Nursing Research and Practice最新文献

{"title":"The Delivery of Health Services and Telehealth to Provide Aged Care During COVID-19 in the Kimberley Region of Western Australia.","authors":"Amanda Timler, Jane Gaspar, Karen Clark-Burg, Caroline Bulsara, Maria Morgan, Cathryn Josif, Erina Myers","doi":"10.1155/nrp/5493017","DOIUrl":"10.1155/nrp/5493017","url":null,"abstract":"<p><strong>Objective: </strong>Objective: The aim of this project was to understand aged care service providers' (ACSP) experiences of providing care during the COVID-19 travel restriction period.</p><p><strong>Setting: </strong>Setting: Aged care facilities and community-based settings within the Kimberly region of Western Australia.</p><p><strong>Participants: </strong>Participants: A total of 16 participants from 11 ACSPs took part in the project.</p><p><strong>Design: </strong>Design: A convergent mixed-method design was employed for this project. A Project Advisory Committee (PAC) helped to inform the direction and robustness of this project. An online survey and semistructured interviews were used to collect quantitative and qualitative data.</p><p><strong>Results: </strong>Results: The key themes that emerged from this project included '<i>rapid changes to services,' 'importance of community</i>' and '<i>long-term impact on the older people.'</i> These themes were impacted by barriers (access to services, resourcing, and equipment, staffing shortages and burnout, and government mandates, reporting and funding) and ameliorated by enablers (adapting existing services, supply of equipment and resources, staff training and support and changes to strategies and planning procedures).</p><p><strong>Conclusion: </strong>Conclusion: This project was informed by the PAC to ensure real-world implications were considered. In health emergencies, additional resources such as improved infrastructure and telehealth, providing cultural safety training, avoiding a 'one fits all approach' for ACSP, and funding for staff retention could be considered.</p>","PeriodicalId":46917,"journal":{"name":"Nursing Research and Practice","volume":"2026 ","pages":"5493017"},"PeriodicalIF":2.5,"publicationDate":"2026-07-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13343365/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148413142","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 Harm in High-Fidelity Simulation: A Concept Analysis.","authors":"Mohamed Toufic El Hussein, Dawson S Sheehan","doi":"10.1155/nrp/2002234","DOIUrl":"10.1155/nrp/2002234","url":null,"abstract":"<p><strong>Aim: </strong>To clarify and define the concept of psychological harm in high-fidelity simulation.</p><p><strong>Background: </strong>High-fidelity simulation is widely used in undergraduate nursing education to promote clinical competence and decision-making. While often beneficial, emotionally intense or poorly supported simulation experiences can result in psychological harm, an underrecognized phenomenon that may disrupt learning, self-efficacy, and professional development. Current literature lacks conceptual clarity to distinguish psychological harm from expected simulation-related stress.</p><p><strong>Design: </strong>Concept analysis.</p><p><strong>Methodology: </strong>A concept analysis was conducted using the method developed by Walker and Avant to explore psychological harm in the context of high-fidelity simulation.</p><p><strong>Data sources: </strong>Peer-reviewed literature published between 2010 and 2025 was retrieved from MEDLINE, CINAHL, PsycINFO, and TRIP Pro. Inclusion criteria focused on articles that discussed psychological or emotional responses to high-fidelity simulation in healthcare education. Empirical peer-reviewed literature informed the identification of defining attributes, antecedents, and consequences. Practice-oriented documents and standards were reviewed to contextualize disciplinary usage; studies focused solely on technical skill acquisition were excluded.</p><p><strong>Results: </strong>Three defining attributes were identified: (1) absence of psychological safety, (2) emotional disruption exceeding expected learning stress, and (3) sustained emotional impact beyond the simulation experience. Antecedents included emotionally intense content, insufficient preparation, unskilled facilitation, and performance-oriented learning environments. Consequences included diminished self-confidence, avoidance of future simulation, and impaired transfer of learning to clinical practice. Recent qualitative findings revealed that harm is often internalized and shaped by relational dynamics with simulationists and peers.