Nursing Open最新文献

{"title":"Self-Perceived Competence and General Happiness Scores Among Acute-Care Nurses in the United Arab Emirates: A Cross-Sectional Study.","authors":"Ibrahim Al Faouri, Rahma Nemer, Fatma Magdi Ibrahim","doi":"10.1002/nop2.70928","DOIUrl":"10.1002/nop2.70928","url":null,"abstract":"<p><strong>Aim: </strong>To examine the association between scores on an investigator-adapted self-perceived nursing competence questionnaire and a five-point modification of the Oxford Happiness Questionnaire among registered nurses in one acute-care hospital in the United Arab Emirates.</p><p><strong>Design: </strong>Cross-sectional correlational survey.</p><p><strong>Methods: </strong>Between 15 September and 15 November 2025, 200 direct-care registered nurses completed an online survey. Self-perceived competence was scored with a 21-item investigator-adapted questionnaire informed by Nurse Competence Scale domains; general happiness was scored with a 29-item Oxford Happiness Questionnaire modified to use five response categories. Neither modified score is established as psychometrically equivalent to its source instrument. Exploratory factor analysis, correlation and covariate-adjusted linear regression with HC3 robust inference were used.</p><p><strong>Results: </strong>The adapted scores correlated modestly (r = 0.293, 95% CI 0.160-0.414); the adjusted competence-score coefficient was B = 0.440 (95% CI 0.248-0.633). Removing a competence item about feeling valued and supported within the team yielded r = 0.290 and adjusted B = 0.447 (95% CI 0.248-0.645). Exploratory factor analyses indicated factorability but did not validate either adaptation: the competence items did not reproduce seven intended domains, and happiness items primarily separated by wording polarity.</p><p><strong>Conclusion: </strong>Higher scores on the locally adapted self-perceived competence questionnaire were associated with higher scores on the modified general happiness questionnaire. The modest, cross-sectional, concurrent self-report association does not establish construct equivalence, direction of effect or benefits from competence training.</p><p><strong>Implications for the profession and/or patient care: </strong>Support for professional capability may be considered as one component of a broader workforce strategy that addresses staffing, workload, leadership, recognition and psychological safety.</p><p><strong>Impact: </strong>Earlier research examined competence and happiness among nurses in Iran; this study extends the question to a contemporary multicultural UAE acute-care sample. Its modest association between adapted questionnaire scores is useful for hypothesis generation, subject to measurement and sampling limitations.</p><p><strong>Reporting method: </strong>The study is reported in accordance with the Strengthening the Reporting of Observational Studies in Epidemiology checklist for cross-sectional studies.</p><p><strong>Patient or public contribution: </strong>No patients or members of the public contributed because this study examined registered nurses as professional participants; nurses contributed only as survey respondents.</p>","PeriodicalId":48570,"journal":{"name":"Nursing Open","volume":"13 10","pages":"e70928"},"PeriodicalIF":3.1,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13673134/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149196998","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":"Factors Associated With Entrepreneurial Intention Among Nursing Students: A Cross-Sectional Study Using a Socio-Ecological Model.","authors":"Ji Young Lim, Wonjung Noh, Mohiniso Vohidova, Anna Lee","doi":"10.1002/nop2.70870","DOIUrl":"10.1002/nop2.70870","url":null,"abstract":"<p><strong>Aim: </strong>To examine the factors associated with entrepreneurial intention among Korean nursing students using a socio-ecological model.</p><p><strong>Design: </strong>A cross-sectional study.</p><p><strong>Methods: </strong>This study, conducted in August 2024, involved 205 undergraduate nursing students who completed an online questionnaire assessing their entrepreneurial intention and individual, interpersonal, organizational, and policy-level factors. Descriptive statistics and Pearson's correlation analyses were performed, followed by multiple linear regression analysis with entrepreneurial intention as the outcome variable and factors across the four socio-ecological levels entered simultaneously as explanatory variables.</p><p><strong>Results: </strong>Peer influence and family influence were significantly associated with entrepreneurial intention, with family involvement being especially significant in Korea's collectivist culture. National economic conditions and government entrepreneurial support were also associated with students' entrepreneurial intention. Individual-level characteristics were not significantly associated with entrepreneurial intention in the adjusted model.