{"title":"Factors Influencing Nursing Students' Attitudes and Career Interests in Mental Health Nursing - An Integrative Review.","authors":"Katrina Cearns, Eilean Rathinasamy Lazarus, Rasha Wahid","doi":"10.1177/08445621261447369","DOIUrl":"10.1177/08445621261447369","url":null,"abstract":"<p><p>BackgroundMental health nurses represent only 1.03% of the global nursing workforce, contributing to persistent workforce shortages. Undergraduate nursing students demonstrate limited interest in mental health nursing (MHN), often associated with negative attitudes toward MHN and individuals with mental illness. Understanding factors influencing these attitudes and career intentions is essential to inform targeted educational interventions.ObjectivesThis integrative review aimed to identify factors influencing undergraduate nursing students' attitudes and career interest in MHN and evaluate the impact of MHN education on these outcomes.MethodsGuided by Whittemore and Knafl's framework, a rapid integrative review was conducted across CINAHL, EMBASE, ScienceDirect, PubMed, and PsycINFO for English-language studies published between 2000 and October 2025. Of 362 records identified, 113 underwent screening, and 22 met inclusion criteria following full-text review. Quality appraisal employed CASP and JBI tools. Data were analyzed using constant comparison, with findings organized into structured matrices.ResultsFour themes emerged: (1) attitudes toward MHN varied widely, with more negative perceptions among first-year students; (2) overall career interest in MHN remained low to neutral; (3) influencing factors included attitudes toward mental illness, clinical exposure, and perceived preparedness; (4) MHN education improved attitudes but did not significantly increase career interest.ConclusionsAlthough MHN education enhances attitudes, it does not translate into increased career interest. Strategies such as extended clinical placements, lived-experience education, problem-based learning, and simulation may improve interest. Further rigorous research, including randomized controlled trials, is required to establish causality and inform workforce development strategies.</p>","PeriodicalId":46661,"journal":{"name":"Canadian Journal of Nursing Research","volume":" ","pages":"434-449"},"PeriodicalIF":2.4,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13454411/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147844402","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}
Mar'yana Fisher, Leah K Lambert, Olga Petrovskaya, Helen Brown, Kelli I Stajduhar
{"title":"Nurses' Perspectives on Cancer Care for People Who Experience Incarceration in British Columbia, Canada: Challenges and Opportunities.","authors":"Mar'yana Fisher, Leah K Lambert, Olga Petrovskaya, Helen Brown, Kelli I Stajduhar","doi":"10.1177/08445621261449582","DOIUrl":"10.1177/08445621261449582","url":null,"abstract":"<p><p>Cancer is the leading cause of death for Canadians. Research by Canadian scholars has highlighted that people who experience multiple and intersecting socio-economic barriers are more likely to receive a diagnosis only after cancer has become advanced. For people who experience incarceration, structural barriers to cancer treatment and care are further exacerbated. Yet, few studies in Canada have focused specifically on the provision of cancer care in provincial correctional settings. This study explored how nurses understand and navigate the delivery of cancer care to people who are incarcerated in British Columbia. Guided by Interpretive Description (ID) and informed by actor-network theory (ANT), the research aimed to generate practice-relevant insights by examining nurses' perspectives, experiences, and the systemic factors shaping their clinical realities. Findings from this study illustrate nurses' views that the prison's focus on security shapes how, when, and whether cancer care is delivered. Drawing on interviews with nurses, the analysis produced the following insights: 1) institutional priorities often complicated the delivery of cancer care; 2) nurses perceived systemic stigma and institutional mistrust toward patients who are incarcerated; and 3) lack of confidentiality during healthcare encounters hindered patient-centred cancer care. Despite this, nurses frequently found ways to navigate the professional tensions arising from dual responsibilities to patient care and incarceration. These insights show how cancer care is often contingent on nurses' ability to navigate systemic constraints and relational barriers, underscoring the need for integrated, trauma-informed, and equity-oriented approaches that support continuity of care across correctional and healthcare systems.