Nursing Research and Practice最新文献

{"title":"Relatives' Involvement in the Care Pathway of Patients With Acquired Brain Injury or Malignant Brain Tumour: An Observational Study.","authors":"Rikke Guldager, Emilie Gyldenöhr, Ingrid Poulsen, Lena Aadal, Sara Nordentoft, Mia Ingerslev Loft","doi":"10.1155/nrp/2280006","DOIUrl":"https://doi.org/10.1155/nrp/2280006","url":null,"abstract":"<p><strong>Aim: </strong>To explore how nurses involve the relatives of patients with acquired brain injury or malignant brain tumour and how this involvement unfolds in hospital ward settings. We focus on the contextual, interpersonal, and communicative dynamics that shape and mediate involvement.</p><p><strong>Design: </strong>A qualitative, exploratory design using nonparticipant field observation.</p><p><strong>Methods: </strong>Nineteen nonparticipant observations were conducted across seven units in four Danish hospital sites, covering the full clinical pathway from acute care to inpatient rehabilitation. Data were analysed using inductive content analysis following Graneheim and Lundman approach.</p><p><strong>Results: </strong>The analysis identified one overarching theme and three categories that illuminate how relative involvement is shaped in clinical practice. Relatives' opportunities to be involved in the patient's treatment and care were strongly influenced by the physical and organizational context, including the spatial layout of wards and the timing of clinical routines. Communicative practices ranged from one-way information delivery to inclusive dialogues, affecting whether relatives were acknowledged and involved. The way nurses recognized relatives relationally, either as passive bystanders or as knowledgeable contributors, further shaped their role. Across all categories, a continuum of involvement emerged, ranging from complete absence to active partnership, reflecting how structural and interpersonal factors interact to enable or hinder meaningful engagement.</p><p><strong>Conclusion: </strong>Relative involvement is not consistently embedded in everyday clinical routines but varies depending on context, professional practice, and communicative approach. Involvement often depends on relatives taking initiative and is rarely proactively facilitated by nurses. However, when nurses are able to create structured, inclusive environments, relatives shift from peripheral observers to valued partners in care.</p><p><strong>Impact: </strong>This study contributes important observational knowledge to the field of family involvement in acute and complex care settings. The findings highlight the need for structured, context-sensitive strategies that enable nurses to identify and support diverse forms of relative involvement. Such efforts are vital to ensure equitable engagement across different clinical settings and family constellations.</p>","PeriodicalId":46917,"journal":{"name":"Nursing Research and Practice","volume":"2026 ","pages":"2280006"},"PeriodicalIF":2.3,"publicationDate":"2026-04-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13092715/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147785461","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":"Awareness and Knowledge of Hypothyroidism Among Female Health Science Students at Aljouf University: A Cross-Sectional Analysis.","authors":"Shatha Basheer Aldababseh, Rabab Gad Abd El-Kader, Amal Ahmed Elbilgahy, Gehan Elnabawy Ahmed Moawad, Reham Elsaeed Hashad, Zeinab A Ali, Ahmad M Abdel-Mageed, Shereen Ahmed Elwasefy","doi":"10.1155/nrp/4056149","DOIUrl":"https://doi.org/10.1155/nrp/4056149","url":null,"abstract":"<p><strong>Background: </strong>Hypothyroidism is a prevalent endocrine disorder with potentially serious health implications if not diagnosed and managed early. Awareness and understanding of the condition are critical, particularly among future healthcare providers.</p><p><strong>Aim: </strong>The study was carried out to evaluate the extent of knowledge and awareness regarding hypothyroidism among female health science students at Aljouf University, Saudi Arabia.</p><p><strong>Subject and method: </strong>A descriptive cross-sectional study was conducted using a validated, self-administered electronic questionnaire. The sample comprised 384 female students from various academic levels and specializations.</p><p><strong>Results: </strong>Nearly half of the participants (46.3%) demonstrated poor knowledge, while only 19% achieved a high knowledge level. Statistically significant associations were found between knowledge levels and age, academic level, field of study, and personal or family history of thyroid disorders (<i>p</i> < 0.001).</p><p><strong>Conclusion: </strong>The study highlights a substantial deficiency in hypothyroidism-related knowledge among female university students. Recommendations: These results underscore the urgent need for targeted health education initiatives to improve thyroid health literacy among students, especially those not enrolled in nursing or health-specialized programs.