SAGE Open Nursing最新文献

{"title":"The Impact of Rotating Shift Work on Nurse Burnout: A Systematic Review of Contributing Factors and Organizational Strategies.","authors":"Mohammed Qtait, Mohammad Fisal Alia, Yousef Jaradat","doi":"10.1177/23779608251374232","DOIUrl":"10.1177/23779608251374232","url":null,"abstract":"<p><strong>Background: </strong>Nurse burnout remains a significant global challenge, exacerbated by rotating shift work, which disrupts circadian rhythms and contributes to psychological strain. Burnout is characterized by emotional exhaustion, depersonalization, and reduced personal accomplishment-outcomes that can compromise patient care and workforce stability.</p><p><strong>Objective: </strong>This systematic review examines the association between rotating shift work and nurse burnout, focusing on how specific shift characteristics influence each burnout dimension and exploring contextual moderators such as organizational support and work environment.</p><p><strong>Methods: </strong>A systematic search of PubMed, Scopus, CINAHL, and PsycINFO was conducted to identify peer-reviewed studies published between 2015 and 2023. Eligible studies investigated hospital-based nurses and evaluated the effects of rotating shift work on burnout outcomes. The Joanna Briggs Institute (JBI) appraisal tool was used for quality assessment. Data were synthesized thematically due to study heterogeneity.</p><p><strong>Results: </strong>Fifteen studies were included, primarily cross-sectional in design, with significant variability in burnout measurement tools and shift definitions. Emotional exhaustion was consistently associated with night shifts and irregular rotations. Depersonalization was linked to excessive workload and low social support, while reduced personal accomplishment appeared in contexts of prolonged shift exposure. Organizational support, sleep hygiene, and job autonomy emerged as potential protective factors. However, the lack of quantitative synthesis, high reliance on self-reported data, and publication bias limit the strength of conclusions.</p><p><strong>Conclusion: </strong>Rotating shift work contributes significantly to nurse burnout, especially emotional exhaustion. The findings underscore the need for more longitudinal studies, standardized burnout assessments, and tailored interventions. Future research should incorporate effect sizes, subgroup analyses, and moderator evaluations to enhance evidence-based recommendations for shift scheduling and occupational health.</p>","PeriodicalId":43312,"journal":{"name":"SAGE Open Nursing","volume":"11 ","pages":"23779608251374232"},"PeriodicalIF":2.5,"publicationDate":"2025-09-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12409028/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145013408","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 Descriptive Study on Health Literacy: Knowledge, Application, and Confidence of Student Nurses in the U.S.","authors":"Marguerite DeBello, Tsu Yin Wu","doi":"10.1177/23779608251375282","DOIUrl":"10.1177/23779608251375282","url":null,"abstract":"<p><strong>Introduction: </strong>Health literacy is a critical factor influencing patient outcomes, yet research indicates a persistent gap in nurses' knowledge of this domain. This deficiency affects nurses' ability to identify and effectively address patients' health literacy needs.</p><p><strong>Objectives: </strong>This study aimed to assess nursing students' knowledge (cognitive domain), application (psychomotor domain), and confidence (affective domain) related to health literacy strategies.</p><p><strong>Methods: </strong>A descriptive study design was used with 344 nursing students who completed the Health Literacy Knowledge, Application, and Confidence Scale. The scale's validity and reliability were established through expert review and factor analysis.</p><p><strong>Results: </strong>While participants demonstrated the ability to apply some health literacy strategies, they lacked fundamental knowledge about health literacy concepts, including identifying at-risk populations and appropriate reading levels for patient education materials. Confidence was positively correlated with the frequency of strategy use, although knowledge alone did not predict application. Deficiencies were particularly noted in recognizing screening tools and understanding the requirements for educational materials.</p><p><strong>Conclusion: </strong>Findings reveal a significant gap in nursing students' knowledge of health literacy, despite some capacity for application and a link between confidence and strategy use. These results underscore the need for enhanced integration of health literacy education in nursing curricula to better prepare students for clinical practice.