International Journal of Nursing Sciences最新文献

{"title":"Application of the best evidence for preventing central venous catheter-related thrombosis in patients undergoing continuous renal replacement therapy","authors":"Lili li ,&nbsp;Jing Wu ,&nbsp;Ying Zhang ,&nbsp;Miaojie Yu ,&nbsp;Hangyan Ye ,&nbsp;Yongze Dong ,&nbsp;Huiping Yao","doi":"10.1016/j.ijnss.2026.02.002","DOIUrl":"10.1016/j.ijnss.2026.02.002","url":null,"abstract":"<div><h3>Objective</h3><div>This study aimed to implement evidence-based practice (EBP) for the prevention and management of catheter-related thrombosis (CRT) in patients undergoing continuous renal replacement therapy (CRRT) and to evaluate its clinical effectiveness in enhancing nurses’ knowledge and reducing CRT incidence rates.</div></div><div><h3>Methods</h3><div>A systematic approach was employed to retrieve, screen, evaluate, and synthesize literature, identifying best evidence for CRT prevention and management in CRRT patients. From August 1, 2023 to February 29, 2024, the Ottawa Model of Clinical Application guided the development of audit criteria based on best evidence. Clinical audits were conducted to identify barriers and facilitators to the implementation of evidence, refining the EBP content for CRRT patient CRT prevention and management. Subsequently, from March 1, 2024 to September 30, 2024, this EBP was implemented in the ICU of a tertiary hospital in Zhejiang Province. A comparative analysis was conducted to assess the implementation rates of audit criteria, nurses’ knowledge scores on CRRT patient CRT prevention and management, and patient CRT incidence rates before and after the EBP intervention.</div></div><div><h3>Results</h3><div>A total of 51 nurses and 247 patients were enrolled in this study, with 123 patients assigned to the pre-EBP phase and 124 patients to the post-EBP phase. Compliance rates for all 16 established review indicators demonstrated a significant upward trend following EBP implementation; however, four key indicators failed to meet the 90 % compliance threshold: nurse-conducted risk factor assessment, ultrasound-guided venipuncture, X-ray imaging for catheter dysfunction, and administration of thrombolytic therapy. Nurses’ knowledge regarding CRT prevention and management was significantly enhanced, with questionnaire scores increasing from (77.72 ± 4.96) to (87.02 ± 6.17) (<em>t</em> = -12.180, <em>P</em> &lt; 0.001). Notably, the incidence of CRT decreased substantially from 28.46 % to 15.32 %, with the difference reaching statistical significance (<em>t</em> = 10.257, <em>P</em> &lt; 0.001).</div></div><div><h3>Conclusion</h3><div>Evidence-based nursing practice tailored to prevent CRT in patients undergoing CRRT significantly enhances nurses’ specialized knowledge in CRT prevention and management, effectively reduces the incidence of CRT, and further fortifies safeguards for patient safety by optimizing clinical nursing quality.</div></div>","PeriodicalId":37848,"journal":{"name":"International Journal of Nursing Sciences","volume":"13 2","pages":"Pages 194-200"},"PeriodicalIF":3.1,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147556797","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":"Impact of role conflict and job stress on turnover intention among Korean physician assistant nurses: A cross-sectional study","authors":"Jin-Won Lee ,&nbsp;Eun-Hi Choi ,&nbsp;Ji-Sun Back","doi":"10.1016/j.ijnss.2026.02.014","DOIUrl":"10.1016/j.ijnss.2026.02.014","url":null,"abstract":"<div><h3>Objectives</h3><div>This study aimed to investigate the relationships among role conflict, job stress, and turnover intention among physician assistant (PA) nurses in the Republic of Korea and to identify key influencing factors of turnover intention.</div></div><div><h3>Methods</h3><div>A cross-sectional descriptive study was conducted with 120 PA nurses recruited through a professional PA network in Gyeonggi Province and Daejeon Metropolitan City between June 1 and September 30, 2023. Validated instruments were used to measure role conflict, job stress, and turnover intention. Pearson correlation analysis was used to examine the associations between these variables, and multiple regression analysis was performed to identify influencing factors while controlling for demographic, organizational, and psychological covariates.