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Factors Contributing to Non-Adherence to Treatment Among Adult Patients with Long-Term Haemodialysis: An Integrative Review. 成人长期血液透析患者不坚持治疗的因素:一项综合综述。
IF 2
Nursing Reports Pub Date : 2025-08-26 DOI: 10.3390/nursrep15090314
Khin Chan Myae Win, Huaqiong Zhou, Vicki Patton, Mary Steen, Phillip Della
{"title":"Factors Contributing to Non-Adherence to Treatment Among Adult Patients with Long-Term Haemodialysis: An Integrative Review.","authors":"Khin Chan Myae Win, Huaqiong Zhou, Vicki Patton, Mary Steen, Phillip Della","doi":"10.3390/nursrep15090314","DOIUrl":"10.3390/nursrep15090314","url":null,"abstract":"<p><p><b>Background:</b> Adherence of renal patients to a prescribed therapeutic regimen is crucial for the success of haemodialysis and the decreased mortality rates of patients; however, 60% are non-adherent to dialysis, fluid, and dietary allowances. To identify promising interventions aimed at improving treatment adherence, this review aimed to collate research evidence on the prevalence of non-adherence to treatment (fluid, diet, and routine haemodialysis) and to synthesise the factors contributing to non-adherence in long-term haemodialysis patients. <b>Methods:</b> An integrative review was conducted using Whittemore and Knafl's five-stage framework (2005). ProQuest, CINAHL, PubMed, and Web of Science were searched, using the keywords 'haemodialysis' and 'non-adherence'. The review included peer-reviewed quantitative studies published in English from 1 August 2018 to 30 June 2025, focusing on adults over 18 undergoing haemodialysis. The Joanna Briggs Institute (JBI) Critical Appraisal Checklist was used to assess the quality of the studies. <b>Results:</b> Twenty-nine studies were included, identifying factors across four treatment groups: non-adherence to fluid allowance, dietary allowance, haemodialysis session, and fluid/diet/haemodialysis. These factors were grouped into three themes: social demographics, clinical factors, self-management, and perceptions. Commonly cited factors included age, gender, educational status, health literacy, and perception. <b>Conclusions:</b> This review highlights the complex factors influencing treatment non-adherence, which may vary based on the variables and measurement tools used in each study. Low-level health literacy is the most frequently cited modifiable factor. Therefore, prioritising effective patient education that enhances knowledge and understanding of the importance of adhering to treatment is key to improving compliance in long-term haemodialysis patients.</p>","PeriodicalId":40753,"journal":{"name":"Nursing Reports","volume":"15 9","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-08-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12472532/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145151329","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}
引用次数: 0
A Pilot Study to Create a Culture of Innovation and Quality: Focus on a Nursing Association, Credentialing Center, and Foundation. 创建创新和质量文化的试点研究:以护理协会、资格认证中心和基金会为重点。
IF 2
Nursing Reports Pub Date : 2025-08-26 DOI: 10.3390/nursrep15090313
Marcela Cámpoli, Tanya Mulvey, Olivia Lemberger, Hannah Person, Kasey Bellegarde-Armstrong, Oriana Beaudet
{"title":"A Pilot Study to Create a Culture of Innovation and Quality: Focus on a Nursing Association, Credentialing Center, and Foundation.","authors":"Marcela Cámpoli, Tanya Mulvey, Olivia Lemberger, Hannah Person, Kasey Bellegarde-Armstrong, Oriana Beaudet","doi":"10.3390/nursrep15090313","DOIUrl":"10.3390/nursrep15090313","url":null,"abstract":"<p><p><b>Background/Objectives</b>: In today's rapidly evolving healthcare landscape, fostering a culture of innovation and continuous improvement is essential-especially within a nursing association that leads individual and organizational credentialing. <b>Methods</b>: Colleagues from the American Nurses Enterprise (ANE) Innovation Department and the Institute for Nursing Research and Quality Management collaborated to develop the <i>Culture of Innovation and Quality Model</i><sup>TM</sup>. This process involved conducting a literature review, developing a survey instrument, and administering a pilot pre-survey to ANE employees to collect baseline data. Future research will include a comparison with a post-survey after interventions aimed at strengthening the culture of innovation and quality. <b>Results</b>: The results of the pilot pre-survey were high overall and guided the team in identifying areas with the