</p>","PeriodicalId":43312,"journal":{"name":"SAGE Open Nursing","volume":"11 ","pages":"23779608251375282"},"PeriodicalIF":2.5,"publicationDate":"2025-09-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12409056/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145016484","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":"Insights Into Perceived Worries Regarding the Adoption of Artificial Intelligence Among Intensive Care Unit Nurses in the West Bank.","authors":"Ahmad Batran, Ahmad Ayed, Ibrahim Aqtam, Rasmieh Al-Amer, Elham H Othman, Moath Abu Ejheisheh, Haneen Nasser Al Daamsa, Sanaa Alkhatib, Mosaab Farajallah","doi":"10.1177/23779608251376177","DOIUrl":"10.1177/23779608251376177","url":null,"abstract":"<p><strong>Background: </strong>The integration of artificial intelligence (AI) into healthcare is advancing rapidly, yet little is known about how ICU nurses perceive this shift, particularly in low-resource settings.</p><p><strong>Objectives: </strong>This study aimed to examine ICU nurses' perceived concerns regarding AI adoption, focusing on awareness, prior experience, and levels of worry related to AI integration.</p><p><strong>Methods: </strong>A cross-sectional survey was conducted among 235 ICU nurses from nine hospitals in the West Bank. Data were collected using the Worries of Applying Artificial Intelligence in Healthcare Questionnaire (WAAI-HCQ). Descriptive statistics and regression analyses were performed using SPSS.</p><p><strong>Results: </strong>Nurses demonstrated moderate AI awareness (M = 2.6, SD = 0.5) and limited prior experience (mean = 2.3, SD = 0.5). The overall worry regarding AI was moderate (M = 3.2, SD = 0.9), with the greatest concerns centered on its impact on healthcare providers (M = 3.3, SD = 1.0) and the least on regulatory and ethical issues (M = 2.9, SD = 0.7). Regression analysis revealed that AI awareness significantly predicted higher worry levels (B = 2.007, <i>p</i> < .001), while prior experience with AI predicted reduced worry (B = -0.952, <i>p</i> < .001). The findings suggest that greater AI awareness without practical experience may lead to increased apprehension, while hands-on exposure reduces anxiety and builds confidence.</p><p><strong>Conclusions: </strong>While ICU nurses recognized the potential benefits of AI, concerns about job displacement, depersonalization of care, and workflow disruption were prevalent. These findings underscore the need for targeted AI education, practical training, and supportive policies that address ethical and workforce-related implications. Context-specific strategies are essential to enhance nurses' readiness and confidence in adopting AI technologies in critical care settings.</p>","PeriodicalId":43312,"journal":{"name":"SAGE Open Nursing","volume":"11 ","pages":"23779608251376177"},"PeriodicalIF":2.5,"publicationDate":"2025-09-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12409063/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145013385","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, Attitudes, Practices, and Barriers Regarding the Integration of Artificial Intelligence in Nursing and Health Sciences Education: A Systematic Review.","authors":"Nesreen Alqaissi, Mohammed Qtait","doi":"10.1177/23779608251374185","DOIUrl":"10.1177/23779608251374185","url":null,"abstract":"<p><strong>Background: </strong>Artificial intelligence (AI) is rapidly transforming healthcare education and practice, making it essential for nursing and health sciences students to develop relevant competencies. However, their preparedness to engage meaningfully with AI in academic and clinical environments remains uncertain.</p><p><strong>Objectives: </strong>This systematic review synthesizes global evidence on the knowledge, attitudes, practices, and barriers (KAPB) related to AI among students in nursing, medicine, pharmacy, and allied health disciplines.</p><p><strong>Methods: </strong>Following PRISMA 2020 guidelines, a systematic search was conducted in PubMed, Scopus, CINAHL, and Google Scholar for peer-reviewed articles published between January 2020 and February 2025. Fourteen studies meeting inclusion criteria were analyzed using narrative synthesis. Both quantitative and qualitative studies were included. The review protocol was not registered.</p><p><strong>Results: </strong>Students generally demonstrated high awareness of AI, but formal training was limited. Knowledge was often acquired informally through social media or peer networks. While attitudes toward AI were largely positive, students expressed ethical concerns and anxiety related to AI use. Practical engagement with AI was mostly restricted to academic writing tasks, with minimal clinical application. Major barriers included the absence of AI-focused curricula, limited faculty expertise, inadequate infrastructure, and concerns over data privacy, ethics, and job displacement.