Journal of Research in Nursing最新文献

{"title":"Commentary: Empowering NICU nurses to sustain caring practice in conflict-affected healthcare settings.","authors":"Mohammad Qtait","doi":"10.1177/17449871261476621","DOIUrl":"10.1177/17449871261476621","url":null,"abstract":"","PeriodicalId":47172,"journal":{"name":"Journal of Research in Nursing","volume":" ","pages":"17449871261476621"},"PeriodicalIF":2.1,"publicationDate":"2026-10-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13646188/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149138722","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":"Commentary: Measuring nurses' confidence in pressure ulcer management - why self-efficacy matters.","authors":"Ahmad Ayed","doi":"10.1177/17449871261476620","DOIUrl":"10.1177/17449871261476620","url":null,"abstract":"","PeriodicalId":47172,"journal":{"name":"Journal of Research in Nursing","volume":" ","pages":"17449871261476620"},"PeriodicalIF":2.1,"publicationDate":"2026-10-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13646203/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149138709","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":"Looking back to look forward: reflections on reflective practice.","authors":"Gwen Sherwood","doi":"10.1177/17449871261477678","DOIUrl":"10.1177/17449871261477678","url":null,"abstract":"","PeriodicalId":47172,"journal":{"name":"Journal of Research in Nursing","volume":" ","pages":"17449871261477678"},"PeriodicalIF":2.1,"publicationDate":"2026-09-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13619979/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149082436","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":"Topical maternal breast milk versus commercial topical products for diaper dermatitis in infants: a systematic review.","authors":"Rasha Nemer Jaber Qandeel, Tan Woei Ling, Mei-Chan Chong, Ahmad Juma Ayed","doi":"10.1177/17449871261481751","DOIUrl":"10.1177/17449871261481751","url":null,"abstract":"<p><p>Diaper dermatitis is common in infancy and can cause discomfort, recurrent skin breakdown and secondary infection. Topical human milk has been proposed as an accessible, low-cost intervention, but evidence for its effectiveness and the nursing contribution to its implementation remains unclear.</p><p><strong>Methods: </strong>A systematic review was conducted according to PRISMA 2020. Six databases were searched for studies published from January 2015 to November 2025 evaluating topical human milk for prevention or treatment of diaper dermatitis in infants. Risk of bias was assessed using RoB 2 and ROBINS-I. Owing to study heterogeneity, findings were synthesised narratively.</p><p><strong>Results: </strong>Five primary studies involving 238 infants met the eligibility criteria: two evaluated prevention and three treatment. Preventive studies suggested reduced occurrence or severity of diaper dermatitis. Treatment studies reported greater erythema resolution or faster recovery with topical human milk alone or combined with zinc oxide. However, methodological limitations and heterogeneity resulted in low-to-very-low certainty evidence. Nursing roles included assessment, caregiver education, intervention delivery, monitoring and evaluation, although these were inconsistently reported.</p><p><strong>Conclusion: </strong>Topical mother's own milk shows potential as a low-cost adjunct for preventing and treating mild-to-moderate diaper dermatitis. Evidence is insufficient to support replacement of standard care or routine adoption. Robust trials with standardised protocols and explicit evaluation of nursing implementation are required.</p>","PeriodicalId":47172,"journal":{"name":"Journal of Research in Nursing","volume":" ","pages":"17449871261481751"},"PeriodicalIF":2.1,"publicationDate":"2026-09-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13619984/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149081388","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":"Time pressure and patient-safety nursing activities among haemodialysis nurses. Examining the role of job stress: a descriptive cross-sectional study.","authors":"Yeongji Yun, Kisook Kim","doi":"10.1177/17449871261467247","DOIUrl":"10.1177/17449871261467247","url":null,"abstract":"<p><strong>Background: </strong>Haemodialysis nurses work in time-pressured environments that may increase job stress which may in turn be associated with patient-safety nursing activities, suggesting a mediating role of job stress. However, evidence for this role remains limited.</p><p><strong>Aims: </strong>To examine the relationship between time pressure and patient-safety nursing activities and test the mediating role of job stress among haemodialysis nurses.</p><p><strong>Methods: </strong>Data were collected from 147 haemodialysis nurses through an online survey using validated questionnaires measuring time pressure, job stress and patient-safety nursing activities. Data were analysed using descriptive statistics, independent <i>t</i>-tests, ANOVA, Pearson's correlation analysis, and mediation analysis using the Baron and Kenny method and the Sobel test in SPSS 28.0.</p><p><strong>Results: </strong>Time pressure and job stress differed by unit experience and hospital type. Patient-safety nursing activities varied by education, patient load, clinical experience and hospital type. Time pressure was positively associated with job stress, and job stress was negatively associated with patient-safety nursing activities. Although time pressure had no direct effect on patient-safety nursing activities, it showed a significant indirect effect through job stress, indicating full mediation.</p><p><strong>Conclusion: </strong>Job stress plays a key role in linking time pressure to patient-safety nursing activities. Reducing job stress may support patient safety in haemodialysis units.</p>","PeriodicalId":47172,"journal":{"name":"Journal of Research in Nursing","volume":" ","pages":"17449871261467247"},"PeriodicalIF":2.1,"publicationDate":"2026-09-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13619981/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149082488","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":"Impact of structured feedback sessions on work-related stress among nurses in inpatient acute care settings: a randomised controlled exploratory study.","authors":"Nadine Werlberger, Matthias Rohringer","doi":"10.1177/17449871261465256","DOIUrl":"10.1177/17449871261465256","url":null,"abstract":"<p><strong>Background: </strong>Nurses in acute care settings are frequently exposed to high psychological and organisational demands, which can lead to increased levels of work-related stress, negatively affecting professional well-being and patient outcomes. Structured feedback sessions have been proposed as a supportive leadership intervention to enhance communication, reduce work-related stress and strengthen managerial support within clinical teams.