Nursing Research and Practice最新文献

{"title":"Contractures: Prevalence and Associated Factors in Hospitals and Nursing Homes-Results From Two Consecutive Multicenter Cross-Sectional Studies.","authors":"Henriette Elisabeth Neef, Ursula Müller-Werdan, Sandra Strube-Lahmann, Nils Axel Lahmann","doi":"10.1155/nrp/8458386","DOIUrl":"10.1155/nrp/8458386","url":null,"abstract":"<p><strong>Introduction: </strong>Contractures frequently may occur in nursing homes and hospitals among predominantly immobile patients and significantly reducing their mobility and quality of life. This study examines the prevalence of contractures among older people in nursing homes and hospitals and shows how often which joint is affected and identifies associated factors.</p><p><strong>Design: </strong>Two consecutive multicenter cross-sectional studies (2017 and 2018) involving 2012 individuals aged 65 and older in 12 hospitals and 10 nursing homes.</p><p><strong>Methods: </strong>Bootstrapping was used to calculate the confidence intervals of the prevalence of contractures in different groups. A multivariable logistic regression model was run comprising all relevant independent associated factors for the presence of contractures.</p><p><strong>Results: </strong>The overall prevalence of contractures was 11.6% (95% CI 10.2-13.1). In hospitals, the prevalence was 7.7% (95% CI 6.3-9.2), and in nursing homes, it was 19.3% (95% CI 16.3-22.4). Overall, contractures of the upper extremities were more common among nursing home residents (NH) than among hospital patients (H). This pattern was particularly evident for the hands (NH: 30.8 right, 32.9% left vs. H: 21.5% right, 17.7 left), elbows (NH: 21.9 right, 26.0% left vs. H: 10.8% right, 9.5 left), and shoulders (NH: 28.8 right, 29.5% left vs. H: 18.4% right, 14.6 left). For the lower extremities, a more heterogeneous pattern was observed.</p><p><strong>Statistical analysis: </strong>The logistic regression model showed that the odds ratio for having at least one contracture for nursing home residents compared with hospital patients was 3.50 (95% CI 2.30-5.19), for age (years) 0.97 (95% CI 0.95-0.99), for urinary incontinence 1.65 (95% CI 1.14-2.38), and for bedridden status 4.15 (95% CI 2.88-5.97).</p><p><strong>Conclusion: </strong>This study highlights a high prevalence of contractures, particularly in nursing homes compared with hospitals. Identified associated factors such as urinary incontinence and bedridden status may represent potential targets for preventive and nursing interventions, although causal relationships cannot be inferred from this cross-sectional design. Improved understanding of the prevalence and associated factors of contractures can help enhance quality of care and reduce contracture risk in older, immobile patients, especially in long-term care settings.</p>","PeriodicalId":46917,"journal":{"name":"Nursing Research and Practice","volume":"2026 ","pages":"8458386"},"PeriodicalIF":2.5,"publicationDate":"2026-10-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13673220/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149217002","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 Tai Chi Exercise on Fatigue in Renal Transplant Recipients: A Randomized Controlled Trial.","authors":"Siyu Qiao, Chunting Liu, Yuxi Lu, Hongqin Li, Wenwen Han","doi":"10.1155/nrp/2584203","DOIUrl":"https://doi.org/10.1155/nrp/2584203","url":null,"abstract":"<p><strong>Background: </strong>Fatigue is a prevalent symptom in kidney transplant patients that not only affects quality of life but may also impact long-term graft survival. While Tai Chi has been shown to effectively reduce fatigue in patients with chronic diseases, research in kidney transplant recipients remains limited.</p><p><strong>Objective: </strong>To explore the effects of Tai Chi exercise on fatigue among kidney transplant recipients and to investigate the effectiveness and safety of Tai Chi-based rehabilitation.</p><p><strong>Methods: </strong>A prospective, single-center, parallel-arm randomized controlled trial was conducted in Northeast China. The study period for patient recruitment and intervention implementation was from 1 June 2025, to 12 October 2025. Eligible participants were kidney transplant recipients aged 18-60 years who were at least 1 month post-transplantation. Sixty-four kidney transplant patients were randomly allocated (1:1) to the intervention group (Tai Chi exercise) or the control group (routine care only). The intervention group received a 12-week Tai Chi exercise program. The primary outcome was fatigue severity assessed at 12 weeks.