</p><p><strong>Conclusion: </strong>Despite growing interest in AI, significant gaps remain in health sciences education. Comprehensive strategies such as curriculum integration, faculty development, and ethical training are urgently needed to foster responsible, confident, and clinically relevant AI adoption among future healthcare professionals.</p>","PeriodicalId":43312,"journal":{"name":"SAGE Open Nursing","volume":"11 ","pages":"23779608251374185"},"PeriodicalIF":2.5,"publicationDate":"2025-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12409032/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145013369","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":"\"Empowering Health: Evaluating Health-Promoting Behavior of Taibah University Students in Saudi Arabia\".","authors":"El-Saied Abd El-Hamid El-Sayed Salem, Mahmoud Abdelwahab Khedr, Shaimaa Mohamed Amin, Mohamed Hussein Ramadan Atta, Mohamed Masoud Ibrahim Sharaf, Samir Abdelnaby Shaaban Essa, Amira Abdelhamid Shawky Morsy, Maysa M Hatata, Braa Ibrahim Ahmed Lotfy Sobbih, Mona Metwally El-Sayed","doi":"10.1177/23779608251371981","DOIUrl":"10.1177/23779608251371981","url":null,"abstract":"<p><strong>Background: </strong>Health-promoting behaviors are crucial for maintaining well-being, especially among university students who face various lifestyle challenges.</p><p><strong>Aim: </strong>This study aimed to evaluate Taibah University students' Health-Promoting Lifestyle Profiles in Saudi Arabia, focusing on the influence of age, gender, and body mass index (BMI) on health-related behaviors.</p><p><strong>Methods: </strong>A descriptive, cross-sectional study was conducted in Saudi Arabia. A total of 397 valid questionnaires were analyzed. A systematic random sampling method was employed, selecting every 20th student from predetermined lists to ensure a balanced representation, with 100 students from each college. Data were collected using a demographic questionnaire and the validated Health-Promoting Lifestyle Profile II (HPLP-II).</p><p><strong>Results: </strong>Most participants had a normal BMI (18.5-24.9 kg/m²), with 71.4% of males and 63.3% of females classified as normal weight. Underweight status was more prevalent among females (23.4%) than males (13.4%) (χ² = 7.973, <i>p</i> = .047), and obesity was rare (2.8% in males, 0.9% in females). Females had significantly higher health responsibility scores (M = 24.99, SD = 6.74) compared to males (M = 23.41, SD = 7.19) (<i>t</i> = 2.252, <i>p</i> = .025). They were more engaged in health-promoting behaviors, with 66.1% of females classified at a high HPLP-II level versus 41.3% of males. Younger females (>20 years) exhibited significantly higher physical activity scores (M = 22.67, SD = 5.22) than older females (>20 years) (M = 19.93, SD = 6.87) (<i>p</i> = .004).</p><p><strong>Conclusion: </strong>Females demonstrated higher health responsibility and engagement in health-promoting activities than males, with younger females being more physically active. Body mass index significantly influences spiritual growth and overall health behaviors, highlighting the importance of considering demographic and anthropometric factors in health promotion strategies among university students.</p>","PeriodicalId":43312,"journal":{"name":"SAGE Open Nursing","volume":"11 ","pages":"23779608251371981"},"PeriodicalIF":2.5,"publicationDate":"2025-08-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12397586/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144973304","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":"Impact of Deep Versus Shallow Tracheal Suctioning on Cardiovascular Indices and Suction Induced Complications Among Mechanically Ventilated Patients.","authors":"Mona Mohamed El-Hady, Lisa Babkair, Ruba M Alharazi, Sohad Mohammad Wally Noorsaeed, Marwa Mehrez Mahmoud Ali","doi":"10.1177/23779608251374140","DOIUrl":"10.1177/23779608251374140","url":null,"abstract":"<p><strong>Background: </strong>Tracheal suctioning is a critical component of care for mechanically ventilated patients' treatment. The effectiveness and associated complications of suctioning can vary depending on the depth of catheter insertion. Although several guidelines assist nurses in selecting the appropriate suctioning technique, while the optimal suctioning depth remains uncertain.