Nursing Open最新文献

{"title":"Performance of Large Language Models in Nursing Examinations: Comparative Analysis of ChatGPT-3.5, ChatGPT-4 and iFLYTEK Spark in China.","authors":"Peifang Li, Menglin Jiang, Jiali Chen, Ning Ning","doi":"10.1002/nop2.70317","DOIUrl":"10.1002/nop2.70317","url":null,"abstract":"<p><strong>Background: </strong>While large language models (LLMs) have been widely utilised in nursing education, their performance in Chinese nursing examinations remains unexplored, particularly in the context of ChatGPT-3.5, ChatGPT-4 and iFLYTEK Spark.</p><p><strong>Purpose: </strong>This study assessed the performance of ChatGPT-3.5, ChatGPT-4 and iFLYTEK Spark on the 2022 China National Nursing Professional Qualification Exam (CNNPQE) at both the Junior and Intermediate levels. It also investigated whether the accuracy of these language models' responses correlated with the exam's difficulty or subject matter.</p><p><strong>Methods: </strong>We inputted 800 questions from the 2022 CNNPQE-Junior and CNNPQE-Intermediate exams into ChatGPT-3.5, ChatGPT-4 and iFLYTEK Spark to determine their accuracy rates in correctly answering the questions. We then analysed the correlation between these accuracy rates and the exams' difficulty levels or subjects.</p><p><strong>Results: </strong>The accuracy of ChatGPT-3.5, ChatGPT-4 and iFLYTEK Spark in the CNNPQE-Junior was 49.3% (197/400), 68.5% (274/400), and 61% (244/400), respectively, whereas it was 56.4% (225/399), 70.7% (282/399) and 57.6% (230/399) in the CNNPQE-Intermediate. When considering different grades, the differences in accuracy rates among the three models were statistically significant (M² = 95.531, degrees of freedom (df) = 4, p < 0.001). These accuracy rates of ChatGPT-4 in the elementary knowledge, relevant professional knowledge, professional knowledge, and professional practice ability were 74.5%, 63.5%, 79% and 62.3%, respectively, leading in accuracy in other subjects in the CNNPQE. The results of the Cochran-Mantel-Haenszel (CMH) test showed that when considering different subjects, there was a statistically significant difference in accuracy rates of three LLMs (M² = 97.435, df = 4, p < 0.001).</p><p><strong>Conclusions: </strong>ChatGPT-4 and iFLYTEK Spark performed well on Chinese nursing examinations and demonstrated potential as valuable tools in nursing education.</p>","PeriodicalId":48570,"journal":{"name":"Nursing Open","volume":"12 10","pages":"e70317"},"PeriodicalIF":2.3,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12491847/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145213991","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":"Nursing Interventions for Management of Patients Undergoing Hernia Surgery: A Meta-Analysis.","authors":"Xiaohua Zhu","doi":"10.1002/nop2.70311","DOIUrl":"https://doi.org/10.1002/nop2.70311","url":null,"abstract":"<p><strong>Aim: </strong>This review was done to review the effect of nursing intervention for managing patients undergoing hernia.</p><p><strong>Design: </strong>Meta-Analysis.</p><p><strong>Methods: </strong>Searches were done in Scopus, Google Scholar, Embase, Cochrane trials library, Medline and Chinese databases from 1964 until February 2024. Meta-analysis was performed and pooled standardised mean differences or mean differences (SMD or MD) with 95% confidence intervals (CIs) reported for continuous outcomes, and odds ratios (ORs) for dichotomous outcomes.</p><p><strong>Results: </strong>Nursing interventions significantly reduced postoperative pain (SMD = -3.088; 95% CI: -4.635 to -1.541) and overall postoperative complications (OR = 0.267; 95% CI: 0.184-0.389). Significant reductions were also observed in infection rates (OR = 0.279; 95% CI: 0.106-0.738), swelling (OR = 0.197; 95% CI: 0.091-0.425), and urinary retention (OR = 0.282; 95% CI: 0.127-0.622). Nursing satisfaction significantly improved across all studies (OR = 5.508; 95% CI: 3.073-9.870). High heterogeneity was noted in some outcomes. Subgroup analyses indicated no significant differences between adults and children or between RCTs and Non-RCTs. Nursing interventions are effective in improving various postoperative outcomes in hernia surgery patients, including pain, complications, infection, swelling, urinary retention and nursing satisfaction. These findings support the integration of structured nursing care protocols into postoperative management to enhance patient recovery and satisfaction.</p><p><strong>Patient or public contribution: </strong>No Patient or Public Contribution.</p>","PeriodicalId":48570,"journal":{"name":"Nursing Open","volume":"12 10","pages":"e70311"},"PeriodicalIF":2.3,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145287257","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A Nurse-Led Cross-Sectoral Home-Based Follow-Up Visit for Older Patients Discharged From the Hospital: A Practice Research Project.","authors":"Sanne Have Beck, Lotte Huniche, Astrid Janssens, Grethe Eilertsen, Karen Andersen-Ranberg, Dorthe Susanne Nielsen","doi":"10.1002/nop2.70316","DOIUrl":"10.1002/nop2.70316","url":null,"abstract":"<p><strong>Aim: </strong>We aimed to explore hospital-based nurses' experiences and perspectives on their conduct of clinical nursing practice through 12 months of 'cross-sectoral home-based follow-up visits' for older patients discharged from hospital to home care.