greatest opportunities for improvement. Based on these findings, interventions are being developed that will be implemented at ANE to enhance the practice of and promote the synergy between innovation and quality. <b>Conclusions</b>: Achieving and sustaining high-quality standards of care and advancing the professional development of nurses requires a culture where staff feel safe and have opportunities to create, innovate, improve, and learn. This will help promote an environment where people thrive while ensuring that the nursing profession and practice remain cutting-edge and aligned with emerging technologies and evolving healthcare complexities. The <i>Culture of Innovation and Quality Model</i><sup>TM</sup> may provide a blueprint for organizations who seek to advance innovation and quality knowledge, engagement, and practices and assist their employees in providing better service to colleagues, partners, and customers while adapting to the evolving healthcare environment.</p>","PeriodicalId":40753,"journal":{"name":"Nursing Reports","volume":"15 9","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-08-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12472794/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145151499","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}
引用次数: 0
Effects of an Innovative Introductory Course on the Professional Commitment of First-Year Undergraduate Nursing Students: A Quasi-Experimental Study. 创新导论课程对护理本科一年级学生专业承诺的影响:一项准实验研究
IF 2
Nursing Reports Pub Date : 2025-08-25 DOI: 10.3390/nursrep15090310
Wenzhe Hua, Yinghui Wu, Yaru Tang, Daqiao Zhu, Qiong Fang
{"title":"Effects of an Innovative Introductory Course on the Professional Commitment of First-Year Undergraduate Nursing Students: A Quasi-Experimental Study.","authors":"Wenzhe Hua, Yinghui Wu, Yaru Tang, Daqiao Zhu, Qiong Fang","doi":"10.3390/nursrep15090310","DOIUrl":"10.3390/nursrep15090310","url":null,"abstract":"<p><p><b>Aim:</b> We aimed to assess the impact of a Health and Nursing course on the professional commitment of first-year undergraduate nursing students and obtain quantitative and qualitative feedback on teaching. <b>Design:</b> This study employed a quasi-experimental design. Methods: Fifty first-year undergraduate nursing students who attended the Health and Nursing course were recruited. A self-designed basic information questionnaire, the Nursing Professional Commitment Scale, the Students' Perceived Teaching Quality Questionnaire, and two quick open-ended questions were used to collect the data. Professional commitment before and after the intervention was compared using an independent samples <i>t</i>-test. The correlation between the students' perceived teaching quality and professional commitment was assessed using Pearson's correlation coefficient. Content analysis was used to analyze qualitative feedback. <b>Results:</b> The participants experienced a significant improvement in their professional commitment. The students' perceived teaching quality was significantly correlated with their professional commitment. According to the students' feedback, the most impressive aspects of the course were case-based learning and visits to healthcare institutions. <b>Conclusions:</b> A Health and Nursing course with high-quality teaching increased the professional commitment of first-year undergraduate nursing students. The findings suggest that nursing educators should consider the external macro-sociopolitical environment when designing an introductory course to equip students with a broader perspective on nursing professional development. Teaching content and pedagogy should be improved to promote knowledge delivery and internalization.</p>","PeriodicalId":40753,"journal":{"name":"Nursing Reports","volume":"15 9","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-08-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12472622/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145151274","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}
引用次数: 0
Ethical and Practical Considerations of Physicians and Nurses on Integrating Artificial Intelligence in Clinical Practices in Saudi Arabia: A Cross-Sectional Study. 沙特阿拉伯医生和护士在临床实践中整合人工智能的伦理和实践考虑:一项横断面研究。
IF 2
Nursing Reports Pub Date : 2025-08-25 DOI: 10.3390/nursrep15090309
Abdulaziz Rashed Alsaedi, Maisam Elfaki Haddad, Roaa Matouq Khinkar, Sumayyah Mohammed Alsharif, Anhar Abdelwahab Elbashir, Ahlam Ali Alghamdi
