Nursing Open最新文献

{"title":"One Size Does not Fit All: Gamified Escape Room Learning for Students With ADHD and Language Difficulties in a Quasi-Experimental Cohort Study.","authors":"Dorit Weil-Lotan, Revital Harari, Carolina Tannenbaum-Baruchi, Miriam Theilla","doi":"10.1002/nop2.70882","DOIUrl":"10.1002/nop2.70882","url":null,"abstract":"<p><strong>Aim: </strong>This study assessed the association between digital escape room-based instruction and academic performance among nursing students, with particular attention to students with attention-deficit hyperactivity disorder (ADHD) and language-related challenges.</p><p><strong>Design: </strong>A retrospective quasi-experimental study compared the effects of digital escape room-based instruction with traditional teaching methods. Students enrolled in the 2024 and 2025 academic years received escape room instruction (intervention group), whereas students enrolled in the 2023 academic year received traditional instruction (control group). The course was taught by the same instructor throughout.</p><p><strong>Methods: </strong>Academic performance data from 426 nursing students were analysed (intervention: n = 276; control: n = 150). Two-way analyses of covariance (ANCOVAs) examined the interaction between instructional condition and learner status (no difficulties, language difficulties or learning difficulties/ADHD), with age and gender as covariates. Outcomes included multiple-choice (MC), constructed response (CR) and total exam scores, with post hoc comparisons corrected using the Holm procedure.</p><p><strong>Results: </strong>The Escape Room × Learner Status interaction showed significant but modest interaction effects for all outcomes: CR scores (F(2, 366) = 3.01, p = 0.05, η<sup>2</sup>p = 0.02), MC scores (F(2, 366) = 6.11, p < 0.01, η<sup>2</sup>p = 0.03) and total scores (F(2, 366) = 5.45, p < 0.01, η<sup>2</sup>p = 0.03). Students with language difficulties scored significantly lower on CR (d = -0.63, 95% CI [-0.97, -0.29]) and total scores (d = -0.57, 95% CI [-0.90, -0.23]) under escape room instruction. Students with learning difficulties/ADHD showed higher MC scores under escape room instruction (d = 0.68, 95% CI [0.17, 1.18]).</p><p><strong>Conclusion: </strong>The findings suggest that gamified escape room instruction may have differential effects on academic performance across learner groups. Students with learning difficulties/ADHD demonstrated better performance on recognition-based tasks, whereas students with language difficulties may face challenges, particularly on tasks requiring written responses. In the context of nursing education, it is crucial to assess and adapt gamified teaching strategies to meet different learning needs rather than relying on a uniform approach. Nursing educators are encouraged to consider combining gamified learning with other teaching and assessment methods to promote inclusive and student-centered learning environments. When implementing gamified techniques, it is essential in nursing practice to tailor educational approaches to the varied learning needs of nursing students, particularly those with ADHD and other learning challenges. Multicenter research is needed to confirm these findings.</p><p><strong>Patient or public contribution: </strong>This educational research study did ","PeriodicalId":48570,"journal":{"name":"Nursing Open","volume":"13 10","pages":"e70882"},"PeriodicalIF":3.1,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13625671/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149082497","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Grief Care Experiences of Midwives and Obstetric Nurses Following Stillbirth: A Phenomenological Study.","authors":"Yuanling Liao, Jiaxi Xu, Aimei Mao, Xinhui Tan","doi":"10.1002/nop2.70889","DOIUrl":"10.1002/nop2.70889","url":null,"abstract":"<p><strong>Aim: </strong>To explore midwives' and obstetric nurses' experiences in caring for families after stillbirth, understand their perspectives, identify their coping strategies, and inform improvements in grief care.</p><p><strong>Design: </strong>A qualitative phenomenological study was conducted using purposive sampling. Semi-structured in-depth interviews were performed with 10 midwives and obstetric nurses who had provided care to families experiencing stillbirth. Data were analysed using Colaizzi's seven-step phenomenological analysis, with support from NVivo 12 software.