</p>","PeriodicalId":46917,"journal":{"name":"Nursing Research and Practice","volume":"2026 ","pages":"4056149"},"PeriodicalIF":2.3,"publicationDate":"2026-04-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13080339/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147700154","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":"Glycemic Control and Adherence to Treatment According to Personality, Self-Esteem, and Perceived Stress in Type 1 Diabetes Mellitus.","authors":"Carmen Grau-Del Valle, Jose Francisco Marco-Expósito, Neus Bosch-Sierra, Juan Diego Salazar, Santiago García, Eva Solá, Inmaculada Montoya-Castilla, Carlos Morillas, Celia Bañuls","doi":"10.1155/nrp/8711334","DOIUrl":"10.1155/nrp/8711334","url":null,"abstract":"<p><p>The aim of this study was to assess whether personality traits, self-esteem, and perceived stress are associated with glycemic control and adherence to treatment in adults with Type 1 diabetes mellitus (T1DM). We conducted a cross-sectional study in 107 T1DM patients and measured psychological variables (self-esteem, perceived stress, and personality traits) and clinical markers. More than 90% of patients had good or very good adherence to treatment. In addition, patients with poor adherence had higher HbA1c levels. Regarding personality traits, adherence to treatment correlated significantly with agreeableness and conscientiousness and negatively with neuroticism. Patients with high self-esteem had greater adherence to treatment. Finally, a significant positive correlation was observed between perceived stress and HbA1c. We concluded that some personality traits and self-esteem are associated with treatment adherence, and perceived stress is associated with poorer glycemic control in T1DM.</p>","PeriodicalId":46917,"journal":{"name":"Nursing Research and Practice","volume":"2026 ","pages":"8711334"},"PeriodicalIF":2.3,"publicationDate":"2026-04-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13084182/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147724456","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":"Advancing Nursing Education: Evaluating Artificial Intelligence (AI) and Escape Room (ER) Approaches for E-Learning and Interpretation Skills.","authors":"Azin Salimi, Masoumeh Nouri, Amirreza Moradi, Alireza Vasiee","doi":"10.1155/nrp/8869482","DOIUrl":"https://doi.org/10.1155/nrp/8869482","url":null,"abstract":"<p><strong>Introduction: </strong>The spread of new educational technologies has challenged the cold and inflexible framework of traditional education, aiming to replace centuries-old methods with short, low-cost methods to improve learning and educational productivity. Thus, this study aimed to compare the effects of artificial intelligence (AI) and escape rooms (ERs) on e-learning satisfaction and the skill of arterial blood gas (ABG) interpretation in nursing students.</p><p><strong>Materials and methods: </strong>The current study was conducted as a quasi-experiment on 91 nursing students in the third to sixth academic semesters, with a convenient sampling approach to AI, ER, and control groups by balanced block randomization. In the AI group, participants used ChatGPT; the ER group used the Twine platform; and the control group used the traditional method once a week. The E-learning satisfaction scale (ELSS) and arterial blood gas interpretation scale (ABGIS) were filled before and two weeks after the end of interventions. Data were analyzed using descriptive and inferential statistical tests in SPSS V.25 at a 0.05 significance level.</p><p><strong>Results: </strong>In comparison to ER and control, AI significantly enhanced e-learning satisfaction and ABG interpretation (<i>p</i> < 0.001). In terms of content, interface, and communication satisfaction, AI demonstrated superiority over ER (<i>p</i> < 0.001). The intervention made a big difference-explaining nearly 90% of the changes in ELSS and about 40% in ABGIS. Among all the factors, AI stood out the most, driving major improvements in both learning outcomes and student engagement.</p><p><strong>Conclusion: </strong>The use of AI compared to the educational ER and conventional methods significantly increases the learning of ABG interpretation and satisfaction with e-learning. It is suggested that the positive and effective capabilities of AI be used as an educational assistant to enhance learning and teaching experiences in medicine and nursing.</p>","PeriodicalId":46917,"journal":{"name":"Nursing Research and Practice","volume":"2026 ","pages":"8869482"},"PeriodicalIF":2.3,"publicationDate":"2026-04-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13067749/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147677565","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":"Beyond the Mask-Psychological Discomfort as a Predictor of Early CPAP Nonadherence in Moderate-to-Severe OSA Patients: A Prospective Mixed-Methods Study.","authors":"Yen-Chin Chen, Cristina Frange, Shin-Shan Pan, Cheng-Man Ng, Yen-Hsu Chen, Cheng-Yu Lin","doi":"10.1155/nrp/9630236","DOIUrl":"https://doi.org/10.1155/nrp/9630236","url":null,"abstract":"<p><strong>Background and objective: </strong>Early adherence to CPAP therapy is a critical determinant of long-term treatment adherence, but it is frequently compromised by patient-reported adverse effects. This study aimed to systematically identify CPAP-related adverse symptoms and evaluate their associations with early treatment adherence among patients with moderate-to-severe OSA.