</div></div><div><h3>Results</h3><div>PA nurses reported relatively high levels of role conflict (3.66 ± 0.60), particularly in the subdomains of role ambiguity and work overload, moderate levels of job stress (2.78 ± 0.21) and higher levels of turnover intention (3.80 ± 0.64). Correlation analysis showed a strong positive association between role conflict and turnover intention (<em>r</em> = 0.604, <em>P</em> &lt; 0.001), while job stress was moderately correlated with turnover intention (<em>r</em> = 0.236, <em>P</em> = 0.009). Notably, role conflict and job stress were not significantly associated with each other (<em>r</em> = 0.066, <em>P =</em>0.476). In multiple regression analysis, turnover intention was significantly associated with role conflict (<em>β</em> = 0.487, <em>P</em> &lt; 0.001), educational level (<em>β</em> = 0.314 for master’s degree or higher; <em>β</em> = 0.288 for bachelor’s degree), and job stress (<em>β</em> = 0.171, <em>P</em> = 0.017). The final model explained 47.0 % of the variance in turnover intention (Adjusted <em>R</em>² = 0.437, <em>F</em> = 19.488, <em>P</em> &lt; 0.001).</div></div><div><h3>Conclusions</h3><div>This study identified key factors influencing turnover intention, including role conflict (primarily driven by role ambiguity and work overload), educational level, and job stress. These findings suggest that establishing clear role definitions, enhancing legal recognition of PA nurses, providing ongoing professional education, and implementing stress management programs are essential strategies for improving PA nurse retention and healthcare workforce stability.</div></div>","PeriodicalId":37848,"journal":{"name":"International Journal of Nursing Sciences","volume":"13 2","pages":"Pages 172-178"},"PeriodicalIF":3.1,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147557158","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":"Prognostic communication preferences of cancer patients: A hybrid concept analysis","authors":"Bingqian Ou ,&nbsp;Yuanfeng Lu ,&nbsp;Chenshan Huang ,&nbsp;Yabin Wang ,&nbsp;Wanzhen Hong ,&nbsp;Huimin Xiao","doi":"10.1016/j.ijnss.2026.02.006","DOIUrl":"10.1016/j.ijnss.2026.02.006","url":null,"abstract":"<div><h3>Objectives</h3><div>This study aimed to analyze a comprehensive concept of prognostic communication preferences among cancer patients, focusing on their attributes, antecedents, and consequences.</div></div><div><h3>Methods</h3><div>A hybrid concept analysis was employed. In the theoretical phase, a literature review across 10 databases (e.g., PubMed, Embase, the Cochrane Library) was conducted. The fieldwork phase included semi-structured interviews with six cancer patients recruited from oncology departments of a general hospital in southern China between May and July 2024. In the final analytic phase, findings from the above two phases were synthesized to develop a comprehensive understanding of the concept.</div></div><div><h3>Results</h3><div>Twenty-four studies were included. The study identified key attributes of prognostic communication preferences, including communication modality, information characteristics, and external support. Antecedents included personal characteristics, the medical context, and professional factors. The consequences of aligned communication included enhanced patient satisfaction, psychological well-being, and decision-making quality.</div></div><div><h3>Conclusions</h3><div>This research provides a comprehensive definition of prognostic communication preferences of cancer patients. The findings offer insights to guide clinicians and nurses in tailoring prognostic communication to better meet patients’ unique preferences across multiple levels, supporting patient-centered care and shared decision-making.</div></div>","PeriodicalId":37848,"journal":{"name":"International Journal of Nursing Sciences","volume":"13 2","pages":"Pages 209-216"},"PeriodicalIF":3.1,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147557191","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":"The effectiveness of innovative educational techniques based on the Transtheoretical Model on the self-care ability of patients with colorectal cancer undergoing ostomy: A randomized controlled trial","authors":"Jing Wang ,&nbsp;Yaping Yang ,&nbsp;Xiaoyan Yang ,&nbsp;Tan Lv","doi":"10.1016/j.ijnss.2026.02.009","DOIUrl":"10.1016/j.ijnss.2026.02.009","url":null,"abstract":"<div><h3>Objectives</h3><div>This study aimed to explore the impact of innovative health education technologies grounded in the Transtheoretical Model (TTM) on self-care ability, stoma-related complication incidence, and satisfaction among patients with colorectal cancer undergoing enterostomy.