{"title":"Ethical and Practical Considerations of Physicians and Nurses on Integrating Artificial Intelligence in Clinical Practices in Saudi Arabia: A Cross-Sectional Study.","authors":"Abdulaziz Rashed Alsaedi, Maisam Elfaki Haddad, Roaa Matouq Khinkar, Sumayyah Mohammed Alsharif, Anhar Abdelwahab Elbashir, Ahlam Ali Alghamdi","doi":"10.3390/nursrep15090309","DOIUrl":"10.3390/nursrep15090309","url":null,"abstract":"<p><p><b>Background/Objectives</b>: The emergence of artificial intelligence (AI) has revolutionized the healthcare industry. However, its integration into clinical practices raises ethical and practical concerns. This study aims to explore ethical and practical considerations perceived by physicians and nurses in Saudi Arabia. <b>Methods</b>: It employed a cross-sectional design with 400 physicians and nurses, using a pre-established online questionnaire. Descriptive data were analyzed through means and standard deviations, while inferential statistics were performed using the independent samples <i>t</i>-test. <b>Results</b>: Most participants were male (57%) and physicians (73.8%), with most employed in governmental organizations (87%). The participants' use and awareness of AI was low, as 34.0% said they had never used it, but 74.5% of respondents were willing to use AI in clinical practices. Also, 80.5% of participants were aware of the AI benefits, and 71.0% had background knowledge about the ethical concerns related to AI's implementation in their clinical practices. Moreover, (62.0%) of respondents recognized the applicability of AI in their specialty. Key findings revealed significant concerns: participants perceived a lack of skills to effectively utilize AI in clinical practice (mean = 4.04) and security risks such as AI manipulation or hacking (mean = 3.83). The most pressing ethical challenges included AI's potential incompatibility with all populations and cultural norms (mean = 3.90) and uncertainty regarding responsibility for AI-related errors (mean = 3.84). <b>Conclusions</b>: These findings highlight substantial barriers that hinder the effective integration of AI in clinical practices in Saudi Arabia. Addressing these challenges requires leadership support, specific training initiatives, and developing practical strategies tailored to the local context. Future research should include other healthcare professionals and qualitatively explore further underlying factors influencing AI adoption.</p>","PeriodicalId":40753,"journal":{"name":"Nursing Reports","volume":"15 9","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-08-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12472769/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145151292","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}
引用次数: 0
Factors Associated with Post-Intensive Care Syndrome in Patients Attending a Hospital in Northern Colombia: A Quantitative and Correlational Study. 哥伦比亚北部某医院患者重症监护后综合征相关因素:一项定量和相关性研究
IF 2
Nursing Reports Pub Date : 2025-08-25 DOI: 10.3390/nursrep15090311
Jorge Luis Herrera Herrera, Yolima Judith Llorente Pérez, Edinson Oyola López, Gustavo Edgardo Jiménez Hernández
{"title":"Factors Associated with Post-Intensive Care Syndrome in Patients Attending a Hospital in Northern Colombia: A Quantitative and Correlational Study.","authors":"Jorge Luis Herrera Herrera, Yolima Judith Llorente Pérez, Edinson Oyola López, Gustavo Edgardo Jiménez Hernández","doi":"10.3390/nursrep15090311","DOIUrl":"10.3390/nursrep15090311","url":null,"abstract":"<p><p><b>Background/Objectives:</b> We identified the factors related to post-intensive care syndrome in a sample of patients from northern Colombia. <b>Methods:</b> This study employed a quantitative, observational, descriptive, and correlational approach. A sample of 277 adults was obtained through non-probabilistic convenience sampling, and a characterization form comprising sociodemographic and clinical variables was applied. The Healthy Aging Brain Care Monitor (HABC-M) instrument was also used, which is a clinical tool with a high capacity to detect post-intensive care syndrome (PICS) in surviving intensive care unit (ICU) patients. <b>Results:</b> The final sample consisted of 277 adults, 67.5% male, with university degrees, cohabiting in a marital union, working, from urban areas, and of the Catholic religion. Seventy percent of the sample presented both cardiovascular and neurological alterations and was admitted to the ICU, and 66% had a personal history of arterial hypertension (AHT) and type 2 diabetes mellitus (DM2). Patients had a mean ICU stay of 10.7 days, with a standard deviation of 4 days, and