Nursing Reports最新文献

{"title":"Nurses' Attitudes, Environmental Perceptions and Involvement in Research: A Multisite Study.","authors":"Amanda J Hessels, Ulanda Marcus-Aiyeku, Mani Paliwal, Carrie Ann Catanzaro, Kimberly Dimino, Jessica Crowley, Jessica Miszlay, Maria Manzella, Kimkyla Kritch, Rachel Kilpatrick, Kim Kranz, Serpouhi S Vartivarian, Barbara McGoey","doi":"10.3390/nursrep15090344","DOIUrl":"10.3390/nursrep15090344","url":null,"abstract":"<p><p><b>Background:</b> Although evidence-based practice is widely promoted in nursing, direct care nurses remain underrepresented in research activities. This study aimed to assess nurses' attitudes toward research, their perceptions of the organizational research environment, and their levels of involvement, as well as identify key barriers and facilitators to engagement within a comprehensive healthcare system. This study also explored how racial and ethnic diversity within the nursing workforce may shape research engagement and contribute new perspectives to the field. <b>Methods:</b> A cross-sectional electronic survey was administered to registered nurses across 10 hospitals in a Northeast U.S. health system. The survey instrument assessed research attitudes, environment, involvement (past, present, future), and demographics. Descriptive and inferential statistics, including matched-pairs t-tests, were used to analyze responses. <b>Results:</b> Of 7655 invited nurses, 1094 responses were analyzed. Respondents were predominantly female (88.5%), White (56.8%), and employed full-time (87.1%) as clinical staff nurses (77.3%). While 54.8% had completed a formal research course (mainly within the past 1-3 years), informal research and statistics training were uncommon (17.4% and 5.4%, respectively). Nurses reported highly positive attitudes toward research (composite M = 2.15, SD = 0.51), especially its role in guiding practice, professional growth, and education. However, actual involvement was low. The most common current activities included practice change based on research (20.7%) and participation in committees (18.8%). Anticipated future engagement increased substantially, particularly in collaboration (+21.3%), committee participation (+20.6%), and IRB submission (+18.2%). The research environment was perceived as under-resourced, particularly in terms of protected time, funding, and mentorship. Statistically significant gaps were observed between perceived present and desired future supports (<i>p</i> < 0.01 for all 15 items). The Research Awareness Index revealed high rates of uncertainty about available resources (e.g., 66.1% did not know if internal funding existed). <b>Conclusions:</b> Nurses demonstrate strong positive attitudes and a desire to engage in research, including more advanced roles. Yet structural and informational barriers, particularly a lack of protected time, mentorship, and awareness of existing supports, limit participation. Investments in infrastructure, communication, and accessible development pathways are needed to translate nurses' readiness into active research engagement. <b>Implications:</b> Institutions should prioritize making research support more visible and navigable while investing in mentorship, protected time, and user-friendly infrastructure. Addressing both facets will empower a highly motivated nursing workforce to engage in and lead practice-relevant research.</p>","PeriodicalId":40753,"journal":{"name":"Nursing Reports","volume":"15 9","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-09-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12473136/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145151242","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Hear My Voice! The Experience of Self-Advocacy Among Patients with Enterostomy: A Qualitative Study.","authors":"Yanlin Shen, Yashi Zou, Juan Du, Shaoqi Chen, Jing Tan, Huijuan Ma","doi":"10.3390/nursrep15090341","DOIUrl":"10.3390/nursrep15090341","url":null,"abstract":"<p><p><b>Objective:</b> This qualitative study aimed to understand the experience of self-advocacy among patients with enterostomy and to identify the behaviors, influencing factors, and benefits of self-advocacy. <b>Methods:</b> A descriptive phenomenological method was used, and the study was conducted from April to June 2024. A total of 17 patients with enterostomy were interviewed, and Colaizzi's seven-step method was used to analyze interview data. <b>Results:</b> Three themes and thirteen sub-themes were generated: behaviors of self-advocacy (information seeking, effective communication, support seeking, and decision making), influencing factors of self-advocacy (type of enterostomy, economic burden, caregiving burden, stigma, and social support), and benefits of self-advocacy (enhancing self-care skills, enhancing physiological-psychological-social adaptability, dietary habit modification, and peer support). <b>Conclusions:</b> Self-advocacy is a critical tool for overcoming challenges, meeting needs, and cultivating connected strength, and targeted interventions could be designed to improve the levels of self-advocacy and self-management.</p>","PeriodicalId":40753,"journal":{"name":"Nursing Reports","volume":"15 9","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-09-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12472885/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145151246","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Instruments for Assessing Nursing Care Quality: A Scoping Review.","authors":"Patrícia Correia, Rafael A Bernardes, Sílvia Caldeira","doi":"10.3390/nursrep15090342","DOIUrl":"10.3390/nursrep15090342","url":null,"abstract":"<p><p><b>Background/Objectives.