Journal of Research in Nursing最新文献

{"title":"Balancing demands and rewards: a cross-sectional examination of well-being and professional identity among nurses.","authors":"Cicilia Nagel, Kerstin Nilsson","doi":"10.1177/17449871261426973","DOIUrl":"10.1177/17449871261426973","url":null,"abstract":"<p><strong>Background: </strong>Increasing healthcare demands and a growing nursing shortage contribute to high workloads, psychosocial strain, and risks to care quality. Organisational conditions, job demands, and resources strongly influence nurses' well-being, retention, and performance.</p><p><strong>Aim: </strong>To examine how nurses balance organisational demands and opportunities, and how these factors relate to work environment, well-being, and professional identity.</p><p><strong>Method: </strong>A cross-sectional survey was completed by 2704 nurses in Sweden. Participants were grouped by age based on the median (⩽51 vs ⩾52 years) and by gender. Descriptive statistics and chi-square tests were conducted, with missing data handled using pairwise deletion. Findings were interpreted through the job demands-resources and effort-reward imbalance frameworks.</p><p><strong>Results: </strong>Younger nurses experienced higher physical workloads, lower recognition, lower joy and satisfaction, whereas older nurses reported better health, higher psychological work ability, and greater professional pride. Female nurses reported stronger self-imposed pressure and social community, whereas male nurses indicated higher work ability and better sleep. Across all groups, nurses demonstrated strong professional identity, but workload and recovery burdens were evident.</p><p><strong>Conclusion: </strong>Strengthening key resources - autonomy, recognition, and social support - while addressing systemic workload pressures may enhance sustainability, particularly for early-career nurses and support long-term health, professional identity, and workforce retention.</p>","PeriodicalId":47172,"journal":{"name":"Journal of Research in Nursing","volume":" ","pages":"17449871261426973"},"PeriodicalIF":2.0,"publicationDate":"2026-04-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13065634/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147677727","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":"Mapping the digital evolution: a scoping review of technology-mediated reflective practice tools in nursing education and their links to foundational learning outcomes.","authors":"Ibrahim Aqtam, Ahmad Ayed, Mohammed Musaed Al-Jabri, Mustafa Shouli","doi":"10.1177/17449871261427314","DOIUrl":"https://doi.org/10.1177/17449871261427314","url":null,"abstract":"<p><strong>Background: </strong>The digital transformation of nursing education requires understanding how technology reshapes reflective practice. Technology-mediated reflective practice (TMRP) tools are widely adopted, but their pedagogical applications and links to learning outcomes remain inadequately mapped. The aim of this review is to systematically map TMRP tools in nursing education and analyse their reported connections to foundational learning outcomes.</p><p><strong>Method: </strong>A scoping review guided by JBI methodology and PRISMA-ScR was undertaken. Data sources included: MEDLINE, CINAHL, Scopus, ERIC, PsycINFO and Web of Science (2000-2025). Two reviewers independently screened and extracted data using descriptive statistics and thematic analysis.</p><p><strong>Results: </strong>Sixty-eight studies identified seven TMRP tool categories: e-portfolios, blogs, video debriefing, VR, AR, mobile apps, and AI tools. Implemented across clinical, simulation, and classroom settings, tools were linked to cognitive (critical thinking), affective (professional identity), behavioural (communication), and metacognitive (self-awareness) outcomes. Benefits included accessibility and structured guidance; challenges involved equity, privacy, and educator readiness. Policy-related themes were identified, including the need for infrastructure investment, educator training, and ethical guidelines to support equitable and secure TMRP implementation.</p><p><strong>Conclusion: </strong>TMRP tools support nursing education outcomes, but evidence of long-term clinical impact is limited. Pedagogical intentionality is essential to ensure technology deepens rather than merely digitises reflection.</p>","PeriodicalId":47172,"journal":{"name":"Journal of Research in Nursing","volume":" ","pages":"17449871261427314"},"PeriodicalIF":2.0,"publicationDate":"2026-04-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13065636/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147677661","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":"Validity, reliability and psychometric properties of the Brazilian Children's Anxiety Questionnaire in paediatric patients with cancer.","authors":"Josiane Ramos Garcia Rodrigues, Fernanda Paula Cerantôla Siqueira, Milena Temer Jamas, Graziela Maria Ferraz de Almeida, Pedro Tadao Hamamoto Filho, Stefan Nilsson, Marla Andréia Garcia de Avila","doi":"10.1177/17449871261428985","DOIUrl":"https://doi.org/10.1177/17449871261428985","url":null,"abstract":"<p><strong>Background: </strong>Pictorial instruments can facilitate the assessment of anxiety levels in children and support nurses in selecting appropriate interventions.