Amira M. Ali , Saeed A. Al-Dossary , Feten Fekih-Romdhane , Rana Ali Alameri , Carlos Laranjeira , Haitham Khatatbeh , Mohamed Ali Zoromba , Abdulmajeed A. Alkhamees , Musheer A. Aljaberi , Annamaria Pakai , Heba Emad El-Gazar
{"title":"Psychometric evaluation of the Arabic version of the Eight-item Center for Epidemiological Studies Depression Scale (CESD-8): Specific cultural considerations for the assessment of depression","authors":"Amira M. Ali , Saeed A. Al-Dossary , Feten Fekih-Romdhane , Rana Ali Alameri , Carlos Laranjeira , Haitham Khatatbeh , Mohamed Ali Zoromba , Abdulmajeed A. Alkhamees , Musheer A. Aljaberi , Annamaria Pakai , Heba Emad El-Gazar","doi":"10.1016/j.ijnsa.2025.100310","DOIUrl":"10.1016/j.ijnsa.2025.100310","url":null,"abstract":"<div><h3>Background</h3><div>Despite extensive evaluations of the Center for Epidemiological Studies Depression Scale (CESD), its shortest version, the Eight-Item version (CESD-8), is less investigated, with absolute lack of information on its psychometric properties in the Arab world.</div></div><div><h3>Methods</h3><div>To fill the gap, data collected via an anonymous online survey from Saudi samples of students (<em>N =</em> 979, 422) and employees (<em>N =</em> 314), were analyzed through exploratory factor analysis, confirmatory factor analysis, and multigroup analysis to examine the structure and measurement invariance of the CESD-8. Convergent validity and internal consistency tests involved correlating the CESD-8 with its subscales, item analysis measures, and intra class correlations. Criterion validity tests involved correlating the CESD-8 and its subscales with a single-item measure of happiness.</div></div><div><h3>Results</h3><div>Exploratory factor analysis produced two factors (negative affect and positive affect) with eigen values >1, which explained 86.4 % of the variance. In confirmatory factor analysis, the crude exploratory factor analysis model had good fit while the fit of the unidimensional CESD-8 and another two-factor structure (depressed affect and somatic complaints) was improved by correlating the residuals of the items of positive affect (CESD4 and CESD6). A three-factor model (depressed affect, somatic complaints, and positive affect) expressed the best fit in the absence of error correlations. This model was invariant across groups of students and employees, gender, and age. The scale and its three dimensions demonstrated adequate internal consistency (alpha coefficient range = 0.65–0.89), convergent validity (item total correlation range = 0.43–0.80 and range of correlations with the CESD-8 = -0.68–0.92), and criterion validity (range of correlations with happiness scores = -0.40–0.60).</div></div><div><h3>Conclusions</h3><div>The CESD-8 is a valid short scale for quick identification of people with depressive psychopathologies. Using the CESD-8 to detect heterogenous depressive symptoms, rather than assessing depression as a whole condition, may influence our understanding of the dynamics and treatments of depression in specific groups/cultures, with emphasis on absence of positive affect in the definition of depression among Arabs. Replications of the three-factor structure in different cultures are needed.</div></div>","PeriodicalId":34476,"journal":{"name":"International Journal of Nursing Studies Advances","volume":"8 ","pages":"Article 100310"},"PeriodicalIF":3.1,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144230042","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}
Anne Helene Mortensen, Dagfinn Nåden, Dag Karterud, Vibeke Lohne
{"title":"Corrigendum to “Nudging in the nursing home: A qualitative interpretive study” [International Journal of Nursing Studies Advances 8 (2025) 100287]","authors":"Anne Helene Mortensen, Dagfinn Nåden, Dag Karterud, Vibeke Lohne","doi":"10.1016/j.ijnsa.2025.100314","DOIUrl":"10.1016/j.ijnsa.2025.100314","url":null,"abstract":"","PeriodicalId":34476,"journal":{"name":"International Journal of Nursing Studies Advances","volume":"8 ","pages":"Article 100314"},"PeriodicalIF":3.1,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144230039","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}
Gabriele Caggianelli , Giovanni Cangelosi , Irene Dello Iacono , Fabio Petrelli , Maurizio Fiorda , Samanda Pettinari , Sara Morales Palomares , Francesca Marfella , Stefano Mancin