</p><p><strong>Conclusion: </strong>Psychological harm in high-fidelity simulation is a multidimensional, learner-dependent experience that can hinder both academic and professional development. This concept analysis offers a foundational definition and theoretical structure to support future research, education, and policy related to learner well-being in simulation.</p>","PeriodicalId":46917,"journal":{"name":"Nursing Research and Practice","volume":"2026 ","pages":"2002234"},"PeriodicalIF":2.5,"publicationDate":"2026-07-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13343475/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148413065","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":"Lung Cancer Awareness Among Adults in Riyadh, Saudi Arabia: A Cross-Sectional Study Using the Lung Cancer Awareness Measure (CAM).","authors":"Samah Saad Salem, Raghib Abu-Saris, Moudi Albargawi, Shaykhah Albashir, Rana Abdulwahab Alqarni, Ruyuf Abdullah Altuwayjiri, Renad Naif Alanazi, Shaimaa Mohamed Elhadary, Mona Alanazi","doi":"10.1155/nrp/1059331","DOIUrl":"10.1155/nrp/1059331","url":null,"abstract":"<p><strong>Background: </strong>Lung cancer remains a leading cause of cancer-related mortality worldwide, including in Saudi Arabia. Public awareness of lung cancer symptoms and risk factors is essential for early detection and improved outcomes.</p><p><strong>Objective: </strong>To assess awareness of lung cancer symptoms, risk factors, and confidence in symptom recognition among Saudi adults in Riyadh using the Lung Cancer Awareness Measure (CAM).</p><p><strong>Methods: </strong>A cross-sectional study was conducted among 400 Saudi adults in Riyadh between August and September 2024 using an Arabic-translated and validated Lung CAM questionnaire. Descriptive statistics, chi-square tests, and multivariable logistic regression were used for analysis.</p><p><strong>Results: </strong>High awareness of lung cancer symptoms was observed in 36.3% of participants, and 25.5% demonstrated high awareness of risk factors. Smoking (79.3%) and exposure to secondhand smoke (74.0%) were the most recognized risk factors. Fair confidence of noticing a cancer symptom was reported by 42.8% of the participants, while only 5% reported high confidence. Higher knowledge and awareness of signs and symptoms were significantly associated with having higher knowledge of risk factors, current occupation, and having a close friend with cancer.</p><p><strong>Conclusion: </strong>Although less than half of the study's participants showed high awareness of lung cancer symptoms or risk factors, smoking and secondhand smoke exposure were well-identified by them as key risk factors. Confidence in symptom recognition was remarkably low, with only 5% reporting high confidence. Higher knowledge of signs and symptoms was significantly associated with increased awareness of risk factors, current occupation, and having a close friend with cancer. These findings highlight the need for targeted health education campaigns, mainly for less-identified lung cancer risk factors and symptoms, to improve early detection and reduce morbidity and mortality, wherein medical-surgical nurses play a crucial role in bridging this knowledge gap through clinical patient education and symptom-awareness promotion.</p>","PeriodicalId":46917,"journal":{"name":"Nursing Research and Practice","volume":"2026 ","pages":"1059331"},"PeriodicalIF":2.5,"publicationDate":"2026-07-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13346586/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148425356","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":"Assessment Tools, Interventions, and Biopsychosocial Factors Associated With Physical Activity in Older Adults: A Scoping Review.","authors":"Alberto Gómez-Moreno, Marina García-Gámez, Rocío Badía-Guillén, Rocío Campos-López, MaRosa Iglesias-Parra","doi":"10.1155/nrp/8838106","DOIUrl":"10.1155/nrp/8838106","url":null,"abstract":"<p><strong>Introduction: </strong>The global aging of the population highlights the urgent need to monitor and promote physical activity (PA) among older adults. A multidimensional understanding, encompassing assessment, promotion, and biopsychosocial factors associated with PA, is essential for healthy aging.