SAGE Open Nursing最新文献

{"title":"Development and Initial Psychometric Evaluation of a Family Functioning Questionnaire for Diabetes Self-Management Based on the McMaster Family Functioning Model: Evidence from Indonesia.","authors":"Rian Adi Pamungkas, Andi Mayasari Usman, Kanittha Chamroonsawasdi, Abdurrasyid","doi":"10.1177/23779608261484043","DOIUrl":"10.1177/23779608261484043","url":null,"abstract":"<p><strong>Background: </strong>Family functioning can play a crucial role in supporting diabetes self-management; however, validated instruments specifically designed to assess family functioning in diabetes self-management and systematically grounded in a comprehensive family functioning theory remain limited.</p><p><strong>Objective: </strong>This study aimed to develop and evaluate its initial psychometric properties of the Family Functioning Questionnaire for Diabetes Self-Management (FF-DMSM), a theory-based instrument derived from the McMaster Family Functioning Model.</p><p><strong>Methods: </strong>This methodological study involved instrument development, content validation, exploratory structural validity, and reliability testing. Content validity was evaluated by an expert panel using the Content Validity Ratio (CVR) and Content Validity Index (CVI). Exploratory structural validity was examined through exploratory factor analysis (EFA) using principal axis factoring with Varimax rotation. Internal consistency reliability was examined using Cronbach's alpha. The questionnaire was administered to community-dwelling adults with diabetes who had practiced self-management for at least one year.</p><p><strong>Results: </strong>The FF-DMSM consisted of 30 items across six domains: problem solving, communication, roles, affective responsiveness, affective involvement, and behavior control. Content validity was supported by a high scale-level CVR (S-CVR/Ave = 0.87). The scale-level CVI demonstrated excellent content validity for relevance (S-CVI/Ave = 0.91), clarity (S-CVI/Ave = 0.92), and simplicity (S-CVI/Ave = 0.92). Exploratory factor analysis suggested a preliminary six-factor structure consistent with the theoretical model, with all items showing satisfactory factor loadings. The instrument demonstrated high internal consistency, with Cronbach's alpha values indicating acceptable to excellent internal consistency at both the total scale and subscale levels.</p><p><strong>Conclusion: </strong>The FF-DMSM provides initial evidence of content validity, exploratory structural validity, and internal consistency of instrument for assessing family functioning in diabetes self-management. However, the six-factor structure should be interpreted as preliminary and requires further confirmation using confirmatory factor analysis in an independent sample, together with additional validity testing.</p>","PeriodicalId":43312,"journal":{"name":"SAGE Open Nursing","volume":"12 ","pages":"23779608261484043"},"PeriodicalIF":2.9,"publicationDate":"2026-08-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13519218/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148841470","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":"Health-Seeking Behavior and Its Determinants Among Hypertensive Patients in Selected Public Hospitals, Addis Ababa Ethiopia.","authors":"Momina Siraj, Tigistu Gebreyohannis Gebretensaye, Boka Dugassa Tolera","doi":"10.1177/23779608261481906","DOIUrl":"10.1177/23779608261481906","url":null,"abstract":"<p><strong>Background: </strong>Health-seeking behavior refers to the actions or inactions individuals take when they perceive themselves to have a health issue or illness, seeking an appropriate remedy. The national prevalence of hypertension among adults aged 15-69 years is 19.2%. Limited context specific evidence exists on behavioral, sociocultural, and health system factors influence poor health seeking-behavior.Understanding Health-seeking behavior is crucial for identifying the health needs and priorities of a population, which in turn addresses these needs and prevent the worsening of health conditions.</p><p><strong>Objective: </strong>This study aimed to assess health-seeking behavior and associated factors among hypertensive patients at selected government hospitals in Addis Ababa, Ethiopia.</p><p><strong>Method: </strong>An institution-based cross-sectional study was conducted from March 1 to April 30, 2024, across four public hospitals in Addis Ababa. A total of 214 participants were selected using convenience sampling. A structured data collection tool adapted from previous studies was used to collect data from participants. Data were analyzed using SPSS version 26.0, and descriptive statistics and logistic regression identified factors associated with health-seeking behavior.