International Journal of Nursing Studies Advances最新文献

{"title":"Working time distribution and administrative burden in Austrian community health nursing: A cross-sectional survey","authors":"Raimund M. Kovacevic ,&nbsp;Doris A. Behrens ,&nbsp;Walter Hyll","doi":"10.1016/j.ijnsa.2025.100375","DOIUrl":"10.1016/j.ijnsa.2025.100375","url":null,"abstract":"<div><h3>Background</h3><div>Community health nursing was introduced in Austria in 2022. As the 117 pilot projects now transition into centrally managed services, data on nurses’ working time distribution and client contact patterns are essential for workforce and location planning to ensure optimal service delivery.</div></div><div><h3>Objective</h3><div>To analyse the working time distribution and client contact patterns of Austrian community health nurses during the pilot phase (2022–2024).</div></div><div><h3>Design</h3><div>Cross-sectional survey.</div></div><div><h3>Setting(s)</h3><div>An online survey (April to June 2023) among community health nurses captured their working time distribution and client contact patterns.</div></div><div><h3>Participants</h3><div>Out of the N = 220 eligible community health nurses, 121 (55%) nurses answered the questions relevant to working time analysis and 115 (52%) for studying regional disparity of service delivery.</div></div><div><h3>Methods</h3><div>The analysis used descriptive statistics, statistical tests, and regression analysis, employing Excel®, Stata® and R.</div></div><div><h3>Results</h3><div>Our analysis shows that 92% of the community health nurses in Austria work in non-urban areas. On average, they have one client contact every five working hours, lasting around 75 minutes. Seventy per cent of these encounters result in follow-ups, usually within ten days. Across all regions, 28% of the Austrian community health nurses’ working time is dedicated to home visits and in-office consultations, 7% to outreach efforts aimed at attracting new clients, and 6% to travelling. Further, 29% of time is spent on administration and project management, 8% on team meetings, and 20% on networking and public relations. Service delivery varies significantly by region: rural nurses report fewer consultation hours and more time spent on travelling. Regardless of geography, the time spent on organisational tasks increases disproportionately—and more than any other activity—as total working hours increase.</div></div><div><h3>Conclusions</h3><div>Each hour spent with a client requires an hour of administration, with no observable efficiency gains in administrative tasks as working hours increase. These findings highlight the need to explore whether targeted organisational support, such as administrative assistance or digital documentation tools, may improve efficiency. Additionally, current restrictions on client outreach and age eligibility may unnecessarily hinder service effectiveness and accessibility.</div></div><div><h3>Tweetable abstract</h3><div>Study of Austrian community health nurses reveals: for every hour with clients, nurses spend an equal hour on administration. Administrative burden grows disproportionately with longer working hours, with no efficiency gains.</div></div>","PeriodicalId":34476,"journal":{"name":"International Journal of Nursing Studies Advances","volume":"9 ","pages":"Article 100375"},"PeriodicalIF":3.1,"publicationDate":"2025-07-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144605088","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":"Sick leave due to musculoskeletal disorders: A prospective cohort study","authors":"Rigmor Harang Knutsen ,&nbsp;Morten Birkeland Nielsen ,&nbsp;Lars Kristian Lunde ,&nbsp;Knut Inge Fostervold ,&nbsp;Håkon A. Johannessen","doi":"10.1016/j.ijnsa.2025.100376","DOIUrl":"10.1016/j.ijnsa.2025.100376","url":null,"abstract":"<div><h3>Background</h3><div>In Norway, home care workers experience particularly high levels of medically-certified sick leave. A substantial percentage of sick leave is due to musculoskeletal disorders, which may be attributed to risk factors at work. Due to limited knowledge of the impact of working conditions on sick leave in this sector, an improved understanding of occupation-specific risk factors is needed.</div></div><div><h3>Objective</h3><div>To examine the impact of psychosocial and mechanical work factors on subsequent sick leave due to musculoskeletal disorders.</div></div><div><h3>Design</h3><div>Prospective cohort study.</div></div><div><h3>Setting</h3><div>A probability sample of 130 Norwegian municipalities and their respective home care services.</div></div><div><h3>Participants</h3><div>1819 home care workers.