SAGE Open Nursing最新文献

{"title":"Risk Factors of Pneumonia Among Under-five Children Attending the Public Hospital of Hadiya Central Ethiopia 2024.","authors":"Seifu Awgchew Mamo, Sisay Foga, Rediet Gebreselassie Kelelew, Eliase Ezo, Asnakech Zekiwos Heliso","doi":"10.1177/23779608261459570","DOIUrl":"10.1177/23779608261459570","url":null,"abstract":"<p><strong>Introduction: </strong>Pneumonia is an inflammation of the air sacs in the lungs in response to an injury, such as infection. When the lungs are also involved, it could be referred to as bronchopneumonia. It can be one area of the lung or several areas. According to international data, pneumonia has been the main cause of lower respiratory tract infection (RTI)-related morbidity and mortality. With an anticipated 505,000 deaths worldwide in 2021 (range from 454,000 to 555,000), S. pneumonia was the cause of the greatest percentage of all age-lower RTI-related deaths.</p><p><strong>Objective: </strong>To identify risk factors of pneumonia among under-five children who visit under-five OPD in Hadiya Zone public hospitals Central Ethiopia 2024.</p><p><strong>Method: </strong>An institution-based unmatched case-control research design was used in Hadiya zone public hospitals, with 160 cases and 321 controls of children aged 2-59 months included in the sample. The cases were children with pneumonia, while the controls did not have pneumonia. Ethical clearance was obtained. Data was entered using Epi-Data version 4.6 and analyses using SPSS 27 statistical software. Bivariable and multivariable logistic regression analyses were performed to identify determinant factors. Statistical significance was declared at a p-value ≤ 0.05 with adjusted odds ratios (AORs) and 95% confidence intervals (CIs).</p><p><strong>Result: </strong>Place of cooking (AOR: 2.75, 95%CI: 1.66, 4.58), History of Diarrhea in the past 2 weeks (AOR: 6.37, 95%CI: 3.63, 11.2), History of parental asthma in the family (AOR: 4.32, 95%CI: 2.31, 8.05), and a children received PCV vaccine during their infancy period (AOR: 2.09 95%CI: 1.24, 3.51), were found to be risk factors of under-five pneumonia.</p><p><strong>Conclusion: </strong>In this study, the risk of pneumonia among under-five children was significantly associated with several factors, including whether the children came from households where people cooked indoors, whether the children had experienced diarrhea in the past two weeks, whether the children came from families where parents experienced asthma, and whether the children received the PCV vaccine in infancy. These factors are of critical importance in the management of pneumonia among under-five children and therefore warrant interventions aimed at reducing the risk of pneumonia in this group of people.</p>","PeriodicalId":43312,"journal":{"name":"SAGE Open Nursing","volume":"12 ","pages":"23779608261459570"},"PeriodicalIF":2.9,"publicationDate":"2026-06-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13247278/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148220104","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":"Correlates of Adult Outpatient Dissatisfaction in Public Hospitals of Addis Ababa, Ethiopia: A Multi-Center Study.","authors":"Mohammed Yesuf, Zeleke Woldiya, Eyayalem Melese, Dawit Bezabih","doi":"10.1177/23779608261459296","DOIUrl":"10.1177/23779608261459296","url":null,"abstract":"<p><strong>Introduction: </strong>Patient satisfaction and dissatisfaction are critical indicator of healthcare quality. This study assessed satisfaction levels and identified factors associated with outpatient dissatisfaction among adult outpatient attendees in public hospitals in Addis Ababa, Ethiopia.</p><p><strong>Methods: </strong>A multicenter, institution-based cross-sectional study was conducted in August 2023 among 421 outpatients. Data were collected using a standardized questionnaire, processed in EpiData, and analyzed via SPSS version 27. Multivariable logistic regression was used to identify factors associated with patient dissatisfaction.