SAGE Open Nursing最新文献

{"title":"Online Health Information Seeking Behaviors Among People With Diabetes: A Scoping Review.","authors":"Zhijia Shen, Zhijie Qian, Peipei Xu, Jialin Chen, Limei Yin, Tingting Cai, Changrong Yuan","doi":"10.1177/23779608261463030","DOIUrl":"10.1177/23779608261463030","url":null,"abstract":"<p><strong>Introduction: </strong>Online health information seeking (OHIS) behavior has emerged as a common practice among people with diabetes. This scoping review aimed to map the literature on OHIS behaviors among people with diabetes, specifically their patterns of digital platform use and content preferences.</p><p><strong>Methods: </strong>This review was guided by the framework of Arksey and O'Malley. A search was conducted in November and December 2024 across the following databases: Cochrane Library, PubMed, Web of Science, CINAHL, Embase, SinoMed, CNKI, and Wanfang Data. Qualitative, quantitative, and mixed-methods studies were considered for inclusion.</p><p><strong>Results: </strong>A total of 41 eligible articles published between 2005 and 2024 were included. Three research questions were addressed: types and sources, incidence, influencing factors and barriers associated with OHIS behaviors. Moreover, commonly sought information concerned lifestyle management, peer support, and diabetes management, primarily from general internet, social media/blogs, and health websites. Socio-demographic (e.g., age, gender, occupation), diabetes related characteristics (e.g., diabetes type, disease duration), and motivational factors (e.g., activation) were identified as key factors influencing OHIS behaviors among people with diabetes. The incidence varied across survey times and continents, ranging from 11.30% to 96.00%. Additionally, three types of barriers to OHIS behaviors were identified, namely individual-related (e.g., interest, cost), equipment (e.g., unorganized information, internet design), and social related barriers (e.g., lack of social support, living area).</p><p><strong>Conclusions: </strong>This review reveals a substantial gap in understanding of OHIS behaviors among people with diabetes. Notable barriers to effective OHIS persist, particularly those related to information usability and accessibility. Future research should prioritize developing interventions to enhance the accuracy, readability, and personalization of online diabetes information and optimize search experiences. Moreover, efforts to improve the comprehension of complex medical content and deliver disease-stage-specific digital information will be essential to empower people with diabetes in effectively retrieving and using high-quality online health information.</p>","PeriodicalId":43312,"journal":{"name":"SAGE Open Nursing","volume":"12 ","pages":"23779608261463030"},"PeriodicalIF":2.9,"publicationDate":"2026-06-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13287427/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148319845","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 the Resolution of Telephone Follow-up in Palliative Home Care Patients of a Public Telemedicine Service: A Retrospective Observational Study Using Machine Learning.","authors":"Cristina Fernández-Martínez, José Manuel Martínez-Ramírez, María E Fernández-Martínez, Ana Alejandra Esteban-Burgos, Lucía Ortega-Donaire, Rafael Montoya-Juárez, César Hueso-Montoro","doi":"10.1177/23779608261459347","DOIUrl":"10.1177/23779608261459347","url":null,"abstract":"<p><strong>Introduction: </strong>The use of telemedicine in palliative care has become an effective tool. Telephone follow-up allows for the anticipation of complications, the resolution of doubts, and the provision of peace of mind. However, case resolution is conditioned by various factors.</p><p><strong>Objective: </strong>The objective of this study was to analyze the factors influencing the resolution of nurse-led telephone follow-ups of palliative home care patients treated by nurses at the Salud Responde public telemedicine service in Andalusia (Spain).</p><p><strong>Methods: </strong>A retrospective observational study was conducted that included 44,981 records of requests from palliative home care patients who were treated by nurses at the Salud Responde public telemedicine service during the period between 2012 and 2024. It is important to note the distinction between two profiles: proactive palliative patients, characterised by clinical stability and proactive management of complications through planned follow-up; and reactive palliative patients, who are more clinically complex and initiate contact with the service on an unscheduled basis.The study variables are grouped into the following blocks: sociodemographic data, temporal data and clinical data on the patient, reflecting the type of resolution of each consultation. Machine learning techniques were applied, using the Random Forest model to predict the type of resolution of each call, which differentiated between health advice and referral to other levels of care.</p><p><strong>Results: </strong>Of the records included, 74.44% corresponded to proactive patients and 25.56% to reactive patients. The model established a set of rules that achieved high accuracy in proactive patients (96.5%), but low accuracy in reactive ones (41.2%). In proactive patients, healthcare advice stands out as the resolution of cases, while the factors most associated with resolution were clinical status, age, respiratory distress and conspiracy of silence.