Nursing Reports最新文献

{"title":"Beyond Care: A Scoping Review on the Work Environment of Oncology Nurses.","authors":"Asia Vailati, Ilaria Marcomini, Martina Di Niquilo, Andrea Poliani, Debora Rosa, Giulia Villa, Duilio Fiorenzo Manara","doi":"10.3390/nursrep15090324","DOIUrl":"10.3390/nursrep15090324","url":null,"abstract":"<p><p><b>Background:</b> The Nursing Work Environment (NWE) plays a critical role in determining the quality of care, staff well-being, and organizational performance, particularly in oncology settings. Despite increasing attention, a comprehensive synthesis of organizational factors shaping oncology NWEs has been lacking. This scoping review aimed to describe the key features of oncology NWEs and to explore the outcomes associated with these characteristics. <b>Methods</b>: A scoping review was conducted following the Joanna Briggs Institute guidelines. Peer-reviewed studies published in English or Italian were included without time restrictions. Literature searches were performed in MEDLINE via PubMed, CINAHL, and Scopus between January and April 2025. <b>Results</b>: Twenty studies met the inclusion criteria. Key organizational characteristics of oncology NWEs were grouped into the following four domains: leadership and organizational support; workload and resource availability; ethical climate and collegial relationships; and physical and structural conditions of care settings. Across the studies, a positive NWE was frequently reported to be associated with improved nurse-related outcomes and, to a lesser extent, with patient-related outcomes. However, these associations should be interpreted with caution due to the heterogeneity of contexts and the predominance of cross-sectional designs. <b>Conclusions</b>: The NWE is a strategic element in delivering effective, safe, and sustainable oncology care. Practical actions for nurse managers and healthcare leaders include implementing leadership training programs, ensuring adequate staffing and resource allocation, fostering open communication, and promoting interdisciplinary collaboration. These measures are essential to protect staff well-being and guarantee high-quality, patient-centered care.</p>","PeriodicalId":40753,"journal":{"name":"Nursing Reports","volume":"15 9","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-09-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12472513/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145150965","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":"Costs Attributable to Falls Based on Diagnosis-Related Groups (DRGs) Analysis of Hospitalised Patients: A Case-Control Study.","authors":"Mercedes Fernández-Castro, Noel Rivas-González, Belén Martín-Gil, Pedro Luis Muñoz-Rubio, Rocío Lozano-Pérez, Pilar Rodríguez-Soberado, Marife Muñoz","doi":"10.3390/nursrep15090323","DOIUrl":"10.3390/nursrep15090323","url":null,"abstract":"<p><p><b>Background/objectives</b>: Falls are the most common adverse events in hospitals. This study aimed to estimate excess hospitalisation costs attributable to inpatient falls, using Diagnosis-Related Group (DRG) relative weights as a proxy for resource consumption. <b>Methods</b>: Case-control study. Cases included patients who had sustained a fall during hospitalisation between 2020 and 2022 in 19 inpatient units. Controls were selected with matching technique based on age and admission period. Diagnosis-Related Groups and their resource consumption and cost estimators (relative weights) were provided by the Hospital's Coding Unit. <b>Results</b>: A total of 613 falls were analysed against 623 controls. The Diagnosis-Related Group 'Lower limb amputation except toes' was associated with a fourfold higher risk of falling compared to others. Five more were identified in which the case group incurred significantly higher costs than the control group. These included three surgical Diagnosis-Related Group, 'Urethral and transurethral procedures', 'Heart valve procedures without acute myocardial infarction or complex diagnosis', and 'Arterial procedures on the lower limb', and two medical, 'Heart failure' and 'Major pulmonary infections and inflammations'. <b>Conclusions/Implications for practice</b>: Identifying Diagnosis-Related Groups in which falls are associated with increased hospitalisation costs allows for a comprehensive assessment of the process, taking into account resource consumption and the clinical characteristics of hospitalised patients. These findings will enable nurses to develop targeted strategies to enhance the safety of hospitalised patients that contribute to the sustainability of the healthcare system.