Nursing Reports最新文献

{"title":"Enhancing Nursing Students' Engagement and Critical Thinking in Anatomy and Physiology Through Gamified Teaching: A Non-Equivalent Quasi-Experimental Study.","authors":"Sommanah Mohammed Alturaiki, Mastoura Khames Gaballah, Rabie Adel El Arab","doi":"10.3390/nursrep15090333","DOIUrl":"10.3390/nursrep15090333","url":null,"abstract":"<p><p><b>Background:</b> Gamification may enhance engagement and higher-order learning in health-care profession education, but evidence from undergraduate nursing programs-particularly in the Middle East-is limited. We evaluated whether integrating structured gamified activities into an anatomy and physiology course improves class engagement and knowledge-based critical thinking. <b>Methods:</b> In this pragmatic, nonrandomized, section-allocated quasi-experimental study at a single Saudi institution, 121 first-year female nursing students were assigned by existing cohorts to traditional instruction (control; n = 61) or instruction enhanced with gamified elements (intervention; n = 60) groups. The intervention (introduced mid-semester) comprised time-limited competitive quizzing with immediate feedback and aligned puzzle tasks. Outcomes were measured at baseline, mid-semester, and end-semester using a four-item Class Engagement Rubric (CER; scale 1-5) and a 40-item high-cognitive multiple-choice (MCQ) assessment mapped to course objectives. Analyses used paired and independent <i>t</i>-tests with effect sizes and 95% confidence intervals. <b>Results:</b> No attrition occurred. From baseline to end-semester, the intervention group had a mean CER increase of 0.59 points (95% CI, 0.42 to 0.76; <i>p</i> < 0.001)-approximately a 15% relative gain-and a mean MCQ increase of 0.30 points (95% CI, 0.18 to 0.42; <i>p</i> < 0.001), an ~8% relative gain. The control group showed no material change over the same interval. Between-group differences in change favored the intervention across CER items and for the MCQ outcome. Semester grade-point average did not differ significantly between groups (<i>p</i> = 0.055). <b>Conclusions:</b> Embedding a brief, structured gamification package within an undergraduate nursing anatomy and physiology course was associated with measurable improvements in classroom engagement and modest gains in knowledge-based critical thinking, with no detectable effect on overall semester GPA. Given the nonrandomized, single-site design, causal inference is limited. Multi-site randomized trials using validated critical-thinking instruments are warranted to confirm effectiveness and define dose, durability, and generalizability.</p>","PeriodicalId":40753,"journal":{"name":"Nursing Reports","volume":"15 9","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12473084/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145151270","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":"Caring-Healing Modalities for Emotional Distress and Resilience in Persons with Cancer: A Scoping Review.","authors":"Judyta Kociolek, Rita Gengo, Lenny Chiang-Hanisko","doi":"10.3390/nursrep15090334","DOIUrl":"10.3390/nursrep15090334","url":null,"abstract":"<p><p><b>Background/Objectives:</b> Caring-healing modalities (CHMs), i.e., non-pharmacological, nurse-led interventions rooted in caring science, have shown promise in reducing emotional distress, while enhancing resilience. CHMs are heterogeneous, making it challenging to determine how they are formulated to build resilience, mitigate emotional distress, and explore their mechanisms of action. This scoping review mapped the literature on CHMs, including their components, targeted outcomes, and measures. <b>Methods:</b> This review was conceptually driven by Watson's Theory of Human Caring, followed the JBI methodology, and reported according to the PRISMA-ScR. Experimental studies, systematic reviews, opinion pieces, and the gray literature on CHMs for emotional distress and resilience delivered to persons with cancer, written in English, were considered. No date or setting limits were applied. Eleven databases (e.g., PubMed and CINAHL Full Text), were searched. Two independent reviewers screened, selected, and extracted the data. The results were interpreted using Watson's theory. <b>Results:</b> We included 16 records (2016-2025), mostly from the United States (<i>n</i> = 4; 25%) and China (<i>n</i> = 6; 37.5%). The CHMs mainly targeted persons with breast cancer. The CHMs were categorized into four groups: mindfulness-based, group-based, expressive, and educational. Common active ingredients included peer support and group discussions. Dedicated healing spaces facilitated CHMs delivery; mode of delivery and dose varied widely. <b>Conclusions:</b> This review provides a foundational understanding of CHMs as a caring-based, holistic approach to cancer survivorship. Findings identify CHMs' key components, including active ingredients, mode of delivery, and dose. Future studies should ensure diversity in terms of cancer type, as most existing studies focused on breast cancer.