressed patients has become a serious challenge in the field of public health. In-depth analyses of the relationship between psychological distress and suicidal ideation, as well as its intrinsic mechanisms, are of great clinical significance for the prevention of suicide in depressed patients. The objective of this study was twofold: firstly, to explore the intrinsic relationship between psychological distress and suicidal ideation in depth; and secondly, to further investigate the mediating roles of psychological resilience and neuroticism in this relationship.</div></div><div><h3>Methods</h3><div>In this study, a cross-sectional research design was employed to select 200 patients diagnosed with depression from a mental health centre in Shandong Province. This study utilised the abbreviated version of the Big Five Personality Inventory, the Simplified Scale of Psychological Resilience, the Suicidal Ideation Scale, and the Kessler Psychological Distress Scale to administer questionnaires to patients.</div></div><div><h3>Results</h3><div>Psychological distress has a direct predictive effect on suicidal ideation. In depressed patients, it also exerts an indirect effect on suicidal ideation via three pathways: the separate mediating effect of psychological resilience, the separate mediating effect of neuroticism, and the chain mediating effect of psychological resilience and neuroticism.</div></div><div><h3>Conclusion</h3><div>In conclusion, the results of this study elucidate the effect of psychological distress on suicidal ideation in depressed patients and its mechanism of action. Furthermore, they demonstrate the chain-mediated roles of psychological resilience and neuroticism in the relationship between psychological distress and suicidal ideation in depressed patients. Finally, they provide a new perspective for understanding suicidal ideation and preventing suicidal risk in depressed patients. Nevertheless, the present study was only able to measure the correlation between the variables; therefore, it is not yet possible to infer causality. In future, more precise prediction and intervention programmes for suicide risk in depressed patients can be explored in depth through longitudinal or experimental studies, etc.</div></div>","PeriodicalId":34476,"journal":{"name":"International Journal of Nursing Studies Advances","volume":"8 ","pages":"Article 100325"},"PeriodicalIF":3.1,"publicationDate":"2025-04-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143817697","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Validation of the short index of job satisfaction in Chinese nurses: classical test theory and item response theory","authors":"Lai Kun Tong ,&nbsp;Yue Yi Li ,&nbsp;Yong Bing Liu ,&nbsp;Mu Rui Zheng ,&nbsp;Guang Lei Fu ,&nbsp;Mio Leng Au","doi":"10.1016/j.ijnsa.2025.100321","DOIUrl":"10.1016/j.ijnsa.2025.100321","url":null,"abstract":"<div><h3>Background</h3><div>The Short Index of Job Satisfaction (SIJS) has demonstrated favorable psychometric properties and has been utilized across diverse cultural contexts. However, no studies adapting the SIJS to China were found. The Chinese version of the SIJS can contribute to a cross-cultural understanding of job satisfaction and provide valuable insight into cross-cultural differences. Purpose. To assess the psychometric properties of the SIJS among Chinese nurse, both classical test theory (CTT) and item response theory (IRT) were used.</div></div><div><h3>Methods</h3><div>The translation procedure followed the guidelines of the World Health Organization. A convenience sampling approach was used to obtain 636 valid questionnaires. The data collected were evenly partitioned into two equal segments, with one portion allocated for CTT analysis and the other for IRT analysis.</div></div><div><h3>Results</h3><div>According to classical test theory, the content validity (S-CVI = 0.98), construct validity (AVE = 0.50), and internal consistency reliability (Cronbach's alpha coefficient = 0.76, McDonald's Omega = 0.80) of the SIJS were good. Rasch analysis indicated acceptable item fit (MnSq indices ranging from 0.767 to 1.406 for the INFIT and OUTFIT corresponding to all response categories), item discrimination (p values ranging from 0.060 to 0.831), and item reliability (person separation reliability = 0.708).</div></div><div><h3>Conclusions</h3><div>The findings of this study demonstrate the favorable reliability and validity of the Chinese version of the SIJS when applied to nurses, as evidenced by both CTT and IRT analyses. By assessing job satisfaction levels using the SIJS, nursing managers can identify employees who may be at risk of burnout or dissatisfaction, allowing them to take appropriate actions to mitigate these issues and promote a positive work environment.