Nursing Open最新文献

{"title":"Balancing Resilience and Vulnerability: An Integrative Review of the Strong Black Woman Schema in Nursing Education and Leadership.","authors":"Kechi Iheduru-Anderson, Christiana Akanegbu, Julia U Ugorji, Chimezie J Agomoh","doi":"10.1002/nop2.70574","DOIUrl":"https://doi.org/10.1002/nop2.70574","url":null,"abstract":"<p><strong>Aim: </strong>This integrative review examines the dual role of the Strong Black Woman schema which may provide insights as both a source of resilience and a contributor to systemic and individual challenges for Black professional nurses, educators, and leaders.</p><p><strong>Design: </strong>This study is an integrative review of literature.</p><p><strong>Methods: </strong>Using Whittemore and Knafl's methodology, an integrative review of peer-reviewed literature published between 2000 and 2024 was conducted across multiple databases. Thirty-three studies meeting inclusion criteria were synthesised through processes of data reduction, data display, data comparison, and conclusion drawing.</p><p><strong>Findings: </strong>Four major themes were identified: historical and sociocultural roots, health and psychological implications, professional and leadership outcomes, and the balance between resilience and vulnerability. The schema promotes resilience and leadership potential but also exacerbates psychological distress, workplace isolation, and inequities.</p><p><strong>Conclusions: </strong>The Strong Black Woman schema encompasses resilience, caregiving, and emotional suppression-traits rooted in historical survival strategies of Black women. While these traits have been associated with professional success, the existing literature primarily highlights their impact on mental and physical health. Although only a minority of reviewed studies directly addressed nursing contexts, the schema's relevance warrants further investigation. Conceptual insights from this review suggest the need for systemic reforms, culturally responsive leadership training, and integrating vulnerability into professional frameworks. These directions can guide future research and potentially inform efforts to support the holistic well-being and equity of Black women in nursing education and leadership.</p><p><strong>Public contributions: </strong>There was no patient or public contribution.</p>","PeriodicalId":48570,"journal":{"name":"Nursing Open","volume":"13 5","pages":"e70574"},"PeriodicalIF":2.3,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13121553/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147786124","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 Effect of Virtual Simulation Game on the Development of Nursing Students' Knowledge and Skills: A Randomized Controlled Trial.","authors":"İnci Mercan Annak, Hülya Bulut","doi":"10.1002/nop2.70566","DOIUrl":"10.1002/nop2.70566","url":null,"abstract":"<p><strong>Aim: </strong>This study evaluated the effect of a virtual simulation game (VSG) on the development of nursing students' knowledge and skills related to the prevention of Catheter-Associated Urinary Tract Infection (CAUTI).</p><p><strong>Design: </strong>A parallel group randomized controlled trial. The study is registered with ClinicalTrials.gov under the number NCT05309317.</p><p><strong>Methods: </strong>This study was completed by 75 students (38 simulation and 37 control). Students' knowledge and skill levels were assessed prior to the training. A training on CAUTI prevention was presented to the students. After randomization, the VSG group accessed VSG for 7 days. Following the intervention, students' knowledge and skill levels were measured using post-test assessments.</p><p><strong>Results: </strong>As a result of the study, the post-test mean scores for knowledge and skills in the VSG group were statistically higher than those in the control group (p < 0.05). The results of the study indicate that VSG was an interesting, stimulating, fun, practical and accessible educational approach for university students.</p><p><strong>Conclusions: </strong>The use of a well-designed VSG application as a teaching and learning strategy contributed to the development of students' knowledge and skills in CAUTI prevention. It is recommended to use VSG as a preliminary or complementary method to traditional face-to-face simulation and clinical applications.</p><p><strong>Patient or public contribution: </strong>The game's judgements, having no impact on real life, safeguard patient safety and enhance clinical skills.</p><p><strong>Trial registration: </strong>ClinicalTrials.gov: NCT05309317.</p>","PeriodicalId":48570,"journal":{"name":"Nursing Open","volume":"13 5","pages":"e70566"},"PeriodicalIF":2.3,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13127837/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147785957","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 Mediating Role of Psychological Capital Between Caring Behaviour and Work Engagement of Nurses: A Cross-Sectional Study.","authors":"Wen Tian, Guo-Wen Zhang, Gui-Qi Song","doi":"10.1002/nop2.70569","DOIUrl":"10.1002/nop2.70569","url":null,"abstract":"<p><strong>Aim: </strong>To investigate the mediating role of psychological capital in the relationship between nurses' caring behaviour and work engagement.