</p>","PeriodicalId":40753,"journal":{"name":"Nursing Reports","volume":"15 9","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-09-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12472700/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145151121","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' Knowledge of Rare Diseases: A Systematic Review.","authors":"Inmaculada Muñóz Sánchez, Jose Manuel Martínez-Linares, Raquel Rodríguez-Blanque, Jonathan Cortés-Martín, Andrés Reinoso-Cobo, Beatriz Lechuga Carrasco, Juan Carlos Sánchez-García","doi":"10.3390/nursrep15090321","DOIUrl":"10.3390/nursrep15090321","url":null,"abstract":"<p><p><b>Background</b>: Rare diseases affect fewer than 1 in 2000 people, but collectively, they impact millions. Their diagnosis and management present challenges due to low prevalence, clinical heterogeneity, and a lack of standardized protocols. Nurses play a key role in assisting and caring for these patients by providing direct care, emotional support, and health education. <b>Objective</b>: The objective of this systematic review is to update the existing knowledge on nurses' level of understanding regarding rare diseases, as a decline in their training can compromise the quality of care and access to early detection. <b>Methodology</b>: A bibliographic search was conducted in Scopus, PubMed, CINAHL, SciELO, and Cochrane Library, selecting studies published between 2014 and 2024 on rare disease knowledge. The PRISMA model was followed, and the review was registered with PROSPERO under code CRD42024580656. <b>Result</b>: Ultimately, 24 studies were included. The main results showed a significant gap in nursing education concerning rare diseases. <b>Conclusions</b>: Continuous education, telemedicine, and the integration of health technologies were highlighted as improving competencies in rare diseases. Therefore, it is a priority to increase nursing training in rare diseases at all levels.</p>","PeriodicalId":40753,"journal":{"name":"Nursing Reports","volume":"15 9","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-09-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12472485/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145151332","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":"Effectiveness of a Gamification-Based Intervention for Learning a Structured Handover System Among Undergraduate Nursing Students: A Quasi-Experimental Study.","authors":"Mauro Parozzi, Irene Meraviglia, Paolo Ferrara, Sara Morales Palomares, Stefano Mancin, Marco Sguanci, Diego Lopane, Anne Destrebecq, Maura Lusignani, Elisabetta Mezzalira, Antonio Bonacaro, Stefano Terzoni","doi":"10.3390/nursrep15090322","DOIUrl":"10.3390/nursrep15090322","url":null,"abstract":"<p><p><b>Background/Objectives</b>: Effective clinical handover is a critical component of nursing care, particularly in mental health settings, where the transfer of clinical and behavioral information is essential for both patients' and health personnel's safety. Gamification has emerged as a promising strategy to enhance clinical education, yet few interventions have focused specifically on mental health care contexts. This study aimed to evaluate the effectiveness of a serious game designed to teach the SBAR (Situation, Background, Assessment, Recommendation) handover framework to undergraduate nursing students through a psychiatric care unit scenario. <b>Methods</b>: A quasi-experimental pre-post design was employed with a convenience sample of 48 nursing students from a Northern Italian university. Participants completed a test assessing their ability to organize clinical information according to the SBAR model before and after the game intervention. Students' experience was assessed using the Player Experience Inventory. <b>Results</b>: A statistically significant improvement in SBAR application was observed post-intervention. The majority of students reported a positive experience across PXI domains such as Meaning, Challenge, Progress Feedback, and Enjoyment. Comparisons with a previously validated video-based nursing serious game showed a consistent overall pattern in response trends. <b>Conclusions</b>: The SG was an effective and engaging educational tool for improving structured handover skills in nursing students. Gamification may represent a valuable complement to traditional instruction in nursing education, especially in high-communication clinical areas such as mental health. Further research is needed to assess long-term retention and to explore more immersive formats.