</p><p><strong>Results: </strong>Midwives and obstetric nurses were profoundly affected by their experiences in caring for families who suffered stillbirths. Their experiences were categorized into three themes: Caught Up in Multiple Emotions, Silent Companionship, and Growing Through Grief-Care. The unique features of stillbirth, combined with cultural taboos surrounding death in China, exerted a strong emotional impact on midwives and obstetric nurses. While less experienced participants tended to avoid direct communication with grieving families, senior nurses proactively engaged in silent companionship. Through reflective practice, Midwives and obstetric nurses learned to balance providing emotional support to families with personally maintaining their own emotional well-being.</p><p><strong>Conclusion: </strong>Midwives and obstetric nurses cultivated skills and strengthened their emotional resilience through caring for families who had experienced stillbirth. Junior midwives and obstetric nurses need support in grief care for stillbirth cases.</p><p><strong>Implications for the profession and/or patient care: </strong>IMPACT: The study explored the often-overlooked emotional experiences of nursing staff caring for families after stillbirth. It found that healthcare providers faced intense emotional distress influenced by cultural taboos, but developed coping strategies through reflection. The findings underscore the need for support programs to safeguard midwives' and nurses' well-being and enhance grief care for bereaved families, particularly in Chinese obstetric settings.</p><p><strong>Reporting method: </strong>The Consolidated Criteria for Reporting Qualitative Research (COREQ) checklist was used for reporting this study.</p><p><strong>No patient or public contribution: </strong>No patients or members of the public were involved in the design, conduct, reporting, or dissemination of this study. The study participants were midwives and obstetric nurses.</p>","PeriodicalId":48570,"journal":{"name":"Nursing Open","volume":"13 10","pages":"e70889"},"PeriodicalIF":3.1,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13652514/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149148460","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Current Status and Factors Associated With Standard Precautions Compliance Among ICU Nurses: A Cross-Sectional Study.","authors":"Tengfei Liu, Jingdan Shi, Yan Zhang, Zhiqiao Shi, Ying Kang, Jie Wang, Yuan Gao, Yan Zhao, Yating Li, Haishui Shi","doi":"10.1002/nop2.70885","DOIUrl":"10.1002/nop2.70885","url":null,"abstract":"<p><strong>Aims: </strong>This study aims to assess the compliance of ICU nurses to standard precautions and to identify factors associated with their compliance, thereby providing evidence to inform targeted interventions.</p><p><strong>Design: </strong>This study employed a multicenter cross-sectional design.</p><p><strong>Methods: </strong>From June to July 2025, a multicenter survey was conducted among 378 ICU nurses from five tertiary hospitals in China. Data were collected through the Compliance with Standard Precautions Scale and the Perceived Organizational Support Scale. The results were analysed using the Mann-Whitney U test, the Kruskal-Wallis H test, Spearman correlation analysis, and multiple linear regression. This study adhered to the Strengthening the Reporting of Observational Studies in Epidemiology checklist.</p><p><strong>Results: </strong>The results showed that the overall compliance rate with standard precautions among ICU nurses in tertiary hospitals was 73.4%. Compliance correlated positively with perceived organizational support (r = 0.328, p < 0.01). Multiple linear regression analysis indicated that gender, occupational exposure within the past 6 months, and perceived organizational support were significantly associated with ICU nurses' compliance with standard precautions.</p><p><strong>Conclusion: </strong>Compliance with standard precautions among ICU nurses in tertiary hospitals remains suboptimal and necessitates targeted improvement. Multifaceted strategies should be implemented to strengthen compliance, with particular emphasis on enhancing perceived organizational support.</p><p><strong>Implications for nursing practice: </strong>Nurse managers should routinely assess organizational support perceptions, implement targeted training and psychological support for nurses with occupational exposure. A structured care bundle incorporating these elements may provide a practical framework for improving compliance and reducing healthcare-associated infections.</p><p><strong>Reporting method: </strong>The authors have adhered to the relevant EQUATOR guidelines-STROBE checklist for a cross-sectional study.</p><p><strong>Patient or public contribution: </strong>No patient or public contribution.