</div></div><div><h3>Methods</h3><div>A randomized controlled trial involving 200 patients who underwent enterostomy and were admitted by random sampling between January 2022 and December 2022 was conducted. The patients were divided into a control group (<em>n</em> = 100) and an intervention group (<em>n</em> = 100). The control group was educated using conventional methods, whereas the intervention group was educated using innovative health education technologies grounded in the TTM. Self-care ability, stoma-related complication incidence, and satisfaction scores were compared between the two groups.</div></div><div><h3>Results</h3><div>All 200 patients completed the study. Before the intervention, there was no significant difference in self-care ability scores between the two groups (<em>t</em> = −0.295, <em>P =</em> 0.870). After the intervention, the intervention group (56.31 ± 13.75) had a significantly higher score than the control group (<em>t</em> = 22.328, <em>P</em> &lt; 0.001). The comparison within each group revealed no significant change in the control group’s score (<em>t</em> = −0.191, <em>P</em> = 0.984); however, the intervention group showed a significant difference (<em>t</em> = −22.340, P &lt; 0.001). The incidence of complications in the intervention group (11.0 %) was significantly lower than that in the control group (38.0 %) (<em>χ</em>^<em>2</em> = 19.71, <em>P</em> &lt; 0.010). The satisfaction rate in the intervention group (90.0 %) was significantly greater than that in the control group (59.0 %) (<em>χ</em>^<em>2</em> = 25.29, <em>P</em> &lt; 0.001).</div></div><div><h3>Conclusions</h3><div>Applying innovative health education technologies based on the TTM for patients with enterostomy can effectively increase educational efficiency, improve patients’ self-care ability, reduce the incidence of stoma-related complications, and enhance patients’ satisfaction with the plan, thereby promoting innovation in health education.</div></div>","PeriodicalId":37848,"journal":{"name":"International Journal of Nursing Sciences","volume":"13 2","pages":"Pages 187-193"},"PeriodicalIF":3.1,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147557192","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":"Mindfulness and communication intervention for mothers of children with developmental disabilities in Yangon: A randomized controlled trial on parental stress and problem-solving communication","authors":"Than Than Win,&nbsp;Tassanee Prasopkittikun,&nbsp;Supapak Phetrasuwan,&nbsp;Chayapa Lenwari","doi":"10.1016/j.ijnss.2026.02.015","DOIUrl":"10.1016/j.ijnss.2026.02.015","url":null,"abstract":"<div><h3>Objective</h3><div>This study aimed to examine the effects of the Mindfulness and Effective Communication Enhancement (MECE) program on parental stress and problem-solving communication among mothers of children with developmental disabilities in Yangon, Myanmar.</div></div><div><h3>Methods</h3><div>A randomized controlled trial was conducted with 60 mothers of school-aged children with developmental disabilities from a specialized daycare center in Yangon. Participants were randomly assigned to either an intervention group (<em>n</em> = 30) or a control group (<em>n</em> = 30). The intervention group received the MECE program in addition to routine services, which included four weekly in-class sessions (Weeks 1–4) and two follow-up sessions (Weeks 6 and 10). At the same time, the control group received routine services. The outcomes were collected at baseline (Week 1), post-intervention (Week 4), and follow-ups at Week 8 and Week 12 using the Parental Stress Scale, the Family Problem Solving Communication Index, and a program satisfaction survey.</div></div><div><h3>Results</h3><div>All 60 mothers completed the study. The stress scores of mothers in the intervention group were lower than those in the control group at Week 4 (44.93 ± 8.00 vs. 52.47 ± 7.41), Week 8 (40.33 ± 7.00 vs. 55.37 ± 7.97), and Week 12 (43.07 ± 7.61 vs. 52.63 ± 7.97) after the intervention (<em>P</em> &lt; 0.001). The mothers in the intervention group scored higher in family problem-solving communication at Week 8 (21.70 ± 4.35 vs. 18.93 ± 5.11) and Week 12 (21.90 ± 4.38 vs.17.93 ± 4.91) than the control group after the intervention (<em>P</em> &lt; 0.05). The mean program satisfaction score of mothers in the intervention group was high (42.77 ± 2.97).