</p><p><strong>Results: </strong>After 12 weeks of Tai Chi intervention, there were statistically significant differences in total fatigue scores between the two groups of renal transplant recipients. Sleep quality and 6-min walk distance were significantly improved.</p><p><strong>Conclusions: </strong>Tai Chi exercise is a gentle and well-tolerated exercise intervention that can effectively improve fatigue in renal transplant recipients. <b>Trial Registration:</b> International Traditional Medicine Clinical Trial Registry: 2026000360.</p>","PeriodicalId":46917,"journal":{"name":"Nursing Research and Practice","volume":"2026 ","pages":"2584203"},"PeriodicalIF":2.5,"publicationDate":"2026-10-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13659801/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149185023","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":"Severity-Stratified Healing Outcomes of Nurse-Managed Negative Pressure Wound Therapy in Diabetic Foot Ulcers: A Prospective Comparative Cohort Study.","authors":"Suriadi Jais, Kharisma Pratama, Ivan Sujana, Suhaimi Fauzan","doi":"10.1155/nrp/8864223","DOIUrl":"https://doi.org/10.1155/nrp/8864223","url":null,"abstract":"<p><strong>Aim: </strong>To compare healing outcomes of nurse-managed negative pressure wound therapy (NPWT) and standard wound care (SWC) across baseline wound severity levels classified using the Suriadi, Haryanto, Imran Dan Defa (SHID) system in patients with diabetic foot ulcers (DFUs).</p><p><strong>Design: </strong>A prospective quasiexperimental comparative cohort study.</p><p><strong>Methods: </strong>This study was conducted at Kitamura Clinic between June and December 2025. Sixty-three patients with DFUs were enrolled in this study (NPWT, <i>n</i> = 31; SWC, <i>n</i> = 32). Wound severity was assessed using the SHID classification system, and wound progression was monitored weekly using the depth, maceration, infection, size, tissue type, and tunnelling. The primary outcome was time to complete wound healing within 12 weeks. Kaplan-Meier survival and Cox proportional hazards regression analyses were performed. A multivariable Cox model stratified by SHID stage accounted for baseline wound severity.</p><p><strong>Results: </strong>Median healing time was significantly shorter in the NPWT group than in the SWC group (31 [13-70] vs. 81.5 [31-127] days, <i>p</i> < 0.001). All patients in the NPWT group achieved complete healing within 12 weeks compared with 50% in the SWC group (<i>p</i> < 0.001). Survival analysis demonstrated significantly faster healing in the NPWT group (log-rank test, <i>p</i> < 0.001). In the stratified multivariable Cox model adjusting for age, hemoglobin A1c, and sex, NPWT therapy remained independently associated with accelerated wound healing (adjusted hazard ratio 2.77, 95% confidence interval 1.40-5.47; <i>p</i> = 0.003).</p><p><strong>Conclusion: </strong>Nurse-managed NPWT was associated with faster wound healing across SHID Stages 3-5. SHID-based severity assessment may provide useful prognostic information for interpreting healing trajectories, treatment planning, and follow-up monitoring.</p>","PeriodicalId":46917,"journal":{"name":"Nursing Research and Practice","volume":"2026 ","pages":"8864223"},"PeriodicalIF":2.5,"publicationDate":"2026-10-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13655769/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149185050","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effects of Nurse-Led Interventions on Adherence and Clinical Outcomes Among Adults Receiving Noninvasive Ventilation: A Systematic Review of Randomized Controlled Trials.","authors":"Zhenxiu Yu, Donwiwat Saensom, Xiaomei Chang, Meiqi Luo, Shenglin Hu, Lijuan Xiong","doi":"10.1155/nrp/7876955","DOIUrl":"10.1155/nrp/7876955","url":null,"abstract":"<p><strong>Background: </strong>Noninvasive ventilation (NIV) is a cornerstone therapy for respiratory diseases, but its effectiveness depends on patient adherence, which remains suboptimal. Although nurses play a key role in NIV management, the effects of nurse-led interventions on adherence and clinical outcomes remain unclear.</p><p><strong>Objective: </strong>To evaluate the effects of nurse-led interventions on NIV adherence and clinical outcomes in adults.</p><p><strong>Methods: </strong>Six databases were searched from inception to January 2026 for English randomized controlled trials (RCTs) involving adults receiving NIV. Two reviewers independently conducted study selection and data extraction. Risk of bias was assessed using the Risk of Bias 2 tool, and the findings were synthesized without meta-analysis.