</p>","PeriodicalId":40753,"journal":{"name":"Nursing Reports","volume":"15 9","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12472820/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145150956","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":"Medication Logistics in Professional Homecare Organisations: An Assessment of the Practical Implementation of Regulations and Recommendations.","authors":"Nicole Lötscher, Christoph R Meier, Tania Martins, Franziska Zúñiga, Carla Meyer-Massetti","doi":"10.3390/nursrep15090332","DOIUrl":"10.3390/nursrep15090332","url":null,"abstract":"<p><p><b>Background/Objectives:</b> Patients receiving professional homecare often require support in managing their medication. In Switzerland's legislative system, medication logistics (ordering, delivery, pickup, storage) are regulated differently by each canton, making it challenging for professional homecare organisations to comply with provisions efficiently. The present study aimed to analyse the current international literature, Switzerland's regulations about medication logistics for professional homecare, and the current practices. <b>Methods:</b> We conducted a systematic literature review of the PubMed, Embase and CINAHL databases to identify existing international research on medication logistics by professional homecare organisations published until February 2024. The results of a structured online survey on medication logistics by professional homecare organisations in Switzerland's German-speaking regions were compared against the medication regulations currently in place. <b>Results:</b> Ten studies were included in the review. The medication logistics processes of homecare organisations have rarely been researched, especially short-term and long-term storage. Few regulations cover medication logistics in Switzerland's legislation, and they are often formulated non-specifically and focus on inpatient facilities. Some cantons allow centralised medication storage, others prohibit it. Only one canton explicitly permits short-term medication storage under simplified requirements. We evaluated the answers of 105 homecare organisations responding to our survey; 73.7% (73/99) of them nevertheless stored medications in the short term before bringing them to patients' homes. Switzerland's professional homecare organisations generally fulfil their legal requirements well. There is potential to improve the formulation of standard operating procedures for each step of the homecare medication use process, especially for cleaning medication storage sites (12/31, 38.7%) and short-term storage processes (29/56, 51.8%). <b>Conclusions:</b> There are few studies or guidelines on professional homecare organisations' medication logistics, and they generally fail to address medication storage. Short-term medication storage is common despite most cantonal requirements being strict or prohibiting it, or not regulating it all. There is an urgent need for unambiguous, practice-oriented recommendations specific to homecare, especially for short-term medication storage.</p>","PeriodicalId":40753,"journal":{"name":"Nursing Reports","volume":"15 9","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12472274/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145151267","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":"Gamification Strategies in Undergraduate Nursing Education: A Systematic Review Protocol.","authors":"Raffaele Antonio Elia, Maria Colangelo, Valentina Cerrone, Donato Pace, Vincenzo Andretta","doi":"10.3390/nursrep15090331","DOIUrl":"10.3390/nursrep15090331","url":null,"abstract":"<p><p><b>Background/Objectives:</b> In recent years, the use of gamification has been growing in health education. In undergraduate nursing programs, it aims to enhance motivation, engagement, knowledge retention, and professional competencies. However, the evidence often combining nursing students with other disciplines or focusing on specific tools rather than the broader concept. This systematic review will synthesize the impact of gamification strategies on educational outcomes in undergraduate nursing education. <b>Methods:</b> This protocol was written according to PRISMA-P guidelines and is registered in PROSPERO (CRD420251117719). Eligible studies will include randomized controlled trials, quasi-experimental, and observational designs involving undergraduate nursing students exposed to gamification interventions in classroom, online, or clinical training settings. Comparators may include traditional lecture-based instruction or other non-gamified methods. We will search the PubMed, CINAHL, PsycINFO, Web of Science, Scopus, and Google Scholar databases, covering January 2010 to July 2025, without language restrictions. Two reviewers will independently screen studies, extract data, and assess risk of bias using Cochrane RoB-2, ROBINS-I, and JBI Critical Appraisal Tools. Where possible, a meta-analysis will be conducted; otherwise, findings will be synthesized narratively. <b>Results:</b> Not applicable; this is a protocol. Findings will be synthesized as specified in the Methods. <b>Conclusions:</b> This review will provide a comprehensive synthesis of gamification's effectiveness in undergraduate nursing education, identifying the most effective strategies and the contexts in which they perform best.