SAGE Open Nursing最新文献

{"title":"Unveiling the Impact of Grit and Learning Agility on Academic Burnout Among Nursing Students: A Cross-Sectional Study.","authors":"Ibrahim Abdullatif Ibrahim, Atallah Alenezi, Heba Rabea Hagrass, Hoda Reda Abdou","doi":"10.1177/23779608251346685","DOIUrl":"10.1177/23779608251346685","url":null,"abstract":"<p><strong>Introduction: </strong>Nursing students often experience academic burnout due to the intense demands of their education, affecting their performance and well-being. Personal traits like grit and learning agility have the potential to alleviate burnout.</p><p><strong>Objective: </strong>This study aimed to evaluate the impact of grit and learning agility on academic burnout among nursing students.</p><p><strong>Methods: </strong>This study employed a descriptive, cross-sectional design, engaging a random sample of 467 nursing students. The study utilized self-reported online surveys to collect data from nursing students. These surveys included a demographic questionnaire, a short grit scale, a learning agility questionnaire, and a Maslach Burnout Inventory student survey. Descriptive statistics, Pearson correlation coefficient test, and simple linear regression were employed to analyze data in SPSS software (version 23.0).</p><p><strong>Results: </strong>The majority of the participants demonstrated elevated levels of grit (56.1%), moderate levels of learning agility (55.0%), and moderate levels of academic burnout (53.3%). The study revealed a statistically significant positive association between grit and learning agility (<i>r</i> = 0.274, <i>p</i> < .001), as well as a negative link between grit and academic burnout (<i>r</i> = -0.327, <i>p</i> < .001).</p><p><strong>Conclusion: </strong>These findings highlight the importance of fostering grit and learning agility in nursing education as a means to mitigate academic burnout. Integrating resilience-building interventions such as mentorship programs and stress management into nursing curricula may enhance students' ability to deal with challenges and persist in their studies and improve both academic success and long-term professional well-being in the nursing workforce.</p>","PeriodicalId":43312,"journal":{"name":"SAGE Open Nursing","volume":"11 ","pages":"23779608251346685"},"PeriodicalIF":2.0,"publicationDate":"2025-05-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12123111/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144200316","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 Sustainable and Meaningful Approach Toward Self-Treat Wound Care.","authors":"Yusrita Zolkefli","doi":"10.1177/23779608251347121","DOIUrl":"10.1177/23779608251347121","url":null,"abstract":"","PeriodicalId":43312,"journal":{"name":"SAGE Open Nursing","volume":"11 ","pages":"23779608251347121"},"PeriodicalIF":2.0,"publicationDate":"2025-05-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12123107/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144200298","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 Implementation of Evidence-Based Practice Comparative Study.","authors":"Mohammad Qtait","doi":"10.1177/23779608251343611","DOIUrl":"10.1177/23779608251343611","url":null,"abstract":"<p><strong>Introduction: </strong>Evidence-based practice (EBP) is essential in enhancing nursing care quality, patient outcomes, and clinical decision-making. However, nurses' engagement with EBP often varies depending on educational background and institutional support. Bridging programs have been introduced to help diploma-prepared nurses advance their knowledge and competencies through academic progression.</p><p><strong>Objective: </strong>This study aimed to compare the knowledge, attitudes, and implementation of EBP between diploma-prepared nurses and nurses who completed bridging programs in hospitals across Palestine.</p><p><strong>Method: </strong>A descriptive-comparative design was employed using a convenience sample of 200 registered nurses (104 diploma and 96 bridging program graduates) from multiple hospitals in the West Bank. Data were collected using validated self-administered questionnaires measuring knowledge, attitudes, practice, and EBP implementation. Independent <i>t</i>-tests and logistic regression were used for analysis.</p><p><strong>Results: </strong>Bridging nurses scored higher in all EBP domains, including knowledge (5.95 vs. 5.09), attitudes (5.80 vs. 5.06), practice (5.46 vs. 5.30), and implementation (5.42 vs. 4.91). Bridging nurses were significantly more likely to implement EBP. Gender, years of experience, and hospital setting were also significantly associated with higher EBP engagement.</p><p><strong>Conclusion: </strong>Nurses with bridging education demonstrate stronger EBP competencies compared to diploma nurses. These findings emphasize the importance of academic progression and institutional support in promoting evidence-based nursing. Educational interventions and supportive work environments are recommended to enhance EBP engagement across all levels of nursing practice.