International Journal of Nursing Studies Advances最新文献

{"title":"Effects of exercise therapy in patients with pancreatic cancer: A systematic review and meta-analysis","authors":"Mizuki Sekino ,&nbsp;Takuya Fukushima ,&nbsp;Katsuyoshi Suzuki ,&nbsp;Keiichi Osaki ,&nbsp;Ikumi Yokoyama ,&nbsp;Kazuko Katagiri ,&nbsp;Shinichiro Morishita ,&nbsp;Naoko Sato","doi":"10.1016/j.ijnsa.2025.100398","DOIUrl":"10.1016/j.ijnsa.2025.100398","url":null,"abstract":"<div><h3>Introduction</h3><div>The reported benefits of exercise therapy in patients with pancreatic cancer include maintaining and improving physical fitness and muscle strength, reducing treatment-related side effects, and enhancing quality of life. However, the evidence remains inconclusive, necessitating the integration of interventional studies to reach a consensus. This study aimed to elucidate the effects of exercise interventions for patients with pancreatic cancer through a meta-analysis of randomized controlled trials.</div></div><div><h3>Methods</h3><div>A literature search was conducted to identify articles published prior to May 2024, using the PubMed/MEDLINE, Scopus, CINAHL, and PEDro databases. Search terms included pancreatic cancer, exercise-related terminology, physical function, and quality of life. The primary outcome was quality of life, and the secondary outcome was physical function. All meta-analyses were conducted using a random-effects model.</div></div><div><h3>Results</h3><div>The final analysis included 6 studies, with sample sizes ranging from 40 to 172 patients. The intervention types were resistance training in 3 studies and a combination of aerobic exercise and resistance training in 3 studies. The timings of the interventions were after surgery or chemotherapy in 4 studies and during chemotherapy or chemoradiotherapy in 2 studies. Three randomized controlled trials used European Organization for Research and Treatment of Cancer Quality of Life Questionnaire-C30 to assess quality of life. Physical function was evaluated using muscle strength measurements (isokinetic and isometric strength), the 5-chair stand test, and the 6-min walk test for exercise capacity. Exercise intervention was effective for improving physical quality of life (standardized mean difference = 0.41, 95 % confidence interval = 0.07–0.74, <em>p</em> = 0.02). In addition, improvements in both upper extremity muscle strength (standardized mean difference = 0.50, 95 % confidence interval = 0.21–0.80, <em>p</em> = 0.0008) and lower extremity muscle strength were observed (standardized mean difference = 0.35, 95 % confidence interval = 0.14–0.56, <em>p</em> = 0.0009). On the other hand, the 6-min walk test showed no significant difference in the effect of exercise therapy between the exercise and control groups.</div></div><div><h3>Conclusion</h3><div>The findings of this study indicate that exercise therapy for pancreatic cancer patients effectively increases muscle strength in the upper and lower limbs while improving their physical quality of life. However, because all the included studies were assessed as having a high risk of bias, the findings of this review should be interpreted with caution.</div></div>","PeriodicalId":34476,"journal":{"name":"International Journal of Nursing Studies Advances","volume":"9 ","pages":"Article 100398"},"PeriodicalIF":3.1,"publicationDate":"2025-08-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144781377","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":"Experiences of internationally qualified nurses in adapting to the Australian healthcare system: A scoping review","authors":"Ferry Efendi ,&nbsp;Rifky Octavia Pradipta ,&nbsp;Makhfudli Makhfudli ,&nbsp;Lisa McKenna ,&nbsp;Grace Solely Houghty ,&nbsp;Fitri Kurnia Rahayu ,&nbsp;Fildzah Cindra Yunita","doi":"10.1016/j.ijnsa.2025.100399","DOIUrl":"10.1016/j.ijnsa.2025.100399","url":null,"abstract":"<div><h3>Background</h3><div>Internationally qualified nurses commonly face challenges related to language barriers, cultural adaptation, and recognition of prior professional skills.</div></div><div><h3>Purpose</h3><div>We aimed to map and synthesise the literature about the experiences of Internationally qualified nurses transitioning into the Australian healthcare system and to identify key challenges and gaps in supporting their integration and professional development.