Nursing Research and Practice最新文献

{"title":"Occurrence and Risk Factors for Unplanned Central Venous Catheter Removal in Critically Ill Patients: A Multicenter Cohort Study.","authors":"Xiaofeng He, Chunlei Li, Zhe Wang, Mayi Yang, Tianjun Zhou, Ying Gu, Yuxia Zhang, Wenchao Wang, Wenyan Pan, Yan Hu","doi":"10.1155/nrp/7640284","DOIUrl":"10.1155/nrp/7640284","url":null,"abstract":"<p><p><b>Background:</b> Central venous catheters (CVCs) are crucial for critically ill patients but pose risks of complications and unplanned removal, which can interrupt treatment, prolong hospital stays, and increase mortality. This investigation sought to examine the occurrence and risk factors for unplanned CVC removal among intensive care patients in China. <b>Methods:</b> A multicenter cohort study was conducted across 22 public tertiary hospitals throughout China, from September 4, 2023, to February 29, 2024, enrolling critically ill patients with CVCs. Cox proportional hazards regression models were used to assess the risk factors for unplanned CVC removal. <b>Results:</b> The study comprised a total of 2680 first-time CVC insertion events (one per patient) in critically ill patients. 1151 (42.95%) CVCs were removed; most (<i>n</i> = 832, 31.04%) were elective. A total of 153 CVCs were removed prematurely (5.71%; 95% CI: 4.84-6.68), and infection-related complication was the leading cause (<i>n</i> = 124, 4.63%; 95% CI: 3.85-5.50; 5.26 per 1000 CVC days). Independent risk factors included male gender (HR, 2.04; 95% CI: 1.40-2.99; <i>p</i> < 0.001), neurological disorders (HR, 2.41; 95% CI: 1.50-3.86; <i>p</i> < 0.001), and mechanical ventilation (HR, 1.71; 95% CI: 1.09-2.70; <i>p</i>=0.02), while urgent insertion reduced the risk (HR, 0.52; 95% CI: 0.29-0.92; <i>p</i>=0.02). In subgroup analysis, diagnosis with neurological disorders (HR, 2.31; 95% CI 1.40-3.81, <i>p</i>=0.001), and urgent CVC insertion (HR, 0.41; 95% CI 0.21-0.82, <i>p</i>=0.01) were significantly associated with unplanned CVC removal in males but not in females (<i>p</i> > 0.05). No significant interactions were found between gender and diagnosis, mechanical ventilation, or urgent insertion (all <i>p</i> > 0.05). <b>Conclusions:</b> Unplanned CVC removal occurred in 5.71% of cases, primarily due to infection. Identified risk factors (male gender, neurological disorders, and mechanical ventilation) and protective factors (urgent insertion) highlight targets for preventive strategies in critical care.</p>","PeriodicalId":46917,"journal":{"name":"Nursing Research and Practice","volume":"2025 ","pages":"7640284"},"PeriodicalIF":2.3,"publicationDate":"2025-09-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12425627/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145066027","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":"Traditional Practices Used for the Infertility Treatment Among Females in Albaha City.","authors":"Amnah S Alghamdi, Hawa Alabdulaziz, Wafaa A Rashad","doi":"10.1155/nrp/6934650","DOIUrl":"10.1155/nrp/6934650","url":null,"abstract":"<p><p><b>Background:</b> Infertility is a reproductive disorder affecting either the male or female reproductive system, characterized by the inability to achieve pregnancy after 12 months or more of regular, unprotected sexual intercourse. It may result from male, female, or idiopathic factors, with certain etiologies being preventable. Management of infertility frequently involves assisted reproductive technologies, including in vitro fertilization (IVF). <b>Objective:</b> This quantitative cross-sectional study aimed to discover the traditional practices used for infertility treatment among females in Albaha City. <b>Materials and Methods:</b> This study was conducted with 251 infertile women between the ages of 50 or beneath who had primary or secondary infertility because of personal reasons or male infertility in the maternity outpatient departments of Albaha City hospitals in Saudi Arabia. The study period lasted from May 30, 2021, until January 2022. The research obtained approval from the Faculty of Nursing ethical committee at King Abdulaziz University Jeddah before participants granted their consent. <b>Results:</b> A total of 251 participants indicated that 51.0% found traditional infertility treatment successful and 45.8% had no previous knowledge about the approach, while 3.2% viewed it negatively. Among the participants, 39.5% revealed that they got pregnant after using traditional treatments, whereas 60.5% said they did not get pregnant. About 29.0% of women who got pregnant achieved it within 6 months and 11.0% of them conceived over 6 months to 1 year. Two-thirds of participants reported no side effects from traditional healing treatment, and half of the respondents planned to repeat their experience. The research conducted on pregnancy and herb consumption demonstrated a lack of statistical importance expressed through the data values (<i>p</i> > 0.05). <b>Conclusion:</b> Many participants believed in using traditional practices and visiting traditional healers instead of attending medical facilities and the care services provided by health professionals due to their actions on physiological systems and low cost. Further investigation is required to support the outcomes of this study.