</p>","PeriodicalId":48570,"journal":{"name":"Nursing Open","volume":"13 10","pages":"e70885"},"PeriodicalIF":3.1,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13652347/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149149155","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Mothers' Experiences From Prenatal Diagnosis to Home Following Congenital Diaphragmatic Hernia: A Qualitative Study.","authors":"Morena Terracciano, Cristina Lumia, Filippo Binda, Chiara Grossi, Barbara Sappa, Anastasia Giri, Nicola Persico, Antonella Nespoli","doi":"10.1002/nop2.70921","DOIUrl":"10.1002/nop2.70921","url":null,"abstract":"<p><strong>Aim: </strong>To explore the experiences of mothers who completed the care pathway following a diagnosis of congenital diaphragmatic hernia and identify implications for nursing and midwifery practice.</p><p><strong>Design: </strong>A qualitative descriptive phenomenological study.</p><p><strong>Methods: </strong>Semi-structured interviews were conducted in February 2023 with 21 mothers who had completed the congenital diaphragmatic hernia care pathway between 2019 and 2022 at an academic referral hospital for fetal surgery in Northern Italy. Women whose pregnancy was not carried to term, those who experienced fetal or neonatal loss, and those receiving ongoing psychological support were not included. Data were analysed thematically using a descriptive phenomenological approach.</p><p><strong>Results: </strong>Five themes were identified across diagnosis, decision-making, specialised care, childbirth, and the postnatal transition home. Mothers experienced the pathway as interconnected transitions characterised by uncertainty, repeated adaptation, and changes in the maternal role. Specialist counselling improved clarity but did not eliminate prognostic uncertainty. Midwives emerged as central relational figures during childbirth, while mothers highlighted communication, parental involvement, continuity, and preparation for discharge.</p><p><strong>Conclusion: </strong>Among mothers represented in this study, informational, emotional, relational, and practical needs evolved from prenatal diagnosis to home care but remained closely interconnected.</p><p><strong>Implications for the profession and/or patient care: </strong>Nursing and midwifery priorities may include reinforcing complex information, preparing women for childbirth and possible neonatal separation, facilitating parental involvement, and supporting readiness for home care.</p><p><strong>Impact: </strong>The study addresses limited understanding of how maternal needs evolve across the congenital diaphragmatic hernia care continuum. Uncertainty, adaptation, and changes in the maternal role persisted across successive transitions. Findings may inform nursing, midwifery, and multidisciplinary support across fetal, maternity, neonatal, and community care.</p><p><strong>Reporting method: </strong>The COREQ checklist guided reporting.</p><p><strong>Patient or public contribution: </strong>Mothers contributed as study participants by sharing their experiences; they were not involved in study design, analysis, or manuscript preparation.</p>","PeriodicalId":48570,"journal":{"name":"Nursing Open","volume":"13 10","pages":"e70921"},"PeriodicalIF":3.1,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13652513/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149148900","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Trends in Population-Level Mortality Rates for Deaths With Both Alzheimer's Disease and Cancer Recorded on Death Certificates Among U.S. Adults Aged ≥ 65 Years, 1999-2023.","authors":"Xiangxiang Zhang, Yu-Jun Xiong, Tian Lv, Yiqiao Chen","doi":"10.1002/nop2.70897","DOIUrl":"10.1002/nop2.70897","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Aim: &lt;/strong&gt;To examine temporal trends and demographic and geographic variation in population-level rates of deaths with both Alzheimer's disease (AD) and cancer recorded on death certificates among U.S. adults aged ≥ 65 years from 1999 to 2023.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Design: &lt;/strong&gt;A population-based descriptive time-trend study using multiple-cause-of-death data.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Data sources: &lt;/strong&gt;National mortality data from the CDC WONDER (1999-2023).&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Review methods: &lt;/strong&gt;Death certificates for U.S. residents aged ≥ 65 years recording both AD (G30) and malignant neoplasms (C00-C97) were included. Age-adjusted mortality rates (AAMRs) were standardized to the 2000 U.S. population; age-group analyses used age-specific crude mortality rates. Joinpoint regression estimated annual percent changes (APCs) and average annual percent changes (AAPCs), with analyses stratified by demographic and geographic characteristics.