displayed a moderate risk of morbidity and mortality according to Acute Physiology and Chronic Health Evaluation II (APACHE II). A total of 38.6% of the sample received mechanical ventilation, with a mean duration of 8.3 days, and 7.5% underwent tracheostomy. As for sedation, 38.6% were administered fentanyl. In total, 83.4% of the sample presented the syndromes under study, with a predominance of the severe category. The global score of the scale was taken as the dependent variable, and statistical significance (<i>p</i> < 0.05) was found with sociodemographic variables, including origin and religion, and with clinical variables such as receiving pharmacological treatment. <b>Conclusions:</b> The sample presented PICS globally and showed how it affects the different dimensions, showing associations with the sociodemographic and clinical variables of interest.</p>","PeriodicalId":40753,"journal":{"name":"Nursing Reports","volume":"15 9","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-08-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12472859/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145151287","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}
引用次数: 0
Concealing, Connecting, and Confronting: A Reflexive Inquiry into Mental Health and Wellbeing Among Undergraduate Nursing Students. 隐藏、联系与面对:护理本科学生心理健康与幸福感的反思性调查。
IF 2
Nursing Reports Pub Date : 2025-08-25 DOI: 10.3390/nursrep15090312
Animesh Ghimire
{"title":"Concealing, Connecting, and Confronting: A Reflexive Inquiry into Mental Health and Wellbeing Among Undergraduate Nursing Students.","authors":"Animesh Ghimire","doi":"10.3390/nursrep15090312","DOIUrl":"10.3390/nursrep15090312","url":null,"abstract":"<p><p><b>Background</b>: Undergraduate nursing students (UNSs) often enter clinical training just as they are still mastering the emotional labor of the profession. In Nepal, where teaching hierarchies discourage upward dialogue and hospitals routinely struggle with overcrowding, supply shortages, and outward nurse migration, these learners confront a distinct, under-documented burden of psychological distress. <b>Objective</b>: This study examines how UNSs interpret, negotiate, and cope with the mental health challenges that arise at the intersection of cultural deference, resource scarcity, and migration-fueled uncertainty. <b>Methods</b>: A qualitative design employing reflexive thematic analysis (RTA), guided by the Reflexive Thematic Analysis Reporting Guidelines (RTARG), was used. Fifteen second-, third-, and fourth-year Bachelor of Science in Nursing students at a major urban tertiary institution in Nepal were purposively recruited via on-campus digital flyers and brief in-class announcements that directed students (by QR code) to a secure sign-up form. Participants then completed semi-structured interviews; audio files were transcribed verbatim and iteratively analyzed through an inductive, reflexive coding process to ensure methodological rigor. <b>Results</b>: Four themes portray a continuum from silenced struggle to systemic constraint. First, Shrouded Voices, Quiet Connections captures how students confide only in trusted peers, fearing that formal disclosure could be perceived as weakness or incompetence. Second, Performing Resilience: Masking Authentic Struggles describes the institutional narratives of \"strong nurses\" that drive students to suppress anxiety, adopting scripted positivity to satisfy assessment expectations. Third, Power, Hierarchy, and the Weight of Tradition reveals that strict authority gradients inhibit questions in classrooms and clinical placements, leaving stress unvoiced and unaddressed. Finally, Overshadowed by Systemic Realities shows how chronic understaffing, equipment shortages, and patient poverty compel students to prioritize patients' hardships, normalizing self-neglect. <b>Conclusions</b>: Psychological distress among Nepalese UNSs is not an individual failing but a product of structural silence and resource poverty. Educators and policymakers must move beyond resilience-only rhetoric toward concrete reforms that dismantle punitive hierarchies, create confidential support avenues, and embed collaborative pedagogy. Institutional accountability-through regulated workloads, faculty-endorsed wellbeing forums, and systematic mentoring-can shift mental health care from a private struggle to a shared professional responsibility. Multi-site studies across low- and middle-income countries are now essential for testing such system-level interventions and building a globally resilient, compassionate nursing workforce.</p>","PeriodicalId":40753,"journal":{"name":"Nursing Reports","volume":"15 9","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-08-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12472999/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145151021","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}
