Nursing Research and Practice最新文献

{"title":"Prolonged Hospitalisation After Lung Cancer Surgery: A Qualitative Study of Patient Experiences of the Reasons for Their Extended Stay.","authors":"Pernille Orloff Donsel, Malene Missel","doi":"10.1155/nrp/5710363","DOIUrl":"10.1155/nrp/5710363","url":null,"abstract":"<p><strong>Aim: </strong>To explore patient experiences of the reasons for prolonged hospitalisation after video-assisted thoracoscopic surgery lobectomy in an enhanced recovery after surgery programme, when no medical reasons have been identified for the extended stay.</p><p><strong>Design: </strong>Qualitative study.</p><p><strong>Methods: </strong>Nine unstructured face-to-face interviews were conducted with patients who had undergone lung cancer surgery and remained hospitalised despite having recovered somatically.</p><p><strong>Results: </strong>Guided by Gadamer's philosophical hermeneutical approach, the analysis identified the following three themes regarding patient experiences: role as patient or caregiver, ready to be discharged and relatives as a shield against worry.</p><p><strong>Conclusion: </strong>Patients who have undergone lung cancer surgery in an enhanced recovery after surgery programme are often discharged as planned. However, some patients are in such different situations that it is not always possible for them to meet criteria for a standard time for hospital discharge. Possible factors that can lead to a decision to prolong hospitalisation include patient circumstances at home, e.g., caring for a sick partner, the healthcare professionals' awareness of the patient's general situation and family members who can give the patient support and reassurance.</p><p><strong>Implications for the profession and patient care: </strong>Healthcare professionals can use the findings to understand why patients sometimes stay in the hospital even though they seem medically ready for discharge. Well-established guidelines may inadvertently overshadow the patients' needs, and healthcare professionals must take an individual approach to patients when discharge planning.</p><p><strong>Reporting methods: </strong>Consolidated Criteria for Reporting Qualitative Research guidelines were followed.</p>","PeriodicalId":46917,"journal":{"name":"Nursing Research and Practice","volume":"2026 ","pages":"5710363"},"PeriodicalIF":2.5,"publicationDate":"2026-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13613171/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149065049","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":"Prevalence and Predictors of Nonadherence to Treatment in Adult Patients Undergoing In-Centre Haemodialysis in Public Dialysis Units: A Quantitative Cross-Sectional Study.","authors":"Jawad Jameel Saleh, Maryam Alaradi","doi":"10.1155/nrp/6510878","DOIUrl":"10.1155/nrp/6510878","url":null,"abstract":"<p><strong>Background: </strong>Nonadherence to treatment regimens is common among patients on maintenance haemodialysis and has been well studied internationally and regionally; however, a local gap remains.</p><p><strong>Aim: </strong>This study aimed to determine the prevalence and predictors of treatment nonadherence among adults receiving in-centre haemodialysis in Bahrain's public units.</p><p><strong>Design: </strong>A cross-sectional design.</p><p><strong>Participants: </strong>A total of 266 patients receiving haemodialysis were recruited from two public haemodialysis units using simple random sampling conducted independently within each study centre.</p><p><strong>Measurements instrument: </strong>End Stage Renal Disease Adherence Questionnaire, demographics and clinical examination and laboratory results sheet.</p><p><strong>Results: </strong>The nonadherence rate to haemodialysis prescription was 85%, with 81.9% shortening sessions and 15.1% missing sessions in the previous month. Medication, fluid and dietary nonadherence rates were 18%, 29.3% and 20.6%, respectively. Bivariate analysis showed that participants aged > 60 years had better adherence to fluid restriction (<i>p</i> = 0.031) and medications (<i>p</i> = 0.006), while those treated at Centre A demonstrated higher adherence to haemodialysis prescriptions (<i>p</i> = 0.001) and medication therapy (<i>p</i> = 0.034). Regression model identified age as an independent predictor of medication adherence; participants aged > 60 years had 2.74 higher odds of adherence compared with those aged ≤ 60 years (<i>p</i> = 0.004). Participants attending Centre B had 53% lower odds of medication adherence than those at Centre A (<i>p</i> = 0.045). Accompanying participants, transportation issues and receipt of health education were not significantly associated with adherence across treatment domains.