</p>","PeriodicalId":46661,"journal":{"name":"Canadian Journal of Nursing Research","volume":" ","pages":"472-482"},"PeriodicalIF":2.4,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13454401/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147876045","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":"When Volunteerism Meets Employability: Advancing Research and Professional Integration Pathways for Migrant Nurses.","authors":"Areej Al-Hamad","doi":"10.1177/08445621261433623","DOIUrl":"10.1177/08445621261433623","url":null,"abstract":"<p><p>Migration continues to reshape nursing workforces globally, creating both opportunities and challenges for migrant nurses navigating professional integration within unfamiliar healthcare systems. While existing integration strategies often focus on regulatory pathways and employment readiness, less attention has been given to the relational and experiential role of civic engagement. This editorial examines how civic participation, particularly through volunteerism, can support migrant nurses' professional development, social connection, and workforce inclusion. Drawing on perspectives from migration, nursing workforce development, and community-engaged practice, the discussion highlights how volunteer initiatives can foster transferable skills, expand professional networks, and strengthen culturally responsive communication. Civic engagement is positioned as a meaningful space where migrant nurses develop contextual knowledge of healthcare delivery while contributing to community wellbeing. The editorial also considers the ethical and structural implications of relying on volunteerism, emphasizing the need to avoid reinforcing unpaid labour expectations without clear pathways to equitable employment. Implications for nursing education, policy, and practice are explored, including the potential role of structured civic engagement initiatives in enhancing mentorship, professional belonging, and disaster preparedness capacity. By reframing volunteerism as a relational pathway that complements traditional integration approaches, this editorial calls for the development of intentional frameworks that link civic participation to employment opportunities and professional recognition. Recognizing migrant nurses as active contributors rather than passive recipients of integration efforts is essential for building resilient, inclusive, and culturally responsive healthcare systems.</p>","PeriodicalId":46661,"journal":{"name":"Canadian Journal of Nursing Research","volume":" ","pages":"281-283"},"PeriodicalIF":2.4,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147500218","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Joshua Wyman, Cassandre Dion Larivière, Tala Tayem, Lindsay Malloy
{"title":"Responding to Older Adult Maltreatment: Interdisciplinary Geriatric Care Provider Experiences and Training Needs.","authors":"Joshua Wyman, Cassandre Dion Larivière, Tala Tayem, Lindsay Malloy","doi":"10.1177/08445621261443833","DOIUrl":"10.1177/08445621261443833","url":null,"abstract":"<p><p>In the current mixed methods study, 37 interdisciplinary geriatric care providers in Ontario, Canada, completed a qualitative interview and a series of quantitative questionnaires. The qualitative interview explored their experiences observing, identifying and reporting older adult maltreatment in their work settings, along with their training background and recommendations for professional development. The quantitative measures assessed their abilities to identify risk factors for older adult maltreatment, and their attitudes and willingness to assess for potential indicators of maltreatment. Inductive thematic coding of the qualitative interviews revealed that these providers frequently observe older adult maltreatment in their workplaces, which is most often perpetrated by family members and geriatric care providers. Several barriers to reporting older adult maltreatment were identified, including fear of consequences, older adult apprehension, insufficient reporting knowledge, training and preparedness, and professional and institutional barriers. Although most providers accurately identified the common risk factors for older adult maltreatment on the quantitative measures, they nevertheless expressed clear individual, institutional and professional barriers to maltreatment reporting during the qualitative interviews. These findings underscore the essential need for a culture change in reporting processes, professional and institutional support, training and psychological safety to ensure that all interdisciplinary geriatric care providers have the confidence and preparation to effectively assist older adults who are at-risk for abuse and neglect.</p>","PeriodicalId":46661,"journal":{"name":"Canadian Journal of Nursing Research","volume":" ","pages":"398-412"},"PeriodicalIF":2.4,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13454408/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147724393","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}
Leslie H Nicoll, Marilyn H Oermann, Elizabeth R Eisenhauer, Melissa L Mastorovich
