SAGE Open Nursing最新文献

{"title":"Prevalence of Hearing Loss and Years Lived With Disability in Ethiopia From 1990 to 2023: A Subnational Analysis for the Global Burden of Diseases Study.","authors":"Sebsibe Tadesse, Sina Temesgen Tolera, Belda Negesa Beyene","doi":"10.1177/23779608261490189","DOIUrl":"10.1177/23779608261490189","url":null,"abstract":"<p><strong>Background: </strong>Hearing impairment is increasingly being acknowledged as a major public health issue. This study determined the prevalence of hearing loss and the years lived with disability (YLDs) in Ethiopia from 1990 to 2023.</p><p><strong>Methods: </strong>The study used the Global Burden of Diseases 2023 estimates and methods.</p><p><strong>Results: </strong>In 2023, Ethiopia had an estimated 15.93 million prevalent cases of hearing loss (95% UI: 15.00-16.79), with an age-standardized prevalence rate of 21,702 per 10⁵ population (95% UI: 20,818-22,568). The corresponding YLDs were 580,148 (95% UI: 403,721-806,166), yielding a rate of 801 per 10⁵ population (95% UI: 560-1109). Both prevalence and YLDs increased with age. Between 1990 and 2023, prevalence rose slowly by 3% (95% UI: 2-4), while the YLDs rate did not change significantly. Mild hearing loss dominated the burden, with 10.6 million cases (95% UI: 10.07-10.69) and a rate of 14,425 per 100,000 (95% UI: 13,759-15,133). Rates of complete hearing loss declined by 23% (95% UI: -26 to -21) and severe hearing loss by 3% (95% UI: -5 to -1), whereas rates of mild, moderate, and moderately severe hearing loss showed a slight increase.</p><p><strong>Conclusion: </strong>This study revealed a substantial and persistent burden of hearing loss in Ethiopia over the past three decades, dominated by mild cases and increasing with age. While severe and complete forms declined, mild-to-moderate rates rose, underscoring the need for integrated screening, expanded access to hearing care, and strengthened health systems to address this growing public health challenge.</p>","PeriodicalId":43312,"journal":{"name":"SAGE Open Nursing","volume":"12 ","pages":"23779608261490189"},"PeriodicalIF":2.9,"publicationDate":"2026-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13583272/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148991361","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":"Smartphone Addiction as a Predictor of Poor Sleep Quality Among Secondary School Students: A School-Based Cross-Sectional Study.","authors":"Mona Gamal Mohmmed, Marwa Ashour Ragab, Nagat Farouk Abolwafa, Asmaa Mustafa Fawzy, Zahra Abdirahman Mahmoud, Howayda Mohammed Ali","doi":"10.1177/23779608261489105","DOIUrl":"10.1177/23779608261489105","url":null,"abstract":"<p><strong>Background: </strong>Sleep quality is essential for adolescent health, development, and academic functioning. Increasing smartphone use has raised concerns regarding its potential impact on sleep, particularly among adolescents in understudied populations such as Upper Egypt.</p><p><strong>Aim: </strong>To examine the association between smartphone addiction severity and multidimensional sleep quality among secondary school students in Upper Egypt.</p><p><strong>Design: </strong>A descriptive correlational cross-sectional study.</p><p><strong>Setting and sample: </strong>The study was conducted in four governmental secondary schools in Minia District, Minia. A multistage stratified random sample of 400 students was recruited from the first, second, and third academic grades, with two classes randomly selected from each grade level.</p><p><strong>Tools: </strong>Data were collected using a structured self-administered questionnaire, the Smartphone Addiction Scale-Short Version (SAS-SV), and the Pittsburgh Sleep Quality Index (PSQI). The SAS-SV demonstrated good internal consistency (α = 0.89), and the PSQI demonstrated acceptable reliability (α = 0.87) in the present sample.</p><p><strong>Results: </strong>Moderate smartphone addiction was reported by 50% of students, while 65% experienced poor sleep quality. Smartphone addiction was positively correlated with poorer sleep quality (r = 0.52, 95% CI: 0.45--0.58, p < 0.001), indicating a large effect size. Hierarchical regression analysis demonstrated that smartphone addiction substantially improved the prediction model, increasing explained variance in sleep quality from 12% to 33% (ΔR² = 0.21, p < 0.001). Binary logistic regression confirmed that students with high smartphone addiction had more than five-fold increased odds of poor sleep quality (AOR = 5.34, 95% CI: 2.81--10.14, p < 0.001) after adjustment for age, gender, residence, and birth order.