</p><p><strong>Conclusion: </strong>Nursing students' entrepreneurial intention was mainly associated with interpersonal and policy level factors. Nursing entrepreneurship education should strengthen peer and family support and increase awareness of government programs to prepare future nurses for innovation in evolving healthcare environments.</p><p><strong>Implications for the profession and/or patient care: </strong>Nursing entrepreneurship education should extend beyond individual competency development by incorporating peer-supported learning, culturally appropriate family engagement and practical information on government entrepreneurship support. These approaches may broaden professional career pathways and strengthen nurses' capacity to develop innovative healthcare services, technologies and care models.</p><p><strong>Impact: </strong>This study addressed the limited understanding of multilevel factors associated with entrepreneurial intention among nursing students. Interpersonal and policy-level factors were more strongly associated with entrepreneurial intention than individual- or organizational-level factors. The findings may inform nursing educators, educational institutions and policymakers seeking to strengthen entrepreneurship and innovation within the nursing profession.</p><p><strong>Reporting method: </strong>This study was reported in accordance with the Strengthening the Reporting of Observational Studies in Epidemiology Statement for cross-sectional studies.</p><p><strong>No patient or public contribution: </strong>There was no involvement from patients or the public; the investigation exclusively examined nursing students' entrepreneurial intention and related determinants.</p>","PeriodicalId":48570,"journal":{"name":"Nursing Open","volume":"13 10","pages":"e70870"},"PeriodicalIF":3.1,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13639838/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149117005","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":"Intensive Care Nurses' Self-Reported Adherence to Evidence-Informed Microaspiration-Prevention Practices and Potential Implementation Determinants: A Multicenter Cross-Sectional Study.","authors":"Yongju Pei, Shuyu Fan, Xinping Shi","doi":"10.1002/nop2.70914","DOIUrl":"10.1002/nop2.70914","url":null,"abstract":"<p><strong>Aim: </strong>To assess intensive care nurses' self-reported adherence to recommended microaspiration-prevention practices and explore potential implementation determinants.</p><p><strong>Design: </strong>Multicentre, cross-sectional.</p><p><strong>Methods: </strong>From December 2024 to February 2025, nurses in 31 intensive care units at 17 hospitals in Henan Province, China, completed a questionnaire on 22 preventive practices and 43 implementation-related items informed by the Theoretical Domains Framework. Bivariate analyses, a fully adjusted three-level mixed-effects model accounting for unit and hospital clustering, and generalised estimating equation sensitivity analyses examined associations.</p><p><strong>Results: </strong>Of 510 respondents, 476 were analysed. Mean adherence was 77.17/110 (70.15% of maximum), with basic care scoring highest (73.6%) and risk management lowest (67.2%). After adjustment, adherence was lower in units with 10-14, 15-19 and ≥ 20 beds than in those with < 5 beds; the 5-9-bed group did not differ. Both training exposures were associated with higher adherence in the primary analysis; only evidence-based practice training remained significant in the 14-item analysis. The lowest-scoring items concerned near-term implementation intention (3.10), competing priorities (3.21), and professional responsibility (3.29); the highest concerned time efficiency (4.19), workflow compatibility (4.15) and interest (3.94).</p><p><strong>Conclusion: </strong>Self-reported adherence varied across practices and domains. Intensive care unit bed capacity and training exposure were associated with adherence, and implementation-related findings identified potential areas for further investigation.</p><p><strong>Implications for nursing practice: </strong>Findings may guide intensive care unit nurses, nurse managers, and educators in strengthening targeted microaspiration-prevention training, clarifying responsibilities, integrating preventive practices into routine workflows, and reinforcing bedside supervision, particularly in units with 10-14, 15-19, or ≥ 20 beds.</p><p><strong>Reporting method: </strong>The Strengthening the Reporting of Observational Studies in Epidemiology guidelines were followed. Patient or Public Contribution: None.