</p><p><strong>Aim: </strong>This study aimed to analyse the validity and reliability of the Children's Anxiety Questionnaire Brazilian version (CAQ-BR) in children and adolescents with cancer who are undergoing chemotherapy in a Brazilian context.</p><p><strong>Methods: </strong>A multicentre psychometric evaluation of the CAQ-BR was conducted in three hospitals in São Paulo, Brazil, between 2020 and 2022. We included children aged 4-12 years, who completed the CAQ-BR based on four facial expressions - Happy/Content, Calm/Relaxed, Tense/Nervous, and Worried/Afraid - and evaluated the emotions of fictional characters. The Visual Analog Scale (VAS) was used for comparison. Data were analysed using classical test theory, including Cronbach's alpha for internal consistency, item discrimination indices, and Fleiss Kappa for agreement analysis.</p><p><strong>Results: </strong>The study included 48 children aged 4-12 years (average age = 8.2 ± 0.70), 69% of whom were male. The CAQ-BR discrimination indices for the items 'Happy/Content', 'Calm/Relaxed', 'Tense/Nervous', and 'Worried/Afraid' were 0.917, 0.833, 0.667 and 0.667, respectively. For the characters, the discrimination indices were 0.583, 0.750, 0.833 and 0.750, respectively. A significant age-related difference was observed for the item 'Tense/Nervous', with younger children reporting lower anxiety compared to older ones (<i>p</i> = 0.003). Low internal consistency (α = 0.51-0.53) is attributable to the low number of items.</p><p><strong>Conclusion: </strong>The CAQ-BR provides preliminary evidence of validity, though reliability was not fully supported. The tool is useful in paediatric nursing as a quick, pictorial, method to assess children's anxiety and enhance communication, but further research is needed for its application in younger children.</p>","PeriodicalId":47172,"journal":{"name":"Journal of Research in Nursing","volume":" ","pages":"17449871261428985"},"PeriodicalIF":2.0,"publicationDate":"2026-04-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13065644/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147677703","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":"Workplace violence and its effects on outpatient nursing care quality in Ghana: a qualitative study.","authors":"Anita Fafa Dartey, Christopher Ayisah, Francis Mawougnon Sagbo, Elvis Tettey-Fio Guamah, Frank Mensah, Comfort Maloe Kofi","doi":"10.1177/17449871261426948","DOIUrl":"10.1177/17449871261426948","url":null,"abstract":"<p><strong>Background: </strong>Workplace violence against healthcare workers, particularly nurses, is a pervasive issue worldwide. Nurses working in various healthcare settings, including Outpatient Departments, often encounter verbal abuse, physical violence, bullying, and other forms of aggression from patients, relatives, or colleagues. The study explored the impact of workplace violence on nurses working at Outpatient Departments and the quality of care rendered at the Outpatient Departments among selected health facilities in the Ho Municipality, Ghana.</p><p><strong>Methods: </strong>A qualitative approach with an exploratory descriptive design was employed in this study. Purposive sampling was used to select 15 registered nurses with at least 1 year of working experience at the Outpatient Departments at the selected health facilities. Data were collected through semi-structured interviews. Content analysis was employed for data analysis.</p><p><strong>Results: </strong>Four key themes were identified from the analysis: modes of workplace violence experienced, effects on nurses' well-being, patient care outcomes, and nurses' resilience to workplace violence. Nurses reported widespread verbal, physical, psychological, and emotional abuse. These experiences negatively affected nurses' well-being, contributing to emotional distress, health problems, and reduced productivity. Workplace violence also compromised patient care through reduced engagement, increased errors, and delayed or rushed services. To cope, nurses demonstrated resilience by relying on peer support, spirituality, and reporting mechanisms; however, these strategies appeared to provide mainly short-term relief.</p><p><strong>Conclusion: </strong>Workplace violence can impact Outpatient Departments nurses' well-being, productivity, and patient care quality. Verbal, physical, and psychological abuse were common, leading to emotional distress and compromised care. Strengthening workplace policies and support systems is essential to ensuring a safer and more effective healthcare environment.</p>","PeriodicalId":47172,"journal":{"name":"Journal of Research in Nursing","volume":" ","pages":"17449871261426948"},"PeriodicalIF":2.0,"publicationDate":"2026-04-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13065624/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147677735","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":"Development and validation of the conscientious objection in nursing care scale: a methodological study.","authors":"Simay Sirma, Esra Akin","doi":"10.1177/17449871261426942","DOIUrl":"https://doi.org/10.1177/17449871261426942","url":null,"abstract":"<p><strong>Background: </strong>Conscientious objection in nursing care represents a critical ethical dilemma that undermines nurses' moral integrity and causes moral distress. The resulting internal conflict between professional responsibilities and personal values places a substantial emotional and ethical burden on nurses, potentially intensifying feelings of guilt and inadequacy and leading to conscience-related stress.