{"title":"The experience of volunteer nurses providing health and social support to refugees during the war in Ukraine: a phenomenological study","authors":"Gabriele Caggianelli , Giovanni Cangelosi , Irene Dello Iacono , Fabio Petrelli , Maurizio Fiorda , Samanda Pettinari , Sara Morales Palomares , Francesca Marfella , Stefano Mancin","doi":"10.1016/j.ijnsa.2025.100352","DOIUrl":"10.1016/j.ijnsa.2025.100352","url":null,"abstract":"<div><h3>Background</h3><div>Wars worldwide inflict immense suffering and drive mass migrations to neighbouring countries. The Ukraine conflict has forced millions to flee, often lacking healthcare and family support. In response, volunteer health and social care networks, including nurses and doctors, were established to assist refugees. Among these, the “Coordination of Volunteer Nurses for Health Emergencies Association” (CIVES) played a key role in providing frontline care.</div></div><div><h3>Objective</h3><div>This study explored the experiences of Italian volunteer nurses delivering health and social care to refugees during the Ukrainian conflict.</div></div><div><h3>Design</h3><div>A qualitative phenomenological approach was used to examine the experiences of volunteer nurses from CIVES.</div></div><div><h3>Setting(s)</h3><div>The study involved volunteer nurses participating in a mission to support Ukrainian refugees.</div></div><div><h3>Participants</h3><div>A total of 17 volunteer nurses (47.1 % female) from CIVES took part in the study.</div></div><div><h3>Methods</h3><div>Data were collected through semi-structured interviews conducted between June and August 2024. Giorgi’s phenomenological method was employed for data analysis, identifying key challenges and experiences among the nursing staff.</div></div><div><h3>Results</h3><div>The analysis identified five central themes. First, a holistic approach to care was prominent, with nurses addressing not only physical health needs but also providing critical emotional and psychological support. Second, language and communication challenges emerged, often requiring nurses to rely on non-verbal cues and collaborative teamwork to bridge language barriers effectively. Third, a strong emphasis on multidisciplinary collaboration was evident, with nurses frequently working alongside psychologists, social workers, and cultural mediators to deliver comprehensive care. Fourth, the crisis revealed significant emotional and psychological impacts, particularly due to the trauma endured by refugees, including unaccompanied minors, which had a profound effect on the nurses themselves. Finally, personal adaptation and growth surfaced as a key theme, as participants described both personal fulfilment and professional development through their experiences.</div></div><div><h3>Conclusions</h3><div>Volunteer nurses providing care to refugees face significant challenges, including emotional burdens and ethical dilemmas. The findings suggest a need for specialized training in holistic care and crisis management, emphasizing the importance of psychological support and multidisciplinary collaboration in disaster and conflict situations.</div></div>","PeriodicalId":34476,"journal":{"name":"International Journal of Nursing Studies Advances","volume":"8 ","pages":"Article 100352"},"PeriodicalIF":3.1,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144185118","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}
Minjung Kyung , Soo-Jeong Lee , Laura M. Wagner , OiSaeng Hong
{"title":"Corrigendum to “Use of Patient Handling Devices and Coworker Assistance in Long-Term Care Settings: A Cross -Sectional Study” [International Journal of Nursing Studies Advances 8 (2025) 100317]","authors":"Minjung Kyung , Soo-Jeong Lee , Laura M. Wagner , OiSaeng Hong","doi":"10.1016/j.ijnsa.2025.100323","DOIUrl":"10.1016/j.ijnsa.2025.100323","url":null,"abstract":"","PeriodicalId":34476,"journal":{"name":"International Journal of Nursing Studies Advances","volume":"8 ","pages":"Article 100323"},"PeriodicalIF":3.1,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144230040","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}
Mary Casey , David Coghlan , Áine Carroll , Diarmuid Stokes