</p>","PeriodicalId":40753,"journal":{"name":"Nursing Reports","volume":"15 9","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-09-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12472369/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145151074","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":"The Relationship Between Sense of Coherence and Occupational Burnout Among Psychiatric Nurses: A Cross-Sectional Study in Inpatient Psychiatric Wards in Poland.","authors":"Kinga Kołodziej, Ewa Wilczek-Rużyczka, Anna Majda","doi":"10.3390/nursrep15090320","DOIUrl":"10.3390/nursrep15090320","url":null,"abstract":"<p><p><b>Background</b>: Sense of coherence constitutes a significant personal resource that underpins the harmonious professional functioning of nurses employed in psychiatric inpatient wards. It serves as a protective factor, enabling effective coping with the psychophysical burden arising from a demanding and stress-inducing work environment, while also supporting the maintenance of a high level of job satisfaction. Regular assessment of the sense of coherence among psychiatric nursing staff is essential for the early identification of individuals at risk of developing occupational burnout. The aim of the present study was to determine the relationship between the level of sense of coherence and the degree of occupational burnout among nurses working in inpatient psychiatric units. <b>Methods</b>: The study employed a cross-sectional design and utilized standardized psychometric instruments, including The Sense of Coherence Questionnaire (SOC-29) to assess the level of coherence, and the Maslach Burnout Inventory (MBI) to measure occupational burnout. Additionally, a self-developed questionnaire was used to collect sociodemographic data. The research was conducted in five psychiatric hospitals in Poland between January and June 2023. The sample consisted of 555 nurses (449 women and 106 men) employed in inpatient psychiatric wards. Statistical analyses included descriptive statistics, Pearson's correlation coefficients to examine relationships between variables, and multiple linear regression to identify predictors of burnout dimensions. Significance level set at <i>p</i> < 0.05. <b>Results</b>: The mean global sense of coherence score among psychiatric nurses was 124.68 (SD = 45.81), with manageability scoring highest among subscales (43.83, SD = 16.28). Average occupational burnout scores were emotional exhaustion 28.75 (SD = 16.39), depersonalization 13.55 (SD = 9.71), and reduced personal accomplishment 23.61 (SD = 11.11). Significant negative correlations were found between sense of coherence (and its components) and all burnout dimensions (<i>p</i> < 0.001). Manageability was the strongest predictor of lower emotional exhaustion (β = -0.73), depersonalization (β = -0.65), and reduced personal accomplishment (β = -0.65), while meaningfulness predicted depersonalization (β = 0.37, <i>p</i> = 0.012). These results indicate that higher sense of coherence, especially manageability, is linked to reduced burnout among psychiatric nurses. <b>Conclusions</b>: The study revealed significant negative associations between sense of coherence and all dimensions of occupational burnout, with manageability emerging as the strongest protective factor. Nurses with higher levels of sense of coherence reported lower emotional exhaustion, depersonalization, and reduced personal accomplishment. These findings highlight the importance of incorporating sense of coherence assessment into strategies for identifying individuals at increased risk of burnout.</p>","PeriodicalId":40753,"journal":{"name":"Nursing Reports","volume":"15 9","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-09-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12472873/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145151355","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":"Transitions to Long-Term Care for People Living with Dementia: Social Death and Social (Dis) Connections.","authors":"Veronika Williams, Mary Pat Sullivan, Christina Victor","doi":"10.3390/nursrep15090319","DOIUrl":"10.3390/nursrep15090319","url":null,"abstract":"<p><p><b>Background/objectives:</b> Dementia is the most common cause for long-term care placement for people over the age of 65 years. The decision and the transition are often very difficult for families and the type and timing of effective support not well understood. In this exploratory study, we aimed to gain a better understanding of the experience of this transition to a long-term care setting and its impact on social connections. <b>Methods:</b> We conducted virtual in-depth interviews with a sample of spouses (N = 5) who had identified their partner's move to a nursing home as particularly distressing. Interview data were analyzed using thematic analysis. <b>Results:</b> We identified that the transition process involved a particular disruption for dyads' social health, although there was rarely a consideration in planning or support provision. For the person living with dementia, the unacknowledged loss of their social world reinforced their social death. Their grieving partner was explicitly and implicitly encouraged to recover a new social world as a means of healing from the loss. <b>Conclusions:</b> Our findings reinforce the need for evidence-informed support during the transition to long-term care for someone living with dementia and their partner.