</p><p><strong>Conclusion: </strong>Nonadherence to haemodialysis treatment regimens varied across treatment domains among the study population. Healthcare providers in Bahrain's public haemodialysis units should consider adherence behaviours and associated factors during patient assessment and follow-up. Further studies are required to better understand treatment nonadherence among haemodialysis patients in public dialysis units and in Bahrain.</p>","PeriodicalId":46917,"journal":{"name":"Nursing Research and Practice","volume":"2026 ","pages":"6510878"},"PeriodicalIF":2.5,"publicationDate":"2026-09-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13602352/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149041117","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 Journey Towards Withdrawal: Nurses' Experiences of End-of-Life Decisions in Cardiothoracic Intensive Care.","authors":"Christina Björklund Pal, Katarina Sjögren Forss","doi":"10.1155/nrp/4969285","DOIUrl":"10.1155/nrp/4969285","url":null,"abstract":"<p><strong>Background: </strong>End-of-life (EOL) decision-making in intensive care units (ICUs) is ethically demanding. Nurses are often excluded from this process despite their continuous bedside presence. Surgical units, particularly cardiothoracic ICUs, are described as more inclined to pursue aggressive treatment, yet little is known about how nurses in these specialised settings experience EOL decision-making.</p><p><strong>Aim: </strong>The study aimed to illuminate how nurses in the cardiothoracic ICU experience EOL decision-making and the withdrawal of intensive care.</p><p><strong>Methods: </strong>A qualitative descriptive design was used. Twelve nurses from six cardiothoracic ICUs in Sweden were recruited through purposive sampling. Data were collected through digital semistructured interviews. An inductive content analysis following Elo and Kyngäs guided the analytic process.</p><p><strong>Results: </strong>Four categories captured the nurses' experiences. Decision-making as a winding road described the diverse and challenging nature of the decision-making process. Endeavouring to be a part of the team reflected the importance of teamwork and the nurses' inconsistent inclusion in EOL discussions. Facing ethical quandaries: Navigating doing good and doing no harm highlighted the ethical tensions inherent in intensive care. Caring beyond the patient: The crucial role of supporting relatives underscored the difficulties faced by relatives and the nurses' commitment to caring for them.</p><p><strong>Conclusion: </strong>Cardiothoracic ICU nurses navigate significant ethical challenges during EOL decision-making and emphasise the need for greater inclusion to strengthen advocacy. While several findings align with research from general ICUs, this study provides a context-specific account of how EOL decision-making is navigated in cardiothoracic intensive care. Persistent challenges related to nurses' involvement and interprofessional communication highlight the need for strategies to support nurse inclusion in EOL decision-making, as nurses' contributions may strengthen patient advocacy and care for relatives during EOL transitions.</p>","PeriodicalId":46917,"journal":{"name":"Nursing Research and Practice","volume":"2026 ","pages":"4969285"},"PeriodicalIF":2.5,"publicationDate":"2026-09-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13595814/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149026239","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":"Improving Nursing Students' Critical Thinking Disposition Through a Gamified Flipped Classroom: A Quasiexperimental Study.","authors":"Mohammad Sadegh Dehghan, Mehdi Birjandi, Maryam Bagheri","doi":"10.1155/nrp/5074543","DOIUrl":"10.1155/nrp/5074543","url":null,"abstract":"<p><strong>Background: </strong>Combining gamification with the flipped classroom as a novel teaching method for enhancing the learning process has theoretical advantages.</p><p><strong>Aim: </strong>This study aimed to investigate the effect of the gamified flipped classroom method on the critical thinking disposition of undergraduate nursing students at Isfahan University of Medical Sciences.</p><p><strong>Methods: </strong>This study was a single-group, quasiexperimental design with a pretest and a posttest. This study was conducted on 60 fourth-semester nursing students. The intervention consisted of a gamified flipped classroom, with the preclass component delivered on a virtual learning management system with games and the in-class component gamified in face-to-face classes. The Persian version of the California Critical Thinking Disposition Inventory (CCTDI) was used.