</p><p><strong>Objectives: </strong>To map and synthesize the available evidence on PA assessment instruments, intervention strategies, and biopsychosocial factors associated with PA in adults aged 60 years and over.</p><p><strong>Methodology: </strong>A scoping review was conducted following the JBI methodology and PRISMA-ScR guidelines. The search included validated and nonvalidated questionnaires, PA promotion interventions, and biopsychosocial factors associated with PA (clinical, psychological, and social domains) in studies published between 2019 and 2026 across community, clinical, and residential settings.</p><p><strong>Results: </strong>A total of 51 studies were included, showing substantial heterogeneity in sample size, objectives, clinical status, and settings. Twenty different instruments were identified (e.g., PASE, IPAQ, CHAMPS, and VREM), most of them validated. The majority of studies involved populations aged ≥ 65 years and were conducted in the United States, Canada, Australia, and China. Among the biopsychosocial factors associated with PA, frailty (6.45%), cognitive decline (6.45%), and chronic conditions (6.45%) were prominent. Lifestyle-related factors such as sedentary behavior (11.8%), nutrition (5.37%), and participation in PA programs (16.13%) were also frequent. Outcomes included activities of daily living (9%), quality of life (8.6%), and levels of dependency (6.45%). Intervention-based studies were less frequently identified compared to observational and methodological studies.</p><p><strong>Conclusion: </strong>This review highlights the importance of promoting PA to improve functional capacity and quality of life in older adults. Although a wide range of validated tools is available, their application varies depending on context. The limited presence of intervention studies indicates a need for further research focused on structured, multicomponent programs tailored to individual needs within a biopsychosocial framework.</p>","PeriodicalId":46917,"journal":{"name":"Nursing Research and Practice","volume":"2026 ","pages":"8838106"},"PeriodicalIF":2.5,"publicationDate":"2026-06-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13307191/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148346721","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":"Gestational Diabetes and Hypothyroidism: Do Other Factors Play a Role? A Retrospective Case-Control Study.","authors":"Iman Taghizadeh Firoozjaei, Zahra Sabzi, Mohammadreza Rajabloo, Najmeh Javan Sangani, Seyed Ali Kalali Sani, Fatemeh Ranjbar Noei","doi":"10.1155/nrp/8165809","DOIUrl":"10.1155/nrp/8165809","url":null,"abstract":"<p><strong>Background: </strong>During pregnancy, extensive hormonal and metabolic changes can occur. Gestational diabetes can cause maternal and neonatal complications. Follow-ups have shown that women who first develop metabolic diseases during pregnancy have an increased risk of developing other metabolic diseases, including hypothyroidism. There are contradictory results. The aim of this study is to provide an overview of the relationship between gestational diabetes and gestational thyroid dysfunctions.</p><p><strong>Methods: </strong>This study is a retrospective case-control study conducted in 2025 on 353 pregnant women in Iran; 176 were included in the case group (women with gestational diabetes) and 177 in the control group (women without gestational diabetes). The diagnosis of hypothyroidism was assessed in both groups. Descriptive statistics, chi-square test, <i>t</i>-test, and unconditional logistic regression were used to analyze the data.</p><p><strong>Findings: </strong>Gestational diabetes was associated with a significant increase in the risk of hypothyroidism (approximately 2.8-fold) (<i>p</i> = 0.03). A history of other diseases was also associated with a significantly increased risk of developing hypothyroidism (<i>p</i> = 0.001). In contrast, the risk of hypothyroidism was not significantly associated with age at first pregnancy (<i>p</i> = 0.10), number of pregnancies (<i>p</i> = 0.11), or breastfeeding (<i>p</i> = 0.35).</p><p><strong>Conclusion: </strong>Gestational diabetes and a history of other diseases significantly increased hypothyroidism risk, while age at first pregnancy, number of pregnancies, and breastfeeding showed no significant associations. Based on these findings, regular thyroid screening is suggested for pregnant women with gestational diabetes or other medical conditions, regardless of reproductive factors.