</div></div><div><h3>Methods</h3><div>Participants were surveyed on work environment factors and followed for 26 months between 2019 and 2021 using registry data on sick leave from the Norwegian Labour and Welfare Administration. Registry data comprised complete registrations of all medically-certified sick leave, including the relevant diagnostic codes of the International Classification of Primary Care system. Incidence risk ratios and 95 % confidence intervals were calculated using negative binomial regression with robust standard deviations. Population attributable risk and population preventable fractions were calculated to estimate the contribution of the significant work factors to sick leave in the sample.</div></div><div><h3>Results</h3><div>The following factors were associated with excessive risk of sick leave due to musculoskeletal disorders: Lifting or supporting the patient between bed and chair or wheelchair, heavy physical exertion without aids or assistance, heavy physical exertion despite aids or assistance, walking/standing, forward bending of the upper body, squatting/kneeling, and experiencing the work as physically demanding. Control over work pacing, fair leadership, empowering leadership, and support from immediate supervisor were associated with reduced risk of sick leave.</div></div><div><h3>Conclusions</h3><div>Preventive efforts to reduce sick leave due to musculoskeletal disorders among home care workers should adopt a multifactorial approach, including both psychosocial and mechanical work factors and the context in which they occur. There may be considerable potential for risk reduction by targeting awkward postures and heavy physical exertions, facilitating control over work pacing, and developing relationship-oriented leadership skills.</div></div><div><h3>Registration</h3><div>Clinical Trials - NCT03855163.</div></div>","PeriodicalId":34476,"journal":{"name":"International Journal of Nursing Studies Advances","volume":"9 ","pages":"Article 100376"},"PeriodicalIF":3.1,"publicationDate":"2025-07-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144604530","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":"'Do Fever-Sugar-Swallow Protocols improve nurses' and physicians' satisfaction with the management of fever, hyperglycemia and dysphagia in stroke patients: A pre-and post-implementation survey of the “Quality in Acute Stroke Care” (QASC) Program‘","authors":"Anne-Kathrin Cassier-Woidasky ,&nbsp;Winfried Zinn ,&nbsp;Sandy Middleton ,&nbsp;Simeon Dale ,&nbsp;Waltraud Pfeilschifter","doi":"10.1016/j.ijnsa.2025.100374","DOIUrl":"10.1016/j.ijnsa.2025.100374","url":null,"abstract":"<div><h3>Background</h3><div>Nurses play a key role for delivery of high-quality patient care in the interprofessional stroke team. Nurses’ autonomy and advanced competencies are essential to a positive work environment, yet, are not well developed in Germany.</div></div><div><h3>Objective</h3><div>To assess whether using the Fever-Sugar-Swallow (FeSS) Protocols in stroke care improves: a) nurses’ satisfaction regarding their ability to autonomously manage fever, hyperglycemia, and dysphagia; and b) physicians’ satisfaction regarding the management of these parameters in German stroke units.</div></div><div><h3>Design</h3><div>A pre-test/post-test survey administered to nursing and medical staff in eight stroke units was conducted prior to and following implementation of the FeSS Protocols.</div></div><div><h3>Methods</h3><div>An online survey, comprising items regarding global job satisfaction, the target parameters and control parameters, was distributed to participating stroke units. T-tests were calculated for significance between pre-post implementation, Cohen’s d was used to measure the effect size.</div></div><div><h3>Results</h3><div>A total of 308 respondents (nurses <em>n</em> = 112 [pre], <em>n</em> = 65 [post]; physicians <em>n</em> = 82 [pre], <em>n</em> = 49 [post]) from 8 stroke units completed the survey (response rates: 49 % nurses; 53 % physicians). There were no significant differences regarding global job satisfaction, but nurses were significantly more likely to report improvements in autonomy regarding fever management (able to act autonomously (<em>p</em> = 0.006) and competently (<em>p</em> &lt; 0.001)); perceived self-efficacy (<em>p</em> &lt; 0.001), regarding blood glucose management (able to act timely (<em>p</em> = 0.002) and competently (<em>p</em> = 0.007); perceived self-efficacy (<em>p</em> &lt; 0.001)), and dysphagia management (able to act autonomously (<em>p</em> = 0.005) and timely (<em>p</em> = 0.007)). In the medical profession, improvements were reported in training activities of new colleagues, not only regarding FeSS parameters fever (<em>p</em> &lt; 0.001) and dysphagia (<em>p</em> &lt; 0.001), but also regarding management of other clinical issues which were not the subject of our intervention (restlessness (<em>p</em> &lt; 0.001), and sleep disorders (<em>p</em> &lt; 0.001)).