</p><p><strong>Conclusion: </strong>Smartphone addiction was highly prevalent and significantly associated with poor sleep quality among secondary school students in Upper Egypt. Given the cross-sectional design, causal inference cannot be established; however, the findings highlight the importance of integrating smartphone addiction screening and sleep health promotion into school nursing practice to support early identification and intervention for at-risk adolescents.</p>","PeriodicalId":43312,"journal":{"name":"SAGE Open Nursing","volume":"12 ","pages":"23779608261489105"},"PeriodicalIF":2.9,"publicationDate":"2026-09-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13570035/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148957001","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effectiveness of a Thirst Relief Program in Reducing Thirst Intensity and Distress Among ICU Patients: A Randomized Controlled Trial.","authors":"Zohre Rajabzadeh Tavil, Kheizaran Miri, Mohammad Namazinia, Fatemeh Hajiabadi, Seyyed Reza Mazloum, Javad Malekzadeh, Arash Peivandi Yazdi, Amirreza Kashef","doi":"10.1177/23779608261487593","DOIUrl":"10.1177/23779608261487593","url":null,"abstract":"<p><strong>Background: </strong>Thirst is a common and distressing symptom among patients admitted to intensive care units (ICUs) but is often overlooked because of its subjective nature and patients' limited ability to communicate discomfort. This study evaluated the effectiveness of a structured nurse-led thirst relief program in reducing thirst intensity and thirst-related distress among ICU patients.</p><p><strong>Method: </strong>A two-group randomized controlled trial was conducted in the medical, surgical, and neurological ICUs of Qaem and Imam Reza hospitals, Mashhad. Eighty-two patients were randomly assigned to either the intervention group (n = 41) or the control group (n = 41). The intervention group received a structured thirst relief program from 8:00 a.m. to 8:00 p.m., including cold water spray, moist oral swabs, and 0.1% menthol lip application. Thirst intensity was assessed every two hours using a Numeric Rating Scale, and thirst-related distress was measured before and after the intervention using the Thirst Distress Scale for Heart Failure. The control group received routine ICU care. Data were analyzed using descriptive and inferential statistics.</p><p><strong>Results: </strong>Baseline demographic and clinical characteristics were comparable between groups. Thirst intensity decreased in both groups but was significantly lower in the intervention group at 8:00 p.m. (median 6.0 [Q1-Q3: 5.0-7.0] vs. 6.0 [6.0-7.0], p = 0.035). Post-intervention thirst distress was also significantly lower in the intervention group than in the control group (15.8 ± 4.1 vs. 23.7 ± 3.7, p < 0.001), with a greater mean reduction in thirst distress (9.9 ± 4.5 vs. 2.5 ± 2.1, p < 0.001).</p><p><strong>Conclusions: </strong>A structured nurse-led thirst relief program effectively reduced both thirst intensity and thirst-related distress among ICU patients. Given its simplicity, low cost, and non-invasive nature, this intervention can be integrated into routine ICU nursing care to improve patient comfort. Further multicenter studies are warranted to confirm its long-term effectiveness across diverse clinical settings.</p>","PeriodicalId":43312,"journal":{"name":"SAGE Open Nursing","volume":"12 ","pages":"23779608261487593"},"PeriodicalIF":2.9,"publicationDate":"2026-09-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13558922/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148931568","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":"Factors Influencing Organ Donation Registration Among Saudis: A Qualitative Study.","authors":"Deema Al Shawan, Raghadah Almubarak, Hind Al-Zahrani","doi":"10.1177/23779608261489664","DOIUrl":"10.1177/23779608261489664","url":null,"abstract":"<p><strong>Background: </strong>Despite positive attitudes toward organ donation in Saudi Arabia, the donation rate remains insufficient to meet the growing demand. This study explored Saudi citizens' perceptions of posthumous organ donation and examined the motivations and barriers affecting donor registration.</p><p><strong>Methods: </strong>This study included 16 participants from Riyadh and the Eastern Region of Saudi Arabia. Participant perceptions were explored using a hybrid descriptive qualitative approach. Data from interviews and a focus group were analyzed using NVivo.