</p><p><strong>Results: </strong>A total of 421 patients participated, with an overall satisfaction was 67% (95% CI [62.5, 71.5%]). Patients with repeated visits for the second (adjusted odds ratio (<i>AOR</i>): 0.023; 95% CI [0.003, 0.192]) and third visits (<i>AOR</i>: 0.098; 95% CI [0.016-0.603]) were significantly less likely to be dissatisfied compared to first-time visitors. Conversely, partial (<i>AOR</i>: 4.126; 95% CI [1.589, 10.72]) or complete non-availability (<i>AOR</i>: 6.668; 95% CI [2.14, 20.753]) of ordered procedures, unclean waiting areas (<i>AOR</i>: 12.48; 95% CI [3.96, 39.37]) or consultation rooms (<i>AOR</i>: 0.168; 95% CI [0.041, 0.68]), and poor patient-provider interactions, including not feeling comfortable asking questions (<i>AOR</i>: 30.28; 95% CI [13.52, 67.85]), and perceived impoliteness: (<i>AOR</i>: 7.204; 95% CI [1.305, 39.78]) were significantly associated with higher odds of dissatisfaction.</p><p><strong>Conclusion: </strong>Patient satisfaction was sub-optimal. Outpatient dissatisfaction was strongly associated with first-time visits, structural limitations in procedure availability, unclean waiting environments, and poor interpersonal interactions. Strengthening nurses' roles in patient communication and coordination represents a vital pathway to mitigate dissatisfaction and optimize healthcare quality.</p>","PeriodicalId":43312,"journal":{"name":"SAGE Open Nursing","volume":"12 ","pages":"23779608261459296"},"PeriodicalIF":2.9,"publicationDate":"2026-06-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13250419/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148228602","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":"Psychological Well-Being, Depressive Symptoms, and Death-Related Meaning Among Palliative Care Nurse Practitioners in Israel: A Mixed-Methods Study.","authors":"Anat Romem, Gilly Pelleg","doi":"10.1177/23779608261459577","DOIUrl":"10.1177/23779608261459577","url":null,"abstract":"<p><strong>Introduction: </strong>Palliative care nurse practitioners work in sustained proximity to death, grief, and end-of-life decision, yet relatively little is known about how this role relates to psychological well-being and depressive symptoms.</p><p><strong>Objectives: </strong>To examine subjective happiness, mental well-being, and depressive symptoms among palliative care nurse practitioners in Israel, and to explore how clinicians interpret repeated exposure to death in relation to these experiences.</p><p><strong>Methods: </strong>An explanatory sequential mixed-methods study was conducted among certified palliative care nurse practitioners in Israel. In the quantitative phase, participants completed the Subjective Happiness Scale, the Mental Health Continuum-Short Form, and the Center for Epidemiologic Studies Depression Scale. In the qualitative phase, a focus group was conducted with survey respondents to explore meaning, coping, and death-related experiences. Descriptive statistics, internal consistency estimates, and Pearson correlations were used for the quantitative analysis. Qualitative data were analyzed using reflexive thematic analysis.</p><p><strong>Results: </strong>Thirty-six nurse practitioners completed the survey and ten participated in the focus group. Participants reported moderate subjective happiness and mental well-being, while 44.4% scored above the threshold for elevated depressive symptoms on the depression screening measure. Qualitative analysis generated four themes: temporal reflections on death, cultural and societal meaning, existential struggle, and professional-personal identity intersections.</p><p><strong>Conclusion: </strong>Palliative care nurse practitioners may sustain professional meaning while also carrying substantial depressive symptom burden. Institutional responses should move beyond informal self-care and include structured reflective support, mental health monitoring, and workforce policies that acknowledge the emotional consequences of repeated exposure to dying.</p>","PeriodicalId":43312,"journal":{"name":"SAGE Open Nursing","volume":"12 ","pages":"23779608261459577"},"PeriodicalIF":2.9,"publicationDate":"2026-06-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13247281/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148220069","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":"Effect of Interleaved Learning Strategy on Nursing Students' Time Management and Self-Efficacy.","authors":"Rasha Mohamed Nagib Ali, Heba Dakrory Ali El-Said, Basma Salameh, Ola Mousa, Samar Hussien Khalaf Alah Mohamed","doi":"10.1177/23779608261459772","DOIUrl":"10.1177/23779608261459772","url":null,"abstract":"<p><strong>Background: </strong>Interleaved learning, time management, and self-efficacy play a pivotal role nursing education. This study aimed to evaluate the effect of an interleaved learning strategy on nursing students' time management and self-efficacy.