</p>","PeriodicalId":48570,"journal":{"name":"Nursing Open","volume":"13 10","pages":""},"PeriodicalIF":3.1,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13687589/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149239934","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 Unseen Side of Nursing Leadership: Conceptualizing Leadership Blind Spots in Healthcare Settings.","authors":"Ebtsam Aly Abou Hashish","doi":"10.1002/nop2.70841","DOIUrl":"10.1002/nop2.70841","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Background: &lt;/strong&gt;Nursing leadership effectiveness depends not only on clinical expertise and formal authority but on the capacity to perceive how one's own conduct is experienced by staff. Leadership blind spots-unrecognized gaps between a nurse leader's self-perception and the actual impact of their behaviour on staff voice, trust, and psychological safety-represent a consequential and theoretically underdeveloped phenomenon in nursing management. Left unrecognized, these gaps may silently undermine staff well-being, patient safety, and organizational culture.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Aim: &lt;/strong&gt;To clarify and conceptually define leadership blind spots in nursing using Walker and Avant's concept analysis framework, identify their defining attributes, antecedents, consequences, and empirical referents, and propose a Leadership Blind Spot Pathway Model and recommendations for measurement, practice, and policy.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Methods: &lt;/strong&gt;Walker and Avant's eight-step concept analysis framework was applied. A structured literature search was conducted across six electronic sources-PubMed, CINAHL, Scopus, PsycINFO, Web of Science, and Google Scholar-covering publications from 2020 to 2025 and supplemented by foundational theoretical works. From an initial pool of 58 records, 30 sources were retained for analysis following duplicate removal and two-stage screening.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Results: &lt;/strong&gt;A nursing leadership blind spot is proposed as a recurring and insufficiently recognized discrepancy between a nurse leader's self-perceived behaviour and how that behaviour is experienced by staff. Four core defining attributes were identified: self-other perceptual discrepancy, limited recognition and integration of corrective feedback, miscalibrated confidence in leadership judgement, and relational-contextual unawareness of leadership impact. These attributes are clinically expressed through six manifestations-communication, fairness, emotional, power, performance, and change-related blind spots. Antecedents operate at individual, contextual, and organizational levels; consequences extend to nurse leaders, nursing staff, patients, and healthcare organizations. A Leadership Blind Spot Pathway Model incorporating a self-reinforcing feedback loop is proposed, in which staff silence both reflects and perpetuates leader unawareness. The concept is distinguished from destructive leadership, incompetence, burnout, and related constructs by the combination of a self-other perceptual discrepancy and limited recognition of that discrepancy.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Conclusion: &lt;/strong&gt;Leadership blind spots represent a potentially distinct and operationalizable construct in nursing that warrants empirical validation. Embedding multisource feedback, reflective practice, and psychological safety into leadership development represents a promising, though not yet empirically tested, pathway to their detection and reduction. Development and psychometric validation of ","PeriodicalId":48570,"journal":{"name":"Nursing Open","volume":"13 10","pages":"e70841"},"PeriodicalIF":3.1,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13625820/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149082443","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":"Experiences of Intensive Care Nurses in Their Practice of Physical Restraint Among Patients: A Qualitative Study.","authors":"Elanur Uludağ, Gamze Akay, Özlem Albayrak, Yasemin Erden","doi":"10.1002/nop2.70799","DOIUrl":"https://doi.org/10.1002/nop2.70799","url":null,"abstract":"<p><strong>Introduction: </strong>Although physical restraint causes mental and physical harm to patients, such practice occurs worldwide to ensure patient safety. It is non-standard practice for a number of reasons, including the lack of education, training, and protocol.</p><p><strong>Objective: </strong>This study aims to determine the experiences of nurses who apply physical restraint to patients.</p><p><strong>Methods: </strong>A descriptive phenomenological method was employed in this study, wherein semi-structured interviews were the data collection method. In this qualitative study, the data consisted of semi-structured individual interviews with nurses (n = 20). The data were analysed phenomenologically and were arranged with MAXqda 22 analysis software. The study complies with the COREQ checklist.