</p><p><strong>Results: </strong>The overall prevalence of good health-seeking behavior of participants was 47.7%. The findings indicated that educational status, presence of comorbidities, age, and income significantly influenced health-seeking behavior, specifically, participants with a degree or higher education were significantly ore likely to seek health care (AOR=6.25, 95% CI 1.38-28.29), history of coronary artery disease (AOR=2.70, 95% CI:2.28-27.98). Age 20-40 years (AOR=1.14, 95%CI: 0.34-3.88), and income (AOR=1.13, 95% CI: 0.26-4.94).</p><p><strong>Conclusion: </strong>Health-seeking behavior among hypertensive patients in Addis Ababa was suboptimal, indicating that a considerable proportion of participants demonstrated suboptimal engagement with recommended care. Education, and coronary artery disease significantly influenced health-seeking behavior, emphasizing the need for interventions targeting awareness, and access to affordable healthcare are recommended.</p>","PeriodicalId":43312,"journal":{"name":"SAGE Open Nursing","volume":"12 ","pages":"23779608261481906"},"PeriodicalIF":2.9,"publicationDate":"2026-08-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13519213/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148841557","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":"Social Media Utilization and Its Influence on Maternity Care Decision-Making and Childbirth Experiences among Omani Women.","authors":"Olabisi Fatimo Ibitoye, Sophia Cyril Vincent, Aisha Alshdefat, Atiya Al Furqani","doi":"10.1177/23779608261478991","DOIUrl":"10.1177/23779608261478991","url":null,"abstract":"<p><strong>Introduction: </strong>Digital media and health innovations are transforming access to maternal and child health information. Women frequently seek pregnancy-related advice online; however, the abundance of online information and the risk of misinformation may influence maternity expectations, healthcare decisions, and perceptions of childbirth.</p><p><strong>Objectives: </strong>This study assessed the use of social media for maternity-related information and its association with healthcare decision-making and childbirth experiences among postnatal women in Oman.</p><p><strong>Methods: </strong>This cross-sectional study was conducted among 396 postnatal women recruited from Sultan Qaboos University Hospital and Khoula Hospital in Oman. Exposure variables, including social media use for maternity information, and outcome variables, such as healthcare decision-making and childbirth experiences, were measured concurrently. Data were collected using a researcher-developed sociodemographic and social media use questionnaire and the validated 19-item Childbirth Experience Questionnaire (CEQ). Data were analysed using IBM SPSS Statistics version 27.0. Descriptive statistics were used to summarise participant characteristics and social media use patterns, while chi-square tests were used to examine associations between variables.</p><p><strong>Results: </strong>Most participants were well-educated, with 59.6% holding postgraduate degrees. More than half (52.8%) of the participants used social media for maternity-related information. Instagram was the most frequently used platform, accessed by 73.7% of social media users. The most sought information concerned general health issues (81.1%) and baby development (80.6%). Social media use was associated with healthcare decision-making (χ² = 24.157, p < 0.001). Although 55.1% of the participants reported a positive childbirth experience, no significant association was observed between social media use and childbirth experience.</p><p><strong>Conclusion: </strong>Social media is a significant source of maternity-related information for postnatal Omani women and is associated with healthcare decision-making, but not with childbirth experiences. As the exposure and outcome variables were measured concurrently, these findings indicate associations rather than causality. These results underscore the need for healthcare professionals to guide women toward reliable digital maternity information.