SAGE Open Nursing最新文献

{"title":"The Economic Power of Nursing: A Policy Imperative.","authors":"Mona Gamal Mohamed","doi":"10.1177/23779608251365823","DOIUrl":"10.1177/23779608251365823","url":null,"abstract":"","PeriodicalId":43312,"journal":{"name":"SAGE Open Nursing","volume":"11 ","pages":"23779608251365823"},"PeriodicalIF":2.5,"publicationDate":"2025-08-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12340199/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144838076","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":"Effects of Massages Administered by Spouses on Labor Pain and Delivery Duration among Primiparous Women.","authors":"Pi-Hui Chen, Chien-Huei Kao, Su-Chen Gou, Chieh-Yu Liu, Panchalli Wang, Chia-Lung Shih","doi":"10.1177/23779608251366751","DOIUrl":"10.1177/23779608251366751","url":null,"abstract":"<p><strong>Objective: </strong>To explore the effects of massages administered by spouses on labor pain and delivery duration among primiparous women.</p><p><strong>Methods: </strong>This quasi-experimental study included women who were selected to give birth at the researchers' hospital and were assigned to either to an experimental or control group based on their willingness to participate. The experimental group received the massage during the latent and active phases of labor. Pain levels during labor were measured using the Visual Analog Scale.</p><p><strong>Results: </strong>A total of 100 women, with 50 in each group, were included in the analysis. During both the latent and active phases of labor, the experimental group experienced greater reductions in pain levels compared with the control group (<i>p</i> < .001). Compared with the control group, fewer participants in the experimental group needed pain relief medication, although this difference was not statistically significant (36% in the experimental group vs. 56% in the control group, <i>p</i> = .07). The first stage of labor was significantly shorter for the experimental group (11.21 ± 5.25 h) than for the control group (16.06 ± 7.35 h, <i>p</i> < .001). However, no significant differences in the duration of the second and third stages were observed between the two groups.</p><p><strong>Conclusion: </strong>The massage administered by spouses during labor significantly reduced labor pain and shorten the duration of the first stage of labor.</p>","PeriodicalId":43312,"journal":{"name":"SAGE Open Nursing","volume":"11 ","pages":"23779608251366751"},"PeriodicalIF":2.5,"publicationDate":"2025-08-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12334820/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144817805","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":"Academic Performance and Satisfaction of Student-Directed Learning in Online Education Among Multidisciplinary Undergraduate Students: A Retrospective Comparative Study.","authors":"Basma Al Yazeedi, Zeinab Al Azri, Lina Shakman, Safiya Al Shidhani, Maryam Al Kharusi","doi":"10.1177/23779608251365990","DOIUrl":"10.1177/23779608251365990","url":null,"abstract":"<p><strong>Introduction: </strong>The outcomes of student-directed learning (SDL) compared to teacher-directed learning (TDL) in online education is yet to be established.</p><p><strong>Objectives: </strong>This study compared the academic performance outcomes between students enrolled in SDL online course with those enrolled in TDL online course. Additionally, the researchers assessed student satisfaction with the educational design, communication and interaction, and assessment and evaluation of the SDL online course.</p><p><strong>Method: </strong>A retrospective comparative design study was conducted. The researchers studied two groups of multidisciplinary students enrolled in two different classes (classes A and B) of the Physical and Psychological Child Health course. A complete enumeration sampling method was followed, where students in class A received the SDL, while students in class B had the TDL. The study outcome measured was students' grades in the first (Week 3), second (Week 6), and final (Week 8) exams, reflecting the students' academic performance in the taught course. Additionally, students' satisfaction with the SDL course was assessed using a 17-item self-reported questionnaire. Descriptive and Mann-Whitney U nonparametric test were used. Significance was set at less than .05.