International Journal of Nursing Sciences最新文献

{"title":"Perceptions and experiences of generative artificial intelligence training to support research for Chinese nurses: A qualitative focus group study","authors":"Ling Tong,&nbsp;Yirou Niu,&nbsp;Lixue Zhou,&nbsp;Shuai Jin,&nbsp;Yanling Wang,&nbsp;Qian Xiao","doi":"10.1016/j.ijnss.2025.04.010","DOIUrl":"10.1016/j.ijnss.2025.04.010","url":null,"abstract":"<div><h3>Objectives</h3><div>Nurses’ clinical research activities have contributed to optimizing the care process and improving patient outcomes, and generative artificial intelligence (GAI) may help clinical nurses strengthen their research skills. To support research, this study aimed to explore the Chinese nurses’ perceptions and experiences of GAI training.</div></div><div><h3>Methods</h3><div>This study used a descriptive qualitative design. The China Nurses Network conducted a three-day training session on “GAI for Nursing Research” theme, we selected 23 nurses by a convenience sampling method among participating in the training. The researchers conducted three focus group interviews at the end of each day. All focus groups were interviewed face-to-face to facilitate interaction, data collection, and observation. The data were analyzed using conventional content analysis and coded manually.</div></div><div><h3>Results</h3><div>The results showed that nurses’ use of GAI to support scientific research was dynamic and characterized by evolving perceptions and practices. Four themes and 11 sub-themes emerged from the analysis: 1) utilization efficacy: cope with research ability, affected by many factors; 2) booster research: growth and challenges go hand in hand; 3) role reversal: from GAI-dominated to nurse-dominated; 4) beautiful dream: more features on research, more assistants on clinical care.</div></div><div><h3>Conclusions</h3><div>The effectiveness of GAI in supporting clinical nurses in conducting research is mainly limited by differences in personal research literacy, lack of ethical regulation, and information accuracy. In the future, it is necessary to improve nurses’ relevant skills through specialized training and promote the standardization of technical regulations to ensure the appropriate application of GAI in nursing research.</div></div>","PeriodicalId":37848,"journal":{"name":"International Journal of Nursing Sciences","volume":"12 3","pages":"Pages 210-217"},"PeriodicalIF":2.9,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144166857","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Efficacy and cost-effectiveness of digital health interventions in improving hypertensive outcomes among patients with uncontrolled hypertension: A systematic review","authors":"Saowaluck Sukpattanasrikul ,&nbsp;Naruemol Singha-Dong ,&nbsp;Yajai Sitthimongkol ,&nbsp;Kanlayawee Anonjarn","doi":"10.1016/j.ijnss.2025.04.001","DOIUrl":"10.1016/j.ijnss.2025.04.001","url":null,"abstract":"<div><h3>Objectives</h3><div>This systematic review aimed to identify effective and cost-effective digital health interventions to improve self-management behaviors, blood pressure control, and cardiovascular risk reduction.</div></div><div><h3>Methods</h3><div>A search for randomized and non-randomized control trials of digital health interventions among patients with uncontrolled hypertension was conducted from the databases of Embase, PubMed, Scopus, CINAHL, Web of Science, PsycINFO, Thai Journal Online (ThaiJO), the Faculty of Nursing Mahidol University (FON-MU) Nursing Research Database, and gray literature. After conducting the literature screening, the authors completed data extraction, and the risk of bias was assessed using the Joanna Briggs Institute randomized controlled trial checklist and the Joanna Briggs Institute critical appraisal checklist for quasi-experimental studies.</div></div><div><h3>Results</h3><div>The study included 22 articles, comprising 30 to 4,118 patients with uncontrolled hypertension. This review classified and summarized the components of digital health interventions and their effects on hypertensive outcomes. It was found that the key elements of digital health interventions include health education, reminders, self-monitoring, feedback and consultation, and instrumental support. Moreover, approximately 81.81 % (<em>n</em> = 18) of the digital health interventions involved healthcare providers participating in feedback and consultation. Additionally, digital health interventions effectively improve hypertensive outcomes such as self-management behaviors, blood pressure control, and cardiovascular risk reduction, providing cost-effectiveness.