</div></div><div><h3>Methods</h3><div>A scoping review was conducted using a comprehensive search across five databases (Ovid MEDLINE, EBSCO CINAHL, Embase, Scopus, and Web of Science Core Collections), covering the literature from January 2014 to August 2024. Two researchers screened, selected relevant, and performed data charting, independently. The Patterns, Advances, Gaps, Evidence for practice, and Research recommendations framework was implemented to collate, summarise, and report the finding, while the review’s report was formulated per the PRISMA-ScR guideline.</div></div><div><h3>Results</h3><div>Fifteen studies were deemed suitable and synthesised from which we revealed that internationally qualified nurses underwent complex and multifaceted transitions. They faced language barriers, challenges in cultural adaptation, inadequate recognition of professional skills, and inconsistent access to support resources. Despite these hurdles, they demonstrated remarkable resilience. Language and communication challenges, particularly among nurses from non-English-speaking backgrounds, were common and impacted job satisfaction and integration. Meanwhile, discrimination and cultural biases were also reported, which contributed to feelings of isolation. Finally, orientation programs and mentorship proved beneficial support; however, inconsistencies in support availability remains a key gap.</div></div><div><h3>Conclusions</h3><div>Internationally qualified nurses’ experiences reflected the need for tailored language support, standardised skill recognition, anti-discrimination policies, and consistent orientation resources to enhance integration. Addressing these gaps could not only improve internationally qualified nurses’ job satisfaction, retention, and overall professional development within the Australian healthcare system but also contribute to a more diverse and inclusive healthcare workforce.</div></div>","PeriodicalId":34476,"journal":{"name":"International Journal of Nursing Studies Advances","volume":"9 ","pages":"Article 100399"},"PeriodicalIF":3.1,"publicationDate":"2025-08-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144828189","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":"Evaluation of the psychometric properties of the Brazilian version of the Digital Health Literacy Instrument for individuals with heart failure","authors":"Daniele Cristina Bosco Aprile ,&nbsp;Karina Aparecida Lopes da Costa ,&nbsp;Renata Eloah de Lucena Ferretti-Rebustini ,&nbsp;Vinicius Batista Santos ,&nbsp;Mirian Ueda Yamaguchi ,&nbsp;Camila Takáo Lopes","doi":"10.1016/j.ijnsa.2025.100391","DOIUrl":"10.1016/j.ijnsa.2025.100391","url":null,"abstract":"<div><h3>Background</h3><div>Digital health literacy is a critical skill for heart failure self-care, which should be assessed through valid and reliable instruments.</div></div><div><h3>Objective</h3><div>To evaluate the psychometric properties of the Brazilian version of the Digital Health Literacy Instrument in individuals with heart failure.</div></div><div><h3>Design</h3><div>A psychometric study analyzing internal structure validity and reliability.</div></div><div><h3>Settings</h3><div>The participants were recruited at the cardiomyopathy outpatient clinic of a public hospital in São Paulo, Brazil.</div></div><div><h3>Participants</h3><div>Outpatients with heart failure who used the internet.</div></div><div><h3>Methods</h3><div>The instrument was administered to 127 individuals, with bootstrapping to 500. Internal structure validity and reliability were assessed through Exploratory and Confirmatory Factor Analyses. Dimensionality was determined via Parallel Analysis, and data extraction employed Robust MORGANA factor analysis. Measure of Sampling Adequacy and Kaiser-Meyer-Olkin were expected to be close to 1 and Bartlett’s test should have <em>p</em> &lt; 0.05. Target explained variance was approximately 60 %, with factor loadings &gt;0.3 and communalities &gt;0.4. Fit indices (Comparative Fit Index, Tucker-Lewis Index and Goodness of Fit Index) should be approximately 1 and Root Mean Square Error of Approximation should be 0.05–0.08. Reliability was measured using ordinal alpha and McDonald’s omega (&gt;0.9).