SAGE Open Nursing最新文献

{"title":"Nursing Presence and Quality of Care: A Cross-Sectional Study of Hospitalized Patients in Iran.","authors":"Fatemeh Chavoshani, Rostam Jalali, Nader Salari, Khalil Moradi","doi":"10.1177/23779608261452136","DOIUrl":"10.1177/23779608261452136","url":null,"abstract":"<p><strong>Introduction: </strong>Nursing presence, a critical component of patient-centered care, is intrinsically linked to the quality of healthcare services and patient satisfaction.</p><p><strong>Objective: </strong>This cross-sectional study aimed to investigate the relationship between nursing presence and the perceived quality of nursing care among hospitalized patients in teaching hospitals in Kermanshah, western Iran.</p><p><strong>Methods: </strong>A descriptive-analytical cross-sectional study was conducted involving 347 inpatients at teaching hospitals in Kermanshah, Iran. Participants were selected using a proportional quota sampling design to ensure the sample reflected the distribution of patients across different hospital units, with convenience sampling used to recruit participants within each quota. Data were collected using demographic forms and validated questionnaires: the Nursing Presence Scale (PONS) and the Quality Patient Care Scale (QUALPAC). Statistical analysis included descriptive statistics, Pearson and Spearman correlation tests, the Kolmogorov-Smirnov test for normality, as well as Mann-Whitney U and Kruskal-Wallis tests for group comparisons, performed using SPSS version 25.</p><p><strong>Results: </strong>The present study demonstrated a high level of nursing presence (mean ± SD: 350.8± 66.4) and a satisfactory level of nursing care quality (mean ± SD: 157.4 ± 35.9). A significant positive correlation between nursing presence and the overall quality of nursing care (r = 0.555, p < 0.001). As well as, significant positive correlations were observed between nursing presence and the psychosocial (r = 0.443, p < 0.001), communicative (r = 0.487, p < 0.001), and physical (r = 0.529, p < 0.001) dimensions of nursing care quality.</p><p><strong>Conclusion: </strong>The findings indicate that while hospitalized patients in Iranian teaching hospitals reported a strong sense of nursing presence, their perception of the overall quality of nursing care was only moderately satisfactory. These results highlight the need to strengthen specific aspects of clinical care and technical proficiency to complement the established interpersonal strength of nursing presence.</p>","PeriodicalId":43312,"journal":{"name":"SAGE Open Nursing","volume":"12 ","pages":"23779608261452136"},"PeriodicalIF":2.9,"publicationDate":"2026-08-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13451696/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148698019","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":"Corrigendum to \"Spiritual Care Competency Among Healthcare Professionals Working in East Amhara Comprehensive Specialized Hospitals\".","authors":"","doi":"10.1177/23779608261477931","DOIUrl":"https://doi.org/10.1177/23779608261477931","url":null,"abstract":"<p><p>[This corrects the article DOI: 10.1177/23779608261471696.].</p>","PeriodicalId":43312,"journal":{"name":"SAGE Open Nursing","volume":"12 ","pages":"23779608261477931"},"PeriodicalIF":2.9,"publicationDate":"2026-08-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13451682/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148697969","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":"Total Rewards and Work Engagement in Critical Care Nursing: A Cross-Sectional Analysis From Lebanon.","authors":"Suhair Al-Ghabeesh, Enas A Assaf, Ahmad Rayan, Mirna Fawaz, Ayman Bakri, Hanan Alyami","doi":"10.1177/23779608261476541","DOIUrl":"10.1177/23779608261476541","url":null,"abstract":"<p><strong>Introduction: </strong>Commitment to work is important for nurses as well as employers. With the recent downward spiral of global rates of engagement, organizations must adapt a well-developed reward system in order to attract, retain and keep nurses motivated.</p><p><strong>Objective: </strong>The purpose of this study was to determine the impact of total reward system on work engagement among critical care areas in Lebanon, and to assess the type of rewards preferred by these nurses, which would attract, retain and motivate them.</p><p><strong>Methods: </strong>A cross-sectional design with convenience and purposive sampling was used, targeting nurses working in critical care areas in one private hospital in Lebanon. Using Utrecht Work Engagement Scale (UWES) and the total rewards preferences questionnaire.