</p><p><strong>Results: </strong>Six main themes were found from the data. The themes were (i) experiences related to nurses' physical restraint procedures, (ii) ethical balance in nursing, (iii) nurses' emotions, (iv) the meaning of physical restraint, (v) nurses' observations regarding patients' reactions to physical restraints, and (vi) the experience of ethical dilemmas. The nurses perceived physical restraint as being uncomfortable, a necessity or an obligation, as beneficial for patients, and a practice seen as punishment.</p><p><strong>Conclusions: </strong>The findings showed that physical restraint elicited diverse thoughts and emotions among nurses, who reported difficulties in coping with these emotions and insufficient knowledge of restraint procedures. Nurses also described the need to protect patient safety while preserving patient autonomy, highlighting the ethical balance involved in decisions concerning physical restraint.</p><p><strong>Implications for nursing practice: </strong>This study has provided insight that can guide clinician nurses, educators, and policy-makers in improving physical restraint administration. The lack of knowledge held among nurses as to physical restraint procedures emphasizes the importance of education and training on this topic and can suggest areas of development for pertinent policies and guidelines.</p><p><strong>Patient or public contribution: </strong>No patient or public contribution.</p>","PeriodicalId":48570,"journal":{"name":"Nursing Open","volume":"13 10","pages":"e70799"},"PeriodicalIF":3.1,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13634625/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149117003","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":"Flushing Strategies for Totally Implantable Venous Access Devices in Nurse-Led Cancer Care: Exploratory Randomized Clinical Trial.","authors":"Chi-Jia Ho, Jason Chia-Hsun Hsieh, Hui Grace Xu, Chieh-Ching Yen, Hsuan-Chih Kuo, Chih-Ting Chou, Li-Chin Chen, Bo-Cyuan Wang","doi":"10.1002/nop2.70942","DOIUrl":"10.1002/nop2.70942","url":null,"abstract":"<p><strong>Aim (s): </strong>To examine catheter-related complications across different flushing strategies for totally implantable venous access devices when care is delivered through a standardized, nurse-led, protocol-driven framework.</p><p><strong>Design: </strong>A single-center, prospective, exploratory, randomized, single-blind, three-arm parallel-group clinical trial.</p><p><strong>Results: </strong>Among 192 participants, catheter-related complications were rare across all groups. One occlusion occurred in the 10 mL saline group, no occlusions occurred in the 20 mL saline or heparin lock groups, minor bleeding occurred in three participants, and no catheter-related bloodstream infections or severe adverse events were reported. The very low number of events precluded meaningful comparative inference between flushing strategies.</p><p><strong>Conclusion: </strong>Within a standardized, nurse-led catheter care framework, complication rates were uniformly low regardless of flushing strategy. These exploratory findings do not establish equivalence or comparative effectiveness between flushing strategies.</p><p><strong>Implications for the profession and/or patient care: </strong>For oncology nursing practice, these findings support continued emphasis on standardized, protocol-driven catheter care, competency-based nurse training, and adherence monitoring; they do not establish that saline can replace heparin.</p><p><strong>Impact: </strong>This study addresses uncertainty about catheter outcomes under different flushing strategies in standardized nursing care. The main finding was uniformly low complication rates across groups. The findings may inform oncology nursing practice, catheter care standardization, and future trial design.</p><p><strong>Reporting method: </strong>This study was reported in accordance with the CONSORT 2025 statement and relevant extensions.</p><p><strong>No patient or public contribution: </strong>Patients and members of the public were not involved in the design, conduct, analysis, interpretation, or preparation of this manuscript because the study evaluated a protocol-driven inpatient catheter care procedure delivered within routine oncology nursing practice.</p><p><strong>Trial registration: </strong>ClinicalTrials.gov: NCT05707936 (https://clinicaltrials.gov/study/NCT05707936).