</div></div><div><h3>Results</h3><div>A unidimensional model emerged. Five items were removed due to factor loadings &lt;0.2, Heywood case, excessive residuals, and double saturation. The final 16-item model had Kaiser-Meyer-Olkin = 0.86, Measure of Sampling Adequacy &gt;0.75, explained variance = 59 %, factor loadings 0.53–0.86, and communalities 0.28–0.74. Reliability was high (alpha= 0.94, omega= 0.95). The adjusted model showed Comparative Fit Index = 0.99, Tucker-Lewis Index = 0.99 and Goodness of Fit Index = 0.98 and Root Mean Square Error of Approximation = 0.07.</div></div><div><h3>Conclusions</h3><div>The Brazilian version of the Digital Health Literacy Instrument demonstrated strong internal structure validity and reliability for individuals with heart failure, supporting its use in research and clinical practice.</div></div>","PeriodicalId":34476,"journal":{"name":"International Journal of Nursing Studies Advances","volume":"9 ","pages":"Article 100391"},"PeriodicalIF":3.1,"publicationDate":"2025-07-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144864674","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":"Decision support strategies for bedside nursing clinical reasoning: A scoping review","authors":"Lara Daniela Matos Cunha ,&nbsp;Filipa Ventura ,&nbsp;Márcia Pestana-Santos ,&nbsp;Mauro Mota ,&nbsp;Lurdes Lomba ,&nbsp;Margarida Reis Santos","doi":"10.1016/j.ijnsa.2025.100393","DOIUrl":"10.1016/j.ijnsa.2025.100393","url":null,"abstract":"<div><h3>Background</h3><div>Proficiency in clinical reasoning is crucial for achieving positive patient outcomes in healthcare. Nurses should take an active role in fostering their clinical reasoning skills. Bedside support strategies aim to offer practical, invaluable, and easily applicable resources for restructuring cognitive processes in situations of complex clinical demands.</div></div><div><h3>Objective</h3><div>This review aimed to map evidence on bedside decision strategies applied by nurses to support clinical reasoning.</div></div><div><h3>Methods</h3><div>The review followed the Joanna Briggs Institute recommendations for scoping reviews.</div></div><div><h3>Information</h3><div>Sources Studies were retrieved from Medline (PubMed), CINAHL (EBSCOhost), Web of Science Core Collection, Scopus, Cochrane CENTRAL, RCAAP (Repositórios Científicos de Acesso Aberto de Portugal), and Google Scholar. Studies published in Portuguese, English, Spanish, or Swedish, without imposing geographical or cultural restrictions were considered. Qualitative and quantitative studies on bedside decision strategies that support nursing clinical reasoning were included, while studies exclusively focused on education, case-specific content, or Artificial Intelligence applications were excluded.</div></div><div><h3>Results</h3><div>Out of 1889 results, 14 studies met the inclusion criteria. The studies were conducted in countries such as China, New Zealand, Norway, Brazil, Indonesia, Canada, Ireland, the United Kingdom, United States, and Australia, involving nurses, patients, and healthcare teams, with study designs ranging from qualitative research and cohort studies to quasi-experimental and theoretical analyses.These studies identified two key strategies: normative (following guidelines) and reflective (based on critical self-reflection).</div></div><div><h3>Conclusions</h3><div>Reflective strategies are widely used at the bedside, emphasizing the importance of adaptability in uncertain clinical environments. Despite Artificial Intelligence’s role in clinical decision-making, fostering critical thinking and decision-making skills in nurses remains essential.</div></div><div><h3>Registration</h3><div>OSF <span><span>https://doi.org/10.17605/OSF.IO/H96VQ</span><svg><path></path></svg></span>.</div></div><div><h3>Tweetable abstract</h3><div>A scoping review identified normative and reflective bedside strategies used by nurses to support clinical reasoning, highlighting the value of adaptability and critical thinking in complex care settings. #ClinicalReasoning #Nursing #PatientCare.