</p><p><strong>Aim: </strong>To examine the impact of structured feedback sessions, conducted at 3-week intervals, on work-related stress among nurses working in inpatient acute care settings in Austria.</p><p><strong>Methods: </strong>An exploratory randomised controlled study was conducted among 30 nursing professionals working in acute inpatient wards. Participants were stratified by baseline stress levels and randomly assigned to either an intervention group receiving structured feedback sessions with their line manager or a control group receiving no intervention. Stress levels were measured at baseline and after 3 months using the Perceived Stress Scale (PSS-10). Data were analysed using parametric and non-parametric statistical tests (paired <i>t</i>-test, Wilcoxon signed-rank test, Mann-Whitney <i>U</i> test).</p><p><strong>Results: </strong>The intervention group demonstrated a reduction in mean stress scores from 24.53 (SD = 6.20) at baseline to 21.27 (SD = 5.74) at follow-up, while the control group showed an increase from 21.40 (SD = 6.29) to 23.47 (SD = 6.53). Participation in the feedback sessions showed a rank-serial correlation of <i>r</i> = -0.633 with perceived work stress. The negative direction indicates a reduction in stress levels, with the intervention group showing a significantly greater reduction in stress than the control group (<i>p</i> = 0.0005).</p><p><strong>Conclusion: </strong>Structured feedback sessions are an effective intervention for reducing work-related stress among nurses in acute care settings and have the potential to be integrated into regular clinical leadership practice. This study provides evidence that structured feedback sessions are a low-cost, feasible and manager-led intervention that can promote nurse well-being, support early identification of stressors and enhance communication within clinical teams. Their implementation may contribute to improved workforce retention, stronger team cohesion and better patient care outcomes.</p>","PeriodicalId":47172,"journal":{"name":"Journal of Research in Nursing","volume":" ","pages":"17449871261465256"},"PeriodicalIF":2.1,"publicationDate":"2026-09-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13619975/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149082520","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":"Supporting the nursing workforce amid contemporary healthcare challenges: priorities for policy and practice.","authors":"Nasro Khalif Abdullahi, Abdullahi Salad Abdi","doi":"10.1177/17449871261481742","DOIUrl":"10.1177/17449871261481742","url":null,"abstract":"","PeriodicalId":47172,"journal":{"name":"Journal of Research in Nursing","volume":" ","pages":"17449871261481742"},"PeriodicalIF":2.1,"publicationDate":"2026-09-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13619967/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149082446","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":"Commentary: Navigating the emotional labyrinth - reconceptualizing occupational stress in modern nursing practice.","authors":"Tantut Susanto","doi":"10.1177/17449871261452946","DOIUrl":"10.1177/17449871261452946","url":null,"abstract":"","PeriodicalId":47172,"journal":{"name":"Journal of Research in Nursing","volume":" ","pages":"17449871261452946"},"PeriodicalIF":2.1,"publicationDate":"2026-09-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13597953/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149041399","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":"Rethinking what makes nursing leadership effective: an attachment-informed framework for improving workforce and patient outcomes.","authors":"Christina Coyle","doi":"10.1177/17449871261477350","DOIUrl":"10.1177/17449871261477350","url":null,"abstract":"","PeriodicalId":47172,"journal":{"name":"Journal of Research in Nursing","volume":" ","pages":"17449871261477350"},"PeriodicalIF":2.1,"publicationDate":"2026-09-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13597959/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149041421","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":"Effect of education on oral antiviral use on medication adherence and quality of life in patients with chronic hepatitis B: a randomised trial.","authors":"Şengül Korkmaz Binay, Aylin Özakgül","doi":"10.1177/17449871261462853","DOIUrl":"10.1177/17449871261462853","url":null,"abstract":"<p><strong>Background: </strong>Adherence to oral antiviral therapy is essential to reduce progression from chronic hepatitis B (CHB) to cirrhosis and hepatocellular carcinoma.</p><p><strong>Aim: </strong>To evaluate the effect of education on oral antiviral use on medication adherence and quality of life (QoL) in patients with CHB.</p><p><strong>Methods: </strong>This randomised controlled trial included 60 of 105 eligible patients with CHB. All completed the study. The intervention, delivered by the researcher, consisted of individualised education and telephone counselling tailored to patients' learning needs and focused on medication adherence. The control group received usual care. Data were collected using the MARS-5, MedTake test, LDSI, SF-12 and PLNS at baseline and 3 months. Data were analysed using SPSS 26.</p><p><strong>Results: </strong>At baseline, there were no significant differences between the groups in medication adherence and laboratory parameters (<i>p</i> > 0.05). Mean baseline PLNS scores were 154.43 ± 3.61 in the control group and 162.63 ± 9.6 in the intervention group. At 3 months, the proportion of patients achieving medication adherence above 80% was significantly higher in the intervention group (<i>p</i> < 0.01). The intervention group showed significant improvements in MARS-5, MedTake Test scores, SF-12 and LDSI scores, with lower HBV-DNA, ALT and AST levels (<i>p</i> < 0.01).</p><p><strong>Conclusion: </strong>Individualised education may improve medication adherence and QoL in patients with CHB.</p>","PeriodicalId":47172,"journal":{"name":"Journal of Research in Nursing","volume":" ","pages":"17449871261462853"},"PeriodicalIF":2.1,"publicationDate":"2026-09-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13597957/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149041383","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}