</p>","PeriodicalId":46917,"journal":{"name":"Nursing Research and Practice","volume":"2025 ","pages":"6934650"},"PeriodicalIF":2.3,"publicationDate":"2025-09-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12422851/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145041914","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":"Educational-Care Needs for Hospital-Home Transition of Children With Hematological Cancer.","authors":"Thais Maia Teixeira Vieira, Liliane Faria da Silva, Fernanda Garcia Bezerra Góes, Tania Vignuda de Souza, Michelle Darezzo Rodrigues Nunes, Juliana Rezende Montenegro Medeiros de Moraes","doi":"10.1155/nrp/4551422","DOIUrl":"10.1155/nrp/4551422","url":null,"abstract":"<p><p><b>Background:</b> The transition from hospital to home is a critical period for families of children with cancer, requiring adaptation and new knowledge acquisition to manage treatment at home. Lack of adequate preparation can generate insecurity and negatively impact the quality of home care. <b>Objective:</b> To describe the educational and care demands of family members of children with cancer during the hospital-home transition. By addressing these needs, this study seeks to contribute to health education practices which facilitate a safer and less stressful transition for families. <b>Methods:</b> This is a qualitative and descriptive study developed through semistructured interviews from July to October 2023, with 20 family members of children with cancer undergoing chemotherapy treatment in a public pediatric hospital located in Brazil. The data were processed in Iramuteq software, organized by descending hierarchical classification for lexical analysis and interpreted in light of Afaf Meleis' transitions theory. <b>Findings:</b> Two thematic blocks were structured related to the guidance required by family members and strategies for home care, as well as guidance shared by nurses for the hospital-to-home transition. The educational-care demands included the need for guidance. <b>Conclusion:</b> The study demonstrated the need for nursing actions related to guidance for families on the care to be developed after discharge, with the aim of helping them deal with stressful situations, challenges, and difficulties associated with the hospital-to-home transition process. Nurses should be attentive to the educational-care demands of families, recognizing their particular difficulties and promoting collaborative, welcoming, and healthy learning environments.</p>","PeriodicalId":46917,"journal":{"name":"Nursing Research and Practice","volume":"2025 ","pages":"4551422"},"PeriodicalIF":2.3,"publicationDate":"2025-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12419924/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145041872","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":"Abandoned in No Man's Land: A Qualitative Study on Patient Experiences While Waiting for Elective Coronary Artery Bypass Surgery.","authors":"Dorte Baek Olsen, Ida Elisabeth Hoejskov, Malene Missel","doi":"10.1155/nrp/3139277","DOIUrl":"10.1155/nrp/3139277","url":null,"abstract":"<p><p>Coronary artery bypass grafting is the primary treatment for patients with ischemic heart disease and multivessel disease to improve survival, symptoms, and quality of life. However, patients waiting for coronary artery bypass grafting surgery often struggle with advanced age, frailty, and inactivity, leading to anxiety and uncertainty. Psychological distress, pain, and sedentary behavior can worsen their condition. Prehabilitation, combining exercise, education, and support, aims to improve readiness for surgery, but its success depends on understanding patients' perspectives, while this study explores the experiences of patients awaiting coronary artery bypass grafting surgery to contribute insights into the design of future prehabilitation programs. This qualitative study aimed to explore the phenomenon of waiting to have elective coronary artery bypass grafting surgery based on patients' lived experiences. The study used a hermeneutic-phenomenological approach and conducted purposely selected in-depth interviews with one female and nine men the day before surgery. Analysis of the data revealed themes based on experiences of being abandoned in no man's land, balancing between feeling imprisoned and hoping to escape, preparing to fight, and feeling weak and dependent on social support. The phenomena this study uncovered underscore the complexities inherent to the lived experience of waiting for coronary artery bypass grafting surgery. Understanding and integrating these aspects when planning prehabilitation programs for patients waiting for coronary artery bypass grafting surgery have substantial clinical relevance, particularly for enhancing healthcare practice when developing targeted interventions.