</p><p><strong>Results: </strong>A statistically significant improvement was observed in overall critical thinking disposition and in the subscales of open-mindedness, analyticity, and maturity following the implementation of the gamified flipped classroom (<i>p</i> = 0.001). Effect sizes were moderate to strong (95% CI: -0.71 to -0.47).</p><p><strong>Conclusion: </strong>This study suggests that integrating a gamified flipped classroom with in-class games may enhance nursing students' disposition toward critical thinking.</p>","PeriodicalId":46917,"journal":{"name":"Nursing Research and Practice","volume":"2026 ","pages":"5074543"},"PeriodicalIF":2.5,"publicationDate":"2026-09-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13583434/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148991906","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":"Needlestick and Sharps Injuries Among Nursing Students in Palestine: Prevalence, Reporting Practices, and Associated Factors.","authors":"Fuad Farajalla, Nesreen Alqaissi, Mohammad Qtait, Yousef M Jaradat, Areej Ashraf, Tasneem Ghannam, Bagdad Ajwah, Amal Najada, Sujood Dawadeh","doi":"10.1155/nrp/4472112","DOIUrl":"10.1155/nrp/4472112","url":null,"abstract":"<p><strong>Background: </strong>Needlestick and sharps injuries (NSIs) are a major occupational hazard among nursing students. Although previous studies in Palestine have reported prevalence and awareness, analytically driven evidence identifying factors independently associated with NSIs remains limited.</p><p><strong>Aim: </strong>This study aimed to assess the prevalence, experiences, and reporting practices of NSIs and to identify factors independently associated with NSIs among nursing students in the southern West Bank, Palestine.</p><p><strong>Methods: </strong>A cross-sectional study was conducted using convenience sampling among 398 bachelor's nursing students from four universities. Data were collected using a structured questionnaire and analyzed using descriptive statistics, bivariate analyses, and multivariable logistic regression (<i>p</i> < 0.05).</p><p><strong>Results: </strong>The prevalence of NSIs was 28.6% (<i>n</i> = 114). Blood drawing (38.5%) and needle recapping (30.7%) were the most common causes. Most students reported incidents (83.3%), although fear of blame and lack of procedural knowledge persisted. In the multivariable analysis, higher perceived stress when handling sharps was significantly associated with increased odds of NSIs (aOR = 2.13; 95% CI: 1.35-3.37). Academic year, glove use, recapping behavior, and equipment availability were not significantly associated with NSIs.</p><p><strong>Conclusion: </strong>NSIs are relatively common among nursing students in this setting. The findings suggest that perceived stress is associated with NSI occurrence; however, due to the cross-sectional design, causal inferences cannot be made. Further longitudinal research is needed to understand causal pathways, explore additional contributing factors, and inform effective prevention strategies.</p>","PeriodicalId":46917,"journal":{"name":"Nursing Research and Practice","volume":"2026 ","pages":"4472112"},"PeriodicalIF":2.5,"publicationDate":"2026-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13575877/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148978309","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":"Predictors and Causes of Implicit Rationing of Nursing Care: Lessons From the COVID-19 Pandemic Crisis in Iran: A Cross-Sectional Study.","authors":"Zahra Tagharrobi, Tayebeh Moradi, Khadijeh Sharifi, Negin Masoudi Alavi","doi":"10.1155/nrp/7362186","DOIUrl":"10.1155/nrp/7362186","url":null,"abstract":"<p><strong>Background: </strong>Rationing of nursing care (RONC) represents a significant challenge for healthcare systems, particularly during pandemics. Effective management of RONC requires thorough examination and identification of the contributing factors within crisis situations. This study aimed to investigate the predictors and causes of implicit RONC amidst the COVID-19 pandemic in Iran.</p><p><strong>Materials and methods: </strong>A cross-sectional study was conducted in 2022, involving 200 nurses selected via stratified random sampling from COVID-19-designated hospitals in Kashan city. Data were collected using the Persian version of the Perceived Implicit Rationing of Nursing Care (P-PIRNCA) Questionnaire, the MISSCARE survey, and a questionnaire detailing potential predictors of implicit rationing. Data were analyzed using SPSS version 22, employing one-way ANOVA, Independent <i>t</i>-test, Kruskal-Wallis test, Pearson and Spearman-Brown correlation coefficients, and multiple linear regression.