</p>","PeriodicalId":46917,"journal":{"name":"Nursing Research and Practice","volume":"2026 ","pages":"8165809"},"PeriodicalIF":2.5,"publicationDate":"2026-06-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13291723/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148333655","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":"Auricular Acupressure for Preventing Postoperative Catheter-Related Bladder Discomfort in Male Patients Undergoing Spinal Surgery: A Randomized Controlled Trial.","authors":"Yang Dong, Dingde Long, Bei Fang, Shui-Gen Song, Peng Liao, Tian-Yuan Li, Lei Li","doi":"10.1155/nrp/3182987","DOIUrl":"10.1155/nrp/3182987","url":null,"abstract":"<p><strong>Aims and objectives: </strong>This present study evaluated the utility of auricular acupressure (AA) in alleviating catheter-related bladder discomfort (CRBD).</p><p><strong>Background: </strong>The efficacy and safety of current treatments for postoperative CRBD in male patients remain suboptimal.</p><p><strong>Design: </strong>A randomized, placebo-controlled trial was conducted.</p><p><strong>Methods: </strong>This trial enrolled male patients postlumbar surgery from 1 July 2024 to 31 August 2024. Participants were allocated to an AA group (Group AA, <i>n</i> = 40) or a placebo control group (Group C, <i>n</i> = 40). Both groups received 3 days of intervention prior to surgery. Outcomes included the following: Moderate-to-severe CRBD at extubation; 24-h postoperative opioid requirement; CRBD severity (none/mild/moderate-to-severe) at 1, 6, and 24 h postextubation; postoperative pain; and patient satisfaction. Data were analyzed via SPSS 23 using <i>t</i>-tests, chi-square tests, and repeated-measures ANOVA.</p><p><strong>Results: </strong>In this randomized trial of 80 male spinal surgery patients, AA significantly reduced moderate-to-severe CRBD incidence at extubation (T1): 22.5% (9/40) in Group AA vs. 52.5% (21/40) in Group C (RR: 0.263; 95% CI: 0.100-0.691; <i>p</i> = 0.006). AA decreased the subjects of 24-h supplemental opioid requirements (17.5% vs. 37.5%; RR: 2.829; 95% CI: 1.003-7.977; <i>p</i> = 0.045) and elevated patient satisfaction (median 5.0 vs. 4.0; <i>p</i> = 0.034). No between-group differences existed in morphine-equivalent consumption or CRBD severity beyond T1 (<i>p</i> > 0.05).</p><p><strong>Conclusions: </strong>AA is an effective, nonpharmacological intervention that reduces early postoperative CRBD severity and opioid demand while enhancing recovery satisfaction in catheterized males. As a noninvasive, side-effect-free intervention, AA warrants integration into enhanced recovery after surgery (ERAS) protocols for catheterized patients. <b>Trial Registration:</b> Chinese Registry of Clinical Trials: ChiCTR2400086089.</p>","PeriodicalId":46917,"journal":{"name":"Nursing Research and Practice","volume":"2026 ","pages":"3182987"},"PeriodicalIF":2.5,"publicationDate":"2026-06-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13291715/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148333574","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":"Diagnostic Technologies for Urinary Retention in the Postoperative Period of Arthroplasties: An Integrative Review.","authors":"Carlos Alexandre Dos Santos Farias, Priscilla Alfradique de Souza, Rosane Barreto Cardoso, Graziele Ribeiro Bitencourt, Carlos Henrique Terra Pereira","doi":"10.1155/nrp/1555094","DOIUrl":"10.1155/nrp/1555094","url":null,"abstract":"<p><strong>Aims: </strong>To identify diagnostic technologies for postoperative urinary retention in patients undergoing lower limb arthroplasty surgeries.</p><p><strong>Design: </strong>Integrative review.</p><p><strong>Data sources: </strong>Searches were conducted in April 2024 in the following databases: Medical Literature Analysis and Retrieval System Online (MEDLINE), PubMed, Web of Science, Scopus, and CINAHL.</p><p><strong>Review methods: </strong>Studies published in the last 10 years, without language restriction, were included. The search strategy combined the terms \"postoperative,\" \"arthroplasty,\" \"diagnosis,\" and \"urinary retention.\" Study selection and analysis followed PRISMA recommendations. Data were analyzed descriptively and synthesized qualitatively.</p><p><strong>Results: </strong>A total of 34 studies were included, comprising 36,736 participants. Bladder ultrasound was recommended in 73.5% of the studies as the primary diagnostic technology. The most frequent urinary volume thresholds indicating catheterization ranged from 400 to 500 mL, with postvoid residual volumes around 150 mL also reported.