</b> Quality of nursing care (QNC) is a central concept in healthcare systems worldwide, with growing emphasis on developing reliable and contextually appropriate instruments for its assessment. Over recent decades, there has been a shift from outcome-based evaluation toward more holistic, patient-centered frameworks that consider both clinical indicators and interpersonal dimensions of care. This scoping review aimed to map the range, nature, and characteristics of self-report instruments used to assess the quality of nursing care, including their psychometric properties and contextual applications across different clinical settings. <b>Methods.</b> A systematic search was conducted in CINAHL Complete, MEDLINE (via PubMed), Scopus, Web of Science, and ProQuest Dissertations & Theses, alongside gray literature sources, following the Joanna Briggs Institute (JBI) methodology and PRISMA-ScR guidelines. Studies were included if they reported on the development, validation, adaptation, or application of QNC assessment tools in hospital or community nursing contexts, and were published in English, Portuguese, or Spanish. <b>Results.</b> Fifty-nine studies were included, spanning from 1995 to 2025. The instruments identified were predominantly structured around Donabedian's structure-process-outcome model, and many emphasized relational domains such as empathy, communication, and respect. Tools like the Good Nursing Care Scale (GNCS), the Quality of Oncology Nursing Care Scale (QONCS), and the Karen Scales demonstrated strong internal consistency (Cronbach's α ranging from 0.79 to 0.95). <b>Conclusions.</b> Organizational factors, including leadership and staffing, and predictors such as burnout and work intensity, were found to influence perceived care quality. Important gaps remain regarding longitudinal use and integration of patient-reported outcome measures.</p>","PeriodicalId":40753,"journal":{"name":"Nursing Reports","volume":"15 9","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-09-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12472527/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145151259","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Escape Room in Nursing Fundamentals Course: Students' Opinions, Engagement, and Gameful Experience.","authors":"Dragana Simin, Aleksandra Plećaš Đurić, Branimirka Aranđelović, Dragana Živković, Dragana Milutinović","doi":"10.3390/nursrep15090343","DOIUrl":"10.3390/nursrep15090343","url":null,"abstract":"<p><p><b>Background/Objectives:</b> During the past decade, incorporating innovative teaching strategies for active learning, such as the use of escape rooms (ERs), has effectively contributed to the acquisition of the necessary skills. This study aimed to assess students' opinions, engagement, and gameful experience, and to analyse the impact of engagement and gameful experience on students' opinions about ER activity. <b>Methods:</b> This descriptive-analytical, quantitative, and interventional cross-sectional study was conducted among first-year nursing students enrolled in the Nursing Fundamentals course. The ER activities took place in a faculty classroom. The measure included a questionnaire for assessing students' opinions about ER activity, engagement while learning through play, and the Gameful Experience Scale. <b>Results:</b> The students reported very positive opinions on the outcomes of escape room activities. According to the students' perception, solving puzzles required a high level of cognitive, emotional, physical, and other engagement. The experience of learning through play contributed to their increased enjoyment, absorption, and creative thinking, with a low level of negative effects and dominance. Enjoyment, immersion, and creative thinking during the gameful experience explained 49.0% of the variance in students' opinions on ER activity. <b>Conclusions:</b> ER enabled students to consolidate knowledge from various fields within one lesson, encouraging them to be highly engaged and think creatively, giving them a sense of enjoyment in learning and motivation for further learning.</p>","PeriodicalId":40753,"journal":{"name":"Nursing Reports","volume":"15 9","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-09-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12473012/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145151268","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Understanding Online Registered Nursing Students' Attitudes Towards Environmentally Sustainable Healthcare.","authors":"Rebecca Rawson, Uchechukwu V Okere, Alan Williams, Geraldine Lyte, Jessica E Jackson","doi":"10.3390/nursrep15090340","DOIUrl":"10.3390/nursrep15090340","url":null,"abstract":"<p><p><b>Background/Objectives:</b> The healthcare sector is a significant source of pollution, and it is widely acknowledged that changes are required to transition to more sustainable healthcare practice. Nurses represent more than half of the sector's workforce and are uniquely positioned to enact change. However, expertise on environmental sustainability within the nursing field is a barrier despite the topic being positively embraced by students. <b>Methods:</b> This research employed a cross-sectional design using an anonymous online survey with convenience sampling from registered nursing students studying online to understand their attitudes towards environmentally sustainable healthcare. Data were collected between April 2023 and January 2024 with quantitative results analysed using descriptive statistics and qualitative results using thematic analysis. <b>Results:</b> Results show that registered nursing students are aware of the negative environmental impact of healthcare practice, realise the importance of working more sustainably and understand the value and role of education to facilitate meaningful change in the sector. However, they called for more educational content, specifically on carbon footprints, waste management, and resource use, paired with organisational leadership support and workplace training in healthcare settings. <b>Conclusions:</b> Adopting these recommendations endorsed by student nurses in practice could support nurses to reduce the environmental burden of the healthcare sector and contribute to both net zero and the United Nations Sustainable Development Goals.