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Results: &lt;/strong&gt;Annual deaths increased from 4764 in 1999 to 6240 in 2023, while the overall AAMR declined from 13.96 to 12.05 per 100,000 (AAPC -0.73%, 95% CI -1.39 to -0.06). Significant declines occurred among males, adults aged 75 -84 years, non-Hispanic Black populations, and residents of the Northeast and Midwest, whereas a significant increase occurred among Hispanic populations. Full-period trends among females and non-Hispanic Other populations were not statistically significant. Neither metropolitan nor nonmetropolitan areas showed a significant trend during 1999-2020.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Conclusion: &lt;/strong&gt;The overall age-adjusted death-certificate mortality rate declined modestly despite increasing annual death counts, with descriptive variation across demographic and geographic groups.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Implications for the profession and/or patient care: &lt;/strong&gt;The findings highlight the relevance of coordinated geriatric and oncology nursing assessment and care planning for older adults with complex health needs. Nurses may play an important role in identifying cognitive, functional, treatment-related, and caregiver needs and facilitating multidisciplinary care. These descriptive findings identify areas for clinical attention but do not demonstrate the effectiveness of specific nursing interventions. WHAT PROBLEM DID THE STUDY ADDRESS?: Limited evidence exists on long-term population-level trends in deaths with both AD and cancer recorded on death certificates. WHAT WERE THE MAIN FINDINGS?: The overall age-adjusted mortality rate declined modestly while annual death counts increased. Subgroup-specific trends varied, but no formal between-group comparisons were performed. WHERE AND ON WHOM WILL THE RESEARCH HAVE AN IMPACT?: The findings are relevant to clinicians, policymakers, and public health practitioners involved in the care of older adults with multimorbidity, particularly in underserved populations.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Reporting method: &lt;/strong&gt;This study adheres to the STROBE (Streng","PeriodicalId":48570,"journal":{"name":"Nursing Open","volume":"13 10","pages":"e70897"},"PeriodicalIF":3.1,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13639708/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149116848","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Interprofessional Therapeutic Communication and Humanistic Practice Ability Among Saudi Nursing Students: A Cross-Sectional Study.","authors":"Shaherah Yousef Andargeery, Ohoud Ali Alhowaish","doi":"10.1002/nop2.70906","DOIUrl":"10.1002/nop2.70906","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Aim: &lt;/strong&gt;Humanistic practice ability refers to the capacity of nursing students to integrate ethical sensitivity, interpersonal engagement, aesthetic awareness, and compassionate, patient-centred care into nursing practice. This study examined the levels and relationships between interprofessional therapeutic communication subscales and humanistic practice ability among undergraduate nursing students and determined the accounted variance of therapeutic communication after controlling for demographic and academic variables.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Design: &lt;/strong&gt;A cross-sectional correlational design was used.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Methods: &lt;/strong&gt;The study was conducted with 323 second-year undergraduate nursing students in Riyadh, Saudi Arabia. Participants completed validated self-administered measures of interprofessional therapeutic communication and humanistic practice ability. Data were analysed using descriptive statistics, Pearson correlation, one-way ANOVA, post hoc comparisons, and hierarchical multiple regression.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Results: &lt;/strong&gt;Students reported high levels of interprofessional therapeutic communication and humanistic practice ability. Humanistic practice ability was positively correlated with all therapeutic communication subscales except potential barriers (r = 0.53-0.65, p &lt; 0.001). Students with advanced English proficiency demonstrated significantly higher humanistic practice ability than those with elementary and intermediate proficiency (p = 0.01). In the hierarchical regression model, demographic and academic variables explained 7.3% of the variance in humanistic practice ability, with English proficiency showing a high association. After adding therapeutic communication subscales, the explained variance increased significantly to 48.7% (ΔR&lt;sup&gt;2&lt;/sup&gt; = 0.414, p &lt; 0.001). Communication skills (β = 0.233, p = 0.014), patient-centred communication (β = 0.253, p = 0.001), and English proficiency (β = 0.095, p = 0.036) were significantly associated with humanistic practice ability.