Journal of Research in Nursing最新文献

{"title":"Commentary: Supporting reflective practice during menopause the introduction of the MIRROR Cycle.","authors":"Teresa Barker","doi":"10.1177/17449871261477017","DOIUrl":"10.1177/17449871261477017","url":null,"abstract":"","PeriodicalId":47172,"journal":{"name":"Journal of Research in Nursing","volume":" ","pages":"17449871261477017"},"PeriodicalIF":2.1,"publicationDate":"2026-09-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13597962/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149041414","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 nutritional risk and associated determinants in adult intensive care unit patients: a prospective longitudinal observational study comparing NRS-2002 and mNUTRIC.","authors":"İdris Gümüşkaşık, Fatma Vural, Nazife Gamze Özer Özlü","doi":"10.1177/17449871261477644","DOIUrl":"10.1177/17449871261477644","url":null,"abstract":"<p><strong>Background: </strong>Malnutrition is common in critically ill patients and increases morbidity and mortality. Nutritional assessment is a fundamental component of nursing care; therefore, early identification of nutritional risk is essential for timely interventions in intensive care units (ICUs).</p><p><strong>Aim: </strong>This study evaluated nutritional risk in adult ICU patients, identified associated clinical and biochemical factors and compared the applicability of Nutritional Risk Screening 2002 (NRS-2002) and modified Nutrition Risk in the Critically Ill (mNUTRIC) scoring systems.</p><p><strong>Methods: </strong>This prospective longitudinal observational study was conducted in an adult ICU. Nutritional risk was assessed within 24-48 hours of admission and on day seven using NRS-2002 and mNUTRIC. Clinical, nutritional and biochemical variables were analysed using inferential and multivariate statistical methods.</p><p><strong>Results: </strong>A total of 300 patients were included. According to NRS-2002, 87.7% and 83.7% of patients were at nutritional risk at the first and second assessments, respectively, whereas 57.0% and 59.7% were classified as low risk by mNUTRIC. NRS-2002 scores remained stable over time (<i>p</i> > 0.05), whereas mNUTRIC scores decreased significantly (<i>p</i> < 0.05). Age, caloric intake, C-reactive protein, albumin, haematocrit and blood glucose were significant predictors of nutritional risk, and both tools correlated positively with age.</p><p><strong>Conclusion: </strong>Nutritional risk is common among ICU patients. Both NRS-2002 and mNUTRIC identified patients at nutritional risk; however, mNUTRIC assessment reflected changes in disease severity and clinical status during ICU follow-up. These findings highlight the importance of routine nurse-led nutritional risk assessment to support early nutritional interventions and optimise patient care in the ICU.</p>","PeriodicalId":47172,"journal":{"name":"Journal of Research in Nursing","volume":" ","pages":"17449871261477644"},"PeriodicalIF":2.1,"publicationDate":"2026-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13588959/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149009028","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":"Newly qualified nurses' experiences of 'reality shock': a phenomenological study.","authors":"Ezgi Eyiler, Emine Kol","doi":"10.1177/17449871261477347","DOIUrl":"10.1177/17449871261477347","url":null,"abstract":"<p><strong>Background: </strong>The experience of starting a new job is a stressful period in which uncertainties, fear of lack of proficiency and concerns about an unfamiliar environment and people are experienced.</p><p><strong>Aim: </strong>This study was conducted to explore the reality shock experiences of newly qualified nurses.</p><p><strong>Methods: </strong>The sample consisted of 11 newly qualified nurses with 0-1 year of experience who began working at the Mediterranean University Hospital between 2021 and 2022. Data were collected through in-depth interviews and analysed according to Colaizzi's (1978) seven stages of data analysis.</p><p><strong>Results: </strong>Three main themes and 11 sub-themes were obtained in the study: (1) A complex new life, encompassing freedom of independent practice, excitement of learning, crisis/emotional distress, fear and disruption of routine; (2) High expectation-task and time stress, reflecting the tension between inadequate orientation and self-imposed high expectations; and (3) Facing reality, characterised by frustration, urgent decision-making efforts, fear of the patient's world and help-seeking behaviours.</p><p><strong>Conclusion: </strong>As a result of the study, it has been determined that newly qualified nurses experience disappointment due to the fact that their expectations are not fulfilled when they enter working life. Lack of knowledge and skills, high duty-responsibilities, and the negative working environment triggers reality shock.