</p><p><strong>Methods: </strong>A prospective mixed-methods study was conducted at a tertiary sleep center between August 2021 and February 2025. A total of 121 adults with newly diagnosed moderate-to-severe OSA were enrolled. CPAP-related symptoms (<i>n</i> = 430) were collected through semistructured telephone interviews conducted at least three times. Symptoms were categorized into four domains: physiological, psychological, CPAP interface-related, and CPAP device-related. Early CPAP adherence over a 14-day trial period was defined as CPAP use for ≥ 4 h per night on ≥ 70% of nights.</p><p><strong>Results: </strong>Among 121 participants (mean age 50.8 years; 84.3% male), 60.3% demonstrated good adherence. Psychological symptoms were the only domain significantly associated with reduced adherence (<i>β</i> = -7.50%; <i>p</i> = 0.049), with suffocation sensations showing a particularly strong negative impact (<i>β</i> = -37.14%; <i>p</i> = 0.018). Conversely, CPAP interface-related symptoms such as mask discomfort were positively associated with adherence (<i>β</i> = 12.89%; <i>p</i> = 0.011). Physiological and equipment-related symptoms were not significantly associated with CPAP adherence.</p><p><strong>Conclusion: </strong>Psychological discomfort significantly impairs early CPAP adherence among patients with OSA. Routine assessment and timely intervention targeting psychological and interface-related complaints during the initial treatment period may help support continued CPAP use in clinical practice. <b>Trail Registration:</b> ClinicalTrials.gov_identifier: NCT06520592.</p>","PeriodicalId":46917,"journal":{"name":"Nursing Research and Practice","volume":"2026 ","pages":"9630236"},"PeriodicalIF":2.3,"publicationDate":"2026-04-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13053947/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147640125","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 Mediating Effect of Trunk Impairment on Quality of Life in Subacute Stroke Survivors.","authors":"Su-Ju Tsai, Chun-Chang Lin, Chieh-Tsung Yen, Chia-Chi Li, Hsiang-Chu Pai","doi":"10.1155/nrp/9547963","DOIUrl":"https://doi.org/10.1155/nrp/9547963","url":null,"abstract":"<p><strong>Objective: </strong>This study aimed to clarify the determinants (e.g., age, sex, education level, stroke type, and disease severity) of trunk impairment and quality of life (QoL) among stroke survivors and to examine whether trunk performance mediates the relationship between the National Institutes of Health Stroke Scale (NIHSS) and QoL.</p><p><strong>Method: </strong>A quantitative, correlational design was employed and conducted between August 2023 and March 2025. Participants were stroke survivors recruited from the rehabilitation wards of three hospitals in Taiwan. The questionnaire included four measures: demographic data (including stroke type), the NIHSS (disease severity), the Trunk Impairment Scale (trunk performance), and the Stroke Impact Scale (QoL). Structural equation modeling with partial least squares (PLS-SEM) was used to examine the relationships among the variables. Model fit was assessed using the normed fit index (> 0.90) and the standardized root-mean-square residual (< 0.08).</p><p><strong>Results: </strong>A total of 160 stroke survivors participated, with a mean age of 63.04 years (SD = 13.29). Age (<i>β</i> = -0.145, <i>p</i> = 0.020) and disease severity (<i>β</i> = -0.60, <i>p</i> < 0.001) were significantly and negatively associated with trunk performance. Disease severity was also significantly and negatively associated with QoL (<i>β</i> = -0.196, <i>p</i> < 0.001). Trunk performance partially mediated the relationship between disease severity and QoL (<i>β</i> = 0.647, <i>p</i> < 0.001). Ischemic stroke type was significantly and positively associated with QoL (<i>β</i> = 0.194, <i>p</i> = 0.049). Collectively, disease severity, trunk performance, and ischemic stroke type explained 64.0% of the variance in QoL (<i>Q</i> ² = 0.358, <i>f</i> ² = 0.807), indicating strong predictive power.</p><p><strong>Conclusion: </strong>Stroke survivors with greater disease severity, poorer trunk performance, and hemorrhagic stroke experience lower QoL. Older individuals are more likely to exhibit trunk impairment. Notably, greater disease severity may lead to poorer trunk performance, which in turn contributes to reduced QoL. Rehabilitation interventions should focus on strengthening trunk control and stability in stroke survivors.