</p><p><strong>Methods: </strong>A quasi-experimental research design was utilized. The study was conducted at the Faculty of Nursing, Minia University. The study subjects consisted of 262 students divided equally into two equal groups: 131 students in the study group and 131 in the control group, selected using systematic random sampling. The intervention consisted of a structured 40-hour interleaved learning program delivered over five weeks using interactive teaching methods. Three tools were used for data collection: (I) Nursing Students' Knowledge About Interleaved Learning Strategy Questionnaire, (II) Time Management Scale, and (III) General Self-Efficacy Subscale.</p><p><strong>Results: </strong>The findings demonstrated that applying the interleaved learning strategy significantly improved nursing students' knowledge, perception, time management, and self-efficacy compared with traditional teaching methods (p= 0.001). The magnitude of improvement was substantial, with large effect sizes observed for perception (Cohen's d= 0.904), self-efficacy (Cohen's d= 0.0.854) and time management (Cohen's d=0.795), indicating a substantial improvement among the study group following the intervention.</p><p><strong>Conclusion: </strong>Significant positive correlations were found between knowledge, perception of the interleaved learning strategy, time management, and self-efficacy. The findings indicate that interleaved learning may serve as an effective educational strategy in nursing education by enhancing both cognitive and professional competencies among nursing students.</p>","PeriodicalId":43312,"journal":{"name":"SAGE Open Nursing","volume":"12 ","pages":"23779608261459772"},"PeriodicalIF":2.9,"publicationDate":"2026-06-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13247370/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148220067","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":"Lived Experiences of Moral Disengagement Among Nursing Faculty in the West Bank: A Hermeneutic Phenomenological Study.","authors":"Mustafa Shouli, Ibrahim Aqtam, Ahmad Ayed, Lobna Harazneh, Moath Abu Ejheisheh, Ahmad Batran","doi":"10.1177/23779608261459904","DOIUrl":"10.1177/23779608261459904","url":null,"abstract":"<p><strong>Background: </strong>Moral disengagement is a psychological mechanism through which individuals justify ethically compromised behavior. Understanding the experiences of nursing faculty involved in moral disengagement is essential for maintaining educational integrity and ensuring the development of ethically grounded future nurses.</p><p><strong>Objectives: </strong>The purpose of this study was to explore the lived experiences of nursing faculty regarding moral disengagement and to examine how nursing faculty experienced moral disengagement as a cognitive strategy used to rationalize compromises in both academic and clinical teaching standards.</p><p><strong>Methods: </strong>A hermeneutic phenomenological approach, guided by van Manen's method, was employed. Twelve (n=12) nursing faculty members from three Palestinian universities located in the West Bank participated in semi-structured interviews conducted between February and June 2025. Participants were selected through purposive sampling based on inclusion criteria of full-time employment and a minimum of two years of teaching experience. Data were analyzed using van Manen's thematic analysis. Credibility was established through member checking, peer debriefing, and triangulation among researchers.</p><p><strong>Results: </strong>The thematic analysis identified four overarching themes: <b>(</b>1) subjective weighing of educational responsibilities, (2) justification mechanisms, (3) the gap between public presentation and private practice, and (4) the 'contagion' of moral disengagement in academic settings.</p><p><strong>Conclusions: </strong>These findings highlight the complexity of moral disengagement among nursing educators within the specific context studied and the potential impact it had on nursing education quality and student development. The study calls for institutional reforms, including ethical workload audits, holistic faculty evaluation systems, and faculty ethics support programs, as well as context-sensitive professional ethics training and multilevel policy interventions in nursing education. Further research across diverse contexts is warranted to enhance transferability of these findings.