</div></div><div><h3>Conclusions</h3><div>Despite a tightly-regulated mandatory quality assurance system with well-established therapy guidelines, the implementation of the FeSS Protocols in German stroke units revealed potential for improvement by improving autonomy for nurses as a regular part of nurses’ work clinical practice, as it is common in other countries of the world. This would not only improve the quality of care, but could also contribute to increase attractiveness of work at the stroke unit.</div></div><div><h3>Registration</h3><div>Not registered.</div></div>","PeriodicalId":34476,"journal":{"name":"International Journal of Nursing Studies Advances","volume":"9 ","pages":"Article 100374"},"PeriodicalIF":3.1,"publicationDate":"2025-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144604528","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":"Explore the extended impacts on psychological well-being in older adults through application of virtual reality technology: An integrative review","authors":"Irene Yuen Fung Wong,&nbsp;Leona Yuen Ling Leung","doi":"10.1016/j.ijnsa.2025.100371","DOIUrl":"10.1016/j.ijnsa.2025.100371","url":null,"abstract":"<div><h3>Background</h3><div>The application of virtual reality technology is often presented as an emergent method to reduce older adults’ mental problems however the results of evaluations remain inconsistent. There has been little exploration of the extended impacts of virtual reality technology on older adults’ psychological well-being and, in particular, on their underlying psychological demands.</div></div><div><h3>Objectives</h3><div>This study aims to conduct an integrative review of recent literature to explore the extended impacts on the psychological well-being in older adults through application of virtual reality technology.</div></div><div><h3>Design</h3><div>This study adopted Whittemore and Knafl’s integrative review methodology.</div></div><div><h3>Methods</h3><div>Four major databases including Cumulative Index to Nursing and Allied Health Literature (CINAHL) Complete, Medical Literature Analysis and Retrieval System Online (MEDLINE), ProQuest, and Web of Science were searched. The included studies were in full text, peer reviewed, English written, published from January 2020 to October 2024, involved a primary experimental virtual reality-based intervention for older adults aged 60 or above, and reported at least one or more psychological well-being impacts. Among the 13 included literature, 6 were randomized controlled trial studies and 7 were quasi-experimental studies, of which, 8 used quantitative design, 2 used qualitative design and 3 used mixed-methods research design. A total of 952 participants were involved. The research settings included nursing homes/elderly care facilities, university aging centre, medical centre, and designated research site. Critical Appraisal Skills Programme (CASP) Checklists were adapted and employed to appraise the study quality. Ryff’s framework of Psychological Well-Being was used as the underpinning idea.</div></div><div><h3>Results</h3><div>Among the 13 articles, 46% (n=6) were published in 2023 and 2024. The included studies were conducted in diverse geographical locations including the Middle East (n=2, 15.4%), Asia (n=5, 38.5%), Europe (n=4, 30.8%), North America (n=1, 7.7%), and Australia (n=1, 7.7%). The virtual reality interventions included reminiscence activities, recreation gaming, entertainment and relaxation experiences, therapeutic exercise, social virtual platforms and combined therapy intervention. Five extended impacts were identified finally.</div></div><div><h3>Conclusions</h3><div>Through this review, we highlight nurse professionals should take note of the extended impacts and the fulfilment on older adults’ underlying psychological demands through application of virtual reality technology.