</p>","PeriodicalId":46917,"journal":{"name":"Nursing Research and Practice","volume":"2026 ","pages":"9547963"},"PeriodicalIF":2.3,"publicationDate":"2026-04-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13051810/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147634861","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":"Accuracy and Precision of Third-Generation Tympanic Thermometers With Varying Calibration Intervals: A Multicenter Cross-Sectional Study.","authors":"Mattia Morri, Anna Brugnolli, Lea Godino, Tatiana Bolgeo, Marianna Azzolini, Daniele Ciofi, Menada Gardalini, Claudia Grezzani, Katia Bettini, Domenica Gazineo, Marina Maffeo, Cristiana Forni","doi":"10.1155/nrp/8453356","DOIUrl":"https://doi.org/10.1155/nrp/8453356","url":null,"abstract":"<p><strong>Aim: </strong>To evaluate intra- and interoperator reliability and accuracy of the third-generation tympanic thermometer (GeniusTM3) and to explore the relationship between measurement error and calibration intervals of the tympanic thermometer.</p><p><strong>Design: </strong>Open-label, pragmatic multicenter cross-sectional study.</p><p><strong>Methods: </strong>The study was carried out in intensive care units and operating theaters across five hospitals in Northern Italy. Patients of any age admitted to intensive care units or undergoing surgical procedures in operating theaters between December 2023 and October 2024 were enrolled. Two trained nurses independently took the temperature three consecutive times using the same tympanic thermometer. Core temperature was measured using one of the gold standard methods. The measurement error was calculated as the difference between the gold standard measurement and the measurement made with the tympanic temperature.</p><p><strong>Results: </strong>A total of 550 patients were enrolled. The precision of the tympanic thermometer was shown to be excellent in both intraobserver and interobserver reliability. The tympanic thermometer consistently underestimated body temperature, with a mean measurement error of 0.3°C and a limits of agreement of ±1.3°C. The generalized linear model (GLM) showed calibration interval, recruiting hospital, and the variable defined by their interaction as factors that were independently and statistically significant predictors of accuracy variation.</p><p><strong>Conclusions: </strong>The third-generation tympanic thermometer (GeniusTM3) represents a reliable tool for ensuring high accuracy in terms of both intraoperator and interoperator concordance. However, the accuracy of the device has been significantly affected by the timing of the calibration: a calibration interval of more than 6 months results in a significant deterioration in accuracy.</p>","PeriodicalId":46917,"journal":{"name":"Nursing Research and Practice","volume":"2026 ","pages":"8453356"},"PeriodicalIF":2.3,"publicationDate":"2026-03-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12977293/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147445529","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":"Comparative Outcomes of Teacher Coaching Versus Parent-Implemented Intervention for Preschoolers at Risk of Developmental Delay in Thailand.","authors":"Somsiri Rungamornrat, Yuwadee Pongsaranuntakul, Jinnaphat Sangngam, Apawan Nookong","doi":"10.1155/nrp/6653365","DOIUrl":"https://doi.org/10.1155/nrp/6653365","url":null,"abstract":"<p><strong>Background: </strong>Early childhood developmental delays are a major concern in low- and middle-income countries (LMICs), where gaps often exist between developmental surveillance and follow-up support. In Thailand, the Developmental Surveillance and Promotion Manual (DSPM) provides a national framework for screening and promotion; however, practical models for integrating DSPM guidance into daily classroom and home routines in community daycare settings remain limited.</p><p><strong>Aim: </strong>To compare two brief nurse-facilitated implementation models-teacher coaching using practice-based coaching (PBC) and a parent-implemented intervention (PII)-and examine their effects on adult practices and short-term developmental outcomes in preschool children at risk of delay.</p><p><strong>Methods: </strong>A quasi-experimental, two-group pretest-posttest study was conducted in two community daycare centers. Forty-nine at-risk children and primary caregivers were enrolled (PBC: 26 dyads; PII: 23 dyads), along with 17 teachers (PBC: 8; PII: 9). Each center implemented one model over a 4-week intervention period with follow-up assessment approximately 4 weeks later. Outcomes included teacher developmental knowledge, teacher and caregiver developmental-promotion behaviors, and child pass/fail status across five DSPM domains. Continuous outcomes were analyzed using 2 × 2 mixed-design repeated-measures ANOVA; within-center domain changes used exact McNemar's tests.</p><p><strong>Results: </strong>Teacher knowledge improved over time, and the magnitude of improvement differed between models (group-by-time interaction), with larger gains in the PII center than the PBC center. Teacher and caregiver developmental-promotion behaviors improved significantly from pre to post (main effects of time), while group-by-time interactions were not significant, indicating comparable behavioral gains across pathways. Within-center DSPM analyses suggested short-term reductions in delayed status in selected domains in both centers.