Nursing Reports最新文献

{"title":"The Impact of Psychological Well-Being on Learning Strategies: Analyzing Perceived Stress, Self-Esteem, and Study Approaches in Nursing and Obstetrics Students.","authors":"Antonietta Pacifico, Luisa Gorrese, Carlo Sorrentino, Michele Viciconte, Vincenzo Andretta, Paola Iovino, Giulia Savarese, Carolina Amato, Luna Carpinelli","doi":"10.3390/nursrep15030109","DOIUrl":"10.3390/nursrep15030109","url":null,"abstract":"<p><p><b>Background:</b> The psychological well-being of university students significantly impacts their academic performance and future professional preparation. The aim of this study is to analyze the relationships between perceived stress, self-esteem, and learning strategies in university students enrolled in Nursing and Obstretics degree programs, in order to understand the impact of psychological well-being on their study abilities. <b>Method:</b> This study is observational cross-sectional, using non-probabilistic convenience sampling. The study involved students enrolled in Nursing and Obstetrics courses at the University of Salerno. A standardized self-reported questionnaire will be used. <b>Results:</b> 331 students (82.75%) participated voluntarily. Correlations show significant relationships consistent with psychological literature. Higher self-esteem correlates with lower perceived stress (r = -0.325, <i>p</i> < 0.01), better information elaboration (r = 0.156, <i>p</i> < 0.01), and higher metacognitive awareness (r = 0.123, <i>p</i> < 0.05), but negatively with organizational strategies (r = -0.150, <i>p</i> < 0.01) and self-evaluation frequency (r = -0.153, <i>p</i> < 0.01). Perceived stress correlates positively with organizational strategies (r = 0.180, <i>p</i> < 0.01) and self-evaluation frequency (r = 0.178, <i>p</i> < 0.01), suggesting stress may drive compensatory strategies. Multiple regression analyses showed that self-esteem was a significant positive predictor of information elaboration strategies (β = 0.49, <i>p</i> = 0.05). Both self-esteem (β = -0.52, <i>p</i> = 0.01) and perceived stress (β = -0.74, <i>p</i> = 0.01) were significant negative predictors of structured learning strategies, suggesting that higher levels of stress and self-esteem are associated with a reduced use of planned organizational approaches. The models explained a substantial proportion of variance, with adjusted R² values of 0.52 for elaboration and 0.63 for strategy components. <b>Conclusions:</b> These results emphasize the need for interventions to enhance learning strategies and stress management among students.</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/PMC11946403/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143732194","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":"Longitudinal Assessment of Fatigue in Pregnancy Complicated by Cervical Cancer: A Prospective Case Study and Implications for Nursing and Midwifery Practice.","authors":"Anna Weronika Szablewska, Agata Zdun-Ryżewska","doi":"10.3390/nursrep15030108","DOIUrl":"10.3390/nursrep15030108","url":null,"abstract":"<p><p><b>Background:</b> This case report describes the rare coexistence of cervical cancer with pregnancy, a challenging scenario requiring careful balance between maternal treatment and fetal safety. In Poland, cervical cancer remains a significant health issue, highlighting the need for effective multidisciplinary strategies. <b>Methods:</b> This case report was prepared based on CARE guidelines for medical case reporting. The patient was observed by a clinical psycho-oncologist-midwife and a psychologist (also specializing in clinical psycho-oncology) from the start of oncological treatment until delivery and early postpartum. During pregnancy, the pregnant woman was asked three times (at the 23rd, 32nd, and 38th weeks of pregnancy) to complete questionnaires: a self-report questionnaire collecting sociodemographic data, clinical information, and perception of causes and effects of fatigue, the Chalder Fatigue Questionnaire (CHFQ-PL), the Fatigue Management Barriers Questionnaire (FMBQ), the Multidimensional Social Support Scale (MSPSS), and the Walsh Family Resilience Questionnaire (WFRQ-PL). <b>Results:</b> The patient, a 37-year-old woman in her second pregnancy, presented with cervical cancer diagnosed in the first trimester. Major concerns included fatigue, emotional distress, and treatment-related uncertainties. Throughout the pregnancy, she underwent four chemotherapy cycles and participated in psycho-oncological assessments to monitor fatigue, which increased as treatment progressed and affected daily functioning and emotional well-being. To enable the early continuation of oncology treatment, the pregnancy was electively terminated by cesarean section at 37+5 weeks, resulting in the good condition of the infant and a stable maternal postpartum condition, though anemia and emotional concerns required further management. <b>Conclusions:</b> As research on fatigue in pregnant oncology patients is limited, this case underscores the value of structured psycho-oncological support to enhance care and outcomes for both mother and child.