</p>","PeriodicalId":43312,"journal":{"name":"SAGE Open Nursing","volume":"12 ","pages":"23779608261478991"},"PeriodicalIF":2.9,"publicationDate":"2026-08-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13504120/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148819818","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":"Job Dissatisfaction Among Elderly Care Nurses Working in Hospital Inpatient Settings: A Qualitative Study.","authors":"Vilma Žydžiūnaitė, Marija Truš, Indrė Brasaitė-Abromė","doi":"10.1177/23779608261478192","DOIUrl":"10.1177/23779608261478192","url":null,"abstract":"<p><strong>Introduction: </strong>A knowledge gap exists regarding how physical, psychosocial, and organizational stressors interact dynamically over time to drive nurse dissatisfaction. This qualitative study explores the lived experiences of hospital inpatient elderly care nurses navigating their institutional environment. The aim was to uncover the specific operational dynamics of job dissatisfaction and provide an empirical model of these cyclic, self-reinforcing patterns.</p><p><strong>Methods: </strong>A qualitative research design was applied for the study. The purposive sample consisted of 21 nurses; the sample size was determined by data saturation. Data were collected via semi-structured interviews and analyzed using latent qualitative content analysis.</p><p><strong>Results: </strong>A cyclic model was developed to delineate four components of nurse dissatisfaction in hospital inpatient elderly care, where an unfavorable practice environment shapes work and role overload, which subsequently influences physical and psychosocial exhaustion. Such exhaustion leads to professional distress when clinical realities conflict with professional expectations, ultimately looping back into the system to compound the operational cycle.</p><p><strong>Conclusion: </strong>The developed interpretive model provides experience-based insights for nursing leadership to target the cyclic feedback mechanism through supportive structures and active modifications to the daily elderly care nursing environment. These qualitative findings show that the retention of elderly care nurses involves comprehensive rather than isolated interventions.</p>","PeriodicalId":43312,"journal":{"name":"SAGE Open Nursing","volume":"12 ","pages":"23779608261478192"},"PeriodicalIF":2.9,"publicationDate":"2026-08-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13504132/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148819879","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":"Psychometric Properties of the Positive Mental Health Scale (PMH-Scale) in Peruvian Nursing Professionals.","authors":"Jeseth Paloma Valerio Vega, Shayelli Marialid Hurtado Chanducas, Ysmael Uriel Lanza Mamani, Isaac Alex Conde Rodríguez, Cristian Edwin Adriano-Rengifo","doi":"10.1177/23779608261472372","DOIUrl":"10.1177/23779608261472372","url":null,"abstract":"<p><strong>Introduction: </strong>Positive mental health is a relevant protective construct for nursing professionals, who are frequently exposed to high emotional and occupational demands. However, brief and psychometrically sound instruments for assessing positive mental health in Peruvian nursing personnel remain limited.</p><p><strong>Objectives: </strong>To evaluate the psychometric properties of the Positive Mental Health Scale (PMH-Scale) in Peruvian nursing professionals.</p><p><strong>Method: </strong>Instrumental, quantitative, cross-sectional, and non-experimental study with 328 participants. The internal structure was analyzed using Confirmatory Factor Analysis (CFA). Reliability was assessed with Cronbach's α and McDonald's ω. Invariance was measured by sex, participation in religious activities, and the type of psychological care received. Convergent validity was examined in relation to optimism, life satisfaction, anxiety, and depression.</p><p><strong>Results: </strong>The one-dimensional model showed adequate fit (CFI = .978; TLI = .971; RMSEA = .072; SRMR = .027); Internal consistency was high (α = .93; ω = .94). Configural, metric, scalar, and strict invariance were sustained in the groups analyzed (ΔCFI ≤ .01). Correlations supported convergent validity (expected direction with optimism and life satisfaction; negative with anxiety and depression).</p><p><strong>Conclusions: </strong>The PMH-Scale is a concise, valid, and reliable instrument for screening for positive mental health in clinical environments characterized by high emotional demands, such as nursing. Its application can facilitate prompt monitoring and inform evidence-based interventions.</p>","PeriodicalId":43312,"journal":{"name":"SAGE Open Nursing","volume":"12 ","pages":"23779608261472372"},"PeriodicalIF":2.9,"publicationDate":"2026-08-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13500979/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148814222","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":"Complete Hepatitis B Vaccination Among Health Care Professionals in Ethiopia: A Systematic Review and Meta-Analysis of Primary Evidence.","authors":"Yitayal Ayalew Goshu, Amare Simegn Ayele, Azeb Ewinetu Yitayew, Demeke Mesfin Belay","doi":"10.1177/23779608261481923","DOIUrl":"10.1177/23779608261481923","url":null,"abstract":"<p><strong>Background: </strong>Despite the critical importance of HBV vaccination and Ethiopia's high burden of infection, no recent comprehensive review has synthesized data on vaccination coverage and its associated factors among Ethiopian healthcare workers.