Nursing Research and Practice最新文献

{"title":"Dynamic Changes of Ovarian Masses During Pregnancy and the Effects on Pregnancy Outcomes.","authors":"Shengjie Zhou, Shuangjia Pan, Xiaosheng Li, Zhuya Ying, Rong Ma, Yuqing Jin, Xueqiong Zhu, Xuejie Zhu","doi":"10.1155/nrp/6401831","DOIUrl":"10.1155/nrp/6401831","url":null,"abstract":"<p><strong>Background: </strong>To investigate the dynamic changes in ovarian mass size during pregnancy and the impact of different management methods for ovarian masses on pregnancy outcomes.</p><p><strong>Methods: </strong>A multicenter retrospective analysis of 177 pregnant women with ovarian masses (142 follow-up and 35 surgical cases) assessed mass size via ultrasound, analyzed its dynamic changes and risk factors, reviewed management impacts on perinatal outcomes, and calculated pathological type distributions.</p><p><strong>Results: </strong>Compared to first trimester, the maximum diameter and volume of ovarian masses significantly decreased in the third trimester. Furthermore, compared to third trimester, the maximum diameter and volume of these masses were further reduced postpartum (<i>p</i> < 0.05). Multivariate regression demonstrated that age (OR [95% CI]: 0.888 [0.788-0.999]) and prepregnancy BMI (OR [95% CI]: 1.179 [1.013-1.373]) were factors influencing the increase in the size of ovarian masses during pregnancy. Pregnancy outcomes in the surgery-during-pregnancy group did not find significant difference compared to the follow-up group (<i>p</i> > 0.05). Additionally, the predominant pathological type of ovarian mass during pregnancy was mature cystic teratoma (40%), and the overall malignancy rate of the ovarian masses was 2.5%.</p><p><strong>Conclusions: </strong>The size of ovarian masses showed a decreasing trend as pregnancy progresses. Higher prepregnancy BMI and younger age were risk factors for the increase in ovarian mass size during pregnancy. Furthermore, when performed appropriately, surgical intervention for ovarian masses during pregnancy was safe. Mature cystic teratoma was the most prevalent pathological entity of ovarian mass treated surgically during pregnancy.</p>","PeriodicalId":46917,"journal":{"name":"Nursing Research and Practice","volume":"2026 ","pages":"6401831"},"PeriodicalIF":2.5,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13239189/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148200670","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, Challenges, and Barriers in Applying the Nursing Process During Clinical Training in Cambodia: A Cross-Sectional Study.","authors":"Sokha Yem, Lida Vann, Leapchakriya Loem, Sokunthea Kem, Sreypeov Tun, Nov Sreyroth","doi":"10.1155/nrp/6401733","DOIUrl":"10.1155/nrp/6401733","url":null,"abstract":"<p><strong>Background: </strong>The nursing process is a systematic framework for delivering safe, individualized patient care and is embedded within nursing curricula in Cambodia. Nonetheless, empirical evidence examining nursing students' experiences when applying this framework during clinical training remains scarce.</p><p><strong>Objective: </strong>To examine nursing students' perceptions of the nursing process and to identify the practical challenges and organizational barriers encountered during clinical practice at a private university in Phnom Penh, Cambodia.</p><p><strong>Methods: </strong>A cross-sectional online survey was conducted among 170 nursing students with confirmed clinical experience enrolled in ADN and BSN programs at the University of Puthisastra. A structured self-report questionnaire assessed perceptions (12 items), challenges (10 items), and barriers (10 items). The instrument demonstrated strong content validity (S-CVI/Ave = 0.93) and acceptable internal consistency (Cronbach's α = 0.82-0.88).</p><p><strong>Results: </strong>Participants reported positive perceptions (mean = 3.93 ± 0.68), with 81.6% agreeing that the nursing process facilitates better clinical decisions. Moderate challenges were reported (mean = 3.32 ± 0.68), principally patients' inability to provide sufficient assessment information (56.1%), documentation variability across hospitals (50.9%), and difficulty obtaining consent for physical assessment (48.6%). Perceived barriers were lower (mean = 2.79 ± 0.91), with heavy workload (30.2%), insufficient background knowledge (28.8%), and limited role modeling (28.3%) most frequently identified. BSN students reported significantly higher perceptions than ADN students (<i>p</i> = 0.014); Year 4 students reported significantly fewer barriers than Year 2 students (<i>p</i> = 0.027).