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Discussion: &lt;/strong&gt;Therapeutic communication, particularly patient-centred and relational skills, is a central determinant of perceived humanistic practice ability. Language proficiency appears to enable effective communication and humanistic care.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Conclusion: &lt;/strong&gt;Interprofessional therapeutic communication was strongly associated with humanistic practice ability among Saudi nursing students.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Implications for nursing: &lt;/strong&gt;Curricula should integrate longitudinal, competency-based communication training.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Implications for nursing policy: &lt;/strong&gt;Education standards should emphasize communication competencies and language support to strengthen patient-centred care outcomes.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Public contribution: &lt;/strong&gt;Nursing students participated voluntarily in the study by completing the survey. However, they were not involved in the design, conduct, reporting, or diss","PeriodicalId":48570,"journal":{"name":"Nursing Open","volume":"13 10","pages":"e70906"},"PeriodicalIF":3.1,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13652350/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149148841","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Sources of Waste in Nurses Working in the Clinic: A Qualitative Study.","authors":"Ayşegül Yildiz, Cevriye Özdemir","doi":"10.1002/nop2.70844","DOIUrl":"10.1002/nop2.70844","url":null,"abstract":"<p><strong>Aim: </strong>Waste is a very important issue in healthcare services. Waste can occur in many different areas and forms. Nurses constitute the largest workforce in health services. For this reason, nurses' perceptions and views regarding waste and their efforts to prevent waste are very significant. This study focused on how nurses perceive waste, how they define waste and what their recommendations are regarding waste.</p><p><strong>Design: </strong>This study was conducted in a conventional content analysis design using qualitative research method. The study complied with the criteria for reporting qualitative research (COREQ) checklist.</p><p><strong>Methods: </strong>Maximum diversity sampling, one of the purposeful sampling methods, was used to determine the study group. The research data were collected between 03.07.2023 and 28.08.2023. The study was carried out with the participation of 21 nurses. It was carried out with nurses working in six different hospitals in Türkiye. A semi-structured interview form created by the researchers was used for data collection. A content analysis method was used to analyse the data, and the data collected with voice recordings and instant notes was transferred to text and transcribed; the transcript text consisted of 52 pages. The interviews lasted 20 min at the shortest and 40 min at the longest.</p><p><strong>Results: </strong>It was determined that the age of the nurses participating in the study was between 28 and 48 years, the clinics where they worked were distributed as internal medicine, surgery, management, paediatrics, emergency service, intensive care, their weekly working hours were between 40 and 50 h, and the number of patients cared for daily varied between 2 and 25. In line with the data obtained from the participants, three themes were determined about the sources of waste: 'Perception of the concept of waste', 'Nursing services and waste' and 'Iceberg'.</p><p><strong>Conclusions: </strong>Participants drew attention to key issues such as the fact that nurses perceive waste as material and spiritual waste, that they think that nurses comprise the occupational group which causes the least waste in health services, and that training should be organized and procedures should be developed to reduce waste.</p><p><strong>Patient or public contribution: </strong>This study provided new information about nurses' perceptions of waste. These results can create a framework for reducing waste resources and the experiences of nurses can be used as a guide. The study findings can be a valuable lead to managing and reducing waste in the clinics.</p>","PeriodicalId":48570,"journal":{"name":"Nursing Open","volume":"13 10","pages":"e70844"},"PeriodicalIF":3.1,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13668486/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149184932","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Examining Moral Distress and Turnover Intention in Newly Licensed Nurses: A Cross-Sectional Study.","authors":"Maira Alejandra Harris, Jean Edward, JungHee Kang, Mary Kay Rayens","doi":"10.1002/nop2.70904","DOIUrl":"10.1002/nop2.70904","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Aims: &lt;/strong&gt;To examine moral distress and turnover intention among newly licensed nurses in the acute care setting.