</p>","PeriodicalId":43312,"journal":{"name":"SAGE Open Nursing","volume":"11 ","pages":"23779608251343611"},"PeriodicalIF":2.0,"publicationDate":"2025-05-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12123105/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144200301","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Self-Management Practice of Minor Pregnancy Disorders and Associated Factors Among Pregnant Women Attending Antenatal Clinics at Tulu Bolo General Hospital, Ethiopia.","authors":"Mangistu Abera, Aynalem Belay, Aberash Beyene Derribow, Girma Bacha, Sena Belina","doi":"10.1177/23779608251345324","DOIUrl":"10.1177/23779608251345324","url":null,"abstract":"<p><strong>Background: </strong>The minor disorders of pregnancy are a series of commonly experienced disorders like nausea and vomiting, frequency of urination, heartburn, constipation, back pain, leg cramps, disturbance of sleep, and varicosities that mostly affect women during pregnancy. Across the world, due to a lack of self-management practice and less attention to minor disorders of pregnancy, pregnant women are exposed to major disorders of pregnancy, which have a negative impact on quality of life, and pregnancy outcomes. Most previous studies gave attention to the knowledge of minor pregnancy disorders and limited self-management practices of minor pregnancy disorders.</p><p><strong>Objective: </strong>To assess the self-management practice of minor pregnancy disorders and associated factors among pregnant women attending the antenatal clinic at Tulu Bolo General Hospital, Southwest Shewa, Ethiopia, 2022.</p><p><strong>Methods: </strong>An institutional-based cross-sectional study design was conducted from August 1 to September 30, 2022. Among 403, pregnant women were selected using a systematic random sampling technique. A structured and interviewer-administered questionnaire was used to collect the data. Data were entered in Epi Data version 3.1 and exported to SPSS window version 26 for analysis. Bivariate and multivariable analyses were done to identify variables associated with the self-management practice of minor pregnancy disorder in the binary logistic regression model. A statistical significance was declared at <i>P</i>-value < .05. Finally, tables, graphs, and narration were used to present the data.</p><p><strong>Results: </strong>A 397 study participants were included with a response rate of 98.5%. This study revealed that 29.3% (95% confidence interval [CI]: 24%, 34%) of women had good self-management practices for minor pregnancy disorders. The age of the pregnant women (AOR = 4.4; 95% CI: 1.64, 11.60), household wealth status (AOR = 3.6; 95% CI: 1.68, 7.97), women's education status (AOR = 5.8; 95% CI: 2.16, 16.03) and (AOR = 4.11; 95% CI: 1.30, 12.97), women's occupation (AOR = 2.44; 95% CI: 1.09, 5.45), and knowledge on minor pregnancy disorders (AOR = 2.06; 95% CI: 1.12, 3.79) were identified as statistically significant factors.</p><p><strong>Conclusions and recommendations: </strong>These findings showed that 70.7% of pregnant women were found to have had a lack of good self-management practices for minor pregnancy disorders. Hence, counseling and enhancing their knowledge of self-management should be provided to pregnant women to enhance their awareness regarding self-management practices of minor pregnancy disorders.</p>","PeriodicalId":43312,"journal":{"name":"SAGE Open Nursing","volume":"11 ","pages":"23779608251345324"},"PeriodicalIF":2.0,"publicationDate":"2025-05-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12123115/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144200314","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 Relationship among Crisis and Emergency Risk Communication, Managerial Support, and Nurses' Social Capital During COVID-19 Pandemic.","authors":"Amal R Gab Allah, Shimaa M Salem","doi":"10.1177/23779608251343613","DOIUrl":"10.1177/23779608251343613","url":null,"abstract":"<p><strong>Background: </strong>The COVID-19 pandemic has significantly impacted the nursing team, emphasizing the need for effective emergency risk communication in public health situations. The current study aims to explore the relationship among CERC, managerial support, and nurses' social capital during recovery the from COVID-19 pandemic.</p><p><strong>Method: </strong>The researchers utilized a descriptive correlational research design. The study was carried out at four large hospitals that provide mainly tertiary health care services. A systemic random sampling technique was adopted to select 839 nurses working at the selected settings. Three instruments were used; Crisis and Emergency Risk Communication, Top management Support, and Nurses' Social Capital questionnaires. The researchers used Spearman correlation, Mann-Whitney <i>U</i> test, Student <i>t</i> test, analysis of variance, and Kruskal-Wallis tests to analyze collected data.