</p>","PeriodicalId":40753,"journal":{"name":"Nursing Reports","volume":"15 9","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-09-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12472579/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145151382","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":"Barriers and Facilitators to the Elimination of Mother-to-Child Transmission Services Among Pregnant and Breastfeeding Women in Gauteng Province, South Africa.","authors":"Ndivhuwo Mukomafhedzi, Takalani Tshitangano, Shonisani Tshivhase","doi":"10.3390/nursrep15090318","DOIUrl":"10.3390/nursrep15090318","url":null,"abstract":"<p><p><b>Introduction</b>: Eliminating mother-to-child transmission (EMTCT) of HIV is a global health priority to ensure that no child is born with HIV. When EMTCT services are underutilized, mothers and babies face greater risks, including the vertical transmission of HIV and higher rates of maternal and neonatal mortality. Despite ongoing efforts, many women worldwide still struggle to access and use these vital services. <b>Objective</b>: This study sought to explore barriers and facilitators to the elimination of mother-to-child transmission services among pregnant and breastfeeding women (PBFW) in Gauteng province, South Africa. <b>Methods</b>: A qualitative, explorative, and descriptive research design was used. Convenience and purposive sampling were used to select participants. The study population consisted of PBFW aged 18 years or above who were utilizing EMTCT services. Data was collected through in-depth face-to-face individual interviews with participants. A semi-structured interview guide was used to collect data until data saturation was reached after interviewing 25 participants. Data were analyzed using thematic analysis (Tesch's open coding method). Trustworthiness and ethical principles were ensured. <b>Results</b>: Four main themes emerged from the data analyzed, namely, barriers associated with EMTCT service utilization, facility-based strategies to improve EMTCT service uptake, community support for enhancing EMTCT engagement, and the role of partner support in service utilization, each with linked sub-themes. This study found that health education about EMTCT, along with community awareness and involvement, encourages the target group to utilize these services. <b>Conclusions</b>: Increasing women's use of EMTCT services is an important step toward eliminating MTCT and increasing the health and well-being of mothers and their children. Addressing numerous barriers to receiving these services, as well as implementing targeted measures, can help ensure that all women gain access to the care and support that they require to safeguard their families from HIV.</p>","PeriodicalId":40753,"journal":{"name":"Nursing Reports","volume":"15 9","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12472683/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145150573","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":"Nursing Students' Satisfaction and Self-Confidence After Short-Term Clinical Preparation: A Cross-Sectional Study.","authors":"Asim Abdullah Alhejaili, Bassam Alshahrani, Abdulrahman Muslihi, Paul Reinald Base Garcia, Mark Yuga Roque, Rawan Saud Alharbi, Hammad Ali Fadlalmola","doi":"10.3390/nursrep15090317","DOIUrl":"10.3390/nursrep15090317","url":null,"abstract":"<p><p><b>Background/Objectives:</b> The transition from theoretical knowledge to clinical practice poses significant challenges for nursing students globally. This critical period requires comprehensive educational support to build confidence and competence. While short-term preparatory courses have shown promise internationally, their effectiveness within the Saudi Arabian context remains understudied. This study aimed to evaluate nursing students' satisfaction and self-confidence following participation in short-term preparatory courses conducted before clinical placements at Taibah University, Saudi Arabia. <b>Methods:</b> A descriptive cross-sectional study was conducted from February to April 2025. Data were collected from 117 undergraduate nursing students (response rate: 80.7%) using a validated questionnaire adapted from the National League for Nursing's Student Satisfaction and Self-Confidence in Learning instrument. The preparatory courses included nursing care plan development, hospital orientation, and infection control procedures delivered over two weeks. Statistical analysis included descriptive statistics and Pearson correlation analysis. <b>Results:</b> Students reported high levels of satisfaction (mean = 4.29 ± 0.92) and self-confidence (mean = 4.31 ± 0.81) scores. The highest satisfaction was with