{"title":"Predatory Publishing in Nursing Journals: A Systems-Based Analysis Using the Predation Index.","authors":"Leslie H Nicoll, Marilyn H Oermann, Elizabeth R Eisenhauer, Melissa L Mastorovich","doi":"10.1177/08445621261449308","DOIUrl":"10.1177/08445621261449308","url":null,"abstract":"<p><p>PurposePredatory publishing remains a persistent concern in nursing scholarship, yet identification approaches often rely on binary classifications or list-based designations that obscure variation among journals. This study examined predatory publishing in nursing using a systems-based, behavior-focused approach.MethodsA dataset of 265 nursing journals was assessed using the Predation Index, a behavior-based instrument that evaluates observable publishing practices associated with predatory risk. Journals with publicly available information were scored and categorized as 1-3 (lower levels of predatory indicators), 4-6 (moderate levels of predatory indicators), or 7-10 (high levels of predatory indicators). Findings were interpreted using the Journal Systems Framework, which conceptualizes journals as systems shaped by governance, capacity, and intent. Longitudinal comparison was conducted with journals identified in a 2016 study.ResultsOf 265 journals, 166 had sufficient information for assessment. Among these, 27 (16%) scored in the lowest range (1-3), 45 (27%) in the intermediate range (4-6), and 94 (57%) in the highest range (7-10). The remaining 99 journals were no longer available for assessment. Journals drawn from exclusionary lists were distributed across all score categories, indicating that lists function as risk screens rather than definitive classifications. Longitudinal analysis found many journals identified in 2016 had ceased operation, reflecting system instability.ConclusionPredatory publishing in nursing is best understood as a systems-level phenomenon rather than a quality continuum. Using behavior-based criteria within a systems framework helps distinguish structurally stressed journals from exploitative ones and supports more precise, ethically grounded responses to research integrity concerns.</p>","PeriodicalId":46661,"journal":{"name":"Canadian Journal of Nursing Research","volume":" ","pages":"463-471"},"PeriodicalIF":2.4,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147864630","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Erwan Guillouët, Julien Picard, Anne Bellot, Vivien Braccini, Pierre Albaladejo, Jean-Noël Evain
{"title":"Nurses' Self-Reported Emotional Experiences During Midline Catheter Insertion: A Qualitative Exploratory Study.","authors":"Erwan Guillouët, Julien Picard, Anne Bellot, Vivien Braccini, Pierre Albaladejo, Jean-Noël Evain","doi":"10.1177/08445621261452838","DOIUrl":"10.1177/08445621261452838","url":null,"abstract":"<p><p>Background & PurposeMidline catheter insertion, a peripheral venous catheter procedure, is a technically demanding invasive nursing procedure requiring precision, communication, and sustained attention to ensure patient safety. While emotional experiences are known to influence clinical performance, their role during invasive procedures is rarely addressed in education or practice. This study explored how nurses trained in midline catheter insertion describe their emotional experiences during the procedure, and how these emotions emerge as they recount their technical actions and interactions with patients.Methods and ProceduresA qualitative exploratory study was conducted in two hospital vascular access services in France. Midline insertions were video-recorded and immediately followed by video-supported self-confrontation interviews. Interviews were audio-recorded, transcribed verbatim, and analysed using directed qualitative content analysis informed by the Positive and Negative Affect Schedule and Plutchik's psycho-evolutionary model. Investigator triangulation supported analytic rigor.ResultsTen nurses participated, and ten procedures were analysed. Overall, forty-two emotional expressions were identified across all procedural phases. Negative emotions such as fear, apprehension, and irritation were more frequently described during needle insertion and associated with uncertainty and perceived technical risk. Positive emotions, including interest, pride, and relief, were predominantly reported after confirmation of catheter placement. Participants frequently described repeated verification behaviors and heightened attentional focus during moments perceived as clinically risky, which we interpreted as a state of vigilance accompanying emotional experience.ConclusionThese self-reported findings highlight the relevance of recognising emotions as an integral component of invasive nursing care and support the integration of emotional awareness and regulation into procedural training.</p>","PeriodicalId":46661,"journal":{"name":"Canadian Journal of Nursing Research","volume":" ","pages":"493-505"},"PeriodicalIF":2.4,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147976366","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Adebusola Adekoya, Lili Liu, Veronique Boscart, John Hirdes
