Nursing Reports最新文献

{"title":"The Association Between Missed Nursing Care and Job Satisfaction Among Nurses in Saudi Arabian Hospitals: A Cross-Sectional Study.","authors":"Bushra Alshammari, Munirah Matar Alshammari, Nadiah A Baghdadi","doi":"10.3390/nursrep15080296","DOIUrl":"10.3390/nursrep15080296","url":null,"abstract":"<p><p><b>Background/Objectives</b>: Missed nursing care (MNC), defined as any omitted or delayed aspect of required patient care, is a global concern affecting both patient outcomes and nurse well-being. In Saudi Arabia, few studies have examined its relationship with job satisfaction. This study assessed the prevalence of MNC, job satisfaction, and their association among nurses in government hospitals. <b>Methods</b>: A correlational, cross-sectional study was conducted between February and May 2025 in government hospitals across Albahah, Hail, and Almadina. A total of 366 registered nurses participated. Data were collected via a structured online questionnaire including demographic information, the Missed Nursing Care Scale, and the Minnesota Satisfaction Questionnaire (MSQ). Data were analyzed using descriptive statistics, Spearman's correlation, and regression analysis. <b>Results</b>: Basic care activities such as mouth care, bathing, and meal assistance were the most frequently missed tasks, mainly due to staffing shortages and high patient loads. The median MSQ score was 60 (44-71 Interquartile Range), reflecting moderate job satisfaction. A significant negative correlation was observed between MNC and job satisfaction (r = -0.267, <i>p</i> < 0.001), indicating that increased missed care was associated with lower satisfaction levels. <b>Conclusions</b>: The findings highlight the urgent need for healthcare administrators and policymakers to implement strategies to improve staffing levels and work environments. Addressing these organizational factors is essential to reducing missed nursing care, enhancing nurse job satisfaction, and ultimately improving patient safety and care quality in Saudi government hospitals.</p>","PeriodicalId":40753,"journal":{"name":"Nursing Reports","volume":"15 8","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-08-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12389183/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144973193","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 Use of Capnography for Respiratory Monitoring by Nurses in Phase I Post-Anesthesia Care Unit: A Scoping Review.","authors":"Adriana Sofia Lucas Assunção, Lara Daniela Matos Cunha","doi":"10.3390/nursrep15080292","DOIUrl":"10.3390/nursrep15080292","url":null,"abstract":"<p><p><b>Background/Objectives</b>: Capnography monitoring in the Post-Anesthesia Care Unit (PACU) plays a crucial role in the early detection of respiratory complications, being fundamental for patient safety. It provides objective and continuous data on ventilation, enabling timely interventions to optimize health outcomes. This scoping review aims to map the available evidence regarding barriers and facilitators to the use of capnography for respiratory monitoring by nurses in the Phase I PACU. <b>Methods</b>: A scoping review was conducted following the methodology proposed by the Joanna Briggs Institute (JBI). The search was performed in the MEDLINE and CINAHL Complete databases and the Portuguese Open Access Scientific Repository (RCAAP). Studies in Portuguese, English, and Spanish were included, with no time restrictions. The search strategy combined indexing terms and natural language, adapted to each database. <b>Results</b>: Seven studies were included in the sample. The main identified barriers were a high workload, perceived lack of patient adherence, and lack of knowledge. Key facilitators included the alarm sound, patient education, anticipating patient clinical instability, increased nurse confidence, perception of enhanced safety, targeted training for nurses, continuous improvement in care delivery, effective communication and feedback, promotion of sustainable care practices, and prior knowledge and exposure. <b>Conclusions</b>: The use of capnography in the PACU allows for respiratory function assessment and the early detection of clinical events. Its implementation should be based on current scientific evidence, promoting a culture of safety and quality improvement in patient care.</p>","PeriodicalId":40753,"journal":{"name":"Nursing Reports","volume":"15 8","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-08-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12388728/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144973165","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":"Mapping Care Practices and Service Delivery Models for Refugee and Displaced Families in Private Hosting Arrangements: A Scoping Review.","authors":"Areej Al-Hamad, Yasin M Yasin, Lujain Yasin, Andy Zhang","doi":"10.3390/nursrep15080293","DOIUrl":"10.3390/nursrep15080293","url":null,"abstract":"<p><p><b>Background/Objectives</b>: Private hosting arrangements have emerged as community-driven alternatives to institutional refugee housing, offering personalized support and