</p>","PeriodicalId":40753,"journal":{"name":"Nursing Reports","volume":"15 9","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12473037/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145151335","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Factors Influencing Nursing Students' Academic Engagement and Burnout During the COVID-19 Pandemic: A Path Analysis.","authors":"Ji Hyun Park, Jin-Hwa Park","doi":"10.3390/nursrep15090339","DOIUrl":"10.3390/nursrep15090339","url":null,"abstract":"<p><p><b>Background/Objectives</b>: Increases in unemployment due to the COVID-19 pandemic and doctors' strike have intensified job-seeking stress among nursing students, contributing to academic pressure, increased stress levels, reduced participation, and a greater risk of burnout. This study investigates the relationships between job-seeking stress, academic self-efficacy, professor trust, academic engagement, and academic burnout through path analysis. <b>Methods</b>: A total of 496 nursing students enrolled in four-year nursing programs in South Korea participated in this study. Data were gathered using structured questionnaires from 30 August to 13 December 2021. <b>Results</b>: Job-seeking stress, academic self-efficacy, and professor trust significantly influenced academic engagement, accounting for 37.2% of its variance. Academic burnout was primarily explained by job-seeking stress and academic self-efficacy, with an explanatory power of 50.4%. Furthermore, academic self-efficacy played a mediating role in the relationships between job-seeking stress and both academic engagement and burnout. <b>Conclusions</b>: Developing interventions to enhance academic self-efficacy is crucial. Additionally, strategies should be implemented to alleviate job-seeking stress, foster academic engagement, and reduce the risk of burnout among nursing students.</p>","PeriodicalId":40753,"journal":{"name":"Nursing Reports","volume":"15 9","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12473121/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145151252","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Development and Psychometric Evaluation of a Theory-Based Preceptorship Survey for Nurse Practitioners.","authors":"Leonie DeClerk, Brian Parks","doi":"10.3390/nursrep15090338","DOIUrl":"10.3390/nursrep15090338","url":null,"abstract":"<p><p><b>Background/Objectives</b>: Preceptorship is a key aspect of clinical education for healthcare professions, including nurse practitioners (NP). Numerous studies have explored barriers and facilitators to preceptorship; however, few have used a theory-based, psychometrically sound instrument. The aim of this study was to develop and validate an instrument predicting nurse practitioner preceptorship based on the <i>Integrated Behavioral Model (IBM)</i>. <b>Methods</b>: This was an instrument validation study with a longitudinal design. A pool of 82 statements that reflected constructs of the <i>IBM</i> was developed from the existing literature and unpublished studies. Items were evaluated for clarity and construct validity by 20 faculty members and NPs. Further refinement after administration to a small sample of NPs yielded a 60-item Likert-type survey that was sent to NPs in 20 states. A total of 154 NPs repeated the survey after 2-4 weeks to evaluate test-retest reliability. Exploratory and confirmatory factor analysis were used to establish subscales and assess internal consistency, convergent, and discriminant validity. <b>Results</b>: 35 items were retained in the final survey. We identified 10 subscales reflecting constructs in the <i>IBM.</i> All subscales had adequate internal consistency and discriminant validity. One subscale had inadequate convergent validity and test-retest reliability, while another subscale had inadequate content validity. <b>Conclusions</b>: The resultant <i>Predicting Preceptorship Survey</i> is theory-based and psychometrically sound. There is no subscale for one <i>IBM</i> construct, \"salience.\" This instrument could be used in studies of engagement in preceptorship in order to identify focus areas for interventions to increase the availability of preceptors, and to evaluate the outcomes of those interventions. Future research should include longitudinal studies of preceptorship and validation of the instrument with other professions, in other countries, and in other cultures.