Nursing Open最新文献

{"title":"COVID-19 and Healthcare Workers Burnt out: A Qualitative Study of Burnout Experiences of Healthcare workers in a Secondary Hospital in Ghana.","authors":"Seth Christopher Yaw Appiah, Elvis Mwinsome Sobiesuo, Bernard Obeng, Elsie Asamoah, Comfort Badu Mantey, Peter Dwumah, Mary Sefa Boampong, Abena Afrakomah Boateng, Richard Ofori, Michael Nimoh, Josephine Boakyewaa Nyarko, Jonathan Mensah Dapaah","doi":"10.1002/nop2.70279","DOIUrl":"10.1002/nop2.70279","url":null,"abstract":"<p><strong>Aim: </strong>The COVID-19 pandemic emerged between 2019 and 2021, and had a profound and far-reaching impact across all sectors of society, significantly altering daily life and working conditions especially for frontline health professionals. This study explored the burnout context that occurred among health workers, predominantly nurses during the peak of the COVID-19 pandemic in a secondary hospital facility in Ghana.</p><p><strong>Design: </strong>Descriptive phenomenological design.</p><p><strong>Methods: </strong>The study adopted a qualitative approach, anchored on a descriptive phenomenological design to explore the dynamics of burnt-out experienced by 12 healthcare staff at the Kwame Nkrumah University of Science and Technology (KNUST) hospital in Ghana during the COVID-19 pandemic. The (12) healthcare workers, which included six (6) male and six (6) female, were recruited using a convenient sampling technique, guided by a structured interview guide. Adopting a thematic approach, the transcribed data were analysed after data categorisation and manual coding.</p><p><strong>Findings: </strong>Healthcare staff reported a significant increase in workload during the peak of COVID-19 cases, which subsided as case severity decreased over time. Healthcare workers recounted the pandemic's psychological toll, including symptoms of increased stress, worry, and despair exacerbated by severe burnout as a result of the crisis's relentless demands. Despite the obstacles, healthcare workers constantly emphasised their dedication to professionalism, indicating a strong feeling of obligation to maintain patient-centred treatment. A highlight was made in respect of exhaustion and emotional difficulties, though these experiences did not impair the quality of treatment delivered to clients. Providing respectful, empathetic, and equitable care to all patients irrespective of suspected COVID-19 or other diseases remained a central feature of services provided.</p><p><strong>Patient or public contribution: </strong>This paper presents findings relevant to the provision of quality client care in moments of extreme stress. It provides insights into the challenges nurses go through to secure their health and provide safety for the public in moments of general public fear and discomfort. The findings in this study invite the public to appreciate and equally empathise with emergency health care providers particularly during periods of pandemic.</p>","PeriodicalId":48570,"journal":{"name":"Nursing Open","volume":"12 8","pages":"e70279"},"PeriodicalIF":2.3,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12312758/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144761850","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":"Exploring Everyday Experiences of Adolescents Living With Asthma Through Bronfenbrenner's Ecological Systems Theory.","authors":"Tzu-Jung Tseng, Chiung-Jung Jo Wu","doi":"10.1002/nop2.70281","DOIUrl":"10.1002/nop2.70281","url":null,"abstract":"<p><strong>Aim: </strong>To explore Taiwanese adolescents' experiences with asthma.</p><p><strong>Design: </strong>Exploratory qualitative study using semi-structured face-to-face interviews, framed within Bronfenbrenner's Ecological Systems Theory.</p><p><strong>Methods: </strong>Data were collected until saturation was reached. The interviews focused on adolescents who experienced asthma during their developmental stages. Data were managed using NVivo V12 program.</p><p><strong>Data sources: </strong>This study was conducted at an outpatient paediatric clinic located within a tertiary teaching hospital (anonymised for review) in Taiwan.</p><p><strong>Results: </strong>Seventeen Taiwanese adolescents with asthma were interviewed, resulting in the emergence of eight main themes: 'asthma exacerbation and its impacts', 'maintaining physical comfort', 'increased compliance with medication or treatment regimes', 'peer interactions', 'available resources at school', 'uncertainty', 'changes in social participation to manage symptoms', and 'conflicts in asthma care across different generations of family caregivers'.