</p><p><strong>Conclusion: </strong>Bladder ultrasound is the most recommended diagnostic technology for postoperative urinary retention in patients undergoing lower limb arthroplasty. However, further studies are needed to validate its use across different clinical contexts and populations.</p><p><strong>Impact: </strong>The findings support the incorporation of bladder ultrasound into clinical protocols to improve early diagnosis, reduce unnecessary catheterization, and enhance patient safety in postoperative care. This review also highlights the need for greater involvement of nursing professionals in research and clinical application of diagnostic technologies.</p><p><strong>Patient or public contribution: </strong>Not applicable.</p>","PeriodicalId":46917,"journal":{"name":"Nursing Research and Practice","volume":"2026 ","pages":"1555094"},"PeriodicalIF":2.5,"publicationDate":"2026-06-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13287833/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148319898","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":"Correction to \"Political Ideology and HPV Vaccine Awareness: Sex Differences and Nursing Implications Using the Health Information National Trends Survey (HINTS)\".","authors":"","doi":"10.1155/nrp/9867503","DOIUrl":"10.1155/nrp/9867503","url":null,"abstract":"<p><p>[This corrects the article DOI: 10.1155/nrp/4233079.].</p>","PeriodicalId":46917,"journal":{"name":"Nursing Research and Practice","volume":"2026 ","pages":"9867503"},"PeriodicalIF":2.5,"publicationDate":"2026-06-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13279877/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148296916","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":"Identification of Peristomal Skin Alterations Using Convolutional Artificial Neural Networks.","authors":"Isabel María López-Medina, César Hueso-Montoro, Francisco Charte-Ojeda, Carmen Álvarez-Nieto, José Pablo Soriano-Torres, Francisco Pedro García-Fernández, Concepción Capilla-Díaz, Ana Carmen Montesinos-Gálvez, Noelia Moya-Muñoz, Claudia Cuevas-Sánchez, María Dolores Pérez-Godoy","doi":"10.1155/nrp/2927548","DOIUrl":"10.1155/nrp/2927548","url":null,"abstract":"<p><strong>Introduction: </strong>Peristomal skin complications (PSCs) are very common among ostomy patients and significantly affect their quality of life and healthcare costs. Although convolutional neural networks (CNNs) offer possibilities for automated diagnosis, specific AI applications for the treatment of PSCs are underdeveloped.</p><p><strong>Aims: </strong>To develop and validate preliminary models based on CNNs for the binary classification of peristomal skin, enabling the distinction between healthy tissue and the presence of skin lesions, thereby laying the foundations for automated diagnostic systems.</p><p><strong>Design: </strong>Prospective study.</p><p><strong>Methods: </strong>The data and images were collected by 24 stoma nurses from 17 hospitals participating in the study. We addressed the classification of peristomal skin images using state-of-the-art pretrained CNNs. The classification models were evaluated using the measures accuracy, F1-score, and the area under the ROC curve. Finally, the Grad-Cam explainability algorithm is applied to the best model.</p><p><strong>Results: </strong>With 1165 images collected, several models were tested. The data were split using standard 10-fold cross-validation. A dual experiment was conducted. First, a standard data split was employed, yielding an accuracy of 0.889, an F1-score of 0.890, and an area under the ROC curve of 0.924 for the best model. Second, the data were split so that images from the same patient would not be distributed across the training and test subsets, thereby preventing data leakage. The best results for this experiment were 0.778, 0.868, and 0.653, respectively.</p><p><strong>Conclusions: </strong>By processing peristomal skin images with artificial intelligence, we developed robust, reliable, preliminary models for detecting peristomal skin alterations. The models allow the automatic detection of any peristomal skin involvement. The automatic detection of peristomal skin changes using a photograph enables remote care and speeds up treatment.