</p><p><strong>Results: </strong>Sixteen RCTs involving 1757 participants were included. Risk of bias ranged from low to high across studies. Interventions included health education, motivational and behavioral strategies, and follow-up support delivered face-to-face, by telephone, or via telehealth. Nurse-led interventions may improve NIV adherence, although the effects varied across intervention types and follow-up periods. Some studies reported improvements in symptom burden, emotional status, and selected health service outcomes, whereas findings on quality of life, self-efficacy, and healthcare utilization were inconsistent.</p><p><strong>Conclusions: </strong>Nurse-led interventions may improve NIV adherence, particularly when combining education with motivational and behavioral strategies and structured follow-up.</p>","PeriodicalId":46917,"journal":{"name":"Nursing Research and Practice","volume":"2026 ","pages":"7876955"},"PeriodicalIF":2.5,"publicationDate":"2026-10-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13655774/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149168707","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effects of Training Nursing Students on Female Genital Mutilation: A Quasi-Experimental Study With Pre- and Postintervention Assessments.","authors":"Souad Ayad-Ouchen, José Antonio Jiménez-Barbero, Yusuly Mitkany Martínez-Jurado, María Del Mar Pastor-Bravo","doi":"10.1155/nrp/9450657","DOIUrl":"10.1155/nrp/9450657","url":null,"abstract":"<p><strong>Aim: </strong>This study aimed to examine the association between an active learning-based educational intervention and changes in nursing students' knowledge, attitudes, and clinical management regarding female genital mutilation/cutting (FGM/C).</p><p><strong>Methods: </strong>A quasi-experimental pre-post study without a control group was conducted during the 2024-2025 academic year at a public university in southeastern Spain. Sixty-nine third-year nursing students completed a validated questionnaire that assessed their general knowledge, attitudes, and clinical management of FGM/C before and within 7 days after the intervention. The program included a theoretical session and a practical case-based learning session. Pre-post differences were analyzed using the Wilcoxon signed-rank test, with effect sizes calculated as <i>r</i>.</p><p><strong>Results: </strong>General knowledge significantly improved after the intervention (<i>p</i> < 0.001, <i>r</i> = 0.42). A small statistically significant change was observed in attitudes (<i>p</i> = 0.020, <i>r</i> = 0.28); however, this finding should be interpreted cautiously given the low internal consistency of the attitude subscale. No significant differences were found in clinical management knowledge (<i>p</i> = 0.300, <i>r</i> = 0.12).</p><p><strong>Conclusion: </strong>The active learning-based training was associated primarily with short-term improvements in nursing students' general knowledge of FGM/C, while changes in attitudes were limited and no improvements were observed in clinical management knowledge. Although changes were observed in the attitude domain, these findings should be interpreted cautiously due to the low internal consistency of the corresponding subscale. Further controlled longitudinal studies using reliable outcome measures are needed to confirm these findings.</p>","PeriodicalId":46917,"journal":{"name":"Nursing Research and Practice","volume":"2026 ","pages":"9450657"},"PeriodicalIF":2.5,"publicationDate":"2026-10-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13655381/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149170434","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":"Disaster Preparedness and Response Competencies Among Nurses in Disaster-Affected Hospital: An Analysis of Knowledge, Attitudes, and Practices.","authors":"Cut Husna, Hilman Syarif, Irfanita Nurhidayah, Fikriyanti","doi":"10.1155/nrp/5376735","DOIUrl":"10.1155/nrp/5376735","url":null,"abstract":"<p><strong>Introduction: </strong>The impact of disaster is significant on the physical, psychological, psychosocial, and spiritual conditions of survivors. Hospital requires adequate resources, including the readiness of nurses' competencies in disaster management. This study aimed to compare nurses' knowledge, attitudes, and practices (KAP) regarding disaster preparedness and response before and after a training intervention.</p><p><strong>Method: </strong>A quasi-experimental study with one-group pretest-posttest design was conducted. A total of 50 emergency and intensive care nurses were recruited using cluster random sampling. Data collection was performed using \"Disaster Management Assessment Tool for Health Care Practitioners (DMAT-HCP)\" to identify KAP, willingness to continue practicing during disaster, and organization-based disaster management. Data were analyzed using paired <i>t</i>-test.