</p>","PeriodicalId":40753,"journal":{"name":"Nursing Reports","volume":"15 9","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-09-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12472875/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145151066","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Virtual Reality Education Increases Neurologic Immersion and Empathy in Nursing Students.","authors":"Maria Keckler, Chia-Hsiang Hsu, Paul J Zak","doi":"10.3390/nursrep15090336","DOIUrl":"10.3390/nursrep15090336","url":null,"abstract":"<p><p><b>Background/Objectives</b>: Virtual reality (VR) is increasingly being used in educational settings, but the evidence is mixed on whether this is better for learners. This is due in part to a reliance on self-reported \"liking\" of the experience rather than measuring if VR more effectively improves learner engagement and conveys information. A study was designed to determine if VR would improve nursing students' understanding of patient interactions in the clinic (<i>n</i> = 70). <b>Methods</b>: The present study measured neurologic Immersion in nursing students during a realistic patient journey in VR and in a standard two-dimensional (2D) film. After the film, participants in both conditions had the opportunity to volunteer to help other students as a measure of the behavioral impact of the experience. <b>Results</b>: The analysis showed that VR generated 60% more neurologic value than the 2D film, and, by increasing empathic concern, positively influenced the decision to volunteer. <b>Conclusions</b>: Empathy has been shown to improve patient care while reducing healthcare provider burnout, and our findings suggest that VR that sustains neurologic Immersion should have a larger place in clinician education.</p>","PeriodicalId":40753,"journal":{"name":"Nursing Reports","volume":"15 9","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12472333/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145151358","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Assessing Mental Health Literacy Among Undergraduate Nursing Students in South Africa.","authors":"Ernest Peresu, Gladys Kigozi-Male, Michelle Engelbrecht","doi":"10.3390/nursrep15090337","DOIUrl":"10.3390/nursrep15090337","url":null,"abstract":"<p><p><b>Background:</b> Amidst a growing shortage of human resources for mental health, concerns persist over the mental health literacy (MHL) and readiness of nursing students to fulfil their future role as non-specialist mental healthcare providers. <b>Methods:</b> A cross-sectional study was conducted to assess the MHL among nursing students enrolled in a four-year nursing programme using the Mental Health Literacy Scale (MHLS) adapted and validated for primary health care workers in the South African context. Multiple regression analysis was used to determine the factors influencing MHL among the nursing students. <b>Results:</b> Only a third of the 220 respondents (<i>n</i> = 73; 33.2%) expressed interest in specialising in mental health. A one-way ANOVA revealed statistically significant differences in the MHLS scores across year levels, F(3, 216) = 3.225, <i>p</i> = 0.023, though Tukey post hoc analysis found no significant difference between second-year students (with mental health theory only) and third-/fourth-years (with both theoretical and clinical exposure, <i>p</i> = 0.295). Year of study, family history of mental illness, and career aspirations in mental health were significant predictors of MHL. While gender initially appeared significant, a sensitivity analysis suggested that this result may not be robust due to the small number of male participants. <b>Conclusions:</b> The absence of a significant difference in MHL among nursing students across years of study suggests limitations in how the nursing training programme integrates mental health theory with clinical practice. Nursing education stakeholders should review curricula and teaching strategies to ensure that MHL is effectively reinforced throughout training.</p>","PeriodicalId":40753,"journal":{"name":"Nursing Reports","volume":"15 9","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12472578/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145151481","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Structured Assessments: Enhancing Success in Early Nursing Education and Student Retention.","authors":"Esther O Park, Kathleen Chang, Susan Koduah","doi":"10.3390/nursrep15090335","DOIUrl":"10.3390/nursrep15090335","url":null,"abstract":"<p><p><b>Background</b>: High attrition rates among nursing students, particularly during the sophomore year, threaten the sustainability of the nursing workforce. <b>Objectives</b>: This study assessed structured assessment methods implemented at a School of Nursing located in northern Virginia to improve student success and reduce attrition. <b>Methods</b>: Interventions included a three-tier grading system (Mastery, Intermediate, and Novice), standardized rubrics, detailed instructor guidelines, remediation sessions, and medication competency practice materials. <b>Results</b>: Data from student and instructor feedback surveys and attrition rate comparisons between Spring 2024 and Spring 2025 revealed a reduction in overall attrition of sophomores from 23.5% to 17.3% and from 20% to 12% in the Fundamentals courses. Students reported increased engagement and confidence in foundational core skills, though complex nursing skills care posed challenges. Instructors valued the structure but questioned the suitability of certain skills for sophomores. <b>Conclusions</b>: These findings underscore the value of structured assessments in enhancing retention, with implications for revision of curriculum design in students' early years of nursing education.</p>","PeriodicalId":40753,"journal":{"name":"Nursing Reports","volume":"15 9","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-09-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12472292/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145151373","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}