</p><p><strong>Conclusion: </strong>Nursing students hold favorable views of the nursing process but face substantive practical and organizational constraints during clinical training. These constraints are mainly related to patient assessment limitations, variability in documentation systems, workload pressures, and limited role modeling and clinical support. The findings highlight the need for standardized documentation and strengthened clinical mentorship, as well as improved collaboration between academic institutions and clinical settings. They also suggest that simulation-based learning, flipped classroom approaches, technology-enhanced education, and family-centered communication training may be considered as potential strategies in future curriculum development to address the identified gaps. Further multisite research, including public and provincial institutions, is recommended to enhance generalizability.</p>","PeriodicalId":46917,"journal":{"name":"Nursing Research and Practice","volume":"2026 ","pages":"6401733"},"PeriodicalIF":2.5,"publicationDate":"2026-05-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13239052/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148200597","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":"Evaluating Patient Safety Competency Acquisition Through Clinical Simulation: Development and Application of the Clinical Simulation Learning Patient Safety Scale.","authors":"Estel la Ramírez-Baraldes, Daniel García-Gutiérrez, Manuel Romero-Saldaña, Beatriz Rodríguez Diez-Caballero, Rafael González-Moret, Miguel Picher-Martínez, Cristina García-Salido","doi":"10.1155/nrp/7615766","DOIUrl":"10.1155/nrp/7615766","url":null,"abstract":"<p><strong>Introduction: </strong>Simulation is recognized as an effective method for integrating theory and practice, improving safety competence in nursing professionals and patient care.</p><p><strong>Objectives: </strong>To develop and psychometrically validate the Clinical Simulation Learning Patient Safety Scale (CSL Patient Safety Scale), a self-administered instrument for undergraduate nursing students that assesses patient safety competencies acquired through clinical simulation.</p><p><strong>Methods: </strong>A multicenter study was designed in two Spanish universities, with 450 students and a final sample of 208.</p><p><strong>Results: </strong>The questionnaire showed a high content validity (Aiken's V > 0.8) and internal reliability (Cronbach's <i>α</i> = 0.832) with acceptable reliability for each factor separately (<i>α</i> = 0.877 for Factor 1 and <i>α</i> = 0.714 for Factor 2) and did not present significant variations in sensitivity analysis (McDonald's <i>ω</i> = 0.812). Intraobserver reliability was high (ICC = 0.959, 95% CI = 0.922-0.978).</p><p><strong>Conclusions: </strong>The questionnaire demonstrated excellent validity and reliability, consolidating the Patient Safety Scale (CSL) as an effective tool for assessing patient safety competencies through clinical simulation.</p>","PeriodicalId":46917,"journal":{"name":"Nursing Research and Practice","volume":"2026 ","pages":"7615766"},"PeriodicalIF":2.5,"publicationDate":"2026-05-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13239207/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148200634","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":"Lifestyle Interventions and Pharmacological Adherence in the Management of Hypertension Among Community-Dwelling Older Adults: A Systematic Review.","authors":"Khanisorn Ransinyo, Samoraphop Banharak, Chakkarin Sommana","doi":"10.1155/nrp/7044570","DOIUrl":"10.1155/nrp/7044570","url":null,"abstract":"<p><p>Hypertension prevalence is rising, particularly among older adults, who are often challenging to manage due to various limitations. Uncontrolled hypertension contributes significantly to complications and disease burdens, including myocardial ischemia and stroke, ultimately impairing functional ability and diminishing overall quality of life. This study aimed to review the components, details, and effects of hypertension management interventions among older adults. The protocol was prospectively registered in PROSPERO for verification and guidance. We searched across eleven databases: PubMed, CINAHL, Scopus, ProQuest, PsycINFO, AgeLine, ScienceDirect, ThaiList, ThaiJO, Cochrane