</div></div>","PeriodicalId":34476,"journal":{"name":"International Journal of Nursing Studies Advances","volume":"9 ","pages":"Article 100393"},"PeriodicalIF":3.1,"publicationDate":"2025-07-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144766488","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":"Older surgical patients’ preferences for follow-up care after hospital discharge: A multi-method qualitative study into their underlying needs","authors":"Aafke J de Groot ,&nbsp;Marike E de Boer ,&nbsp;Elizabeth M Wattel ,&nbsp;Cees MPM Hertogh ,&nbsp;Marja FIA Depla","doi":"10.1016/j.ijnsa.2025.100394","DOIUrl":"10.1016/j.ijnsa.2025.100394","url":null,"abstract":"<div><h3>Background</h3><div>Almost 30 % of older patients suffer from functional decline during hospital stay which often makes follow-up care decisions necessary. However, little is known about the topics that are relevant to these patients and their families to address in discharge conversations.</div></div><div><h3>Objective</h3><div>This study aims to provide insight into the perspective of older surgical patients on follow-up care by exploring their considerations expressed throughout the process of discharge planning.</div></div><div><h3>Design</h3><div>A multi-method qualitative study</div></div><div><h3>Participants</h3><div>Participants were older patients from a surgical ward who anticipated to require follow-up care after discharge.</div></div><div><h3>Methods</h3><div>Data collection included: 1) interviews with patients; 2) informal conversations with family members and professionals; 3) non-participant observations during medical rounds and bedside conversations; 4) extraction from medical records. In all data sources, the focus was on capturing the patients’ considerations with regard to follow-up care. We employed inductive thematic analysis to identify needs that underlie patients’ preferences for follow-up care.</div></div><div><h3>Results</h3><div>Twelve older surgical patients with complex or delayed discharge were followed. Their considerations with regard to follow-up care revealed five underlying needs: 1. Safety (adequate care), 2. Familiarity (trusted people and surrounding), 3. Independence (active and autonomous living), 4. Continuity (resume previous life) and 5. Relief (ending endurance). Most participants had more than one need.</div></div><div><h3>Conclusions</h3><div>Older surgical patients’ perspective on follow-up care can be captured by five underlying needs. Gaining insight into these needs contributes to a better understanding of patients’ preferences for follow-up care. We therefore recommend exploring these needs in older surgical patients, as well as identifying potential similar or additional needs for other subgroups of older hospital patients, as an important step toward personalized decision-making in transitional care.</div></div>","PeriodicalId":34476,"journal":{"name":"International Journal of Nursing Studies Advances","volume":"9 ","pages":"Article 100394"},"PeriodicalIF":3.1,"publicationDate":"2025-07-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144757554","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":"Turnover prevalence and the relationship between transition shock and turnover intention among new nurses: A meta-analysis","authors":"Khin Sandi Myint Lay,&nbsp;Khemaradee Masingboon","doi":"10.1016/j.ijnsa.2025.100390","DOIUrl":"10.1016/j.ijnsa.2025.100390","url":null,"abstract":"<div><h3>Background</h3><div><strong>:</strong> Higher turnover rates of new nurses is a global problem. New nurses are the workforce that retains and prevents the nursing shortage. Many new nurses often experience transition shock during their first year of practice, which correlates with a greater intention to leave the profession. However, there is no universal definition of new nurses, various studies define as nurses with one year, one to three year or up to five years of employment. The unsuccessful transition from academic into clinical practice affects the nurses’ well-being, the quality of patient care, and organizational costs.</div></div><div><h3>Aims</h3><div><strong>:</strong> This review aims to examine the prevalence of turnover intention among new nurses and to identify the relationship between transition shock and turnover intention.</div></div><div><h3>Methods</h3><div><strong>:</strong> A systematic review and meta-analysis were performed with nine databases searching CINAHL, ProQuest, PubMed, Scopus, Science Direct, Academic Search, etc., from inception to October 2024. The quality of studies was assessed using the JBI checklist, and a random effect model was used to estimate the pooled prevalence and effect size. Heterogeneity, publication bias, subgroup analysis and sensitivity analysis were conducted. All statistical analyses were conducted with Comprehensive Meta-Analysis, version 4 and R software version 3.5.3.