</p><p><strong>Purpose of the research: </strong>This study aimed to evaluate the impact of implementing shallow (insertion of the suction catheter to a depth limited to the end of the endotracheal tube) versus deep tracheal suctioning (insertion of the suction catheter approximately 1 cm above carina) techniques on cardiovascular indices and suction-induced complications among mechanically ventilated patients.</p><p><strong>Methods: </strong>A randomized controlled trial (RCT) with two parallel groups at a 1:1 ratio was carried out in Intensive care units of a tertiary hospital. Adult mechanically ventilated patients requiring tracheal suctioning were randomly assigned to either the shallow tracheal suctioning group (intervention) or the deep tracheal suctioning group (control). Cardiovascular indices (such as heart rate, blood pressure, respiratory rate, and oxygen saturation) and suction-induced complications (as hypoxemia, cardiac dysrhythmia, tracheal tissue injury, and increased intracranial pressure) were assessed at four specific times: before suctioning, immediately after suctioning, 5 min postsuctioning, and 10 min postsuctioning.</p><p><strong>Results: </strong>A total of 120 patients were enrolled in the study. Cardiovascular indices increased significantly following tracheal suctioning in the deep suctioning group compared to the shallow suctioning group (<i>p</i> < .05). Additionally, the incidence of suction-related complications was significantly lower in the shallow suctioning group (<i>p</i> < .05).</p><p><strong>Conclusions: </strong>Shallow tracheal suctioning results in less pronounced alterations in cardiovascular indices and fewer suction-induced complications compared to deep suctioning. These findings support the adoption of shallow suctioing as a safer and more favorable technique for managing mechanically ventilated patients.</p>","PeriodicalId":43312,"journal":{"name":"SAGE Open Nursing","volume":"11 ","pages":"23779608251374140"},"PeriodicalIF":2.5,"publicationDate":"2025-08-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12397608/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144973274","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":"Occupational Stress and Associated Risk Factors Among Nurses in Hebron Hospitals: A Cross-Sectional Study from the West Bank, Palestine.","authors":"Yousef Jaradat, Mohammad Qtait","doi":"10.1177/23779608251374155","DOIUrl":"10.1177/23779608251374155","url":null,"abstract":"<p><strong>Introduction: </strong>Occupational stress among nurses poses a significant challenge to healthcare systems, particularly in under-resourced and high-demand settings such as Palestine. Despite their critical role, limited research has addressed the prevalence and contributing factors of occupational stress among Palestinian nurses.</p><p><strong>Objective: </strong>This study aimed to assess the level of occupational stress among nurses working in Hebron hospitals and identify key stressors and associated demographic and occupational risk factors.</p><p><strong>Methods: </strong>A cross-sectional descriptive study was conducted between December 2023 and March 2024 involving 140 nurses from four hospitals in Hebron, West Bank, Palestine. Data were collected using the 34-item Health and Safety Executive (HSE) Occupational Stress Scale. Descriptive statistics, t-tests, ANOVA, and regression analysis were applied using SPSS version 23.</p><p><strong>Results: </strong>All participants (100%) reported moderate levels of occupational stress, with a mean score of 92.47 (SD = 5.92). The highest stressors were related to workload and role conflict, including excessive job demands and conflicting responsibilities (M = 4.07 and 3.81, respectively). Moderate stressors included time pressure and limited autonomy, while low-stress areas were associated with interpersonal respect and role clarity. No statistically significant associations were found between occupational stress scores and demographic variables such as age, gender, marital status, job title, or work experience (p > 0.05). The uniform moderate-stress scores may reflect cultural response tendencies toward avoiding extreme ratings, desensitization to chronic stress, or potential limitations in the sensitivity of the HSE scale in this context.</p><p><strong>Conclusion: </strong>Nurses in Hebron face moderate occupational stress primarily due to systemic and organizational factors rather than personal demographics. These findings should be interpreted cautiously in light of study limitations, including the use of convenience sampling, a relatively small sample size, and possible cultural or contextual influences on self-reported stress. Interventions targeting workload management, supportive leadership, and work autonomy are recommended to mitigate stress and promote well-being.