</p><p><strong>Results: </strong>Modeling behavior, altruism, and ease of registration were identified as key facilitators of organ donation.</p><p><strong>Conclusion: </strong>The findings indicate that altruistic values and Islamic teachings can influence perceptions of organ donation. Integrating these values into targeted awareness campaigns may help address misconceptions, improve knowledge, and increase donor registration rates.</p>","PeriodicalId":43312,"journal":{"name":"SAGE Open Nursing","volume":"12 ","pages":"23779608261489664"},"PeriodicalIF":2.9,"publicationDate":"2026-09-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13554533/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148921431","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 Roles in Virtual Care Within Team-Based Primary Care: Qualitative Findings From a Multiple Case Study in Two Canadian Jurisdictions.","authors":"Crystal Vaughan, Julia Lukewich, Maria Mathews, Lindsay Hedden, Ruth Martin-Misener, Dana Ryan","doi":"10.1177/23779608261485149","DOIUrl":"10.1177/23779608261485149","url":null,"abstract":"<p><strong>Introduction: </strong>Canadians, particularly those in Newfoundland and Labrador (NL) and Nova Scotia (NS), face ongoing challenges in accessing primary care. To address this concern, many jurisdictions have adopted team-based primary care that enables nurses, physicians, and other providers to collaborate in delivering care. Virtual care has been widely integrated to promote efficiency and quality across team-based primary care. Nurses in primary care teams (i.e., nurse practitioners, registered nurses, licensed practical nurses) deliver care virtually; however, details of their role enactment remain unclear.</p><p><strong>Objective: </strong>To explore virtual nursing practice within team-based primary care settings in two Canadian provinces, namely NL and NS.</p><p><strong>Methods: </strong>This study was part of a larger multiple case study that was carried out in accordance with COREQ guidelines. The researchers explored the phenomenon of virtual care delivery by nurses within urban and rural primary care teams in NL and NS, including perspectives from nurses, other team members, administrators, policymakers, and nurse regulators. They used two data sources, including qualitative interviews and documents, and performed qualitative content analysis.</p><p><strong>Results: </strong>Nurses adapted their roles using virtual care approaches across urban and rural primary care teams in NL and NS. Roles were organized into four categories: triage and assessment, care coordination, health promotion and prevention, and follow-up. Sub-categories comprised unique activities illustrating each role. Nurses assessed patients' needs/concerns; arranged patient care with the interdisciplinary team; provided education/support to promote health and prevent disease; and followed up with patients regarding treatment plans and laboratory/diagnostic tests. Most roles were carried out via telephone, though other modalities were used. Potential activities for nurses to expand their use of virtual care within primary care teams were also identified.</p><p><strong>Conclusion: </strong>There was high variability in the enactment of virtual care by primary care nurses. Virtual care role enactment varies by activity, province, and community type.</p>","PeriodicalId":43312,"journal":{"name":"SAGE Open Nursing","volume":"12 ","pages":"23779608261485149"},"PeriodicalIF":2.9,"publicationDate":"2026-09-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13558919/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148931537","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":"Midwives' and Nurse Midwives' Autonomy Experience in Caring for Laboring Women in Health Facilities: A Systematic Review With Metasynthesis.","authors":"Elsa Salgueiro, Catarina Afonso, Margarida Sim-Sim, Claúdia Janeiro, Maria Otília Zangão","doi":"10.1177/23779608261433120","DOIUrl":"10.1177/23779608261433120","url":null,"abstract":"<p><strong>Introduction: </strong>The World Health Organization emphasizes the autonomy of Midwives and Nurse Midwives in physiological care during childbirth. Despite international regulation of competencies, the expression of autonomy isn't consistent, potentially creating inconsistencies in clinical care and professional identity. The objective was to synthesize evidence on the experiences of Midwives and Nurse Midwives regarding autonomy in caring for laboring women in health facilities.