opportunities for enhanced social integration. However, clarity around care practices and service delivery models remains underdeveloped. <b>Methods</b>: This paper presents the findings of a scoping review aimed at mapping evidence on service delivery and care practices in private hosting contexts for refugee families. Following an overview of the background and methodology, we present key themes, propose a conceptual model, and conclude with implications for policy, practice, and future research. This scoping review maps existing literature on care practices; it does not assess the effectiveness of interventions or establish best practices. The review synthesizes empirical and gray literature on service delivery and care practices supporting refugee and displaced families in private hosting contexts. Following the Joanna Briggs Institute (JBI) methodology, six academic databases and multiple gray literature sources were systematically searched, resulting in the inclusion of 28 studies. <b>Results</b>: The analysis identified four conceptual dimensions of care described in the literature: relational care and trust-building, program structure and policy integration, holistic integration pathways, and embedded equity and protection. While private hosting facilitates emotional connection and psychosocial integration, the review highlights key challenges, including variability in host preparedness, emotional labor disparities, and limited formal oversight. <b>Conclusions</b>: The findings underscore the need for evidence-informed guidelines, standardized host training, trauma-informed approaches, and coordinated policy frameworks. The resulting model offers a foundation to inform future research, guide policy development, and strengthen private hosting practices to ensure equitable, inclusive, and sustainable outcomes for refugee and displaced families.</p>","PeriodicalId":40753,"journal":{"name":"Nursing Reports","volume":"15 8","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-08-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12389609/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144972991","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":"Pediatric Pain Management: An Observational Study on Nurses' Knowledge of Non-Pharmacological Techniques.","authors":"Lum Jusufi, Enrico Cocchi, Rita Blaco, Valeria Cremonini, Claudia Cadas, Elsa Vitale, Roberto Lupo, Giorgio De Nunzio, Donato Cascio, Gianandrea Pasquinelli, Luana Conte, Ivan Rubbi","doi":"10.3390/nursrep15080290","DOIUrl":"10.3390/nursrep15080290","url":null,"abstract":"<p><p><b>Introduction</b>: Pain represents a significant threat to the physical and psychological well-being of children, negatively affecting their quality of life during hospitalization. Pain is considered the fifth vital sign and must be regularly assessed and managed, as also emphasized by the nursing code of ethics. The interdisciplinary approach to pediatric pain management includes both pharmacological treatments and non-pharmacological techniques (NPTs), taking into account the child's age and specific needs. NPTs comprise a broad set of methods, ranging from simple to complex, that can be applied to children to help them manage pain. The main objective of this study was to explore and analyze which non-pharmacological methods are adopted by nurses in their clinical practice to relieve pain in school-aged children (6-12 years) undergoing surgery. <b>Materials and Methods</b>: This observational study involved nursing staff from pediatric wards in the Italian provinces of Ravenna, Forlì-Cesena, and Rimini, and used a validated online questionnaire. The study focused on school-aged children (6-12 years) who had undergone surgical procedures. The questionnaire included items on which NPTs nurses used to relieve pain in pediatric patients. Participants responded using a Likert scale from 1 (never) to 5 (always), and anonymity and voluntary participation were guaranteed. Data were collected between February and October 2024, involving the pediatric units of three hospitals in the provinces of Ravenna, Forlì-Cesena, and Rimini. Statistical analyses included <i>t</i>-tests, ANOVA, and Kruskal-Wallis tests to identify significant differences. <b>Results</b>: A total of 46 nurses completed the questionnaire. No significant differences were found between nurses' backgrounds and the use of NPTs. Overall, nurses did report using NPTs, although there was limited use of such techniques in the preoperative phase. The study also highlighted a discrepancy in the information provided to children versus parents, with nurses tending to give more information to parents during the preoperative period. Notably, nurses who reported effective multidisciplinary collaboration were also those who better prepared children using NPTs. <b>Conclusions</b>: This study emphasizes the importance of NPTs in pediatric pain management and highlights the need to improve direct communication with children. Adopting an effective multidisciplinary approach is essential to ensuring a less traumatic surgical experience for young patients.