</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/PMC11944483/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143732361","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 Degree Curriculum: Differences and Similarities Between 15 European Countries.","authors":"Celeste Antão, Bruna Santos, Nelson Santos, Hélder Fernandes, Bárbara Barroso, Cristina Oana Mǎrginean, Helena Pimentel","doi":"10.3390/nursrep15030112","DOIUrl":"10.3390/nursrep15030112","url":null,"abstract":"<p><p>This study explores the curriculum of Nursing Bachelor's degrees across 15 European countries, aiming to describe nursing course curricula and admission requirements and to identify differences and similarities in the implementation of the Bologna Process. The research employs a qualitative and documentary methodology, analyzing curricula from selected higher education institutions involved in the Erasmus+ \"Innovative Skills for Nurses\" project. The findings reveal variations in the duration of training, with some countries adopting 3-year (180 ECTS) programs, while others require 4-year (240 ECTS) programs. Furthermore, discrepancies were found in the balance between theoretical and clinical education, as well as the availability of optional subjects. Countries with longer training programs tend to offer more consolidated practices and greater alignment with Bologna's principles, fostering better professional outcomes. The study highlights the challenges posed by non-standardized training durations and their impact on mobility and employability of nursing professionals. These findings may inform future discussions on harmonizing nursing education across Europe to ensure consistency in quality and professional competencies.</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/PMC11946740/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143731969","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":"Comparative Effectiveness of Active and Reactive Mattresses in Pressure Injury Healing for Older People in Their Own Homes: A Pragmatic Equivalence Randomised-Controlled Study.","authors":"Katherine E Rae, Judith Barker, Dominic Upton, Stephen Isbel","doi":"10.3390/nursrep15030111","DOIUrl":"10.3390/nursrep15030111","url":null,"abstract":"<p><p><b>Background</b>: Pressure injuries are an ongoing problem commonly managed with the prescription of pressure mattresses. There is conflicting research about the comparable effectiveness of the two types of pressure mattresses, active and reactive. This, coupled with technological advances and an updated understanding of pressure aetiology, means decision-making when prescribing pressure mattresses is complicated. <b>Objective/Design</b>: A pragmatic approach was used to design an equivalence randomised-controlled trial investigating the comparative effectiveness of active and reactive pressure mattresses in a community setting from a wound healing perspective as well as from a user acceptability perspective. <b>Methods</b>: Participants with an existing pressure injury were provided with an active or reactive mattress for wound healing, with wound stages assessed using photography. Usual clinical care was provided based on the protocols of the health care service, including nursing and occupational therapy input. Participants were monitored for the healing of their existing pressure injuries, using the Revised Photographic Wound Assessment Tool. User acceptability feedback was provided through surveys, including impact on comfort, pain levels and bed mobility. An equivalence design was used for data analysis to determine if the surfaces were comparable. <b>Results</b>: Twelve participants completed the study, which found that people on active mattresses healed 11.71 days (95% CI -55.97-31.78 days) quicker than people on reactive mattresses; however, the small sample size meant that a definitive determination could not be made. Users found bed mobility more challenging, and pain levels decreased, regardless of mattress type. <b>Conclusions</b>: A pragmatic methodology is imperative for research in this field due to the complexity of pressure injury healing. Researchers exploring multi-faceted conditions should consider a pragmatic design to ensure transferability of results to the clinical setting. The results from this study were inconclusive when determining the equivalence of active and reactive mattresses due to the small sample size. When choosing a mattress, prescribers need to consider user preferences and mattress features to ensure user acceptability.