</p><p><strong>Results: </strong>Significant differences were found between pre- and posttest results in nurses' knowledge (<i>p</i> < 0.001), practices (<i>p</i> < 0.001), and willingness to continue practicing (<i>p</i> = 0.003). In contrast, no significant differences were observed in attitudes (<i>p</i> = 0.160) or organization-based management (<i>p</i> = 0.112). Overall, the intervention significantly improved nurses' competencies in disaster preparedness and response (<i>p</i> < 0.001; <i>d</i> = 0.60, 95% CI).</p><p><strong>Conclusions: </strong>The implementation of training interventions yielded significant enhancements in knowledge acquisition, practice, and willingness to continue performing duties during disaster scenarios. Notably, the study revealed that nurses' attitudes and organization-based management did not exert a statistically significant influence on disaster response outcomes. Conversely, targeted training and educational programs, including simulation-based skills training, were found to be efficacious in augmenting nurses' disaster competencies.</p>","PeriodicalId":46917,"journal":{"name":"Nursing Research and Practice","volume":"2026 ","pages":"5376735"},"PeriodicalIF":2.5,"publicationDate":"2026-10-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13643217/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149138342","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":"Recentering on the Essentials: A Multicenter Cross-Sectional Survey of Academic Coordinators' Perspectives on Student Self-Care in Nursing Curricula.","authors":"Made Rini Damayanti, Kaori Shimoinaba, Katrina Recoche","doi":"10.1155/nrp/8200644","DOIUrl":"10.1155/nrp/8200644","url":null,"abstract":"<p><strong>Introduction: </strong>The increasing complexities and demands of modern nursing practice necessitate a shift in educational priorities toward a more holistic and integrated model. This approach promotes the concurrent development of students' theoretical knowledge, clinical skills, and self-nurturing abilities. As key stakeholders, academic coordinators play a central role in incorporating nursing student self-care into education; however, their perspectives have been underrepresented in the existing research.</p><p><strong>Aim: </strong>Informed by Dossey's theory of integral nursing, this study aimed to explore academic coordinators' perspectives on how nursing student self-care has been taught and assessed in participating Indonesian nursing education institutions.</p><p><strong>Methods: </strong>A multicenter cross-sectional descriptive study incorporating quantitative and qualitative approaches was conducted. An online survey with both closed and open-ended questions was used to collect data across 13 institutions, with a total 25 academic coordinators invited to participate. Data were analyzed through descriptive statistics and summative content analysis. Responses were analyzed at the academic coordinator level.</p><p><strong>Results: </strong>The intention-action gap, which illustrates the divergence between what respondents rated as necessary to teach and their actual self-care teaching practice yielded positive values across all self-care dimensions. Three key themes were identified: navigating challenges, differences in teaching and assessment approaches, and envisioning future change.</p><p><strong>Conclusion: </strong>The findings suggest that less emphasis was placed on teaching nursing student self-care across the participating institutions, with opportunities for improvement across all dimensions. Discrepancies between the two datasets also emerged, potentially reflecting a complex interplay between structural and cultural dimensions shaping self-care. Nursing student self-care integration into education should go beyond isolated initiatives to foster synergetic structural and cultural transformations to create a supportive learning environment that embodies and reinforces self-care. This will encourage students to recognize self-care as a foundation for personal well-being and professional practice, aligning with contemporary nursing education's core value of caring for others and oneself.</p>","PeriodicalId":46917,"journal":{"name":"Nursing Research and Practice","volume":"2026 ","pages":"8200644"},"PeriodicalIF":2.5,"publicationDate":"2026-10-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13639826/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149116266","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":"Inflammatory Bowel Disease, Self-Esteem and Sexual Well-Being.","authors":"Kate O'Reilly, Eleanor Holroyd, Wenpeng You, Kath Peters","doi":"10.1155/nrp/4531024","DOIUrl":"https://doi.org/10.1155/nrp/4531024","url":null,"abstract":"<p><strong>Aim: </strong>This research explored associations between self-esteem, satisfaction with physical appearance, sexual satisfaction and physical and mental health among women living with inflammatory bowel disease in Australia.