SAGE Open Nursing最新文献

{"title":"A Multicenter Cross-Sectional Study on Resilience, Well-Being, and Mindful Self-Care Among Undergraduate Nursing Students in India.","authors":"Ramya Kundayi Ravi, Priya Baby, Siddaram Sarate, Bharat Pareek, Deepak Krishnamurthy, Sr Renitha, K Krishnapriya, Md Faisal Ahmed, Rakesh Vadakkethil Radhakrishnan, Jaison Jacob","doi":"10.1177/23779608261471697","DOIUrl":"10.1177/23779608261471697","url":null,"abstract":"<p><strong>Introduction: </strong>There is an increasing need to foster resilience among nursing students to prepare them for the challenges of the demanding healthcare field.</p><p><strong>Objective: </strong>To assess resilience, well-being, and mindful self-care and to examine the factors that contribute to resilience among nursing students.</p><p><strong>Methods: </strong>A multicenter, cross-sectional, correlational design was used, with participants recruited from four universities across Eastern, Western, Northern and Southern regions of India through convenience sampling. The participants completed an online survey incorporating the Brief Resilience Scale, World Health Organization Well-Being Index, and Mindful Self-Care Scale. Descriptive statistics were used to summarize the study variables, while independent t-tests and one-way ANOVA examined group differences. Pearson's correlation was used to assess relationships among variables, and linear regression was used to identify factors associated with resilience.</p><p><strong>Results: </strong>A total of 879 nursing students were included in the study. Most of the students demonstrated moderate resilience (63.7%), with 35.4% showing low resilience and 0.9% high resilience. Most reported good well-being (84.2%). The overall mean mindful self-care score was 104.46 ± 30.83 (64.08% of the maximum), with the highest subdomain scores in supportive relationships (67.48%), mindful awareness (67.00%), and general practices (66.87%) and the lowest in mindful relaxation (61.27%) and physical care (59.25%). Both mindful self-care (β = 0.011, p < 0.001) and well-being (β = 0.076, p < 0.001) were associated with resilience, explaining 5.1% of its variance (R² = 0.051), which remained significant after adjusting for demographic factors (final model R² = 0.060, Adjusted R² = 0.050).</p><p><strong>Conclusion: </strong>The findings underscore the need for targeted interventions and strategies to strengthen the resilience and mindful selfcare capacities of nursing students. The study suggests that in addition to mindful selfcare and well-being, resilience is influenced by a broader range of determinants beyond those captured in the present study.</p>","PeriodicalId":43312,"journal":{"name":"SAGE Open Nursing","volume":"12 ","pages":"23779608261471697"},"PeriodicalIF":2.9,"publicationDate":"2026-07-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13401634/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148593732","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":"Midwives' Perceived Social Pressures in Addressing Prenatal Maternal Mental Health: A Qualitative Study in the Ashanti Region of Ghana.","authors":"Wilhemina Dowuona Hammond, Evelyn Asamoah Ampofo, Adiza Atoko Mumuni, Mabel Suma-Amineng Faanye","doi":"10.1177/23779608261473705","DOIUrl":"10.1177/23779608261473705","url":null,"abstract":"<p><strong>Introduction: </strong>Prenatal maternal mental health (PMMH) is a critical yet under-addressed aspect of antenatal care in Ghana. Midwives, as care providers, often face social0020and institutional pressures when navigating mental health concerns, especially in contexts where stigma, silence, and role ambiguity persist.</p><p><strong>Objective: </strong>Guided by the Theory of Planned Behaviour, this study explored the social pressures midwives experience and the motivations that shape their responses to PMMH, highlighting the emotional and relational tensions they encounter.</p><p><strong>Methods: </strong>Nineteen midwives working in diverse settings were engaged in semi-structured interviews from April 10 to April 22, 2025, which were analysed by thematic analysis. Results: Three major themes and one minor theme emerged: Perceived Pregnant Women's Expectations; Perceived Supervisors' and Institutional Expectations; Midwives' Responses to Expectations and Midwives as Cultural Gatekeepers. Findings highlight the complex circumstances midwives navigate to provide PMMH care.