</div></div><div><h3>Conclusion</h3><div>Based on the available literature, digital health interventions have been shown to effectively enhance behavioral, clinical, and economic outcomes for individuals with uncontrolled hypertension. Moreover, the combination of digital health interventions and healthcare providers’ interventions can potentially help patients with uncontrolled hypertension improve adherence to self-management when compared to stand-alone digital health interventions. Digital health interventions to support self-management interventions should be developed for patients by healthcare providers.</div></div>","PeriodicalId":37848,"journal":{"name":"International Journal of Nursing Sciences","volume":"12 3","pages":"Pages 225-232"},"PeriodicalIF":2.9,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144166859","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A Mindfulness Breast Care App to reduce body image distress and stigma for breast cancer survivors: Development and preliminary quality assessment","authors":"Shuang Zheng ,&nbsp;Wenhe Huang ,&nbsp;Xueqin Zhang ,&nbsp;Ying Hua ,&nbsp;Sally Chan ,&nbsp;Shengjie Liu ,&nbsp;Yujing Zhong ,&nbsp;Xiaoying Jiang ,&nbsp;Jiemin Zhu","doi":"10.1016/j.ijnss.2025.04.007","DOIUrl":"10.1016/j.ijnss.2025.04.007","url":null,"abstract":"<div><h3>Objectives</h3><div>This study aimed to develop and preliminarily assess the quality of a Mindfulness Breast Care (MBC) App to reduce body image distress and stigma among breast cancer survivors (BCSs).</div></div><div><h3>Methods</h3><div>The development process of the MBC App involved: 1) establishing a research group; 2) determining of the content of the MBC App based on Mindfulness-Based Cognitive Therapy and 3) technical exploitation and maintenance. A mixed-methods study was conducted. We selected ten BCSs by a convenience sampling method. After using the APP for three months, five assessed the quality using the Mobile App Rating Scale: User Version (uMARS) and another five were interviewed for process evaluation.</div></div><div><h3>Results</h3><div>The MBC App was developed with three modules: 1) Library to provide health education information on body image, stigma, mindfulness, recovery and etc; 2) Mindfulness Yoga to offer 12 Hatha yoga videos for daily practice; and 3) Mindfulness Practices to have 12 sessions of mindfulness videoconferences. Based on the uMARS data, the MBC App received high ratings for functionality (4.10 ± 0.34), aesthetics (3.93 ± 0.55), information quality (4.10 ± 0.72), and perceived impact (4.03 ± 0.96), as well as moderate ratings for engagement (3.72 ± 0.94) and subjective quality (3.87 ± 0.77). Participants indicated that the <span>MBC</span> App provided reliable knowledge, information, and emotional support. Recommendations from participants included categorizing knowledge in the Library Module, recording videoconferences of mindfulness practice, and adding discussion sessions in the videoconference. Afterward, we optimized the MBC App to enhance the user experience accordingly.</div></div><div><h3>Conclusions</h3><div>The MBC App offers online mindfulness interventions specifically for BCSs in China. The preliminary quality assessment indicates that the MBC App may be a promising tool for delivering mindfulness interventions to BCSs.</div></div>","PeriodicalId":37848,"journal":{"name":"International Journal of Nursing Sciences","volume":"12 3","pages":"Pages 203-209"},"PeriodicalIF":2.9,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144166856","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Meta-synthesis of the experience of nurses with “Internet Nursing Service” in China","authors":"Wenyan Liu,&nbsp;Yao Li,&nbsp;Huanhuan Zhu,&nbsp;Kexin Li,&nbsp;Haiting Deng,&nbsp;Xiaoyan Cai","doi":"10.1016/j.ijnss.2025.04.012","DOIUrl":"10.1016/j.ijnss.2025.04.012","url":null,"abstract":"<div><h3>Objective</h3><div>Systematically integrate nurses’ experience with “Internet Nursing Service” to analysis the nurses’ experiences with “Internet Nursing Service”, and to provide a theoretical reference for formulating a more rational “Internet Nursing Service” model.