{"title":"A tool for theory development in action research: a challenge and a resource for nursing research","authors":"Mary Casey , David Coghlan , Áine Carroll , Diarmuid Stokes","doi":"10.1016/j.ijnsa.2025.100357","DOIUrl":"10.1016/j.ijnsa.2025.100357","url":null,"abstract":"<div><div>Action research is about action and research: both practice and theory. Theory development takes place throughout action research as the co-researchers strive to create meaning from their experiences of the change while the change is still occurring. Developing theory in action research may manifest in the creation of academic and practical knowledge. Failure to demonstrate the quality of action research reduces both its scientific value and practical application and so theory generation and development during the action research project maybe limited. Ensuring rigor in action research requires that the researcher is clear about the nature of the action or intervention, the ways in which data are collected and analysed and the processes through which the resulting theory is developed. Therefore, the activities and processes involved in using and generating theory in action research must be clearly reported through manifestation of the quality of the research.</div><div>This paper explores how a Quality Action Research Checklist (QuARC) tool provides a path to how ‘good theory’ may be generated through action research. It provides some background to the elements chosen for the QuARC and discusses key aspects established in the literature on the role of theory in action research. A second aim is to discuss the four areas in the QuARC tool and explore what action research projects should aspire to under these headings, and particularly how theory development may relate to these headings.</div></div>","PeriodicalId":34476,"journal":{"name":"International Journal of Nursing Studies Advances","volume":"8 ","pages":"Article 100357"},"PeriodicalIF":3.1,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144213364","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":"Barriers and facilitators influencing research utilization in clinical nursing and midwifery: an exploratory qualitative study","authors":"Lydia Boampong Owusu , Nicholin Scheepers , Immaculate Sabelile Tenza","doi":"10.1016/j.ijnsa.2025.100354","DOIUrl":"10.1016/j.ijnsa.2025.100354","url":null,"abstract":"<div><div><strong>Background:</strong> Research utilization is critical in evidence-based practice, enhancing patient outcomes and professionalism of service providers. Despite its importance, implementation in nursing and midwifery remains low due to various barriers. Understanding these barriers and identifying facilitators can inform strategies to enhance research utilization and promote evidence-based practice.</div><div><strong>Objective:</strong> To explore the barriers and facilitators influencing research utilization as well as strategies to promote it in clinical nursing and midwifery practice in Kumasi, Ghana.</div><div><strong>Design:</strong> A qualitative descriptive methodology was employed.</div><div><strong>Setting:</strong> Six hospitals in Ghana</div><div><strong>Participants:</strong> One hundred and twenty clinical nurses and midwives</div><div><strong>Methods:</strong> Purposive sampling with seventeen focus group discussions was held to collect data which were recorded and transcribed. Braun and Clarke’s thematic analysis was applied using the steps of research utilization: access, analysis, dissemination, and implementation as a guiding framework. Lincoln and Guba’s criteria of trustworthiness were applied in the study.</div><div><strong>Results:</strong> Three themes were identified: barriers, facilitators, and strategies. Barriers included lack of resources (physical, financial, and time) and inadequate research knowledge due to deficiencies in nursing and midwifery education. Facilitators comprised continuous professional development and higher education. Having designated research units in hospitals was part of the strategies to improve research utilization.</div><div><strong>Conclusion:</strong> The findings have significant implications for healthcare practice, suggesting the need for improved resources, education, and organizational support to promote research utilization. Further studies on the preparation of nurses and midwives for research utilization in their education should be conducted, and recommendations made for adequate research education in nursing and midwifery.</div></div>","PeriodicalId":34476,"journal":{"name":"International Journal of Nursing Studies Advances","volume":"8 ","pages":"Article 100354"},"PeriodicalIF":3.1,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144213459","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}
Lina Guan , Guijuan Zhang , Yuyang Yi , Yaqin Liang , Xiaochun Zou , Bingsheng Guan , Yanya Chen , Wai-kit Ming