</p><p><strong>Conclusion: </strong>Midwives are influenced by a blend of relational sensitivity, contextual judgment, and personal ethics. Strengthening PMMH integration requires clear role definitions, audited screening metrics, stigma-free communication toolkits, facility-tiered support, and recognition of midwives' emotional contributions to PMMH care.</p>","PeriodicalId":43312,"journal":{"name":"SAGE Open Nursing","volume":"12 ","pages":"23779608261473705"},"PeriodicalIF":2.9,"publicationDate":"2026-07-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13400909/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148593878","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":"Factors Associated With Anxiety-Depressive Symptoms, Experience, and Satisfaction Among Families in Neonatology: A Cross-Sectional Study.","authors":"Isabel Cuéllar-Flores, Gloria Alonso-Toribio, María José Rodríguez Castaño","doi":"10.1177/23779608261453172","DOIUrl":"10.1177/23779608261453172","url":null,"abstract":"<p><strong>Introduction: </strong>Parental experience in neonatal intensive care units strongly impacts family satisfaction and emotional well-being.</p><p><strong>Objectives: </strong>This study explored associations between parental neonatal intensive care unit experience, sociodemographic and hospitalization factors, and anxiety-depressive symptoms.</p><p><strong>Methods: </strong>A cross-sectional study was conducted with 84 parents of neonatal intensive care unit-admitted infants. Measures included parental experience (EMPATHIC-N), satisfaction with professionals, and anxiety-depressive symptoms (PHQ-4), along with sociodemographic and hospitalization data. Analyses comprised descriptive statistics, group comparisons, correlations, and mediation modeling.</p><p><strong>Results: </strong>Participants were mainly highly educated European mothers. Most infants stayed <1 week; parental participation occurred 1day-6 months post-discharge. Families reported high willingness to return (77.1%) and recommend the neonatal intensive care unit (79.5%). Satisfaction with nurses and physicians was high (8.3/10), though four EMPATHIC-N items scored below 75%. Anxiety-depressive symptoms were present in 24.4%, inversely correlating with satisfaction and some specific EMPATHIC-N items. Mediation analysis showed healthcare team satisfaction explained 70% of the effect of parental experience on anxiety-depressive symptoms.</p><p><strong>Conclusion: </strong>Satisfaction with the healthcare team plays a central role in the emotional distress of parents after their experience in the neonatal intensive care unit, so improving care initiatives that enhance it could reduce anxiety and depression in parents.</p>","PeriodicalId":43312,"journal":{"name":"SAGE Open Nursing","volume":"12 ","pages":"23779608261453172"},"PeriodicalIF":2.9,"publicationDate":"2026-07-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13396574/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148585559","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":"Keeping Mothers Healthy: Effectiveness of Nursing Interventions in Reducing Recurrence of Vulvovaginal Candidiasis During Pregnancy.","authors":"Ekbal Ebrahim Abdelmenem, Eman Alshawish, Aziza Ibrahim Abd El Kader Mohamed, Mona Mohamed Gomaa, Faiza Mohamed El-Said, Nahla Said Mahmoud, Hend Reda Ali Elkest","doi":"10.1177/23779608261472394","DOIUrl":"10.1177/23779608261472394","url":null,"abstract":"<p><strong>Background: </strong>Pregnant women are more susceptible to vulvovaginal candidiasis infection (VVC) than healthy women consequent to the physiological alterations inherent in pregnancy, which may predispose women to various severe complications, such as preterm labor and increased risk of postpartum infections.</p><p><strong>Objectives: </strong>To evaluate the effect of nursing interventions on recurrence of vulvovaginal candidiasis infection among pregnant women.</p><p><strong>Methods: </strong>The study adopted a quasi-experimental research design. A convenience sample of 200 pregnant women was recruited. Antenatal outpatient clinics of Tanta University Hospital, El-Menshawy Hospital and EL- Mabara Hospital in Tanta City, Gharbia Governorate, Egypt, served as the sites for the study., served as the sites for the study. Three tools were used to collect data: Tool I: Pregnant women's knowledge regarding vulvovaginal candidiasis infection structured questionnaire, Tool II: Self-care practices regarding vulvovaginal candidiasis infection, and Tool III: VVC follow-up sheet.