Nursing Reports最新文献

{"title":"Implementation of M-Chat for Screening of Early Signs of Autism in the Brazilian Health Care System: A Feasibility Study.","authors":"Nadia Maria Giaretta, Sabrina Pires Trufeli, Felipe Alckmin-Carvalho, Maria Cristina Triguero Veloz Teixeira","doi":"10.3390/nursrep15040120","DOIUrl":"https://doi.org/10.3390/nursrep15040120","url":null,"abstract":"<p><p><b>Background</b>: Although screening for early signs of autism spectrum disorder (ASD) using the Modified Checklist for Autism in Toddlers (M-CHAT) has been recommended by the Brazilian Ministry of Health since 2014, the feasibility of this intervention and its effects in primary care have not been sufficiently investigated. <b>Objectives</b>: (1) to verify the feasibility of implementing the M-CHAT in the Brazilian Unified Health System, through routine childcare vaccination; (2) to evaluate the level of knowledge and practices of nursing professionals in Brazilian primary health care in relation to ASD to check the expertise to apply M-CHAT to verify early signs of this condition; (3) to verify, after implementation, the frequency of children with possible early signs of ASD using the M-CHAT. <b>Methods</b>: This is an observational, cross-sectional study conducted in a medium-sized city in southeastern Brazil. A total of 97 nursing professionals from 21 health facilities participated. The professionals answered a questionnaire on knowledge and practices regarding ASD, attended training on early signs of ASD and for the use of M-CHAT. Finally, they administered the M-CHAT to 267 parents of children aged 16 to 57 months in primary care settings. <b>Results</b>: Insufficient knowledge of ASD was identified among the nursing professionals evaluated. Approximately 80% agreed that the training was satisfactory, and 88% agreed that they felt competent to use the M-CHAT; 74% agreed with the benefits of using the M-CHAT to detect early signs of ASD in public health settings. However, 91% of the professionals reported that incorporating the M-CHAT into the day care routine overloaded their work, and less than 50% agreed that the instrument should continue to be used in the day care routine. Sixty-seven (25.09%) children screened positive for possible early signs of ASD by M-CHAT. <b>Conclusions</b>: The insufficient level of knowledge on ASD found among nursing professionals suggests gaps in Brazilian academic and professional training in this area. Although most participants recognized the importance of early detection of signs of ASD in primary care settings, the implementation of the M-CHAT in the routine primary care settings was not well accepted for most participants due to work overload, which indicates the need for public health policies to offer working conditions that minimize the overload of professionals, maintaining early screening interventions for ASD in Brazilian primary care institutions.</p>","PeriodicalId":40753,"journal":{"name":"Nursing Reports","volume":"15 4","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12029837/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144037835","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":"Sexual and Reproductive Healthcare Provided to Women Diagnosed with Serious Mental Illness: Healthcare Professionals' Perspectives.","authors":"Glòria Tort-Nasarre, Paola Galbany-Estragués, María Ángeles Saz Roy, Maria Romeu-Labayen","doi":"10.3390/nursrep15040119","DOIUrl":"https://doi.org/10.3390/nursrep15040119","url":null,"abstract":"<p><p><b>Background</b>: Women diagnosed with serious mental illness (SMI) face increased vulnerability and significant risks to their sexual and reproductive health, an issue that is often overlooked in healthcare systems. Aim: This study aimed to explore the sexual and reproductive healthcare provided to women with SMI, based on the perspectives of professionals specialising in mental health and sexual and reproductive health. <b>Methods</b>: A descriptive qualitative design was used. Semi-structured interviews were conducted with a purposive sample of professionals from community mental health and sexual and reproductive health in Catalonia (Spain). Data were analysed using thematic analysis. <b>Results</b>: Two themes were identified: clinical practice and professional context. The clinical practice theme had three sub-themes: lack of a preventive framework, attention to sexual and reproductive needs, and supporting women in their desire for motherhood and in pregnancy. The professional context theme had four sub-themes: cross-disciplinary coordination, lack of protocols, lack of human resources and time, and lack of training in mental health. <b>Conclusions</b>: Mental health professionals and sexual and reproductive health professionals expressed different perspectives about sexual and reproductive healthcare for women with SMI, pointing to a need for greater training and coordination.