Library, and OneSearch. Studies among older adults published between January 2019 and February 2025 were included in this review. The initial results included 15,024 identified records; 16 studies met the inclusion criteria, comprising 10 randomized controlled trials and six quasi-experimental studies, with a total of 1857 participants. The multicomponent interventions produced the largest and most consistent blood pressure reductions, with SBP decreases up to -21.90 mmHg and DBP up to -9.46 mmHg. These effects were associated with moderate-duration programs (10-16 weeks), repeated structured contact, and reinforcement mechanisms. In contrast, lower-intensity or single-component interventions yielded smaller or inconsistent effects. Therefore, the findings indicate a clear gradient of effectiveness, with greater SBP reduction associated with increasing intervention complexity and integration. These results highlight the importance of designing interventions that move beyond single-component education toward multilevel behavioral systems, particularly for older adults with diverse capabilities and support needs. The secondary outcomes demonstrated a similar but less pronounced gradient compared to blood pressure, with multicomponent interventions consistently producing the most favorable improvements in medication adherence, health behaviors, and hypertension-related knowledge. In conclusion, multicomponent interventions with high-intensity interventions produce the most consistent improvements in blood pressure and related behaviors among older adults, highlighting that effectiveness is driven by integrated strategies, reinforcement, and implementation quality rather than single-component approaches.</p>","PeriodicalId":46917,"journal":{"name":"Nursing Research and Practice","volume":"2026 ","pages":"7044570"},"PeriodicalIF":2.5,"publicationDate":"2026-05-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13238510/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148200609","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 of Knowledge, Attitude, Practice and Associated Factors Towards Sedation Among Nurses Working in Intensive Care Units of Comprehensive Specialized Hospitals: A Multicentre Cross-Sectional Study.","authors":"Habtu Adane Aytolgn, Gashaye Kindalem Mersha, Nigussie Simeneh Endalew, Shimelis Seid Tegegne, Abatneh Feleke Agegnehu","doi":"10.1155/nrp/6421067","DOIUrl":"10.1155/nrp/6421067","url":null,"abstract":"<p><strong>Background: </strong>Sedation is an important component of intensive care unit management. It is a sleep-like state where patients are generally unaware of surroundings. The levels of knowledge, attitude and practice regarding sedation in the intensive care unit were not studied as a multicentre study in the Amhara National Regional State.</p><p><strong>Methods: </strong>A hospital-based multicentre cross-sectional study was conducted. The data were collected using survey with a self-administered structured close-ended questionnaire. Binary logistic regression analyses were used to identify factors associated with the level of knowledge, attitude and practice of nurses towards sedation.</p><p><strong>Result: </strong>The overall proportions of good levels of knowledge towards sedation in the ICU among nurses were 60.4% (CI = 53.8%-67%). The overall proportions of good levels of attitude towards sedation in the ICU among nurses were 69.8% (CI = 63.4%-75.6%). Furthermore, the proportions of adequate practice were 74.5% (CI = 68.5-80.3). Having a master's degree (AOR = 8.9, CI = 3.5-22.7), receiving training towards sedation (AOR = 5.4, CI = 1.5-19.5), having a written protocol (AOR = 6.7, CI = 2.18-20.13) and having critical care certification (AOR = 9.9, CI = 2.93-46.92), respectively, were associated with a higher level of knowledge. Similarly, having a master's degree (AOR = 4.3, CI = 2.2-12.4), receiving training towards sedation (AOR = 4.4, CI = 2.1-14.3) and having critical care certification (AOR = 6.6, CI = 2.5-10.7) were associated with a higher level of attitude. Receiving training towards sedation (AOR = 8.3, CI = 4.7-17.2), total work experience > 7 years and ICU work experience > 7 years were associated with a higher level of practice.