</p>","PeriodicalId":47172,"journal":{"name":"Journal of Research in Nursing","volume":" ","pages":"17449871261477347"},"PeriodicalIF":2.1,"publicationDate":"2026-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13588962/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149009111","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":"Living through disclosure: a descriptive phenomenological exploration of adult survivors' experiences of disclosing sexual assault to nurses.","authors":"Claire Dosdale, Mark Bevan, Katy Skarparis","doi":"10.1177/17449871261476617","DOIUrl":"10.1177/17449871261476617","url":null,"abstract":"<p><strong>Background: </strong>Sexual assault affects approximately 1 in 3 women and 1 in 18 men in the United Kingdom (UK), yet disclosure to healthcare professionals remains low. Research has focused on prevalence, barriers and outcomes; survivors' lived experience of the disclosure encounter is under-explored. Nurses' responses profoundly shape recovery.</p><p><strong>Aim: </strong>To explore adult survivors' lived experiences of disclosing sexual assault to nurses in the UK.</p><p><strong>Methods: </strong>Nine adults who had disclosed sexual assault to a nurse in a UK healthcare setting were recruited and interviewed. Data were analysed using Giorgi's descriptive phenomenological psychology method.</p><p><strong>Results: </strong>Disclosure emerged as temporally complex and emotionally overwhelming, shaped by survivors' profound unpreparedness and pervasive uncertainty. Two themes captured this: (1) Unpreparedness, reflecting lack of readiness before, during and after disclosure and an overriding need for validation and (2) Not Knowing, capturing uncertainty across the practical, relational and emotional dimensions of disclosure. Running through both themes was survivors' fear of not being believed, which shaped the meaning of the encounter.</p><p><strong>Conclusion: </strong>Disclosure is a temporally complex, emotionally overwhelming experience fundamentally shaped by nurses' responses. Belief, validation and agency emerged as central to survivors' experiences. These findings highlight the importance of trauma-informed education and survivor-centred approaches in nursing practice.</p>","PeriodicalId":47172,"journal":{"name":"Journal of Research in Nursing","volume":" ","pages":"17449871261476617"},"PeriodicalIF":2.1,"publicationDate":"2026-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13588952/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149009131","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":"Powered by curiosity: the EMERGE model for advancing clinical research leadership.","authors":"Allan MacRaild, Rachel O'Brien, Anna Miell, Juliet MacArthur","doi":"10.1177/17449871261475977","DOIUrl":"10.1177/17449871261475977","url":null,"abstract":"","PeriodicalId":47172,"journal":{"name":"Journal of Research in Nursing","volume":" ","pages":"17449871261475977"},"PeriodicalIF":2.1,"publicationDate":"2026-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13588960/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149009109","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":"Global nurse leadership development: evaluating the impact of a global mentoring programme.","authors":"Viji George, Elizabeth Rosser","doi":"10.1177/17449871261477330","DOIUrl":"10.1177/17449871261477330","url":null,"abstract":"<p><strong>Background: </strong>Formal structured mentoring has demonstrated to significantly strengthen nurse leadership. By pairing mentors and mentees across Sigma's seven global regions, this programme proposes to enhance nurse leadership globally especially during the COVID-19 pandemic.</p><p><strong>Aims: </strong>This paper aims to evaluate the impact of this 18-month online structured mentoring programme and participants' ability to form sound relationships, set meaningful goals and develop their leadership skills.</p><p><strong>Methods: </strong>This opportunistic programme evaluation is designed to understand participant experiences and improve future cohorts. Following ethical principles, a post-programme satisfaction survey was used. Representing 14 countries, 26 participant pairs were recruited through opportunistic applications, snowball sampling and presentations at international Sigma events. Seventeen mentors and 18 mentees completed the survey.</p><p><strong>Results: </strong>Three themes emerged: (a) Developing supportive and productive mentoring relationships, (b) Achieving personal and professional goals and (c) Strengthening leadership skills across cultural and geographic boundaries. Given the impact of the global pandemic, evaluations were extremely positive with ongoing partnerships created and confidence to step up.