</p><p><strong>Results: </strong>The mean score for the RONC was 36.02 ± 19.79 (95% CI: 33.28-38.77). Interest in the nursing profession, second job, number of children, and monthly income were reported to be significant in the rationing model (<i>p</i> < 0.0001, <i>R</i> ² = 0.206). Interest in the nursing profession emerged as the most significant predictor, accounting for 10.5% of the explained variance in nursing care rationing scores. Communication, human, and material factors explained 85.3%, 10.2%, and 4.5% of the variance in importance scores of reasons for missed care, respectively.</p><p><strong>Conclusion: </strong>The RONC was not high at the peak of the pandemic. Selecting nurses from among those interested in the profession, those without a second job, and those with more children, as well as paying attention to professional relationships, can lead to adjustments in the rationing of care during the difficult conditions of the pandemic crisis.</p>","PeriodicalId":46917,"journal":{"name":"Nursing Research and Practice","volume":"2026 ","pages":"7362186"},"PeriodicalIF":2.5,"publicationDate":"2026-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13575872/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148978257","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":"Patients Experience of Ear Acupuncture for Anxiety-A Qualitative Interview Study.","authors":"Anette Berggren, Roger Stjernkvist, Linda Hedberg, Caroline Larsson, Katarina Rusch, Harald Aiff","doi":"10.1155/nrp/5882178","DOIUrl":"10.1155/nrp/5882178","url":null,"abstract":"<p><strong>Background: </strong>This study aimed to qualitatively explore and understand the experiences of patients with anxiety undergoing National Acupuncture Detoxification Association (NADA) treatment in a psychiatric outpatient setting.</p><p><strong>Methods: </strong>Through interviews, 20 participants shared their experiences after receiving 10 NADA treatments. The data were meticulously analyzed using latent content analysis to identify recurring themes and patterns.</p><p><strong>Results: </strong>Four themes emerged from the analysis: \"A gradually increasing sense of well-being,\" \"Relief that lasted temporarily or throughout the treatment period,\" \"A feeling of inner peace and relaxation,\" and \"A transient feeling of discomfort and disappointment,\" reflecting ambivalence regarding the tangible benefits of the treatment.</p><p><strong>Conclusion: </strong>The findings reveal a multifaceted landscape of experiences with NADA treatment for anxiety. While the majority experienced relief and anticipatory sentiments, it was evident that the benefits were not universally experienced. The study underscores the need for continued research and optimization of the NADA protocol to cater to diverse patient needs within psychiatric outpatient settings.</p><p><strong>Relevance to clinical practice: </strong>NADA treatment could pose a nonpharmacological option for some patients with anxiety. Patients experienced anxiety relief, and many wanted to continue treatment.</p><p><strong>Patient or public contribution: </strong>Patients/users of outpatient psychiatric care participated in the study as participants. They were then interviewed to share their experience.</p>","PeriodicalId":46917,"journal":{"name":"Nursing Research and Practice","volume":"2026 ","pages":"5882178"},"PeriodicalIF":2.5,"publicationDate":"2026-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13575869/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148978334","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' Perceptions of Lecturers' Caring Presence During Online Learning in a Public Nursing College in South Africa.","authors":"Thembile Precious Ndlovu, Charlene Downing","doi":"10.1155/nrp/3235288","DOIUrl":"10.1155/nrp/3235288","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Background: &lt;/strong&gt;The Diploma in Nursing programme (Regulation R.171) in South Africa has traditionally been delivered through face-to-face classroom teaching combined with supervised clinical practice. However, the COVID-19 pandemic in 2020 necessitated a rapid transition to online learning to ensure continuity of nursing education while minimising the spread of the virus. As caring is a fundamental value underpinning the nursing profession, it was essential that this value be maintained within virtual learning environments. In this study, caring presence is conceptualised as both relational and structural, encompassing lecturers' communication, emotional support, accessibility, institutional responsiveness and digital equity.