</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/PMC11945283/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143732213","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":"Nurse-Led Strategies for Lifestyle Modification to Control Hypertension in Older Adults: A Scoping Review.","authors":"Shuangshuang Li, Stephanie Craig, Gary Mitchell, Donna Fitzsimons, Laura Creighton, Gareth Thompson, Patrick Stark","doi":"10.3390/nursrep15030106","DOIUrl":"10.3390/nursrep15030106","url":null,"abstract":"<p><p>High blood pressure in older adults poses significant risks, including cardiovascular disease, stroke, and renal failure; yet, its management is often overlooked. Nurse-led personalised interventions provide essential guidance, helping patients adhere to treatment plans and adopt lifestyle changes, improving outcomes and quality of life. A scoping review of the literature was conducted following the Preferred Reporting Items for Systematic Reviews and Meta-Analysis Extension for Scoping Reviews (PRISMA-ScR). Six electronic databases were searched systematically (CINAHL, MEDLINE, PsycINFO, EMBASE, Web of Science, and Scopus). Five research studies were included in this review, from five countries (India, Korea, China, Turkey and Thailand). Primary data were synthesised using descriptive and thematic analysis methodology. The five main themes from this review relate to nurse-led empowerment strategies for hypertension management, variability in blood pressure outcomes, the importance of tailored education and counselling, the role of regular follow-ups and support, and environmental support. Overall, nurse-led personalised interventions improve blood pressure management and patient engagement in older adults, highlighting the need for research into their long-term effectiveness and broader applicability.</p>","PeriodicalId":40753,"journal":{"name":"Nursing Reports","volume":"15 3","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-03-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11945556/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143731843","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":"Experience of the COVID-19 Pandemic in the Care of Patients with Predominantly Antibody Deficiencies (PADs)-A Qualitative Study with Perspectives from Both Patients and Nurses.","authors":"Ramona Fust, Sofia Nyström, Britt Åkerlind, Åsa Nilsdotter-Augustinsson, Christina Petersson","doi":"10.3390/nursrep15030104","DOIUrl":"10.3390/nursrep15030104","url":null,"abstract":"<p><p><b>Background/Objectives:</b> One of the risk groups during the COVID-19 pandemic was people with predominantly antibody deficiencies (PADs) that have a compromised immune system. In the absence of evidence and clinical experience, there were challenges for patients in their daily life and for staff in counseling during this time. Therefore, the aim of this study was to explore the experiences of PAD patients and nurses during the COVID-19 pandemic. <b>Methods:</b> Focus group interviews with patients (n = 12) and nurses (n = 12) were performed separately, which were then analyzed using content analysis. <b>Results:</b> The daily life of PAD patients was affected during the pandemic, with concerns about becoming seriously ill. Social isolation and adherence to recommendations by the majority of the Swedish population resulted in patients feeling infectiously healthier during this period. The rapid transition of specialist care to telemedicine care encounters was an important measure taken to address patients' concerns and questions according to both patients and nurses. In addition, patients expressed a need for a coordinated care plan to facilitate access to integrated care. <b>Conclusions:</b> The high level of trust for authorities in Sweden was related to the high compliance with the recommendations, which reduced the spread of the infection. The role of specialized care is an important support for PAD patients, which was particularly evident during the pandemic. Information transfer to a specific risk group, such as people with PADs, is important and can usefully be coordinated by their specialist clinic. Telemedicine meetings are an important complement for people with PADs and need to be further elaborated. Also, there is a need to clarify how to better coordinate primary and specialized care.