</p><p><strong>Conclusion: </strong>The resolution of demands raised by palliative home care patients through telephone follow-up is conditioned by various factors. This study describes the criteria that mainly affect the profile of the proactive patient. These findings are relevant for implementing improvements in decision-making and in the organisation of telemedicine, ensuring continuity and quality care.</p>","PeriodicalId":43312,"journal":{"name":"SAGE Open Nursing","volume":"12 ","pages":"23779608261459347"},"PeriodicalIF":2.9,"publicationDate":"2026-06-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13276216/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148296750","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":"Undergraduate Nursing Students' Experiences in Graduation Research Projects: A Descriptive Phenomenological Study.","authors":"Fatma Abdelaziz Mohammed, Jebril Al-Hrinat, Mona Metwally El-Sayed, AlThubaity DaifAllah, Abeer Yahia Mahdy Shalby, Mugahed Al Khader, Fatma Shoeib Ali, Boshra Karem Mohamed El-Sayed, Hamda Ahmed Mohamed Eldesoky","doi":"10.1177/23779608261461036","DOIUrl":"10.1177/23779608261461036","url":null,"abstract":"<p><strong>Introduction: </strong>Integrating research into nursing education is critical for evidence-based practice and professional development. However, nursing students often encounter significant challenges when engaging in research, which may hinder their academic and clinical growth. Understanding these experiences is essential for optimizing research training in nursing curricula.</p><p><strong>Objective: </strong>This study explored the lived experiences of nursing students participating in graduation research projects, focusing on their perceived benefits, challenges, and support needs.</p><p><strong>Methods: </strong>A descriptive phenomenological approach was employed, and this study adhered to the Consolidated Criteria for Reporting Qualitative Research (COREQ). Thirty-eight nursing students (15 male, 23 female) from a Saudi Arabian university participated in focus group discussions between February and May 2024. Data were collected using semi-structured interviews, supported by demographic surveys and audio recordings. Colaizzi's descriptive phenomenological method was used for the final analysis.</p><p><strong>Results: </strong>Four central themes emerged: (1) Skill Development and Academic Growth, (2) Mentorship and Peer Support, (3) Barriers to Success, and (4) Curricular Recommendations. Students valued the acquisition of research competencies and their practical applications in clinical practice. Mentorship, peer support, faculty guidance, and collaborative learning were pivotal in navigating research challenges. Prominent hurdles included time constraints, methodological difficulties, and stress. To alleviate pressure, participants recommended curricular adjustments, including extended project timelines (6-12 months) and earlier exposure to research.</p><p><strong>Conclusion: </strong>Graduation research projects are transformative yet demanding experiences for nursing students. While they enhance critical thinking and readiness for advanced studies, structural challenges persist. Institutions should implement targeted interventions, such as phased research training and strengthened mentorship, to foster student success. This study provides actionable insights for nursing educators and policymakers to refine research curricula, ensuring students are better prepared for evidence-based practice and future scholarly pursuits.</p>","PeriodicalId":43312,"journal":{"name":"SAGE Open Nursing","volume":"12 ","pages":"23779608261461036"},"PeriodicalIF":2.9,"publicationDate":"2026-06-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13269981/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148273361","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":"Navigating Political Mischaracterization of DEI in the U.S. Nursing Profession.","authors":"Simon Paul P Navarro","doi":"10.1177/23779608261462282","DOIUrl":"10.1177/23779608261462282","url":null,"abstract":"<p><p>Diversity, equity, and inclusion (DEI) are essential principles in the healthcare landscape, particularly in the nursing profession, aimed at reducing systemic inequities, improving representation, and strengthening fair opportunities across nursing education, workforce development, and clinical practice. However, the current U.S. political climate has posed challenges to the value of DEI by dismissing its ethical imperatives and disavowing the evidence that equity initiatives function as intended. This commentary examines how the politically motivated opposition and mischaracterization of DEI specifically affect the U.S. nursing workforce, workplace dynamics, and patient care delivery. The article argues that a coordinated, practice-focused response grounded in nursing ethics and empirical evidence is vital to preserve equitable care standards and support the well-being of nurses from underrepresented backgrounds. While this commentary centers on the U.S. context, the tensions described mirror challenges confronting health systems globally, making the discourse broadly relevant.