</p><p><strong>Conclusion: </strong>This study emphasizes that increased sedation-related knowledge, attitude and practice among ICU nurses are largely driven by institutional and professional variables, especially training, the availability of sedation protocols and having critical care certification. The results highlight the necessity of bolstering professional certification, protocol-based care and structured training programmes to enhance the uniformity and calibre of sedation management in intensive care units. It is probably more effective to address these issues at the system level than to concentrate only on individual expertise.</p>","PeriodicalId":46917,"journal":{"name":"Nursing Research and Practice","volume":"2026 ","pages":"6421067"},"PeriodicalIF":2.5,"publicationDate":"2026-05-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13202096/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148044177","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":"Understanding the Influence of the Work Environment on Family-Centered Care Among Nurses in Neonatal Intensive Care Units.","authors":"Majd Jada'a, Ahmad Ayed","doi":"10.1155/nrp/6142926","DOIUrl":"10.1155/nrp/6142926","url":null,"abstract":"<p><strong>Background: </strong>Family-centered care (FCC) is a cornerstone of neonatal intensive care, but its consistent implementation depends on nurses' ability to collaborate with families within demanding clinical settings. The purpose of the study was to examine the influence of the nursing practice environment on FCC among nurses working in governmental neonatal intensive care units (NICUs) in the West Bank, Palestine.</p><p><strong>Methods: </strong>A cross-sectional study was conducted from February 1 to May 1, 2025 in 11 governmental NICUs across the West Bank. A convenience sample of 210 NICU nurses completed a self-administered questionnaire including demographic/professional characteristics, the Practice Environment Scale of the Nursing Work Index (PES-NWI), and the Family-Centered Care Questionnaire-Revised (FCCQ-R).</p><p><strong>Results: </strong>The overall practice environment was rated relatively high (3.7 ± 0.6). The highest PES-NWI domain was nurse foundations for quality of care (3.8 ± 0.6), while collegial nurse-physician relations (3.6 ± 0.8) was the lowest. Overall FCC was moderate (2.5 ± 0.5), with \"family as the constant in the child's life\" (2.8 ± 0.7) highest and parent-to-parent support (2.4 ± 0.7) lowest. In regression analysis, age and overall practice environment were entered into the model, and practice environment was the only significant predictor of FCC (<i>B</i> = 0.130 and <i>p</i> = 0.015).</p><p><strong>Conclusion: </strong>NICU nurses reported a generally favorable practice environment and a moderate level of FCC. A stronger practice environment predicted higher FCC, underscoring the importance of organizational conditions for strengthening FCC implementation in Palestinian governmental NICUs.</p>","PeriodicalId":46917,"journal":{"name":"Nursing Research and Practice","volume":"2026 ","pages":"6142926"},"PeriodicalIF":2.5,"publicationDate":"2026-05-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13200532/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148036226","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":"A Review of Biological Pathways of Chronic Stress as a Risk Hub for Multiple Psychosomatic Diseases From the Perspective of Clinical Nursing.","authors":"Yuchun Tan, Yongmeng Luo, Hongmei Mao","doi":"10.1155/nrp/9570388","DOIUrl":"10.1155/nrp/9570388","url":null,"abstract":"<p><p>Chronic stress has emerged as a critical global public health threat, acting as a risk hub that mediates the onset and progression of diverse psychosomatic diseases (e.g., cardiovascular diseases, mental disorders, metabolic syndrome, and even cancer) through interconnected biological pathways. This review systematically elaborates on the core biological mechanisms underlying chronic stress-induced psychosomatic dysfunction, including hypothalamic-pituitary-adrenal (HPA) axis dysregulation, autonomic nervous system (ANS) imbalance, abnormal inflammatory responses, and excessive oxidative stress-with precise corrections to factual descriptions of neuroendocrine signaling. From a clinical nursing perspective, we critically evaluate existing evidence for each pathway, identify key gaps in current research, and strengthen the mechanistic link between targeted nursing interventions and biological pathway modulation. We also integrate recent advances in neuro-immuno-endocrinology (e.g., peripheral stress response in the skin) and photo-neuro-immuno-endocrinology, and supplement evidence for stress-cancer crosstalk. Additionally, we clarify the definition of the \"risk hub\" concept, add a brief literature selection methodology, and propose visualized pathway schematics to enhance clarity. This review provides a refined theoretical foundation for clinical nurses to conduct precise risk stratification, develop pathway-specific intervention plans, and implement personalized care, ultimately advancing early prevention and prognosis improvement of chronic stress-related psychosomatic diseases.