Nursing Open最新文献

{"title":"Confirmatory Factor Analysis of the Role Performance Scale for Patient Safety Coordinators: Secondary Data Analysis.","authors":"Kyo-Yeon Park, Kyoungrim Kang","doi":"10.1002/nop2.70563","DOIUrl":"https://doi.org/10.1002/nop2.70563","url":null,"abstract":"<p><strong>Aim: </strong>To develop and validate a scale for predicting and evaluating the role of patient safety coordinators by assessing construct validity and reliability using confirmatory factor analysis.</p><p><strong>Design: </strong>A methodological study utilising secondary data analysis.</p><p><strong>Methods: </strong>This methodological study used secondary data from online surveys of 132 patient safety coordinators in small- and medium-sized hospitals. The 25-item Role Performance Scale, covering four subscales, was validated through confirmatory factor analysis to assess structural validity. Reliability, convergent validity, and discriminant validity were also examined.</p><p><strong>Results: </strong>The developed 25-item Role Performance Scale comprised four subscales: Information collection and management, education-related tasks, patient safety improvement activities, and indicator management. The scale demonstrated strong reliability and validity, with construct reliability values exceeding 0.7 and convergent validity confirmed. Discriminant validity was established as the variance extracted values surpassed inter-factor correlations. The overall reliability of the scale was high, confirming internal consistency.</p><p><strong>Conclusion: </strong>The developed scale for patient safety coordinators demonstrated strong validity and reliability, offering an objective assessment method for evaluating key patient safety coordinator tasks and strengthening professional competencies to enhance patient safety systems.</p><p><strong>Patient or public contribution: </strong>No Patient or Public Contribution.</p>","PeriodicalId":48570,"journal":{"name":"Nursing Open","volume":"13 5","pages":"e70563"},"PeriodicalIF":2.3,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13121552/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147786147","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":"Being Sick and Yet Present-The Connection Between Personality Traits and Presenteeism Behaviour Among Nurses.","authors":"Joana Jost, Christian Eissler, Christoph Golz","doi":"10.1002/nop2.70584","DOIUrl":"10.1002/nop2.70584","url":null,"abstract":"<p><strong>Aim: </strong>To explore the association between nurses' personality traits and their presenteeism behaviour.</p><p><strong>Design: </strong>Cross-sectional study.</p><p><strong>Methods: </strong>Nurses from various settings in Switzerland were recruited through convenience and snowball sampling. Data was collected using an online questionnaire. A multiple linear regression was conducted for data analysis.</p><p><strong>Results: </strong>A total of 255 questionnaires were included in the analysis. Presenteeism is moderate among nurses with a mean of 2.73 (SD = 0.93). The participants were less prone to presenteeism if a physician had advised them to stay away from work. The results indicated that consciousness, neuroticism and being a nursing assistant with formal education and working in a nursing home had a significant positive correlation with nurses' presenteeism behaviour.</p><p><strong>Conclusion: </strong>Conscientiousness may indicate a sense of duty among nurses. Neuroticism could be reflected in higher emotional stress and susceptibility to stress. Workload and role demands may be associated with higher presenteeism scores among nursing assistants with formal education. Increased staffing needs in nursing homes may explain elevated presenteeism scores.</p>","PeriodicalId":48570,"journal":{"name":"Nursing Open","volume":"13 5","pages":"e70584"},"PeriodicalIF":2.3,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13149752/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147844587","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":"Methodological and Interpretative Considerations in 'Exploring the Patient Engagement in the Healthcare Decision-Making Process and Its Association With Patients' Satisfaction'.","authors":"Meina Zhang, Huyan Ke","doi":"10.1002/nop2.70572","DOIUrl":"https://doi.org/10.1002/nop2.70572","url":null,"abstract":"","PeriodicalId":48570,"journal":{"name":"Nursing Open","volume":"13 5","pages":"e70572"},"PeriodicalIF":2.3,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13139620/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147844609","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":"Ethical Dilemmas and Moral Distress in Health Emergencies: The Case of the COVID-19 Pandemic in Spanish Nurses-A Qualitative Study.","authors":"Verónica Tíscar-González, Marta Bartolomé-Ruperez, Joan Blanco-Blanco, Carolina Da Silva-Caram, Karla Ivonne Mijangos-Fuentes, Teresa Moreno-Casbas","doi":"10.1002/nop2.70575","DOIUrl":"10.1002/nop2.70575","url":null,"abstract":"<p><strong>Background: </strong>The COVID-19 pandemic created unprecedented ethical challenges for nurses, often culminating in moral distress.