Nursing Research and Practice最新文献

{"title":"Predictors of Long COVID-19 Syndrome and Hospital Admissions Among COVID-19-Diagnosed Adult Patients Who Self-Isolated at Home in KwaZulu-Natal Province, South Africa.","authors":"Moshibudi Poncho Phafane, Alone Isabirye, Poovendhree Reddy","doi":"10.1155/nrp/9317685","DOIUrl":"https://doi.org/10.1155/nrp/9317685","url":null,"abstract":"<p><p>Long COVID-19 (LC) syndrome is a complex systemic illness that is currently recognised to have a high morbidity rate and hospitalisations. The study analysed factors linked to LC in adults self-isolated during COVID-19 infection in KwaZulu-Natal Province, South Africa, focusing on two densely populated districts (uMgungundlovu and eThekwini Metro Municipality). We employed a cross-sectional study among individuals aged 18 years and above who self-isolated at home. Demographic data, COVID-19 vaccination status, and post-COVID-19 health symptoms were collected using a standardised questionnaire. The National Health and Nutrition Survey's Physical Functioning Questionnaire was adapted to evaluate health and functional outcomes six months after a COVID-19 diagnosis, addressing both physical and psychosocial symptoms during that timeframe. A modified Poisson regression model was used to determine the predictors of LC and hospitalisation. Of the 280 participants, 46% (<i>n</i> = 130) reported having at least one health-related symptom, while 36% (<i>n</i> = 47) had ≥ five symptoms. Approximately half of the participants (50%, <i>n</i> = 139) had at least one hospital admission following infection due to persistent symptoms. Older age (aIRR 1.5; 95% CI: 1.2-3.2; <i>p</i> = 0.021), reinfection (aIRR 2.0; 95% CI: 1.3-3.0; <i>p</i> = 0.001), having positive household contacts (aIRR 2.1; 95% CI: 1.4-3.2; <i>p</i> < 0.001) and hospitalisation (aIRR 7.7; 95% CI: 3.8-15.6; <i>p</i> < 0.001) increased the risk of developing LC. Post-infection hospitalisation was significantly associated with symptoms such as anxiety (aIRR 1.4; 95% CI: 1.1-1.7; <i>p</i> = 0.009), depression (aIRR 1.9; 95% CI: 1.6-2.3; <i>p</i> < 0.001), sore throat (aIRR 1.5; 95% CI: 1.7-2.0; <i>p</i> = 0.002) and weight loss (aIRR 1.8; 95% CI: 1.4-2.4; <i>p</i> < 0.001). A considerable percentage of participants with post-SARS-CoV-2 infections presented with long-term complications and required medical intervention. Postpandemic healthcare planning and resource allocation need to be considered since increased morbidities associated with LC place a burden on the already inadequately funded healthcare system.</p>","PeriodicalId":46917,"journal":{"name":"Nursing Research and Practice","volume":"2026 ","pages":"9317685"},"PeriodicalIF":2.3,"publicationDate":"2026-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13147213/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147844363","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":"Scoping Review of Chatbot-Based Approaches to Cancer Patient Education.","authors":"Tahere Talebi Azadboni, Meysam Rahmani, Haleh Ayatollahi","doi":"10.1155/nrp/2147056","DOIUrl":"https://doi.org/10.1155/nrp/2147056","url":null,"abstract":"<p><strong>Introduction: </strong>Patient education with interactive tools such as chatbots plays a critical role in improving health outcomes. As a number of studies examined the application of chatbots for educating cancer patients, this study aimed to review different aspects of using this technology in cancer patient education.</p><p><strong>Materials and methods: </strong>A scoping review was conducted using the PRISMA-ScR framework to investigate different applications of chatbots for cancer patient education. Relevant publications were found between 2014 and 2023 via thorough searches in PubMed, Web of Science, Scopus, IEEE Xplore, ACM Digital Library, ProQuest, and the Cochrane Library. The screening process was completed using a set of inclusion and exclusion criteria. Then, relevant data were extracted, and the results were summarized in tables and reported descriptively.</p><p><strong>Results: </strong>Overall, 10 studies met the inclusion criteria. These studies examined the use of chatbots for cancer patient education. Seven studies evaluated the design and usability of and user attitudes towards chatbots, while three studies investigated the accuracy and reliability of chatbot responses. Chatbots were available via mobile apps (<i>n</i> = 4), web-based tools (<i>n</i> = 2), desktop applications (<i>n</i> = 2), and messaging platforms (<i>n</i> = 3), and some studies provided more than one communication channel. Reported clinical impacts included a decrease in mortality rates and enhanced healthcare outcomes and quality of life for patients, while nonclinical impacts encompassed a decrease in workload for care providers and providing them with the required information. Some challenges included technical limitations, insufficient digital literacy, limited accessibility, and the inability to replace human interactions.