</p><p><strong>Results: </strong>Low work engagement scores were prevalent among the critical care nurses, while the nurses scored highest on the level of dedication. Financial rewards appeared to play a role in attracting, retaining and motivating nurses; however, the results showed no significant correlation between rewards and work engagement, which substantiates the nurse's dedication to their profession in spite of low rewards.</p><p><strong>Conclusion: </strong>In order to achieve well-developed reward system, hospitals must include both financial and non-financial rewards in their schema so that work engagement improves and nurses be more motivated, attracted and retained, thus hospitals will decrease their expense on critical care nurses and on the long run hospitals, benefits will increase.</p>","PeriodicalId":43312,"journal":{"name":"SAGE Open Nursing","volume":"12 ","pages":"23779608261476541"},"PeriodicalIF":2.9,"publicationDate":"2026-08-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13447994/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148690012","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":"Bridging Implementation Gaps: The Critical Role of Institutional Ecosystems in AI Integration for Nursing Education.","authors":"Ravi Shankar","doi":"10.1177/23779608261476555","DOIUrl":"10.1177/23779608261476555","url":null,"abstract":"","PeriodicalId":43312,"journal":{"name":"SAGE Open Nursing","volume":"12 ","pages":"23779608261476555"},"PeriodicalIF":2.9,"publicationDate":"2026-08-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13434082/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148674406","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 Correlation of Perceived Stress and Burnout With Job Satisfaction Among Intensive Care Nurses: Evidence From East Jerusalem Hospitals.","authors":"Eman Alshawish, Ayman Darabee, Malakeh Z Malak","doi":"10.1177/23779608261466402","DOIUrl":"10.1177/23779608261466402","url":null,"abstract":"<p><strong>Introduction: </strong>Despite the essential role Intensive Care Unit (ICU) nurses play in healthcare delivery in East Jerusalem, limited research has explored how perceived stress and burnout impact their job satisfaction within this uniquely complex and demanding context.</p><p><strong>Objective: </strong>This research investigated the correlation of perceived stress and burnout with job satisfaction among ICU nurses in East Jerusalem.</p><p><strong>Methods: </strong>A cross-sectional, descriptive correlational design was used, involving a convenience sample of 195 ICU nurses from all hospitals in East Jerusalem. Data were collected between May and July 2024 using a paper-based self-reported survey comprising the following instruments: the Perceived Stress Scale (PSS), the Maslach Burnout Inventory (MBI), the Mueller-McCloskey Nurse Job Satisfaction Scale (MMSS-25), and a socio-demographic questionnaire.</p><p><strong>Results: </strong>Participants reported moderate perceived stress (M = 17.19, SD = 5.62), High levels of emotional exhaustion (M = 30.39, SD = 11.75) and depersonalization (M = 12.38, SD = 4.49), and low personal accomplishment (M = 18.64, SD =8.34). Additionally, they reported low job satisfaction (M = 2.9, SD = 0.73). Significant negative correlations were found between job satisfaction and perceived stress (<i>r =-0.482, p <.001</i>), emotional exhaustion (<i>r =-0.322, p <.001</i>), and number of patients for whom the nurse was directly responsible per shift (<i>r =-0.209, p <.01</i>). In contrast, job satisfaction had a positive correlation with personal accomplishment (r = 0.429, p <.001) and monthly income (<i>r =0.163, p <.05</i>). Perceived stress (<i>β=-0.315, p<.001)</i> and personal accomplishment (<i>β=0.206, p<.01</i>) were predictors for job satisfaction.</p><p><strong>Conclusion: </strong>The findings support the importance of targeted interventions to improve ICU nurses' job satisfaction. These include stress management support, fair compensation, manageable workloads, and opportunities for professional growth in high-pressure, resource-limited environments. However, the findings should be interpreted with caution due to using cross-sectional design and convenience sampling, which limit causal inference and generalizability.