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Aim: &lt;/strong&gt;This study explored nursing students' perceptions of lecturers' caring presence during online learning at a public nursing college in Gauteng Province, South Africa, and developed recommendations to inform the design and implementation of future online and blended learning environments.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Design and methods: &lt;/strong&gt;A qualitative, contextual research design guided by the Appreciative Inquiry approach was employed to explore nursing students' experiences of lecturers' caring presence during online learning. Data were collected through focus group interviews with third-year nursing students and analysed using thematic analysis.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Participants and setting: &lt;/strong&gt;Twenty-three third-year nursing students enrolled in the Diploma in Nursing programme participated in four focus group interviews conducted across two nursing college campuses in South Africa.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Results: &lt;/strong&gt;Four overarching themes emerged from the data, reflecting students' perceptions of lecturers' caring presence during online learning. Participants highlighted the importance of effective communication, emotional support, lecturer accessibility, institutional responsiveness and equitable access to digital resources in fostering a caring online learning environment. Students recommended integrating caring values into the college's mission and philosophy, strengthening the development of professional attributes such as caring, compassion, resilience and empathy through blended learning approaches, incorporating digital literacy into the nursing curriculum, providing continuous professional development for lecturers in the use of learning management systems and ensuring accessible technical support for all nursing students.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Conclusion: &lt;/strong&gt;The findings demonstrate that caring presence remains a critical component of quality nursing education, regardless of the mode of delivery. Strengthening caring relationships, institutional support and digital preparedness can enhance students' learning experiences in online environments. The recommendations may inform curriculum development, educational policy and future research aimed at promoting caring-centred online nursin","PeriodicalId":46917,"journal":{"name":"Nursing Research and Practice","volume":"2026 ","pages":"3235288"},"PeriodicalIF":2.5,"publicationDate":"2026-09-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13544423/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148898045","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 Factors, Beliefs, Caring Behavior, and Quality of Nursing Work Life Among ICU Nurses: A Carolina Care-Informed Structural Model.","authors":"Tintin Sukartini, Yulis Setiya Dewi, Herdina Mariyanti, Vimala Ramoo, G Kanchana, Muhammad Fikri Al-Faruq, Adinda Nurul Hamidah, Yumna Raihanatu, Alfi Syahri","doi":"10.1155/nrp/6830564","DOIUrl":"10.1155/nrp/6830564","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Background: &lt;/strong&gt;The quality of nursing work life (QNWL) is essential to maintain nurses' well-being and professional performance, particularly in the intensive care unit (ICU) where workload, stress, and ethical challenges are high. Nurse characteristics, job demands, organizational support, Beliefs, and caring behavior are considered potential determinants of QNWL, but evidence regarding their pathways and mechanisms remains scarce.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Aim: &lt;/strong&gt;To analyze the effects of nurse-related, job-related, and organizational factors on nurses' Beliefs, caring behavior, and QNWL among ICU nurses using a Carolina Care-based structural model, including the partial mediating roles of Beliefs and caring behavior.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Study design: &lt;/strong&gt;A cross-sectional design was applied to 200 ICU nurses from four hospitals. Data were collected using validated questionnaires assessing nurse characteristics, job factors, organizational support, Beliefs, and caring behavior, and QNWL PLS-SEM was employed to evaluate convergent validity, construct reliability, and the inner model.