</div></div><div><h3>Results</h3><div><strong>:</strong> Our meta-analysis of 12 out of 15 studies found that the prevalence of turnover intention ranged from 6 %– 61 % of (8593) new nurses across eight countries. The pooled prevalence was 36 % (95 % confidence interval: 27 % to 46 %, <em>I</em>² - 98 %), and a significant moderate association of transition shock of new nurses was found with turnover intention (effect size 0.489, 95 % confidence interval of 0.297 to 0.644, <em>I</em>² - 97 %).</div></div><div><h3>Conclusions</h3><div><strong>:</strong> The higher prevalence of turnover intention highlights a significant challenge for the global nursing workforce crisis. The findings revealed a need for structured transition programs to mitigate transition shock and diminish turnover intention. Nurse and hospital administrators should urgently address this by providing smoother transition and implementing early career support to stabilize nursing workforce.</div></div>","PeriodicalId":34476,"journal":{"name":"International Journal of Nursing Studies Advances","volume":"9 ","pages":"Article 100390"},"PeriodicalIF":3.1,"publicationDate":"2025-07-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144827732","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":"Daily staffing trends and variation in Swiss long-term care from 2018–2023: A retrospective longitudinal analysis","authors":"Catherine Blatter,&nbsp;Michael Simon,&nbsp;Franziska Zúñiga","doi":"10.1016/j.ijnsa.2025.100395","DOIUrl":"10.1016/j.ijnsa.2025.100395","url":null,"abstract":"<div><h3>Background</h3><div>Workforce shortages present an ongoing challenge for long-term care service providers in Switzerland. After the COVID-19 pandemic, there is an urgent need to understand current workforce trends to strengthen the Swiss long-term care setting.</div></div><div><h3>Objective</h3><div>We aimed to describe pre-, peri‑, and post-pandemic trends and variation of long-term care staffing.</div></div><div><h3>Design</h3><div>We conducted a retrospective longitudinal analysis using daily administrative routine data from 2018 to 2023.</div></div><div><h3>Setting(s)</h3><div>A multisite long-term care facility in Switzerland with 180 beds.</div></div><div><h3>Methods</h3><div>We applied a time-series decomposition – a method to distinguish trends from seasonal effects and residual variation – to describe trends and variation for three outcomes: a) the supply-demand-match (i.e., how did the available direct staff cover the actual care demand), b) the number of full-time absences (i.e., how many staff members were scheduled to work but were absent), and c) the number of temporary staff from an internal pool or external agency. We used means, confidence intervals, and percentages to summarize the yearly averages.</div></div><div><h3>Results</h3><div>We linked data from 533,003 staff shifts and 387,585 resident days across the 6 study years. Overall, we observed constant variation but a decreasing trend of supply-demand match from a daily average number of staff of +6.88 [95% confidence intervals CI 6.86 - 6.90] in 2018 to -0.23 [95% CI -0.24 – -0.22] in 2023, meaning that for each year of the study, there was roughly one fewer staff member available per day for the same resident case mix. Simultaneously, daily staff absences increased from an average of 11.08 [95% CI 11.06 - 11.09] to 14.23 [95% CI 14.19- 14.27]. Absences decreased at the beginning of the pandemic (2020) but continuously increased from 2021 onwards, especially those with a duration of ≥ 1 week. As an organizational response, the number of shifts worked by temporary staff has increased from 5.5% in 2018 to 17.7% in 2023.</div></div><div><h3>Conclusions</h3><div>We found a constant variation but a clinically noticeable downward trend of supply-demand-match from pre- to post-pandemic, largely driven by staff absences. It could not be reversed despite an increased deployment of temporary staff from both an internal pool and external agencies. We have revealed profound effects of the pandemic on an organization’s ability to meet the required care demand. Healthcare policy should consider alternative reimbursement strategies to alleviate the financial burden associated with a high number of absences.