</p><p><strong>Conclusion: </strong>This study provided an overview of chatbot applications in cancer patient education. Future research should focus on identifying practical strategies for chatbot design and implementation, along with rigorous evaluations of their clinical and nonclinical effectiveness in cancer patient education.</p><p><strong>Implications for the profession and/or patient care: </strong>This study contributed to identifying applications and challenges of using chatbots in cancer patient education. The results can help to improve the development of chatbots, especially for educating patients with cancer.</p>","PeriodicalId":46917,"journal":{"name":"Nursing Research and Practice","volume":"2026 ","pages":"2147056"},"PeriodicalIF":2.3,"publicationDate":"2026-05-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13141675/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147844441","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 Influencing Weight Loss in Young and Middle-Aged Chinese Patients With Type 2 Diabetes and Overweight/Obesity: A Prospective Cohort Study.","authors":"Zirui Zheng, Yaxin Li, Tingting Gao, Hui Feng, Qing Jiang, Fanli Zeng, Meie Niu, Lijun Liu, Yanxia Han","doi":"10.1155/nrp/1969758","DOIUrl":"https://doi.org/10.1155/nrp/1969758","url":null,"abstract":"<p><strong>Background: </strong>The prevalence of young and middle-aged patients with Type 2 diabetes mellitus (T2DM) and overweight/obesity is increasing in China, yet determinants of weight loss success in this population remain unclear.</p><p><strong>Aims: </strong>To evaluate weight loss outcomes and identify factors associated with weight loss among young and middle-aged patients with T2DM and overweight/obesity.</p><p><strong>Methods: </strong>In this prospective cohort study, 282 patients with T2DM and overweight/obesity were recruited between March and September 2024. Baseline demographic, anthropometric, and psychosocial data were collected before discharge. Body weight was reassessed 3 months after discharge, and percentage weight loss was calculated. Participants were categorized into success (≥ 5% weight loss) and failure (< 5% weight loss) groups. Factors associated with weight loss were identified using univariate analysis, random forest importance ranking, LASSO regression, and multivariable logistic regression.</p><p><strong>Results: </strong>Using ≥ 5% weight loss as the clinical target, the overall success rate was 43.7%, with gender-specific rates of 39.5% in males and 58.0% in females. Random forest and LASSO analyses identified six key predictors: diabetes duration, extraversion, agreeableness, conscientiousness, diabetes self-efficacy, and social support. Multivariable logistic regression showed that diabetes duration (OR = 6.511, 95% CI: 1.92-22.05), extraversion (OR = 0.847, 95% CI: 0.73-0.98), agreeableness (OR = 1.228, 95% CI: 1.05-1.43), conscientiousness (OR = 1.254, 95% CI: 1.09-1.44), and diabetes self-efficacy (OR = 1.062, 95% CI: 0.993-1.14) were significant predictors of weight loss success.</p><p><strong>Conclusions: </strong>Weight loss outcomes among young and middle-aged patients with T2DM and overweight/obesity were suboptimal and differed by gender. Diabetes duration, personality traits, and diabetes self-efficacy were independent predictors of weight loss success.</p>","PeriodicalId":46917,"journal":{"name":"Nursing Research and Practice","volume":"2026 ","pages":"1969758"},"PeriodicalIF":2.3,"publicationDate":"2026-05-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13139715/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147844434","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":"Integration of Care Assistants Into Intensive Care Nursing Teams: A Multimethod Study.","authors":"Atreyu van Esch, Dewi Stalpers, Margo M C van Mol","doi":"10.1155/nrp/8153123","DOIUrl":"https://doi.org/10.1155/nrp/8153123","url":null,"abstract":"<p><strong>Aims: </strong>This study explored (1) the expectations and experiences of intensive care unit (ICU) nurses regarding the integration of care assistants, focusing on skill mix, work environment, collaboration, clinical leadership, perceived quality of care and work satisfaction, and (2) how care assistants enact and experience their role in an adult ICU environment.</p><p><strong>Methods: </strong>A multimethod, survey-based study was conducted at two time points, using a pre-post design among 119 ICU nurses and a cross-sectional design among 13 care assistants. The study was conducted in two adult ICUs of a large tertiary hospital. Questionnaires included self-developed items and items derived from validated instruments (e.g., Clinical Leadership Scale, Practice Environment Scale of the Nursing Work Index and Job Content Questionnaire). Open-ended questions were included to capture qualitative insights.