</p><p><strong>Aim: </strong>The aim of this study was to explore the experiences of Spanish nurses in relation to moral distress and ethical conflicts experienced during the COVID-19 pandemic.</p><p><strong>Design: </strong>Qualitative phenomenological study.</p><p><strong>Methods: </strong>Nurses who had tended COVID-19 patients were given a semi-structured interview via the Zoom application. Thematic analysis was carried out, identifying units of meaning and assigning codes that were grouped into the different categories using Open Code software.</p><p><strong>Results: </strong>Seventeen nurses participated and four categories emerged: (i) Difficulties in the general management of the pandemic on the institutional level, (ii) Limitation of patients' rights in a pandemic situation, (iii) Influence on the humanization of healthcare, (iv) Impact on professionals and on the profession.</p><p><strong>Conclusion: </strong>Restrictions on patients' and families' rights during the pandemic generated ethical conflicts for healthcare professionals. In addition, the scarcity of both human and material resources, together with limited access to information, intensified value conflicts in clinical practice.</p><p><strong>Impact: </strong>This project provides evidence on ethical conflicts experienced by nurses during the pandemic, both in the quality of care and professionals' well-being. Findings will contribute to and have an impact on future action protocols and public policies aimed at better managing ethical challenges in health emergency situations.</p>","PeriodicalId":48570,"journal":{"name":"Nursing Open","volume":"13 5","pages":"e70575"},"PeriodicalIF":2.3,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13128523/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147785341","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":"Compassion Fatigue Experiences of Organ Transplant Nurses: A Qualitative Method.","authors":"Mediha Ekici, Nilgün Aksoy","doi":"10.1002/nop2.70561","DOIUrl":"10.1002/nop2.70561","url":null,"abstract":"<p><strong>Aim: </strong>This study aimed to explore and understand the compassion fatigue experiences of organ transplant nurses.</p><p><strong>Design: </strong>This study employed the phenomenological design, which is a qualitative research method.</p><p><strong>Method: </strong>The data of the study were collected from 13 nurses working at the Organ Transplant Clinics of a University Hospital in southern Turkey. A \"Personal Information Form\" and a \"Semi-Structured Interview\" form were used to collect data in face-to-face in-depth interviews held between December 2022 and June 2023. The content analysis method was used to analyze the data.</p><p><strong>Results: </strong>In this study, 248 codes, 11 categories, and three themes were obtained. The themes were \"Causes of Compassion Fatigue\", \"Symptoms of Compassion Fatigue\", and \"Management of Compassion Fatigue\".</p><p><strong>Conclusion: </strong>It was determined that all participants experienced compassion fatigue. The factors that contributed to the development of compassion fatigue were the high amount of care burden in the care of organ transplant patients, the insufficient number of nurses, having children, and rejection cases, whereas preventive factors included raising awareness regarding the development of compassion fatigue and the creation of personal care strategies.</p><p><strong>Reporting method: </strong>This research has adhered to relevant EQUATOR guidelines, the consolidated criteria for reporting qualitative studies (COREQ 32-item checklist).</p><p><strong>Patient or public contribution: </strong>Thirteen participants with at least a bachelor's degree in transplant nursing completed the research.