</p><p><strong>Design: </strong>This study is theoretically and methodologically grounded in critical psychological practice research.</p><p><strong>Methods: </strong>We conducted 11 co-researcher meetings with 5 hospital-based nurses over 12 months, exploring changes and dynamics over time. Data were analysed with the condition, meaning and reasoning analysis.</p><p><strong>Results: </strong>We identified four themes: (1) Evolving nursing practice and care, (2) Instrumental nursing influenced care over time, (3) Development of caring communities as a bridge between healthcare sectors and (4) Being in the patient's home transforms nursing and care.</p><p><strong>Conclusion: </strong>The hospital-based nurses significantly enhanced their competencies over the 12 months of conducting cross-sectoral home-based follow-up visits. Engaging with the patients in their homes allowed the hospital-based nurses to develop their sensitive and sensory awareness. The embodied knowledge gained through these experiences improved their approach to transitional care and influenced and evolved their nursing practice within the hospital setting and care provided to older patients.</p><p><strong>Patient or public contributions: </strong>Hospital-based nurses were enrolled in data collection and data analysis.</p>","PeriodicalId":48570,"journal":{"name":"Nursing Open","volume":"12 10","pages":"e70316"},"PeriodicalIF":2.3,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12491840/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145213869","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":"The Disease Self-Management Among Patients With Chronic Heart Failure in an Affluent Economy: A Grounded Theory Study.","authors":"Kakit Lam, Aimei Mao","doi":"10.1002/nop2.70302","DOIUrl":"10.1002/nop2.70302","url":null,"abstract":"<p><strong>Aims: </strong>To examine the difficulties patients with chronic heart failure face in managing their condition, as well as the coping strategies they employ to overcome these difficulties.</p><p><strong>Design: </strong>Grounded theory qualitative research.</p><p><strong>Methods: </strong>Participants were selected using purposive sampling followed by theoretical sampling. Face-to-face semi-structured interviews were conducted with fifteen patients diagnosed with chronic heart failure and three of their family members. Data analysis involved a three-level coding technique of constant comparison to identify core categories.</p><p><strong>Results: </strong>The core category Gaining Control of Life was identified from the data, encompassing two main themes: factors influencing disease self-management and self-management strategies. Factors affecting disease self-management were identified at three levels: individual, family and societal. Self-management strategies applied by patients primarily focused on three domains: disease management, lifestyle adjustments and emotional regulation. Filial piety and familial care, combined with adequate and accessible local healthcare services, enhanced patients' sense of control, integrating disease management into their everyday lives.</p><p><strong>Conclusion: </strong>The self-management experiences of patients with chronic heart failure represent an ongoing process of learning and adaptation, deeply influenced by socio-cultural factors. Through this adjustment process, patients continuously develop their coping skills, ultimately achieving the goal of gaining control of life. Comprehensive and accessible healthcare and community support play a pivotal role in facilitating this adaptation. The findings of this study contribute to the enrichment of existing self-care theories by highlighting the interplay between individual, familial and societal factors.</p><p><strong>Impact: </strong>This study aligns with and integrates key elements of Roy's Adaptation Model and Orem's Self-Care Theory while emphasising the collaborative roles of patients, families and society in disease management.</p><p><strong>Implications for patient care: </strong>Enhance the quality of life of patients with chronic diseases, enabling them to take control of their lives more effectively.</p><p><strong>Patient or public contribution: </strong>Fifteen patients diagnosed with chronic heart failure and three family members agreed to participate in the study and shared their experiences with us.</p>","PeriodicalId":48570,"journal":{"name":"Nursing Open","volume":"12 10","pages":"e70302"},"PeriodicalIF":2.3,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12507532/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145253366","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":"The Experience of Caring for Haematopoietic Stem Cell Transplant Patients From the Perspective of Haematology Nurses: A Qualitative Descriptive Study.","authors":"Ying Qian, LiLi Yang, JiaYin Ruan, LinYan Yao, JiangBo Du","doi":"10.1002/nop2.70323","DOIUrl":"10.1002/nop2.70323","url":null,"abstract":"<p><strong>Aim: </strong>This study aimed to explore the experiences of haematology nurses while caring for patients undergoing haematopoietic stem cell transplantation.