</div></div>","PeriodicalId":34476,"journal":{"name":"International Journal of Nursing Studies Advances","volume":"8 ","pages":"Article 100321"},"PeriodicalIF":3.1,"publicationDate":"2025-03-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143817695","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Anaesthetic emergence agitation in adults following general surgery: A scoping review","authors":"Meredith Heily ,&nbsp;Marie Gerdtz ,&nbsp;Rebecca Jarden ,&nbsp;Yen Yap ,&nbsp;Rinaldo Bellomo","doi":"10.1016/j.ijnsa.2025.100320","DOIUrl":"10.1016/j.ijnsa.2025.100320","url":null,"abstract":"<div><h3>Background</h3><div>Anaesthetic emergence is the patient's transition from general anaesthetic until they are alert and in full control of vital reflexes. It is during this transition that significant complications, including anaesthetic emergence agitation, may occur. A preliminary search did not identify any research investigating adults who undergo anaesthetic emergence in critical care settings.</div></div><div><h3>Objectives</h3><div>To map the post-anaesthetic literature reporting outcomes, risk factors, and management of adult patients admitted directly to a critical care unit, who develop emergence agitation, and to describe the implications for clinical practice.</div></div><div><h3>Methods</h3><div>The scoping review was registered at <span><span>https://osf.io/spwx5/</span><svg><path></path></svg></span> and conducted using the Joanna Briggs Institute methodology, with the framework of Population, Concept and Context. Search terms including agitation, anaesthetic, emergence, postoperative and surgery.</div></div><div><h3>Results</h3><div>Twenty-five articles were identified and were eligible for data extraction. Risk factors included co-morbid conditions, anaesthetic agents and the presence of in-situ invasive devices. Studies varied regarding design and patient assessment tools. Data were reported from one or more of eight observation timepoints along the emergence continuum, from end-anaesthetic until post anaesthetic care unit discharge. No studies investigated patients with direct postoperative admission to critical care settings.</div></div><div><h3>Conclusions</h3><div>This review has characterised the emergence continuum. The variations between studies has highlighted the necessity to reach future consensus regarding emergence definition and measurement. A critical gap was identified regarding recommendations for prevention and management of emergence agitation for patients admitted directly to a critical care unit.</div></div>","PeriodicalId":34476,"journal":{"name":"International Journal of Nursing Studies Advances","volume":"8 ","pages":"Article 100320"},"PeriodicalIF":3.1,"publicationDate":"2025-03-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143696669","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Use of patient- handling devices and coworker assistance in long-term care settings: A cross-sectional study","authors":"Minjung Kyung ,&nbsp;Soo-Jeong Lee ,&nbsp;Laura M. Wagner ,&nbsp;OiSaeng Hong","doi":"10.1016/j.ijnsa.2025.100317","DOIUrl":"10.1016/j.ijnsa.2025.100317","url":null,"abstract":"<div><h3>Background</h3><div>Although many patient handling activities require use of lifting devices and assistance from coworkers to ensure safety and efficiency, integrating these practices into the workplace remains challenging.</div></div><div><h3>Objective</h3><div>The objectives of this study were to examine the association of musculoskeletal symptoms with the use of patient -handling devices or coworker assistance and to identify factors associated with their adoption among direct care workers in long-term care facilities.</div></div><div><h3>Methods</h3><div>A cross-sectional study was conducted among 376 direct care workers recruited from 19 long-term care facilities in South Korea. Chi-square tests and analysis of variance with Tukey post-hoc analysis were used to assess differences in musculoskeletal symptom prevalence, frequency, and severity by patient handling methods. Multiple logistic regression was used to examine the relationship between the use of coworker assistance or patient -handling devices and demographic, job-related, physical, and psychosocial work factors and perception of management's safety priority.</div></div><div><h3>Results</h3><div>The majority of participants were female, married, and employed in non-permanent positions. Among the participants, 42.2% used both patient- handling devices and coworker assistance, 5.8 % used only patient- handling devices, 24.7 % used only coworker assistance, and 27.3 % used neither method. Workers who used both methods reported a significantly lower prevalence, frequency, and severity of musculoskeletal symptoms compared to those who relied on only one method or neither. Older and immigrant workers were less likely to use patient- handling devices. While workers perceiving management having a high priority for safety were more likely to use coworker assistance, immigrant, non-permanent, and overcommitted workers and those with longer years in long-term care showed lower tendencies to seek coworker assistance.