</p><p><strong>Results: </strong>Women in the intervention group demonstrated significant improvements in VVC-related knowledge and self-care practices compared with the control group (p < 0.001). The mean knowledge score increased from 1.56 ± 0.84 pre-intervention to 8.52 ± 1.70 post-intervention, while the mean self-care practice score increased from 17.34 ± 2.94 to 41.82 ± 4.28. Significant reductions were observed in all VVC-related symptoms and complications among the intervention group. Notably, the recurrence rate of VVC decreased from 93% before the intervention to 12% after the intervention (p < 0.001).</p><p><strong>Conclusions: </strong>The nursing intervention program was effective in improving pregnant women's knowledge and self-care practices regarding VVC and significantly reduced symptom severity and recurrence. Integrating structured nursing education and counseling into routine antenatal care may enhance the prevention and management of recurrent VVC and improve maternal health outcomes during pregnancy.</p>","PeriodicalId":43312,"journal":{"name":"SAGE Open Nursing","volume":"12 ","pages":"23779608261472394"},"PeriodicalIF":2.9,"publicationDate":"2026-07-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13396647/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148585630","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 Spiritual Care Competence of Intensive Care Unit Nurses.","authors":"Adejoke Felicia Ogidan","doi":"10.1177/23779608261473019","DOIUrl":"10.1177/23779608261473019","url":null,"abstract":"<p><strong>Background: </strong>Intensive Care Unit (ICU) nurses experience high psychological stress, which can compromise patient care. Spirituality is recognized as a coping mechanism and a critical component of holistic care. Jean Watson's Transpersonal Human Caring Theory posits that nurses' spiritual perception influences their provision of spiritual care, which is the highest quality of care a patient can receive.</p><p><strong>Purpose: </strong>To describe ICU nurses' spiritual care competence (SCC), its associations, and factors.</p><p><strong>Methods: </strong>A cross-sectional, descriptive correlational study of ICU registered nurses was conducted. Measurement instruments used were the Spirituality and Spiritual Care Rating Scale (SSCRS) and the Enhancing Provision of Spiritual Care through Innovative Education and Compassionate Care (EPICC) Self-Assessment Tool. Descriptive statistics, Spearman correlations, and linear regression analysis were conducted.</p><p><strong>Results: </strong>Mean spiritual care competency score = 114.03 (SD = 14.42). Strong positive associations were found between spiritual care competence and perception of spirituality, spiritual care practice, and personalized care. A weak negative association was also found between competency and religiosity. Regression analysis identified perceptions of spirituality, spiritual care practice, personalized care, and religiosity as predictors of spiritual care competency (R² = 60.60%, Adjusted R² = 58.8%).</p><p><strong>Conclusion: </strong>ICU nurses' spiritual care competence was associated with perceptions of spirituality, spiritual care practice, personalized care, and religiosity. Emphasizing personalized care, clarifying the distinction between spirituality and religiosity, and providing targeted spirituality education may enhance SCC and SCP, thereby supporting nurse well-being and patient-centered outcomes.</p>","PeriodicalId":43312,"journal":{"name":"SAGE Open Nursing","volume":"12 ","pages":"23779608261473019"},"PeriodicalIF":2.9,"publicationDate":"2026-07-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13396584/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148585642","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":"Alarm Fatigue, Perceived Stress, and Job Burnout Among ICU Nurses: A Cross-Sectional Study.","authors":"Sogand Sarmadi, Akbar Zare-Kaseb, Neda Sanaie, Fariba Borhani","doi":"10.1177/23779608261472369","DOIUrl":"10.1177/23779608261472369","url":null,"abstract":"<p><strong>Introduction: </strong>Alarm fatigue in intensive care units is associated with increased nurse stress and burnout; however, the mechanism underlying these associations remains underexplored. This study aimed to assess alarm fatigue, perceived stress, and job burnout levels among intensive care unit nurses; identify factors associated with burnout; and test the statistical mediating role of perceived stress in the association between alarm fatigue and burnout.