</p>","PeriodicalId":40753,"journal":{"name":"Nursing Reports","volume":"15 3","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-03-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11944963/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143732312","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":"Qualitative Study of Maternity Healthcare Vulnerability Based on Women's Experiences in Different Sociocultural Context.","authors":"Claudia Susana Silva-Fernández, Eva Garrosa, David Ramiro-Cortijo","doi":"10.3390/nursrep15030105","DOIUrl":"10.3390/nursrep15030105","url":null,"abstract":"<p><p><b>Background:</b> Unfulfillment of maternity rights in healthcare is a global problem associated with abuse, neglect and discrimination, known as obstetrics and gynecology (OB/GYN) vulnerability. Women's perceptions of their experience are a keystone to improving maternity healthcare. The aim of this study was to evaluate the women's perceptions of the vulnerability of maternity rights and the associated risk and protective factors. <b>Methods:</b> This study was carried out by qualitative techniques based on the analysis of a semi-structured interview applied to six women in the postpartum period with pregnancy assistance and birth in Spain and Colombia between February and August of 2024. A triangulation analysis was performed about the perceptions of the concept, experiences and risk and protective factors of OB/GYN vulnerability. The free-access ATLAS.ti software was used. <b>Results:</b> OB/GYN vulnerability is generally perceived by women with a psychological impact. Women think that their own factors (emotion management, social support, attitude to change and beliefs), health professional factors (burnout, empathy and social skills) and health institution factors (workload, centralization in technical and protocols, humanization, quality and access to recourses) have an influence to modulate the vulnerability of rights in maternity healthcare. <b>Conclusions:</b> It is necessary for health systems to move from a protocol-centered to a person-centered model, particularly in maternity healthcare. This model should include the biopsychosocial needs of women and allow for their participation. Health institutions need to evaluate their processes and minimize burnout in health professionals. In addition, there are factors affecting OB/GYN vulnerability not only in childbirth but also during pregnancy and postpartum.</p>","PeriodicalId":40753,"journal":{"name":"Nursing Reports","volume":"15 3","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-03-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11945914/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143732176","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":"Medical Mistrust: A Concept Analysis.","authors":"Meghna Shukla, Marvin Schilt-Solberg, Wanda Gibson-Scipio","doi":"10.3390/nursrep15030103","DOIUrl":"10.3390/nursrep15030103","url":null,"abstract":"<p><p><b>Background:</b> The term \"medical mistrust\" has increased in literary usage within the last ten years, but the term has not yet been fully conceptualized. This article analyzes the usage of the term \"medical mistrust\" in the extant literature in order to articulate its antecedents, attributes, and consequences. The aim of this article is to provide a preliminary conceptual definition and conceptual figure for medical mistrust. <b>Methods:</b> Walker and Avant's method of conceptual analysis was used to extract concept attributes, antecedents, and consequences and define empirical referents. The databases PubMed, CINAHL, Scopus, and PSYCinfo and the Google search engine were used. <b>Results:</b> Medical mistrust is a social determinant of health fueled by a fear of harm and exploitation and is experienced at both the interpersonal, intergenerational, and institutional levels, reinforced by structural racism and systemic inequalities. Medical mistrust is antedated by historical trauma, socioeconomic disparities, medical gaslighting, traumatic medical experiences, maladaptive health beliefs and behaviors, and individual minority identities and is transmitted intergenerationally and culturally. The consequences of medical mistrust include the underutilization of health services, delays in diagnosis and care, poor treatment adherence, poor health outcomes, negative psychological effects, and an increase in the uptake of medical misinformation and maladaptive health behaviors. <b>Conclusions:</b> The findings of this concept analysis have important implications for healthcare providers, healthcare systems, and researchers, as well as healthcare policy makers.