</p><p><strong>Aim: </strong>This study aimed to develop and validate a scale for assessing conscientious objection in nursing care.</p><p><strong>Methods: </strong>Psychometric analyses were conducted with 165 nurses working in clinical and intensive care units of a university hospital in Türkiye. Exploratory factor analysis, reliability testing, and thematic analysis of open-ended questions using MAXQDA were performed.</p><p><strong>Results: </strong>The final scale comprised 20 items across four factors: conscientious practice, conscientious stress, conscientious sensitivity, and conscientious perception - explaining 59.4% of the total variance. Cronbach's alpha coefficients ranged from 0.710 to 0.863 for subscales and 0.887 for the total scale. Thematic analysis also revealed three main themes regarding conscientious objection: refusal of situations that conflict with their value systems, conscientious conflict, and deviation from conscientious values.</p><p><strong>Conclusion: </strong>The Conscientious Objection in Nursing Care Scale' (COSINC) is a valid and reliable instrument for evaluating nurses' attitudes and tendencies towards conscientious objection. By contributing to the consideration of ethical decision-making processes in clinical practice, the scale can support the development of institutional policies and practices regarding conscience-based ethical issues.</p>","PeriodicalId":47172,"journal":{"name":"Journal of Research in Nursing","volume":" ","pages":"17449871261426942"},"PeriodicalIF":2.0,"publicationDate":"2026-04-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13065640/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147677755","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":"German version of the index of professional nursing governance: translation, cultural adaptation and psychometric validation.","authors":"Fabienne Josefine Renggli, André Meichtry, Mirjam Meier, Paula Adomeit, Robert G Hess, Christoph Golz","doi":"10.1177/17449871261428075","DOIUrl":"10.1177/17449871261428075","url":null,"abstract":"<p><strong>Background: </strong>Shared governance enhances nurses' participation in decision-making and professional autonomy. The Index of Professional Nursing Governance (IPNG) is a validated tool for measuring such perceptions, but no German version previously existed.</p><p><strong>Aims: </strong>This study aimed to translate, culturally adapt, and evaluate the psychometric properties of the German version of the IPNG.</p><p><strong>Methods: </strong>A two-phase study was conducted. Phase 1 included forward-backward translation and cognitive debriefing interviews with 10 clinical nurses. In Phase 2, a cross-sectional online survey was administered to 1090 registered nurses at a Swiss university hospital. Structural validity was assessed using confirmatory factor analysis (CFA), and internal consistency was evaluated with Cronbach's alpha. Known-groups validity was tested based on demographic and organisational variables.</p><p><strong>Results: </strong>CFA supported the original six-factor structure with good fit indices (comparative fit index = 0.97, Tucker-Lewis index = 0.97). The root mean square error of approximation (0.09) and the standardised root mean square residual (0.09) exceeded the threshold but remained within the acceptable range for multifactorial models. Most items had factor loadings above 0.70. Internal consistency was strong (α > 0.80). Known-groups validity showed significant differences by age and commitment.</p><p><strong>Conclusions: </strong>The German IPNG is a valid and reliable instrument for assessing shared governance.</p>","PeriodicalId":47172,"journal":{"name":"Journal of Research in Nursing","volume":" ","pages":"17449871261428075"},"PeriodicalIF":2.0,"publicationDate":"2026-04-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13050366/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147628979","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":"Everyday life experiences of family members of individuals with restless legs syndrome: a qualitative interview study.","authors":"Elzana Odzakovic, Maria Björk, Malin Jakobsson, Sandra Öberg, Mattias Georgsson, Lise-Lotte Jonasson, Susanne Knutsson, Martin Ulander, Bengt Fridlund, Anders Broström","doi":"10.1177/17449871261421131","DOIUrl":"https://doi.org/10.1177/17449871261421131","url":null,"abstract":"<p><strong>Background: </strong>Restless legs syndrome (RLS) is a long-term sensory-motor illness impacting individuals and their family members, yet little is known about the family members' everyday experiences.</p><p><strong>Aim: </strong>To explore and describe the everyday life experiences of family members of individuals with RLS.