</p>","PeriodicalId":43312,"journal":{"name":"SAGE Open Nursing","volume":"12 ","pages":"23779608261466402"},"PeriodicalIF":2.9,"publicationDate":"2026-07-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13424780/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148654624","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 Teachers' Experiences of Bachelor Thesis Group Supervision: A Qualitative Study.","authors":"Ing-Britt Rydeman, Karin Falk-Brynhildsen, Inger Wätterbjörk, Maria Henricson, Berith Hedberg, Ann-Kristin Isaksson, Birgitta Bisholt","doi":"10.1177/23779608261470906","DOIUrl":"10.1177/23779608261470906","url":null,"abstract":"<p><strong>Introduction: </strong>Supervision of degree theses is a central activity in Higher Education. Writing a Bachelor thesis (BT) is often described as a challenging process for undergraduate nursing students. Previous research on academic supervision has primarily focused on individual aspects at the master's and doctoral levels rather than nursing teachers' experiences of BT supervision.</p><p><strong>Objective: </strong>This study explores nursing teachers' experiences of Bachelor thesis group supervision in nursing education.</p><p><strong>Methods: </strong>Semi-structured interviews were conducted with nursing teachers from four universities in the middle of Sweden<b>.</b> The data were analysed using reflexive thematic analysis.</p><p><strong>Results: </strong>The overall theme of the analysis is Different ways of organising and structuring supervision, supported by two subthemes: Finding and developing one's role as a supervisor and Promoting students' academic learning. Supervisors shape their roles through guidelines, syllabi, insights from colleagues, co-supervision, and personal experience. Supervisors feel a strong sense of personal responsibility and co-responsibility for their students' progress. Flexibility is necessary, as not everything can be standardised.</p><p><strong>Conclusion: </strong>The findings underscore the complexity of the supervisory role and the need for clear organisational frameworks, while flexibility and personal adaptation are key to supporting students effectively. The development of pedagogical supervisory skills is an ongoing process, and organisational support plays a critical role in ensuring supervisors can feel satisfaction and continue to develop in their roles.</p>","PeriodicalId":43312,"journal":{"name":"SAGE Open Nursing","volume":"12 ","pages":"23779608261470906"},"PeriodicalIF":2.9,"publicationDate":"2026-07-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13424506/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148654627","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":"Pressure Ulcer Prevention Practice and its Associated Factors Among Nurses Working in Hospitals: A Systematic Review and Meta-Analysis.","authors":"Addisu Simachew Asgai, Tsegaamlak Kumelachew Derse, Desalegn Mitiku Kidie, Tadios Lidetu, Jenberu Mekurianew Kelkay, Moges Tadesse Abebe","doi":"10.1177/23779608261474651","DOIUrl":"10.1177/23779608261474651","url":null,"abstract":"<p><strong>Background: </strong>A pressure ulcer, or bedsore, is an area of skin injury appearing after a prolonged period of insufficient or non-existing blood flow. It causes a significant burden in resource-limited countries like Ethiopia, increasing morbidity, hospitalizations, and healthcare costs. Practice levels and influencing factors nationally remain unclear due to inconsistent regional studies.</p><p><strong>Objective: </strong>The primary objective of this study was to determine the pooled national prevalence of good pressure ulcer prevention practice among nurses and the secondary objective was to identify factors associated with these practices.</p><p><strong>Methods: </strong>A comprehensive search was conducted in PubMed, Cochrane Library, Hinari, African Journals Online, and Science Direct for observational studies on Ethiopian hospital nurses' pressure ulcer prevention practices. Study quality was assessed using the Newcastle Ottawa Scale. Meta-analysis was performed using STATA 17. Heterogeneity (I²), publication bias (Egger's test), and subgroup/sensitivity analyses were performed.</p><p><strong>Results: </strong>Eight studies (n=2,032 nurses) were included. The pooled prevalence of good pressure ulcer prevention practice was 48% (95% CI: 38.0%-58.0%). Significant heterogeneity was observed among included studies (I²=95.57%). Factors significantly associated with good practice were: good knowledge (AOR=2.79; 95% CI: 1.88, 4.15; p<0.001), leadership satisfaction (AOR=2.168; 95% CI: 1.47, 3.16; p<0.001), presence of guidelines (AOR=1.54; 95% CI: 1.02, 2.33; p=0.014) and job satisfaction (AOR=2.09; 95% CI: 1.06, 4.16; p=0.034).</p><p><strong>Conclusion: </strong>Approximately half of nurses demonstrate good pressure ulcer prevention practice, with significant regional variations. Improving nurses' knowledge, ensuring supportive leadership and ensuring guidelines availability are key modifiable factors to enhance good practice.