</p><p><strong>Introduction: </strong>Inflammatory bowel disease which includes Crohn's disease and ulcerative colitis is a chronic autoimmune disease. Its relapsing, remitting nature has deleterious impacts on self-esteem and sexual well-being.</p><p><strong>Methods: </strong>The study employed a cross-sectional design with secondary exploratory analyses and used an online survey to collect data from Australian women between March and November 2024.</p><p><strong>Results: </strong>Responses from 64 women revealed a nuanced but complex interrelationship between self-esteem and biopsychosocial factors which impact on sexual well-being. Self-esteem scores for all women sat at the low end of normal, and none of the women reported any level higher than average. Women with lower self-esteem reported more dissatisfaction with their physical appearance, poorer mental health and lower sexual satisfaction.</p><p><strong>Discussion: </strong>Having a high self-esteem is a protective factor in adaptation to life events. The chronic nature of inflammatory bowel disease highlights that adaptation and self-realignment are ongoing processes of which clinicians must be cognisant because chronic illness can have negative effects on self-esteem.</p><p><strong>Conclusion: </strong>Sexual well-being is influenced by multiple intersecting biopsychosocial factors. Routinely incorporating discussions which relate to mental health, self-esteem and body image into assessments for people living with inflammatory bowel disease is critical in holistic care.</p><p><strong>Implications for nursing: </strong>The findings provide justification for integrated teams of psychologists, sexual health nurses and potentially body-image specialists which could be coordinated by registered nurses.</p><p><strong>Implications for health policy: </strong>Women-specific care pathways which acknowledge reproductive life stages, relationship health, sexual well-being, hormonal variation, menstrual impacts and sociocultural gender pressures are required. Introducing regular screening, which includes adding registries on digital platforms, may assist with ensuring equitable holistic healthcare.</p>","PeriodicalId":46917,"journal":{"name":"Nursing Research and Practice","volume":"2026 ","pages":"4531024"},"PeriodicalIF":2.5,"publicationDate":"2026-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13625963/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149116601","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":"Organizational and Musculoskeletal Factors of Job Satisfaction and Work Ability Among Critical Care Nurses: A Multicenter Cross-Sectional Study.","authors":"Beatrice Albanesi, Daniela Chiarini, Marco Clari, Maria Vittoria Picciaiola, Alessandro Godono, Giacomo Garzaro","doi":"10.1155/nrp/4882421","DOIUrl":"https://doi.org/10.1155/nrp/4882421","url":null,"abstract":"<p><strong>Background: </strong>Nursing shortage is a global challenge driven by the imbalance between the number of nurses entering and leaving the profession, with job satisfaction (JS) and work ability (WA) as key retention factors influenced by organizational and health conditions, including musculoskeletal disorders (MSDs). Although critical care nurses experience high MSDs, low JS, and reduced WA, their interrelationships remain underexplored.</p><p><strong>Aims: </strong>This multicenter cross-sectional study investigated individual, organizational, and musculoskeletal factors associated with JS and WA among intensive care unit (ICU) and emergency department (ED) nurses.</p><p><strong>Methods: </strong>Data were collected using a researcher-developed questionnaire assessing individual, organizational, and MSD-related variables, together with validated instruments assessing upper-limb disability and symptoms (DASH), Work Ability Index (WAI), and JS (COPSOQ II). Multivariable regression was performed.</p><p><strong>Results: </strong>Participants reported moderate JS (3.4 ± 0.9) and good WA (41.3 ± 5.4). Lower JS was associated with ICU employment (<i>β</i> = -0.38, <i>p</i> = 0.005) and long shifts (<i>β</i> = -0.32, <i>p</i> = 0.003). Reduced WA was associated with chronic conditions (<i>β</i> = -3.14, <i>p</i> = 0.001), work adjustments (<i>β</i> = -2.58, <i>p</i> = 0.001), ICU employment (<i>β</i> = -1.38, <i>p</i> = 0.031), unit or role changes due to MSDs (<i>β</i> = -1.60, <i>p</i> = 0.015), and hip (<i>β</i> = -1.69, <i>p</i> = 0.009) or upper-limb MSDs (<i>β</i> = -1.41, <i>p</i> = 0.006). JS and WA were also significantly associated (<i>β</i> = 0.08 for WAI in the JS model; <i>β</i> = 2.22 for JS in the WAI model).