</p><p><strong>Methods: </strong>A cross-sectional study was conducted in October 2024, with nurses recruited via convenience sampling from ICUs at hospitals affiliated with Shahid Beheshti University of Medical Sciences in Tehran, Iran. Data were collected using the Alarm Fatigue Questionnaire, the Perceived Stress Scale, and the Persian Copenhagen Burnout Inventory. Multiple linear regression and path analysis were used for data analysis. The study adhered to established reporting guidelines for observational studies.</p><p><strong>Results: </strong>A total of 110 intensive care unit nurses participated. Participants reported high alarm fatigue (mean = 36.57, SD = 3.50), high perceived stress (mean = 38.35, SD = 7.02), and moderate job burnout (mean = 54.18, SD = 15.12). Regression analysis showed that shift type (β = -0.341, p = 0.020), perceived stress (β = 0.209, p = 0.038), and alarm fatigue (β = 0.235, p = 0.013) were significant predictors of burnout, explaining 36.5% of the variance. Path analysis demonstrated that perceived stress statistically mediated the association between alarm fatigue and burnout (β = 0.10, p = 0.015).</p><p><strong>Conclusion: </strong>In this cross-sectional sample, perceived stress statistically mediated the association between alarm fatigue and burnout in intensive care unit nurses. These findings suggest that interventions targeting stress reduction may potentially attenuate alarm fatigue-related burnout, though longitudinal studies are needed to confirm directionality. Nursing administrators should prioritize integrated strategies for managing alarms and stress to improve nurse well-being.</p>","PeriodicalId":43312,"journal":{"name":"SAGE Open Nursing","volume":"12 ","pages":"23779608261472369"},"PeriodicalIF":2.9,"publicationDate":"2026-07-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13396580/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148585596","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":"Building a Virtual Community of Practice for Family and Friend Caregivers of People Living With Dementia: A Mixed-Methods Study.","authors":"Marie-Lee Yous, Ruthie Zhuang, Nicole Beaudry, Susanne Langdon, Paul Lee, Myrna Norman, Sylvie Sylvestre, Aki Tomizawa, Sharon Kaasalainen, Carrie McAiney","doi":"10.1177/23779608261473148","DOIUrl":"10.1177/23779608261473148","url":null,"abstract":"<p><strong>Introduction: </strong>Over 55 million people worldwide live with dementia, placing significant demands on family and friend caregivers. These demands lead to stress, depression, and social isolation. Caregivers report unmet needs such as access to resources, education, and emotional support. A Virtual Community of Practice (VCoP) offers a promising solution by fostering shared learning, emotional support, and practical caregiving strategies.</p><p><strong>Objectives: </strong>This study explored the (a) perceptions of caregivers and a person living with dementia of the VCoP (b) recommendations of caregivers and a person living with dementia to improve the VCoP and (c) experiences of caregivers and a person living with dementia in co-designing the VCoP.</p><p><strong>Methods: </strong>Using a mixed-method sequential explanatory approach, ten research partners (nine caregivers and one person with dementia) participated in two virtual workshops and follow-up interviews. Survey data were collected via the System Usability Scale (SUS) and Patient and Public Engagement Evaluation Tool (PPEET). Survey data were analyzed using descriptive statistics. Thematic analysis of workshop and interview data was conducted.</p><p><strong>Results: </strong>The VCoP achieved an SUS score of 94.5, indicating excellent usability. PPEET results showed high satisfaction with engagement in development. A total of eight themes were developed. Thematic analysis highlighted strengths such as ease of locating information on the website, practical content, and opportunities for sharing and learning through discussion forums. Recommendations included improving accessibility, tailoring activities to life stories, and ensuring activities maintain normalcy. Research partners felt included and supported during the workshops, enjoyed the small group atmosphere, and appreciated seeing their ideas reflected in the final product.</p><p><strong>Conclusions: </strong>The VCoP was perceived as practical for supporting caregivers. Involving people with lived experience ensured the intervention met caregiver needs. Findings underscore the importance of VCoPs and the value of co-design in creating effective caregiver support tools.