</p>","PeriodicalId":43312,"journal":{"name":"SAGE Open Nursing","volume":"12 ","pages":"23779608261459904"},"PeriodicalIF":2.9,"publicationDate":"2026-06-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13242585/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148206578","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 Attitudes and Adherence to Recommendations for Pressure Injury Prevention: Insights From a Cross-Sectional Study of Registered Nurses in Saudi Arabia.","authors":"Mousa Yahya Asiri, Regie Buenafe Tumala, Homoud Ibrahim Alanazi, Homood A Alharbi, Sahar Abdulkarim Al-Ghareeb, Badr Ayed Alenazy, Yahya Al Rashed, Mesfer Alotaibi","doi":"10.1177/23779608261458995","DOIUrl":"10.1177/23779608261458995","url":null,"abstract":"<p><strong>Introduction: </strong>Registered nurses' attitudes are integral to ensuring stringent adherence with pressure injury prevention (PIP), making their attitudes and adherence to PIP critical to patient outcomes, yet require comprehensive assessment to evaluate their relationship and effectiveness. Nevertheless, there is a notable absence of national prevalence data in the Kingdom of Saudi Arabia (KSA), indicating a shortfall in the application of established PIP strategies. Hence, research focused on evaluating the impact of nurses' attitudes and adherence to PIP within the KSA has been limited.</p><p><strong>Objectives: </strong>The aim of this study was to assess the attitudes of nurses towards PIP and their adherence with its recommendations, and how sociodemographic factors and attitudes influence their adherence to the recommendations for PIP.</p><p><strong>Methods: </strong>A descriptive-correlational design was used. The study was conducted in a military medical city in Riyadh, KSA. Data were collected between 26 February and 03 March 2026, and analyzed using IBM SPSS Statistics (version 30). Multiple linear regression analyses were performed separately for the attitudes towards and adherence to recommendations for preventing pressure injuries (PIs) as dependent variables. For the first two regression models, the sociodemographic variables were considered predictor variables of attitudes towards and adherence to recommendations for PIP, and the level of attitudes was assigned as the predictor of adherence for the third model.</p><p><strong>Results: </strong>A total convenience sample of 524 nurses participated and demonstrated overall positive attitudes towards PIP and positive adherence to PIP recommendations. Three sociodemographic variables were found as significant predictors of attitudes towards PIP, including age, highest education, and having read an article, book, or guideline pertaining to the PIP within the last year or less. In addition, two sociodemographic variables also demonstrated as significant predictors of adherence to the recommendations for PIP, namely: gender, and having read an article, book, or guideline pertaining to PIP within the last year or less.</p><p><strong>Conclusions: </strong>The findings demonstrated that registered nurses displayed favorable attitudes towards PIP alongside positive adherence to its recommendations. These findings may suggest a shared commitment and consistent engagement in PIP practices. Numerous sociodemographic factors and attitudes towards PIP emerged as significant predictors of nurses' adherence to the recommendations for PIP.</p>","PeriodicalId":43312,"journal":{"name":"SAGE Open Nursing","volume":"12 ","pages":"23779608261458995"},"PeriodicalIF":2.9,"publicationDate":"2026-06-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13241685/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148200506","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":"Knowledge, Attitude and Practice of Nursing Students on Antibiotic Use and Resistance in Bangladesh.","authors":"Mehedi Hasan, Md Abdullah Saeed Khan, Mosharop Hossian, Sabrina Yesmin Barsha, Miah Md Akiful Haque, Jannatul Mawa Joya, Lamisa Rahman, Mohammad Nurunnabi, Tahmina Zerin Mishu, Sabrina Afroz, K M Tanvir, Mohammad Ali Hossain, Md Utba Rashid, Mohammad Lutfor Rahman, Mohammad Hayatun Nabi, Mohammad Delwer Hossain Hawlader","doi":"10.1177/23779608261458015","DOIUrl":"10.1177/23779608261458015","url":null,"abstract":"<p><strong>Introduction: </strong>Indiscriminate use of antibiotics has led to antibiotic resistance, a global health threat. In low- and middle-income countries like Bangladesh, the situation is particularly dire. Nursing students are a concerned population as they have their respective part to play in antibiotic resistance. There is a lack of understanding about their knowledge, attitude and practice regarding antibiotic usage and resistance among this demographic.