</p>","PeriodicalId":48570,"journal":{"name":"Nursing Open","volume":"13 5","pages":"e70561"},"PeriodicalIF":2.3,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13127838/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147786070","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":"A Survey on the Perceptions and Attitudes Towards Patient-Reported Outcomes Among 527 Nursing Staff in China.","authors":"Lumin Zhang, Beirong Fan, Zongying Gui, Yechen Wang, Weinv Fan","doi":"10.1002/nop2.70502","DOIUrl":"https://doi.org/10.1002/nop2.70502","url":null,"abstract":"<p><strong>Objective: </strong>This study aimed to investigate the key factors influencing nursing staff's knowledge and attitudes towards patient-reported outcomes (PROs) in Chinese tertiary hospitals, and to examine the demographic and professional determinants of these perceptions, thereby providing a foundation for strategies to enhance engagement and promote the comprehensive implementation of PROs.</p><p><strong>Methods: </strong>This study employed a cross-sectional design to survey 527 nursing staff from four tertiary hospitals in China using general information, self-designed knowledge understanding and demand questionnaires, and Liu Huan's localised Outcome Measures Questionnaire (OMQ). Multiple linear regression analysis was employed to analyse the influencing nursing staff's attitudes towards patient-reported outcomes (PROs).</p><p><strong>Results: </strong>The preferred methods of acquiring and wanting to understand were through reading literature (223 people, 42.36%) and academic conferences (186 people, 35.27%). The content of interest included the usage of measurement tools (382 people, 72.48%) and application (424 people, 80.51%). The total OMQ score was 64.12 ± 0.92, with an average item score of 2.96 ± 0.21. There were significant differences in attitudes scores among educational levels, departments, understanding and nursing capabilities. Multiple linear regression analysis showed that educational level were influencing factors for the total OMQ score and the practice barriers section of the questionnaire (p < 0.05), while understanding, age and title were influencing factors for the negative attitudes section of the OMQ (p < 0.05).</p><p><strong>Conclusion: </strong>Nursing staff in tertiary hospitals recognise the value of patient-reported outcomes, have a strong willingness to learn related content, and also harbour some negative attitudes. Measures can be taken against these influencing factors to enhance knowledge and attitudes, thus actively applying them in clinical practice.</p>","PeriodicalId":48570,"journal":{"name":"Nursing Open","volume":"13 5","pages":"e70502"},"PeriodicalIF":2.3,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13121580/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147786097","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":"Alarm Fatigue and Turnover Intention Among Haemodialysis Nurses: The Mediating Role of Professional Quality of Life.","authors":"Sogand Sarmadi, Neda Sanaie, Fariba Borhani, Akbar Zare-Kaseb, Amir Mohamad Nazari","doi":"10.1002/nop2.70589","DOIUrl":"https://doi.org/10.1002/nop2.70589","url":null,"abstract":"<p><strong>Aims: </strong>This study examined the relationship between alarm fatigue and turnover intention among dialysis nurses and investigated the mediating role of professional quality of life (ProQOL).</p><p><strong>Design: </strong>An analytical cross-sectional study was conducted.</p><p><strong>Methods: </strong>This study employed a nonprobability sample of 140 dialysis nurses from hospitals affiliated with Shahid Beheshti University of Medical Sciences in Iran in December 2024. Data for this study were collected via a multi-section survey. This research initially focused on identifying demographic and occupational variables. Section two employed the Alarm Fatigue Questionnaire; section three, the ProQOL scale; and section four, the Turnover Intention Questionnaire. Data analysis was carried out using IBM SPSS Statistics, version 27.0.</p><p><strong>Results: </strong>The mean scores for alarm fatigue and turnover intention were 34.02 (SD = 8.50) and 48.70 (SD = 11.66), respectively. Item-level means for alarm fatigue were 2.62 (SD = 0.65) on a 0-4 scale. Also, scores were 3.30 (SD = 0.81) for secondary traumatic stress (STS), 3.61 (SD = 0.90) for compassion fatigue (CF), 3.01 (SD = 0.78) for compassion satisfaction (CS), and 3.25 (SD = 0.78) for turnover intention on 1-5 Likert-type scales. Pearson's correlation showed that alarm fatigue was positively correlated with STS, CF and turnover intention, and negatively correlated with CS. Multiple linear regression explained 62.9% of the variance in turnover intention; single marital status, CS, CF and STS were significant independent predictors. Path analysis showed a significant total association between alarm fatigue and turnover intention, a non-significant direct association, and a significant indirect association through ProQOL components, a pattern consistent with mediation by ProQOL.