</p><p><strong>Conclusion: </strong>Participants highly valued this programme, demonstrating global mentorship which offers deliberate exposure to a different geographical region can reduce their sense of leadership isolation, build their confidence and promote personal and professional growth which is mutually beneficial.</p>","PeriodicalId":47172,"journal":{"name":"Journal of Research in Nursing","volume":" ","pages":"17449871261477330"},"PeriodicalIF":2.1,"publicationDate":"2026-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13588953/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149009075","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":"What influences patients' experiences of cannulation for haemodialysis performed by nursing staff? A qualitative interview study.","authors":"Catherine Fielding, Sarah Brand, Louise Bramley, Maarten Taal, Caitlin Sorrell, Nicholas M Selby, Heather Buchanan","doi":"10.1177/17449871261466773","DOIUrl":"10.1177/17449871261466773","url":null,"abstract":"<p><strong>Background: </strong>Haemodialysis is a life-sustaining procedure for people with kidney failure, requiring cannulation with two needles before each treatment. Individuals undergo haemodialysis at least three times a week, leading to at least 312 cannulations each year. Some people find cannulation distressing and associated with noxious symptoms.</p><p><strong>Aim: </strong>This study aimed to explore what influences patients' experiences of cannulation for haemodialysis as undertaken by nursing staff, generating understanding about improvements in procedure.</p><p><strong>Methods: </strong>Thirty participants (<i>n</i> = 30) from two renal centres in the United Kingdom completed semi-structured interviews. Intensive interviewing, constant comparison analysis and theoretical sampling from grounded theory were employed to meet the study aims.</p><p><strong>Results: </strong>Three categories describe the components that influence patients' experiences of cannulation for haemodialysis: 'Trying to make cannulation more comfortable'; 'Preserving humanity and individuality'; and 'The necessity of cannulation for haemodialysis forces coping'.</p><p><strong>Conclusion: </strong>Coping with cannulation for haemodialysis is dynamic with various facilitative components. Patients require strategies to make cannulation more comfortable, trust and empathy, and understanding and support to navigate and accept the challenges of cannulation.</p>","PeriodicalId":47172,"journal":{"name":"Journal of Research in Nursing","volume":" ","pages":"17449871261466773"},"PeriodicalIF":2.1,"publicationDate":"2026-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13588961/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149009170","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":"Psychometric properties of the Persian version of Pressure Ulcer Management Self-Efficacy Scale for nurses.","authors":"Sajjad Mohammadzade Sarhadi, Fereshteh Najafi, Afsaneh Fendereski, Simin Sharifi","doi":"10.1177/17449871261475971","DOIUrl":"10.1177/17449871261475971","url":null,"abstract":"<p><strong>Background: </strong>Pressure ulcers remain a major clinical challenge, and nurses' self-efficacy is essential for their prevention and management. The Pressure Ulcer Management Self-Efficacy Scale (PUM-SES) for nurses was developed to assess this competency.</p><p><strong>Aim: </strong>This study aimed to translate, culturally adapt and validate the Persian version of the PUM-SES (PUM-SES-P) among Iranian nurses.</p><p><strong>Methods: </strong>This three-phase study began with forward and back translation. In phase two, face and content validity were evaluated by 10 nurses and 15 experts, respectively, and construct validity and reliability were assessed among 200 and 30 nurses. In phase three, criterion-related and convergent validity were evaluated among 100 nurses.</p><p><strong>Results: </strong>Content validity indices were favourable (content validity index = 0.97, content validity ratio = 0.90), and factor analysis supported a four-factor structure. The scale showed high internal consistency (α = 0.91) and acceptable test-retest reliability (<i>r</i> = 0.89). Correlations with General Self-Efficacy Scale (<i>r</i> = 0.88) and Attitude towards Pressure Ulcer Prevention instrument (<i>r</i> = 0.77, <i>p</i> < 0.001) supported validity.</p><p><strong>Conclusions: </strong>The PUM-SES-P appears to be a valid, reliable instrument for assessing pressure ulcer self-efficacy among Iranian nurses in this sample, offering a potentially useful resource for nurse educators and unit managers. Further validation in larger, more diverse samples is recommended before broader clinical application.