</div></div><div><h3>Conclusion</h3><div>The MECE program, integrating mindfulness practices with communication skill training, effectively reduced parental stress and improved problem-solving communication among mothers of children with developmental disabilities. These findings offer a theoretical foundation for nurses to implement targeted psychosocial interventions in similar situations.</div></div>","PeriodicalId":37848,"journal":{"name":"International Journal of Nursing Sciences","volume":"13 2","pages":"Pages 105-112"},"PeriodicalIF":3.1,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147557149","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":"Effectiveness of nurse-led hypertension self-management interventions: A mixed-methods systematic review and meta-analysis","authors":"Sylvia P. Adzitey ,&nbsp;Furaha Akimanimpaye ,&nbsp;Talitha Crowley","doi":"10.1016/j.ijnss.2026.02.016","DOIUrl":"10.1016/j.ijnss.2026.02.016","url":null,"abstract":"<div><h3>Objective</h3><div>This mixed-method systematic review aimed to synthesize quantitative and qualitative evidence on the effectiveness of nurse-led self-management interventions for people with hypertension.</div></div><div><h3>Methods</h3><div>This review, guided by the Joanna Briggs Institute (JBI) manual for evidence synthesis, was conducted by searching PubMed, CINAHL, Web of Science, Scopus, Google Scholar, and reference lists of included studies. Two reviewers independently screened, critically appraised, and extracted data from studies reporting nurse-led interventions for hypertension self-management. The JBI critical appraisal tool for randomized control trials and the mixed methods appraisal tool were used to appraise included studies. Meta-analysis was performed using Review Manager 5.4.1. The certainty of the evidence was determined using the Grading of Recommendations, Assessment, Development and Evaluation (GRADE) system.</div></div><div><h3>Results</h3><div>A total of 22 studies and 2,706 participants were included. Most studies were conducted in Asia, with only one study from Africa. Most interventions employed a hybrid of face-to-face and mHealth and were delivered through a blend of individual and group-based approaches. The meta-analysis showed that nurse-led self-management interventions significantly reduced systolic blood pressure (<em>MD</em> = −7.60; 95 %<em>CI</em>: −9.83, −5.36; <em>P</em> ≤ 0.001; 18 studies) and diastolic blood pressure (<em>MD</em> = −4.12; 95 %<em>CI</em>: −5.83, −2.41; <em>P</em> ≤ 0.001; 18 studies) compared to usual care in hypertension management. The qualitative evidence revealed that peer support through shared experience enhanced self-management.</div></div><div><h3>Conclusions</h3><div>Nurse-led interventions focusing on self-management are effective for improving hypertension outcomes compared with usual care. Still, the high heterogeneity suggests that factors such as population characteristics and intervention components may influence effectiveness. A combination of individual and group-based approaches offers dual benefits: tailored care and patient peer support through shared experiences.</div></div>","PeriodicalId":37848,"journal":{"name":"International Journal of Nursing Sciences","volume":"13 2","pages":"Pages 217-225"},"PeriodicalIF":3.1,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147557202","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":"How Chinese blood purification specialist nurses show their role in advanced practice: A nationwide cross-sectional survey","authors":"Weiyi Jin ,&nbsp;Jing Xiang ,&nbsp;Weiwei Zhao ,&nbsp;Guanghui Xiao ,&nbsp;Chunyan Feng ,&nbsp;Jinrong Zhu ,&nbsp;Manman Gao ,&nbsp;Zizhen Wang ,&nbsp;Chunyan Su","doi":"10.1016/j.ijnss.2025.12.006","DOIUrl":"10.1016/j.ijnss.2025.12.006","url":null,"abstract":"<div><h3>Objectives</h3><div>This study aimed to explore the current status of advanced nursing practice among blood purification specialist nurses in China, providing insights into their roles and contributions in clinical practice, education, and research.</div></div><div><h3>Methods</h3><div>This study employed a cross-sectional survey using the convenience sampling method to explore the advanced nursing practice of blood purification specialist nurses in China from August 10 to September 10, 2022. A total of 1,919 blood purification specialist nurses from 882 hospitals in China were surveyed using a self-designed questionnaire.