</div></div><div><h3>Methods</h3><div>A systematic search in PubMed, Embase, Web of Science, the Cochrane Library, CINAHL, China National Knowledge Infrastructure (CNKI), Wanfang Database, and Chinese Biomedical Literature Database was conducted to collect qualitative research on nurses’ experiences with “Internet Nursing Service,” with a retrieval time limit from December 2019 to June 2024. Qualitative meta-synthesis was performed through line-by-line coding of relevant quotes, organization of codes into descriptive themes, and development of analytical themes.</div></div><div><h3>Results</h3><div>A total of 19 studies were included, one study was rated as Grade A in quality evaluation, and the remaining studies were rated as Grade B. Collectively synthesized into three integrated results: Harvest and growth, Difficulties and challenges, and Expectations and support. Harvest and growth, include 1) manifestation of self-value, 2) enhancing nursing capabilities, 3) optimizing nursing resources; Difficulties and challenges, include 1) lack of safety guarantee, 2) role conflict; Expectations and support include, 1) expectation for professional knowledge and skill training, 2) expectations for service platform optimization, 3) expectation for reasonable charges, 4) expectation for related policy support.</div></div><div><h3>Conclusion</h3><div>“Internet Nursing Service” model benefits both nurses and patients, but still full of challenges. It aids in the decentralization of medical resources. Management departments still need to encourage nurses to actively invest in “Internet Nursing Service” while ensuring their safety and interests.</div></div>","PeriodicalId":37848,"journal":{"name":"International Journal of Nursing Sciences","volume":"12 3","pages":"Pages 233-240"},"PeriodicalIF":2.9,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144166860","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A framework for developing spouse-inclusive digital applications in preventing perinatal depression and anxiety","authors":"Siti Roshaidai Arifin ,&nbsp;Amalia Kamaruddin ,&nbsp;Noor Azimah Muhammad ,&nbsp;Mohd Said Nurumal ,&nbsp;Hazwani Mohd Mohadis ,&nbsp;Nik Hazlina Nik Hussain ,&nbsp;Shanti Wardaningsih","doi":"10.1016/j.ijnss.2025.04.014","DOIUrl":"10.1016/j.ijnss.2025.04.014","url":null,"abstract":"<div><h3>Objective</h3><div>Digital approaches have proven effective in alleviating symptoms of perinatal depression and anxiety. However, current online applications for perinatal mental health often exclude the role of spouses in the intervention. This study aimed to develop a spouse-inclusive framework for digital self-management of perinatal depression and anxiety based on the women, spouses, and experts’ viewpoints.</div></div><div><h3>Methods</h3><div>The spouse-inclusive framework was developed through two phases of study. In phase I, using a generic qualitative research design, in-depth interviews were conducted with 20 perinatal women (with symptoms of depression and anxiety) and 15 men (spouses) in the obstetrics and gynecology clinics in Sultan Ahmad Shah Medical Centre and Hospital Canselor Tuanku Muhriz. Findings from phase I were used to develop the spouse-inclusive framework, guided by the Digital Self-Care Framework by the WHO and existing literature review. In phase II, two rounds of expert reviews were conducted: the first round involved Content Validity Index (CVI) validation, and the second round consisted of focus-group discussion (FGD) sessions to refine the proposed framework.</div></div><div><h3>Results</h3><div>We proposed a framework known as i-PartnerPulse, which included three main sections: functions (participants’ profile, activity planning &amp; reminder, goal setting &amp; reward system, success stories), aimed at enhancing user motivation during app usage; contents (assessment, intervention, and further action), aimed to educate both parties on the spouse’s role, psychoeducation, and essential skills; approaches (good user experience, interactive user interface, sharing session, stress busters), aimed to engage users consistently. A total of 10 experts in psychology, healthcare, and technology validated the framework with an average CVI of 0.88, indicating the validity of the framework.</div></div><div><h3>Conclusion</h3><div>The findings suggest that a spouse-inclusive framework can be effectively used to develop self-care applications for perinatal depression and anxiety. Researchers, academics, and software developers can utilize this framework to create comprehensive interventions aimed at empowering patients and addressing the risks of depression and anxiety during the perinatal period.