</div></div>","PeriodicalId":34476,"journal":{"name":"International Journal of Nursing Studies Advances","volume":"9 ","pages":"Article 100371"},"PeriodicalIF":3.1,"publicationDate":"2025-06-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144570856","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":"The role of nursing communication: A critical interpretive synthesis","authors":"Julie B. Grant ,&nbsp;Jacqueline Jones ,&nbsp;Carey Candrian ,&nbsp;Kathleen S. Oman ,&nbsp;Sean M. Reed","doi":"10.1016/j.ijnsa.2025.100373","DOIUrl":"10.1016/j.ijnsa.2025.100373","url":null,"abstract":"<div><h3>Aim</h3><div>The primary aim of this paper is to explore and interpret the <em>role of nursing communication in patient care</em>. The secondary aim is to identify conceptual inconsistencies in the existing literature and synthesize these insights with our previous interpretations to develop a conceptual framework that clarifies the role of nursing communication, thereby providing a nursing-specific foundation for developing communication skills.</div></div><div><h3>Background</h3><div>The need for <em>effective nursing communication</em> is widely emphasized within the discipline of nursing, and despite the widespread use of that phrase, its role in patient care and the nursing profession remains nebulous. Nursing communication's meaning and value have become more equated with financial indicators than the nurse-patient relationships central to the phenomenon.</div></div><div><h3>Methods</h3><div>A Critical Interpretive Synthesis approach was used to interpret the role of nursing communication in patient care. Electronic searches of <em>PubMed, EBSCOhost, Cochrane Library, PsycINFO, Communication &amp; Mass Media Complete, Web of Science, Embase,</em> and <em>Google Scholar</em> were conducted between January 2024 and March 2024. A CIS seven-phase process guided the literature synthesis and formation of a conceptual framework.</div></div><div><h3>Results</h3><div>Five synthetic constructs clarify the role of nursing communication and contribute to the final conceptual framework: 1) ongoing holistic engagement, 2) humble guide supporting the patient's itinerary, 3) effective information exchange, 4) maintaining nursing individuality within an existing system, and 5) nursing presence.</div></div><div><h3>Conclusion</h3><div>The role of nursing communication emphasizes maintaining a nursing presence that communicates high-quality physical care and ongoing holistic engagement centered around the patient's values, needs, and wishes. This conceptual framework prioritizes the unique nurse-patient communicatory relationship and gives nurse researchers, policymakers, and educators a new way of thinking about and prioritizing the role of nursing communication.</div></div>","PeriodicalId":34476,"journal":{"name":"International Journal of Nursing Studies Advances","volume":"9 ","pages":"Article 100373"},"PeriodicalIF":3.1,"publicationDate":"2025-06-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144571037","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":"Assessing current status and exploring influencing factors and mechanisms of mothers’ discharge readiness for premature infants: A cross-sectional analysis using structural equation modeling","authors":"Lingping Zhang ,&nbsp;Junjie He ,&nbsp;Yue Zhou ,&nbsp;Jialin Li ,&nbsp;Jialin Qiu ,&nbsp;Xiaomei Li","doi":"10.1016/j.ijnsa.2025.100372","DOIUrl":"10.1016/j.ijnsa.2025.100372","url":null,"abstract":"<div><h3>Background</h3><div>Prematurity remains a global health challenge, with preterm infants’ immaturity placing significant caregiving demands on mothers.</div></div><div><h3>Objectives</h3><div>This study aimed to assess mothers’ discharge readiness for preterm infants and explore influencing factors using structural equation modeling to inform discharge preparation plans.</div></div><div><h3>Design</h3><div>Cross-sectional study.</div></div><div><h3>Settings</h3><div>Three Level Ⅲ hospitals in western China.</div></div><div><h3>Participants</h3><div>From July, 2023, to February 2024, 258 mothers of preterm infants were included in the study.</div></div><div><h3>Methods</h3><div>The Readiness for Hospital Discharge Scale assessed mothers’ discharge readiness. Relevant factors were evaluated using General Information Questionnaire, Self-Rating Anxiety Scale, and Quality of Discharge Teaching Scale. Data were analyzed using SPSS; hypotheses were tested with AMOS.</div></div><div><h3>Results</h3><div>Mean discharge readiness score was 198.70±29.60. Significant direct effects included gestational age (β=0.31), household income (β=0.13), online learning (β=0.18), bedside learning (β=0.20), anxiety (β=−0.24), and perception of discharge teaching quality (β=0.36). A chain mediation effect was observed among bedside learning, discharge teaching quality, anxiety, and discharge readiness. Gestational age cutoff of 224.5 days (≈32 weeks) was identified for targeting interventions.