</p><p><strong>Methodology: </strong>A cross-sectional study design was employed and third- and fourth-year nursing students were recruited for the study from both government and non-government institutions in Bangladesh. Data were collected using a self-administered structured questionnaire. Descriptive statistics and multiple logistic regression analyses was performed using Stata version 16.</p><p><strong>Results: </strong>Among 664 participants, 83.58% of the students demonstrated good attitudes (>80%) and practices (>80%) towards antibiotic resistance, while 57.9% exhibited good knowledge. Older students had higher odds of good knowledge (aOR = 1.29) and practice (aOR = 1.84). Female gender (aOR = 2.00), private-institution enrollment (knowledge aOR = 1.57; attitude aOR = 3.44; practice aOR = 2.25), and Bachelor of Science enrollment (knowledge aOR = 2.13; attitude aOR = 3.38; practice aOR = 2.44) were associated with higher odds of good KAP. In contrast, fourth-year students showed lower odds of good attitude (aOR = 0.09) and practice (aOR = 0.45). Knowledge was weakly but significantly correlated with both attitude (r = 0.18, p < 0.001) and practice (r = 0.09, p = 0.041).</p><p><strong>Conclusion: </strong>Nursing students in Bangladesh show promising attitudes and practices towards antibiotic resistance. Efforts to enhance education on antibiotic resistance are necessary in guiding these future healthcare providers to combat this emerging threat effectively.</p>","PeriodicalId":43312,"journal":{"name":"SAGE Open Nursing","volume":"12 ","pages":"23779608261458015"},"PeriodicalIF":2.9,"publicationDate":"2026-06-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13237467/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148200528","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":"Reframing Postgraduate Nursing Education: From Academic Attainment to Societal Impact: A Commentary.","authors":"Mohammad Qtait","doi":"10.1177/23779608261457209","DOIUrl":"10.1177/23779608261457209","url":null,"abstract":"<p><p>Postgraduate nursing education is increasingly recognized as a strategic mechanism for strengthening health systems, advancing professional leadership, and improving population health outcomes. However, many postgraduate programmes remain primarily oriented toward traditional academic indicators such as degree completion, publication productivity, and institutional ranking, with less emphasis on their tangible contributions to healthcare systems and society. This commentary argues that postgraduate nursing education should be reframed not merely as an academic credentialing pathway but as a critical health system intervention capable of generating measurable societal impact. Drawing on social accountability theory and transformative learning perspectives, the paper introduces the concept of Socially Accountable Postgraduate Nursing Education (SAPNE) as an integrative framework linking advanced nursing education with system-level outcomes. The framework identifies three key mechanisms through which postgraduate education can enhance health system performance: governance alignment with national health priorities, impact-oriented academic supervision, and collaborative knowledge co-production with healthcare institutions and communities. Particular attention is given to the challenges of implementing socially accountable educational models in resource-constrained and politically complex settings, including the Palestinian context. Reframing postgraduate nursing education around societal contribution rather than academic output alone offers a pathway for strengthening professional legitimacy, supporting workforce development, and enhancing health system resilience. Future research should focus on operationalizing the SAPNE framework through structured curriculum integration, simulation-based learning, reflective practice strategies, and interprofessional education models. Its effectiveness should be empirically evaluated using longitudinal, quasi-experimental, and multicenter studies across diverse educational and clinical contexts.