</p><p><strong>Conclusion: </strong>Taiwanese adolescents with asthma experience regular disruptions to their social participation and school attendance. As a result, maintaining peer relationships may be challenging.</p><p><strong>Implications for the profession and/or patient care: </strong>Understanding the experiences of adolescents with asthma provides insights in optimising asthma care at home and school settings. Our findings highlight the importance of enabling teachers to respond appropriately to the needs of adolescents with asthma. A lack of understanding among teachers can aggravate adolescents' fear of embarrassment when using an inhaler in the presence of their peers. This may lead to reduced social interactions and feelings of isolation. To create a supportive environment, it is crucial to equip teachers and peers to recognise and respond to asthma symptoms.</p><p><strong>Impact: </strong>This study addressed the lack of understanding of the developmental needs of Taiwanese adolescents with asthma. Adolescents' home and school environments impact asthma management. Families, teachers and healthcare professionals must consider the developmental experiences of adolescents living with asthma in order to provide appropriate care.</p><p><strong>Reporting method: </strong>COREQ was used.</p><p><strong>Patient or public contribution: </strong>The data consists of answers given that comprise responses provided by patients during interviews.</p>","PeriodicalId":48570,"journal":{"name":"Nursing Open","volume":"12 8","pages":"e70281"},"PeriodicalIF":2.3,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12339662/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144822907","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 Person-Centred Care Among Nurses in COVID-19 Wards: A Qualitative Study.","authors":"Myoungsuk Kim, Yongmi Lee, Hyun-Ju Kang","doi":"10.1002/nop2.70293","DOIUrl":"https://doi.org/10.1002/nop2.70293","url":null,"abstract":"<p><strong>Aim: </strong>While there is extensive research on nurses' experiences in caring for COVID-19 patients, studies focusing on person-centred care in this context remain limited. This study aimed to obtain a thorough understanding of the meaning and essence of person-centred care experienced by nurses in COVID-19 wards in South Korea.</p><p><strong>Design: </strong>This study adopted a qualitative research design.</p><p><strong>Methods: </strong>Data were collected from April 2022 to February 2023 using one-on-one in-depth interviews with nine nurses working in COVID-19-designated hospitals; these data were analysed using content analysis. This study adhered to the Consolidated Criteria for Reporting Qualitative Research (COREQ) guidelines.</p><p><strong>Results: </strong>The five categories were: encountering barriers between nurses and patients, the conflict between principles and dignity, providing individualised care even under controlled circumstances, providing care in a therapeutic community relationship and desiring stable care even in a crisis.</p><p><strong>Conclusion: </strong>This study examined nurses' challenges and experiences in delivering person-centred care during the COVID-19 pandemic. Despite the conflict between infection control guidelines and individual patient needs, nurses sought to address patients' psychological and physical challenges while overcoming COVID-19 together, leading to satisfaction for both patients and nurses. Systemic support and education are essential to sustain person-centred care, and this study provides valuable insights for improving nursing practice in crisis situations.</p><p><strong>Patient or public contribution: </strong>No patient or public contribution.