</div></div><div><h3>Conclusion</h3><div>Mothers’ discharge readiness for preterm infants was inadequate. Discharge teaching emerges as the most significant target intervention. In clinical practice, emphasis should be placed on guiding mothers of preterm infants with gestational ages &lt;32 weeks. This can be achieved by integrating online study with bedside learning to enhance discharge teaching quality, thereby reducing anxiety levels, promoting mothers’ discharge readiness for preterm infants, and facilitating a smooth transition to home care.</div></div>","PeriodicalId":34476,"journal":{"name":"International Journal of Nursing Studies Advances","volume":"9 ","pages":"Article 100372"},"PeriodicalIF":3.1,"publicationDate":"2025-06-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144662952","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":"Workers' satisfaction with health surveillance: Development and validation of a new scale","authors":"Adrián Fernández-del-Peral ,&nbsp;Javier González-Caballero ,&nbsp;Ángel Pérez-Navarro ,&nbsp;María-Antonia Ruiz-Olmedo ,&nbsp;Juan-Pedro Castillo-Córdoba ,&nbsp;María-del-Carmen Gallego-Peragón ,&nbsp;Manuel Romero-Saldaña","doi":"10.1016/j.ijnsa.2025.100368","DOIUrl":"10.1016/j.ijnsa.2025.100368","url":null,"abstract":"<div><h3>Background</h3><div>Health surveillance in the workplace involves conducting occupational health examinations of workers based on the risks to which they are exposed. The objective is to protect their health and proactively identify potential harm resulting from occupational activities. However, there is no assessment tool which focuses on workers' satisfaction with this activity. Therefore, having a validated instrument for measuring workers' satisfaction with health surveillance would enable the optimization of the care provided in occupational health services through a continuous improvement process.</div></div><div><h3>Objective</h3><div>To develop and validate a questionnaire to assess the satisfaction of the working population with health surveillance.</div></div><div><h3>Design</h3><div>A cross-sectional psychometric validation study.</div></div><div><h3>Setting</h3><div>Data were collected from an occupational health service in Spain.</div></div><div><h3>Participants</h3><div>A total of 600 participants were included, selected by convenience sampling.</div></div><div><h3>Methods:</h3><div>The research was carried out in four phases: i) Design review and selection of the questionnaire items. ii) Content validation: participation of a group of 12 experts, using Delphi methodology. iii) Pilot study: running a pilot study (n = 30 workers). iv) Construct validation: with a sample of 600 workers, performing an exploratory factor analysis (EFA) and confirmatory factor analysis (CFA), both on sample of 300 workers.</div></div><div><h3>Results</h3><div>The final version of the scale comprised 17 items distributed in 4 factors, explaining 63.4 % of the total variance. Content validity (Aiken's V coefficient = 0.904, Lawshe's content validity index = 0.868) and construct validity (Cronbach’s alpha = 0.870, McDonald's omega = 0.872, intraclass correlation coefficient = 0.861) were demonstrated. The factors obtained in the EFA with half of the sample were confirmed in the other half, with the CFA indices suggesting an acceptable model fit.</div></div><div><h3>Conclusions</h3><div>The psychometric properties showed a valid, reliable instrument to assess workers' satisfaction with health surveillance. It is therefore a useful tool for occupational health professionals and can improve the care provided to workers.</div></div>","PeriodicalId":34476,"journal":{"name":"International Journal of Nursing Studies Advances","volume":"9 ","pages":"Article 100368"},"PeriodicalIF":3.1,"publicationDate":"2025-06-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144502366","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":"Translation and validation of the Chinese version of quality of physician-patient interaction scale","authors":"Jing Li ,&nbsp;Thitipong Tankumpuan ,&nbsp;Aurawamon Sriyuktasuth ,&nbsp;Patricia M. Davidson","doi":"10.1016/j.ijnsa.2025.100369","DOIUrl":"10.1016/j.ijnsa.2025.100369","url":null,"abstract":"<div><h3>Background</h3><div>While the importance of outpatient physician-patient interaction is increasingly recognized, there remains a lack of effective tools to assess these interactions in mainland China. This gap limits our understanding of the nuances in outpatient physician-patient interactions.</div></div><div><h3>Objective</h3><div>This study aimed to translate the Questionnaire on the Quality of Physician-Patient Interaction (QQPPI) into Chinese and validate its effectiveness in assessing the quality of outpatient physician-patient interactions.