</p><p><strong>Methods: </strong>Systematic review with metasynthesis, according to the methodology of the Joanna Briggs Institute, carried out by meta-aggregation. Nine platforms and databases were searched for primary studies published from 2016/2024 in English, French, Spanish, and Portuguese. The selection of studies followed the PRISMA guidelines. Sixteen articles met the eligibility and methodological quality criteria. Registered protocol in PROSPERO.</p><p><strong>Results: </strong>Three categories emerged: (a) autonomy as a context of safety and confidence, (b) autonomy as a process of strengthening identity, and (c) autonomy as a reflection of expertise. These generated the meta-category: The dynamics of Midwives/Nurse Midwives' autonomy.</p><p><strong>Conclusion: </strong>The autonomy of Midwives and Nurse Midwives in \"being and doing\" affirms their identity, expresses their expertise, and promotes the confidence and safety of laboring women. Autonomous Midwives and Nurse Midwives make childbirth a unique and unrepeatable event while defending physiological care. Recognizing the autonomy of Midwives and Nurse Midwives strengthens global health.</p>","PeriodicalId":43312,"journal":{"name":"SAGE Open Nursing","volume":"12 ","pages":"23779608261433120"},"PeriodicalIF":2.9,"publicationDate":"2026-09-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13554601/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148920043","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":"Beyond Visit Counts: A Concept Analysis of Patient-Centered, Quality-Oriented Maternal and Child Healthcare Utilization.","authors":"Abdul-Manaf Mutaru, Joseph P De Santis, Hudson P Santos","doi":"10.1177/23779608261487497","DOIUrl":"10.1177/23779608261487497","url":null,"abstract":"<p><strong>Introduction: </strong>Maternal and child healthcare utilization is critical to reducing adverse health outcomes, yet the use of the term utilization in the literature and for measurement fails to represent contemporary health priorities. For instance, existing research limits maternal and child healthcare utilization to quantitative metrics such as the number of clinic visits, without particular attention to initiatives such as <i>Sustainable Development Goal three (SDG 3)</i> and the World Health Organization's (WHO) maternal health quality standards.</p><p><strong>Objective: </strong>The researchers aimed to clarify the definition, defining attributes, antecedents, and consequences for maternal and child healthcare utilization, and to identify empirical referents that support its operationalization in research, policy, and practice.</p><p><strong>Concept description: </strong>The Walker and Avant's eight-step method was used to guide this concept description and analysis. A comprehensive literature search across PubMed, Cumulative Index for Nursing and Allied Health Literature, Web of Science, and PsycINFO via EBSCOhost identified 25 published records that informed the definition of the concept.</p><p><strong>Discussion: </strong>Three core behavioral attributes, including engagement, continuity, and adequacy/timeliness, characterize observable patterns of maternal and child healthcare utilization. Two normative attributes, patient-centeredness and quality of care, distinguish meaningful utilization from nominal contact. Six antecedents emerged: system availability and responsiveness, equitable access, socioeconomic status, cultural beliefs, policy interventions, and individual experience. Consequences included improved maternal and neonatal outcomes, enhanced equity, reduced costs, and strengthened health systems. Existing empirical referents capture important dimensions but do not fully reflect evolving expectations for comprehensive maternal and child health utilization.</p><p><strong>Conclusion: </strong>This analysis positions maternal and child healthcare utilization as both a behavioral process and a reflection of system capability. This refined conceptualization is consistent with evolving global health priorities, including SDG 3 and WHO maternal health quality standards, strengthens theoretical coherence, enhances measurement, and supports the development of patient-centered, and quality maternal and child health care interventions.