引用次数: 0
Simulated Learning, Real Emotions: The Impact of Simulation-Based Education on Nursing Students' Stress Levels During Objective Structured Clinical Examination: A Longitudinal Observational Cohort Study. 模拟学习,真实情绪:以模拟为基础的教育对护理学生在客观结构化临床检查中压力水平的影响:一项纵向观察队列研究。
IF 2
Nursing Reports Pub Date : 2025-08-21 DOI: 10.3390/nursrep15080307
Kazimiera Hebel, Aleksandra Steliga, Katarzyna Lewandowska, Mikolaj Majkowicz, Aleksandra Goral-Kubasik, Monika Buzanowska, Mateusz Lammek, Andrew Sykes, Mateusz Puslecki, Przemyslaw Kowianski
{"title":"Simulated Learning, Real Emotions: The Impact of Simulation-Based Education on Nursing Students' Stress Levels During Objective Structured Clinical Examination: A Longitudinal Observational Cohort Study.","authors":"Kazimiera Hebel, Aleksandra Steliga, Katarzyna Lewandowska, Mikolaj Majkowicz, Aleksandra Goral-Kubasik, Monika Buzanowska, Mateusz Lammek, Andrew Sykes, Mateusz Puslecki, Przemyslaw Kowianski","doi":"10.3390/nursrep15080307","DOIUrl":"10.3390/nursrep15080307","url":null,"abstract":"<p><p><b>Background</b>: Simulation-based education (SBE) is a key component of nursing training. It enables students to apply theoretical knowledge in practice, expand their clinical understanding, develop critical thinking, improve communication skills, and build self-confidence. Increasing the number of simulation hours in nursing curricula may enhance students' ability to manage stress in clinical settings. <b>Methods</b>: This was a cross-sectional comparative study involving 113 nursing students during a practical exam. Participants graduated in three consecutive years: 2020, 2021, and 2022. SBE was introduced into the curriculum in 2020, resulting in varying levels of simulation experience. Stress and anxiety markers were measured during the exam and compared across groups. <b>Results</b>: Greater simulation experience was associated with lower heart rate (<i>p</i> = 0.007), lower diastolic blood pressure (<i>p</i> < 0.001), and lower cortisol levels (<i>p</i> < 0.001). Students with two years of simulation training reported the lowest perceived stress (<i>p</i> = 0.031). However, anxiety levels remained high across all groups and did not differ significantly. <b>Conclusions</b>: The study showed that OSCEs are associated with elevated stress in nursing students. Students with greater exposure to simulation-based education had significantly lower stress and anxiety indicators. SBE appears to reduce stress and improve students' preparedness for clinical assessments.</p>","PeriodicalId":40753,"journal":{"name":"Nursing Reports","volume":"15 8","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-08-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12389290/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144973197","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}
引用次数: 0
Process Model for Transitioning Care Responsibility to Adolescents and Young Adults with Biliary Atresia: A Secondary and Integrative Analysis. 胆道闭锁青少年护理责任转移的过程模型:二次综合分析。
IF 2
Nursing Reports Pub Date : 2025-08-21 DOI: 10.3390/nursrep15080308
Katsuhiro Hiratsuka, Nobue Nakamura
{"title":"Process Model for Transitioning Care Responsibility to Adolescents and Young Adults with Biliary Atresia: A Secondary and Integrative Analysis.","authors":"Katsuhiro Hiratsuka, Nobue Nakamura","doi":"10.3390/nursrep15080308","DOIUrl":"10.3390/nursrep15080308","url":null,"abstract":"<p><p><b>Background/Objectives:</b> This study conducted a secondary and integrative analysis of qualitative data on adolescents and young adults (AYAs) with biliary atresia who survive with their native livers. These individuals struggle with independence and self-care due to prolonged parental involvement. Prior studies have insufficiently clarified how AYAs and parents jointly navigate daily responsibility transitions during this period. Therefore, we aimed to elucidate this process and develop a practical model to support nursing care. <b>Methods:</b> Semi-structured interview data from eight adolescent-parent dyads (one male and seven females, aged 17-25; one father and seven mothers, aged 40-60) were reanalyzed using the modified grounded