SAGE Open Nursing最新文献

{"title":"Barriers and Facilitators Affecting the Implementation of the Sepsis Six Protocol by Nurses in Acute Care Settings in Jordan: A Cross-Sectional Study.","authors":"Dania Bani Hamad, Mohammad Rababa, Rula Al-Rimawi, Islam Bani Mohammad, Raeda Mustafa Abu Ali, Hala Khaled Mohammad Al-Easa","doi":"10.1177/23779608251362276","DOIUrl":"10.1177/23779608251362276","url":null,"abstract":"<p><strong>Introduction: </strong>Sepsis is an emergency condition that necessitates immediate and appropriate nursing interventions for improving patient outcomes. Nurses have an essential role to play in recognizing the early warning signs of sepsis, implementing timely healthcare treatments, and providing comprehensive care to enhance patient outcomes. This study examines the barriers and facilitators affecting the implementation of the Sepsis Six protocol among nurses in acute care settings in Jordan.</p><p><strong>Objectives: </strong>This study aimed to identify nurses' perceived barriers and facilitators affecting their implementation of the Sepsis Six guidelines in acute care settings in Jordan.</p><p><strong>Methods: </strong>This cross-sectional descriptive study was conducted among a convenience sample of 180 nurses working in acute care settings (i.e., the ICU, CCU, ED, burns unit, and dialysis unit) at a university hospital. An online survey from a previous study was used to evaluate the nurses' perceived barriers and facilitators affecting their implementation of the Sepsis Six guidelines in acute care settings.</p><p><strong>Results: </strong>This study revealed that the main barriers facing the critical care nurses were environmental, which included lack of time, lack of sufficient staffing, and lack of available beds. Meanwhile, the main facilitators were emotional and intentional. For example, the nurses believed all of the Sepsis Six steps and guidelines to be very important for improving patient outcomes and decreasing sepsis-related complications.</p><p><strong>Conclusion: </strong>This study revealed that barriers related to knowledge, environment, and resources can affect nurses' compliance with sepsis guidelines. On the other hand, the findings revealed many strategies and facilitators which can improve nurses' compliance with these guidelines and hence improve patient outcomes. These facilitators include ongoing education and training, the availability of resources, and effective teamwork and sepsis-related communication. However, further research is required to further investigate the barriers and facilitators that can affect nurses' adherence to sepsis guidelines.</p>","PeriodicalId":43312,"journal":{"name":"SAGE Open Nursing","volume":"11 ","pages":"23779608251362276"},"PeriodicalIF":2.0,"publicationDate":"2025-07-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12277560/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144683362","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 \"Prevalence and Associated Factors of Stress and Coping Strategies of Nursing Students During Clinical Practice in School of Nursing, Wachemo University, Ethiopia\".","authors":"","doi":"10.1177/23779608251360587","DOIUrl":"https://doi.org/10.1177/23779608251360587","url":null,"abstract":"<p><p>[This corrects the article DOI: 10.1177/23779608241272528.].</p>","PeriodicalId":43312,"journal":{"name":"SAGE Open Nursing","volume":"11 ","pages":"23779608251360587"},"PeriodicalIF":2.0,"publicationDate":"2025-07-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12276515/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144676055","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 Quasi-Experimental Study on the Impact of a Nasogastric Tube Placement Educational Program on Pediatric Nurses' Knowledge and Practices.","authors":"Shimmaa Mansour Moustafa Mohammed, Gihan Mohamed, Raghad Almushawah","doi":"10.1177/23779608251360285","DOIUrl":"10.1177/23779608251360285","url":null,"abstract":"<p><strong>Background: </strong>Nasogastric tube (NGT) feeding is the preferred method of delivering nutrients to children who cannot tolerate oral feeding and medication. However, there are various risks associated with NGT misplacement.</p><p><strong>Objective: </strong>To evaluate the impact of a structured educational program on pediatric nurses' knowledge and practice in NGT placement.</p><p><strong>Methods: </strong>This quasi-experimental study was conducted among 130 nurses in two hospitals in Saudi Arabia. Pretest and posttest data were collected using a questionnaire and an observational checklist. The educational program included theoretical and practical sessions on the recommended best practices for NGT placement and location verification in pediatric patients.</p><p><strong>Results: </strong>Prior to the intervention, more than half (53.1%) had unsatisfactory knowledge, and 59.5% exhibited incompetent practice regarding NGT placement. Significant improvements were observed following the educational program. Postintervention, 90% of the nurses demonstrated satisfactory knowledge, and 88.5% exhibited competent practice (<i>p</i> < 0.01). A strong positive correlation was found between knowledge and practice levels both before and after the intervention (<i>p</i> < 0.01).