</p>","PeriodicalId":43312,"journal":{"name":"SAGE Open Nursing","volume":"12 ","pages":"23779608261487497"},"PeriodicalIF":2.9,"publicationDate":"2026-09-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13554559/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148921396","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":"Self-Care Knowledge and Associated Factors Among Adult Patients With Colostomy in Northwest Amhara, Ethiopia: A Cross-Sectional Study.","authors":"Alemtsehay Getahun Hunegnawu, Berhanu Ayana Tafere, Benalfew Mengistie Lake, Mezinew Sintayehu Bitew","doi":"10.1177/23779608261486138","DOIUrl":"10.1177/23779608261486138","url":null,"abstract":"<p><strong>Background: </strong>Colostomy, a surgically necessary procedure, requires rigorous self-care to prevent complications and improve patients' quality of life. In Ethiopia, the rising demand for colostomies is met with a lack of localized data on patient self-care knowledge, leading to insufficient support and increased stoma-related complications and healthcare burdens.</p><p><strong>Objectives: </strong>This study aimed to assess self-care knowledge and its associated factors among adult patients with colostomy in Northwest Amhara Comprehensive Specialized Hospitals, Ethiopia October-November 2024.</p><p><strong>Methods: </strong>A hospital-based cross-sectional study involving 423 adult patients (aged ≥18) who were consecutively recruited from five hospitals (October 15- November 10, 2024) was conducted. Data were collected via structured interviews. Multivariable binary logistic regression was employed to identify factors associated with knowledge. Because participants were recruited from five hospitals, hospital site was considered as a potential clustering variable; its effect was examined in sensitivity analyses.</p><p><strong>Results: </strong>Only 39.24% (95% CI: 34.57-43.92) of the participants (n=423, 68.3% male) demonstrated good colostomy self-care knowledge. Factors significantly associated with better knowledge included colostomy education (AOR = 8.72; 95% CI: 4.58-16.60), higher educational status (Elementary AOR = 3.48; Secondary AOR = 2.58; College and above AOR = 2.04), private employment (AOR = 3.45), and medium social support (AOR = 2.48). Government employment was associated with lower odds of good knowledge (AOR = 0.38). In a sensitivity analysis using stricter knowledge cut-off (≥6 of 9 items correct), only secondary education, colostomy education, and medium social support remained statistically significant, indicating that the findings for occupation and the remaining educational categories were not stable across alternative cut-offs.</p><p><strong>Conclusion: </strong>Despite 75.4% of patients receiving preoperative teaching and 60.76% receiving colostomy-specific education, the prevalence of good self-care knowledge is suboptimal. Educational status, colostomy-specific education, and social support are significantly associated with self-care knowledge; however, only secondary education, colostomy education, and medium social support remain robust across alternative cut-offs, whereas the associations of occupation and other educational categories depended on the chosen threshold. These findings necessitate targeted, culturally sensitive educational programs to bridge knowledge gaps and improve patient outcomes in this resource-limited setting.</p>","PeriodicalId":43312,"journal":{"name":"SAGE Open Nursing","volume":"12 ","pages":"23779608261486138"},"PeriodicalIF":2.9,"publicationDate":"2026-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13530452/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148876075","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":"Artificial Intelligence in Nursing Governance and Regulation: An Umbrella Review of Ethical and Policy Dimensions.","authors":"Daifallah M Alrazeeni, Maryam Alharrasi, Moustaq Karim Khan Rony, Rajib Kumar Biswas, Sabrina Momota Saima, Mst Atika Akhter, Asha Aktery, Most Tahmina Khatun","doi":"10.1177/23779608261485044","DOIUrl":"10.1177/23779608261485044","url":null,"abstract":"<p><strong>Background: </strong>As AI becomes increasingly embedded in healthcare systems, nursing governance faces new challenges involving ethical accountability, professional autonomy, data stewardship, and institutional oversight. Existing reviews highlight fragmented understanding of how these changes impact the nursing profession.</p><p><strong>Aim: </strong>This umbrella review aimed to synthesize ethical and policy dimensions related to the integration of artificial intelligence (AI) within nursing governance and regulatory frameworks.