</p>","PeriodicalId":46917,"journal":{"name":"Nursing Research and Practice","volume":"2025 ","pages":"3139277"},"PeriodicalIF":2.3,"publicationDate":"2025-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12419911/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145041828","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":"Health and Social Care Managers' Competence in Knowledge Management Instrument: Development and Validation.","authors":"Eevi Karsikas, Merja Meriläinen, Kirsi Koivunen, Erika Jarva, Kristina Mikkonen, Anne Oikarinen, Maria Kääriäinen, Päivi Jounila-Ilola, Outi Kanste","doi":"10.1155/nrp/9617966","DOIUrl":"10.1155/nrp/9617966","url":null,"abstract":"<p><p><b>Background:</b> The knowledge management (KM) competence of health and social care managers is essential for organizations to achieve and maintain competitiveness. The study aimed to develop and validate the Managers' Competence in Knowledge Management (MCKM) instrument, which assesses health and social care MCKM. <b>Methods:</b> The study followed four phases: (1) items of the instrument were created based on a conceptual framework; (2) the content validity index was assessed by 11 experts. After that, 11 managers provided feedback on the instrument by participating in the pilot study; (3) the construct validity was examined with exploratory factor analysis (EFA); and (4) internal consistency was established with Cronbach's alpha. The data were collected from 116 Finnish managers during two separate periods in February and August 2022. <b>Results:</b> The overall S-CVI for the MCKM instrument was 0.83. EFA revealed a five-factor model for the MCKM instrument, containing 43 items, which explained 72% of the observed variance. The factors' Cronbach's α coefficient ranged from 0.913 to 0.964. The instrument development and validation process resulted in five factors: planning competence development and cooperation, managing a culture of competence, anticipating and defining competence, developing competence, and assessing competence. Items are scored on a Likert scale of 1-5. <b>Conclusions:</b> The instrument gave valid and reliable results in psychometric testing. It is suitable for self-assessment of competence in KM among health and social care managers. <b>Practice Implications:</b> Examining the KM competence of health and social care managers is vital for addressing unforeseen competence and knowledge challenges.</p>","PeriodicalId":46917,"journal":{"name":"Nursing Research and Practice","volume":"2025 ","pages":"9617966"},"PeriodicalIF":2.3,"publicationDate":"2025-08-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12396907/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144973930","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":"Stroke Survivors' Experiences of Sleep: A Hermeneutic Phenomenological Study.","authors":"Ida Kathrine Westh, Louise Abildgaard Moeller, Marit Otto, Pia Dreyer, Grethe Andersen, Janne Kaergaard Mortensen","doi":"10.1155/nrp/1399026","DOIUrl":"10.1155/nrp/1399026","url":null,"abstract":"<p><p><b>Aim:</b> To gain new insights into the lived experience of poststroke sleep. <b>Design:</b> Qualitative interview study. <b>Methods:</b> The study was based on a phenomenological-hermeneutic approach inspired by the French Philosopher Paul Ricoeur. Fifteen participants were included between 2021 and 2022 and interviewed 3 months after stroke. Interviews were interpreted through naïve reading and structurally analyzed. Credibility was enhanced by investigator triangulation, and field notes were used for reflections during the interpretation process to challenge preconceptions. <b>Results:</b> The participants experienced changes in sleep and described a fear of lying awake at night. They described a lack of energy and a heavy body and mind as well as an overwhelming sleepiness during daytime. Three themes were identified through the analyses: \"Floating through the night-a mental state of mind being between awake and asleep,\" \"Left with a heavy and slow feeling-poor sleep leads to a lack of energy,\" and \"Sleeping during daytime may happen like lightning from a clear sky.\" <b>Conclusions:</b> The participants experienced frequent and substantial changes in sleep which affected their everyday lives in various ways.