</p>","PeriodicalId":40753,"journal":{"name":"Nursing Reports","volume":"15 9","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-09-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12472211/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145151236","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":"Validation of the Adapted eHEALS Questionnaire for Assessing Digital Health Literacy in Social Media: A Pilot Study.","authors":"Lucía Carton Erlandsson, Anna Bocchino, José Luis Palazón-Fernandez, Isabel Lepiani, Elena Chamorro Rebollo, Raúl Quintana Alonso","doi":"10.3390/nursrep15090330","DOIUrl":"10.3390/nursrep15090330","url":null,"abstract":"<p><p><b>Background:</b> Digital health literacy is crucial for navigating social media as a primary health information source. However, its interactive and unregulated nature fosters misinformation, requiring critical evaluation skills. Existing tools assess general internet use, but no validated instrument measures competencies specific to social media. This study aimed to adapt and validate the eHealth Literacy Scale (eHEALS) for this context. <b>Methods</b>: A content validation process was conducted with 33 experts, who evaluated the clarity, coherence, and relevance of the adapted questionnaire using item-level (I-CVI) and scale-level (S-CVI) content validity indices. A pilot study was then carried out with 250 participants to assess the instrument's reliability and feasibility, measured through Cronbach's alpha and McDonald's Omega. <b>Results</b>: The adapted eHEALS demonstrated excellent content validity (S-CVI > 0.90) and high internal consistency (Cronbach's α = 0.92; McDonald's Ω = 0.92). The tool effectively captures key competencies for evaluating and applying health information in social media contexts, with exploratory factor analysis confirming a unidimensional structure that explained over 60% of the variance, supporting its robustness for use in population-based studies. <b>Conclusions</b>: This validated instrument provides a reliable method for assessing digital health literacy in social media, supporting the development of educational interventions to enhance critical appraisal skills and mitigate the impact of misinformation.</p>","PeriodicalId":40753,"journal":{"name":"Nursing Reports","volume":"15 9","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-09-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12472192/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145151387","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":"Nurses' Perceptions of Electronic Medical Record Effectiveness at Ministry of Health Hospitals in Jeddah City: A Cross-Sectional Study.","authors":"Ebtihal Abdullah Rajab, Sabah Mahmoud Mahran, Nabeela Al Abdullah","doi":"10.3390/nursrep15090329","DOIUrl":"10.3390/nursrep15090329","url":null,"abstract":"<p><p><b>Background:</b> Globally, there is a growing demand for the adoption of electronic health systems and the transition toward digital processes within healthcare organizations. Electronic Medical Records (EMRs) play a vital role in enhancing documentation accuracy, improving healthcare delivery, and minimizing medical errors. However, limited research has explored nurses' perceptions of EMR effectiveness within Ministry of Health hospitals in Jeddah City. <b>Methods</b>: A quantitative descriptive cross-sectional design was employed in four governmental hospitals affiliated with the Ministry of Health in Jeddah. A convenience sampling technique was used to recruit 911 full-time registered nurses from inpatient and outpatient departments. Data was collected through an electronic self-administered questionnaire evaluating EMR use, system quality, and user satisfaction. Descriptive and inferential statistical analyses were conducted using SPSS version 26. <b>Results</b>: The global EMR score (82%) reflected a high level of acceptance and integration of EMR systems among the nurses surveyed. The use of order entry received the highest mean score (84.8%), indicating that nurses find EMRs particularly effective in streamlining administrative and clinical tasks, such as medication orders and care plans. The strong correlation between system quality and user satisfaction (rs = 0.911) underscores the importance of well-designed EMRs in fostering trust and confidence among clinical users. <b>Conclusions</b>: The findings indicate that nurses perceive EMRs as effective tools for improving documentation, care coordination, and workflow efficiency. This study recommends the establishment of structured feedback mechanisms that enable nurses to report issues, suggest improvements, and share success stories-thereby fostering a culture of continuous system enhancement.