</p>","PeriodicalId":48570,"journal":{"name":"Nursing Open","volume":"13 10","pages":"e70942"},"PeriodicalIF":3.1,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13675516/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149208044","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 the Theory-Practice Divide in ECG Education: A Multistakeholder Qualitative Inquiry.","authors":"Sun-Hee Moon, Boyoung Kim","doi":"10.1002/nop2.70898","DOIUrl":"10.1002/nop2.70898","url":null,"abstract":"<p><strong>Aim: </strong>To explore the perspectives of nursing students, clinical nurses, and nurse educators on electrocardiography (ECG) education and identify strategies to bridge the theory-practice divide and prepare nurses for future-oriented learning environments.</p><p><strong>Design: </strong>A qualitative descriptive study employing the consensual qualitative research (CQR) method.</p><p><strong>Methods: </strong>Group interviews were conducted with 27 participants divided into student, nurse, and nursing educator groups. Data were analysed using the CQR method.</p><p><strong>Results: </strong>Four major themes and corresponding subthemes were identified: (1) clinical significance of ECG and expanding nursing roles, (2) educational barriers and disconnects between theory and practice, (3) motivation and growth through experiential learning, and (4) strategies for educational innovation, including integrated curricula, simulation-based learning, and digital approaches such as AI-assisted learning and gamification perceived as effective for sustaining engagement, repeated practice, and ongoing development of ECG competency.</p><p><strong>Conclusion: </strong>Bridging the gap in ECG education requires context-integrated training with organisational support. Enhancing educator expertise and promoting learner engagement are critical for ensuring the successful clinical application of ECG interpretation skills.</p><p><strong>Implications for the profession and/or patient care: </strong>Inadequate ECG education may delay patient assessments, increase nurse stress, and create communication breakdowns in clinical teams. These findings highlight the need for nursing curricula and continuing professional education to incorporate structured, simulation-enhanced, and AI-supported training that supports repeated practice and progressive ECG competency development. Such educational strategies can improve clinical decision-making, strengthen interdisciplinary teamwork, and ultimately enhance patient safety, particularly in high-acuity or resource-constrained healthcare settings.</p>","PeriodicalId":48570,"journal":{"name":"Nursing Open","volume":"13 10","pages":"e70898"},"PeriodicalIF":3.1,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13639929/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149116868","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":"'Is This the Workplace for Me?' A Qualitative Study of Nursing Students' Construction of Workplace Attractiveness in Clinical Placement.","authors":"Åsa Tjulin, Julia Cederlund, Åsa Chaikiat Ståhl, Emma Brulin, Bodil J Landstad, Maritha Jacobsson, Maria Härgestam, Ann Rudman","doi":"10.1002/nop2.70868","DOIUrl":"https://doi.org/10.1002/nop2.70868","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Aim: &lt;/strong&gt;To explore how nursing students perceive and construct the notion of workplace attractiveness in healthcare during clinical placements.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Design: &lt;/strong&gt;Qualitative explorative research design.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Method: &lt;/strong&gt;Thirteen final-year undergraduate nursing students from four Swedish universities participated in seven semi-structured interview sessions between February and May 2025: three individual interviews and four small-group interviews involving two to three participants. An interview guide, organised around main themes, directed the conversations. Interviews were digitally recorded and transcribed verbatim. Data analysis was performed using reflexive inductive thematic analysis, characterised by an iterative, flexible, and interpretive approach rooted in a constructionist epistemology.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Results: &lt;/strong&gt;Clinical placements shaped nursing students' perceptions of workplace attractiveness, forming the basis for future career choices. The overarching theme, Looking Ahead, captured how students evaluated healthcare as a potential workplace while envisioning their professional future. Four interrelated themes emerged: Becoming-gaining confidence and identity as a nurse through hands-on experience; Belonging-the importance of relationships and social climate for inclusion; Balancing-concerns about managing work-life integration and sustainable conditions; and Beyond-seeking opportunities for continued growth and development. Together, these themes illustrate workplace attractiveness as relational and temporal, emerging from immediate experiences and long-term aspirations.