International Journal of Nursing Studies Advances最新文献

{"title":"A balancing act: Primary care midwives screening for fetal growth restriction- a focus group study","authors":"Mariëlle van Roekel ,&nbsp;Dominique Kramer ,&nbsp;Ank de Jonge ,&nbsp;Arie Franx ,&nbsp;Jens Henrichs ,&nbsp;Corine J. Verhoeven","doi":"10.1016/j.ijnsa.2025.100439","DOIUrl":"10.1016/j.ijnsa.2025.100439","url":null,"abstract":"<div><h3>Background</h3><div>Fetal growth restriction in low-risk pregnancies often remains undetected, despite its association with perinatal morbidity and mortality. While technical improvements in screening have been widely studied, little is known about how autonomous midwives in primary care settings navigate screening for fetal growth restriction in daily practice.</div></div><div><h3>Aim</h3><div>To better understand how midwives in low-risk settings navigate the screening process for fetal growth restriction, and to identify opportunities for improvement.</div></div><div><h3>Methods</h3><div>An interpretative qualitative study was conducted based on five online focus groups with 21 participants, including midwives and senior midwifery students across the Netherlands. Reflexive thematic analysis was carried out by a multidisciplinary team.</div></div><div><h3>Findings</h3><div>Midwives described screening for fetal growth restriction as a balancing act shaped by diagnostic uncertainty, ambiguous guidelines, interprofessional mistrust and moral responsibility. Five themes were identified: managing screening uncertainty, adapting to women’s care needs, coping with a lack of trust in collaboration with secondary care, balancing tradition and innovation within professional identity, and maintaining professional confidence.</div></div><div><h3>Conclusion</h3><div>Screening for fetal growth restriction is not only a technical act but also a relational and value-laden practice. Midwives’ practices reflect a continuous negotiation between societal reliance on technology, the limitations of current tools and guidelines, interprofessional tensions, and the relational and moral responsibilities of care. Improving screening therefore requires more than technical solutions: it calls for clear guidelines, respectful collaboration, and supportive structures that enable midwives to practice with confidence and trust.</div></div>","PeriodicalId":34476,"journal":{"name":"International Journal of Nursing Studies Advances","volume":"9 ","pages":"Article 100439"},"PeriodicalIF":3.1,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145424422","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":"2025-12-01","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":"Function focused care in hospital among nurses and patients from geriatric and neurology wards: A mixed method process evaluation","authors":"Selma Kok ,&nbsp;Elke G.E. Mathijssen ,&nbsp;Lisette Schoonhoven ,&nbsp;Carolien Verstraten ,&nbsp;Silke F. Metzelthin ,&nbsp;Nienke Bleijenberg ,&nbsp;Janneke M. de Man-van Ginkel","doi":"10.1016/j.ijnsa.2025.100401","DOIUrl":"10.1016/j.ijnsa.2025.100401","url":null,"abstract":"&lt;div&gt;&lt;h3&gt;Background&lt;/h3&gt;&lt;div&gt;Function Focused Care is a promising approach stimulating physical activity of patients admitted to hospital. In studying the effectiveness, patients receiving Function Focused Care in Hospital were admitted 3.3 days shorter than patients receiving usual care. However, no differences were found in functional status. Process evaluations alongside an effect studies create an understanding implementation fidelity, of mechanisms of impact, contextual factors.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Objective&lt;/h3&gt;&lt;div&gt;to gain insight into the experiences of nurses and patients, and to give insight into implementation fidelity, mechanisms of impact, and contextual factors while implementing Function Focused Care in Hospital on geriatric and neurologic hospital wards.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Design&lt;/h3&gt;&lt;div&gt;convergent parallel mixed-methods study, alongside a stepped wedge clinical trial.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Setting(s)&lt;/h3&gt;&lt;div&gt;four hospital wards of two Dutch hospitals&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Participants&lt;/h3&gt;&lt;div&gt;nurses, nursing students and care assistants (&lt;em&gt;n&lt;/em&gt; = 123), and patients (&lt;em&gt;n&lt;/em&gt; = 24).