</p>","PeriodicalId":40753,"journal":{"name":"Nursing Reports","volume":"15 9","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-09-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12473047/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145151283","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":"Identifying Risk Factors for Delirium Through Comprehensive Geriatric Assessment in Older Adults Receiving Palliative Cancer Care.","authors":"Paula Llisterri-Sánchez, Francisco Miguel Martínez-Arnau, Pilar Pérez-Ros","doi":"10.3390/nursrep15090328","DOIUrl":"10.3390/nursrep15090328","url":null,"abstract":"<p><p><b>Background/Objectives</b>: Older adults with cancer are at high risk of developing delirium. Comprehensive geriatric assessment (CGA) is a fundamental tool for prioritizing problems and establishing appropriate interventions in older patients. This study aimed to identify risk factors for delirium through a CGA in older adults receiving palliative cancer care in hospital. <b>Methods</b>: This longitudinal observational study included people aged 65 years or over who were hospitalized in medical wards with an advanced stage of cancer. Clinicians performed a CGA and screened for delirium using the Confusion Assessment Method (CAM). Diagnosis of delirium was based on criteria set out in the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-V). We calculated odds ratios (ORs) with 95% confidence intervals (CIs) to compare different variables in people with versus without delirium. <b>Results</b>: The study included 105 participants, of whom 67 (63.81%) developed delirium during follow-up. The mean age was 71.33 years in the delirium group and 72.24 years in the non-delirium group. Risk factors for delirium were dysphagia (OR 2.45, 95% CI 1.01-5.99; <i>p</i> = 0.045), urinary catheterization (OR 2.97, 95% CI 1.09-8.13; <i>p</i> = 0.029), and having at least one delirium episode in the last year (OR 5.68, 95% CI 1.97-16.34; <i>p</i> = 0.001). The predictive model showed that older male cancer patients with a urinary catheter and dysphagia are most likely to develop delirium in hospital (area under the curve [AUC] = 0.679, 95% CI 0.577-0.780; <i>p</i> = 0.002). <b>Conclusions</b>: The prevention and effective management of delirium require a person-centered, interdisciplinary approach that considers both clinical and psychosocial aspects. Including variables such as male sex, dysphagia, and urinary catheterization in delirium risk assessment enables more comprehensive and personalized management.</p>","PeriodicalId":40753,"journal":{"name":"Nursing Reports","volume":"15 9","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-09-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12472893/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145151249","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 Community Readiness to Use Social Platforms for Stroke Survivors' Recovery and Caregiver Support in Saudi Arabia.","authors":"Lisa A Babkair, Mohammed Al-Sahabi, Husam Al-Ghamedi, Abdulmajeed S Al-Shehri, Ahmed Al-Zeer, Faygah Shibily, Rwan M Alyafee","doi":"10.3390/nursrep15090325","DOIUrl":"10.3390/nursrep15090325","url":null,"abstract":"<p><p><b>Background:</b> Stroke survivors and their family caregivers face substantial burdens resulting from a complex interplay of clinical, functional, and psychosocial factors. Community-based resources and social networking are critical for alleviating caregiver burden and improving outcomes for both caregivers and stroke survivors. <b>Objectives:</b> To assess the Saudi population's readiness to use social platforms for stroke survivors' recovery and caregiver support. <b>Methods:</b> A cross-sectional descriptive design was employed between March and June 2025 to collect data from community-dwelling individuals using sociodemographic and Technology Readiness Index (TRI) questionnaires. <b>Results:</b> A convenience sample of 576 participants was enrolled in this study. Overall, the participants showed a high level of technology readiness, with a total TRI mean score of M = 3.65, SD = 0.86. Optimism had the highest mean score, followed by innovativeness, insecurity, and discomfort. Significant differences in technology readiness were identified based on age, educational level, employment status, familiarity with modern technology, and healthcare provider status. <b>Conclusions:</b> This study demonstrates a high level of technological readiness across the Saudi population, indicating strong potential for integrating social connection platforms into stroke recovery and caregiver support. These findings align with Saudi Arabia's Vision 2030 goals for digital transformation in the healthcare sector. Future research should focus on conducting feasibility studies to better understand the desirable features of e-health services and digital solutions within the Saudi community.