</div></div>","PeriodicalId":37848,"journal":{"name":"International Journal of Nursing Sciences","volume":"12 3","pages":"Pages 246-252"},"PeriodicalIF":2.9,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144166863","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Barriers and facilitators of implementation sustainability of evidence-based practice for peristomal irritant contact dermatitis: A descriptive qualitative study","authors":"Nuo Zhang ,&nbsp;Qiuwen Zhang ,&nbsp;Cong Li ,&nbsp;Yanbo Huang ,&nbsp;Jiale Hu ,&nbsp;Jiaqi Wang ,&nbsp;Dong Pang","doi":"10.1016/j.ijnss.2025.04.002","DOIUrl":"10.1016/j.ijnss.2025.04.002","url":null,"abstract":"<div><h3>Objectives</h3><div>To investigate the barriers and facilitators influencing the sustainable implementation of evidence-based practice (EBP) for Peristomal Irritant Contact Dermatitis (PICD) based on the Consolidated Framework for Implementation Research (CFIR).</div></div><div><h3>Methods</h3><div>The sample consisted of 17 nurses from three urology wards at a tertiary hospital in Beijing, China, who had participated in the EBP. Guided by the CFIR, we identified constructs influencing the sustainability of implementation by conducting a directed content analysis of the 17 individual in-depth interviews. By rating, the valence and magnitude of each construct were determined.</div></div><div><h3>Results</h3><div>This study identified 19 factors across the five domains of the CFIR. Among these determinants, 16 were identified as barriers, while three were recognized as facilitators. Common barriers across different contexts were identified, such as delayed evidence updating, the complexity of intervention components and steps, and incompatibility between the implementation process and clinical practices. In contrast, facilitators of intervention implementation were regular communication and feedback, support and drive from principals and a positive cultural atmosphere. In addition, we identified “regular evidence updating” as an independent construct outside of the CFIR, a finding that will provide key information for updating the CFIR framework.</div></div><div><h3>Conclusions</h3><div>Regular evidence updating is crucial for the sustainability of EBP implementation. Researchers should receive consistent feedback from practitioners and adjust or modify the EBP as necessary. Additionally, researchers must consider the compatibility or adaptability of the EBP’s content with clinical practice in formulating it rather than adding additional complexity to the original workflow.</div></div>","PeriodicalId":37848,"journal":{"name":"International Journal of Nursing Sciences","volume":"12 3","pages":"Pages 285-292"},"PeriodicalIF":2.9,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144166763","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"“Becoming a family”—the effects of the hidden curriculum in transferring institutional mission: An experience from a century-old nursing school","authors":"Aimei Mao ,&nbsp;Hon-Lon Tam ,&nbsp;Pak-Leng Cheong ,&nbsp;Iat-Kio Van","doi":"10.1016/j.ijnss.2025.04.005","DOIUrl":"10.1016/j.ijnss.2025.04.005","url":null,"abstract":"<div><h3>Objectives</h3><div>This study aimed to examine the role of the hidden curriculum in transmitting the educational mission and its impacts on nursing students’ professional socialization.</div></div><div><h3>Methods</h3><div>This constructivist grounded theory study involved twenty-six students and five faculty members from a century-old nursing school in Macau. Semi-structured interviews examined the factors influencing nursing students’ choice of a specific nursing school and their general learning experiences in nursing studies. Open and focused coding was employed to develop categories and concepts that capture the nuances of how the hidden curriculum influences students’ personal experiences, perceptions, and values related to developing their professional identities. The data analysis was guided by the “Community of Practice” model.</div></div><div><h3>Results</h3><div>The educational mission fostered a hidden curriculum that emphasized nurturing qualities and social responsibilities, creating a family-like learning environment that positively influenced the professional socialization of nursing students. Under the core theme of “becoming a family,” two sub-themes emerged: “student-peer interactions - fostering sisterly/brotherly learning partnerships” and “student-faculty interactions – faculty’s acting as parenting instructors.” While the hidden curriculum promoted a democratic and egalitarian learning atmosphere among student-peers, it simultaneously reinforced hierarchical power dynamics among senior-junior students and student-faculty relationships, mirroring the power-based interpersonal dynamics often found in traditional Chinese families.