</p>","PeriodicalId":43312,"journal":{"name":"SAGE Open Nursing","volume":"12 ","pages":"23779608261473148"},"PeriodicalIF":2.9,"publicationDate":"2026-07-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13396585/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148585627","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":"Could Mindfulness Predict Nursing Students' Happiness? Implications for Nursing Education.","authors":"Mahmood Al Maawali, Aziza Al Sawafi, Yousef Abu Shindi, Yusen Zhai, Manal Khasib Al Fazari","doi":"10.1177/23779608261472299","DOIUrl":"10.1177/23779608261472299","url":null,"abstract":"<p><strong>Introduction: </strong>Nursing students experience a highly stressful academic environment due to intensive coursework, clinical training, and emotional demands, which affect their psychological well-being. Managing these stressors is critical for their academic success and professional development.</p><p><strong>Objective: </strong>This study aimed to report levels of mindfulness, fear of missing out (FoMO), and happiness among nursing students from Oman, and to examine the interplay among these variables considering demographic variables.</p><p><strong>Methods: </strong>A cross-sectional design was employed, with data collected from 137 nursing students using three validated self-report tools: the Mindful Attention Awareness Scale (MAAS), the Personal Happiness Index-13 (PHI-13), and (FoMO) Scale.</p><p><strong>Results: </strong>Mindfulness levels differed significantly by year of study, with first-year students reporting lower mindfulness than senior students (p = .017). Students with lower GPAs also exhibited reduced mindfulness scores (p = .047). Mindfulness was significantly and negatively correlated with FoMO (r = -.426, p ≤ .01) and positively correlated with happiness (r = .354, p ≤ .01). The zero-order correlation between FoMO and happiness was negligible and non-significant (r = .026, p > .05). Hierarchical regression showed that mindfulness explained 12.6% of the variance in happiness (β = .354, p < .001); adding FoMO increased the explained variance to 16.4%, with FoMO emerging as a significant positive predictor only after mindfulness was controlled (β = .216, p = .015), consistent with a suppression effect.</p><p><strong>Conclusion: </strong>Findings suggest that mindfulness is associated with lower FoMO and greater happiness among nursing students. Although mindfulness significantly predicted happiness, causality cannot be inferred due to the cross-sectional design. The results contribute to the limited literature linking mindfulness, FoMO, and happiness in professional nurse training. Integrating mindfulness training into nursing education may serve as a practical strategy to enhance mental well-being and better prepare students for the challenges of their profession.</p>","PeriodicalId":43312,"journal":{"name":"SAGE Open Nursing","volume":"12 ","pages":"23779608261472299"},"PeriodicalIF":2.9,"publicationDate":"2026-07-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13389208/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148563250","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":"Parental Knowledge, Attitudes, and Practices on First Aid for Home Injuries in Children Under 5 in Palestine: A Cross-Sectional Study.","authors":"Mustafa Shouli, Ibrahim Aqtam, Khaila Shouli","doi":"10.1177/23779608261472598","DOIUrl":"10.1177/23779608261472598","url":null,"abstract":"<p><strong>Background: </strong>Unintentional home injuries are a leading cause of morbidity and mortality among children younger than 5 years. Parents are the first responders to such emergencies; however, evidence on their first-aid knowledge, attitudes, and practices (KAP) remains scarce in Palestine, where nation-wide injury surveillance data are limited.</p><p><strong>Aims: </strong>To assess parents' KAP regarding first aid for home-related injuries among children younger than 5 years in the West Bank, Palestine, and to examine selected demographic characteristics as correlates of KAP scores.