</p>","PeriodicalId":43312,"journal":{"name":"SAGE Open Nursing","volume":"12 ","pages":"23779608261474651"},"PeriodicalIF":2.9,"publicationDate":"2026-07-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13420055/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148632211","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 Between Individual Innovativeness and Start-Up Attitude Among Nursing Students: A Multicenter Cross-Sectional Study.","authors":"Zahra Azizi, Zahra Mohebi, Mohammad Mehdi Naghizadeh, Mostafa Bijani","doi":"10.1177/23779608261468505","DOIUrl":"10.1177/23779608261468505","url":null,"abstract":"<p><strong>Introduction: </strong>Innovation and start-up is vital not only for improving the quality and sustainability of nursing care but also for ensuring that nursing professionals can keep pace with the rapidly changing demands. The link between individual innovativeness and start-up attitude is unclear with regards to nurses and nursing education. This multicenter cross-sectional study was conducted to investigate the relationship between individual innovativeness and start-up attitude among nursing students.</p><p><strong>Methods: </strong>This multicenter cross-sectional study was carried out from February to May 2024 among 346 nursing students recruited through convenience sampling from three nursing schools in Fars provinces, southern Iran. Data were collected using a demographics survey, the Individual Innovativeness Scale, and the Nursing Start-up Attitude Scale. Data were analyzed with SPSS 27 using Descriptive statistics, Pearson correlation, and multiple linear regression.</p><p><strong>Results: </strong>The mean ± SD of the participants' age was 24.86 ± 4.02 years. Most of the participants were undergraduate BSN (Bachelor in Nursing Science) students. The total mean score of the nursing students' individual innovativeness was found to be 65.73 ± 6.29, showing a moderate level among participants. Also, the total mean score of their Start-up attitude was 39.44 ± 9.32, indicating an a moderately positive attitude toward nursing-related start-up initiatives among the participants. A statistically significant positive correlation was found between individual innovativeness and start-up attitude (r=0.57,p<0.001). The results showed individual innovativeness (β = 0.344, p < 0.001) had positive, while age (β = -0.292, p = 0.047), and female gender (β = -2.134, p = 0.034) and had negative impact on start-up attitude.</p><p><strong>Conclusion: </strong>The findings highlight a moderate level of individual innovativeness and a moderately positive attitude toward start-up initiatives among nursing students in Iran. These results suggest a growing potential for entrepreneurial engagement within the nursing profession which contributing to healthcare innovation and start-up development.</p>","PeriodicalId":43312,"journal":{"name":"SAGE Open Nursing","volume":"12 ","pages":"23779608261468505"},"PeriodicalIF":2.9,"publicationDate":"2026-07-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13420069/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148632237","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, Practice, and Associated Factors Regarding Catheter-Associated Urinary Tract Infection Prevention: A Systematic Review and Meta-Analysis.","authors":"Addisu Simachew Asgai, Desalegn Mitiku Kidie, Tadios Lidetu, Tsegaamlak Kumelachew Derse, Yideg Abinew Kebede, Jenberu Mekurianew Kelkay, Abiot Dagne Ayele, Misganaw Alelign, Moges Tadesse Abebe","doi":"10.1177/23779608261473953","DOIUrl":"10.1177/23779608261473953","url":null,"abstract":"<p><strong>Background: </strong>Catheter associated urinary tract infections remain among the most prevalent hospital-acquired infections. However, no pooled estimates of nurse's knowledge and practice towards catheter associated urinary tract infection prevention currently exist in Africa and Asia.</p><p><strong>Objective: </strong>To assess nurses' knowledge, practice and associated factors towards Catheter associated urinary tract infection prevention.</p><p><strong>Methods: </strong>The researchers conducted extensive search of institutional repositories, PubMed, Science Direct, Hinari, Cochrane, and Google Scholar. The Newcastle-Ottawa Scale was used to assess the quality of the study. STATA 17 was used for data analysis, and funnel plot, Eggers test and meta-regression were used to examine publication bias and heterogeneity. Additionally, sensitivity analyses, and subgroup analysis were conducted. Studies on knowledge and practice toward catheter-associated urinary infection prevention among nurses were included and studies conducted other than nurses were excluded. A total of 8,647 articles were retrieved from online databases, of which only 21 articles were eligible for final analysis.