</p>","PeriodicalId":43312,"journal":{"name":"SAGE Open Nursing","volume":"12 ","pages":"23779608261462282"},"PeriodicalIF":2.9,"publicationDate":"2026-06-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13272974/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148279209","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 Nurse-Applied Aloe Vera and Rosemary Oil Combination on Pressure Injury Prevention in Orthopaedic Surgery: A Triple-Blind Randomized Trial.","authors":"Mohamed E H Elzeky, Awatef Abdelhamid, Basma Salameh, Noha F M Shahine, Amal F Soliman, Amgad E Salem, Barakat Sayed Elalfy, Rasha Hafez Ramadan El-Shaboury","doi":"10.1177/23779608261461045","DOIUrl":"10.1177/23779608261461045","url":null,"abstract":"<p><strong>Objective: </strong>Pressure injuries (PIs) are common complications among orthopedic patients. This study aimed to compare the effectiveness of aloe vera gel, rosemary oil, and their combination with a control intervention in preventing PIs.</p><p><strong>Methods: </strong>A triple-blind randomized four arm parallel clinical trial was conducted among 160 orthopedic patients assigned to four groups: aloe vera-rosemary combination, rosemary oil, aloe vera gel, or control (n=40 each). The assigned spray was applied twice daily for 10 days to pressure-prone areas. Outcomes included PI incidence, skin temperature, and pain intensity.</p><p><strong>Results: </strong>The aloe vera-rosemary group demonstrated the lowest incidence of sacral, hip, heel, and total PIs compared with the other groups (p = 0.02, 0.03, 0.03, and 0.009, respectively). Significant reductions in pain intensity were also observed across pressure-prone areas over time (all p < 0.001). Additionally, skin temperature decreased significantly in the intervention groups compared with the control group during follow-up (all p < 0.05).</p><p><strong>Conclusion: </strong>The rosemary oil and aloe vera-rosemary oil combination showed positive effectiveness in preventing PIs; it is recommended for use in the prevention of PIs among orthopedic patients.</p>","PeriodicalId":43312,"journal":{"name":"SAGE Open Nursing","volume":"12 ","pages":"23779608261461045"},"PeriodicalIF":2.9,"publicationDate":"2026-06-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13264662/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148259999","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":"Innovations in Pediatric Nursing: Emerging Technologies Including Virtual Reality, Telehealth, Artificial Intelligence, and Digital Mental Health-A Scoping Review.","authors":"Shimmaa Mansour Moustafa Mohamed","doi":"10.1177/23779608261433684","DOIUrl":"10.1177/23779608261433684","url":null,"abstract":"<p><strong>Background: </strong>Pediatric nursing is rapidly evolving with the integration of innovative technologies aimed at improving healthcare delivery and outcomes for children.</p><p><strong>Objectives: </strong>To map the extent and characteristics of pediatric nursing literature on (1) virtual reality (VR) for procedural care, (2) telehealth models, (3) artificial intelligence (AI)-supported diagnostics, (4) technology-enabled obesity interventions, and (5) digital mental-health tools; and to identify outcomes studied, populations/settings, study designs, and research gaps.</p><p><strong>Methods: </strong>A scoping review following Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews guidelines was conducted. Peer-reviewed articles published from 2010 to 2024 were retrieved from PubMed, CINAHL, Scopus, Cochrane Library, and Google Scholar. Inclusion criteria were studies involving pediatric populations and addressing one of the specified technologies or interventions.</p><p><strong>Results: </strong>Twenty-five studies were included. VR was effective in reducing procedural pain and anxiety. Telehealth improved care access, especially in underserved areas. AI-supported early diagnosis of diseases such as congenital heart defects. Nursing interventions for childhood obesity were most effective when multidisciplinary and personalized. Digital tools helped pediatric patients manage mental health conditions associated with chronic illness. However, gaps exist in long-term effectiveness, scalability, and integration.</p><p><strong>Conclusions: </strong>Emerging technologies in pediatric nursing offer substantial benefits but require further validation and structured implementation. Future research should focus on standardizing protocols, assessing cost-effectiveness, and addressing equity in access.</p>","PeriodicalId":43312,"journal":{"name":"SAGE Open Nursing","volume":"12 ","pages":"23779608261433684"},"PeriodicalIF":2.9,"publicationDate":"2026-06-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13263502/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148253921","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":"Microcounseling in Japanese Nursing Education: A Narrative Review of Communication Skill Acquisition and Educational Implications.","authors":"Takayuki Fujii, Taiga Seo, Yuji Nogami","doi":"10.1177/23779608261461039","DOIUrl":"10.1177/23779608261461039","url":null,"abstract":"<p><strong>Introduction: </strong>Communication competence is a core nursing competency, yet effective pedagogical approaches for systematic skill development remain underexplored in many cultural contexts. Microcounseling, developed by Allen Ivey in the 1960s, offers a structured framework for teaching discrete interviewing skills through modeling, practice, and feedback. It has been applied in Japanese nursing education since the 1980s, yet this nearly four-decade literature has not previously been synthesized.