</p>","PeriodicalId":40753,"journal":{"name":"Nursing Reports","volume":"15 4","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-03-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12030061/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144055660","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 Labor in Pediatric Palliative Care: A Scoping Review.","authors":"Ana Inês Lourenço da Costa, Luísa Barros, Paula Diogo","doi":"10.3390/nursrep15040118","DOIUrl":"https://doi.org/10.3390/nursrep15040118","url":null,"abstract":"<p><p><b>Background:</b> Caring for children in palliative care especially impacts healthcare professionals' personal and professional lives. Their emotional experience and needs are frequently forgotten. Healthcare professionals face emotional demands when caring for children with palliative needs and their parents. <b>Objective:</b> This scoping review aims to identify and map the scientific production about the emotional labor of healthcare professionals in pediatric palliative care. <b>Methods:</b> This scoping review was conducted according to the JBI recommendations and the PRISMA Extension for Scoping Reviews. We searched 16 electronic databases in August 2023 and updated the search on 17 February 2025. Articles were screened according to eligibility criteria, and a content analysis allowed for a summary of key findings. <b>Results:</b> Eleven publications were selected. Most studies were conducted in the United States of America and with nurses as the professionals involved. Many publications were qualitative studies and developed in a neonatal intensive care context. Using content analysis, five themes were identified: (1) emotional experience of healthcare professionals, (2) relational context involved, (3) managing professional and personal boundaries, (4) intrapersonal strategies of emotional labor, and (5) social and organizational strategies of emotional labor. <b>Conclusions:</b> The importance of implementing emotional labor strategies is highlighted, especially intrapersonal, social, and organizational strategies. Education, training, and reflection are needed within a workplace culture that recognizes emotional experiences and supports the emotional management of healthcare professionals. Emotional labor in pediatric palliative care should be recognized. Further research in this area is needed.</p>","PeriodicalId":40753,"journal":{"name":"Nursing Reports","volume":"15 4","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-03-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12029664/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144033445","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":"Evaluation of Knowledge, Attitudes, and Skills in Evidence-Based Nursing Practice Among Master's Degree Nursing Students.","authors":"Barbara Abram, Oliwia Radzimska, Jagoda Janiszewska, Aleksandra Świniarska, Roksana Papierkowska, Michał Czapla, Izabella Uchmanowicz","doi":"10.3390/nursrep15040117","DOIUrl":"https://doi.org/10.3390/nursrep15040117","url":null,"abstract":"<p><p><b>Background</b>: Evidence-Based Nursing Practice (EBNP) plays a crucial role in ensuring high-quality patient care. This study evaluates master's degree nursing students' knowledge, attitudes, and skills related to EBNP, identifying strengths and key gaps that require curriculum improvements to enhance their competencies in evidence-based practice. <b>Methods</b>: A cross-sectional study was conducted among 103 master's degree nursing students at Wrocław Medical University. Data were collected using a demographic questionnaire and the standardized Polish version of the Evidence-Based Practice Profile Questionnaire (EBP2Q). <b>Results</b>: The findings indicate that students demonstrated generally positive attitudes toward EBNP (mean score: 53.43 ± 10.05 out of 70). However, knowledge of research terminology was moderate (44.66 ± 18.01 out of 85), and the frequency of EBNP utilization in practice was relatively low (22.15 ± 8.74 out of 45). Significant differences were observed based on study mode and academic progression, with part-time students scoring higher in attitudes toward competency development (<i>p</i> = 0.02). A weak but positive correlation was found between professional experience and the frequency of EBNP utilization (r = 0.182, <i>p</i> = 0.068), while knowledge of research terminology showed a non-significant association with age (r = 0.167, <i>p</i> = 0.092). <b>Conclusions</b>: These findings highlight the need for targeted curriculum enhancements, particularly in research literacy, practical application opportunities, and the integration of mentorship and educational resources. Strengthening EBNP education will better equip nursing students to implement evidence-based practices in clinical settings, ultimately improving patient care quality.