</p>","PeriodicalId":40753,"journal":{"name":"Nursing Reports","volume":"15 8","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-08-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12388933/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144973014","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 Role of Nurse Practitioners in Surgical Settings Across the Perioperative Trajectory: A Comparative Study on Patient-Centered Outcomes.","authors":"Limor Chen, Ziv Gil, Nasra Idilbi, Dafna Zontag, Efrat Shadmi","doi":"10.3390/nursrep15080291","DOIUrl":"10.3390/nursrep15080291","url":null,"abstract":"<p><p>Nurse practitioners (NPs) are increasingly integrated into surgical care teams, complementing traditional surgical roles. However, the relationship between their involvement and patient-reported outcome measures (PROMs), such as pain and anxiety, remains understudied. <b>Purpose</b>: To examine the types of care from NPs in surgical units during the perioperative period and evaluate their association with length of stay, pain, and anxiety. <b>Methods</b>: Our prospective comparative study in two surgical units at a tertiary medical center included 315 patients: 156 received care from NPs, and 159 received usual care. Data were collected at three time points: post-operative day one (T0), during hospitalization (T1), and 14 days post-discharge (T2). Measures included the Brief Pain Inventory, the Hospital Anxiety and Depression Scale, and an intervention checklist completed by the NPs. <b>Findings</b>: NPs performed primarily in-hospital interventions including care coordination (40%) and medication management (44%). Patients treated by NPs reported significantly lower in-hospital anxiety compared to usual care (<i>p</i> = 0.001). The length of stay and pain levels were not significantly associated with NP care. <b>Discussion</b>: NPs in surgical settings provide patient-centered care associated with lower in-hospital anxiety. Further research is recommended to validate these findings in diverse settings.</p>","PeriodicalId":40753,"journal":{"name":"Nursing Reports","volume":"15 8","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-08-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12389685/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144973195","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":"Sense of Coherence and Perceived Academic Stress Among Nursing Students: A Multicenter Cross-Sectional Study.","authors":"David Ballester-Ferrando, Esther Cáceres-Malagelada, Carolina Rascón-Hernán, Teresa Botigué, Ana Lavedán, Olga Masot, Dolors Burjalés, Luis González-Osorio, Ximena Osorio-Spuler, Eva Serrat-Graboleda, Concepció Fuentes-Pumarola","doi":"10.3390/nursrep15080288","DOIUrl":"10.3390/nursrep15080288","url":null,"abstract":"<p><p><b>Background:</b> Nursing students often face high academic and emotional demands, which can negatively affect both their mental health and academic performance. From a salutogenic perspective, the sense of coherence (SOC) is considered a key protective factor in managing stress and fostering resilience. <b>Objectives</b>: This study aimed to explore the SOC levels among nursing students and examine their associations with perceived academic stress and sociodemographic variables. <b>Methods</b>: A multicenter, cross-sectional, exploratory study was conducted in a sample of 1301 undergraduate nursing students from four universities in Spain and Chile. Participants completed the Orientation to Life Questionnaire, a validated instrument assessing SOC and its three dimensions: comprehensibility, manageability, and meaningfulness. Sociodemographic data and students' perceived stress in relation to key academic activities were also collected. Descriptive and inferential statistical analyses were performed, including <i>t</i>-tests and ANOVA. <b>Results</b>: The mean SOC score was 62.65 (SD = 12.36), with no significant differences between universities. Significant associations (<i>p</i> < 0.05) were found between SOC scores and age, marital status, academic year, work status, and university entry path, but not with gender or caregiving responsibilities. Students aged ≥29 years and those who were married or working had higher SOC scores. Higher levels of perceived stress in lectures, seminars, clinical practice, group work, and written assignments were significantly associated with lower SOC scores. <b>Conclusions</b>: This study's findings suggest that a stronger SOC is associated with lower perceived academic stress and certain sociodemographic characteristics. Integrating salutogenic approaches into nursing curricula could strengthen students' SOC, promoting their mental well-being and academic resilience.