</div></div><div><h3>Conclusions</h3><div>Explicating the educational mission can help shape a hidden curriculum that benefits nursing students’ professional socialization. Faculty members should reflect on the power inequalities reproduced by the hidden curriculum and establish appropriate boundaries in student-faculty relationships.</div></div>","PeriodicalId":37848,"journal":{"name":"International Journal of Nursing Sciences","volume":"12 3","pages":"Pages 293-300"},"PeriodicalIF":2.9,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144166764","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Healthcare providers’ perceptions of artificial intelligence in diabetes care: A cross-sectional study in China","authors":"Yongzhen Mo ,&nbsp;Fang Zhao ,&nbsp;Li Yuan ,&nbsp;Qiuling Xing ,&nbsp;Yingxia Zhou ,&nbsp;Quanying Wu ,&nbsp;Caihong Li ,&nbsp;Juan Lin ,&nbsp;Haidi Wu ,&nbsp;Shunzhi Deng ,&nbsp;Mingxia Zhang","doi":"10.1016/j.ijnss.2025.04.013","DOIUrl":"10.1016/j.ijnss.2025.04.013","url":null,"abstract":"<div><h3>Objectives</h3><div>Diabetes remains a major global health challenge in China. Artificial intelligence (AI) has demonstrated considerable potential in improving diabetes management. This study aimed to assess healthcare providers’ perceptions regarding AI in diabetes care across China.</div></div><div><h3>Methods</h3><div>A cross-sectional survey was conducted using snowball sampling from November 12 to November 24, 2024. We selected 514 physicians and nurses by a snowball sampling method from healthcare providers across 30 cities or provinces in China. The self-developed questionnaire comprised five sections with 19 questions assessing medical workers’ demographic characteristics, AI-related experience and interest, awareness, attitudes, and concerns regarding AI in diabetes care. Statistical analysis was performed using <em>t</em>-test, analysis of variance (ANOVA), and linear regression.</div></div><div><h3>Results</h3><div>Among them, 20.0 % and 48.1 % of respondents had participated in AI-related research and training, while 85.4 % expressed moderate to high interest in AI training for diabetes care. Most respondents reported partial awareness of AI in diabetes care, and only 12.6 % exhibited a comprehensive or substantial understanding. Attitudes toward AI in diabetes care were generally positive, with a mean score of 24.50 ± 3.38. Nurses demonstrated significantly higher scores than physicians (<em>P</em> &lt; 0.05). Greater awareness, prior AI training experience, and higher interest in AI training in diabetes care were strongly associated with more positive attitudes (<em>P</em> &lt; 0.05). Key concerns regarding AI included trust issues from AI-clinician inconsistencies (77.2 %), increased workload and clinical workflow disruptions (63.4 %), and incomplete legal and regulatory frameworks (60.3 %). Only 34.2 % of respondents expressed concerns about job displacement, indicating general confidence in their professional roles.</div></div><div><h3>Conclusions</h3><div>While Chinese healthcare providers show moderate awareness of AI in diabetes care, their attitudes are generally positive, and they are considerably interested in future training. Tailored, role-specific AI training is essential for equitable and effective integration into clinical practice. Additionally, transparent, reliable, ethical AI models must be prioritized to alleviate practitioners’ concerns.</div></div>","PeriodicalId":37848,"journal":{"name":"International Journal of Nursing Sciences","volume":"12 3","pages":"Pages 218-224"},"PeriodicalIF":2.9,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144166858","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Navigating the integration of artificial intelligence in Nursing: Opportunities, challenges, and strategic actions","authors":"Rick Yiu Cho Kwan ,&nbsp;Anson Chui Yan Tang ,&nbsp;Janet Yuen Ha Wong ,&nbsp;Wentao Zhou ,&nbsp;Maria Theresa Belcina ,&nbsp;Gracielle Ruth Adajar ,&nbsp;Misae Ito ,&nbsp;Irvin Ong ,&nbsp;Younhee Kang ,&nbsp;Jing Jing Su ,&nbsp;Julia Sze Wing Wong","doi":"10.1016/j.ijnss.2025.04.009","DOIUrl":"10.1016/j.ijnss.2025.04.009","url":null,"abstract":"<div><div>The advent of artificial intelligence (AI) in recent years has brought about transformative changes across various sectors, including healthcare. In nursing