</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 100395"},"PeriodicalIF":3.1,"publicationDate":"2025-07-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144781376","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 of a behaviour change intervention to increase care home staff influenza vaccination uptake","authors":"Amrish Patel ,&nbsp;Sion Scott ,&nbsp;Alys Wyn Griffiths ,&nbsp;David Wright","doi":"10.1016/j.ijnsa.2025.100387","DOIUrl":"10.1016/j.ijnsa.2025.100387","url":null,"abstract":"<div><h3>Background</h3><div>To protect care home residents the World Health Organisation recommends that 75 % of care home staff are vaccinated for influenza. In the UK this value is less than 30 %. Previously reported interventions have not been informed by theory and usually only addressed one or two known barriers to uptake. Using behavioural science, we worked with care home staff to develop an intervention which addressed all barriers at both individual and care home level.</div></div><div><h3>Methods</h3><div>We developed an online questionnaire, derived from the literature, asking staff about barriers and facilitators of flu vaccination. These were prioritised (based on frequency and distinctiveness), then mapped to the Theoretical Domains Framework. Relevant behaviour change techniques were identified. Care home staff selected and designed behaviour change techniques according to affordability, practicability, effectiveness, acceptability, safety and equity (APEASE) via an online questionnaire and workshop.</div></div><div><h3>Results</h3><div>The prioritised barriers were: lack of time to get vaccinated; insufficient vaccine supplies; vaccination costs; a lack of peers getting vaccinated and beliefs that staff do not need vaccination and that it is ineffective. Six behaviour change techniques were selected and developed into a multi-component intervention: (behaviour change technique 1, Restructure of the physical environment) Free, in care home vaccination clinics for staff; (behaviour change techniques 2–4, Information about health consequences, Salience of consequences and information about others’ approval) information campaign featuring care home staff highlighting non-vaccination risks, (behaviour change techniques 5–6, Information about health consequences and Credible source) information campaign featuring primary care doctor challenging misconceptions.</div></div><div><h3>Conclusions</h3><div>We developed the first theory and evidence-based intervention specifically to facilitate care home staff flu vaccination uptake. Feasibility and acceptability testing of the intervention followed by definitive trial to assess efficacy in care homes is necessary to inform policy decision-making.</div></div>","PeriodicalId":34476,"journal":{"name":"International Journal of Nursing Studies Advances","volume":"9 ","pages":"Article 100387"},"PeriodicalIF":3.1,"publicationDate":"2025-07-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144723997","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":"Generational differences in nurse stress and coping strategies in relation to perceived patient safety: A cross-sectional study","authors":"Natalia Pawlak ,&nbsp;Lena Serafin ,&nbsp;Bożena Czarkowska-Pączek","doi":"10.1016/j.ijnsa.2025.100385","DOIUrl":"10.1016/j.ijnsa.2025.100385","url":null,"abstract":"<div><h3>Background</h3><div>Multigenerational nursing teams, composed of Generations X, Y, and Z, face distinctive challenges due to differing perceptions of stress and coping mechanisms. Recognizing these generational variances is crucial for enhancing collaboration and improving patient outcomes.</div></div><div><h3>Objectives</h3><div>We investigated intergenerational differences in stress levels and coping strategies and their impact on patient safety among nurses from different generations. The aim was to provide insights that could help optimize the dynamics of multigenerational teams.</div></div><div><h3>Participants</h3><div>The study involved 692 registered nurses in Poland who were born in Generation X (1965–1980), Generation Y (1981–1996), or Generation Z (1997 and later), all of whom were employed in diverse healthcare settings.