</p><p><strong>Conclusion: </strong>The educational program on NGT placement significantly improved pediatric nurses' knowledge and promoted best practices, thereby increasing patient safety. It is recommended that structured training and simulation-based refreshers be incorporated into continuing nursing education to sustain safe and effective NGT practice.</p>","PeriodicalId":43312,"journal":{"name":"SAGE Open Nursing","volume":"11 ","pages":"23779608251360285"},"PeriodicalIF":2.0,"publicationDate":"2025-07-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12276412/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144676054","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":"Validity and Reliability of Persian Version of Multidimensional Scale of Perceived Social Support in Iranian Cancer Patients.","authors":"Hamid Sharif Nia, Mansoureh Ashghali Farahani, Amir Hossein Goudarzian, Mahdi Zarei, Shabnam Shariatpanahi","doi":"10.1177/23779608251357428","DOIUrl":"10.1177/23779608251357428","url":null,"abstract":"<p><strong>Objectives: </strong>This study aims to assess the linguistic and cultural validity of the translated Multidimensional Scale of Perceived Social Support (MSPSS) in Persian, ensuring that the nuances of social support are adequately captured and comprehended by Iranian cancer patients.</p><p><strong>Methods: </strong>In this cross-sectional study, 400 cancer patients from Iran were assessed using the MSPSS. By using exploratory factor analysis (with Maximum Likelihood factor analysis and Promax rotation) and confirmatory factor analysis, the construct validity of this scale was assessed. To check for internal consistency, the average inter-item correlation, Cronbach's alpha, and McDonald's omega coefficients were used.</p><p><strong>Results: </strong>Most of the participants ranged in age from 49 to 59 years (<i>n</i> = 102, 34%). Two factors were extracted from EFA and the total cumulative variance explained by these factors was 61% of the total variance. Item factor loadings varied between 0.613 and 0.949. Internal consistency coefficients were considered acceptable (>0.7).</p><p><strong>Conclusions: </strong>The Farsi version of the MSPSS as a self-report measure showed acceptable reliability and validity. Consequently, the scale can be used by nurses to evaluate perceived social support among Farsi-speaking cancer patients that can help them to take necessary actions to decrease the level of concern in these patients.</p>","PeriodicalId":43312,"journal":{"name":"SAGE Open Nursing","volume":"11 ","pages":"23779608251357428"},"PeriodicalIF":2.0,"publicationDate":"2025-07-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12276469/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144676057","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":"\"Being Treated Like an Infant Who Doesn't Know Anything\" Obstetric Violence From Perspectives of Women, Health Care Providers and Key Community Informants in Central Zone Tanzania: A Qualitative Exploratory Case Study.","authors":"Theresia J Masoi, Lilian Teddy Mselle, Stephen M Kibusi, Nathanael Sirili","doi":"10.1177/23779608251361015","DOIUrl":"10.1177/23779608251361015","url":null,"abstract":"<p><strong>Background: </strong>Violence during pregnancy, childbirth and after childbirth is a critical issue globally. There remains a lack of consensus on operational definitions of the components across different cultures globally since the definitions of respect, disrespect and violence can differ among cultures, traditions and places. Obstetric violence presents a significant barrier to seeking facility-based care during pregnancy and childbirth and instead women may opt for home deliveries with unskilled attendants. As a result, some experience complications thus contributing to the high prevalence of maternal mortality and morbidity.</p><p><strong>Objective: </strong>To explore the contextual components of obstetric violence as perceived by postnatal mothers, health care providers and key community informants in central zone Tanzania.</p><p><strong>Methodology: </strong>An exploratory qualitative case study employed in-depth interviews with purposefully selected 24 postnatal mothers, 18 healthcare providers, and 4 religious leaders. Additionally, 6 focus group discussions were conducted with male partners, community health workers, and 10-cell leaders. Data analysis followed qualitative content analysis process, incorporating both inductive and deductive approaches.</p><p><strong>Results: </strong>Nine categories of obstetric violence experienced by women during health facility care emerged from the analysis. These categories are lack of supportive care and treatment, autonomy limitations, non-consented care, compromised privacy and confidentiality, painful routine procedures that are not evidence-based, verbal violence, sexual violence, stigma and discrimination, emotional violence. Additionally, six categories of obstetric violence emerged related to experiences of women at the community level. They included: forceful insertion of herbs to the vagina, verbal violence, physical violence, psychological violence, forced home delivery and inappropriate sexual practices.