</p>","PeriodicalId":46917,"journal":{"name":"Nursing Research and Practice","volume":"2025 ","pages":"1399026"},"PeriodicalIF":2.3,"publicationDate":"2025-08-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12356669/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144875918","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":"Psychological Impact of Political Conflict: Prevalence and Severity of PTSD Among Children and Adolescents in the North and Middle West Bank Following the October 7, 2023, Events.","authors":"Ibrahim Aqtam, Rawan Naghnaghiyeh, Taqwa Zubaide, Yusor Othman, Yasser Malasah","doi":"10.1155/nrp/7304673","DOIUrl":"10.1155/nrp/7304673","url":null,"abstract":"<p><p><b>Background:</b> The political conflict in the West Bank was escalated on October 7, 2023, further increasing exposure to traumatic events among children and adolescents, with potential implications for their mental health. This study estimates the prevalence and severity of posttraumatic stress disorder (PTSD), its sociodemographic correlates, and functional impacts on affected youth. <b>Methods:</b> This cross-sectional study was conducted from February 5 to March 5, 2024, among 1148 Palestinian children and adolescents aged 8-15 years from the North and Middle West Bank, selected by stratified random sampling. The Child PTSD Symptom Scale was used to assess symptoms of PTSD, while trauma exposure was measured using the War-Trauma Exposure Checklist. SPSS was used for data analysis. <b>Results:</b> Symptoms of PTSD were moderate to very severe in 70.0% of participants. The most prevalent traumatic experiences were witnessing bombings on television (93.4%) and witnessing dismembered bodies on television (92.8%). Intrusion symptoms predominated, with frequent reports of nightmares and intrusive thoughts. Age showed a significant positive correlation with PTSD severity (<i>r</i> = 0.12, <i>p</i>=0.034), indicating more severe symptoms in older children. PTSD significantly impaired academic performance (55.0%), emotional relationships (41.5%), and recreational activities (32.7%). Children experiencing > 5 traumatic events had substantially higher rates of severe PTSD symptoms (73.6% of this group; <i>p</i>=0.003). <b>Conclusions:</b> These findings indicate a severe mental health crisis among conflict-exposed children in the West Bank. Immediate interventions are needed, including trauma-focused cognitive behavioral therapy delivered with substantial modifications for ongoing conflict settings and school-based mental health programs. Respite for children and parents may be an important first step to engaging children and families in therapy. Systemic barriers to mental health care need to be tackled if better outcomes are achieved in this vulnerable population.</p>","PeriodicalId":46917,"journal":{"name":"Nursing Research and Practice","volume":"2025 ","pages":"7304673"},"PeriodicalIF":2.3,"publicationDate":"2025-08-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12349999/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144849355","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":"Nutritional Interventions for Enhancing Female Fertility: A Comprehensive Review of Micronutrients and Their Impact.","authors":"Faezeh Mashhadi, Zahra Sedghi, Ava Hemmat, Raha Rivaz, Fatemeh Roudi","doi":"10.1155/nrp/2137328","DOIUrl":"10.1155/nrp/2137328","url":null,"abstract":"<p><p>Infertility significantly impacts individuals and society, necessitating effective strategies for its management. Among the various factors influencing female fertility, micronutrients play a crucial role in reproductive health by supporting oocyte quality, hormonal balance, and implantation processes. This narrative review examines the importance of optimal preconception micronutrient intake in enhancing female fertility. By analyzing research from various scientific databases, including PubMed, Google Scholar, and ScienceDirect, spanning from 2000 to April 2024, we highlight the impact of key micronutrients such as folate, vitamin D, iron, selenium, and antioxidants on fertility outcomes. Deficiencies in these nutrients have been associated with impaired ovarian function, disrupted menstrual cycles, and increased risk of pregnancy complications. Given the prevalence of micronutrient inadequacies among women of reproductive age, this review underscores the need for evidence-based nutritional interventions and standardized supplementation guidelines. The findings aim to bridge the gap between research and clinical practice, providing healthcare professionals with insights to optimize fertility care through targeted nutritional strategies.