</p><p><strong>Objective: </strong>This study aimed to determine the pooled prevalence of complete Hepatitis B Virus vaccination coverage among healthcare professionals in Ethiopia.</p><p><strong>Methods: </strong>We searched primary articles across several databases: PubMed, Scopus, Web of Science, EMBASE, African Journals Online, and the Global Health database. Article screening, data extraction, and quality assessment were performed independently by two reviewers. We thoroughly assessed heterogeneity and publication bias, and performed subgroup analysis, sensitivity analysis, and trim-and-fill analysis. The pooled estimate for full vaccination coverage among healthcare professionals was calculated using a random-effects model with a 95% CI.</p><p><strong>Results: </strong>Following a rigorous selection process, 18 primary articles involving a total of 6,167 participants were included in the final analysis. The pooled prevalence of complete vaccination against the Hepatitis B virus was found to be 29.90% (95% CI: 21.53-38.26), with considerable heterogeneity observed across the included studies (I² = 98.6%).</p><p><strong>Conclusion: </strong>The pooled prevalence of complete Hepatitis B virus vaccination among healthcare professionals in Ethiopia remains suboptimal. Initiatives focused on encouraging vaccination, empowering healthcare workers with knowledge, and ensuring the vaccine is accessible and provided free of charge are recommended.</p>","PeriodicalId":43312,"journal":{"name":"SAGE Open Nursing","volume":"12 ","pages":"23779608261481923"},"PeriodicalIF":2.9,"publicationDate":"2026-08-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13500959/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148814184","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":"Nurses' Knowledge, Attitudes, and Practices Toward Deep Vein Thrombosis Prevention at Comprehensive Specialized Hospitals in Northeastern Ethiopia: A Cross-Sectional Study.","authors":"Asrat Yazew, Sisay Gashaw Abate, Aragaw Egziabherfenta Tadele, Belaynesh Teshale Yimenu, Bazazew Asfaw Guadie, Birhaneslasie Gebeyehu Yazew, Melsew Dagne Abate, Haile Workye Agazhu, Alemayehu Asres Wolie, Azimeraw Ayine BeKele","doi":"10.1177/23779608261481904","DOIUrl":"10.1177/23779608261481904","url":null,"abstract":"<p><strong>Introduction: </strong>Deep vein thrombosis affects millions of people worldwide each year and requires timely interventions because it causes life-threatening, preventable complications. Nurses play a pivotal role in the prevention of this health problem.</p><p><strong>Objectives: </strong>This study aimed to assess nurses' knowledge, attitudes, practices, and associated factors regarding deep vein thrombosis prevention at comprehensive specialized hospitals in northeastern Ethiopia, 2022.</p><p><strong>Methods: </strong>A cross-sectional study was conducted from June 1 to August 30, 2022, employing a structured, self-administered questionnaire among 404 nurses. Study participants were selected through a simple random sampling technique. The data were entered into EpiData version 3.1 and exported to SPSS 25 for analysis. A binary logistic regression model was utilized to determine outcome variables and associated factors, and multivariable logistic regression was applied to control for potential confounders.</p><p><strong>Results: </strong>A total of 404 nurses participated in the study, giving a response rate of 97.8%. In this study, 56.7% (95% CI [51.8%, 61.5%]), 59.0% (95% CI [54.0%, 63.7%]), and 59.4% (95% CI [54.6%, 64.2%]) of nurses had adequate knowledge, favorable attitudes, and satisfactory practices, respectively. Age ≥ 36 years (AOR = 2.73, 95% CI [1.18, 6.31], <i>p</i> = .02), using standard guidelines (AOR = 2.05, 95% CI [1.25, 3.33], <i>p</i> = .001), deep vein thrombosis education (AOR = 1.97, 95% CI [1.15, 3.38], <i>p</i> = .01), and training (AOR = 2.85, 95% CI [1.69, 4.8], <i>p</i> = .001) were significantly associated with knowledge. Monitoring system (AOR = 4.06, 95% CI [2.50, 6.59], <i>p</i> = .001), deep vein thrombosis education (AOR = 1.88, 95% CI [1.14, 3.10], <i>p</i> = .01) and adequate knowledge (AOR = 1.68, 95% CI [1.03, 2.72], <i>p</i> = .04) were associated with practice. Educational status (AOR = 1.79, 95% CI [1.16, 2.77], <i>p</i> < .001) and work experience (AOR = 1.85, 95% CI [1.02, 3.42], <i>p</i> = .04) were factors independently associated with attitude.