</div></div><div><h3>Methods</h3><div>This study recruited 466 outpatients using convenience sampling and was conducted in four phases: (1) translation and back-translation to develop the Chinese version of the QQPPI (QQPPI-C); (2) expert review for cultural and contextual relevance; (3) psychometric validation, including exploratory factor analysis on 140 participants and confirmatory factor analysis, measurement invariance, and convergent validity on the remaining 326; and (4) internal consistency assessment using Cronbach’s α and Guttman’s λ₄.</div></div><div><h3>Results</h3><div>Among the 466 participants (mean age 48.89 ± 14.93 years; 50.2 % male), 140 were randomly assigned for exploratory factor analysis, which supported a unidimensional scale structure explaining 52.12 % of the variance. The remaining 326 participants were used for confirmatory factor analysis and other validity assessments. confirmatory factor analysis indicated good model fit (χ²/df = 2.338, Root Mean Square Error of Approximation = 0.064, Incremental Fit Index = 0.937, Comparative Fit Index = 0.963, Tucker-Lewis Index = 0.955, and Root Mean Square Residual = 0.031). The QQPPI-C showed excellent internal consistency (Cronbach’s α = 0.939, Guttman’s λ₄= 0.940), high content validity (scale-level content validity index = 0.968), adequate convergent validity, and measurement invariance across genders.</div></div><div><h3>Conclusions</h3><div>The QQPPI-C is a reliable and valid tool for assessing outpatient physician-patient interaction quality in China. Its use can support clinical communication improvement and research on patient-centered care.</div></div>","PeriodicalId":34476,"journal":{"name":"International Journal of Nursing Studies Advances","volume":"9 ","pages":"Article 100369"},"PeriodicalIF":3.1,"publicationDate":"2025-06-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144491145","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":"Realigning identity: Nurse executives' experiences within a new socio-professional group – A classic grounded theory study","authors":"Cora Lunn ,&nbsp;Claire O’ Donnell ,&nbsp;Sarah MacCurtain ,&nbsp;Alice Coffey","doi":"10.1016/j.ijnsa.2025.100367","DOIUrl":"10.1016/j.ijnsa.2025.100367","url":null,"abstract":"<div><h3>Background</h3><div>Nurse executives play a crucial role in adapting to the evolving needs of healthcare communities. Existing research demonstrates the positive impact of nursing leadership practices on workforce retention, job satisfaction and overall well-being. The complexities surrounding role transitioning for nurse executives remains under explored.</div></div><div><h3>Objective</h3><div>This study aims to deepen the understanding of how nurse executive leaders navigate the intricate process of role transitioning, providing insights into their experiences and challenges.</div></div><div><h3>Design</h3><div>This study was conducted using Glaser's classic grounded theory.</div></div><div><h3>Setting</h3><div>This study was carried out in acute hospital settings at seven different sites in the Republic of Ireland.</div></div><div><h3>Participants</h3><div>Participants were 12 nurse executives who were working in the Republic of Ireland, with additional reflective diary notes gathered from conversations with six international nurse executives.</div></div><div><h3>Methods</h3><div>Data were collected through unstructured interviews conducted between January 2020 and September 2022. The process of data collection and analysis occurred simultaneously, with the data being analysed based on the principles of classic grounded theory.</div></div><div><h3>Results</h3><div>This study introduces the theory of Identity Realigning, which describes the leadership development of nurse executives through three stages: identity earning, role transitioning, and self-integrating. Identity Earning involves forming a new identity within a new socio-professional group. Role transitioning is the psychological process of moving from one role to another, encompassing various stages. Self-Integrating refers to the extent of assimilation into the new role and socio-professional group. Factors such as organisational design and resources were identified as contextual conditions that can either facilitate or impede success for nurse executives.</div></div><div><h3>Conclusion</h3><div>The theory of Identity Realigning provides significant insights for educators, leaders, and policymakers by explaining the intricate process of role transitioning for nurse executives. It establishes a clear link between shifts in professional identity and the processes of role transitioning and integration. This connection underscores the critical importance of developing executive skills and highlights the necessity for tailored professional development strategies for this cohort.