{"title":"Factors that influence the preferences for telehealth among family caregivers of disabled elders: a qualitative study","authors":"Lina Guan , Guijuan Zhang , Yuyang Yi , Yaqin Liang , Xiaochun Zou , Bingsheng Guan , Yanya Chen , Wai-kit Ming","doi":"10.1016/j.ijnsa.2025.100351","DOIUrl":"10.1016/j.ijnsa.2025.100351","url":null,"abstract":"<div><h3>Background</h3><div>Family caregivers of the disabled elderly lack adequate support in their caregiving process. Telehealth has significantly alleviated the burden on family caregivers, both subjectively and objectively. It is currently utilized in family care settings for various populations, including disabled elderly individuals and children. Nevertheless, the use of telehealth among family caregivers for disabled elderly people is limited, and the factors that affect this phenomenon are not yet fully understood.</div></div><div><h3>Objective</h3><div>The goal of this qualitative research was to explore the factors affecting family caregivers' preferences regarding telehealth services for disabled elderly individuals.</div></div><div><h3>Methods</h3><div>This qualitative research employed semi-structured interviews. Four focus group interviews were conducted with 20 family caregivers of disabled older people. Interviews were recorded and transcribed verbatim. The results were analyzed through thematic content analysis.</div></div><div><h3>Results</h3><div>The study found that there were two main factors influencing preferences: barriers of carergivers' use of telehealth, and facilitators of carergivers' use of telehealth. Barriers of carergivers' use of telehealth included learning capacity, acceptance of telehealth, differences in treatment modalities, health self-management capability, habituation to medical care, job, cost, limitations, operation experience, quality of care in nursing homes, convenience of medical treatment and popularisation. Facilitators of carergivers' use of telehealth included convenience and professionalism and authority of healthcare professionals.</div></div><div><h3>Conclusions</h3><div>This study identified a series of factors that appear to influence the preference of family caregivers of elderly individuals with disabilities for telehealth in the context of conducting home care. These factors should be considered when designing and developing telehealth for conducting home care.</div></div>","PeriodicalId":34476,"journal":{"name":"International Journal of Nursing Studies Advances","volume":"8 ","pages":"Article 100351"},"PeriodicalIF":3.1,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144185117","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":"Corrigendum to “Psychological distress and suicidal ideation in patients with depressive disorders: the chain mediation of psychological resilience and neuroticism” [International Journal of Nursing Studies 8 (2025) 100325]","authors":"Xueqing Wang , Huafang Li","doi":"10.1016/j.ijnsa.2025.100332","DOIUrl":"10.1016/j.ijnsa.2025.100332","url":null,"abstract":"","PeriodicalId":34476,"journal":{"name":"International Journal of Nursing Studies Advances","volume":"8 ","pages":"Article 100332"},"PeriodicalIF":3.1,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144230041","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}
Katherine Kruger , Petra Brysiewicz , Jody Lori , Sue Anne Bell
{"title":"The role of the nursing workforce in health system resilience during disasters: a scoping review of empirical studies","authors":"Katherine Kruger , Petra Brysiewicz , Jody Lori , Sue Anne Bell","doi":"10.1016/j.ijnsa.2025.100361","DOIUrl":"10.1016/j.ijnsa.2025.100361","url":null,"abstract":"<div><h3>Aim</h3><div>The aim of this study was to explore the extent to which the nursing workforce contributes to health system resilience globally through a scoping review of peerreviewed literature.</div></div><div><h3>Introduction</h3><div>The World Health Organization (WHO) has emphasized the need for the development of resilient health systems to meet current and future disaster readiness needs. The WHO has also emphasized mechanisms that will achieve this goal including a focus on strengthening the global nursing workforce to achieve the Sustainable Development Goals. However, there is limited synthesized research focusing on the contributions of the nursing workforce in developing and fostering health system resilience globally.</div></div><div><h3>Methods</h3><div>Using Joanna Briggs Institute methodology for scoping reviews, three key databases (PubMed, CINAHL, and Scopus) were searched for publications from 2006 until April 2024. English-language, research studies, and quality or process improvement projects were included. Systematic and scoping reviews, as well as studies focused on individual resilience, were excluded. Studies meeting search criteria were exported and screened first by title and abstract and subsequently underwent a full-text review using Covidence software. Quantitative and qualitative data from studies meeting inclusion criteria were extracted and analyzed according to study objectives to create a narrative synthesis. This study was registered in Open Science Framework on May 28, 2024.