</p><p><strong>Results: </strong>Significant positive correlations were noted between Crisis and Emergency Risk Communication as independent variables, and each of top management support and social capital as dependent variables.</p><p><strong>Conclusion: </strong>COVID-19 pandemic had put significant pressure on nurses' social capital and their ability to communicate effectively. Thus, focusing on risk communication and managerial support are crucial for keeping staff social capital, especially during health crisis.</p><p><strong>Implications for nursing management: </strong>Continuous training centered on risk communication during emergencies and health crises coupled with high managerial support would keep staff nurses' social capital.</p>","PeriodicalId":43312,"journal":{"name":"SAGE Open Nursing","volume":"11 ","pages":"23779608251343613"},"PeriodicalIF":2.0,"publicationDate":"2025-05-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12099098/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144142545","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":"Determining How Nurses Living With Their Families Decide to Work in a COVID-19 Intensive Care Unit: Grounded Theory Study.","authors":"Akira Sato, Yoshiko Sasaki, Yoko Imazu","doi":"10.1177/23779608251345709","DOIUrl":"10.1177/23779608251345709","url":null,"abstract":"<p><strong>Introduction: </strong>Previous studies have shown that, during the coronavirus disease 2019 (COVID-19) pandemic, nurses were being reassigned to non-COVID-19 wards, opting to take leave, or resigning because of concerns of infecting their families. Even so, many nurses decided to continue working. However, a literature review revealed a lack of research clarifying how nurses coped with their anxiety and came to the decision to work in a COVID-19 intensive care unit.</p><p><strong>Objective: </strong>To determine the process by which nurses living with their families decided to work in an intensive care unit during the COVID-19 pandemic and the factors that influenced their decision.</p><p><strong>Methods: </strong>Fifteen registered nurses who lived with their families and decided to work in a COVID-19 intensive care unit during the pandemic were recruited for an individual, semi-structured interview. Charmaz's constructivist grounded theory was used to analyze the transcripts.</p><p><strong>Results: </strong>Four core categories were identified. When the nurses perceived their facility would accept a patient with COVID-19, they: (1) assessed the risk of infection to their family, (2) weighed their anxiety against their sense of mission, (3) reduced the risk of infection, and (4) discussed the decision with their family members.</p><p><strong>Conclusion: </strong>The decision involved fear of infecting families, trust in the hospital, and sense of mission. Hospitals' consideration of the situation was important in motivating employees and reducing anxiety. There was a gender bias in this study. The large number of male participants resulted from the characteristics of the participating COVID-19 intensive care units, reflecting gender roles in Japan, where men often work and women are responsible for housework and childcare. Facilities and managers should foster a workplace culture that values employees, even in ordinary times. Our findings may help healthcare organizations support nurses in an emerging infectious disease pandemic and ensure nurses are available in healthcare systems with limited resources.</p>","PeriodicalId":43312,"journal":{"name":"SAGE Open Nursing","volume":"11 ","pages":"23779608251345709"},"PeriodicalIF":2.0,"publicationDate":"2025-05-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12099086/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144143964","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 Educators' Perspectives on the Integration of Artificial Intelligence Into Academic Settings.","authors":"Moustaq Karim Khan Rony, Sumon Ahmad, Sabren Mukta Tanha, Dipak Chandra Das, Mosammat Ruma Akter, Mst Amena Khatun, Most Hasina Begum, Md Ibrahim Khalil, Umme Rabeya Peu, Mst Rina Parvin, Daifallah M Alrazeeni, Fazila Akter","doi":"10.1177/23779608251342931","DOIUrl":"10.1177/23779608251342931","url":null,"abstract":"<p><strong>Background: </strong>The integration of artificial intelligence (AI) into education has the potential to revolutionize teaching and learning practices, especially in nursing education, which combines theoretical and practical knowledge. However, challenges such as infrastructural limitations, ethical considerations, and a lack of educator preparedness hinder its widespread adoption in settings with limited access to technology, insufficient funding, and inadequate training opportunities for educators.</p><p><strong>Aims: </strong>This study explores nursing educators' perspectives on integrating AI into academic settings.