</p>","PeriodicalId":40753,"journal":{"name":"Nursing Reports","volume":"15 9","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-09-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12472548/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145151493","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":"Psychometric Properties of the Serbian Teen Version of the Problem Areas in Diabetes Scale-A Validation Study.","authors":"Mirjana Smudja, Tatjana Milenković, Ivana Minaković, Vera Zdravković, Sandra Mitić, Ana Miljković, Dragana Milutinović","doi":"10.3390/nursrep15090326","DOIUrl":"10.3390/nursrep15090326","url":null,"abstract":"<p><p>Screening for diabetes-specific distress should be considered a standard component of diabetes management. This study aimed to evaluate the psychometric properties of the Serbian adaptation of the Problem Areas in Diabetes-Teen Version (PAID-T). <b>Methods:</b> A multicentre, validation, cross-sectional study was conducted with 374 adolescents (aged 13-18 years) diagnosed with type 1 diabetes (T1D), all of whom completed the Serbian version of the PAID-T. The psychometric evaluation included assessments of construct validity through exploratory (EFA, first subsample, <i>n</i> = 140) and confirmatory (CFA, second subsample, <i>n</i> = 234) factor analyses, as well as examinations of concurrent and convergent validity. Reliability was evaluated using measures of internal consistency and test-retest stability (<i>n</i> = 289). <b>Results:</b> Factor analyses indicated some multidimensionality; however, the high correlations between factors in the three-factor model and the optimal fit of the hierarchical three-factor model with a single second-order factor supported the interpretation that the PAID-T measures a unified construct, with satisfactory fit indices (CFI = 0.95; TLI = 0.93; RMSEA = 0.08; SRMR = 0.05). Concurrent validity testing demonstrated gender-based differences in adolescents' perceptions of the emotional burden of diabetes (W = 19.718, <i>p</i> = 0.03, small effect size = 0.11). Convergent validity analyses showed that adolescents who were non-adherent to treatment (W = 11.390, <i>p</i> = 0.01, small effect size = 0.13) or experienced difficulties managing diabetes at school (W = 16.333, <i>p</i> < 0.001, small effect size = 0.16) reported significantly higher levels of diabetes-specific distress. A significant negative correlation was also observed between PAID-T scores and perceived social support (ρ = -0.24, <i>p</i> < 0.001). Importantly, Serbian adolescents with T1D reported mean PAID-T scores close to the cutoff point of 44, indicating clinically relevant levels of distress. The Serbian version demonstrated strong internal consistency (Cronbach's α = 0.92; McDonald's ω = 0.93) and excellent test-retest reliability (ICC = 0.99, 95% CI), confirming stability over time. <b>Conclusions:</b> The Serbian adaptation of the PAID-T demonstrated strong validity and reliability, supporting its use as a robust tool for assessing self-reported diabetes-specific distress in adolescents. Notably, the mean PAID-T scores in Serbian adolescents with T1D were close to the established cutoff point of 44, underscoring the clinical relevance of routine screening in this population. The early identification of diabetes distress can enable nurses and other members of the multidisciplinary healthcare team to deliver tailored interventions, ultimately improving psychological well-being and health outcomes.</p>","PeriodicalId":40753,"journal":{"name":"Nursing Reports","volume":"15 9","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-09-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12472196/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145151425","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":"Emotional and Spiritual Challenges of Informal Caregivers: The Need for Early Mobile Palliative Care Support.","authors":"Samir Husic, Bojan Miletic, Tamara Stemberger Kolnik, Vedrana Vejzovic","doi":"10.3390/nursrep15090327","DOIUrl":"10.3390/nursrep15090327","url":null,"abstract":"<p><p><b>Background/Objectives</b>: Informal caregivers play an important role in the palliative care of terminally ill family members at home. However, they often lack sufficient professional support, particularly in coping with emotional, spiritual, and practical challenges. This study aimed to explore caregivers' experiences of providing care to a terminally ill family member at home. <b>Methods</b>: A qualitative approach was used to collect information from informal caregivers. Data were collected through interviews, and thematic analysis was used to identify the main challenges, coping mechanisms, and perceptions related to palliative care. <b>Results</b>: The study resulted in three themes: Involvement of professionals; The reality and dignity of death, and Life after death. Caregivers often associate palliative care exclusively with the last days of life, leading to delayed involvement of the mobile palliative care team. They stated that they preferred home care to hospital care and associated this with more positive experiences at the end of life. However, many reported feelings of loneliness and emotional distress, indicating a lack of appropriate psychological support. Spiritual care is often confused with religious practices, indicating a need for further education. <b>Conclusions</b>: The early involvement of mobile palliative care teams improves coping, facilitates a more humane dying process at home, and can reduce the emotional burden on caregivers.</p>","PeriodicalId":40753,"journal":{"name":"Nursing Reports","volume":"15 9","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-09-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12472654/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145151294","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}