</p>","PeriodicalId":40753,"journal":{"name":"Nursing Reports","volume":"15 8","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-08-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12388887/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144973152","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":"Augmented Reality in Health Education: Transforming Nursing, Healthcare, and Medical Education and Training.","authors":"Georgios Lampropoulos, Pablo Fernández-Arias, Antonio Del Bosque, Diego Vergara","doi":"10.3390/nursrep15080289","DOIUrl":"10.3390/nursrep15080289","url":null,"abstract":"<p><p><b>Background</b>: In health sciences education and particularly, in healthcare education, nursing education, and medical education, augmented reality is being increasingly used due to the changes and benefits to teaching and learning approaches it can yield. However, as the field advances, it is important to systematically map the current literature and provide an overview of the field. <b>Aim</b>: By analyzing the current literature, this study focuses on examining the use of augmented reality in healthcare, nursing, and medical education and training. <b>Method</b>: The study adopts a systematic mapping review approach and analyzes 156 studies that were published during 2010-2025. <b>Results</b>: The results revealed that augmented reality is an effective educational tool that can support teaching and learning of diverse subjects in the context of health education, as it enables learners to combine their theoretical knowledge with practical applications within interactive and immersive learning environments and simulations without risking patient safety. Increased learning outcomes, including hands-on acquisition of practical skills and clinical competencies, engagement, performance, knowledge gain and retention, as well as their critical thinking and decision-making were observed. The potential of augmented reality to offer realistic and interactive visual representations, to support procedural training, to provide cost-effective solutions, to enhance collaborative learning, and to increase accessibility to education, even in resource-limited settings, was highlighted. Education stakeholders expressed positive attitudes and perspectives toward the adoption and integration of augmented reality into health sciences education. <b>Discussion</b>: The results emphasize the role of augmented reality in supporting and improving health education. Additionally, the study revealed six main topics, identified current research gaps, and provided future research directions. <b>Conclusions</b>: When appropriately applied, augmented reality has the potential to effectively support and enrich nursing, healthcare, and medical education and training.</p>","PeriodicalId":40753,"journal":{"name":"Nursing Reports","volume":"15 8","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-08-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12388644/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144973199","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":"Legacy of Strength and Future Opportunities: A Qualitative Interpretive Inquiry Regarding Australian Men in Mental Health Nursing.","authors":"Natasha Reedy, Trish Luyke, Brendon Robinson, Rhonda Dawson, Daniel Terry","doi":"10.3390/nursrep15080287","DOIUrl":"10.3390/nursrep15080287","url":null,"abstract":"<p><p><b>Background/Objectives:</b> Men have historically contributed significantly to mental health nursing, particularly in inpatient settings, where their presence has supported patient recovery and safety. Despite this legacy, men remain under-represented in the nursing workforce, and addressing this imbalance is critical to workforce sustainability. This study offers a novel contribution by exploring the lived experiences, motivations, and professional identities of men in mental health nursing, an area that has received limited empirical attention. The aim of the study is to examine the characteristics, qualities, and attributes of mental health nurses who are male, which contributes to their attraction to and retention within the profession. <b>Methods:</b> A qualitative interpretive inquiry was conducted among nurses who were male and either currently or previously employed in mental health settings. Two focus groups were conducted using semi-structured questions to explore their career pathways, motivations, professional identities, and perceived contributions. Thematic analysis was used to identify key themes and patterns in their narratives. <b>Results:</b> Seven participants, with 10-30 years of experience, participated. They had entered the profession through diverse pathways, expressing strong alignment between personal values and professional roles. Five themes emerged and centred on mental health being the heart of health, personal and professional fulfillment, camaraderie and teamwork, a profound respect for individuals and compassion, and overcoming and enjoying the challenge. <b>Conclusions:</b> Mental health nurses who are male bring unique contributions to the profession, embodying compassion, resilience, and ethical advocacy. Their experiences challenge traditional gender norms and redefine masculinity in health care. Fostering inclusive environments, mentorship, and leadership opportunities is essential to support their growth. These insights inform strategies to strengthen recruitment, retention, and the future of mental health nursing.