</p><p><strong>Conclusion: </strong>Contextual components gathered by this study help to better define obstetric violence in the Tanzanian context and serve as a reference. This might help to validate measurement methods, and provide a pathway for developing evidence-based interventions to reduce obstetric violence and promote respectful maternity care.</p>","PeriodicalId":43312,"journal":{"name":"SAGE Open Nursing","volume":"11 ","pages":"23779608251361015"},"PeriodicalIF":2.5,"publicationDate":"2025-07-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12301176/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144733748","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":"Retraction: The Impact of Humble Leadership on Knowledge-Sharing and Creativity in Nursing Setting: A Cross-Sectional Study.","authors":"","doi":"10.1177/23779608251359038","DOIUrl":"10.1177/23779608251359038","url":null,"abstract":"<p><p>[This retracts the article DOI: 10.1177/23779608241306999.].</p>","PeriodicalId":43312,"journal":{"name":"SAGE Open Nursing","volume":"11 ","pages":"23779608251359038"},"PeriodicalIF":2.0,"publicationDate":"2025-07-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12276410/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144676056","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":"Multilevel Analysis of Individual and Community Level Factors Associated with Institutional Delivery in Ethiopia, 2016 Ethiopian Demography and Health Survey.","authors":"Masrie Getnet, Addis Temie, Tilahun Fufa, Lake Kumlachew, Abraham Teym","doi":"10.1177/23779608251358700","DOIUrl":"10.1177/23779608251358700","url":null,"abstract":"<p><strong>Background: </strong>The utilization of skilled care before, during, and after childbirth can significantly reduce maternal mortality and save the lives of women and newborns. However, maternal and child mortality remain high and continue to pose a persistent challenge for low-income countries. Therefore, this study was conducted to identify individual- and community-level factors associated with institutional delivery in Ethiopia.</p><p><strong>Methods: </strong>A cross-sectional study design with two-stage clustered sampling was employed using data from the 2016 Ethiopian Demographic and Health Survey (EDHS) to identify individual- and community-level factors associated with institutional delivery in Ethiopia. The study included 643 clusters (communities) and 7,091 women aged 15-49 years. Data were analyzed using two-level mixed-effects logistic regression to estimate the fixed effects of individual- and community-level factors and the random intercept for between-cluster variability, using R software version 3.5.3.</p><p><strong>Results: </strong>In this study, over two-thirds (68%) of women gave birth at home. Institutional delivery was more likely among women with higher education, greater household wealth, frequent antenatal care attendance, and partners with secondary education. Conversely, it was less likely among women with more children and those perceiving long distances to health facilities as a barrier. At the community level, higher average education, media exposure, and recent use of health services were associated with greater institutional delivery use, while rural residence, perceived distance barriers, and regional disparities were linked to lower use.</p><p><strong>Conclusions: </strong>Both individual- and community-level factors were significantly associated with institutional delivery, in both positive and negative directions. Therefore, the Government of Ethiopia and relevant stakeholders should give due attention to the key factors identified in this study.</p>","PeriodicalId":43312,"journal":{"name":"SAGE Open Nursing","volume":"11 ","pages":"23779608251358700"},"PeriodicalIF":2.0,"publicationDate":"2025-07-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12280271/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144691860","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":"Exploring the Critical Relationship Between Virtual and Bedside Nurses.","authors":"Melanie Chopra","doi":"10.1177/23779608251358714","DOIUrl":"10.1177/23779608251358714","url":null,"abstract":"<p><p>The COVID-19 pandemic has magnified the challenges faced by healthcare professionals; in particular, it exposed the highly stressful work environment the bedside nurse (BSRN) navigates while providing patient care. In response, virtual nursing (VNG) became an innovative solution to fill the gaps in healthcare delivery, and it continues to grow as a nursing discipline. The adoption of VNG, which facilitates real-time communication with BSRNs, presents challenges in maintaining trust and collaboration in a digital environment between the remote virtual nurse (RVN) and the BSRN. Barriers such as skepticism, misperceptions about the RVNs' role, and mistrust are discussed, alongside strategies to improve the working partnership between RVNs and BSRNs. The importance of gaining bedside leadership support, offering mentorship, offloading work from the BSRN, communication techniques, and practical interventions is suggested as potential steps the RVN can take to enhance their collaboration with the BSRN. This article proposes continued integration of VNG throughout diverse healthcare settings to potentially improve patient outcomes and expresses the urgent need for further research to improve the evolving RVN-BSRN partnership.