</p><p><strong>Conclusion: </strong>Both PBC and PII were feasible in community daycare settings and associated with meaningful short-term improvements in adult developmental-promotion practices and selected DSPM domains. Child domain patterns should be interpreted descriptively because DSPM changes were analyzed within centers rather than as between-model contrasts to inform service planning and scale-up. <b>Trial Registration:</b> Thai Clinical Trials Registry (TCTR): TCTR20250106003.</p>","PeriodicalId":46917,"journal":{"name":"Nursing Research and Practice","volume":"2026 ","pages":"6653365"},"PeriodicalIF":2.3,"publicationDate":"2026-03-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12973326/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147436595","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 Effect of Shared Decision-Making on Emergency Management Knowledge, Anxiety, and Mental Health Among Family Members of Terminally Ill Patients in the ICU: A Quasiexperimental Study.","authors":"Hui-Ying Cheng, Shu Yuan Chao, Hsin-Hung Chen","doi":"10.1155/nrp/8910437","DOIUrl":"https://doi.org/10.1155/nrp/8910437","url":null,"abstract":"<p><p>Shared decision-making (SDM) in intensive care units (ICUs) aids family decision-making and mental health; its impact on emergency management knowledge, anxiety, and mental health is unclear. In a quasi-experimental pre-post study at a teaching hospital in southern Taiwan, 60 family members of terminally ill ICU patients (30 SDM, 30 control) were enrolled. The SDM group received a three-talk model intervention (choice, options, decision talk); the control group received usual care. Emergency management knowledge, anxiety, and mental health were assessed via self-administered questionnaires before and after the intervention. Data were analyzed using Mann-Whitney U and Wilcoxon signed-rank tests and multivariable linear regression. In the SDM group, emergency management knowledge increased from a pretest mean of 16.87 (SD 3.45) to a post-test mean of 19.33 (SD 1.49), albeit statistically significant (<i>p</i> < 0.05). Anxiety scores rose in the SDM group (post-test mean 47.13, SD 4.77) versus a slight decrease in controls (post-test mean 43.63, SD 6.56), with no significant intergroup difference (<i>p</i> = 0.284). Mental health scores (a secondary outcome) declined in both groups, indicating persistent emotional distress. After adjusting for confounders, the SDM intervention remained a significant predictor of increased knowledge. SDM enhanced knowledge of emergency management but did not alleviate anxiety or improve mental health among ICU family members. Integrating targeted emotional support into SDM models warrants exploration.</p>","PeriodicalId":46917,"journal":{"name":"Nursing Research and Practice","volume":"2026 ","pages":"8910437"},"PeriodicalIF":2.3,"publicationDate":"2026-03-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12973969/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147436541","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":"Family Interactions of Adolescents During the COVID-19 Pandemic: Experiences in the Home Context.","authors":"Nayara Gonçalves Barbosa, Thaianne Cristine Gadagnoto, Lise Maria Carvalho Mendes, Tatiane Geralda André, Giovanna Cristina Machado Kayzuka, Diene Monique Carlos, Flávia Azevedo Gomes-Sponholz, Lucila Castanheira Nascimento","doi":"10.1155/nrp/4886656","DOIUrl":"https://doi.org/10.1155/nrp/4886656","url":null,"abstract":"<p><strong>Objective: </strong>This study aims to analyze adolescents' family interaction experiences and social dynamics in the context of social distancing measures during the COVID-19 pandemic.</p><p><strong>Methods: </strong>This study uses a qualitative methodological approach based on symbolic interactionism, with convenience sampling. It involved students aged 10 to 19 from two public schools, using semistructured remote interviews analyzed through inductive thematic analysis.</p><p><strong>Results: </strong>The study included 22 adolescents, predominantly female. The themes were as follows: \"Caught by surprise\": break with the world and the (re)discovery of home; the new routine at home: conflicts and tensions; opportunities to reflect and be grateful: between fears, worries, and gratitude; learning through adversity: times of reconciliation and resignification. The adolescents who participated faced a significant routine disruption, spending more time at home, which reshaped family interactions. This adjustment phase involved coping with new household responsibilities and reduced privacy, sparking intrafamily conflicts necessitating dialogue and reconciliation efforts.</p><p><strong>Conclusion: </strong>The COVID-19 pandemic reshaped the family interactions and daily routines of adolescents, requiring them to adopt new roles and coping strategies to navigate emotional, social, and financial challenges. Despite moments of conflict and loss, the experience also fostered personal growth, resilience, and a renewed appreciation for family support during adversity.</p>","PeriodicalId":46917,"journal":{"name":"Nursing Research and Practice","volume":"2026 ","pages":"4886656"},"PeriodicalIF":2.3,"publicationDate":"2026-03-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12954435/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147356925","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}