</p><p><strong>Methods: </strong>Following JBI guidance and PRISMA 2020, five databases were searched for reviews published from January 2010 to December 2025. Reviews were appraised and synthesized by purpose, quality, nursing specificity, and primary study overlap, which was quantified using a citation matrix and Corrected Covered Area (CCA).</p><p><strong>Findings: </strong>Thirty-one reviews included 23 evidence syntheses and eight evidence maps. Privacy or data stewardship appeared in 29 reviews, transparency or explainability in 27, bias or fairness in 25, accountability or liability in 25, consent or autonomy in 18, leadership, education, or oversight in 14, and safety or human oversight in nine. Among 23 reviews with enumerable, extractable study lists, the CCA was 0.54%, indicating slight overlap. Nursing-specific concerns involved professional judgment, representation, oversight, regulatory variation, and ethical preparedness.</p><p><strong>Conclusion: </strong>AI creates linked governance concerns involving data, fairness, transparency, autonomy, and accountability. Auditable responsibilities are needed across clinical, institutional, and regulatory levels while preserving nursing judgment and patient advocacy. Evidence for specific regulatory models remains limited.</p>","PeriodicalId":43312,"journal":{"name":"SAGE Open Nursing","volume":"12 ","pages":"23779608261485044"},"PeriodicalIF":2.9,"publicationDate":"2026-08-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13530450/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148876129","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":"Persistent Psychological Distress and Shifting Subjective Burden Among Hospital Nursing Professionals During the COVID-19 Pandemic: A Repeated Cross-Sectional Study.","authors":"Nozomu Takada, Shoko Sugiyama, Yukari Hara, Masako Yamada, Yoko Nihei, Kyoko Asakura","doi":"10.1177/23779608261481429","DOIUrl":"10.1177/23779608261481429","url":null,"abstract":"<p><strong>Introduction: </strong>The coronavirus disease 2019 (COVID-19) pandemic has imposed substantial psychological and physical burdens on nursing professionals, particularly in Asia, where anxiety, depression, and burnout are common. In Japan, stigma may intensify distress, highlighting the need to assess symptoms and perceived workload. However, most studies were conducted at a single time point and cannot show how these burdens differ across changing infection rates, policies, and vaccination status.</p><p><strong>Objective: </strong>To compare psychological distress and subjective work-related burden among three independent samples of Japanese hospital nursing professionals during the COVID-19 pandemic.</p><p><strong>Methods: </strong>A repeated cross-sectional survey was conducted during three pandemic phases, with an independent sample at each: December 2020 (pre-vaccination), July 2022 (seventh infection wave), and November 2023 (post-reclassification). Web-based surveys were administered at 138 hospitals in one Japanese prefecture. Psychological distress was measured using the K6 scale and subjective mental and physical burden using one original item each. Differences among waves were examined using one-way analysis of variance, effect sizes (η²), and Steel-Dwass post hoc comparisons.</p><p><strong>Results: </strong>A total of 4,194 participants were analysed. Psychological distress and subjective burden differed significantly among waves, although effect sizes were small (η² = .008-.012). Mean K6 scores were higher in July 2022 than in December 2020 or November 2023. The proportion with psychological distress (K6 ≥ 5) ranged from 59.3% to 67.9%, and that with severe distress (K6 ≥ 13) from 14.1% to 23.9%. Mental burden was highest in December 2020 and lowest in November 2023; physical burden showed the opposite pattern. In 2020, participants with COVID-19 care experience reported higher distress, but no such difference was observed in 2022 or 2023.</p><p><strong>Conclusion: </strong>Sustained psychological support for nursing professionals remains essential beyond acute crises. Tailored interventions should address mental strain and cumulative physical fatigue to strengthen workforce resilience.</p>","PeriodicalId":43312,"journal":{"name":"SAGE Open Nursing","volume":"12 ","pages":"23779608261481429"},"PeriodicalIF":2.9,"publicationDate":"2026-08-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13527328/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148867313","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}