</p><p><strong>Methods: </strong>An inductive, qualitative exploratory design was used. Telephone interviews were conducted with 25 family members (e.g. partner, child) and analysed using qualitative content analysis.</p><p><strong>Results: </strong>Family members described adjusting their routines and social activities to accommodate the individual with RLS, often balancing these changes with their own needs. This adaptation affected their everyday lives, as conflicting desires required balancing personal needs with sleep disruptions, resulting in tiredness. Despite these challenges, they employed strategies such as shared activities and self-care to manage the impact on the individuals with RLS.</p><p><strong>Conclusions and contribution to nursing: </strong>This study highlights the importance of family involvement in RLS care and the need for a family nursing approach in guidelines. Healthcare professionals could invite both family members and individuals with RLS in shared decision-making. Policies and practices could provide resources to support flexible coping strategies and reduce isolation. Future research could explore social support to better understand family members' experiences.</p>","PeriodicalId":47172,"journal":{"name":"Journal of Research in Nursing","volume":" ","pages":"17449871261421131"},"PeriodicalIF":2.0,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13061842/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147677749","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: Shared decision-making and prevention - finding virtue in the middle.","authors":"Filipe Prazeres","doi":"10.1177/17449871261419035","DOIUrl":"10.1177/17449871261419035","url":null,"abstract":"","PeriodicalId":47172,"journal":{"name":"Journal of Research in Nursing","volume":" ","pages":"17449871261419035"},"PeriodicalIF":2.0,"publicationDate":"2026-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13038478/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147610271","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":"Change for the Ohio nurse practitioner treating worker's compensation patients: a needs analysis.","authors":"Jessica Huff","doi":"10.1177/17449871261421136","DOIUrl":"10.1177/17449871261421136","url":null,"abstract":"<p><strong>Background: </strong>Autonomous nurse practitioners (NPs) are an effective and useful member of the healthcare team, particularly when given a less restrictive scope of practice at the state level. In Ohio - a midwestern state in the United States - NPs treating worker's compensation (WC) patients are limited in treating the injured worker because of the bureaucratic paperwork WC requires of its providers. Collaboration was initiated with an organisation in Ohio seeking to improve the profession of Advanced Practice Nursing through legislative change. Project and objectives were discussed, as well as a collaboration to get the legislation changed in Ohio regarding the NP Medco-14 form practice issue.</p><p><strong>Methods: </strong>This Needs Analysis quantitative study was completed by conducting chart reviews of WC patients assessed by the NP evaluating any disparities between work restrictions recommended by the NP versus the physician. The proposed work restriction instructions given by the NP were reviewed, and the review included only initial injury evaluation patients. The charts were randomly selected from the past schedules of two occupational NPs in rural Ohio. The charts selected at random were based on meeting the study inclusion criteria (first visit patient or new injury patient) in a chosen 3-month block time frame: January-March.</p><p><strong>Results: </strong>Of the 70 random charts reviewed, 100% had no discrepancies between the NP work recommendations and that of the physician.</p><p><strong>Conclusions: </strong>Allowing NPs to sign Medco-14 forms - also known as a return-to-work authorisation form or signed work excuse explaining limited work duties due to injury - will increase patient access to care, which in turn results in better patient outcomes. This study can be used as the foundational needs analysis to propose a legislative change in Ohio to allow NPs to independently sign the Medco-14 for Ohio WC patients. The collaborating organisation is currently drafting a legislative change proposal to modify the current Ohio NP Medco-14 restriction.</p>","PeriodicalId":47172,"journal":{"name":"Journal of Research in Nursing","volume":" ","pages":"17449871261421136"},"PeriodicalIF":2.0,"publicationDate":"2026-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13038480/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147610307","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":"Qualitative research and nursing knowledge on human responses: considering diagnosis validity.","authors":"Cristina Barradas, Susana Miguel, Sílvia Caldeira","doi":"10.1177/17449871261419692","DOIUrl":"https://doi.org/10.1177/17449871261419692","url":null,"abstract":"","PeriodicalId":47172,"journal":{"name":"Journal of Research in Nursing","volume":" ","pages":"17449871261419692"},"PeriodicalIF":2.0,"publicationDate":"2026-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13038482/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147610253","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}