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Results: &lt;/strong&gt;Nurse factors had a significant negative influence on Beliefs (&lt;i&gt;β&lt;/i&gt; = -0.208; &lt;i&gt;p&lt;/i&gt; &lt; 0.001), whereas organizational factors strongly and positively affected both Beliefs (&lt;i&gt;β&lt;/i&gt; = 0.534; &lt;i&gt;p&lt;/i&gt; &lt; 0.001) and caring behavior (&lt;i&gt;β&lt;/i&gt; = 0.333; &lt;i&gt;p&lt;/i&gt; &lt; 0.001). Beliefs significantly influenced caring behavior (&lt;i&gt;β&lt;/i&gt; = 0.242; &lt;i&gt;p&lt;/i&gt; = 0.001), while caring behavior strongly predicted QNWL (&lt;i&gt;β&lt;/i&gt; = 0.533; &lt;i&gt;p&lt;/i&gt; &lt; 0.001). Job factors did not significantly affect Beliefs (&lt;i&gt;β&lt;/i&gt; = 0.067; &lt;i&gt;p&lt;/i&gt; = 0.390), which was described as nonsignificant. The measurement model showed acceptable convergent validity and composite reliability for the main constructs, although the Beliefs construct was modeled using a single global indicator and the job factor construct showed Cronbach's alpha slightly below the conventional threshold. The evaluation of the structural model showed that the endogenous variable had an &lt;i&gt;R&lt;/i&gt; &lt;sup&gt;2&lt;/sup&gt; value of 0.284, indicating a relatively modest level of explained variance. In addition, the &lt;i&gt;Q&lt;/i&gt; &lt;sup&gt;2&lt;/sup&gt; value of 0.219 suggests that the model demonstrates an acceptable level of predictive relevance.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Conclusions: &lt;/strong&gt;Organizational factors were the strongest predictors of Beliefs and caring behavior, both of which significantly improved QNWL. Supportive leadership, institutional policies, and recognition systems play key roles in shaping nurses' Beliefs and behaviors. Organizational support emerges as the most powerful level for change, directly leading to the practice recommendations. Implications for clinical practice include strengthening organizational support, providing structured training, and enhancing recognition programs to improve QNWL and sustain a resilient, caring nursing workforce.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Relevance to clinical practice: &lt;/strong&gt;This s","PeriodicalId":46917,"journal":{"name":"Nursing Research and Practice","volume":"2026 ","pages":"6830564"},"PeriodicalIF":2.5,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13531458/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148875722","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":"Experiences of Nursing Students Regarding Online Teaching and Learning During COVID-19 Pandemic.","authors":"Keneilwe Bowane, Gofiwa Loeto, Bakang Bathoeng, Angelinah John, Tebogo Gorata Gaotlhobogwe, Olebile Clementine Bulang, Maripe-Perera Dorcas Basetsana, Kebope Mongie Kealeboga, Esther Seloilwe","doi":"10.1155/nrp/8286447","DOIUrl":"10.1155/nrp/8286447","url":null,"abstract":"<p><strong>Background: </strong>Lockdowns during the COVID-19 pandemic compelled universities to implement online teaching and learning methods to comply with social distancing measures. The University of Botswana transitioned from classroom face-to-face teaching to remote learning in response to the pandemic. This study aimed to explore the experiences of nursing students at the University of Botswana with online teaching and learning during the COVID-19 outbreak. The results of the study have the potential to inform policies on how nursing education could respond to future pandemics and ensure continuity of learning.</p><p><strong>Design: </strong>The study utilised an explorative descriptive qualitative design to explore the students' experiences using online teaching and learning activities during the COVID-19 pandemic.</p><p><strong>Methods: </strong>Sixteen (16) students consented to participate in the study. Data were collected from September to November 2023 using a semistructured interview guide and analysed using content analysis. Trustworthiness was accomplished through credibility, dependability, confirmability and transferability. Further, the study used COREQ to ensure quality.</p><p><strong>Results: </strong>Five main themes and 14 subthemes were identified. The main themes are opportunities for online teaching and learning, students' performances during the COVID-19 pandemic, challenges of online teaching and learning, the need to improve online teaching and learning, and nursing as a profession and online learning.</p><p><strong>Conclusion: </strong>The study offered insights into how the COVID-19 pandemic affected nursing students' teaching and learning. Further research is recommended to guide nursing education and online learning policy.</p>","PeriodicalId":46917,"journal":{"name":"Nursing Research and Practice","volume":"2026 ","pages":"8286447"},"PeriodicalIF":2.5,"publicationDate":"2026-08-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13525476/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148857664","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}