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Conclusions: &lt;/strong&gt;Workplace attractiveness is a dynamic, relational process shaped by interactions between individuals and organisations, not a fixed attribute. It evolves through everyday practices, social identity, and belonging. Effective strategies must address relational and symbolic dimensions, fostering inclusion, identity formation, and meaningful participation alongside structural improvements.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Implications for the profession and/or patient care: &lt;/strong&gt;Understanding workplace attractiveness as a dynamic process highlights the need for healthcare organisations to prioritise supportive onboarding, inclusive social climates, and opportunities for professional growth. Strengthening belonging, identity formation, and sustainable working conditions can enhance nurse retention, reduce turnover, and ultimately improve continuity and quality of patient care.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;No patient or public contribution: &lt;/strong&gt;This study did not include patient or public involvement in its design, conduct, reporting, or dissemination since it focused on nursing students' perceptions during clinical training rather than on patient experiences.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Impact: &lt;/strong&gt;Problem addressed: Limited understanding of how nursing students construct perceptions of workplace attractiveness during c","PeriodicalId":48570,"journal":{"name":"Nursing Open","volume":"13 10","pages":"e70868"},"PeriodicalIF":3.1,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13627880/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149116756","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":"Impact of a 12-Element Nurse-Led Tracheostomy Care Bundle on Stoma Integrity, Respiratory Distress and Suspected Pneumonia-Related Outcomes Among Patients With Tracheostomies: A Quasi-Experimental Study.","authors":"Eman Yasser Hammouda, Mohammed Elsayed Zaky, Mona Saad Abdelwareth Ahmed, Walaa El-Khanany Zahran, Hend El-Sayed Mansour","doi":"10.1002/nop2.70861","DOIUrl":"10.1002/nop2.70861","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Aim: &lt;/strong&gt;To evaluate the impact of a 12-element nurse-led tracheostomy care bundle, compared with routine care, on stoma integrity, respiratory distress, and pneumonia-related outcomes among patients with tracheostomies.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Design: &lt;/strong&gt;A quasi-experimental study was conducted among 80 critically ill patients with tracheostomies admitted to Mansoura University Hospital. Participants were allocated into a study group receiving a 12-element nurse-led tracheostomy care bundle and a control group receiving routine care (40 patients per group). Patients were followed for 15 days. Data were collected using stoma-site assessment, the National Early Warning Score (NEWS), the Respiratory Distress Observation Scale (RDOS), and the modified Clinical Pulmonary Infection Score (CPIS). Statistical analyses included chi-squared tests, Friedman tests for repeated measurements, and effect size estimation using partial eta squared.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Results: &lt;/strong&gt;Baseline demographic and clinical characteristics were comparable between groups (p &gt; 0.05). Primary longitudinal repeated-measures models revealed significant Group × Time interaction effects favouring the nurse-led bundle for physiological stability (NEWS: F = 7.838, p &lt; 0.001, partial eta squared = 0.086), stoma integrity composite scores (F = 5.849, p &lt; 0.001, partial eta squared = 0.048), and respiratory distress trajectories (RDOS: F = 4.382, p = 0.014, partial eta squared = 0.036). Secondary day-specific analyses showed lower stoma-site infection signs (swelling, purulent discharge, skin breakdown, redness, warmth, and foul drainage) in the intervention cohort during follow-up. Regarding pneumonia-related outcomes, CPIS-indicated suspected respiratory infection occurred less frequently in the study group (1-week: 10.0% vs. 20.0%; 2-week: 5.0% vs. 10.0%), though the difference was not statistically significant (Chi-square = 3.710, p = 0.168).&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Conclusions: &lt;/strong&gt;A 12-element nurse-led tracheostomy care bundle was associated with improved stoma integrity, reduced observed respiratory distress, and favourable changes in physiological stability among patients with tracheostomies. Although lower proportions of CPIS-indicated suspected respiratory infection were observed in the bundle group, the difference was not statistically significant. Further multicentre controlled studies are required to determine the effect of standardized tracheostomy care bundles on pneumonia-related outcomes.