</p><p><strong>Results: </strong>Data from 118 students, 63 in the SDL group and 55 in the TDL group, were analyzed. Students in the SDL class demonstrated notably higher final exam scores than students in the TDL class (<i>p</i> = .02). Yet after removal of outliers, the difference was not significant (<i>p</i> = .08). Widespread satisfaction was evident with the SDL course, with an overall satisfaction rate of 85%. The satisfaction rate for educational design, communication and interaction, and assessment and evaluation was 88.4%, 78.8%, and 86.4%, respectively.</p><p><strong>Conclusion: </strong>Applying SDL in online education has strong potentials to improve learning outcomes, while at the same time satisfy students' learning needs. Future research may focus on investigating the integration of practical components in student-directed online education.</p>","PeriodicalId":43312,"journal":{"name":"SAGE Open Nursing","volume":"11 ","pages":"23779608251365990"},"PeriodicalIF":2.5,"publicationDate":"2025-08-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12332249/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144817854","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-Perceived Health Status of School-Age Children: A Descriptive Cross-Sectional Study.","authors":"Omayyah Nassar, Khaldoun Hamdan, Abeer Shaheen","doi":"10.1177/23779608251361437","DOIUrl":"10.1177/23779608251361437","url":null,"abstract":"<p><strong>Background: </strong>Assessment of children's health status creates means that may promote their health. This study aimed to investigate the self-perceived health status of school-age children in Jordan.</p><p><strong>Methods: </strong>The study employed a descriptive and cross-sectional design. Children were recruited from two settings: schools and hospitals. Convenient sampling was used to include eligible children. Children reported their health status using the Child Health and Illness Profile-Child Edition. Data from the study were analyzed using descriptive statistics, t-tests, and one-way analysis of variance.</p><p><strong>Results: </strong>The satisfaction subscale (i.e., satisfaction with oneself and health) has the highest mean (M = 87.7), followed by the achievement (M = 86) subscale that reflects appropriate role functioning in school and with peers, while the comfort subscale (i.e., the experience of physical and emotional symptoms) has the lowest mean (M = 78.8). Girls reported significantly higher scores in the achievement and risk avoidance domains than boys. Achievement and resilience were significantly higher among 10- and 11-year-old children than among 9-year-old children. Additionally, the risk avoidance domain was higher among children aged 11 and 12 than among those aged 8 and 9. The father's educational level and smoking status were other factors that significantly affected the children's health status.</p><p><strong>Conclusion: </strong>The reports of health status by school-age children varied across different domains. The study concluded that there is a need for significant interventions by family, school, and health care providers, particularly nurses, to improve children's health status in the comfort domain.</p>","PeriodicalId":43312,"journal":{"name":"SAGE Open Nursing","volume":"11 ","pages":"23779608251361437"},"PeriodicalIF":2.5,"publicationDate":"2025-08-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12332331/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144817809","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":"Providing Healthy Work Environments Through Facilitation of Nurse Educators' Self-Leadership in Academic Settings: A Qualitative Explorative Study.","authors":"Gisela H van Rensburg, Vhothusa Edward Matahela, Sara Horton-Deutsch","doi":"10.1177/23779608251366955","DOIUrl":"10.1177/23779608251366955","url":null,"abstract":"<p><strong>Introduction: </strong>In today's dynamic academic landscape, self-leadership is an essential attribute for employees, including nurse educators. Various factors within educational institutions can influence the ability of nurse educators to exercise self-leadership effectively, which in turn impacts their performance and workplace well-being.</p><p><strong>Objective: </strong>This study explored nurse educators' understanding of self-leadership and examined their perspectives on how fostering self-leadership can contribute to creating a healthier academic work environment.</p><p><strong>Methods: </strong>A qualitative, exploratory, and descriptive research design was employed. Focus group interviews were conducted with nurse educators from four educational institutions in South Africa, and the data were analyzed using Tesch's qualitative content analysis.