</p>","PeriodicalId":43312,"journal":{"name":"SAGE Open Nursing","volume":"12 ","pages":"23779608261457209"},"PeriodicalIF":2.9,"publicationDate":"2026-05-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13223344/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148151666","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":"Navigating Professional Accountability in AI-Assisted Nursing Practice: Ethical and Legal Imperatives for the Digital Age.","authors":"Ravi Shankar","doi":"10.1177/23779608261457722","DOIUrl":"10.1177/23779608261457722","url":null,"abstract":"<p><p>The integration of artificial intelligence (AI) into clinical decision-making has introduced unprecedented ambiguity regarding professional accountability when AI-assisted care results in adverse patient outcomes. Nurses, positioned as frontline users of AI clinical decision support systems, face a complex landscape where traditional notions of professional responsibility intersect with algorithmic opacity, shared decision-making processes, and evolving legal frameworks. This commentary examines the accountability challenges confronting nurses in AI-enabled practice environments, exploring the ethical tensions between following AI-CDSS recommendations and exercising independent clinical judgment. The commentary argues that clear frameworks for responsibility attribution, robust institutional policies, and strengthened professional guidance are urgently needed to protect both patients and nurses as AI becomes increasingly embedded in healthcare delivery.</p>","PeriodicalId":43312,"journal":{"name":"SAGE Open Nursing","volume":"12 ","pages":"23779608261457722"},"PeriodicalIF":2.9,"publicationDate":"2026-05-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13221590/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148139249","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":"A Cross-Cultural Adaptation and Psychometric Validation Study of the Good Nursing Care Scale for Nurses Among Indonesian Nurses.","authors":"I Gede Juanamasta, Rapin Polsook, Yupin Aungsuroch, Mary L Fisher, Abdulkareem S Iblasi, Bootan Ahmed, Joko Gunawan","doi":"10.1177/23779608261453440","DOIUrl":"10.1177/23779608261453440","url":null,"abstract":"<p><strong>Introduction: </strong>The Good Nursing Care Scale for Nurses (GNCS-N) measures nurses' perceptions of nursing care quality, but no validated Indonesian version has been available.</p><p><strong>Objectives: </strong>This study aimed to translate, adapt, and evaluate the construct validity and reliability of the Indonesian version of the GNCS-N (I-GNCSN).</p><p><strong>Method: </strong>Following COSMIN-informed procedures, the GNCS-N underwent forward-back translation, expert review, and pilot testing. A cross-sectional study using convenience sampling was conducted among inpatient nurses, and 255 complete responses were retained for confirmatory factor analysis (CFA). A second-order CFA was performed in LISREL 8.72 because the GNCS-N has an established theory-based multidimensional structure. Model fit was evaluated using chi-square, RMSEA, SRMR, CFI, NNFI, NFI, GFI, and AGFI. Convergent validity was assessed using average variance extracted (AVE), and internal consistency was assessed using composite reliability and Cronbach's alpha.</p><p><strong>Result: </strong>The final I-GNCSN retained the original seven dimensions and 40 items. The re-estimated second-order CFA showed acceptable-to-good fit: chi-square = 1529.99, df = 708, RMSEA = 0.068 (90% CI 0.063-0.072), SRMR = 0.059, CFI = 0.98, NNFI = 0.98, and NFI = 0.96. GFI (0.77) and AGFI (0.73) remained below ideal thresholds and are therefore interpreted cautiously. Most standardized factor loadings were moderate to high, although one item showed comparatively weak performance and should be re-examined in future studies. Internal consistency remained acceptable, whereas convergent validity was weaker for constructs with AVE values below 0.50.</p><p><strong>Conclusion: </strong>The I-GNCSN demonstrates acceptable structural validity and good internal consistency for use among Indonesian inpatient nurses. However, some fit indices remained suboptimal and convergent validity was mixed for several constructs; therefore, findings should be interpreted cautiously. Further studies should examine temporal stability, test the instrument in broader clinical settings, and re-evaluate weaker items.</p>","PeriodicalId":43312,"journal":{"name":"SAGE Open Nursing","volume":"12 ","pages":"23779608261453440"},"PeriodicalIF":2.9,"publicationDate":"2026-05-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13221592/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148139257","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}