&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Methods&lt;/h3&gt;&lt;div&gt;Data for the process evaluation was collected before the implementation of Function Focused Care in Hospital (T0), directly after implementation (T1), and four months after implementation (T2). Data was obtained from patient interviews, focus group interviews with nurses, questionnaires, observations, screening of electronic patients’ records, and logbook notes. For the qualitative data thematic analyses and for quantitative data descriptive statistics were used. The results of these analyses were synthesized into overarching findings.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Results&lt;/h3&gt;&lt;div&gt;Findings from the observations showed the care delivery according to the Function Focused Care in Hospital principles increased from 60 % in the control condition to 75 % in the intervention condition. Moreover, nurses stated that patients were only assisted when needed and nurses often asked about their abilities to perform ADL and then encouraged them to do as much as they could themselves. Nevertheless, patients don’t recognize Function Focused Care in Hospital. The results suggest that the implementation fidelity was influenced by different working mechanisms and contextual factors which led to different experiences from nurses, coaches and patients in promoting patient engagement and functional independence. The synthesized findings show that lessons can be learned with regards to continuity of the care provided in the interprofessional collaboration, the challenge in providing personalized care given the current time constraints, the phenomenon of being unconscious incompetent observed in the nurses, and difficulties in demonstrating nursing leadership and autonomy.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Conclusions&lt;/h3&gt;&lt;div&gt;Implementation of Function Focused Care in Hospital improved care delivery but highlighted challenges in personalized care, interpro","PeriodicalId":34476,"journal":{"name":"International Journal of Nursing Studies Advances","volume":"9 ","pages":"Article 100401"},"PeriodicalIF":3.1,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144858190","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":"Factors associated with nursing care rationing in Poland: A cross-sectional observational study","authors":"Daria Schneider-Matyka ,&nbsp;Kamila Rachubińska ,&nbsp;Anna Maria Cybulska ,&nbsp;Mariusz Panczyk ,&nbsp;Przemysław Ustianowski ,&nbsp;Ireneusz Walaszek ,&nbsp;Dorota Ćwiek ,&nbsp;Elżbieta Grochans ,&nbsp;Małgorzata Szkup","doi":"10.1016/j.ijnsa.2025.100413","DOIUrl":"10.1016/j.ijnsa.2025.100413","url":null,"abstract":"<div><h3>Background</h3><div><strong>:</strong> Nursing care rationing is a global issue, but its intensity may vary across countries depending on available resources and healthcare system characteristics.</div></div><div><h3>Objective</h3><div><strong>:</strong> This study aimed to examine factors associated with the severity of nursing care rationing among Polish nurses.</div></div><div><h3>Design</h3><div><strong>:</strong> Cross-sectional observational study.</div></div><div><h3>Setting(s)</h3><div><strong>:</strong> Two university clinical hospitals in Szczecin, Poland.</div></div><div><h3>Participants</h3><div>The study involved 411 nurses working in 40 wards and clinics across both institutions.</div></div><div><h3>Methods</h3><div><strong>:</strong> A self-designed questionnaire was used to collect socio-demographic and work-related information, alongside standardized instruments: the Emotional Intelligence Questionnaire (INTE), the Perceived Stress Scale (PSS-10), and the Perceived Implicit Rationing of Nursing Care (PIRNCA). Descriptive statistics and both univariate and multivariate linear regression analyses were performed.</div></div><div><h3>Results</h3><div><strong>:</strong> The severity of nursing care rationing was significantly associated with stress level (B = 0.039, p &lt; 0.001) and emotional intelligence (B = –0.006, p = 0.002). Nurses with secondary education and those working under civil law contracts reported significantly higher levels of care rationing. Additionally, care rationing was more prevalent among hospital nurses compared to those in other settings.</div></div><div><h3>Conclusions</h3><div><strong>:</strong> Low levels of emotional intelligence among Polish nurses coexist with high levels of stress and increased nursing care rationing. These findings indicate that emotional intelligence may serve as a protective factor that reduces the negative impact of stress on care provision.</div></div><div><h3>Trial Registration</h3><div><strong>:</strong> Not applicable.