</p>","PeriodicalId":48570,"journal":{"name":"Nursing Open","volume":"12 8","pages":"e70293"},"PeriodicalIF":2.3,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12368353/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144974835","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Nursing Diagnoses and Interventions in the Field of Action for Patients Undergoing Renal Replacement Therapy: A Scoping Review.","authors":"Miguel Angel Cuevas-Budhart, José Ramón Paniagua Sierra, Renata Cedillo-Flores, Sonsoles Hernandez-Iglesias, Almudena Crespo Cañizarez, Maria Alina Renghea, José Antonio Herrero Calvo, Vicente Beneit Montesinos, Mercedes Gómez Del Pulgar G","doi":"10.1002/nop2.70280","DOIUrl":"10.1002/nop2.70280","url":null,"abstract":"<p><strong>Aim: </strong>To identify the primary nursing diagnoses and interventions related to patients with chronic kidney disease undergoing renal replacement therapy, organised according to Marjory Gordon's functional health patterns through a scoping review.</p><p><strong>Methods: </strong>A scoping review was conducted following the JBI 2020 Guidelines and the PRISMA ScR extension. Articles published between 2014 and 2021 were included from the Web of Science, Scopus and PubMed databases. The search strategy utilised DeCS and MeSH descriptors with Boolean operators AND/OR. Articles in English and Spanish authored by nurses and featuring retrospective, prospective or cross-sectional designs were selected. After extracting the main diagnoses and interventions, a nominal group of nephrology experts discussed the findings, followed by a Delphi technique to achieve consensus.</p><p><strong>Results: </strong>A total of nine studies were included, eight from Brazil and one from Turkey, which reflects a possible geographic concentration bias. Fifty-five nursing diagnoses and seventy-six core interventions were identified and categorised into Marjory Gordon's 11 functional patterns, facilitating the structuring of nursing action fields in nephrology.</p><p><strong>Conclusions: </strong>This review established a set of standardised nursing interventions specific to patients with chronic kidney disease undergoing renal replacement therapy.</p><p><strong>Implications for health policies: </strong>The classification supports the organisation of nephrology units, reduces professional overload and enhances care quality and patient safety. The standardised taxonomy (NANDA, NIC, NOC) facilitates interdisciplinary communication and promotes advanced nursing practice.</p><p><strong>No patient or public contribution: </strong>The study is a review of already published scientific articles and a review of experts and researchers who contributed to the document. For this reason, an express declaration of the patient, user or caregivers is not required since there was no participation in the study.</p>","PeriodicalId":48570,"journal":{"name":"Nursing Open","volume":"12 8","pages":"e70280"},"PeriodicalIF":2.3,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12313543/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144761864","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 Psychological Resilience and Self-Efficacy on Caregiver Burden: A Cross-Sectional Study Among Caregivers of People With Alzheimer's Disease.","authors":"Dilek Kocabaş, Yeliz Karaçar, Nur Ebru Barçin","doi":"10.1002/nop2.70288","DOIUrl":"10.1002/nop2.70288","url":null,"abstract":"<p><strong>Aims: </strong>The aim of this study is to determine the psychological resilience and self-efficacy levels of caregivers of individuals with Alzheimer's disease and to examine the effects of these variables on the caregiver burden.</p><p><strong>Design: </strong>A cross-sectional, quantitative design was used.</p><p><strong>Methods: </strong>The study was conducted in the neurology outpatient clinic of a university hospital between March and July 2022. The sample of the study consisted of caregivers of 105 individuals diagnosed with Alzheimer's disease. Data were collected using the \"Zarit Burden Interview,\" the \"Revised Scale for Caregiving Self-Efficacy,\" and the \"Resilience Scale Short Form.\" In the study, descriptive statistics and Pearson correlation analysis were employed, and the stepwise multiple regression model was applied.</p><p><strong>Results: </strong>It was determined that caregivers had a moderate to severe caregiving burden (43.57 ± 16.58) and a moderate level of psychological resilience (20.24 ± 5.96) and self-efficacy (62.84 ± 15.96). The stepwise regression analysis results showed that a lower mini mental state score (β = -0.821; p < 0.001), low caregiver income status (β = -0.201; p < 0.008), inadequate social support (β = -0.155; p < 0.030), shorter duration of Alzheimer's disease diagnosis (β = -0.323; p < 0.001), advanced age (β = -0.299; p < 0.001), and prolonged caregiving (β = -0.216; p < 0.005) were the main predictors of caregiver burden. In addition, the levels of caregiver's self-efficacy in obtaining respite (β = -0.340; p < 0.001), psychological resilience (β = -0.293; p < 0.001), and self-efficacy in controlling upsetting thoughts (β = -0.240; p < 0.001) about caregiving predicted caregiver burden significantly.