</p><p><strong>Design: </strong>A qualitative descriptive study was conducted.</p><p><strong>Methods: </strong>We conducted semi-structured interviews with 18 haematology nurses in six hospitals between May 2022 and December 2023. The data were analysed using traditional content analysis. The Consolidated Criteria for Reporting Qualitative Studies (COREQ) checklist guided this report. The data were saturated in the 16th interview, and two more were conducted to confirm data saturation.</p><p><strong>Results: </strong>Through analysis, four themes and eleven sub-themes regarding the caring experiences of haematopoietic stem cell transplantation patients have emerged: challenges of isolated spaces, including the 'claustrophobic' feeling in isolated environments, segregation of communication, and pressure to independently assess and manage patient care; moral distress from treatment decisions, encompassing struggles in weighing haematopoietic stem cell transplantation pros and cons during patient communication, providing 'insincere' encouragement to patients, and doubting the meaning of persistence; reciprocal dedication in nurse-patient relationships, characterised by nurses' emotional investment in care and patients' positive feedback as motivation; and increased sense of professional value, demonstrated through increased confidence in caregiving, enhanced self-care ability, and achievement of job fulfilment.</p><p><strong>Conclusions: </strong>This study explores the real and intuitive experiences of haematology nurses caring for haematopoietic stem cell transplantation patients in China, enhancing our understanding of the care process. It revealed haematology nurses' challenges and positive experiences in caring for haematopoietic stem cell transplantation patients.</p><p><strong>Impact: </strong>This study provides evidence to optimise the haematopoietic stem cell transplantation nursing process and develop targeted support systems, which are crucial for enhancing nurses' sense of professional value and ensuring their well-being.</p><p><strong>Patient or public contribution: </strong>This paper benefited from the contributions of 18 haematology nurses, who shared their valuable experiences and emotions.</p>","PeriodicalId":48570,"journal":{"name":"Nursing Open","volume":"12 10","pages":"e70323"},"PeriodicalIF":2.3,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12514397/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145276490","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":"Cross-Cultural Validation of the Occupational Coping Self-Efficacy Scale for Nurses: A Cross-Sectional Study.","authors":"Yan-Xue Zhai, Xiao-Yu Chai, Gan-Tang Zhang, Fang Xu, Limei Gao","doi":"10.1002/nop2.70333","DOIUrl":"10.1002/nop2.70333","url":null,"abstract":"<p><strong>Aims and objectives: </strong>To translate the Occupational Coping Self-Efficacy Scale for Nurses (OCSE-N) into a simplified Chinese version and test its reliability and validity among the Chinese nursing population.</p><p><strong>Background: </strong>Coping self-efficacy beliefs are important self-appraisals of one's capability to cope with challenging situations. Using a reliable and valid instrument to assess nurses' coping self-efficacy is essential. However, in previous studies in China, a specific scale to assess nurses' occupational coping self-efficacy was not available.</p><p><strong>Design: </strong>Cross-sectional study.</p><p><strong>Methods: </strong>In total, 1172 of 1200 nursing staff selected by convenience sampling from 5 public hospitals in Shenzhen completed the investigation. The OCSE-N was translated and adapted using the Brislin translation-back translation method. Then, the internal consistency of the OCSE-N-CHI was measured by Cronbach's alpha. The construct validity of the OCSE-N-CHI was analysed by exploratory factor analysis (EFA) and confirmatory factor analysis (CFA).</p><p><strong>Results: </strong>The Cronbach's alpha of the OCSE-N-CHI was 0.882, and the test-retest reliability was 0.991 (95% CI: 0.985-0.993, p < 0.01). The correlation coefficients of each item and the total score were 0.482-0.683 (p < 0.01). After exploratory factor analysis, the scale extracted 2 common factors with a cumulative variance contribution of 67.508% and a commonality of 0.524-0.860 for each entry. The empirical factor analysis of each fit index met the recommended criteria. Statistical differences existed in the occupational coping self-efficacy scores of nurses with different marital statuses, different levels of satisfaction with their jobs, as well as their income, and different average numbers of night shifts per week.</p><p><strong>Conclusion: </strong>The reliability and validity of the OCSE-N-CHI are good, and it can be used as an assessment tool to evaluate the occupational coping self-efficacy of nursing staff in China.</p><p><strong>Relevance to clinical practice: </strong>The OCSE-N-CHI can be completed by participants in less than 2 min and is considered a convenient and reliable measure of occupational coping self-efficacy for nurses.