</div></div><div><h3>Results</h3><div>The blood purification specialist nurses in China had a wide-ranging involvement in clinical nursing practice, teaching, and research. The most frequently performed advanced nursing practice among participants in clinical settings was nutritional management, including assessment (1,597 cases, 83.2 %) and education (1,828 cases, 95.3 %) of patients’ diets and nutritional status. The least performed advanced nursing practices were attending nursing clinics (93 cases, 4.8 %) and inter-hospital nursing consultations (123 cases, 6.4 %). Participants with varying work experience in blood purification, educational levels, professional titles, and from different hospital levels demonstrated different performance rates in various advanced nursing practice items. Working years in blood purification, professional titles, and position were independent factors influencing the practices of nursing clinics, consultations, or both.</div></div><div><h3>Conclusions</h3><div>The scope of advanced nursing practice for Chinese blood purification specialist nurses was relatively extensive, and they demonstrate their value in many aspects of specialized nursing. Their working experience in blood purification, professional titles, and position might affect their involvement in the key activities of advanced practice.</div></div>","PeriodicalId":37848,"journal":{"name":"International Journal of Nursing Sciences","volume":"13 2","pages":"Pages 156-163"},"PeriodicalIF":3.1,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147557155","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":"The development of a situation-specific theory of dynamic interactions for multimorbid dyads in Chinese family culture","authors":"Mingyan Fang ,&nbsp;Yuanyuan Jin ,&nbsp;Zhiyu Liu ,&nbsp;Junyang Song ,&nbsp;Huiling Li","doi":"10.1016/j.ijnss.2025.12.005","DOIUrl":"10.1016/j.ijnss.2025.12.005","url":null,"abstract":"<div><h3>Objectives</h3><div>To develop a situation-specific theory of dynamic interactions for multimorbid dyads within the context of Chinese family culture and to propose intervention strategies based on the developed theory.</div></div><div><h3>Methods</h3><div>A four-step integrative approach was used, drawing from multiple sources, including a scoping review, existing theory analysis, and qualitative research.</div></div><div><h3>Results</h3><div>The theory developed in this study comprises four components: risk and protective factor assessment, dyadic appraisal and coping, dyadic care outcomes, and the influence of context and time. Three intervention strategies were proposed based on the developed theory： assess the discrepancies of dyadic appraisal, tailor interventions based on coping patterns, consider the dynamic interactions for the multimorbid dyads.</div></div><div><h3>Conclusions</h3><div>This study presents a situation-specific theory to elucidate the dynamic interactions of multimorbid dyads, grounded in Chinese family culture. Future research should validate and refine this theory while exploring its applicability to diverse populations and cultural contexts.</div></div>","PeriodicalId":37848,"journal":{"name":"International Journal of Nursing Sciences","volume":"13 2","pages":"Pages 122-129"},"PeriodicalIF":3.1,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147557156","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":"Effects of family-based nursing interventions on mothers’ knowledge, attitudes, and self-efficacy related to stunting prevention in Indonesia: A quasi-experimental study","authors":"Agus Setiawan ,&nbsp;Syamikar Baridwan Syamsir ,&nbsp;Dwi Cahya Rahmadiyah ,&nbsp;Astuti ,&nbsp;Lasarus Atamou ,&nbsp;Randy Talilah ,&nbsp;Shefaly Shorey","doi":"10.1016/j.ijnss.2026.02.008","DOIUrl":"10.1016/j.ijnss.2026.02.008","url":null,"abstract":"<div><h3>Objectives</h3><div>This study aimed to evaluate the effectiveness of family-based nursing interventions in improving mothers’ knowledge, attitudes, and self-efficacy to prevent stunting among children under 2 years of age in Indonesia.</div></div><div><h3>Methods</h3><div>A quasi-experimental study was conducted from June to December 2024 in Alor District, East Nusa Tenggara, Indonesia. Sixty mothers of children aged 0–24 months were recruited using convenience sampling and assigned to either an intervention group (<em>n</em> = 30) or a control group (<em>n</em> = 30). The intervention group received seven structured sessions of a family-based nursing intervention grounded in Family-Centered Care and Social Cognitive Theory. In contrast, the control group received routine health education from local community health centers. Knowledge, attitudes, and self-efficacy were measured using validated questionnaires at baseline, post-intervention, and a three-month follow-up. Data were analyzed using independent-sample <em>t</em>-tests and a mixed repeated-measures analysis of variance.