</p><p><strong>Results: </strong>The study identified two key themes: (1) <i>Empowering Nurse Educators to Take Initiative</i>, which includes four subthemes, and (2) <i>Creating a Supportive and Healthy Academic Work Environment,</i> also with four subthemes.</p><p><strong>Conclusion: </strong>Academic institutions that collaborate with nurse educators and actively support their self-leadership initiatives play a critical role in fostering healthy and productive work environments.</p>","PeriodicalId":43312,"journal":{"name":"SAGE Open Nursing","volume":"11 ","pages":"23779608251366955"},"PeriodicalIF":2.5,"publicationDate":"2025-08-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12332250/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144817808","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 Foot Reflexology Massage on Fatigue and Sleep Quality in Hemodialysis Patients.","authors":"Raheleh Rajabi, Fatemeh Akhlaghi, Neda Asadi, Fatemeh Zamani Babgohari, Fatemeh Arabpoor","doi":"10.1177/23779608251364099","DOIUrl":"10.1177/23779608251364099","url":null,"abstract":"<p><strong>Background and aim: </strong>Hemodialysis patients experience fatigue due to factors such as toxic compounds in the bloodstream, fluid, and electrolyte disorders. Despite resting, they still feel tired and report poor sleep quality. This study aimed to investigate the effect of foot reflexology massage on reducing fatigue and improving sleep quality in hemodialysis patients.</p><p><strong>Methods: </strong>This quasi-experimental study was conducted on hemodialysis patients in southeastern Iran. Eligible patients were selected through purposive sampling and allocated to either the intervention group (<i>n</i> = 25) or the control group (<i>n</i> = 25). The intervention group received foot reflexology massage three times weekly for three weeks, while the control group received routine care. Data were collected using the Pittsburgh Sleep Quality Index (PSQI) and Piper Fatigue Scale at three time points: pre-intervention, immediately post-intervention, and two weeks after intervention.</p><p><strong>Results: </strong>The findings showed that the mean score of sleep quality in the intervention group decreased from 16.23 before the intervention to 3.31 two weeks after the intervention (<i>p</i> < <i>.</i>001). Furthermore, the mean fatigue score in the intervention group decreased from 8.63 before the intervention to 3.11 two weeks after the intervention (<i>p</i> < <i>.</i>001).</p><p><strong>Conclusion: </strong>The results of this study showed that foot reflexology can reduce fatigue and increase sleep quality in hemodialysis patients. As a simple, feasible, and non-invasive method without complications, reflexology can be used by nurses to reduce fatigue and increase sleep quality in HD patients.</p>","PeriodicalId":43312,"journal":{"name":"SAGE Open Nursing","volume":"11 ","pages":"23779608251364099"},"PeriodicalIF":2.5,"publicationDate":"2025-08-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12332255/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144817810","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":"Magnitude and Associated Factors of Burnout Syndrome Among Healthcare Professionals Workers in Intensive Care Units, Addis Ababa, Ethiopia, 2023.","authors":"Mustofa Hassen Yesuf, Zewdie Aderaw Alemu, Abdurehman Seid Mohammed, Natnael Fekadu Tekle, Solyana Haileselassie Admassie, Getachew Mekete Deress","doi":"10.1177/23779608251366384","DOIUrl":"10.1177/23779608251366384","url":null,"abstract":"<p><strong>Background: </strong>Burnout syndrome refers to a state of physical or extreme emotional exhaustion, a negative and cynical attitude toward patients, a diminished sense of personal achievement, and depersonalization, often resulting from prolonged and unmanaged workplace stress.</p><p><strong>Objective: </strong>This study aimed to investigate the magnitude and associated factors of burnout syndrome among healthcare professionals working in intensive care units.</p><p><strong>Methods: </strong>A multicenter, institution-based, cross-sectional study was conducted from July 1, 2023 to August 30, 2023, involving 529 healthcare professionals. A systematic random sampling method was used to select participants. The standardized Maslach Burnout Inventory questionnaire was employed to collect the data. The data were reviewed, coded, and entered into Epi Info version 7.0, then transferred to SPSS version 26 for analysis. Bivariate and multivariable logistic regression models were used to identify factors associated with burnout syndrome. A <i>p</i>-value <0.05 was considered statistically significant.