instructor effectiveness (mean = 4.31 ± 1.05) and teaching methods (mean = 4.32 ± 1.01). Students demonstrated strong confidence in personal learning responsibility (mean = 4.44 ± 0.88) and skill development (mean = 4.32 ± 0.95). A strong positive correlation existed between satisfaction and self-confidence (r = 0.79, <i>p</i> < 0.001). <b>Conclusions:</b> Short-term preparatory courses effectively enhanced nursing students' satisfaction and self-confidence in the Saudi Arabian context. The strong correlation between these constructions suggests that educational interventions improving one dimension is likely to benefit the other. These findings support integrating structured preparatory programs into nursing curricula to facilitate successful clinical transitions.</p>","PeriodicalId":40753,"journal":{"name":"Nursing Reports","volume":"15 9","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12472800/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145151430","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":"Empathy and Its Predictive Factors in Undergraduate Health Professional Students: A Longitudinal Cohort Study.","authors":"Valeria Caponnetto, Elona Gaxhja, Ilda Taka, Elona Prifti, Vittorio Masotta, Ilaria Paoli, Loreto Lancia, Angelo Dante, Cristina Petrucci","doi":"10.3390/nursrep15090316","DOIUrl":"10.3390/nursrep15090316","url":null,"abstract":"<p><p><b>Background:</b> Empathy is essential for enhancing care quality, making its understanding and predictors crucial for healthcare education. <b>Objective:</b> To investigate empathy evolution and its predictors among first-year health professional students at a university in Albania. <b>Methods:</b> A longitudinal cohort study was conducted on a total of 206 participants (78.2% female, mean age 18.4 years), with empathy assessed at baseline and program completion using the Jefferson Scale of Empathy-Health Professional Students. <b>Results</b>: The findings revealed stable empathy levels overall (<i>p</i> = 0.369), with no significant differences between nursing and other students. Approximately 52.9% experienced empathy gains, while 44.7% experienced losses, yielding an average score change of +0.7 (SD = 14.9). A younger age and lower baseline empathy scores were significant predictors of empathy gains, as shown by regression analyses. <b>Conclusions:</b> The study highlights a dual empathy trajectory among students and emphasizes a person-centered approach to health professional education to foster empathy development.</p>","PeriodicalId":40753,"journal":{"name":"Nursing Reports","volume":"15 9","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-08-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12473066/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145151279","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":"Social Frailty and Social Isolation in Chinese Community-Dwelling Older Adults: A Network Analysis.","authors":"Hai-Yan He, Di-Fei Duan, Lin-Jia Yan, Lin Lin","doi":"10.3390/nursrep15090315","DOIUrl":"10.3390/nursrep15090315","url":null,"abstract":"<p><p><b>Background:</b> China's rapidly ageing population faces a double burden of social frailty (SF) and social isolation (SI), both of which accelerate functional decline and increase healthcare use. Clarifying their interplay is essential for nurses, who are often the first to assess and intervene in older adults' social health. <b>Method:</b> In a cross-sectional study, 451 community-dwelling adults aged ≥ 60 years (median = 71) completed the HALFT Social Frailty Scale and the Social Isolation Scale for Older Adults. A mixed graphical model based on Spearman correlations mapped symptom-level associations between SF and SI and identified central nodes. <b>Result:</b> SF was present in 22.8% of participants, and the median SI score was 13 (IQR = 9-16). The strongest edge linked \"inability to help others\" (SF1) with reduced \"face-to-face contact frequency\" (SI1) (edge weight = 1.85). Central nodes were \"lack of social participation\" (SI2), \"sense of belonging\" (SI4), and \"lack of someone to talk to\" (SF5), indicating key points where SF and SI converge. <b>Conclusions:</b> The tight network connecting SF and SI suggests that nursing assessments should screen for both constructs simultaneously. Interventions that increase social participation, foster belonging, and create opportunities for reciprocal helping may mitigate both syndromes, supporting healthier ageing and reducing downstream healthcare utilization.</p>","PeriodicalId":40753,"journal":{"name":"Nursing Reports","volume":"15 9","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-08-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12472408/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145151400","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}