</p>","PeriodicalId":46917,"journal":{"name":"Nursing Research and Practice","volume":"2026 ","pages":"9570388"},"PeriodicalIF":2.5,"publicationDate":"2026-05-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13199855/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148036080","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":"Latent Profile Analysis of Symptom Severity in Systemic Lupus Erythematosus (SLE) Patients: A Cross-Sectional Study.","authors":"Xingyu Yang, Shiyu Pu, Yuguang Shang, Xue Leng, Xiaomeng Wang, Shuyu Han, Chuangyi Zhang","doi":"10.1155/nrp/6973657","DOIUrl":"10.1155/nrp/6973657","url":null,"abstract":"<p><strong>Objectives: </strong>To explore the latent profiles of symptom severity among systemic lupus erythematosus (SLE) patients and analyze the influencing factors associated with these different latent profiles, providing clinical evidence for the management of SLE symptoms.</p><p><strong>Methods: </strong>Using convenience sampling, a questionnaire survey was conducted among SLE patients at Shengjing Hospital of China Medical University employing the SLE Symptom Checklist (SSC) between November 2022 and July 2023. Latent profile analysis (LPA) was performed to assess the severity of patients' symptoms, and univariate analysis along with multinomial logistic regression was utilized to analyze the factors influencing the latent profiles.</p><p><strong>Results: </strong>A total of 420 patients were included in the study. The results of LPA revealed that the severity of symptoms among SLE patients could be categorized into three latent profiles: mild (75.4%), moderate (17.6%), and severe (6.9%). The multinomial logistic regression analysis showed that male participants were more likely to belong to the \"Severe Symptom Type\" (<i>p</i> = 0.046, OR = 2.86). Employed participants had a lower likelihood of being classified into the \"Moderate Symptom Type\" (<i>p</i> = 0.027, OR = 1.86) and \"Severe Symptom Type\" (<i>p</i> = 0.002, OR = 0.213). Unmarried participants were more likely to be classified into the \"Moderate Symptom Type\" (<i>p</i> = 0.027, OR = 1.86).</p><p><strong>Conclusion: </strong>Our study enhanced understanding of SLE's complexity, identified gender, employment, and marital status as key factors, and advised targeted nursing for high-risk patients. Clinicians should consider SLE's system involvement and strengthen social support.</p>","PeriodicalId":46917,"journal":{"name":"Nursing Research and Practice","volume":"2026 ","pages":"6973657"},"PeriodicalIF":2.5,"publicationDate":"2026-05-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13197648/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148018171","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":"Self-Management Intentions and Behaviors Among CKD Patients at Predialysis and Dialysis Stages: A Cross-Sectional Study Based on Protection Motivation Theory.","authors":"Dayu Tang, Min Liang, Wenyi Wang, Yan Liang","doi":"10.1155/nrp/6668409","DOIUrl":"10.1155/nrp/6668409","url":null,"abstract":"<p><strong>Aim: </strong>To explore factors and pathways of self-management intentions and behaviors in patients with chronic kidney disease at predialysis and dialysis stages using protection motivation theory.</p><p><strong>Design: </strong>A cross-sectional study.</p><p><strong>Methods: </strong>This cross-sectional study was conducted in Changning District, Shanghai, China. A total of 550 patients with CKD (216 dialysis and 334 predialysis) were recruited from local healthcare institutions via self-administered questionnaires. Self-management behaviors were assessed using stage-appropriate instruments validated for predialysis and dialysis populations, respectively. Protection motivation theory constructs were measured and analyzed using confirmatory factor analysis and structural equation modeling to explore pathways across groups.