</p><p><strong>Results: </strong>The prevalence of burnout syndrome among healthcare workers in the intensive care unit was 28.7% (95% confidence interval [CI]: 25.1-33.1). Factors such as being over 40 years old (adjusted odds ratio [AOR]: 2.82; 95% CI: 1.23-6.46), having 5 to 10 years of work experience (AOR: 4.81; 95% CI: 2.92-7.92), exceeding 10 years of work experience (AOR: 3.96; 95% CI: 1.67-9.39), working more than 8 h per day (AOR: 2.51; 95% CI: 1.34-2.71), and substance use (AOR: 2.52; 95% CI: 1.08-5.86) showed statistically significant associations with burnout syndrome in a binary logistic regression model.</p><p><strong>Conclusion and recommendations: </strong>Burnout syndrome is very common among healthcare workers in intensive care units. Therefore, healthcare facilities and policymakers need to recognize its impact on their staff's wellbeing. Implementing measures like regular mental health support, staff rotation, and efficient workload management can significantly reduce burnout and enhance the overall quality of patient care in these high-stress environments.</p>","PeriodicalId":43312,"journal":{"name":"SAGE Open Nursing","volume":"11 ","pages":"23779608251366384"},"PeriodicalIF":2.5,"publicationDate":"2025-08-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12332256/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144817807","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 High-Fidelity Simulation and OSCE on Stress, Academic Performance, and Well-Being in Nursing Students.","authors":"Beatriz García-Fernández, Pilar González-Sanz, Elena M Saiz-Navarro, Pedro Belinchón-deMiguel, Vicente Javier Clemente-Suárez","doi":"10.1177/23779608251365805","DOIUrl":"10.1177/23779608251365805","url":null,"abstract":"<p><strong>Introduction: </strong>High-fidelity simulation and Objective Structured Clinical Examinations (OSCEs) are essential tools in nursing education, designed to enhance clinical and non-technical competencies. However, these high-pressure activities can induce significant stress, potentially impacting students' performance and well-being.<b>Objetive:</b> This study aimed to evaluate the effects of these activities on stress levels, academic performance, and the well-being of nursing students, while exploring the influence of lifestyle habits such as sleep and physical activity.</p><p><strong>Methods: </strong>The study involved 53 third-year nursing students from a single university. Data collection included demographic, psychological, and academic variables, measured through validated tools such as the Perceived Stress Scale and Zung Self-Rating Depression Scale. Physiological and academic performance data from OSCEs were also analysed. Statistical analyses included correlation tests, multiple regression, and ANOVA to identify relationships and group differences.</p><p><strong>Results: </strong>Results indicated significant physiological stress activation during simulations and OSCEs. However, stress did not adversely affect overall academic performance, suggesting that resilience and coping strategies mitigated the impact of acute stress. Students with better sleep quality and higher levels of physical activity reported lower stress levels, better academic grades, and greater adaptability to complex situations. These findings emphasize the role of healthy habits in moderating the effects of stress in high-demand academic contexts.</p><p><strong>Conclusion: </strong>This study highlights the need to integrate stress management strategies, such as mindfulness and breathing techniques, into nursing curricula. Promoting sleep hygiene and regular physical activity can enhance students' resilience and preparedness for professional challenges. Future research should include longitudinal and multicentric studies to explore these relationships further and assess the long-term effectiveness of interventions.