</p>","PeriodicalId":47172,"journal":{"name":"Journal of Research in Nursing","volume":" ","pages":"17449871261475971"},"PeriodicalIF":2.1,"publicationDate":"2026-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13588957/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149009235","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 empowerment and caring behaviours among NICU nurses in the West Bank: a multicentre cross-sectional study.","authors":"Ahmad Ayed, Doa'a Dwairej, Ibrahim Aqtam, Amira Mohammed Ali, Ibrahim Khraiwesh","doi":"10.1177/17449871261476610","DOIUrl":"10.1177/17449871261476610","url":null,"abstract":"<p><strong>Background: </strong>Nurses in neonatal intensive care units (NICUs) face significant emotional and clinical demands affecting caring behaviours. Psychological empowerment is linked to improved nursing outcomes, yet evidence from conflict-affected settings remains limited.</p><p><strong>Objective: </strong>This study examined the relationship between psychological empowerment and caring behaviours among NICU nurses in the West Bank, Palestine and identified predictors of caring behaviours.</p><p><strong>Methods: </strong>A multicentre descriptive correlational cross-sectional design was used. In total, 178 NICU nurses across 12 hospitals participated (response rate: 178/200, 89.0%). Psychological empowerment was measured using Spreitzer's 12-item scale (1-7); caring behaviours were assessed using the Caring Behaviours Assessment Tool Nursing Version-Short Form (27-135). Descriptive statistics, Pearson correlation and multiple linear regression were applied.</p><p><strong>Results: </strong>Mean age was 34.4 ± 7.5 years; 65.7% were female. Psychological empowerment was moderate-to-high (mean 4.6 ± 1.3), and caring behaviours were relatively high (mean 96.7 ± 14.5). Psychological empowerment was positively correlated with caring behaviours (<i>r</i> = 0.696, <i>p</i> < 0.001) and was the only significant predictor (<i>B</i> = 7.352), explaining 49.4% of variance.</p><p><strong>Conclusion: </strong>Psychological empowerment was strongly associated with caring behaviours, suggesting that empowerment-focused leadership and professional development strategies may support caring practice among NICU nurses.</p>","PeriodicalId":47172,"journal":{"name":"Journal of Research in Nursing","volume":" ","pages":"17449871261476610"},"PeriodicalIF":2.1,"publicationDate":"2026-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13588954/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149009215","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 the impact of a Sigma Action Learning Set on leadership development among nurse leaders.","authors":"Louise Mew, Elizabeth Rosser, Emma Heron, Catherine Mezzetti, Sue Baron, Camille Cronin","doi":"10.1177/17449871261477335","DOIUrl":"10.1177/17449871261477335","url":null,"abstract":"<p><strong>Background: </strong>Leadership capability is essential for nursing practice, influencing patient care, staff well-being and organisational effectiveness. Inclusive leadership valuing diversity, equity and shared learning are increasingly recognised as vital in complex healthcare systems. Action Learning Sets (ALSs) are an established approach to leadership development through structured peer reflection, questioning and collaboration.</p><p><strong>Aim: </strong>To evaluate the effectiveness of a nationally delivered, inclusive ALS programme in developing nurse leadership over 12 months.</p><p><strong>Method: </strong>Kirkpatrick's model was used to evaluate the programme, examining participants' preparedness, learning, behavioural change and organisational impact. Participants (<i>n</i> = 5) were purposefully selected from diverse healthcare organisations across England and Wales. Data were collected through an online group evaluation and analysed across four levels: reaction, learning, behaviour and results.</p><p><strong>Findings: </strong>All domains were positively evaluated. The ALS provided a safe space for reflection and collaborative learning. Participants reported increased leadership confidence, enhanced self-awareness and improved inclusive leadership. Behavioural changes included greater engagement with diverse perspectives and application of reflective practices. Policy-focused sessions were highly valued.</p><p><strong>Conclusion: </strong>The ALS offered a supportive and effective approach to leadership development, enabling nurses to address real-world challenges through reflection and peer learning. Wider adoption across practice settings is recommended.</p>","PeriodicalId":47172,"journal":{"name":"Journal of Research in Nursing","volume":" ","pages":"17449871261477335"},"PeriodicalIF":2.1,"publicationDate":"2026-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13588950/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149009133","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}