</p><p><strong>Purpose: </strong>This narrative review synthesized research on microcounseling among Japanese nursing students, examining factor structures, skill acquisition patterns, and educational implications, to identify principles potentially useful for international nursing education.</p><p><strong>Methods: </strong>A search of five databases and hand searching identified 33 records; after duplicate removal and screening, 10 studies met inclusion criteria, spanning 1988 to 2024. Findings were combined using narrative synthesis procedures structured by the Synthesis Without Meta-analysis (SWiM) guideline.</p><p><strong>Results: </strong>Factor analyses consistently extracted four skill dimensions mapping onto Ivey's three-tier hierarchy-attending, reflection, and influencing skills-demonstrating structural stability over more than 25 years. Acquisition was differential: questioning techniques improved with brief training, while reflection skills required extended practice; attending behaviors were learned readily but showed developmental fluctuation across the curriculum. A notable \"confidence inversion\" emerged, with higher self-efficacy reported for influencing than for reflection skills, despite the microskills hierarchy positioning reflection as foundational. Attending behaviors followed a U-shaped trajectory, with second-year students showing decreased confidence after initial clinical exposure, while reflection and influencing-behavior skills increased significantly between second and fourth years. Online learning environments may selectively constrain reflection skill development.</p><p><strong>Conclusion: </strong>Within the limits of a small, single-country evidence base, these findings suggest principles that may inform nursing curricula: graduated skill introduction, explicit emphasis on listening foundations, and targeted support during early clinical experiences. Cross-cultural validation studies remain needed.</p>","PeriodicalId":43312,"journal":{"name":"SAGE Open Nursing","volume":"12 ","pages":"23779608261461039"},"PeriodicalIF":2.9,"publicationDate":"2026-06-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13260784/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148253839","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":"Assessment of the Validity and Reliability of the Arabic Version of the Ten-Item Personality Inventory (TIPI) Among Undergraduate Nursing Students and Interns in Saudi Arabia.","authors":"Mansour Mansour, Ahmad Alafafsheh, Abd Alhadi Hasan, Afnan Alswyan","doi":"10.1177/23779608261460545","DOIUrl":"10.1177/23779608261460545","url":null,"abstract":"<p><strong>Background: </strong>The Ten-Item Personality Inventory is widely recognised for measuring Personality traits. It has neither been translated nor psychometrically tested in an Arabic context.</p><p><strong>Aim: </strong>To assess the validity and reliability of the translated Arabic version of the Ten-Item Personality Inventory (TIPI) among undergraduate nursing students and interns in Saudi Arabia.</p><p><strong>Methods: </strong>A descriptive, cross-sectional survey with translation, back-translation and panel expert validation was used. A convenient sample of 283 undergraduate nursing students and interns was selected from three higher educational institutions in Saudi Arabia. The sample was randomly split, exploratory and confirmatory factor analysis were then conducted on each sample. Internal consistency was determined by Cronbach's alpha coefficient, item-total corrected correlation, and mean inter-item correlation. To assess the model fitness, the following indices thresholds were used: χ3/df ≤ 3, TLI >0.90, CFI >0.90, IFI > 0.90, NFI > 0.85, RMSEA < 0.08 and SRMR < 0.80. Composite reliability, convergent, and discriminant validity were assessed for the final model.</p><p><strong>Results: </strong>The translated tool demonstrated excellent content validity. Exploratory factor analysis produced a seven-item, two-factor model accounting for 36% of the total variance. Both the McDonald's Omega and Cronbach alpha coefficients for the overall scale were 0.71 and 0.64, respectively, and the mean inter-item correlation was 0.20, suggesting acceptable internal consistency. Confirmatory factor analysis revealed a Seven-item, Two-factor model with mixed goodness of fit: χ3/df: 2.6, TLI: 0.85, CFI: 0.91, IFI: 0.91, NFI: 0.86, RMSEA:0.29, SRMR: 0.08, demonstrating both discriminant validity and acceptable composite reliability. However, the convergent validity was partially met.</p><p><strong>Conclusion: </strong>The final Seven-item scale contributes toward establishing an Arabic version of the Ten-Item Personality Inventory. Due to the psychometric limitations, a revised version of the Ten-Item Personality Inventory might be needed to ascertain the Arabic version that best captures the underlying constructs of the Ten-Item Personality Inventory.