</p>","PeriodicalId":46917,"journal":{"name":"Nursing Research and Practice","volume":"2025 ","pages":"2137328"},"PeriodicalIF":2.3,"publicationDate":"2025-08-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12343174/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144838182","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":"The Characteristics of the 'Good Nurse': A Scoping Literature Review.","authors":"Ali Haddad","doi":"10.1155/nrp/8460996","DOIUrl":"10.1155/nrp/8460996","url":null,"abstract":"<p><p><b>Aim:</b> To explore nurses' and patients' perspectives on characteristics of the 'good nurse' (an ethical ideal, representing perfection in nursing practice) in hospitals. <b>Design:</b> Scoping literature review and narrative synthesis. <b>Methods:</b> The scoping literature review was undertaken using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) methodology. Subsequently, a thematic analysis of identified papers was undertaken to uncover the main themes relating to characteristics of the good nurse. <b>Data Sources:</b> Five databases (Medline, Cumulative Index for Nursing and Allied Health Professionals (CINAHL), British Nursing Index, Scopus and PsycINFO) were searched in May 2023. An initial 2968 records were identified, which were refined to 124 articles after screening titles and abstracts, and then further refined through more detailed review to 13 articles meeting the inclusion criteria for the study. <b>Results:</b> Two central themes were identified: character and competence. With respect to the good nurse's character, the virtues which were identified as important include patience, being caring, optimism, trustworthiness, selflessness, respectfulness and confidence. With respect to competence, the studies revealed that the good nurse must demonstrate knowledge and technical skill, act in a professional way, be an expert communicator, be supportive to patients and colleagues and know how to provide holistic care. <b>Conclusions:</b> The results highlight the dual importance of character and competence in defining the good nurse. Nurses and patients both recognised the importance of balancing technical expertise with character traits and effective communication to offer the best possible care.</p>","PeriodicalId":46917,"journal":{"name":"Nursing Research and Practice","volume":"2025 ","pages":"8460996"},"PeriodicalIF":2.3,"publicationDate":"2025-08-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12343166/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144838183","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":"Nursing Students Learn Vaccination Using Kahoot! Gamification: An Intervention Study of Knowledge, Satisfaction, Interest, and Collaboration.","authors":"Aeen Mohammadi, Sanaz Aazami, Akbar Azizifar","doi":"10.1155/nrp/3518943","DOIUrl":"10.1155/nrp/3518943","url":null,"abstract":"<p><p><b>Introduction:</b> Nursing students often lack engagement and confidence in vaccination procedures, despite their critical public health importance. To address this gap, this study aimed to assess the effect of Kahoot!-based gamification on nursing students' knowledge, satisfaction, interest, and collaboration regarding vaccination. <b>Methods:</b> The students were randomly divided into two groups: case (Kahoot! game) and control (teaching in the traditional way). Eight different games were created based on vaccination topics. During each session, the case group played one of the games developed by Kahoot!. Then, at the end of 8 sessions, the posttest was taken from both controls and cases. <b>Results:</b> Findings from ANCOVA showed that the average knowledge after the internship in the group that used gamification with Kahoot! was significantly (<i>F</i> [1, 69] = 27.208, <i>p</i> ≤ 0.001) increased even after controlling for the effect of baseline knowledge. An independent <i>t</i>-test was performed to compare the average satisfaction of the internship between the two groups of control (mean = 7.5, SD = 1.34) and intervention (mean = 8.7, SD = 1.04), which showed to be significant (<i>t</i> (70) = 4.23, <i>p</i> ≤ 0.001). In addition, our results showed that the overall average interest in Kahoot!'s classes was 34.1 (SD = 2.03), ranging from 29 to 38. The average score for level of interaction at Kahoot!'s classes was 33.47 (SD = 2.36), ranging from 26 to 37. <b>Conclusions:</b> In general, our findings showed that nursing students' knowledge and satisfaction significantly increased after the end of 8 weeks of Kahoot! gamification. Moreover, we found that the level of interest and collaboration among students after gamification with Kahoot! was significantly higher than the average score of 2.5.</p>","PeriodicalId":46917,"journal":{"name":"Nursing Research and Practice","volume":"2025 ","pages":"3518943"},"PeriodicalIF":2.3,"publicationDate":"2025-07-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12321409/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144785619","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}