</p><p><strong>Results: </strong>Nurses' overall CAUTI preventive knowledge (61%, I²=3.47%) and practice (55%, I²=0.46%) are moderate, indicating a gap between knowledge and practice. The availability of guidelines (OR: 2.67, CI: 1.84-3.51, p<0.001), training (OR: 1.82, 95% CI: 1.43-2.32, p <0.001), and five to ten years of work experience (OR: 2.15, 95% CI: 1.45-3.17, p<0.001) were all factors that were substantially associated with having good knowledge. Good practice was determined by good knowledge (OR: 2.66 (95% CI: 1.09-6.52), I² = 83.34%, p = 0.031), a good attitude (OR: 2.38 (95% CI: 1.80-3.15), I²=22.3 %, p<0.001) and having infection prevention guidelines (OR: 2.23 (95% CI: 1.50, 3.32, I² = 0.0%, p <0.001).</p><p><strong>Conclusion: </strong>The knowledge and practice of catheter-associated urinary tract infection prevention among nurses in Africa and Asia were at a moderate level. However, significant regional disparities still exist, most likely due to variations in healthcare systems, resources, and research techniques.</p>","PeriodicalId":43312,"journal":{"name":"SAGE Open Nursing","volume":"12 ","pages":"23779608261473953"},"PeriodicalIF":2.9,"publicationDate":"2026-07-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13408279/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148621903","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":"Integrating the Fundamentals of Care Framework Into Clinical Practice: An Exploratory Pre-Post Study of Nurses' Perceived Capability, Opportunity, and Motivation.","authors":"Mia Ingerslev Loft, Charlotte Fredborg Brinck, Maria Brudsø, Stina Marlo Posborg, Sidsel Goor Pedersen, Rie Forsberg, Lone Lundbak Mathiesen","doi":"10.1177/23779608261467871","DOIUrl":"10.1177/23779608261467871","url":null,"abstract":"<p><strong>Introduction: </strong>Missed Nursing Care is a persistent global problem associated with adverse patient outcomes. The Fundamentals of Care Framework provides a conceptual structure for delivering person-centred, high-quality nursing care. However, limited empirical evidence exists on how the Framework can be systematically integrated into routine clinical practice through structured implementation strategies.</p><p><strong>Objective: </strong>To evaluate the effect of an implementation strategy for integrating the Fundamentals of Care Framework into clinical practice on staff perceptions of capability, opportunity, and motivation to deliver fundamental nursing care.</p><p><strong>Methods: </strong>An exploratory single-group pre-post study was conducted using paired questionnaire data collected before and after implementation of a structured, theory-informed implementation strategy designed to support integration of the Fundamentals of Care Framework into daily nursing practice. Nurses' perceived behavioural determinants were assessed using a questionnaire informed by the Capability, Opportunity, Motivation-Behaviour model. Analyses focused on within-person change and estimation of directional trends. Given the exploratory nature and limited sample size, emphasis was placed on descriptive statistics and confidence intervals rather than hypothesis testing.</p><p><strong>Results: </strong>Pre- and post-implementation data from the same individuals (paired data) suggested small and variable changes across behavioural domains following implementation. Directional trends indicated increases in perceived capability and opportunity, while motivation appeared relatively stable over time. Confidence intervals were wide, reflecting limited statistical power and uncertainty around effect estimates.</p><p><strong>Conclusion: </strong>This pre-post evaluation provides early insights into the integration of the Fundamentals of Care Framework using a structured implementation strategy. While definitive conclusions regarding effectiveness cannot be drawn, the findings illustrate how behavioural determinants may respond differently during integration processes and highlight the challenges of evaluating complex nursing interventions in real-world clinical settings.</p>","PeriodicalId":43312,"journal":{"name":"SAGE Open Nursing","volume":"12 ","pages":"23779608261467871"},"PeriodicalIF":2.9,"publicationDate":"2026-07-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13401648/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148593729","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}