</p><p><strong>Results: </strong>Response rates among ICU nurses were 79.8% (<i>n</i> = 95) at baseline and 48.7% (<i>n</i> = 58) at follow-up, while the response rate among care assistants was 84.6% (<i>n</i> = 11). Before integration, most ICU nurses (71.6%) expected positive outcomes, such as reduced workload through the involvement of care assistants, although concerns regarding care quality were reported by 53.7%. Post-integration, collaboration was rated positively by 82.8% of ICU nurses; however, concerns about care quality persisted (58.5%), and 55.2% opposed continuation of the initiative. Among care assistants, 54.5% found working in the ICU enjoyable, while 81.8% indicated that their assigned tasks did not align with their prior knowledge and skills. Despite these concerns, perceived quality of care was rated 8/10 by both ICU nurses and care assistants at both time points.</p><p><strong>Conclusion: </strong>Although the integration of care assistants into ICU teams was initially expected to support workforce capacity and workload distribution, persistent concerns regarding care quality and patient safety underscore the need for clearer role delineation, adequate training and structured implementation strategies to support sustainable integration.</p>","PeriodicalId":46917,"journal":{"name":"Nursing Research and Practice","volume":"2026 ","pages":"8153123"},"PeriodicalIF":2.3,"publicationDate":"2026-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13131058/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147822275","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 Professional Quality of Life Among Exposed Nursing Staff to the COVID-19 Patients.","authors":"Faiza Abou El-Soud, Wejdan Shaqiqi, Sarah Aldehimy, Fadwa Alsawelem, Ethar Alnajdi, Maha Faqihi","doi":"10.1155/nrp/1612798","DOIUrl":"https://doi.org/10.1155/nrp/1612798","url":null,"abstract":"<p><strong>Introduction: </strong>The global impact of COVID-19 resulted in a negative influence on the professional quality of life of healthcare workers, particularly nurses.</p><p><strong>Objectives: </strong>To investigate the level and factors impacting the professional quality of life dimensions of nurses having contact with COVID-19 patients.</p><p><strong>Methods: </strong>A cross-sectional, correlational, descriptive design was conducted using a purposive sample. A total of 200 nurses who had provided direct care to COVID-19 patients were selected from various wards across two governmental hospitals, Riyadh, Saudi Arabia. Data were gathered via self-report surveys using the Professional Quality of Life Scale and the Multidimensional Scale of Perceived Social Support and analyzed using multivariate regression models. The STROBE checklist for cross-sectional studies was adhered.</p><p><strong>Results: </strong>The overall professional quality of life was moderate (<i>M</i> = 90.13, SD ± 9.00). Predictor factors of compassion satisfaction were gender (<i>β</i> = 0.160, <i>p</i> = 0.021), living arrangements during the COVID-19 pandemic (<i>β</i> = 0.139, <i>p</i> = 0.049), family infection due to work (<i>β</i> = -0.183, <i>p</i> = 0.044), number of COVID-19 patients cared for per shift (<i>β</i> = -0.187, <i>p</i> < 0.001), and testing positive for COVID-19 (<i>β</i> = -0.372, <i>p</i> < 0.001). For secondary traumatic stress, age (<i>β</i> = 0.169, <i>p</i> = 0.043), gender (<i>β</i> = 0.156, <i>p</i> = 0.035), family fear of COVID-19 transmission (<i>β</i> = 0.281, <i>p</i> < 0.001), and testing positive for COVID-19 (<i>β</i> = -0.070, <i>p</i> = 0.033) were significant factors. The factor contributing to burnout was testing positive for COVID-19 (<i>β</i> = -0.275, <i>p</i> < 0.001). Furthermore, perceived social support positively influenced compassion satisfaction but negatively impacted secondary traumatic stress and burnout.</p><p><strong>Conclusion: </strong>The professional quality of life dimensions of nurses was significantly influenced by various personal-, social-, and occupational-related predictors.</p><p><strong>Implications for the profession and/or patient care: </strong>Nurses experiencing higher CS are more likely to deliver high-quality care. Conversely, BO and STS do not support patient safety and care continuity.</p><p><strong>Reporting method: </strong>The STROBE checklist for cross-sectional studies was adhered.</p><p><strong>Patient or public contribution: </strong>Societal need to support frontline healthcare workers, which ultimately benefits public health outcomes and pandemic resilience.