{"title":"Alert Systems for People Living with Dementia who go Missing: Case Studies in Canada, Scotland, and the United States.","authors":"Adebusola Adekoya, Lili Liu, Veronique Boscart, John Hirdes","doi":"10.1177/08445621261449570","DOIUrl":"10.1177/08445621261449570","url":null,"abstract":"<p><p>BackgroundPeople living with dementia face a risk of going missing, which can result in injury or death and distress for care partners. Although it is believed that alert systems can help locate missing persons and reduce risk through community engagement, little is known about implementation and user experiences.ObjectiveThis study explored experiences with alert systems and related policies for missing persons with dementia, drawing on stories and insights from individuals who went missing, care partners, and those involved in search efforts.MethodsA multiple case study was conducted. Data were collected through interviews and focus groups with 40 individuals, including people with lived experience, first responders, service providers, policymakers from Canada, Scotland, and the United States and analyzed thematically.ResultsThree key themes were identified: 1) implementing alert systems and policies, 2) experiences of going missing, and 3) factors that help or delay locating missing persons. Participants emphasized the importance of interest holder involvement, community buy-in, and legislative support for implementation. Challenges included sustainable funding and limited evaluation. The emotional impact of missing incidents highlighted the need for prompt police reporting, coordinated search efforts, tailored mobile alerts, and public education.ConclusionAccording to participants, effective alert systems require geographic-specific mobile notifications and coordinated planning. Strong partnerships among first responders, health care and service providers, and community organizations, supported by training and public education, would improve preparedness and support for people living with dementia and their care partners.</p>","PeriodicalId":46661,"journal":{"name":"Canadian Journal of Nursing Research","volume":" ","pages":"450-462"},"PeriodicalIF":2.4,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13454400/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147864651","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":"Workplace Mental Health and Social Media Addictive Behaviours: The Application of Mattering Theory.","authors":"Tsorng-Yeh Lee, Chang Su, Gordon L Flett","doi":"10.1177/08445621261428242","DOIUrl":"10.1177/08445621261428242","url":null,"abstract":"<p><p>PurposeThe present study examined associations between adjustment and job satisfaction and multiple dimensions of mattering-including general mattering, mattering at work, anti-mattering experiences, and fears of not mattering-among working adults. A secondary, exploratory aim was to examine whether mattering-related outcomes differed as a function of personal COVID-19 infection history.MethodA cross-sectional study was conducted with 60 employees working primarily from home during the COVID-19 pandemic. Participants completed self-report measures assessing mattering, well-being, depression, social media addiction, and job satisfaction.ResultsGeneral mattering was positively associated with work mattering and affective job satisfaction, whereas anti-mattering was negatively associated with work mattering, well-being, and affective job satisfaction. Well-being was positively related to both work mattering and affective job satisfaction, supporting the protective role of perceived significance in the workplace. Social media addiction was positively correlated with non-mattering and depression, suggesting that diminished perceptions of mattering may be linked to maladaptive online behaviors and poorer mental health. Exploratory independent-samples t-tests indicated that individuals with a history of COVID-19 infection reported lower general mattering, work mattering, and affective job satisfaction, and higher anti-mattering, compared with those without infection.ConclusionThe findings highlight the importance of mattering as a resource for employee well-being and job satisfaction. Experiences of anti-mattering were associated with poorer mental health and greater vulnerability to problematic social media use. Exploratory differences linked to COVID-19 infection history suggest pandemic-related stressors may negatively influence employees' sense of value and satisfaction. These results underscore the need for organizational practices that foster employees' sense of mattering, particularly during periods of disruption.</p>","PeriodicalId":46661,"journal":{"name":"Canadian Journal of Nursing Research","volume":" ","pages":"344-352"},"PeriodicalIF":2.4,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13454398/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147327761","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}