theory approach. By reframing the analytical focus on dyadic interactions, four transition phases were identified, which were then integrated with the findings of two prior studies to construct an integrative process model. <b>Results:</b> The transition comprised four phases: (1) parent-led recuperation, (2) a vicious cycle of control and rebellion, (3) passing the axis of responsibility, and (4) aligning the parent-child rhythm to create a patient-centered life. The transition processes were shaped by changes in cognition and behavior. The model illustrates mutual adaptation through communication, negotiation, and reflection, identifying opportunities for nursing intervention. <b>Conclusions:</b> This process model offers a practical framework for nurses to assess readiness for care transitions, support transitional role shifts, and co-develop care strategies. The model provides insights into relationship-based communication and shared decision-making in transitional care by capturing the relational dynamics between AYAs and their parents.</p>","PeriodicalId":40753,"journal":{"name":"Nursing Reports","volume":"15 8","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-08-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12388926/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144973221","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}
引用次数: 0
Between Love and Exhaustion: A Qualitative Study of Greek Parents' Lived Experiences Supporting Adult Children with Substance Use Disorders. 在爱与疲惫之间:希腊父母支持有物质使用障碍的成年子女的生活经历的定性研究。
IF 2
Nursing Reports Pub Date : 2025-08-20 DOI: 10.3390/nursrep15080306
Panagiota Tragantzopoulou, Eleni Rizou
{"title":"Between Love and Exhaustion: A Qualitative Study of Greek Parents' Lived Experiences Supporting Adult Children with Substance Use Disorders.","authors":"Panagiota Tragantzopoulou, Eleni Rizou","doi":"10.3390/nursrep15080306","DOIUrl":"10.3390/nursrep15080306","url":null,"abstract":"<p><p><b>Background/Objectives:</b> Parents of individuals with substance use disorders (SUDs) often carry significant emotional and relational burdens, yet their voices remain underrepresented in addiction research. This study explores how Greek parents navigate the long-term challenges of caring for adult children with SUDs, with a focus on emotional strain, caregiving identity, and culturally embedded coping strategies within a collectivist context. <b>Methods:</b> Eight Greek parents (six mothers and two fathers, aged 47-60) participated in in-depth, semi-structured interviews. Conversations were conducted either in person or via video call, depending on participant preference and geographical constraints. Data were analyzed using Interpretative Phenomenological Analysis (IPA) to explore lived experience and the meaning-making processes shaping parental coping over time. <b>Results</b>: Four overarching themes were identified as follows: (1) Living in Vigilance, reflecting constant hyper-alertness, emotional exhaustion, and social withdrawal rooted in trauma; (2) Shifting Parental Identity, capturing the evolution of parents into caregivers, advocates, and informal caseworkers amid systemic neglect; (3) Struggling Within Systems, highlighting exclusion, blame, and fragmentation in institutional care-with moments of empathy holding outsized emotional weight; and (4) Coping as Cultural Duty, showing how caregiving was sustained through values of sacrifice, loyalty, and protective silence, even at great personal cost. <b>Conclusions:</b> Greek parents supporting adult children with SUDs face a complex interplay of trauma, cultural obligation, and institutional strain. Their coping is shaped by deeply held familial values rather than access to effective support. The findings call for culturally attuned, family-inclusive interventions and further research into long-term caregiving across diverse contexts.</p>","PeriodicalId":40753,"journal":{"name":"Nursing Reports","volume":"15 8","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-08-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12389341/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144973162","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}
引用次数: 0
Supporting Mental Health and Physical Wellbeing Among Nursing Students Through Yoga: A Mixed-Methods Study. 通过瑜伽支持护理学生的心理健康和身体健康:一项混合方法研究。
IF 2
Nursing Reports Pub Date : 2025-08-20 DOI: 10.3390/nursrep15080305
Beverley Martin, Blake Peck, Liz Ryan, Andy Davies, Daniel Terry
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