</p>","PeriodicalId":46917,"journal":{"name":"Nursing Research and Practice","volume":"2026 ","pages":"1612798"},"PeriodicalIF":2.3,"publicationDate":"2026-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13126243/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147822252","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":"Relationship Among Workplace Bullying, Job Satisfaction, Burnout, and Turnover Intention: The Mediating Role of Nurses' Resilience.","authors":"Ana Cláudia Souza-Costa, Henrique Ceretta Oliveira, Edinêis Brito Guirardello","doi":"10.1155/nrp/8868659","DOIUrl":"https://doi.org/10.1155/nrp/8868659","url":null,"abstract":"<p><strong>Introduction: </strong>Nurses are often exposed to workplace bullying, which can result in declining job satisfaction, burnout, and a higher turnover intention. Resilience can help nurses cope with these adverse situations.</p><p><strong>Aim: </strong>To examine the relationships among workplace bullying, resilience, job satisfaction, burnout, and turnover intention in nurses and to investigate the mediating role of resilience in these correlations.</p><p><strong>Methods: </strong>This cross-sectional study involved 239 nurses from three hospitals in the state of São Paulo, Brazil. Between April and August 2024, data were obtained via an online survey, including personal and professional information, and Brazilian versions of validated instruments for measuring resilience, workplace bullying, and burnout. Data analysis was conducted using Spearman's correlation test and structural equation modeling.</p><p><strong>Results: </strong>Of the participants, 80.33% were female, with a mean age of 37.11 (±9.10) years. Workplace bullying was found to have a significant negative correlation with resilience, reduced personal accomplishment, and job satisfaction, as well as significant positive correlations with emotional exhaustion, depersonalization, and turnover intention. Workplace bullying had significant negative direct and indirect effects on job satisfaction, as well as significant positive direct and indirect effects on burnout. The effects of workplace bullying on job satisfaction and turnover intention were partially mediated by resilience. However, no mediating effect was found in the relationship between workplace bullying and turnover intention.</p><p><strong>Conclusion: </strong>Resilience partially mediated the relationships between workplace bullying and both job satisfaction and burnout, highlighting its protective role. However, no mediating effect was found with regard to turnover intention, suggesting that other factors influence nurses' decisions to leave. Nurse managers can enhance professionals' well-being by reducing workplace bullying and implementing strategies that strengthen resilience.</p>","PeriodicalId":46917,"journal":{"name":"Nursing Research and Practice","volume":"2026 ","pages":"8868659"},"PeriodicalIF":2.3,"publicationDate":"2026-04-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13107538/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147785513","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":"Functional Outcome and Independence Among In-Hospital Cardiac Arrest Patients in South India: A Prospective Longitudinal Study.","authors":"Anandhi Deva Amirtharaj, Malarvizhi Suresh","doi":"10.1155/nrp/6036368","DOIUrl":"https://doi.org/10.1155/nrp/6036368","url":null,"abstract":"<p><strong>Introduction: </strong>The duration of cardiopulmonary resuscitation (CPR) has a strong effect on the prognosis and recovery of the patients. However, there is no standardization or Core Outcome Set for In-Hospital Cardiac Arrest. The main aim of the study is to assess the impact of CPR duration on functional outcome, survival, and the level of independence among cardiac arrest patients. Methods: For this observational study, 121 patients were selected from two tertiary hospitals in South India. Data were collected from patients during the event of cardiac arrest with functional outcome and level of independence measured immediate post-CPR, Day 30, and Day 90 using standardized tools, namely, cerebral performance category and Katz index tool for the level of independence.</p><p><strong>Results: </strong>The mean and median age was 62.49 ± 13.18 and 65 years (IQR, 54-73 years), respectively, with 89 (73.6%) male patients. At the end of CPR, 55.3% of patients achieved ROSC and with a mean and median CPR duration of 18.97 ± 14.7 min and 15 min (IQR, 10 and 26 min), respectively. Overall mortality rates were 33.8% immediately following CPR, 56.1% by Day 30, and 58.67% by Day 90, with an overall survival rate of 41.3% at 90 days. Immediately post-CPR, 95% of patients were in an unfavorable neurological state; this proportion improved to 37.19% by Day 30, with no significant further improvement observed by Day 90. Level of independence demonstrates that 83.7% of the patients were dependent during the immediate post-CPR period with improvement to partial independence among 84.9% of patients by Day 30. The mean score of favorable and unfavorable outcome on Day 90 was 1.02 and 4.93, respectively. The mean score of dependency and partially dependent on Day 90 among the survivor was 0 and 4.78, respectively. The predictors are ROSC, use of life-saving drugs, and CPR duration.