</p><p><strong>Methods: </strong>Using the Technological Pedagogical Content Knowledge framework, this qualitative study employed a phenomenological approach to understand nursing educators' lived experiences. Data were collected through 14 semistructured interviews and three focus group discussions with 16 participants from three nursing colleges in Bangladesh. Thematic analysis was conducted to identify key insights and trends.</p><p><strong>Results: </strong>Nursing educators recognized the potential of AI tools, such as adaptive learning platforms, virtual simulations, and predictive analytics, to enhance teaching efficiency, personalize learning, and engage students. However, barriers such as insufficient training, infrastructural challenges, and ethical concerns related to data privacy, algorithmic bias, and AI-driven decision making were highlighted. Thematic analysis revealed five major themes: (1) perceived benefits of AI, (2) barriers to AI integration, (3) ethical considerations in AI use, (4) educator readiness and adaptation, and (5) AI as a tool for personalized learning. Many educators expressed a need for professional development and institutional support to effectively integrate AI technologies. Strategies for overcoming these challenges included targeted training programs, ethical guidelines, and addressing disparities in resource distribution.</p><p><strong>Conclusions: </strong>AI holds transformative potential for nursing education, offering opportunities to enhance teaching and learning. However, its effective integration requires addressing educators' readiness, ethical challenges, and resource limitations. These findings underscore the importance of equipping nursing educators with the necessary competencies to prepare future nurses for AI-enhanced clinical environments, thereby bridging education with evolving healthcare practice.</p>","PeriodicalId":43312,"journal":{"name":"SAGE Open Nursing","volume":"11 ","pages":"23779608251342931"},"PeriodicalIF":2.0,"publicationDate":"2025-05-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12084691/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144095334","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 Students' Attitudes Toward Artificial Intelligence: Palestinian Perspectives.","authors":"Basma Salameh, Jamal Qaddumi, Bahaaeddin Hammad, Faida Eqtit, Ahmad Juma Ibraheem Ayed, Imad Fashafsheh, Mohammed ALBashtawy, Fadia Reshia, Ivan Lukic","doi":"10.1177/23779608251343297","DOIUrl":"10.1177/23779608251343297","url":null,"abstract":"<p><strong>Background: </strong>Artificial intelligence (AI) is significantly transforming the nursing profession, enhancing patient care, and shaping future nursing practice. Understanding nursing students' attitudes toward AI applications is crucial for its effective integration into clinical practice and education.</p><p><strong>Aim: </strong>To evaluate nursing students' attitudes toward AI in Palestine.</p><p><strong>Methods: </strong>A cross-sectional design was conducted among 325 nursing students. Due to logistical constraints, data were gathered via online surveys using the AI attitude scale. The research was conducted between February and March 2024 at Arab American University in Palestine.</p><p><strong>Results: </strong>The results showed that the average attitudes toward using AI in nursing practice scores (M = 61.81; SD = 9.74) were significantly greater than the neutral score (<i>p</i> = .001). Nursing students have a positive attitude toward AI in terms of benefits and willingness to use it in nursing practice. However, nursing students have a neutral attitude toward the practical advantages of AI and exhibit a negative attitude toward the dangers of AI in nursing. Furthermore, gender, academic year, and purpose of AI had statistically significant differences in nursing students' attitudes toward AI (<i>p</i> = .034, .039, and 0.042 respectively). Female students showed higher levels of attitudes toward AI usage, while participants with master's degree participants had the lowest level of attitudes toward AI.</p><p><strong>Conclusion: </strong>Our findings demonstrate that nursing students have a positive attitude toward the integration of AI into nursing and healthcare practice, along with significant intentions to utilize the technology. The results highlight the need for AI-focused training within nursing curricula.</p>","PeriodicalId":43312,"journal":{"name":"SAGE Open Nursing","volume":"11 ","pages":"23779608251343297"},"PeriodicalIF":2.0,"publicationDate":"2025-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12081965/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144095349","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":"Breast Cancer Screening Practices: Analyzing the Determinants of Participation.","authors":"Anas Alsharawneh, Elham H Othman, Reham S Albadawi","doi":"10.1177/23779608251343500","DOIUrl":"10.1177/23779608251343500","url":null,"abstract":"<p><strong>Introduction: </strong>Early detection of breast cancer is crucial for reducing mortality rates and achieving successful treatments.