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Design: &lt;/strong&gt;Cross-sectional.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Methods: &lt;/strong&gt;We used purposive sampling to recruit newly licensed nurses working in the acute care setting in a multistate healthcare organisation. Participants completed a demographic survey, the Measure of Moral Distress for Healthcare Professionals and the Turnover Intention Scale-6 between May 2025 and June 2026. Data were analysed using descriptive statistics, independent t-tests, one-way analysis of variance and multiple linear regression.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Results: &lt;/strong&gt;Of 203 nurses, 194 were registered nurses and nine were licensed practical nurses working in Medical Surgical/Stepdown (43%), Critical Care/Emergency Department (48%) and Procedural/Surgical/Other (9%) units. Moral distress and turnover intention scores in the Medical Surgical/Stepdown departments were significantly higher than the other two groups. We found that moral distress was associated with turnover intention, controlling for department and nursing credential.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Conclusion: &lt;/strong&gt;Moral distress is an important factor in turnover intention among newly licensed nurses. Organizational initiatives and early interventions that reduce moral distress may lower turnover intention and improve wellbeing. Differences in moral distress and turnover among departments and nurse credentials call for further investigations to develop department-specific interventions.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Implications for the profession and/or patient care: &lt;/strong&gt;This study has global implications for nursing leaders and educators to assess moral distress as a potential indicator for turnover intention. New nurse attrition continues to challenge healthcare organisations, and interventions that support new nurses are recommended. With the growth of the nursing workforce, opportunities to assess and implement interventions for moral distress can occur within nurse residency programs. This study broadens the evidence base by including licensed practical nurses in acute care. By analysing data on moral distress and turnover intention early in nurses' careers, nurse educators and leaders are provided with a unique perspective into the transition to practice period. Healthcare organisations can implement strategies to recognise and assess moral distress to bolster efforts to support the nursing workforce and retention initiatives.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Impact: &lt;/strong&gt;These findings contribute to the gap in the literature on moral distress and turnover among new nurses, underline the complexities of the acute care environment and highlight the need for specialty tailored interventions. This study provides insight into initiatives that can support global nursing workforce sustainability.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Reporting method: &lt;/strong&gt;STROBE.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Patient or public contribution: &lt;/strong&gt;No patient or publi","PeriodicalId":48570,"journal":{"name":"Nursing Open","volume":"13 10","pages":"e70904"},"PeriodicalIF":3.1,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13675524/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149208084","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Relationship Between Stress of Conscience and Compassion Fatigue in Nurses: A Cross-Sectional Study in a Private Hospital.","authors":"Arslanoglu Ali, Çengel Özgür, Semiz Demet, Karakaş Patlar Elif","doi":"10.1002/nop2.70887","DOIUrl":"10.1002/nop2.70887","url":null,"abstract":"<p><strong>Aim: </strong>This study aimed to examine the relationship between stress of conscience and compassion fatigue among nurses.</p><p><strong>Design: </strong>This study was a cross-sectional and descriptive study.</p><p><strong>Methods: </strong>The research was cross-sectional and descriptive in nature and was conducted between 16 September 2022, and 15 November 2022. The population of the study consists of 120 nurses working in a private hospital in Istanbul. Data analysis was performed using the SPSS program. For sociodemographic variables, the t-test and ANOVA tests were used for normally distributed data, while the Mann-Whitney U and Kruskal-Wallis tests were applied for non-normally distributed data. Since the data showed a normal distribution, correlation analyses were conducted using the Pearson correlation coefficient, and regression analysis was utilized to assess the effect of the data in the study.