</p><p><strong>Conclusion: </strong>Utstein reporting system must be integrated for cardiac arrest patients. Cardiac resuscitation and termination must be based on established policy and guidelines to maintain neurological integrity to sustain the quality of life during the post-CPR.</p>","PeriodicalId":46917,"journal":{"name":"Nursing Research and Practice","volume":"2026 ","pages":"6036368"},"PeriodicalIF":2.3,"publicationDate":"2026-04-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13107537/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147785463","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":"Development and Evaluation of a Nurse Competency Assessment System for Public Health Emergencies.","authors":"Jingbo Jia, Cailing Xu, Yi Ren, Chao Wang, Yang Yang, Wenxin Zhang","doi":"10.1155/nrp/5873181","DOIUrl":"https://doi.org/10.1155/nrp/5873181","url":null,"abstract":"<p><strong>Objective: </strong>This study aimed to construct a competency assessment system for nurses working in designated hospitals for public health emergencies, specifically major outbreaks of new respiratory infectious diseases, and to evaluate its usability in order to provide a standardized tool for assessing the skills of nurses caring for patients with such infectious diseases.</p><p><strong>Methods: </strong>The competency assessment index system for nurses in designated hospitals was developed through literature analysis, behavioral interviews, and the Delphi expert consultation method. The weights of the indicators were calculated using the Analytic Hierarchy Process (AHP), a structured technique for organizing and analyzing complex decisions. Subsequently, a satisfaction survey was conducted with 80 nurses from a designated hospital in Tianjin to evaluate the system's usability.</p><p><strong>Results: </strong>The effective response rates of the expert consultation questionnaires for two rounds were 95% and 100%, respectively. The expert authority coefficient was 0.902, and Kendall's coefficient of concordance (W) ranged between 0.135 and 0.198 (all <i>p</i> < 0.05), indicating significant agreement among experts. The final evaluation system included 4 first-level indicators, 13 second-level indicators, and 56 third-level indicators. Cronbach's alpha was 0.990, the S-CVI/Ave was 0.996, and the I-CVIs ranged from 0.900 to 1.000. The satisfaction score among nurses was 18.69 ± 1.19 points on a 20-point scale.</p><p><strong>Conclusion: </strong>The competency assessment system for nurses in designated hospitals for PHEs developed in this study demonstrates strong scientific validity, reliability, and practical value. It provides a scientific basis for the selection, training, and assessment of nurses in designated hospitals for PHEs.</p>","PeriodicalId":46917,"journal":{"name":"Nursing Research and Practice","volume":"2026 ","pages":"5873181"},"PeriodicalIF":2.3,"publicationDate":"2026-04-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13100491/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147785547","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 Curriculum Changes: Evidence-Based Literature for Nurse Educators.","authors":"Nomawabo Lessie Luzipo, Khumoetsile Daphney Shopo, Richelle Van Waltsleven","doi":"10.1155/nrp/7609893","DOIUrl":"https://doi.org/10.1155/nrp/7609893","url":null,"abstract":"<p><strong>Background: </strong>Innovation in nursing education curricula is essential to support the evolving challenges of contemporary nursing practice and the difficulties of healthcare systems. However, transitioning to a new curriculum presents significant challenges for nurse educators, who must rapidly adjust to content revision, teaching methods, and assessment strategies, often in the context of limited institutional support.</p><p><strong>Aim: </strong>To identify the best available evidence for nurse educators transitioning from one curriculum to another in nursing education institutions (NEIs).</p><p><strong>Methods: </strong>Whittemore and Knafl's five-stage framework was used to conduct an integrative literature review: problem identification, literature search, data evaluation, data synthesis, and data presentation. A structured search was performed across CINAHL, EBSCOhost, Google Scholar, Medline, and Scopus. Eligible studies were published in English between 2010 and 2024, available in full text. No geographical limitations were applied to ensure a global perspective. Studies published before 2010 and those not aligned with the research objective were excluded. The selection process was reported in accordance with the preferred reporting items for systematic reviews and meta-syntheses guidelines, and Covidence software was used to facilitate systematic screening and appraisal, following the critical appraisal skills program guidelines.