</div></div><div><h3>Social media abstract</h3><div><strong>:</strong> Rationing nursing care, in addition to the characteristics of the working environment, depends on the buffering role of emotional intelligence and the severity of stress experienced by nurses. #RationungNursingCare#QualityOfCare</div></div>","PeriodicalId":34476,"journal":{"name":"International Journal of Nursing Studies Advances","volume":"9 ","pages":"Article 100413"},"PeriodicalIF":3.1,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145007600","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":"2025-12-01","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":"2025-12-01","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":"Investigating whether routinely collected biomarkers improve the prediction of hospital-acquired pressure injury occurrence: A retrospective cohort study","authors":"Clair Merriman ,&nbsp;Kathryn Suzann Taylor ,&nbsp;Ria Betteridge ,&nbsp;Neesha Oozageer Gunowa ,&nbsp;Helen Walthall ,&nbsp;Zoe Maunsell ,&nbsp;Debra Jackson","doi":"10.1016/j.ijnsa.2025.100445","DOIUrl":"10.1016/j.ijnsa.2025.100445","url":null,"abstract":"&lt;div&gt;&lt;h3&gt;Background&lt;/h3&gt;&lt;div&gt;Despite being largely preventable, hospital-acquired pressure injuries remain a significant challenge in healthcare, contributing to prolonged hospital stays, increased patient morbidity, and substantial healthcare costs. Commonly used risk assessment tools have limited predictive accuracy, and early detection of hospital acquired pressure injuries often depends on subjective visual skin assessments. Emerging evidence suggests routinely collected biomarkers may offer an objective and reliable approach to predicting hospital acquired pressure injuries risk.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Objective&lt;/h3&gt;&lt;div&gt;To explore how biomarkers improve hospital acquired pressure injuries prediction.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Design&lt;/h3&gt;&lt;div&gt;Retrospective cohort study.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Setting&lt;/h3&gt;&lt;div&gt;Acute NHS Trust in England, UK.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Participants&lt;/h3&gt;&lt;div&gt;10,504 adult patients admitted to acute medical wards for at least 24 h in 2024.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Methods&lt;/h3&gt;&lt;div&gt;We considered the first hospital acquired pressure injuries and first record of other variables per hospital episode, measured at or soon after admission. Population characteristics of those who developed a hospital acquired pressure injuries or not were compared, overall and stratified by categories of length of stay (&lt;6 days, ≥6 days), Braden, Malnutrition Universal Screening Tool and Mobility scores. Using multivariable logistic regression, we assessed the predictive value of the risk scores, adjusted for age and gender, and adding single biomarkers. Predictive performance was evaluated by discrimination and calibration. Analyses were exploratory. We used Stata v16 and R v4.4.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Results&lt;/h3&gt;&lt;div&gt;Median hospital stay for patients with hospital acquired pressure injuries (&lt;em&gt;n&lt;/em&gt; = 293) was 18 days (interquartile range 12–31) compared with 5 days (2–11) for those without. Patients with hospital acquired pressure injuries were older than those without (84 (77–89) vs 78 (66–86) years. Levels of urea, C-reactive protein, and prothrombin time were significantly higher and albumin, haemoglobin and red blood cell count were significantly lower in those who developed hospital acquired pressure injuries. The incidence of hospital acquired pressure injuries was higher in those with longer hospital stays and increased across the risk score categories. Adjusting for age and gender, a unit increase in the Braden score reduced the odds of developing a hospital acquired pressure injuries by 15 %. The discrimination was adequate (AUC 0.72), but calibration was poor. Several individual biomarkers enhanced discrimination, but with miscalibration. Albumin was an independent predictor of hospital acquired pressure injuries in all models. The model with mobility adjusted for age and gender had adequate discrimination (AUC 0.71) and was well calibrated. Compared to those fully mobile, there was a sevenfold increase in the odds of hospital acquired pressure","PeriodicalId":34476,"journal":{"name":"International Journal of Nursing Studies Advances","volume":"9 ","pages":"Article 100445"},"PeriodicalIF":3.1,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145525564","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":"Occupational self-efficacy, job satisfaction and learning potential of the workplace in a sample of diabetes specialist nurses: A structural equation modeling analysis","authors":"Alma