</p><p><strong>Conclusions: </strong>Path analysis showed a pattern of associations consistent with ProQOL mediating the relationship between alarm fatigue and turnover intention. The association between alarm fatigue and turnover intention appeared to operate primarily in association with STS, compassion fatigue, and compassion satisfaction, although the cross-sectional design precludes causal inference. These findings are consistent with the hypothesis that improving ProQOL may be associated with a weaker link between alarm fatigue and turnover intention, though this should be confirmed in longitudinal studies.</p>","PeriodicalId":48570,"journal":{"name":"Nursing Open","volume":"13 5","pages":"e70589"},"PeriodicalIF":2.3,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13139901/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147844529","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":"Bridging Self-Assessment Gaps: The Impact of Objective Structured Clinical Examination (OSCE) on Nursing Students' Competency Perception: A Pre-Post-Test Study.","authors":"Virginia La Rosa-Salas, Carmen Fernández-Panadero, Miriam Pereira-Sánchez, Miren Idoia Pardavila-Belio, Marta Lizarbe-Chocarro","doi":"10.1002/nop2.70487","DOIUrl":"https://doi.org/10.1002/nop2.70487","url":null,"abstract":"<p><strong>Aim: </strong>Self-assessment is critical in nursing education, enabling students to reflect on their cognitive and clinical skills while helping educators identify gaps in competencies. Combining subjective self-assessment with the objectivity of Objective Structured Clinical Examinations (OSCEs) supports learning adjustments. This study explores the impact of OSCEs on nursing students' self-assessment of practical competencies.</p><p><strong>Design: </strong>A quasi-experimental pre-post study was conducted with a convenience sample of 229 third- and fourth-year nursing students at a Spanish university. Only students who had not previously taken an OSCE were included. A 10-station OSCE was implemented, and the Self-Assessment Competence Scale (SACS) evaluated perceived competence levels. Data analyses included descriptive statistics, sensitivity testing, t-tests, and ANOVA (tertile analysis) with size effect for group differences, and regression analysis to detect the Dunning-Kruger effect.</p><p><strong>Results: </strong>Fourth-year students scored significantly higher on OSCEs than third-year students. Female and male students had similar OSCE results, though fourth-year students demonstrated higher self-perception of competence than their third-year peers. The mean of self-assessment scores is similar for men and women, but disaggregating scores by competences shows significant differences. Interestingly, students with higher self-perceived competence often achieved lower OSCE scores, revealing discrepancies attributed to the Dunning-Kruger effect. Post-OSCE, students adjusted their self-perception more closely to their actual performance.</p><p><strong>Conclusion: </strong>OSCEs effectively identify and address discrepancies between self-assessment and objective performance, fostering critical self-awareness among nursing students. By revealing overconfidence in less skilled students, these findings highlight the importance of integrating structured OSCEs into nursing curricula. Educators can use these insights to develop targeted programs that enhance competency development, reflective learning and patient safety.</p>","PeriodicalId":48570,"journal":{"name":"Nursing Open","volume":"13 5","pages":"e70487"},"PeriodicalIF":2.3,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13132803/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147822375","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":"Transformational Leadership and Nurse Job Performance Through Self-Efficacy in Chinese Tertiary Hospitals.","authors":"Yuan Jiang","doi":"10.1002/nop2.70579","DOIUrl":"10.1002/nop2.70579","url":null,"abstract":"<p><strong>Aim: </strong>To examine the associations among transformational leadership, nurse self-efficacy and job performance in tertiary hospitals in Shanghai, China.</p><p><strong>Design: </strong>A cross-sectional quantitative study guided by social cognitive theory and the Job Demands-Resources (JD-R) model.