</p>","PeriodicalId":40753,"journal":{"name":"Nursing Reports","volume":"15 4","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-03-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12029883/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144043044","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":"Influence of Sociodemographic Factors on Level Stress and Coping Strategies of Nurses and Midwives Caring for Newborns with Lethal Defects.","authors":"Katarzyna Anna Urbańska, Beata Naworska, Agnieszka Drosdzol-Cop","doi":"10.3390/nursrep15040116","DOIUrl":"10.3390/nursrep15040116","url":null,"abstract":"<p><p><b>Introduction:</b> Nurses and midwives caring for newborns with lethal defects experience significant emotional stress. Understanding coping strategies and the factors influencing stress is crucial for improving their well-being and ensuring high-quality care. <b>Objectives:</b> The aim of this study was to identify the coping strategies used by nurses and midwives in stressful situations and to analyse the relationship between stress levels and selected sociodemographic and professional factors. <b>Methods:</b> A cross-sectional study was conducted in the second quarter of 2023 among 307 nurses and midwives working in neonatal and obstetric wards in the Silesian metropolitan area, Poland. A diagnostic survey method was applied using a standardised questionnaire. The Perceived Stress Scale (PSS-10) and the MINI-COPE Inventory were used to assess stress levels and coping mechanisms. A stratified random sampling method was employed to ensure representation from various professional backgrounds. Data analysis was conducted using descriptive statistics, chi-square tests, Spearman's correlation, and Cohen's d coefficient, with statistical significance set at <i>p</i> < 0.05. <b>Results:</b> High stress levels were associated with shorter professional experience, frequent exposure to lethal defects, and emotional discomfort in interactions with grieving families. The most commonly used coping strategies were active coping (M = 2.06, SD = 0.635) and planning (M = 1.95, SD = 0.590), whereas self-blame (M = 1.20, SD = 0.714, <i>p</i> < 0.001) and denial (M = 0.88, SD = 0.751, <i>p</i> < 0.001) were linked to higher stress levels. Positive reinterpretation (r = -0.211, <i>p</i> < 0.001) and seeking emotional support (r = -0.129, <i>p</i> = 0.024) correlated with lower stress levels. Nurses and midwives with secondary education reported higher stress levels compared to those with higher education (χ²(10) = 30.651, <i>p</i> = 0.001). Work experience played a role, with moderate stress levels most frequently observed among those with 2-5 years of professional experience (χ²(14) = 24.023, <i>p</i> = 0.046). Emotional involvement, particularly supporting parents during their farewell to the child (69.1%), was identified as the most stressful aspect of their work. <b>Conclusions:</b> Promoting adaptive coping strategies, such as positive reinterpretation and emotional support, can help reduce stress and improve the well-being of nurses and midwives. Implementing psychological support programmes and stress management training is essential for maintaining high-quality neonatal care.</p>","PeriodicalId":40753,"journal":{"name":"Nursing Reports","volume":"15 4","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-03-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12029706/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144044772","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":"Student Expectations and Outcomes in Virtual vs. In-Person Interprofessional Simulations: A Qualitative Analysis.","authors":"Padmavathy Ramaswamy, Abbey M Bachmann, Tiffany Champagne-Langabeer, Chasisty L Gilder, Samuel E Neher, Jennifer L Swails","doi":"10.3390/nursrep15030114","DOIUrl":"10.3390/nursrep15030114","url":null,"abstract":"<p><p><b>Background</b>: Health-related programs frequently integrate interprofessional education (IPE) into their training. The COVID-19 pandemic transitioned many IPE programs online, making it essential to assess student expectations and perceived learning outcomes across virtual simulations and in-person settings. <b>Methods:</b> This qualitative study compared student expectations and self-reported outcomes across in-person and virtual case scenarios at a Texas health science center. Responses to open-ended questions from two data collection periods were analyzed using inductive coding and thematic analysis. <b>Results:</b> Students from nursing, medicine, dentistry, public health, and informatics participated in each group. Three major themes emerged from this study: communication, teamwork, and role identification, with self-development and professionalism as major subthemes. For communication, students often described a desire for increased simulations to \"practice with interprofessional communication\". Teamwork was the second theme identified, with students discussing the significance of effective teamwork, such as, \"It is a good practice to work together, listen to each other, and achieve a common goal of patients getting better\". Additionally, students expressed a desire to better understand the roles of other healthcare professionals across different settings. <b>Conclusions:</b> Realistic IPE simulations may help students build confidence in their team roles while understanding other health professions. To strengthen curriculum design, faculty should include student expectations and perceived outcomes from IPE activities. A limitation of this study is the reliance on self-reported data, which may introduce response bias and the potential variability in student experiences.