</p>","PeriodicalId":40753,"journal":{"name":"Nursing Reports","volume":"15 8","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-08-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12388931/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144972918","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":"Evaluating Nursing and Midwifery Students' Self-Assessment of Clinical Skills Following a Flipped Classroom Intervention with Innovative Digital Technologies in Bulgaria.","authors":"Galya Georgieva-Tsaneva, Ivanichka Serbezova, Milka Serbezova-Velikova","doi":"10.3390/nursrep15080285","DOIUrl":"10.3390/nursrep15080285","url":null,"abstract":"<p><p><b>Background/Objectives</b>: The transformation of nursing and midwifery education through digital technologies has gained momentum worldwide, with algorithm-based video instruction and virtual reality (VR) emerging as promising tools for improving clinical learning. This quasi-experimental study explores the impact of an enhanced flipped classroom model on Bulgarian nursing and midwifery students' self-perceived competence. <b>Methods</b>: A total of 228 participants were divided into a control group receiving traditional instruction (lectures and simulations with manikins) and an experimental group engaged in a digitally enhanced preparatory phase. The latter included pre-class video algorithms, VR, and clinical problem-solving tasks for learning and improving nursing skills. A 25-item self-report questionnaire was administered before and after the intervention to measure perceived competence in injection techniques, hygiene care, midwifery skills, and digital readiness. <b>Results</b>: Statistical analysis using Welch's t-test revealed significant improvements in the experimental group in all domains (<i>p</i> < 0.001). Qualitative data from focus group interviews further confirmed increased student engagement, motivation, and receptiveness to digital learning tools. <b>Conclusions</b>: The findings highlight the pedagogical value of integrating structured video learning, VR components, and case-based learning within flipped classrooms. The study advocates for the wider adoption of blended learning models to foster clinical confidence and digital competence in healthcare education. The results of the study may be useful for curriculum developers aiming to improve clinical readiness through technology-enhanced learning.</p>","PeriodicalId":40753,"journal":{"name":"Nursing Reports","volume":"15 8","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-08-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12388806/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144973216","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":"Impact of COVID-19 on Mental Health in Nursing Students and Non-Nursing Students: A Cross-Sectional Study.","authors":"Verena Dresen, Liliane Sigmund, Siegmund Staggl, Bernhard Holzner, Gerhard Rumpold, Laura R Fischer-Jbali, Markus Canazei, Elisabeth Weiss","doi":"10.3390/nursrep15080286","DOIUrl":"10.3390/nursrep15080286","url":null,"abstract":"<p><p><b>Background/Objective</b>: Nursing and non-nursing students experience high stress levels, making them susceptible to mental health issues. This study compared stress, anxiety, and depression between these two groups after 2 years of the COVID-19 pandemic. Additionally, it explored the relationship between perceived helplessness, self-efficacy, and symptoms of mental stress and strain resulting from challenging internship conditions for nursing students. <b>Methods</b>: This cross-sectional study included 154 nursing students (mean age = 22.43 years) and 291 non-nursing students (mean age = 27.7 years). Data were collected using the Depression Anxiety Stress Scales (DASS-21), Perceived Stress Scale-10 (PSS-10), and a questionnaire on mental stress and strain. <b>Results</b>: Nursing students reported significantly higher scores in the DASS-21 subscales depression (ηp² = 0.016) and anxiety (ηp² = 0.037), and global stress (PSS-10; ηp² = 0.029) compared to non-nursing students, but no significant difference on the DASS-21 Stress subscale. The observed group differences in the present study may be partially attributed to group differences in demographic factors. Helplessness correlated strongly with nearly all scales of mental stress and strain during internships (all <i>p</i>'s < 0.001), while self-efficacy showed a strong negative correlation with non-occupational difficulties, health impairment, and emotional problems (all <i>p</i>'s < 0.001). <b>Conclusions</b>: Nursing students experience elevated depression, anxiety, and perceived stress levels compared to non-nursing students. Stronger feelings of helplessness and lower confidence in their ability to overcome challenges were strongly correlated with mental stress and strain during clinical training. Targeted interventions such as cognitive behavioral training and stress management should be integrated into nursing curricula to enhance resilience and coping strategies.</p>","PeriodicalId":40753,"journal":{"name":"Nursing Reports","volume":"15 8","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-08-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12389289/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144973168","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}