Dautovic ,&nbsp;Ulla Fredriksson-Larsson ,&nbsp;Kajsa Yang Hansen ,&nbsp;Eva Brink","doi":"10.1016/j.ijnsa.2025.100446","DOIUrl":"10.1016/j.ijnsa.2025.100446","url":null,"abstract":"&lt;div&gt;&lt;h3&gt;Background&lt;/h3&gt;&lt;div&gt;Diabetes mellitus is a chronic condition, cases of which are expected to continue rising worldwide. Diabetes specialist nurses play an essential role by assisting patients with preventing or delaying disease complications. Research has suggested an association between occupational self-efficacy and job satisfaction among professionals. However, the relationship between these factors among diabetes specialist nurses, as well as the learning potential of the workplace in this context, remains unexplored.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Objective&lt;/h3&gt;&lt;div&gt;This study aimed to explore the relationships between occupational self-efficacy, the learning potential of the workplace and job satisfaction.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Design&lt;/h3&gt;&lt;div&gt;A cross-sectional study design was used.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Setting&lt;/h3&gt;&lt;div&gt;The study data were collected through a national online survey conducted in Sweden.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Participants&lt;/h3&gt;&lt;div&gt;A total of 157 registered nurses who provide diabetes care to patients were included.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Methods&lt;/h3&gt;&lt;div&gt;Data were obtained through an online survey with a response rate of 28%. All variables were measured using Swedish-translated standardised instruments. The model was constructed and tested using structural equation modeling analysis with the hypothesis that perceived occupational self-efficacy has both direct and indirect effects on diabetes specialist nurses' job satisfaction and is mediated by the learning potential of the workplace.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Results&lt;/h3&gt;&lt;div&gt;The findings supported the hypothesised model. The total effect of the relationship between occupational self-efficacy and job satisfaction was 0.547 (&lt;em&gt;p&lt;/em&gt; &lt; .001), comprising both the direct effect (β = 0.359, &lt;em&gt;p&lt;/em&gt; &lt; .0001) between these constructs and the indirect effect (0.188, &lt;em&gt;p&lt;/em&gt; &lt; .001). The indirect pathways included occupational self-efficacy, which was statistically significantly associated with all three dimensions of the &lt;em&gt;Learning Potential of the Workplace&lt;/em&gt; scale: &lt;em&gt;Opportunity to reflect&lt;/em&gt; (β = 0.480, &lt;em&gt;p&lt;/em&gt; &lt; .0001), &lt;em&gt;Support in learning&lt;/em&gt; (β = 0.226, &lt;em&gt;p&lt;/em&gt; &lt; .01), and &lt;em&gt;Time for exploration&lt;/em&gt; (β = 0.330, &lt;em&gt;p&lt;/em&gt; &lt; .0001). Both &lt;em&gt;Support in learning&lt;/em&gt; and &lt;em&gt;Time for exploration&lt;/em&gt; were also statistically significantly associated with job satisfaction (β = 0.236 and β = 0.266, respectively, &lt;em&gt;p&lt;/em&gt; &lt; .01), thereby contributing to the sum of the indirect effect (0.188, &lt;em&gt;p&lt;/em&gt; &lt; .001). One dimension, &lt;em&gt;Time for exploration&lt;/em&gt;, was identified as a mediator between occupational self-efficacy and job satisfaction, which explained 9% (&lt;em&gt;p&lt;/em&gt; &lt; .01) of the variance in job satisfaction.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Conclusions&lt;/h3&gt;&lt;div&gt;These results demonstrated the association between occupational self-efficacy and job satisfaction among diabetes specialist nurses. The mediation effect of the &lt;em&gt;Time for exploration","PeriodicalId":34476,"journal":{"name":"International Journal of Nursing Studies Advances","volume":"9 ","pages":"Article 100446"},"PeriodicalIF":3.1,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145473482","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":"2025-12-01","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":"Erratum to “The process of self-care in patients with heart failure after nurse-assisted remote patient monitoring: A qualitative longitudinal approach”","authors":"Signe Østrem ,&nbsp;Anna Strömberg ,&nbsp;Kari Hanne Gjeilo ,&nbsp;Marianne Storm ,&nbsp;Ingvild M. Morken","doi":"10.1016/j.ijnsa.2025.100453","DOIUrl":"10.1016/j.ijnsa.2025.100453","url":null,"abstract":"","PeriodicalId":34476,"journal":{"name":"International Journal of Nursing Studies Advances","volume":"9 ","pages":"Article 100453"},"PeriodicalIF":3.1,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145623100","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}