</p>","PeriodicalId":40753,"journal":{"name":"Nursing Reports","volume":"15 3","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-03-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11944972/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143732190","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":"How Can We Enhance Patient and Public Involvement and Engagement in Nursing Science?","authors":"Richard Gray, Noppamas Pipatpiboon, Daniel Bressington","doi":"10.3390/nursrep15030115","DOIUrl":"10.3390/nursrep15030115","url":null,"abstract":"<p><p>Patient and Public Involvement and Engagement (PPIE, alternatively referred to as public involvement (PI), public and patient involvement (PPI), or consumer and community involvement and engagement (CCIE)), refers to research being conducted 'with' or 'by' members of the public rather than 'to', 'about', or 'for' them [...].</p>","PeriodicalId":40753,"journal":{"name":"Nursing Reports","volume":"15 3","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-03-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11944329/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143732336","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 Prevalence of Leakage, Peristomal Skin Complications and Impact on Quality of Life in the First Year Following Stoma Surgery.","authors":"Richard R W Brady, Diane Sheard, Kevin Howard, Martin Vestergaard, Esben Bo Boisen, Rebecca Mather, Rachel Ainsworth, Helle Doré Hansen, Teresa Adeltoft Ajslev","doi":"10.3390/nursrep15030107","DOIUrl":"10.3390/nursrep15030107","url":null,"abstract":"<p><p><b>Objective:</b> It is well established that having a stoma can negatively impact health-related quality of life (HRQoL), but there is a paucity of research describing the natural history of certain complications associated with living with a stoma, such as leakage and peristomal skin complications (PSCs), and whether these affect QoL within the first year of stoma surgery. The objective of this study was to investigate the pattern of such complications and impact on QoL in individuals who had stoma surgery within the preceding year. <b>Methods:</b> A cross-sectional study was conducted at three hospital sites in the United Kingdom to evaluate the burden of disease in those who had undergone intestinal stoma formation surgery within the preceding year. The study consisted of a one-to-one consultation with a study nurse and the completion of an online questionnaire by the patient (ISRCTN-registry: 23080097). The nurse-led interview directly evaluated peristomal skin health, whilst the online questionnaire evaluated the impact of leakage (using the Ostomy Leak Impact tool), generic mental well-being (by WHO-5) and wider HRQoL (by EQ-5D-5L). <b>Results:</b> A total of 114 individuals with an intestinal stoma completed the evaluations. The participants had a mean age of 55.8 years (range 18-87 years) and 58% were male. Forty-three percent of the participants had experienced leakage of stomal effluent outside the baseplate (e.g., onto clothes) in the preceding two weeks and 85% suffered from PSCs ranging from mild (35%), to moderate (18%), and severe (32%). Leakage and PSCs were associated with lower mental well-being and HRQoL (<i>p</i> < 0.05). Leakage events, HRQoL, mental well-being and peristomal skin health were similar for individuals across different timepoints from the time of surgery within the first year. <b>Conclusions:</b> This study reported a high disease burden in people with a new intestinal stoma. Experiencing frequent leakage incidents and/or living with severe PSCs were associated with reduced HRQoL and mental well-being.</p>","PeriodicalId":40753,"journal":{"name":"Nursing Reports","volume":"15 3","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-03-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11946121/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143732205","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 Sociodemographic Characteristics and Social Determinants of Health in Influencing the Perceived Quality of Patient-Provider Communication.","authors":"Nada Eldawy, Sahar Kaleem, Vama Jhumkhawala, Goodness Okwaraji, Samantha Jimenez, Joshua Sohmer, Maria Mejia, Panagiota Kitsantas, Lea Sacca","doi":"10.3390/nursrep15030113","DOIUrl":"10.3390/nursrep15030113","url":null,"abstract":"<p><p><b>Background</b>: Patient-centered communication is a critical process in high-quality healthcare that emphasizes the reciprocal sharing of information between providers and patients to ensure care aligns with the