</div></div><div><h3>Results</h3><div>All 60 participants completed the study. Independent-sample <em>t</em>-tests revealed no significant differences between the two groups at baseline for knowledge (<em>t</em> = −0.682, <em>P</em> = 0.498), attitudes (<em>t</em> = 0.655, <em>P</em> = 0.515), and self-efficacy (<em>t</em> = 1.671, <em>P</em> = 0.100). A mixed repeated-measures analysis of variance demonstrated significant group, time, and group × time effects on knowledge, attitudes, and self-efficacy (all <em>P</em> &lt; 0.001). Pairwise comparison revealed that the scores at post-intervention and three-month follow-up were significantly higher in the intervention group for all three variables (all <em>P</em> &lt; 0.001).</div></div><div><h3>Conclusions</h3><div>The family-based nursing intervention effectively enhanced maternal knowledge, attitudes, and self-efficacy regarding stunting prevention. These findings underscore the importance of incorporating structured, family-centered interventions into community-based public health programs to reduce the risk of stunting.</div></div>","PeriodicalId":37848,"journal":{"name":"International Journal of Nursing Sciences","volume":"13 2","pages":"Pages 113-121"},"PeriodicalIF":3.1,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147557203","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":"Moderating effects of interprofessional collaboration on the relationship between moral sensitivity and job satisfaction among nursing assistants: A cross-sectional study","authors":"Takehiko Toyosato ,&nbsp;Anju Arakaki ,&nbsp;Kumiko Motonaga ,&nbsp;Chikako Maeshiro ,&nbsp;Michita Tokeshi","doi":"10.1016/j.ijnss.2026.02.005","DOIUrl":"10.1016/j.ijnss.2026.02.005","url":null,"abstract":"<div><h3>Objectives</h3><div>This study aimed to examine the moderating effect of interprofessional collaboration (IPC) on the association between moral sensitivity and job satisfaction among nursing assistants (NAs) in Japan.</div></div><div><h3>Methods</h3><div>A cross-sectional survey was conducted. We recruited 375 NAs using a convenient sampling method from 14 hospitals in Okinawa, Japan, from June to July 2024. Data were collected using a self-administered questionnaire including demographic and work-related variables, the 20-item short form of the Minnesota Satisfaction Questionnaire, the Japanese version of the Revised Moral Sensitivity Questionnaire, and the 24-item Revised Otsuka Interprofessional Work Competency Scale. Hierarchical multiple regression analysis and simple slope analysis were used to investigate moderating effects.</div></div><div><h3>Results</h3><div>The mean scores for job satisfaction and IPC were 59.50 ± 10.86 and 52.75 ± 15.08, respectively. The mean scores for moral responsibility, moral strength, and sense of moral burden were 7.38 ± 1.49, 11.43 ± 2.85, and 16.60 ± 3.42, respectively. Job satisfaction was positively correlated with IPC (<em>r</em> = 0.31, <em>P</em> &lt; 0.001), moral strength (<em>r</em> = 0.40, <em>P</em> &lt; 0.001), and sense of moral burden (<em>r</em> = 0.39, <em>P</em> &lt; 0.001), but not with moral responsibility (<em>r</em> = 0.01, <em>P</em> &gt; 0.05). Hierarchical multiple regression analysis revealed that moral strength (<em>β</em> = 0.25, <em>P</em> &lt; 0.001) and sense of moral burden (<em>β</em> = 0.21, <em>P</em> = 0.003) significantly associated with job satisfaction. A significant interaction effect was observed between sense of moral burden and IPC (<em>β</em> = 0.13, <em>P</em> = 0.022). A simple slope analysis revealed that at high levels of IPC, sense of moral burden was positively associated with job satisfaction (<em>P</em> &lt; 0.001).</div></div><div><h3>Conclusions</h3><div>A sense of moral burden may enhance job satisfaction when supported by strong IPC. Enhancing both moral sensitivity and IPC may improve job satisfaction among NAs and support patient-centered care in Japan’s rapidly aging society.</div></div>","PeriodicalId":37848,"journal":{"name":"International Journal of Nursing Sciences","volume":"13 2","pages":"Pages 164-171"},"PeriodicalIF":3.1,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147557154","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}