</div><div>Identity realigning theory; Nurse executive; Identity earning; Role transition; Self-integration</div></div>","PeriodicalId":34476,"journal":{"name":"International Journal of Nursing Studies Advances","volume":"9 ","pages":"Article 100367"},"PeriodicalIF":3.1,"publicationDate":"2025-06-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144314356","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":"Nurses’ challenges and strategies for safeguarding care quality and safety: A qualitative study on situated resilience","authors":"Mariëlle Van Mersbergen-de Bruin ,&nbsp;Catharina Van Oostveen ,&nbsp;Anne Marie Weggelaar-Jansen","doi":"10.1016/j.ijnsa.2025.100365","DOIUrl":"10.1016/j.ijnsa.2025.100365","url":null,"abstract":"&lt;div&gt;&lt;h3&gt;Background&lt;/h3&gt;&lt;div&gt;Most healthcare delivery succeeds in safeguarding high-quality care and safety. This is largely due to the adaptive capacity and situated resilience work of healthcare professionals as nurses who keeps things on track&lt;em&gt;.&lt;/em&gt; However, much of their situated resilience work in complex everyday practice remains hidden or is done behind the scenes.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Objective&lt;/h3&gt;&lt;div&gt;To explore situated resilience in everyday nursing practice and shed light on the often invisible efforts of nurses as they manage immediate challenges and navigate complex processes to ensure care quality and safety.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Design&lt;/h3&gt;&lt;div&gt;A qualitative design.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Setting(s)&lt;/h3&gt;&lt;div&gt;The surgical and an ambulatory care team of an urban, 600-bed Dutch teaching hospital.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Participants&lt;/h3&gt;&lt;div&gt;Nurses (&lt;em&gt;N&lt;/em&gt; = 37), nurse practitioners (&lt;em&gt;N&lt;/em&gt; = 2), managers (&lt;em&gt;N&lt;/em&gt; = 5),&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Methods&lt;/h3&gt;&lt;div&gt;Data were collected through 80 hours of non-participant non-participant observations, three semi-structured interviews with nurses and one monodisciplinary (i.e. nurses) focus group. Thereafter, two multidisciplinary focus groups were conducted. Data were analysed using thematic analysis. The research protocol was approved by the ethical review board of Erasmus University Rotterdam under number ETH2122-0079.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Results&lt;/h3&gt;&lt;div&gt;Nurses are dedicated providing the high-quality care that ensures patient safety. In daily practice they face challenges that require them to make changes to system standards. We identified three key triggers for change and emerging strategies to handle these triggers: 1) when standard risk assessment does not fit nursing practice, nurses a) seem to comply with the system, b) adopt an investigative, attentive approach. 2) when protocols and guidelines do not align with daily practices, nurses a) proactively identify potential and actual changes, b) find the \"golden mean\" through relational negotiation and patient advocacy. 3) when nurses and other healthcare professionals hold differing values on care quality and safety, nurses a) find allies, and b) applied various indirect means.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Conclusions&lt;/h3&gt;&lt;div&gt;Our study reveals that situated resilience in nursing is not only a television series of actions to fix misalignments or to deal with unexpected change. It unfolds as a relational process in which nurses adapt their behaviour intuitively according to a patient’s unique situation, values, and interests. By balancing the individual patient’s needs and values with organizational systemic demands nurses exhibit situated resilience. By recognizing and supporting situated resilience practices, organizations not only enhance the quality of daily practice but also structurally strengthen their adaptive and resilient capacities. Further research into the role of nurses in system-level resilience and the impact of experience o","PeriodicalId":34476,"journal":{"name":"International Journal of Nursing Studies Advances","volume":"9 ","pages":"Article 100365"},"PeriodicalIF":3.1,"publicationDate":"2025-06-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144322585","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}