</div></div><div><h3>Setting and methods</h3><div>Data were collected using the Multidimensional Nursing Generational Questionnaire, Perceived Stress Scale, and Brief Coping Orientation to Problems Experienced Inventory questionnaire. The analyses involved analysis of variance and path analysis to inspect the relationships among stress levels, coping strategies, and generational affiliation.</div></div><div><h3>Results</h3><div>Significant generational differences surfaced, with Generation Z displaying the highest stress levels and a propensity for active coping, notably seeking support. This was positively correlated with their view of patient safety. Conversely, Generation X nurses exhibited a greater reliance on avoidance behaviors, correlating with poorer views of patient safety. The differences among generations moderated the stress-coping dynamics, suggesting that targeted interventions might improve team unity and patient care.</div></div><div><h3>Conclusions</h3><div>We have underlined the possible need for generationally-sensitive approaches in Polish nursing teams. We suggest that generational affiliation may shape how nurses experience stress, select coping strategies, and form views of patient safety. These differences highlight the potential importance of considering generational dynamics in efforts to support nurse well-being and team collaboration.</div></div>","PeriodicalId":34476,"journal":{"name":"International Journal of Nursing Studies Advances","volume":"9 ","pages":"Article 100385"},"PeriodicalIF":3.1,"publicationDate":"2025-07-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144723996","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":"Burdens and coping strategies among geriatric care nurses during COVID-19: A factorial survey","authors":"Christopher Huken ,&nbsp;Patrick Kutschar ,&nbsp;Martin W. Schnell ,&nbsp;Christine Dunger","doi":"10.1016/j.ijnsa.2025.100386","DOIUrl":"10.1016/j.ijnsa.2025.100386","url":null,"abstract":"<div><h3>Background</h3><div>Geriatric care nurses used different strategies to cope with the various burdens they faced during the COVID-19 pandemic, affecting care interactions and reflecting their professional identity.</div></div><div><h3>Objective</h3><div>To explore the burdens and coping strategies of German geriatric care nurses, using professional identity as a conceptual framework.</div></div><div><h3>Design</h3><div>Cross-sectional factorial survey using vignettes (i.e., hypothetical descriptions of care situations).</div></div><div><h3>Setting &amp; Participants</h3><div>Stratified sampling was applied at the facility level, based on the distribution of nursing homes across German federal states. A total of 188 geriatric care nurses participated.</div></div><div><h3>Methods</h3><div>The factorial online survey included socio-demographic variables, COVID-19-specific questions, vignettes, and feedback items. Descriptive statistics and multilevel regression analysis were conducted.</div></div><div><h3>Results</h3><div>Participants reported higher stress during the pandemic than before. Burden characteristics described in the vignettes had no significant effect on participants' judgement behaviour. A random-intercept level 2 model showed that a higher workload and caring for residents significantly influenced participants' judgement. Closeness to family and friends, and seeking support from colleagues were effective coping strategies, while bending guidelines and harmful consumption behaviour were less effective.</div></div><div><h3>Conclusions</h3><div>Coping strategies focused on social interaction were particularly beneficial despite contact restrictions. The type of burden appeared less important than the ability to cope with it. The subordinate role of professional identity may reflect a shift towards functional care. We have highlighted the possible need to address stress management and working conditions of geriatric care nurses, especially in the light of potential future crises.</div></div><div><h3>Registration</h3><div>None</div></div><div><h3>Tweetable abstract</h3><div>A factorial survey exploring relevant burden and coping strategies German geriatric care nurses experienced during the COVID-19 pandemic.</div></div>","PeriodicalId":34476,"journal":{"name":"International Journal of Nursing Studies Advances","volume":"9 ","pages":"Article 100386"},"PeriodicalIF":3.1,"publicationDate":"2025-07-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144704005","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}