patient's needs, preferences, and personal values. A significant challenge arises from the healthcare provider's time constraints during clinical encounters and the lack of adequate training on how to adopt a patient-centered communication style that addresses patient concerns, making it difficult to foster an environment conducive to shared decision making. These issues are further exacerbated by cultural and language barriers, along with low levels of health literacy and social determinants of health (SDoHs), which complicate efforts to deliver patient-centered care. <b>Objective</b>: This study examined quality criteria for patient-provider communication (PPC) and their associations with sociodemographic characteristics and SDoHs on housing, transportation, and food insecurity. <b>Methods</b>: This retrospective cross-sectional study analyzed data from the 2022 Health Information National Trends Survey (HINTS-6) national dataset. Associations between PPC and sociodemographic variables were tested using the chi-squared test. Binary logistic regression was carried out to examine the association between three PPC criteria and each of the sociodemographic characteristics and patient comfort in disclosing information on SDoHs. <b>Results</b>: Bivariate analyses showed statistically significant associations for age, occupation status, marital status, Hispanic origin, and race across all three PPC criteria. Significant associations were reported for education and income for the two criteria related to being given the chance to ask questions and being involved in healthcare decisions. Finally, significant associations were reported for all PPC criteria and patient comfort levels in discussing SDoHs. <b>Conclusions</b>: Findings from this paper provide insight for enhancing the quality of PCC in underserved populations, particularly when it comes to informing the design of evidence-based cervical cancer screening interventions which are culturally centered around the patients' needs and that integrate PPC as a foundational component.</p>","PeriodicalId":40753,"journal":{"name":"Nursing Reports","volume":"15 3","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-03-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11944989/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143732209","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":"Prolonged Hospital Stay in Hypertensive Patients: Retrospective Analysis of Risk Factors and Interactions.","authors":"Stanisław Surma, Michał Czapla, Izabella Uchmanowicz, Raúl Juárez-Vela, Łukasz Pietrzykowski, Bartosz Uchmanowicz, Marcin Leśkiewicz, Krzysztof Griesmann, Michał Burzyński, Jacek Smereka, Łukasz Lewandowski","doi":"10.3390/nursrep15030110","DOIUrl":"10.3390/nursrep15030110","url":null,"abstract":"<p><p><b>Background/Objectives</b>: Arterial hypertension (HT) is a leading modifiable risk factor for cardiovascular diseases, often contributing to prolonged lengths of hospital stay (LOHS), which place significant strain on healthcare systems. This study aimed to analyze the factors associated with prolonged lengths of hospital stay in patients with HT, focusing on key biochemical and clinical predictors. <b>Methods</b>: This retrospective study included 356 adult patients hospitalized in the Cardiology Department of the University Hospital in Wroclaw, Poland, between January 2017 and June 2021. Data collected included demographic characteristics, body mass index (BMI), comorbidities, and laboratory parameters. Logistic regression models were used to identify predictors of prolonged LOHS, defined as four or more days, and to evaluate interactions between variables. <b>Results</b>: Lower levels of low-density lipoprotein cholesterol (LDL-c) and elevated concentrations of high-sensitivity C-reactive protein (hsCRP) were identified as significant predictors of prolonged LOHS, with each 1 mg/dL decrease in LDL-c increasing the odds of prolonged LOHS by 1.21% (<i>p</i> < 0.001) and each 1 mg/L increase in hsCRP raising the odds by 3.80% (<i>p</i> = 0.004). An interaction between sex and heart failure (HF) was also observed. Female patients with HF had 3.995-fold higher odds of prolonged LOHS compared to females without HF (<i>p</i> < 0.001), while no significant difference was found among male patients with or without HF (<i>p</i> = 0.890). <b>Conclusions</b>: The predictors of prolonged LOHS in patients with HT include lower levels of LDL-c, elevated hsCRP, and the interaction between sex and heart failure (HF). Specifically, female patients with HF demonstrated significantly higher odds of prolonged LOHS compared to females without HF, while this relationship was not observed in male patients.</p>","PeriodicalId":40753,"journal":{"name":"Nursing Reports","volume":"15 3","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-03-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11945548/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143732167","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}