</p><p><strong>Results: </strong>A positive relationship was found between stress of conscience and compassion fatigue among nurses. Stress of conscience was also significantly associated with occupational burnout and secondary trauma.</p><p><strong>Conclusion: </strong>The study found a positive, moderate-level relationship between stress of conscience and compassion fatigue among nurses.</p><p><strong>Implications for nursing practice: </strong>The study's findings reveal a positive relationship between stress of conscience and compassion fatigue among nurses; therefore, nurses' workloads could be reduced and their work made more visible through the development of new strategies.</p><p><strong>No patient or public contribution: </strong>Only nurses were included in this study. There was no patient involvement in this study.</p><p><strong>Impact: </strong>This study highlights the relationship between stress of conscience and compassion fatigue. Based on the research findings, supportive interventions can be implemented by taking into account the workload and emotional strain experienced by nurses.</p><p><strong>Reporting method: </strong>This study was reported in accordance with the STROBE guidelines.</p>","PeriodicalId":48570,"journal":{"name":"Nursing Open","volume":"13 10","pages":"e70887"},"PeriodicalIF":3.1,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13649125/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149138870","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effect of Skin-To-Skin Contact During Caesarean Section on Pain and Stress in Newborns: A Randomized Controlled Trial.","authors":"Seda Yazici Yel, Sena Dilek Aksoy","doi":"10.1002/nop2.70836","DOIUrl":"https://doi.org/10.1002/nop2.70836","url":null,"abstract":"<p><strong>Aim: </strong>To evaluate the effect of skin-to-skin contact during caesarean section on neonatal pain and stress during the first intramuscular injection.</p><p><strong>Design: </strong>Prospective randomized controlled trial.</p><p><strong>Methods: </strong>The study was conducted between January and July 2023 in an education and research hospital. Sixty healthy term newborns of women undergoing elective caesarean delivery under spinal anaesthesia were randomly allocated to skin-to-skin contact (n = 30) or routine care (n = 30). In the intervention group, standardized skin-to-skin contact was provided for approximately 3 min during caesarean section. Neonatal pain and stress were assessed using the Newborn Pain and Stress Assessment Scale (ALPS-Neo) at four predefined timepoints.</p><p><strong>Results: </strong>ALPS-Neo scores were similar between groups at baseline but were lower in the skin-to-skin contact group immediately before, during, and after the first intramuscular injection. During the injection, the mean between-group difference was -2.633 (95% CI: -3.135 to -2.132, p < 0.001), with a large standardized effect (Hedges' g = -2.68, 95% CI: -3.38 to -1.99).</p><p><strong>Conclusion: </strong>Brief intraoperative skin-to-skin contact may reduce immediate neonatal pain and stress during the first intramuscular injection after caesarean birth.</p><p><strong>Implications for the profession and/or patient care: </strong>Skin-to-skin contact may provide a simple non-pharmacological strategy to support neonatal comfort during routine painful procedures after caesarean birth when appropriate clinical and thermal conditions are ensured.</p><p><strong>Impact: </strong>This study supports the analgesic and stress-reducing effects of skin-to-skin contact and extends existing evidence to brief intraoperative contact during caesarean delivery. Repeated assessment showed that the between-group difference was greatest during the painful procedure.</p><p><strong>Reporting method: </strong>The study was reported in accordance with the CONSORT Statement for Randomized Trials of Nonpharmacologic Treatments.</p><p><strong>No patient or public contribution: </strong>There was no patient or public involvement in the design, management, interpretation, reporting, or dissemination of this study. Women and their newborns were involved solely as research participants, and written informed consent was obtained from the women before participation.</p><p><strong>Trial and protocol registration: </strong>ClinicalTrials.gov (registration number: NCT05700552).</p>","PeriodicalId":48570,"journal":{"name":"Nursing Open","volume":"13 10","pages":"e70836"},"PeriodicalIF":3.1,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13635627/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149116846","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}