</div></div><div><h3>Conclusion</h3><div>Despite the musculoskeletal benefits of using patient- handling devices and coworker assistance, their availability and adoption remain insufficient in long-term care facilities in Korea. These findings underscore the vital role that nursing leaders may play in promoting the adoption of combined patient handling methods, particularly among vulnerable worker groups. Empowerment strategies, such as fostering a supportive work environment and addressing barriers faced by overcommitted, long-tenured, and marginalized workers, may be essential to improving the safety and well-being of both patients and staff in long-term care settings.</div></div>","PeriodicalId":34476,"journal":{"name":"International Journal of Nursing Studies Advances","volume":"8 ","pages":"Article 100317"},"PeriodicalIF":3.1,"publicationDate":"2025-03-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143704066","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The interplay between home and job demands, resources, and the intention to stay in nursing: A cross-sectional study","authors":"Jasperina Brouwer ,&nbsp;Stéfanie André ,&nbsp;Nienke Renting","doi":"10.1016/j.ijnsa.2025.100318","DOIUrl":"10.1016/j.ijnsa.2025.100318","url":null,"abstract":"&lt;div&gt;&lt;h3&gt;Background&lt;/h3&gt;&lt;div&gt;Concerns about the global nursing shortage highlight that, while increasing graduates is considered as essential, addressing retention issues is equally critical to mitigate the shortage effectively. Nurses frequently struggle to harmonize family life with their demanding profession in this predominantly female field. Finding a balance between home and job demands and resources may be crucial for staying in the profession.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Objective&lt;/h3&gt;&lt;div&gt;We aimed to obtain a better understanding of the relationships among home and job demands (parenthood, working hours, work pressure), personal resources (experience, need for autonomy, self-efficacy), contextual resources (work-life balance), and the intention to stay in the nursing profession. More specifically, we investigated how work-life balance, as a contextual resource mediated the complex interplay among home and job demands, personal resources, and the intention to stay.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Design&lt;/h3&gt;&lt;div&gt;We adopted a cross-sectional survey methodology.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Setting(s)&lt;/h3&gt;&lt;div&gt;We focused on nursing professionals employed in healthcare institutions, encompassing hospitals, elderly care facilities, and home care institutions in the Netherlands.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Participants&lt;/h3&gt;&lt;div&gt;Survey respondents included 616 bedside nurses with either patient care responsibilities alone or combined with managerial responsibilities.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Methods&lt;/h3&gt;&lt;div&gt;We distributed a survey among nursing professionals in 2021. Path modeling was conducted using Mplus version 8.0.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Results&lt;/h3&gt;&lt;div&gt;The comprehensive model revealed that parenthood and the fulfilment of the need for autonomy were associated with increased energy levels, while the need for autonomy was associated with lower work pressure and higher intention to stay. Work pressure was negatively associated with work-life balance, whereas a satisfactory work-life balance was positively associated with the intention to stay. Energy was directly related to intention to stay, as well as indirectly through work-life balance. Work experience was negatively associated with the intention to stay. Controlling for gender, nurses identifying as female or non-binary experienced lower energy compared to their male counterparts.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Conclusion&lt;/h3&gt;&lt;div&gt;Work-life balance and the need for autonomy were positively associated with the intention to stay. Energy was positively associated with work-life balance and the intention to stay. Working experience was negatively associated with the intention to stay in the profession, suggesting that more experienced nurses may may see more alternatives after leaving the bedside profession.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Tweetable abstract&lt;/h3&gt;&lt;div&gt;Nurses may stay when they feel energized and experience more work-life balance. More autonomy is encouraging, whereas high work pressure discourages them. Let's support nursing needs. #Nursing","PeriodicalId":34476,"journal":{"name":"International Journal of Nursing Studies Advances","volume":"8 ","pages":"Article 100318"},"PeriodicalIF":3.1,"publicationDate":"2025-03-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143767857","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}