</p><p><strong>Design: </strong>A cross-sectional study.</p><p><strong>Methods: </strong>From February to March 2022, an online survey was conducted to 698 nurses from eight hospitals in Anhui Province, China. The survey included the Psychological Capital Questionnaire, Caring Behaviour Inventory and Utrecht Work Engagement Scale. The mediating effect of psychological capital on the relationship between caring behaviours and work engagement was examined using structural equation modelling with bootstrap testing.</p><p><strong>Results: </strong>Nurses' caring behaviour, psychological capital and work engagement were statistically significantly and positively associated with each other (r = 0.589-0.661, p < 0.01). Psychological capital showed a significant indirect effect in the association between nurses' caring behaviours and work engagement (β = 0.205, p < 0.001), accounting for 50.25% of the total effect.</p><p><strong>Conclusion: </strong>Results suggest that nursing managers can enhance nurses' work engagement by improving their psychological capital and caring behaviour. As a result, clinical nursing managers should implement effective strategies, such as providing training in psychological capital and caring behaviour, to enhance nurses' work engagement and improve the quality of care for patients.</p><p><strong>Impact: </strong>This study explores the mechanism of the role of psychological capital between caring behaviour and nurses' work engagement, providing a theoretical basis for nursing managers to improve nurses' work engagement from the perspective of positive psychology. It is conducive to improving the quality of nursing care.</p><p><strong>Patient or public contribution: </strong>No patient or public contribution.</p>","PeriodicalId":48570,"journal":{"name":"Nursing Open","volume":"13 5","pages":"e70569"},"PeriodicalIF":2.3,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13127695/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147786000","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":"Determinants of Cardiovascular Disease Risk Among LGBTQ+ Populations: A Systematic Review of Empirical Evidence.","authors":"Sarinrut Sriprasong, Kritsadakorn Sukumanukoon, Naruewat Chantab, Nanthiya Chaosangkate, Suebsarn Ruksakulpiwat","doi":"10.1002/nop2.70532","DOIUrl":"https://doi.org/10.1002/nop2.70532","url":null,"abstract":"<p><strong>Background: </strong>Understanding the multifactorial drivers of cardiovascular disease (CVD) risk in LGBTQ+ populations is critical to advancing equitable cardiovascular care.</p><p><strong>Objective: </strong>To evaluate and synthesize empirical evidence on factors influencing CVD risk among sexual minority populations.</p><p><strong>Methods: </strong>A systematic review was conducted following PRISMA guidelines. Five databases (PubMed, Scopus, MEDLINE, ScienceDirect and ProQuest) were searched for studies published between 2019 and 2024 that examined CVD risk factors among LGBTQ+ adults. Eligible studies were appraised using the Joanna Briggs Institute critical appraisal tool, and findings were synthesized using a convergent integrated approach.</p><p><strong>Results: </strong>Twenty studies met the inclusion criteria, most of which were cross-sectional and conducted in high-income countries. Identified CVD risk factors were classified into six domains: behavioural (e.g., nicotine use, health behaviours, substance use), blood biomarker (e.g., lipid or total cholesterol, HbA1c, C-reactive protein), physical (e.g., BMI, blood pressure, age), comorbidities (e.g., metabolic syndrome, COPD, HIV), psychological (e.g., positive and negative factors) and social (e.g., discrimination, loneliness, marital status). Bisexual, lesbian and gay individuals were most frequently represented. Across studies, minority stress and adverse social determinants were consistently associated with elevated CVD risk.</p><p><strong>Conclusion: </strong>Sexual minority populations face disproportionate cardiovascular risk shaped by behavioural, biological and psychosocial stressors. These findings highlight the need for inclusive, culturally competent nursing practice and identity-informed screening strategies.</p><p><strong>Implications for nursing practice and policy: </strong>Nurses should integrate sexual orientation and gender identity into cardiovascular risk assessments, adopt trauma-informed and resilience-promoting approaches, and advocate for policies that reduce structural barriers to equitable care.</p><p><strong>Patient or public contribution: </strong>No patients or members of the public were directly involved in the design, conduct or reporting of this systematic review.</p>","PeriodicalId":48570,"journal":{"name":"Nursing Open","volume":"13 5","pages":"e70532"},"PeriodicalIF":2.3,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13138721/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147844577","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":"\"We Are One of the Most Depressed Professionals\": Nurses' Experiences of Psychological Hazards in A District Hospital.","authors":"Perpetual N B Kodom, Feikoab Parimah, Collins Badu Agyemang","doi":"10.1002/nop2.70597","DOIUrl":"10.1002/nop2.70597","url":null,"abstract":"<p><strong>Aim: </strong>This study explored the occupational hazards faced by nurses in a district hospital in Ghana, analysed their psychological outcomes, and examined how emotional labour mediates nurses' behaviour in patient care.