</p><p><strong>Methods: </strong>Using convenience sampling, registered nurses were recruited from three tertiary Grade-A public hospitals in Shanghai between September and November 2024. Eligibility criteria included holding a valid nurse licence, having at least 1 year of independent clinical experience, and being currently employed full-time. Of 675 invitations distributed, 460 valid responses were included in the final analysis. Validated instruments were used to measure transformational leadership, nurse self-efficacy and job performance. Data were analysed using SPSS 25.0 and AMOS 25.0. Confirmatory factor analysis and covariance-based structural equation modelling were conducted using maximum likelihood estimation, and indirect effects were tested via bootstrapping with 5000 resamples.</p><p><strong>Results: </strong>Transformational leadership was positively associated with nurse self-efficacy (β = 0.33, p < 0.001) and job performance (β = 0.18, p < 0.001). Nurse self-efficacy was positively associated with job performance (β = 0.47, p < 0.001) and partially mediated the association between transformational leadership and job performance. The indirect effect was significant (β = 0.15, 95% CI [0.09, 0.21]) and accounted for 46.3% of the total effect. The final model demonstrated acceptable fit (CFI = 0.97, RMSEA = 0.05).</p><p><strong>Conclusion: </strong>Among nurses in three Shanghai tertiary public hospitals, transformational leadership was associated with higher self-efficacy and better self-reported job performance and self-efficacy showed a statistically significant mediating role. Because the data were cross-sectional and based on single-source self-report, the findings should be interpreted as associational rather than causal.</p><p><strong>Patient or public contribution: </strong>No patient or public contribution.</p>","PeriodicalId":48570,"journal":{"name":"Nursing Open","volume":"13 5","pages":"e70579"},"PeriodicalIF":2.3,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13128533/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147785953","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":"Scores of Evidence-Based Knowledge, Practice and Attitude Among Nurses: A Cross-Sectional Study.","authors":"Mada Aljuaid, Zainab Alhalal, Ahlam Alshimery, Huda Alshimery","doi":"10.1002/nop2.70594","DOIUrl":"10.1002/nop2.70594","url":null,"abstract":"<p><strong>Aim: </strong>To describe the level of knowledge, skills, practice, attitude and overall score of EBP among nurses at all levels, including nurse aides, Registered Nurses (RNs), nurse managers and directors.</p><p><strong>Design: </strong>A descriptive, cross-sectional, survey-based study.</p><p><strong>Methods: </strong>The study was conducted between June and July 2024 at a single-site hospital in Dhahran, Saudi Arabia. The validated Evidence-Based Practice Questionnaire (EBPQ), distributed to 359 nurses, yielded a convenience sample of nurses (n = 224). Descriptive data analysis, effect sizes and confidence intervals were done using SPSS version 20. One-way ANOVA was used for normally distributed data, while the Kruskal-Wallis and Mann-Whitney tests were used for non-normally distributed data. Post hoc pairwise comparisons were conducted using Dunn's test with Bonferroni correction to adjust for multiple comparisons and control the family-wise error rate. p < 0.05 was considered statistically significant.</p><p><strong>Results: </strong>Nurses scored highest in knowledge and skills, followed by practice and attitude. The demographic characteristics show some variation across all domains, with significant differences in nurses' position within the practice domain (p = 0.027) and in the total score (p = 0.039). Post hoc analysis revealed that nurse aides had significantly higher practice scores than RNs (adjusted p = 0.033) and managers (adjusted p = 0.048), whereas no significant difference was found between RNs and managers (adjusted p = 1.000). Additionally, nurse aides had significantly higher total scores compared to RNs (adjusted p = 0.045).</p><p><strong>Conclusion: </strong>Nurses score highly in knowledge and skills but lower in practice and attitude. Therefore, it is necessary to improve nurses' EBP competency through ongoing education and leadership support.</p><p><strong>Reporting method: </strong>To strengthen the validity of the research, it was planned, conducted and reported in accordance with the Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) checklist.</p><p><strong>Patient or public contribution: </strong>None.</p>","PeriodicalId":48570,"journal":{"name":"Nursing Open","volume":"13 5","pages":"e70594"},"PeriodicalIF":2.3,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13149750/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147844784","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}