</p>","PeriodicalId":40753,"journal":{"name":"Nursing Reports","volume":"15 3","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-03-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11944586/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143732362","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":"Relationship Between Frailty and Risk of Falls Among Hospitalised Older People with Cardiac Conditions: An Observational Cohort Study.","authors":"Noel Rivas-González, María López, Belén Martín-Gil, Mercedes Fernández-Castro, María José Castro, J Alberto San Román","doi":"10.3390/nursrep15030100","DOIUrl":"10.3390/nursrep15030100","url":null,"abstract":"<p><p><b>Background/Objective</b>: Ageing favours the onset of cardiovascular diseases, frailty, and risk of falls. In the hospital setting, 47.7% of patients may be frail, and the incidence of falls may be as high as five per thousand. This study seeks to determine the relationship between frailty, risk of falls, and length of hospital stays in hospitalised older adults with heart disease. <b>Methods</b>: An observational study was conducted of a cohort of patients aged ≥60 years admitted to a cardiology unit (2022-2024). Frailty was assessed using Fried's phenotype, risk of falls using the J.H. Downton scale, and level of dependency using the Barthel index. Clinical variables, anthropometric measurements, and length of stay were analysed. Statistical analysis: quantitative variables were expressed as means and standard deviations, and categorical variables as frequencies. Associations were analysed using Student's <i>t</i>-tests, chi-squared tests, and Kruskal-Wallis tests for comparisons of three or more groups. Relationships between frailty, risk of falls, and other variables were examined using univariate binary logistic regression, with a 95% confidence interval and statistical significance set at <i>p</i> < 0.05. <b>Results</b>: A total of 144 patients were recruited (mean age = 73.08 years [SD = 7.95]) (women = 33.30%). Frailty was associated with waist circumference in men (<i>p</i> = 0.01) and diastolic blood pressure in women (<i>p</i> = 0.05). Frailty was further linked to Downton scores (odds ratio [OR] = 1.565; 95% CI: 1.156-2.120; <i>p</i> = 0.004), age (OR = 1.114; 95% CI: 1.058-1.173; <i>p</i> = 0.000), Barthel index (OR = 0.902; 95% CI: 0.854-0.953; <i>p</i> = 0.000), and length of stay (OR = 1.101; 95% CI: 1.021-1.186; <i>p</i> = 0.012). <b>Conclusions</b>: Frailty appears to be related to Downton scores and impacts the length of hospital stays in older adults hospitalised with cardiac conditions.</p>","PeriodicalId":40753,"journal":{"name":"Nursing Reports","volume":"15 3","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-03-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11944954/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143732180","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":"Assertiveness in Nursing: A Systematic Review of Its Role and Impact in Healthcare Settings.","authors":"Maha R Al-Hawaiti, Loujain Sharif, Hala Elsayes","doi":"10.3390/nursrep15030102","DOIUrl":"10.3390/nursrep15030102","url":null,"abstract":"<p><p><b>Background:</b> Assertiveness in nursing is crucial to improving communication, reducing interpersonal tensions, and improving healthcare outcomes. <b>Objective:</b> The objective of this systematic review was to identify and synthesize the literature on assertiveness in nursing, focusing on nurses' perspectives regarding its role, influencing factors, challenges, and impact within complex healthcare settings. <b>Methods:</b> This review followed the Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) guidelines. An integrated mixed methods approach was used to capture the multifaceted nature of assertiveness in nursing. The evaluation covered both qualitative and quantitative investigations, concentrating on quantitative publications between 2018 and 2024 and qualitative publications without a time limit. Diverse methodologies were incorporated using the SPIDER framework. A comprehensive electronic search was conducted across six databases: PubMed, Medline, CINAHL, PsychInfo, Wiley Online Library, and Web of Science. Ultimately, 15 research papers were included in the review out of 9490 publications that were initially identified. Included studies were critically appraised using the Critical Appraisal Skills Program (CASP) and the Joanna Briggs Institute Critical Appraisal checklists. <b>Results:</b> A total of 9490 studies were identified, of which 15 (eight quantitative and seven qualitative) were included in this review. The review and subsequent analysis revealed five major themes: (1) facilitators of assertiveness; (2) barriers to assertiveness; (3) assertiveness training; (4) interaction with other staff; and (5) patient relationships. <b>Conclusions:</b> Assertiveness is essential for proficient nursing practice, especially in complex healthcare environments. It facilitates improved communication, alleviates stress, and augments patient care. Future research should explore the long-term benefits of assertiveness training and its influence across various cultural settings.</p>","PeriodicalId":40753,"journal":{"name":"Nursing Reports","volume":"15 3","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-03-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11944438/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143732189","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}