</p><p><strong>Methods: </strong>A descriptive cross-sectional design was used. Data were collected from April 12 to May 17, 2023, in three governmental pediatric hospitals in the West Bank using convenience sampling. A total of 119 parents were interviewed using a semi-structured questionnaire comprising 12 knowledge items, 14 attitude items (5-point Likert scale), and 11 practice items. Internal consistency was acceptable to excellent (knowledge α = .70; attitudes α = .83; practices α = .93). Descriptive statistics and bivariate analysis were performed using SPSS version 26 (p < .05). Absence of a priori sample-size calculation is acknowledged as a limitation.</p><p><strong>Results: </strong>Most respondents were mothers (91.6%), aged 20-30 years (45.4%). Overall, 83.4% demonstrated good knowledge, most held favorable attitudes, and 76.1% reported safe practices. Falls were the most common emergency (48.7% reported a home emergency in the past three months), followed by burns and choking. Persistent misconceptions included inserting objects into a seizing child's mouth (49.6%), inducing vomiting after chemical poisoning (24.4%), and improper ear foreign-body removal (48.7%). Higher education and medical information sources were significantly associated with better KAP scores (p < .05).</p><p><strong>Conclusions: </strong>Although parents demonstrated adequate first-aid KAP overall, important knowledge gaps and unsafe practices persisted. Nurse-led education targeting high-risk misconceptions, broader first-aid training access, and evidence-based guidance through official channels are recommended to reduce preventable childhood injuries in Palestine.</p>","PeriodicalId":43312,"journal":{"name":"SAGE Open Nursing","volume":"12 ","pages":"23779608261472598"},"PeriodicalIF":2.9,"publicationDate":"2026-07-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13389219/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148563232","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 Contextualized Competency-Based Clinical Skills Training on Nurses' Performance in a Private Hospital in Indonesia: A Quasi-Experimental Study.","authors":"Tri Ismu Pujiyanto, Delima Yanti, Dwi Indah Iswanti","doi":"10.1177/23779608261472350","DOIUrl":"10.1177/23779608261472350","url":null,"abstract":"<p><strong>Introduction: </strong>Persistent gaps between nurses' educational preparation and clinical performance requirements represent a critical challenge in Indonesian hospital settings. Structured, contextualized training aligned with local clinical demands may offer a practical approach to addressing these gaps and improving nursing workforce performance.</p><p><strong>Objectives: </strong>This study aimed to examine the effect of a Contextualized Competency-Based Clinical Skills Training program delivered via a pitstop, rotating-station method on nurses' clinical performance in a private hospital in Pekanbaru, Indonesia.</p><p><strong>Methods: </strong>A quasi-experimental two-group pretest-posttest design was employed from October to December 2025. Using proportionate stratified random sampling, 72 nurses were allocated to an intervention group (n = 36) or a control group (n = 36). The intervention was a 12-hour training across six rotating skills stations covering clinical communication, patient safety, documentation, medication safety, and professionalism. Performance was measured using a self-reported, validated 24-item Nurse Performance Questionnaire (Cronbach's α = 0.973). Within-group changes were analyzed using the Wilcoxon signed-rank test, between-group posttest comparison using the Mann-Whitney U test, and adjusted between-group effects using ANCOVA, with a fully adjusted model controlling for pretest score, age, work experience, and clinical career level.</p><p><strong>Results: </strong>The intervention group showed a significant within-group increase from 81.00 (SD = 10.29) to 88.17 (SD = 6.61) (Z = -3.63, p < 0.001, r = 0.62); the control group did not (86.19 to 88.06; Z = -1.64, p = 0.100). Mann-Whitney U at posttest was non-significant (U = 673.0, p = 0.776). The fully adjusted ANCOVA showed no significant group effect (F = 0.002, p = 0.964, partial η² < 0.001).</p><p><strong>Conclusion: </strong>In this quasi-experimental study, the training did not demonstrate a statistically significant effect on nurses' clinical performance after adjustment. Larger randomized studies with objective measures and longer follow-up are needed.</p>","PeriodicalId":43312,"journal":{"name":"SAGE Open Nursing","volume":"12 ","pages":"23779608261472350"},"PeriodicalIF":2.9,"publicationDate":"2026-07-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13385611/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148550762","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}