</p><p><strong>Patient or public contribution: </strong>After participants signed an informed consent form, questionnaires were completed in a conference room. The questionnaires were collected and entered in pairs in the office, and the data were analysed. Finally, the articles were written and revised.</p>","PeriodicalId":48570,"journal":{"name":"Nursing Open","volume":"12 10","pages":"e70333"},"PeriodicalIF":2.3,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12513557/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145276458","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":"Issues Confronting Female Nursing Postgraduates in Higher Education in the Ghanaian Context: A Qualitative Study.","authors":"Veronica Adwoa Agyare, Lillian Akorfa Ohene, Collins Atta Poku, Millicent Aarah-Bapuah, Gwendolyn Patience Mensah, Lydia Aziato","doi":"10.1002/nop2.70305","DOIUrl":"10.1002/nop2.70305","url":null,"abstract":"<p><strong>Background: </strong>In recent times, universities and colleges of nursing in Ghana have been in high demand for faculty members with master's or doctoral training certificates. This has placed much pressure on nurses and midwives, who are mostly females, to pursue higher academic programs in universities.</p><p><strong>Aim: </strong>The study aims to explore the difficulties female postgraduate nurses face in higher education in Ghana.</p><p><strong>Methods: </strong>A descriptive qualitative study was conducted at two universities in Ghana. An in-depth interview with a semi-structured interview guide was conducted and audio recorded. All interviews were conducted in English over the telephone, which lasted an average of 60 min. The data were transcribed verbatim and analyzed using thematic analysis.</p><p><strong>Results: </strong>A total of 20 students participated in the study, and two themes and five sub-themes were generated from the data. The themes include (1) the academic life of postgraduate female nursing students and (2) the perceived threat to successful completion. The female postgraduates described their program as demanding and stressful owing to the program structure and financially intensive nature. The findings also suggested that students were constantly worried about the perceived threats to completing their programs, which were due to unanticipated events and gender-related issues.</p><p><strong>Conclusion: </strong>Female postgraduate students in nursing programs have diverse personal, institutional, and sociocultural challenges that confront them in their academic journeys. These challenges are traced to their concurrent roles as employees, students, and family women. Therefore, educational institutions must review curricular content and program delivery modes to meet the needs of 21st-century postgraduate students.</p><p><strong>Public contribution: </strong>No Patient or Public Contribution.</p>","PeriodicalId":48570,"journal":{"name":"Nursing Open","volume":"12 10","pages":"e70305"},"PeriodicalIF":2.3,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12475967/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145179287","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":"The Relationship Between Attachment Styles and Love Attitudes of Undergraduate Nursing Students.","authors":"Gul Sultan Ozeren","doi":"10.1002/nop2.70318","DOIUrl":"10.1002/nop2.70318","url":null,"abstract":"<p><strong>Aim: </strong>Exploring the attachment styles and love attitudes of young nursing candidates sheds light on their personal and interpersonal experiences. This study aimed to examine undergraduate nursing students' attachment styles and love attitudes and the relationship between them.</p><p><strong>Design and methods: </strong>This study was conducted at a state university in northern X, with 335 undergraduate nursing students completing the Relationship Questionnaire Survey (RQS) and the Love Attitudes Scale (LAS). The study used a cross-sectional design and the convenience sampling method.</p><p><strong>Results: </strong>The results of the correlation analysis of the scores obtained from the participants' responses indicated a negative relationship between secure attachment and mania love. Conversely, positive correlations were identified between secure attachment and storge love, obsessive attachment and mania love, fearful attachment and mania love and indifferent attachment and pragma love.</p><p><strong>Patient or public contribution: </strong>It is very important for university students, especially nursing students, to protect and strengthen their own emotional well-being and that of those they care for. It is necessary to develop special educational content and establish psychosocial support units tailored to young nursing candidates that promote secure attachment and functional close relationships. Additionally, grounding educational content and psychosocial support units in self-compassion, self-esteem and physical and spiritual empowerment is crucial. The effectiveness of these initiatives must be rigorously evaluated to ascertain their impact.