</p>","PeriodicalId":43312,"journal":{"name":"SAGE Open Nursing","volume":"11 ","pages":"23779608251374155"},"PeriodicalIF":2.5,"publicationDate":"2025-08-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12397598/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144973292","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-Related Quality of Life in Newly Diagnosed Cancer Patients Prior to First Outpatient Chemotherapy: A Cross-Sectional Study.","authors":"Etreo Junior Carneiro da Silva Minarini, Raphael Manhães Pessanha, Sara Isabel Pimentel de Carvalho Schuab, Naira Santos D'Agostini, Victoria Oliveira Santos, Jonathan Grassi, Wesley Rocha Grippa, Karolini Zuqui Nunes, Luís Carlos Lopes-Júnior","doi":"10.1177/23779608251367653","DOIUrl":"10.1177/23779608251367653","url":null,"abstract":"<p><strong>Introduction: </strong>Cancer imposes substantial physical and psychological burdens that negatively affect patients' health-related quality of life (HRQoL). Assessing HRQoL prior to chemotherapy initiation is essential for tailoring early supportive care strategies.</p><p><strong>Objective: </strong>To describe the characteristics and identify the factors associated with HRQoL in newly diagnosed cancer patients immediately before initiating outpatient chemotherapy.</p><p><strong>Method: </strong>This cross-sectional study included adults with newly diagnosed stage I-III cancer scheduled to begin outpatient chemotherapy at a Brazilian cancer referral center. Sociodemographic and tumor-related data were obtained using a structured questionnaire. HRQoL was assessed with the EQ-5D-3L instrument. Descriptive and bivariate analyses were performed using Fisher's exact test.</p><p><strong>Results: </strong>Eighty-four patients were included (mean age: 57.68 years); most were female (72.62%), of mixed ethnicity (40.48%), had completed only primary education (48.81%), and were married (51.19%). The average time from diagnosis to treatment initiation was 120 days, and 60.71% reported comorbidities. Breast cancer was the most common diagnosis (57.14%), predominantly at Stage II (57.14%). The mean EQ-5D-3L index score was 77.79. Comorbidities were significantly associated with impaired mobility (<i>p</i> = .009), and female patients reported significantly more anxiety and depression than males (<i>p</i> = .005). Inflammatory markers revealed that most patients had low neutrophil-to-lymphocyte ratio (76.54%), low platelet-to-lymphocyte ratio (72.84%), and elevated C-reactive protein (CRP; 84.52%). In the multivariate analysis, the presence of comorbidities remained significantly associated with worse mobility (OR = 5.456; 95% CI [1.205-24.707]; <i>p</i> = .028), and male sex was independently associated with lower levels of anxiety and depression (OR = 0.206; [0.067-0.634]; <i>p</i> = .006). A nonsignificant trend was also observed between higher CRP levels and increased pain (OR = 2.800; [0.824-9.510]; <i>p</i> = .099).</p><p><strong>Conclusions: </strong>Patients with newly diagnosed cancer experience impaired HRQoL even before starting chemotherapy. Comorbidities were associated with worse mobility, and female patients reported higher levels of anxiety and depression. These findings support the need for early multidisciplinary care to mitigate functional and emotional burdens prior to treatment.</p>","PeriodicalId":43312,"journal":{"name":"SAGE Open Nursing","volume":"11 ","pages":"23779608251367653"},"PeriodicalIF":2.5,"publicationDate":"2025-08-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12381459/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144973276","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 Family Function-Based Adherence on Supportive Periodontal Care Prognosis: A Retrospective Analysis.","authors":"Fei Lu, Enhong Li, Feiruo Hong, Wen Fang, Dongni Shen, Xuefen Yu","doi":"10.1177/23779608251372322","DOIUrl":"10.1177/23779608251372322","url":null,"abstract":"<p><strong>Introduction: </strong>Adherence to supportive periodontal care (SPC) is essential for preventing disease recurrence and maintaining oral health. Psychological and emotional support from family members may play a vital role in sustaining long-term adherence, yet the influence of family function on SPC adherence and outcomes remains underexplored.</p><p><strong>Objective: </strong>To evaluate the impact of family function on adherence to SPC and its subsequent effect on periodontal prognosis.