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Implications for the profession and patient care: &lt;/strong&gt;Standardizing tracheostomy management via a nurse-led bundle provides a structured, evidence-informed framework for ICU practice. For nurses, it ensures consistent airway management, stoma assessment, suctioning, humidification, cuff pressure monitoring, and documentation, enhancing procedural fidelity and patient safety. For patients, bundle adherence supports stoma integrity, reduces respiratory distre","PeriodicalId":48570,"journal":{"name":"Nursing Open","volume":"13 10","pages":"e70861"},"PeriodicalIF":3.1,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13625812/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149082516","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":"Post-Extubation Recall of Thirst During Mechanical Ventilation Among Intensive Care Unit Patients: A Conventional Content Analysis.","authors":"Alireza Sadeghi, Amir Mohamad Nazari, Alun C Jackson, Elham Khedmati, Fatemeh Bahramnezhad","doi":"10.1002/nop2.70912","DOIUrl":"10.1002/nop2.70912","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Background and aim: &lt;/strong&gt;In ICU patients, particularly after extubation, thirst is a common and troubling symptom. Although earlier research has focused mainly on quantifying thirst severity and its clinical correlates, less is known about the subjective experiences of patients, including their emotional responses, sense of helplessness, help-seeking actions, and the challenges they face in obtaining relief within the ICU. Therefore, this study aimed to examine how post-extubation ICU patients experience thirst and the strategies they use to manage or alleviate it.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Methods and materials: &lt;/strong&gt;Between January and August 2024, this qualitative research was carried out in Tehran, Iran, using conventional content analysis. Participants were recruited through purposive sampling, and data were collected via semi-structured interviews conducted in Persian with 20 patients admitted to the intensive care unit (ICU) following extubation. Interviews proceeded until data saturation occurred, and even though they were held after extubation, the thirst experiences participants reported mostly pertained to the time of mechanical ventilation and intubation. The Consolidated Criteria for Reporting Qualitative Research (COREQ) guideline was followed in this study.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Results: &lt;/strong&gt;Three main categories were identified in this study: 'Unrelieved Thirst' (Hope despite Disappointment and Cognitive and Emotional Burden of Thirst), 'Seeking Relief' (Spiritual Coping and Endurance and Non-Verbal Pleading for Water), and 'Emotional Collapse and Withdrawal' (Resigned Withdrawal and Emotional Isolation and Perceived Neglect). Participants experienced persistent thoughts about water, employed spiritual coping strategies, used gestures without words to express thirst, and eventually emotionally withdrew when their needs were persistently ignored.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Conclusion: &lt;/strong&gt;The study revealed that post-extubation thirst is experienced as a deeply upsetting phenomenon affecting physical, psychological, and existential levels, where patients face physical discomfort, emotional distress, challenges in communication, and a sense of being overlooked in the ICU.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Implications for the profession and/or patient care: &lt;/strong&gt;The findings highlight the urgent necessity for systematic thirst assessment, improved non-verbal communication techniques, and compassionate, patient-focused nursing care to reduce thirst-related distress. Healthcare providers must be trained to identify both verbal and non-verbal thirst signals and to incorporate patients' cultural and spiritual resources into supportive care.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Impact: &lt;/strong&gt;The research delivers a comprehensive understanding of the multifaceted nature of thirst in ICU patients, demonstrating that unresolved thirst may result in emotional collapse and withdrawal. It highlights the significance of managing thirst as an essential human requirement in critical ca","PeriodicalId":48570,"journal":{"name":"Nursing Open","volume":"13 10","pages":"e70912"},"PeriodicalIF":3.1,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13652352/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149148410","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}