</p><p><strong>Results: </strong>Analysis of 22 articles yielded five themes: leadership influence and change management; lack of quality assurance in NEIs; inadequate resources to implement a new curriculum; stakeholder engagement, ownership, and collaboration; and faculty capacity development and training needs for curriculum implementation.</p><p><strong>Conclusion: </strong>This review concludes that meaningful and sustainable curriculum change in NEIs demands a whole-system, strategically led approach characterized by inclusive leadership, institutional readiness, coordinated resourcing, faculty development, and stakeholder engagement to overcome historical challenges and effectively prepare competent, adaptable graduates for the complexities of 21st-century healthcare.</p>","PeriodicalId":46917,"journal":{"name":"Nursing Research and Practice","volume":"2026 ","pages":"7609893"},"PeriodicalIF":2.3,"publicationDate":"2026-04-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13100489/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147785504","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":"Nurse-Led Foot-Ankle Exercises and Changes in Neuropathy Symptoms and Diabetic Foot Risk Indicators: A Quasiexperimental Study.","authors":"Yasmin Ibrahim Abdelkader Khider, Rasha Fathy Ahmed Dawood, Heba Mohammed Mahmoud Elhapashy, Heba Mahmoud Mahmoud Mohamed, Fatma M Ibrahim, Shaimaa Mohamed Elghareeb Allam","doi":"10.1155/nrp/9196936","DOIUrl":"https://doi.org/10.1155/nrp/9196936","url":null,"abstract":"<p><strong>Aim: </strong>To examine whether a nurse-led foot-ankle flexibility and resistance exercise programme, delivered alongside usual care, was associated with changes in neuropathy symptoms and diabetic-foot risk/self-care indicators among adults with diabetes.</p><p><strong>Background: </strong>Diabetic peripheral neuropathy (DPN) contributes to reduced protective sensation, limited joint mobility and impaired self-care, increasing DFU risk. Low-cost exercise programmes targeting foot-ankle mobility and strength may improve neuropathy-related symptoms and modifiable DFU risk factors, but practice-based evidence in routine nursing settings remains limited.</p><p><strong>Design: </strong>Quasiexperimental, nonrandomized, nonequivalent control-group pre-post study.</p><p><strong>Methods: </strong>Adults with Type 1 or Type 2 diabetes attending an outpatient diabetes clinic were recruited by convenience sampling (<i>N</i> = 60) and allocated to an intervention group (usual care plus structured exercise education and supervised practice; <i>n</i> = 30) or a control group (usual care; <i>n</i> = 30). Outcomes were assessed at baseline and 1 month using the Neuropathy Total Symptom Score-6 (NTSS-6) and the Diabetes Foot Assessment/Risk Screening scale. Because allocation was nonrandomized and outcomes were analysed in categories, inferential analyses were exploratory and based on chi-square/Fisher's exact tests with Cramer's V effect sizes.</p><p><strong>Results: </strong>At 1 month, neuropathy symptom severity categories differed significantly between groups (<i>χ</i> ² = 34.236 and <i>p</i> < 0.001; V = 0.76), with a greater proportion of participants in the intervention group shifting to lower symptom-severity categories. Diabetes Foot Assessment/Risk Screening categories also favoured the intervention group (<i>χ</i> ² = 30.762 and <i>p</i> < 0.001; V = 0.72). Given the quasiexperimental design and unadjusted categorical analyses, these findings should be interpreted as associations rather than causal estimates.</p><p><strong>Conclusions: </strong>In this practice-based quasiexperimental study, a brief nurse-led foot-ankle flexibility and resistance exercise programme was associated with improved neuropathy symptom categories and more favourable diabetic-foot risk/self-care indicators over 1 month. The findings support feasibility within nursing practice, but causal inference is limited by nonrandom allocation, the use of categorical unadjusted analyses and the use of a study-specific foot-risk/self-care measure.</p><p><strong>Relevance to clinical practice: </strong>Nurses can integrate brief foot screening with structured foot-ankle exercise education and demonstration during outpatient diabetes visits as an adjunct to, not a replacement for, standard diabetic-foot surveillance and self-management support.</p>","PeriodicalId":46917,"journal":{"name":"Nursing Research and Practice","volume":"2026 ","pages":"9196936"},"PeriodicalIF":2.3,"publicationDate":"2026-04-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13092925/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147785485","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}