</p>","PeriodicalId":43312,"journal":{"name":"SAGE Open Nursing","volume":"11 ","pages":"23779608251365805"},"PeriodicalIF":2.5,"publicationDate":"2025-08-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12332346/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144817806","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":"Cultural Influences: Female Students' Awareness and Perception Regarding Human Papillomavirus Vaccine.","authors":"Nermen Abdelftah Mohamed, Hassanat Ramadan Abdel-Aziz, Mohamed Gamal Elsehrawy","doi":"10.1177/23779608251363840","DOIUrl":"10.1177/23779608251363840","url":null,"abstract":"<p><strong>Background: </strong>Human papillomavirus infection (HPV) is a highly prevalent sexually transmitted infection worldwide. HPV is responsible for about 70% of all worldwide cervical cancer incidence. Culture plays a critical role in shaping female perceptions and awareness of the HPV vaccine, influencing both individual and community-level health behaviors. There were only a few studies that had the subject in the place of study. The purpose of the study was to determine female students' awareness and perception of the human papillomavirus vaccine.</p><p><strong>Methods: </strong>A descriptive cross-sectional quantitative study was used. A convenient sampling technique was used following selection from the colleges of universities; 439 female students completed an online questionnaire. Structured interview questionnaire included three parts: demographic characteristics and medical history, awareness and knowledge questionnaire, and perception questionnaire.</p><p><strong>Results: </strong>The studied female sample was 71.1% in the age range of 21 to 24 years old, 93.6% and 96.6% had not performed a Pap smear in the previous 3 years, and had not received the papillomavirus vaccine. And 58.8% of the total female study group had an accepted level of awareness regarding HPV and vaccines, 54.9% of the female study group had an accepted level of knowledge, and 36.4% of medical female students, as opposed to 18.5% of nonmedical students.</p><p><strong>Conclusion: </strong>Female students lacked awareness, knowledge, and perception about the human papillomavirus.</p>","PeriodicalId":43312,"journal":{"name":"SAGE Open Nursing","volume":"11 ","pages":"23779608251363840"},"PeriodicalIF":2.5,"publicationDate":"2025-08-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12326092/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144795749","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":"Experiences of Workplace Violence and Coping Strategies Among Emergency Nurses in Egypt: A Descriptive Qualitative Study.","authors":"Mohamed Ali Zoromba, Mohamed Hussein Ramadan Atta, Sameer A Alkubati, Shimmaa Elsayed, Naglaa Gamal Eldien Abdelhafez Hariedy, Asmaa Ali Ahmed Mohamed, Heba Emad El-Gazar","doi":"10.1177/23779608251363858","DOIUrl":"10.1177/23779608251363858","url":null,"abstract":"<p><strong>Introduction: </strong>Emergency nurses in Egypt face a high risk of workplace violence, but their subjective experiences are not well understood.</p><p><strong>Objective: </strong>This study aimed to explore the causes, sources, types, and coping strategies related to workplace violence among emergency nurses in Egypt.</p><p><strong>Methods: </strong>A descriptive qualitative design was used. Data were collected from 312 emergency nurses in an Egyptian hospital setting via an open-ended qualitative questionnaire and analyzed using directed content analysis.</p><p><strong>Results: </strong>The primary cause of violence was work pressure (reported by 61% of nurses), driven by a lack of protection and staff shortages. The main sources of violence were external, from patients' relatives (62%), and internal, from hierarchical disputes (18%). Verbal abuse was the most prevalent type of violence (78%), followed by physical violence (16%). The most common response was notifying supervisors (55%), though many nurses also reported significant emotional distress and avoidance coping.</p><p><strong>Conclusion: </strong>This study reveals that workplace violence against emergency nurses in Egypt is driven by a dual threat of external-family and internal-organizational pressures. These findings underscore the need for targeted interventions that not only manage patient-family interactions but also address systemic organizational failures and internal hierarchical conflicts to ensure nurse safety.</p>","PeriodicalId":43312,"journal":{"name":"SAGE Open Nursing","volume":"11 ","pages":"23779608251363858"},"PeriodicalIF":2.5,"publicationDate":"2025-08-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12326106/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144795750","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}