</p><p><strong>Design: </strong>A focused ethnographic study.</p><p><strong>Methods: </strong>Over the course of 11 months, data were collected purposively from 31 general nurses and one key informant using in-depth interviews, participant observation, and informal dialogues. Data were analysed thematically using network analysis, supported by NVivo 12 Plus. Rigour was enhanced through prolonged engagement, triangulation, pilot testing, member checking, and peer debriefing.</p><p><strong>Results: </strong>Two categories of psychological hazards emerged: default hazards (unavoidable), such as patient deaths, ubiquity of sickness, and unpleasant sights; and escapable hazards (somewhat avoidable), including work-related injuries and shift-work maladaptation. These hazards triggered grief, disgust, fear, anxiety, and fatigue, which nurses managed through emotional labour strategies: surface acting, deep acting, spiritual coping, peer support, and emotional detachment. While these strategies enabled professionalism, they often led to emotional dissonance, burnout, and strained relationships between nurses and patients.</p><p><strong>Conclusion: </strong>Occupational hazards in hospital wards carry significant psychological burdens that shape nurses' behaviour and professional conduct. Emotional labour mediates these responses, but reliance on individual coping strategies is unsustainable without institutional support. Comprehensive support systems, such as psychotherapeutic counselling during and after nursing school, are needed to mitigate the effects of these occupational hazards on healthcare providers.</p><p><strong>Patient or public contribution: </strong>No patient or public contribution.</p>","PeriodicalId":48570,"journal":{"name":"Nursing Open","volume":"13 5","pages":"e70597"},"PeriodicalIF":2.3,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13149760/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147844538","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":"Interventional Strategies and Educational Programmes to Guide Nurses in the Management of Elder Abuse: A Scoping Review.","authors":"Mohamed Toufic El Hussein, Dawson S Sheehan","doi":"10.1002/nop2.70573","DOIUrl":"https://doi.org/10.1002/nop2.70573","url":null,"abstract":"<p><strong>Aim: </strong>To identify and describe the existing educational programmes and interventions intended to assist nurses in the identification and management of elder abuse.</p><p><strong>Design: </strong>Scoping Review.</p><p><strong>Methods: </strong>A scoping review of the literature published between 2014 and 2024 was conducted in accordance with the Joanna Briggs Institute Manual for Evidence Synthesis and the methodological framework for scoping studies.</p><p><strong>Data sources: </strong>The final search was conducted on June 15, 2024, using the MEDLINE, CINAHL, PsycINFO and Cochrane Review databases.</p><p><strong>Results: </strong>Of the 432 articles originally identified as eligible, 13 met the predetermined inclusion and exclusion criteria and were included in the present review. The results revealed that 8 unique educational programmes and 4 interventions have been previously developed with the goal of assisting healthcare professionals, including nurses, in the recognition and management of elder abuse.</p><p><strong>Implications for the profession: </strong>Nurses work in close proximity with elders, which puts them in an optimal position to identify, assess and manage potential cases of elder abuse. Educational programmes and interventions can provide nurses with the knowledge required to manage elder abuse in an effective and professional manner.</p><p><strong>Impact: </strong>Elder abuse is a multifaceted public health issue that can result in life-changing physical, psychological or financial consequences. The prevalence of elder abuse is projected to increase in response to a rapidly aging global population. Educational training and interventions for nurses have demonstrated their effectiveness in appropriately managing elder abuse situations. Despite this, the review revealed that there is no evidence-based tool that nurses can use during clinical practice or community assessments to guide the management of elder abuse. Future research should focus on the development of an easy-to-use and accessible tool that nurses can implement to appropriately manage elder abuse. The EQUATOR guidelines for PRISMA were met. No patient or public contribution.</p><p><strong>Patient or public contribution: </strong>No patient or public contribution.