Priscilla N Boakye, Nadia Prendergast, Feven Desta, Ola Abanta Thomas Obewu, Diana Mugambi
{"title":"Grieving from the Margins: Black Canadian Men Navigating the Invisible Burden of Perinatal Loss and Masculine Expectations.","authors":"Priscilla N Boakye, Nadia Prendergast, Feven Desta, Ola Abanta Thomas Obewu, Diana Mugambi","doi":"10.1177/08445621251409460","DOIUrl":"10.1177/08445621251409460","url":null,"abstract":"<p><p>BackgroundPerinatal loss is a deeply emotional experience that impacts both parents. Yet, much of the literature is skewed toward women to the neglect of Black men whose experiences may be intertwined with masculine expectations.PurposeThe purpose of this study was to explore the experiences of Black Canadian men navigating perinatal loss and masculine expectations.Methods and ProceduresAn exploratory descriptive qualitative design was used, and a semi-structured interview was conducted with thirteen Black men whose partners experienced perinatal loss. Data was analyzed using thematic analysis.ResultsFour key themes capturing the experiences of thirteen Black Canadian men were identified a) responding to unexpected perinatal loss, b) reconciling grief and masculine expectations after perinatal loss, c) contending with a fractured identity after perinatal loss, and d) coping in the face of limited resources after perinatal loss. These themes and their sub-themes highlight the challenges Black Canadian men face navigating perinatal loss in the context of masculine expectations.ConclusionBlack men's experiences of navigating grief after pregnancy are influenced and shaped by masculine expectations as well as cultural norms and beliefs. This study underscores the need for broader and culturally responsive grief support and counseling programs that address the cultural nuances surrounding grief after perinatal loss.</p>","PeriodicalId":46661,"journal":{"name":"Canadian Journal of Nursing Research","volume":" ","pages":"386-397"},"PeriodicalIF":2.4,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13454402/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147594987","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":"Supporting Physical Activity and Quality of Life in Older Adults with Coronary Heart Disease: Development of a Web-Based Nursing Intervention.","authors":"Audrey Lavoie, Véronique Dubé","doi":"10.1177/08445621261452849","DOIUrl":"10.1177/08445621261452849","url":null,"abstract":"<p><p>BackgroundCoronary heart disease (CHD) remains a leading cause of morbidity and mortality worldwide. For older adults, sustained engagement in physical activity after coronary revascularization is essential for secondary prevention and is strongly associated with improved quality of life. However, participation in traditional cardiac rehabilitation programs remains low in this population, highlighting the need for accessible, age-tailored alternatives.ObjectiveTo describe the development of <i>Changeons ensemble</i>, a French-language web-based nursing intervention designed to promote physical activity and quality of life among older adults with CHD.MethodologyThe intervention was developed by a multidisciplinary participatory planning group following the Intervention Mapping framework. A comprehensive needs assessment was conducted through a literature review and semi-structured interviews with older adults (n = 10). The subsequent steps included objective setting and intervention design guided by the Information-Motivation-Behavioral Skills model.ResultsThe needs assessment identified key needs in information, motivation, and self-efficacy and highlighted the importance of individualized professional support. <i>Changeons ensemble</i> was designed as a seven-session web-based intervention integrating educational content, reflexive activities, individualized written nursing feedback, action planning, self-monitoring through an electronic diary, a forum, and case stories. The intervention emphasizes flexibility and sensitivity to older adults' physical and emotional challenges following coronary revascularization.ConclusionThis study presents a systematically developed, theory-informed, web-based intervention that directly addresses the specific needs of older adult with CHD. <i>Changeons ensemble</i> offers a promising approach for supporting sustained physical activity and enhancing in quality of life in a population that remains underserved by conventional cardiac rehabilitation models.Trial Registration:ClinicalTrials.gov NCT06197347; https://clinicaltrials.gov/study/NCT06197347.</p>","PeriodicalId":46661,"journal":{"name":"Canadian Journal of Nursing Research","volume":" ","pages":"329-343"},"PeriodicalIF":2.4,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13454406/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148035680","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}