</p><p><strong>Clinical relevance: </strong>The model developed using convolutional artificial neural networks is robust and reliable for detecting alterations in the peristomal skin, representing a significant advance in peristomal skin care for all ostomates, with early detection, prevention of complications and cost savings in treatment.</p>","PeriodicalId":46917,"journal":{"name":"Nursing Research and Practice","volume":"2026 ","pages":"2927548"},"PeriodicalIF":2.5,"publicationDate":"2026-06-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13266281/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148265760","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":"Modifiable Determinants of Metabolic Syndrome in Middle-Aged Adults: A Cross-Sectional Analysis of a Nationally Representative Health Survey.","authors":"Kyeongmin Jang","doi":"10.1155/nrp/3474472","DOIUrl":"10.1155/nrp/3474472","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Aims: &lt;/strong&gt;To identify modifiable and nonmodifiable determinants of metabolic syndrome in adults aged 40-64 years and outline implications for nursing practice.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Design: &lt;/strong&gt;Cross-sectional analysis of data from the 2023 Korea National Health and Nutrition Examination Survey (KNHANES), South Korea.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Methods: &lt;/strong&gt;We analyzed adults aged 40-64 years using data from the 2023 KNHANES, a nationally representative health and nutrition survey of South Korea. Metabolic syndrome was defined according to established clinical criteria. Determinants included sociodemographic, behavioral, and biological factors. Survey-weighted analyses accounting for the complex sampling design were performed, including multivariable logistic regression to identify factors associated with metabolic syndrome. Only deidentified public data were used under existing ethical approvals.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Results: &lt;/strong&gt;Older age (≥ 50 years; OR = 2.02, 95% CI 1.60-2.55), rural residence (OR = 1.35, 95% CI 1.05-1.73), current smoking (OR = 1.48, 95% CI 1.13-1.95), and BMI ≥ 25 kg/m&lt;sup&gt;2&lt;/sup&gt; (OR = 8.87, 95% CI 7.21-10.90) were associated with higher odds of metabolic syndrome. In contrast, meeting physical activity recommendations (OR = 0.70, 95% CI 0.56-0.87), higher educational attainment (OR = 0.80, 95% CI 0.64-0.99), and sufficient vitamin D levels (OR = 0.79, 95% CI 0.64-0.97) were associated with lower odds.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Conclusion: &lt;/strong&gt;Determinants in middle age are largely modifiable, centering on tobacco use, physical inactivity, excess adiposity, and social context.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Implications for the profession and/or patient care: &lt;/strong&gt;Nurses in primary and community settings can deliver brief counseling for smoking cessation, physical activity, weight management, and vitamin D optimization, prioritizing rural residents and adults with lower educational attainment.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Impact: &lt;/strong&gt;This study addresses the growing burden of metabolic syndrome in middle adulthood and specifies nursing-actionable targets. The findings prioritize behavior change and weight management, with protective roles for education and vitamin D. The work can inform rapid assessment and brief interventions in primary and community care for adults aged 40-64 years, especially where rural residence and educational disadvantage are prevalent.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Study design and reporting guideline: &lt;/strong&gt;This research is a cross-sectional analysis. The STROBE checklist for cross-sectional studies is completed and submitted.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Statistical compliance statement: &lt;/strong&gt;(a) Statistical methods adhered to JAN Statistical Guidelines and best practices for complex survey data. (b) The analysis accounted for the complex, multistage, stratified cluster design of KNHANES with appropriate weighting and Taylor-series linearization for variance estimation. (c) Model assumptions were examined; effect estimates are presented with 95%","PeriodicalId":46917,"journal":{"name":"Nursing Research and Practice","volume":"2026 ","pages":"3474472"},"PeriodicalIF":2.5,"publicationDate":"2026-06-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13247983/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148220268","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}