</p><p><strong>Objective: </strong>This study examined the relationship between individual characteristics, lifestyle behaviors, and participation in breast cancer screening practices among women residing in Jordan.</p><p><strong>Method: </strong>A cross-sectional design was employed to collect data through self-administered questionnaires comprising the Overall Women's Information about Breast Cancer Form and the Arab Culture-Specific Barriers of Breast Cancer Questionnaire.</p><p><strong>Results: </strong>A total of 650 women participated. Most women had information about screening and appreciated the importance of these practices, and less than two-thirds had prior formal training in breast self-examination. Less than one-third of participants reported performing regular breast self-examination, only 10.5% of them reported receiving a clinical breast examination by a specialist, and only 11% reported having a regular mammogram. The study found generally low levels of breast cancer screening practices among the population. Breast cancer screening practices are associated with several lifestyle behaviors, such as smoking, alcohol intake, a healthy diet, and regular exercise. Further, age, employment, having information about breast cancer and breast self-examination, receiving training about breast self-examination, and disease susceptibility influenced the frequency of screening practices.</p><p><strong>Conclusion: </strong>Early detection is crucial for reducing mortality rates and achieving successful treatments. The study found that low levels of screening practices were associated with the population's profile. Enhanced education and support around breast self-examination, clinical breast exam, and mammography can improve health outcomes and increase breast health awareness.</p>","PeriodicalId":43312,"journal":{"name":"SAGE Open Nursing","volume":"11 ","pages":"23779608251343500"},"PeriodicalIF":2.0,"publicationDate":"2025-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12081974/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144095328","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 Determinants of Health and Health Confidence: A Cross-Sectional Study.","authors":"Laura Truman, Patricia Calero, Caroline Etland, Razel B Milo, Cynthia D Connelly","doi":"10.1177/23779608251344038","DOIUrl":"10.1177/23779608251344038","url":null,"abstract":"<p><strong>Introduction: </strong>Research shows low health confidence predicts poor involvement in self-care and is associated with increased use of costly healthcare services. To improve overall health and reduce health inequities, the relevance and urgency of identifying the relationship between social determinants of health and health confidence are great.</p><p><strong>Objective: </strong>This study explored relationships between social determinants of health and health confidence in adults at an urgent care center in southern California.</p><p><strong>Methods: </strong>The descriptive cross-sectional study collected data via survey from 240 English- and Spanish-speaking adults (18-93 years) receiving care for any medical condition between 15 and 17 August 2022. Patients in need of immediate medical attention were excluded. The survey encompassed The <i>PRAPARE screening instrument</i>, sociodemographic questions, and a single health confidence question. Bivariate analysis identified significant differences in health confidence for a logistic regression model.</p><p><strong>Results: </strong>Forty-seven percent (<i>n</i> = 107) of participants reported low confidence in managing their health and well-being. Low health confidence was observed in those with unmet needs (<i>χ²</i>  = 4.16, <i>p</i> = .042), and varying levels of stress (<i>χ²</i>  = 13.76, <i>p</i> = .008). Low health confidence was common in low-income (<i>t</i> = 2.23, <i>p</i> = .028) and greater social risk groups (<i>χ²</i>  = 19.7, <i>p</i> < .001). Participants in contact with friends or family 1 to 5 times per week (vs. >5 times) were more likely to report low health confidence; those with high levels of stress were more likely to report low health confidence (vs. no stress).</p><p><strong>Conclusion: </strong>This study highlights the insidious prevalence of social determinants of health and the impact of social isolation and stress on health confidence, providing the basis for implementing standardized social determinants of health screening.</p>","PeriodicalId":43312,"journal":{"name":"SAGE Open Nursing","volume":"11 ","pages":"23779608251344038"},"PeriodicalIF":2.0,"publicationDate":"2025-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12081984/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144095262","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}