</p>","PeriodicalId":48570,"journal":{"name":"Nursing Open","volume":"13 5","pages":"e70573"},"PeriodicalIF":2.3,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13132675/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147822326","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":"Response to the Letter Regarding: 'Exploring the Patient Engagement in the Healthcare Decision-Making Process and Its Association With Patients' Satisfaction'.","authors":"Kholoud Alharbi, Hessa Abdulrahman Almutairi, Norah Saleh Albagami","doi":"10.1002/nop2.70586","DOIUrl":"https://doi.org/10.1002/nop2.70586","url":null,"abstract":"","PeriodicalId":48570,"journal":{"name":"Nursing Open","volume":"13 5","pages":"e70586"},"PeriodicalIF":2.3,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13132676/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147822347","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":"Development and Reliability Test of the Intravenous Thrombolysis Intention Scale for Patients With Acute Ischemic Stroke.","authors":"Dazhen Li, Keke Ma, Wenfeng Fan, Renke Gao, Caixia Yang, Li-Na Guo, Xiaofang Dong, Peihua Lv, Min Wang, Huanhuan Gao, Yanjin Liu, Yuanli Guo","doi":"10.1002/nop2.70581","DOIUrl":"10.1002/nop2.70581","url":null,"abstract":"<p><strong>Aim: </strong>This study aimed to develop a tool for assessing the willingness of patients with acute ischemic stroke (AIS) and high-risk populations to undergo intravenous thrombolysis, and to evaluate its validity and reliability.</p><p><strong>Design: </strong>The study aimed to validate an instrument for assessing intent and was conducted in three phases. Initially, items were generated through a comprehensive literature review, qualitative interviews, and brainstorming sessions. In Phase 1, two rounds of Delphi correspondence consultation and a preliminary survey were conducted to refine the items and evaluate their readability, involving 16 experts and 64 patients. In Phase 2, a cross-sectional survey was administered in Zhengzhou, Henan Province, from March to April 2024, to screen items and assess the instrument's reliability and validity. Approximately 166 subjects participated, with 40 participants completing the questionnaire again after 2 weeks to verify the scale's test-retest reliability. In Phase 3, data were collected from approximately 217 participants at the same location to perform CFA and criterion-related validity analysis during May and June 2024.</p><p><strong>Results: </strong>A 12-item thrombolytic intention assessment scale was developed, consisting of one overall evaluation item and three dimensions. The scale showed strong internal consistency, with a Cronbach's α coefficient of 0.915, and demonstrated high reliability, as evidenced by split-half and test-retest reliability coefficients of 0.905 and 0.872, respectively. Exploratory Factor Analysis (EFA) identified three common factors that, after rotation, accounted for 53.601% of the variance. Confirmatory Factor Analysis (CFA) confirmed the scale's satisfactory convergent and discriminant validity. The correlation coefficients between the AISPITIS and both the TCDHLS and the perceived risk of hemorrhagic complications following thrombolysis were 0.447 (p < 0.001) and -0.302 (p < 0.001), respectively. The scale proved to be user-friendly and efficient in evaluating the intent for IVT in patients with AIS and those at elevated risk for AIS.</p><p><strong>Patient or public contribution: </strong>Patients with AIS and high-risk populations participated in qualitative interviews and questionnaire surveys to support the development and validation of the scale. No further involvement in study design or result interpretation was conducted.</p>","PeriodicalId":48570,"journal":{"name":"Nursing Open","volume":"13 5","pages":"e70581"},"PeriodicalIF":2.3,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13127694/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147785098","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 Theory-Based Nursing Scale for Measuring the Impact of Sleep Disturbance on Quality of Life.","authors":"Güzel Nur Yildiz, Arzu Karakaya, Nuray Şimşek, Bahar Çiftçi","doi":"10.1002/nop2.70596","DOIUrl":"10.1002/nop2.70596","url":null,"abstract":"<p><strong>Aims: </strong>Sleep disturbance and quality of life have been widely studied; however, there is a lack of theory-based, nursing-specific tools that directly assess their relationship. This study aimed to develop a valid and reliable measurement tool based on Kolcaba's Comfort Theory.</p><p><strong>Design: </strong>Methodological study.</p><p><strong>Methods: </strong>The study included 781 patients and followed standard procedures for scale development. The scale was rated on a 5-point Likert scale, and item scores were averaged to obtain overall scores. Data were collected using the Personal Information Form, the Pittsburgh Sleep Quality Index, the Visual Analog Scale (impact of sleep disturbance), the World Health Organization Quality of Life Scale, and the newly developed scale. Content validity, exploratory factor analysis, and confirmatory factor analysis were used to assess validity. Reliability was evaluated using Cronbach's alpha, McDonald's omega, and split-half reliability.</p><p><strong>Results: </strong>The final scale consists of 23 items and two sub-dimensions: Physical-Psycho-Spiritual and Environmental-Sociocultural. Mean scores range from 1 to 5, with higher scores indicating a greater negative impact of sleep disturbance on quality of life. These findings suggest that the scale may capture the multidimensional impact of sleep disturbance on quality of life. Reliability coefficients were 0.96 for both sub-dimensions and 0.98 for the overall scale. However, the confirmatory factor analysis results indicated an acceptable yet borderline model fit, particularly with respect to the RMSEA value, and therefore should be interpreted with caution.