</p>","PeriodicalId":43312,"journal":{"name":"SAGE Open Nursing","volume":"11 ","pages":"23779608251358714"},"PeriodicalIF":2.0,"publicationDate":"2025-07-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12254540/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144627380","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":"Prevalence and Associated Factors of Burnout Among Nurses at Private Tertiary Hospitals in the Gulf Region: A Cross-Sectional Multicenter Study.","authors":"Abbas Al Mutair, Kawthar Alsaleh, Awatif Alrasheeday, Noura Almadani, Hanan Alyami, Muhammad Daniyal, Sana Almahmoud","doi":"10.1177/23779608251350578","DOIUrl":"10.1177/23779608251350578","url":null,"abstract":"<p><strong>Introduction: </strong>Burnout among nurses has emerged as a critical issue in healthcare and is gaining considerable attention due to its profound negative effects. The pervasive nature and significant effects that burnout might hold underscore the crucial need to assess this issue and its contributing factors among nurses. However, there is an evident gap in research precisely addressing this issue among nurses working in private hospitals in the Gulf Region.</p><p><strong>Objective: </strong>This study aims to assess the prevalence and associated factors of burnout among nurses at private tertiary hospitals in Saudi Arabia and the United Arab Emirates.</p><p><strong>Method: </strong>This is a cross-sectional study, and the data were collected by an electronic self-administered survey. This multicenter study involved a sample of 616 nurses and was performed in six different private tertiary care hospitals which belong to the largest private healthcare group in the Gulf Region. The Maslach Burnout Inventory-Human Services Survey was utilized to assess burnout levels.</p><p><strong>Results: </strong>The study's results revealed that the overall burnout level was 67.2%. Notably, 82.8% of the participants were identified as having high Emotional Exhaustion (EE), 56.8% for high Depersonalization (DP), and 44.6% for low Personal Accomplishment (PA). The mean score for the EE dimension was 36.79 ± 10.34, the DP dimension was 13.91 ± 6.65, and the PA dimension had a mean score of 32.37 ± 7.73.</p><p><strong>Conclusion: </strong>The conclusions revealed a significant prevalence of burnout among nurses working within the private sector in Saudi Arabia and the United Arab Emirates. This underscores the persistent problem of burnout among nurses, which necessitates targeted interventions.</p>","PeriodicalId":43312,"journal":{"name":"SAGE Open Nursing","volume":"11 ","pages":"23779608251350578"},"PeriodicalIF":2.0,"publicationDate":"2025-07-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12235237/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144592544","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":"Concept Analysis of Presenteeism Among Nurses During the COVID-19 Pandemic.","authors":"Jiyeon Jung, Jihyun Moon","doi":"10.1177/23779608251356385","DOIUrl":"10.1177/23779608251356385","url":null,"abstract":"<p><strong>Introduction: </strong>Presenteeism is a significant issue among nurses, especially during the COVID-19 pandemic, contributing to high healthcare costs, impaired patient safety, and negative well-being. Given the global nursing shortage and the critical role nurses play in healthcare, addressing presenteeism is essential to maintaining quality care and organizational efficiency.</p><p><strong>Objectives: </strong>This study aimed to clarify the concept of presenteeism among nurses, the largest proportion of healthcare professionals, during the COVID-19 pandemic.</p><p><strong>Method: </strong>Walker and Avant's concept analysis procedure was adapted to clarify the conceptualization and operationalization of the concept. The Cumulative Index of Nursing and Allied Health, PUBMED, EMBASE, and Research Information Sharing Service were systematically searched for the analysis.</p><p><strong>Results: </strong>Presenteeism among nurses during the pandemic was conceptualized as work impairment with a detachment of mind and body and disengagement among nurses when present at the workplace. The antecedents of presenteeism in nursing were health problems, worsened work conditions, risk of infection, and the uniqueness of the nursing culture. The consequences included work productivity loss and deterioration in quality of care and patient safety.</p><p><strong>Conclusions: </strong>Presenteeism among nurses is a complex phenomenon that may influence their job satisfaction and patient health outcomes. Nurses being the most affected frontline workers by the pandemic, nursing managers need to be aware of this phenomenon and try to prevent nurses with health problems to work by adopting organizational policies that allow them to treat their conditions effectively. In addition, nurses should be properly informed and treated for presenteeism and its effects.</p>","PeriodicalId":43312,"journal":{"name":"SAGE Open Nursing","volume":"11 ","pages":"23779608251356385"},"PeriodicalIF":2.0,"publicationDate":"2025-07-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12227884/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144576598","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}