</p><p><strong>Conclusion: </strong>Slightly more than half of the nurses demonstrated adequate knowledge, favorable attitudes, and satisfactory practices. Deep vein thrombosis education, training, availability of guidelines, and educational status were significantly associated with nurses' knowledge of deep vein thrombosis prevention. Work experience, workload and educational status were associated with attitudes, while monitoring, deep vein thrombosis education and adequate knowledge had a significant association with practices.</p>","PeriodicalId":43312,"journal":{"name":"SAGE Open Nursing","volume":"12 ","pages":"23779608261481904"},"PeriodicalIF":2.9,"publicationDate":"2026-08-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13498836/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148799053","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 Effect of a 12-Session Yoga on Therapeutic Communication and Psychological Distress in Nursing Students.","authors":"Elnaz Karamizadeh, Mahshid Nazemzadeh Shoaei, Mahlagha Dehghan, Faezeh Soltani Goki, Neda Asadi","doi":"10.1177/23779608261480551","DOIUrl":"https://doi.org/10.1177/23779608261480551","url":null,"abstract":"<p><strong>Background: </strong>Nursing students experience significant academic and clinical stress, which contributes to psychological distress. Their ability to establish effective therapeutic communication (TC) with patients is also essential for high-quality patient care and patient satisfaction. Given the increasing use of yoga as an intervention for stress, this study investigated its effect on the therapeutic communication and psychological distress of nursing students in southeastern Iran.</p><p><strong>Methods: </strong>This quasi-experimental study recruited 90 eligible nursing students via convenience sampling and allocated them to either the yoga or control group using simple random allocation by drawing lots. Eighty students completed the study (yoga = 39, control = 41). The intervention was an offline yoga program consisting of 12 sessions (over a one-month period). Psychological distress was assessed using the General Health Questionnaire-28 (GHQ-28), and TC was measured using the Nursing Student Therapeutic Communication Questionnaire (NSTCQ). Data were collected before and after the intervention. Statistical analyses included paired t-tests (within-group), independent t-tests or Mann-Whitney U tests (between-group), and analysis of covariance (ANCOVA) controlling for baseline scores and age.</p><p><strong>Results: </strong>The mean psychological distress score in the yoga group showed a significant reduction following the intervention (p = 0.002), and a significant difference was observed between the yoga and control groups post-intervention (p = 0.001). Similarly, the mean therapeutic communication score increased significantly in the yoga group after the intervention (p = 0.03). However, there was no statistically significant difference in therapeutic communication scores between the two groups post-intervention (p = 0.079).</p><p><strong>Conclusion: </strong>The findings suggest that yoga reduces psychological distress and may enhance therapeutic communication skills among nursing students. Yoga may therefore be considered a complementary strategy to support nursing students' psychological well-being and professional communication.</p>","PeriodicalId":43312,"journal":{"name":"SAGE Open Nursing","volume":"12 ","pages":"23779608261480551"},"PeriodicalIF":2.9,"publicationDate":"2026-08-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13490796/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148799045","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":"Nurses' Professional Development and Confidence Three Years Post-graduation: A Qualitative Study.","authors":"Kari Toverud Jensen, Heidi Jerpseth","doi":"10.1177/23779608261477163","DOIUrl":"https://doi.org/10.1177/23779608261477163","url":null,"abstract":"<p><strong>Introduction: </strong>The current nursing workforce shortage underscores the urgent need to understand nurses' experiences and the factors they consider essential for retention. In this light there is growing interest in research that explores how nurses define their roles, knowledge, and professional development.</p><p><strong>Objectives: </strong>The aim of this study was to explore nurses' work experiences three years after graduation and to identify what enabled their professional development and confidence.