</p><p><strong>Patient or public contributions: </strong>The Effect of Sleep Disturbance on Quality of Life Scale may offer a theory-based approach to assessing how sleep disturbances relate to patients' quality of life. It may assist healthcare professionals in clinical assessment by helping to identify the multidimensional impact of sleep-related problems and could potentially contribute to clinical decision-making and care planning. The findings suggest that the scale demonstrates adequate psychometric properties and may be a useful tool for research, education, and clinical practice. In addition, criterion-related validity showed correlations ranging from weak to moderate levels, indicating partial support rather than strong evidence. These findings should therefore be interpreted with caution, as the observed correlations provide limited rather than conclusive evidence of criterion validity.</p><p><strong>Conclusions: </strong>The scale appears to be a valid and reliable tool for assessing the impact of sleep disturbance on quality of life. The scale may provide a theory-based framework for assessing patient needs, which may support holistic assessment and individualized care.</p>","PeriodicalId":48570,"journal":{"name":"Nursing Open","volume":"13 5","pages":"e70596"},"PeriodicalIF":2.3,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13149748/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147844450","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 Effect of an Art Practice-Based Psycho-Training Program on Psychological Well-Being, Care Burden, Expression of Emotions, and Coping Levels of Mothers Who Have Children With Special Needs.","authors":"Havva Kaçan, Funda Gümüş, Nurhan Eren","doi":"10.1002/nop2.70534","DOIUrl":"10.1002/nop2.70534","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Aim: &lt;/strong&gt;This study was conducted as a feasibility and proof-of-concept intervention to examine whether an art-based psychoeducational program may be associated with changes in the psychological well-being of mothers of children with special needs. Psychological well-being was considered the primary outcome, while caregiver burden, emotional expression, and coping levels were examined as secondary outcomes.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Design: &lt;/strong&gt;This single-group, quasi-experimental study was conducted using a pretest, posttest, and follow-up test.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Methods: &lt;/strong&gt;The study sample consisted of 30 mothers of children with special needs. Data were collected using an Information Form, Psychological Well-Being Scale (PWBS), Scales, Zarit Burden Interview (ZBI), Emotional Expression Scale (EES), and Stress Coping Styles Scale (SCSS). A setting was created for mothers to interact within the group, and 15 different workshops, based on training and art, were offered. At the end of the study, a technical visit was conducted to a women's cooperative to support the economic empowerment of mothers. Data were analysed using numbers, percentages, means, and standard deviations. Repeated-measures ANOVA and complementary Bonferroni tests were used for comparisons of within-group measurements.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Results: &lt;/strong&gt;Caregiver burden scores were found to be 44.90 in the pre-test, 20.67 in the post-test, and 17.33 in the follow-up phase; a significant and marked decrease was observed over time (F = 69.374, p &lt; 0.001, Partial Eta Squared = 0.832). Pairwise comparisons showed statistically significant decreases between each measurement phase. In terms of coping styles with stress, the intervention increased self-confident, optimistic, and social support-seeking approaches in the post-test and follow-up phases, while significantly decreasing helpless and submissive approaches. These positive changes were observed to continue in the follow-up measurement. Psychological well-being scores were measured as 345.20 (±73.93) in the pre-test, 361.13 (±73.10) in the post-test, and 382.27 (±73.13) in the follow-up phase; The time effect was found to be statistically significant and very strong (F = 479.324, p &lt; 0.001, Partial Eta Squared = 0.943). The findings indicate that the intervention has a high effect size in reducing caregiver burden and increasing psychological well-being and functional coping styles.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Conclusion: &lt;/strong&gt;Various art workshops and trainings regarding care burden, psychological well-being and emotional expression are effective and are also recommended for mothers with children with special needs.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Patient or public contribution: &lt;/strong&gt;Mothers of children with special needs contributed to this study by participating voluntarily in the art-based psycho-training program. Prior to the intervention, participants shared their experiences and needs related to coping with caregiving challenges, whic","PeriodicalId":48570,"journal":{"name":"Nursing Open","volume":"13 4","pages":"e70534"},"PeriodicalIF":2.3,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13086616/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147700503","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}