</p>","PeriodicalId":43312,"journal":{"name":"SAGE Open Nursing","volume":"12 ","pages":"23779608261460545"},"PeriodicalIF":2.9,"publicationDate":"2026-06-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13260778/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148253831","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":"In the Palm of Your Hand: The Mediating Role of Locus of Control in Selfie Addiction and Nomophobia Among Nursing Students.","authors":"Lamiaa Abd El Hakeem Ali Ahmed, Maha Ibrahim El Bayoumy Ali, Abdulqadir J Nashwan, Soheir Mohammed Ahmed Ali, Basma Abd El Majid Adly","doi":"10.1177/23779608261459545","DOIUrl":"10.1177/23779608261459545","url":null,"abstract":"<p><strong>Introduction: </strong>In today's hyperconnected world, nursing students are increasingly vulnerable to behavioral dependencies such as selfie addiction and nomophobia.</p><p><strong>Objectives: </strong>This study aimed to investigate the mediating role of locus of control in selfie addiction and nomophobia among nursing students.</p><p><strong>Methods: </strong>A cross-sectional design incorporating a mediation model was conducted. A stratified random sampling technique was used to recruit 379 nursing students. Data were collected using: the Selfie-taking Habits Questionnaire, the Nomophobia Questionnaire (NMP-Q), the Selfie Addiction Scale, and the Locus of Control Short Scale (IE-4).</p><p><strong>Results: </strong>Among 379 nursing students, the results demonstrated a significant positive correlation between selfie addiction and nomophobia (r = 0.268, p < 0.001), as well as a significant negative correlation between locus of control and both selfie addiction (r = -0.218, p < 0.001) and nomophobia (r = -0.145, p = 0.001). Mediation analysis revealed that locus of control significantly mediated the relationship between selfie addiction and nomophobia (indirect effect = 0.114, p = 0.015), indicating that higher selfie addiction is associated with lower internal locus of control, which in turn increases nomophobia.</p><p><strong>Conclusion: </strong>Locus of control serves as a significant partial mediator between selfie addiction and nomophobia. These findings underscore the importance of addressing individual psychological traits in interventions to promote healthier digital behavior and reduce mobile-related risky behavior among nursing students. These findings highlight the need to enhance the internal locus of control as a strategy to reduce selfie addiction related to nomophobia, thereby empowering students to manage their digital habits more effectively.</p>","PeriodicalId":43312,"journal":{"name":"SAGE Open Nursing","volume":"12 ","pages":"23779608261459545"},"PeriodicalIF":2.9,"publicationDate":"2026-06-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13254431/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148253869","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":"Barriers and Coping Strategies for Work-Life Balance Among Nurses: A Sequential Exploratory Mixed Methods Study.","authors":"Kalaiyarasi Balakrishnan, Helen Shaji JohnCecily","doi":"10.1177/23779608261459531","DOIUrl":"10.1177/23779608261459531","url":null,"abstract":"<p><strong>Background: </strong>Nurses working in intensive care units (ICUs) experience high work demands that pose significant challenges to maintaining work-life balance.</p><p><strong>Aim: </strong>This study aimed to explore barriers to, and coping strategies for, achieving work-life balance among ICU nurses.</p><p><strong>Methods: </strong>A sequential exploratory mixed methods design was employed. In Phase I, a descriptive exploratory qualitative approach was used, and in Phase II, a descriptive cross-sectional design was adopted. Integration of qualitative and quantitative findings was conducted during the interpretation stage.</p><p><strong>Results: </strong>Both qualitative and quantitative findings consistently indicate that caregiving responsibilities substantially increase work-life conflict. Achieving work-life balance among nurses was particularly challenging, with most reporting difficulties managing professional and family responsibilities. These challenges led to stress and reduced personal time, whereas strong support systems, including workplace flexibility and family support, were essential for improving work-life balance. Significant associations with medium effect sizes were identified for age (p = 0.01), gender (p = 0.02), and income (p = 0.04), indicating that personal characteristics influence how ICU nurses manage work and family demands. Unresolved emotional stress directly affected work engagement and motivation. Organizational constraints emerged as key structural barriers to work-life balance, with financial factors further intensifying stress and limiting nurses' ability to manage competing demands. Social and organizational support systems acted as protective factors, mitigating stress and enhancing nurses' ability to sustain demanding ICU roles.</p><p><strong>Conclusion: </strong>ICU nurses face substantial barriers to achieving work-life balance. Organizational support is crucial for promoting nurses' well-being and sustaining quality patient care. The generalizability of these findings is limited due to the use of non-probability sampling and data collection from a single tertiary care center; therefore, results should be interpreted with caution when applied to other settings or populations.</p>","PeriodicalId":43312,"journal":{"name":"SAGE Open Nursing","volume":"12 ","pages":"23779608261459531"},"PeriodicalIF":2.9,"publicationDate":"2026-06-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13250424/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148228626","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}