</p><p><strong>Methods: </strong>This retrospective study included 400 patients aged 20-73 years who received active periodontal therapy between January 2018 and January 2020 and entered SPC for at least one year. Family functioning was assessed using the Apgar score. Patient adherence was evaluated based on adherence to scheduled follow-up visits within a 3-month period. Clinical parameters, including probing depth and bleeding on probing, were recorded at baseline and follow-up visits. Multivariable logistic regression was used to assess the relationship between family functioning, patient adherence, and treatment outcomes.</p><p><strong>Results: </strong>The regular adherence group had an adherence rate of 38%, and their family care index was significantly higher than that of the irregular group (9.58 ± 0.58 vs. 9.00 ± 0.90, <i>p</i> < .01). Both groups showed improvements in periodontal prognosis following SPC (<i>p</i> < .01). Patients with a higher family care index exhibited better adherence, with a more pronounced improvement in prognosis (<i>p</i> < .01). Logistic regression analysis identified gender (odds ratio [OR] = 2.730, 95% CI [1.683, 4.430], <i>p</i> < .01), age (OR = 0.999, 95% CI [0.970, 1.02], <i>p</i> < .01), and orthodontic history (OR = 7.941, 95% CI [1.497, 42.116], <i>p</i> < .05) as significant factors influencing SPC adherence.</p><p><strong>Conclusion: </strong>Patients with higher family function scores demonstrate better adherence with SPC, resulting in more favorable treatment outcomes. The involvement of family members plays a critical role in enhancing patient adherence to treatment protocols, thereby improving both oral health and overall quality of life.</p>","PeriodicalId":43312,"journal":{"name":"SAGE Open Nursing","volume":"11 ","pages":"23779608251372322"},"PeriodicalIF":2.5,"publicationDate":"2025-08-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12378306/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144973325","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 Perspectives on Prone Positioning for ARDS Patient in the ICU: A Qualitative Phenomenological Study of Facilitator and Barrier.","authors":"Sriyono Sriyono, Hakim Zulkarnain, Erna Dwi Wahyuni, Jujuk Proboningsih, Wikan Purwihantoro, Maria-Pilar Mosteiro-Diaz","doi":"10.1177/23779608251371102","DOIUrl":"10.1177/23779608251371102","url":null,"abstract":"<p><strong>Introduction: </strong>Prone positioning is an established therapeutic intervention for acute respiratory distress syndrome (ARDS) patients. However, its utilization in ARDS treatment remains low, despite recommendations and evidence of its benefits.</p><p><strong>Objective: </strong>This study aims to explore the phenomenon of performing prone position for ARDS patients in the intensive care unit (ICU), especially from the nurses' perspective of the facilitators and the barrier.</p><p><strong>Methods: </strong>A qualitative phenomenological approach was employed. Fifteen ICU nurses from a referral hospital in Surabaya, Indonesia, who had performed at least 10 prone positions on intubated patients, were interviewed. Thematic analysis was conducted to identify emerging themes.</p><p><strong>Results: </strong>The facilitator factors are the availability of specially designed tool, the knowledge about benefit for the patient, and the availability of plan to mitigate complication. The barrier factors are the heavy maneuver during the process, the needs of lots of manpower, and the agitating patient. The facilitators lead the nurse to following way, the availability of specialized design tools enhances nurse confidence and patient safety. Then, the knowledge related to prone positioning benefit reinforced prone position importance. Additionally, a planning and proactive measures are necessary since the prone positioning is posed risk. The barrier holds the nurse performance in the following way: the physical demand may lead to musculoskeletal problems, such as back pain; inadequate staffing results in procedure delays or cancellations. Patient agitation, especially in intubated and mechanically ventilated patients, posed additional challenges, including the risk of extubating and increased congestion.</p><p><strong>Conclusion: </strong>ICU setting needs to be supportive to promote safe and effective prone positioning practices. This can be achieved through addressing the facilitator and the barrier of prone position. Additionally, prone positioning guideline development should involve the nurse.</p>","PeriodicalId":43312,"journal":{"name":"SAGE Open Nursing","volume":"11 ","pages":"23779608251371102"},"PeriodicalIF":2.5,"publicationDate":"2025-08-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12378304/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144973247","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}