</div></div><div><h3>Results</h3><div>Eleven articles were included of the 795 total retrieved. Overall, there is limited discussion of the nursing workforce in health system resilience. Eight of the 11 articles (73 %) suggest that the nursing workforce is involved in operationalizing resilience during disasters, 10 articles (91 %) call for nurses to be leaders in policy and the development of resilient health systems, however, this review found zero reports in the literature of the nursing workforce’s role in the planning, development, and leadership of resilient systems.</div></div><div><h3>Implications</h3><div>Nurses are essential to resilient health systems, however, there is limited research examining the nursing workforce and its contributions to resilient health systems, particularly within disaster contexts. More targeted research on nursing workforce contributions to achieve resilient health systems is needed.</div></div>","PeriodicalId":34476,"journal":{"name":"International Journal of Nursing Studies Advances","volume":"9 ","pages":"Article 100361"},"PeriodicalIF":3.1,"publicationDate":"2025-05-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144299037","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":"Tensions experienced by student and care professionals in a learning and innovation network: a responsive evaluation using storytelling","authors":"M.(Marjolein) Albers , R.J.J.(Robbert) Gobbens , M.(Margreet) Reitsma , H.L.G.R.(Henk) Nies , O.A.A.M.J.(Olaf) Timmermans","doi":"10.1016/j.ijnsa.2025.100360","DOIUrl":"10.1016/j.ijnsa.2025.100360","url":null,"abstract":"<div><h3>Background</h3><div>Learning and innovation networks are collaborative initiatives between educational and healthcare institutions aimed at integrating the learning of students and care professionals and improving the quality of care through shared practices.</div></div><div><h3>Aim</h3><div>This study aims to explore how care professionals and students experience learning and working within a learning and innovation network.</div></div><div><h3>Methods</h3><div>Using a responsive evaluation, we collected data in four iterative phases: (1) interviews with four students and two care professionals to identify themes; (2) development of four fictional stories illustrating tensions based on interview data and practical experience; (3) focus groups with students and care professionals to validate and refine the stories; and (4) a mixed stakeholder group discussion to reflect and start to formulate improvement actions. Thematic analysis was used across all phases.</div></div><div><h3>Results</h3><div>Participants experienced various tensions, and one of the primary challenges for both students and care professionals was to balance the time allocated between learning activities, care provision and innovation projects. Students faced role ambiguity when performing unsupervised care tasks, feeling part of the team but also vulnerable in their learner status. Care professionals struggled with time constraints and competing demands between patient care and student supervision, which sometimes led to them withdrawing from guiding students. Another tension emerged around engaging in quality improvement. While participants recognized the importance of improving care, engaging in this progress was hindered by a lack of shared understanding of optimal rehabilitation practices and unclear responsibilities regarding implementing innovation. The student-dense environment, though rich in learning potential, heightened these tensions due to differing expectations and unclear roles.</div></div><div><h3>Conclusion</h3><div>Although learning and innovation networks offer valuable opportunities for mutual learning and improving care, they also introduce tensions that need to be acknowledged and addressed. Managing these tensions, especially around time division, role clarity and a shared vision for improving care, is essential for creating sustainable learning and innovation climates in practice.</div></div>","PeriodicalId":34476,"journal":{"name":"International Journal of Nursing Studies Advances","volume":"9 ","pages":"Article 100360"},"PeriodicalIF":3.1,"publicationDate":"2025-05-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144220971","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}