</p>","PeriodicalId":48570,"journal":{"name":"Nursing Open","volume":"12 10","pages":"e70318"},"PeriodicalIF":2.3,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12476884/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145187293","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":"Type 2 Diabetes and Lifestyle Discussions With Practice Nurses in Primary Health Care: A Scoping Review of Patient Experiences.","authors":"Sharon Hills, Daniel Terry, Swapnali Gazula, Colette Browning","doi":"10.1002/nop2.70321","DOIUrl":"10.1002/nop2.70321","url":null,"abstract":"<p><strong>Aim: </strong>The aim of this study is to explore the global perceptions of people with type 2 diabetes regarding lifestyle communication in practice nurse consultations within primary health care settings.</p><p><strong>Design: </strong>A scoping review of the peer-reviewed published literature was conducted to identify and examine the characteristics of the experiences of people living with type 2 diabetes during a practice nurse consultation, where lifestyle management is discussed. The PRISMA-ScR checklist guided the review, and CASP guidelines were used to appraise the quality of the included studies.</p><p><strong>Methods: </strong>CINAHL, Medline, PsycINFO and Scopus were searched for papers published between January 2010 and May 2025. Studies were included if they described primary research regarding lifestyle discussion experiences that people living with type 2 diabetes have with practice nurses in the primary care setting.</p><p><strong>Results: </strong>From the 409 papers identified, 10 met the inclusion criteria. Key themes included the importance of unrushed consultations, the supportive yet sometimes unclear role of practice nurses, challenges in managing diabetes, the need for personalised lifestyle advice, clear explanations of health markers and varied motivations for lifestyle changes.</p><p><strong>Conclusion: </strong>While practice nurses are trusted and valued, significant gaps exist in meeting the needs of people with type 2 diabetes. Comprehensive lifestyle management discussions, detailed dietary information and clear explanations of diabetic-specific serology are lacking. Enhancing training, increasing consultation time, involving family members and exploring eHealth solutions are crucial. Further research on brief behaviour change interventions is needed to support informed decisions and improve care quality.</p><p><strong>Patient or public contribution: </strong>No patient or public contribution.</p>","PeriodicalId":48570,"journal":{"name":"Nursing Open","volume":"12 10","pages":"e70321"},"PeriodicalIF":2.3,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12481042/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145193602","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":"Repaying Kindness and Resilience: Cultural Insights for Nursing Care in Chinese Breast Cancer Recovery.","authors":"Weiwei Liu, Meng Liu, Xiaofeng Chen","doi":"10.1002/nop2.70319","DOIUrl":"10.1002/nop2.70319","url":null,"abstract":"<p><strong>Aim: </strong>To explore the role of repaying kindness (bào'ēn), a culturally embedded coping mechanism, in the recovery of breast cancer survivors in China and its implications for culturally sensitive nursing care.</p><p><strong>Design: </strong>A qualitative study employing thematic analysis to examine survivors' experiences and coping strategies.</p><p><strong>Methods: </strong>In-depth interviews were conducted with Chinese breast cancer survivors to investigate how acts of reciprocity influenced their identity, relationships, and emotional well-being. Thematic analysis was applied to identify key patterns in their recovery journey.</p><p><strong>Results: </strong>Repaying kindness enabled survivors to restore disrupted familial roles, uphold cultural values such as filial piety, and regain a sense of control post-diagnosis. This fostered a renewed sense of purpose, strengthened family bonds, reduced stigma, and promoted psychological resilience, facilitating identity reconstruction and enhanced social connectedness. These findings highlight the importance of reciprocity and relational harmony as transformative coping strategies in cancer survivorship. A culturally informed understanding of recovery suggests that integrating reciprocal caregiving and family dynamics into survivorship care can empower patients, enhance resilience, and promote culturally competent nursing practices in collectivist societies.</p><p><strong>Patient or public contribution: </strong>Breast cancer survivors contributed to this study by sharing their lived experiences, providing insights into the role of repaying kindness in their recovery. Their narratives helped shape the analysis and ensured the findings reflect the realities of coping and resilience in the Chinese cultural context.</p>","PeriodicalId":48570,"journal":{"name":"Nursing Open","volume":"12 10","pages":"e70319"},"PeriodicalIF":2.3,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12491835/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145214058","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}