</p><p><strong>Results: </strong>The structural equation model demonstrated acceptable fit (<i>χ</i> ²/df = 3.052, CFI = 0.903, RMSEA = 0.054). Compared with predialysis patients, dialysis patients reported lower perceived severity but higher response efficacy and self-management intention. Self-efficacy and response efficacy were positively associated with intention. Furthermore, perceived vulnerability, self-efficacy, and intention were positively related to self-management behavior.</p><p><strong>Conclusion: </strong>Response efficacy emerged as a key factor associated with self-management intention. These findings suggest that nursing interventions should prioritize demonstrating the effectiveness of self-management behaviors. However, as this was a cross-sectional study conducted in a single district, causal inferences should be drawn with caution.</p><p><strong>Implications for the profession and patient care: </strong>Healthcare providers should transition to stage-tailored cognitive interventions. For predialysis patients, education must tangibilize the benefits of early behavioral activation. For dialysis patients, nurses should implement concrete \"efficacy-focused feedback loops\"-such as explicitly linking a patient's routine objective data (e.g., stabilized lab results or reduced interdialytic weight gain) directly to their adherence efforts-to reinforce response efficacy. Furthermore, policymakers should champion standardized, efficacy-driven CKD management frameworks adaptable across hospital and community settings.</p><p><strong>Patient or public contribution: </strong>Patients and healthcare staff contributed to the study design and recruitment process. The Shanghai Municipal Health Commission of Changning District assisted with participant recruitment, while staff from the Nephrology Departments of Tongren Hospital and Zhongshan Hospital provided essential support. Their involvement shaped the study's data collection and ensured that the findings were relevant to clinical practice.</p>","PeriodicalId":46917,"journal":{"name":"Nursing Research and Practice","volume":"2026 ","pages":"6668409"},"PeriodicalIF":2.5,"publicationDate":"2026-05-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13189489/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147989505","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 of Self-Care Behaviours Among Patients With Chronic Disease: A Multicountry Survey.","authors":"Hanan Abdelrahman, Mohammad Al Qadire, Hamada Zehry, Suha Ballout, Hala Aljezawi, Laura L Hayman","doi":"10.1155/nrp/5262222","DOIUrl":"10.1155/nrp/5262222","url":null,"abstract":"<p><strong>Aim: </strong>This study aims to assess self-care behaviours and their predictors among patients with chronic diseases in three Middle Eastern countries.</p><p><strong>Design: </strong>A cross-sectional study was conducted.</p><p><strong>Methods: </strong>The study was conducted in hospitals across Oman, Jordan and Egypt. A convenience sample of 1598 adults with chronic diseases was recruited. Data were collected using a structured questionnaire, including sociodemographic characteristics, the Arabic version of the Self-Care of Chronic Illness Inventory and the Self-Care Self-Efficacy Scale. Multiple regression models identified significant predictors of self-care behaviours.</p><p><strong>Results: </strong>The sample had a mean age of 48.1 years (SD = 15.8), with 56.2% male. Diabetes mellitus (23.7%) was the most common condition, followed by cerebrovascular accidents (16.9%) and cardiovascular diseases (16.3%). Self-care behaviours were suboptimal, with mean scores below 70% across all subscales. Self-efficacy was the strongest predictor, followed by educational level, gender and regular healthcare visits. Participants from Jordan and Oman reported higher self-care engagement than those from Egypt.</p><p><strong>Conclusions: </strong>Findings highlight the need for targeted interventions to enhance self-efficacy, improve health literacy and address healthcare disparities. Culturally tailored education programmes and structured self-management support are essential to promote better self-care practices among patients with chronic diseases.</p>","PeriodicalId":46917,"journal":{"name":"Nursing Research and Practice","volume":"2026 ","pages":"5262222"},"PeriodicalIF":2.5,"publicationDate":"2026-05-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13189469/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147989541","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}