</p><p><strong>Methods: </strong>This research was part of a longitudinal qualitative study in which the same participants were interviewed three times over a span of four years. For this study, interviews were conducted three years after graduation, from March to April 2024. The researchers conducted individual semi-structured interviews with the same participants as in the previous two rounds. Data were analysed using Braun and Clarke's Reflexive Thematic Analysis.</p><p><strong>Results: </strong>Two themes were constructed: professional insight and the meaning of collegial community. The main findings showed that the participants felt more confident both in caring for their patients and in how they expected and demanded to be taken seriously in interdisciplinary contexts. The participants often referred to their experiences and competence related to practical skills and to their ability to find solutions, as well as to their growing sense of authority associated with their profession as nurses.</p><p><strong>Conclusion: </strong>The findings indicated that professional insight and collegial community were intertwined, mutually constitutive components of professional self-esteem and development; each shaped the other, and together they influenced what nurses identified as enablers of their professional practice.</p>","PeriodicalId":43312,"journal":{"name":"SAGE Open Nursing","volume":"12 ","pages":"23779608261477163"},"PeriodicalIF":2.9,"publicationDate":"2026-08-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13487065/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148799083","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 Process Documentation and Use of Standardized Nursing Terminology (NANDA-I, NOC, NIC) in Undergraduate Nursing Students: An Explanatory Sequential Mixed-Methods Study.","authors":"Maryam Varzeshnejad, Zohreh Nabizadeh Gharghozar, Aydin Feyzi, Manijeh Nourian, Leila Valizadeh","doi":"10.1177/23779608261478229","DOIUrl":"https://doi.org/10.1177/23779608261478229","url":null,"abstract":"<p><strong>Introduction: </strong>The nursing process (NP) is a framework for planning and documenting nursing care. Standardized nursing language (SNL), including NANDA-I, NOC, and NIC, supports consistent documentation and demonstrates nursing contributions to patient outcomes. Understanding students' use of NP and SNL is important for improving nursing education and care quality.</p><p><strong>Objectives: </strong>This study evaluated the quality of undergraduate nursing students' NP documentation, including the use of NANDA-I, NOC, and NIC, and explored perceived barriers to implementing NP and SNL in clinical practice.</p><p><strong>Methods: </strong>This explanatory sequential mixed-methods study was conducted in 2024 at a Faculty of Nursing and Midwifery. In the quantitative phase, NP documentation in Pediatric Nursing clinical logbooks, completed after a 17-hour case-based course on NANDA-I, NOC, and NIC, was evaluated using a researcher-developed checklist. Nursing diagnoses were classified according to NANDA-I Taxonomy II domains, and data were analyzed using descriptive statistics in SPSS version 29. In the qualitative phase, purposively selected students participated in semi-structured interviews to explain the quantitative findings. Data were analyzed using conventional content analysis based on Graneheim and Lundman's approach.</p><p><strong>Results: </strong>A total of 121 clinical logbooks were analyzed. The mean NP documentation score was 3.52 ± 1.05 (out of 5). Students performed best in documenting NIC interventions and lowest in documenting NANDA-I diagnoses and NOC outcomes. Among 633 documented diagnoses, Safety/Protection, Elimination and Exchange, and Nutrition were the most frequent domains, whereas Self-Perception was least represented; no diagnoses were recorded in the Sexuality, Life Principles, or Growth and Development domains. Eighteen students participated in interviews, yielding two themes: education-related and student-related barriers.</p><p><strong>Conclusion: </strong>Students demonstrated greater proficiency in documenting interventions than in formulating standardized diagnoses and outcomes. The predominance of physiological diagnoses suggests limitations in comprehensive assessment. Strengthening diagnostic and outcome reasoning and promoting holistic NP-based care should be emphasized in nursing education.</p>","PeriodicalId":43312,"journal":{"name":"SAGE Open Nursing","volume":"12 ","pages":"23779608261478229"},"PeriodicalIF":2.9,"publicationDate":"2026-08-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13487060/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148799063","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}