</p><p><strong>Conclusions: </strong>A multidisciplinary, multilevel, and multicomponent approach may support JS and WA and inform strategies to reduce MSD-related burden and promote nurse retention.</p>","PeriodicalId":46917,"journal":{"name":"Nursing Research and Practice","volume":"2026 ","pages":"4882421"},"PeriodicalIF":2.5,"publicationDate":"2026-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13624387/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149116223","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":"Effectiveness of Lower Extremity Exercise and Hydration on Orthostatic Hypotension Among Patients With Schizophrenia in Psychiatric Hospital: A Quasiexperimental Study.","authors":"Sari Narulita, Doreen Sumpat, Richard Avoi, Nicholas Pang Tze Ping, Sumarni Situmorang, Mochammad Udji Priyatna, Neng Esti Winahayu, Dheni Wahyudi, Dwinara Febrianti, Ellya Qolina","doi":"10.1155/nrp/7518475","DOIUrl":"10.1155/nrp/7518475","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Background: &lt;/strong&gt;Orthostatic hypotension (OH) is a common adverse effect of antipsychotic therapy and represents a significant patient safety concern in psychiatric nursing practice due to its association with falls and cardiovascular instability. Nurse-led, nonpharmacological interventions may offer feasible strategies to manage this condition in inpatient mental health settings. Although nonpharmacological interventions such as hydration and lower limb exercise have shown effectiveness in managing OH in older adults and neurological populations, evidence in psychiatric inpatients remains limited. Patients with schizophrenia receiving antipsychotics present unique physiological and behavioral challenges, including medication-induced autonomic dysfunction, low physical activity, and inconsistent fluid intake. To date, no quasiexperimental study has evaluated the comparative and combined effects of lower extremity exercise and hydration in this specific population.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Aim: &lt;/strong&gt;This study aimed to compare the effectiveness of nurse-led lower extremity exercise, water consumption, and their combination in reducing OH among hospitalized patients with schizophrenia receiving antipsychotic treatment.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Methods: &lt;/strong&gt;This quasiexperimental study was conducted in a psychiatric hospital. A total of 180 patients diagnosed with schizophrenia were enrolled and allocated into four equal groups (&lt;i&gt;n&lt;/i&gt; = 45 per group): control, lower extremity exercise, water consumption, and combined intervention groups. Blood pressure was measured in the supine position and at 1, 3, 5, and 10 min after standing. Data were analyzed using repeated measures ANOVA.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Results: &lt;/strong&gt;The results of the repeated measures ANOVA revealed a statistically significant difference in systolic blood pressure (SBP) change between intervention groups (&lt;i&gt;p&lt;/i&gt; = 0.006). The lower extremity exercise group demonstrated the highest estimated marginal mean for SBP improvement, and Bonferroni-adjusted pairwise comparisons showed a significant difference only between the lower extremity exercise and control groups. Repeated measures ANOVA demonstrated a significant difference in diastolic blood pressure (DBP) between intervention groups (&lt;i&gt;p&lt;/i&gt; = 0.010). The combined intervention demonstrated the highest estimated marginal mean for DBP, although Bonferroni-adjusted pairwise comparisons showed no statistically significant differences between intervention groups.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Conclusion: &lt;/strong&gt;This study provides evidence that nursing-led, nonpharmacological interventions, specifically lower extremity exercise and water consumption, are effective in reducing OH among hospitalized patients with schizophrenia receiving antipsychotic treatment. Lower extremity exercise demonstrated the highest estimated marginal mean for SBP improvement, whereas the combined intervention showed the highest estimated marginal mean for DBP. These findi","PeriodicalId":46917,"journal":{"name":"Nursing Research and Practice","volume":"2026 ","pages":"7518475"},"PeriodicalIF":2.5,"publicationDate":"2026-09-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13620202/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149082438","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}