practice, education, and research, AI has the potential to revolutionize traditional methodologies, enhance learning experiences, and improve patient outcomes. Integrating AI tools and techniques can provide clinicians with smarter clinical solutions and nursing students with more robust and interactive learning environments, while also advancing research capabilities in the field. Despite the promising prospects, the incorporation of AI into nursing practice, education, and research presents several challenges. Firstly, there is a concern about the potential displacement of human roles in nursing due to automation, which may affect the human-centric nature of nursing care. Secondly, there are issues related to the lag in AI competency among nurses. Many current nursing curricula do not include comprehensive AI training, leading to a lack of preparedness in utilizing these technologies effectively. Lastly, the ethical implications of AI in healthcare, such as data privacy, patient consent, and the potential for biased algorithms, need to be meticulously addressed. To harness the full potential of AI in nursing practice, education, and research, several strategic actions including reinvesting in humanistic practice, revising core competencies and curriculum, and developing new ethical guidelines.</div></div>","PeriodicalId":37848,"journal":{"name":"International Journal of Nursing Sciences","volume":"12 3","pages":"Pages 241-245"},"PeriodicalIF":2.9,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144166861","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Physical activity among Chinese pregnant women in the first trimester: A cross-sectional study","authors":"Xin Chen ,&nbsp;Zhixuan Xiang ,&nbsp;Lu Chen ,&nbsp;Ke Sun ,&nbsp;Yongfang Deng ,&nbsp;Lingling Gao","doi":"10.1016/j.ijnss.2025.02.013","DOIUrl":"10.1016/j.ijnss.2025.02.013","url":null,"abstract":"<div><h3>Objectives</h3><div>Physical activity during pregnancy benefits both women and their fetuses; however, the prevalence of physical inactivity is high among pregnant women in the first trimester. This study aimed to examine physical activity patterns among pregnant Chinese women in the first trimester and clarify the characteristics associated with physical inactivity in the first trimester.</div></div><div><h3>Methods</h3><div>This cross-sectional study was conducted at three Class-A tertiary hospitals in Guangzhou, city, China, from December 2021 to June 2022. A total of 1,283 pregnant women were enrolled. The Pregnancy Physical Activity Questionnaire and a sociodemographic and obstetric data sheet collected information in the first trimester.</div></div><div><h3>Results</h3><div>The prevalence of physical inactivity among Chinese pregnant women was 51 %. Pregnant women spent the most time in the domains of household/caregiving activities (median 38.25 h/week) and sedentary activities (median 54.25 h/week). Characteristics of pregnant women who were more likely to be physically inactive included younger age (<em>OR</em>: 1.413, 95 %<em>CI</em>: 1.291, 1.767; <em>P</em> = 0.002), unmarried (<em>OR</em>: 2.976, 95 %<em>CI</em>: 1.573, 5.630; <em>P</em> = 0.001), lower monthly income (<em>OR</em>: 1.945, 95 %<em>CI</em>: 1.535, 2.464; <em>P</em> = 0.001), self-paid medical care (<em>OR</em>: 1.472, 95 %<em>CI</em>: 1.140, 1.900; <em>P</em> = 0.003), nulliparous (<em>OR</em>: 3.169, 95 %<em>CI</em>: 2.504, 4.009; <em>P</em> = 0.001), inadequate knowledge about physical activity during pregnancy (<em>OR</em>: 1.797, 95 %<em>CI</em>: 1.432, 2.255; <em>P</em> = 0.001), husbands with no physical activity habits (<em>OR</em>:1.353, 95 %<em>CI</em>: 1.081, 1.693; <em>P</em> = 0.008), and no prepregnancy physical activity habits (<em>OR</em>: 1.832, 95 %<em>CI</em>: 1.433, 2.340; <em>P</em> = 0.001).</div></div><div><h3>Conclusions</h3><div>Physical inactivity was prevalent among pregnant women in the first trimester. Promoting physical activity could be incorporated into routine antenatal care. Healthcare professionals should assess and monitor the physical activity of pregnant women and provide consultations on physical activity during their first trimester, particularly for pregnant women with characteristics associated with physical inactivity.</div></div>","PeriodicalId":37848,"journal":{"name":"International Journal of Nursing Sciences","volume":"12 3","pages":"Pages 261-267"},"PeriodicalIF":2.9,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144166758","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}