</p><p><strong>Conclusion: </strong>The resilience and self-efficacy levels of caregivers predicted caregiver burden significantly. As the psychological resilience and self-efficacy levels of caregivers increase, caregiver burden may decrease significantly.</p><p><strong>Patient or public contribution: </strong>PATIENT OR PUBLIC CONTRIBUTION: Interviews were conducted with the research participants to collect data. Our findings can be used to develop interventions and coping strategies to reduce the care burden of caregivers of individuals with Alzheimer's disease and to improve their resilience and self-efficacy.</p><p><strong>Reporting method: </strong>The results were reported in accordance with STROBE guidelines.</p>","PeriodicalId":48570,"journal":{"name":"Nursing Open","volume":"12 8","pages":"e70288"},"PeriodicalIF":2.3,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12320124/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144776667","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 Nutrition Education on Intradialytic Weight Gain in Haemodialysis Patients: Systematic Review and Meta-Analysis.","authors":"Sevda Tüzün Özdemir, Zekiye Karaçam, Öznur Usta Yeşilbalkan","doi":"10.1002/nop2.70284","DOIUrl":"https://doi.org/10.1002/nop2.70284","url":null,"abstract":"<p><strong>Aim: </strong>This systematic review and meta-analysis aimed to determine the impact of nutrition education on intradialytic weight gain (IDWG) in haemodialysis (HD) patients based on primary studies.</p><p><strong>Design: </strong>Systematic review and meta-analysis.</p><p><strong>Methods: </strong>Ten databases were searched for randomised controlled trials between November 1st and November 30th, 2022. A total of 20 studies met the inclusion criteria and were analysed.</p><p><strong>Results: </strong>The meta-analysis of 15 studies examining the effects of nutrition education on IDWG showed a statistically significant difference between the experimental and control groups (p < 0.0001). Subgroup analysis based on the duration of data collection indicated that this significant effect persisted in the 1st and 2nd months, as well as the 3rd and 4th months, but was not significant in the 5th and 6th months (p = 0.15).</p><p><strong>No patient or public contribution: </strong>No patient or public contribution was used.</p>","PeriodicalId":48570,"journal":{"name":"Nursing Open","volume":"12 8","pages":"e70284"},"PeriodicalIF":2.3,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12371460/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144974841","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 Our Own Worst Enemies\": Workplace Bullying Among Nurses and Its Implications on Healthcare Workers and Job Performance: A Multi-Facility Study in the Tamale Metropolis.","authors":"Abubakari Wuni, Ajara Musah, Iddrisu Mohammed Sisala, Abdul Malik Abdulai, Letitia Chanayireh, Brenda Abena Nyarko, Hannah Buasilenu, Mudasir Mohammed Ibrahim, Sulemana Musah, Dorothy Azure, Nafisah Abdulai","doi":"10.1002/nop2.70282","DOIUrl":"10.1002/nop2.70282","url":null,"abstract":"<p><strong>Background: </strong>Workplace bullying is an important issue confronting the nursing profession, with victims described as being part of an oppressed group. The number of attacks and acts of violence that staff direct at each other in the workplace is alarmingly high and cannot be ignored.</p><p><strong>Aim: </strong>This study assessed the prevalence and impact of workplace bullying of nurses by other nurses among those working in three major hospitals in the Tamale Metropolis, Ghana.</p><p><strong>Methods: </strong>Data for this study were collected from Tamale Teaching Hospital, Tamale Central Hospital, and Tamale West Hospital using a descriptive cross-sectional multi-facility study design with a quantitative approach to data collection. A proportionate stratified random sampling technique was used to recruit 338 nurses from the three hospitals. A structured questionnaire was used to collect data, following approval from the Tamale Teaching Hospital Research and Development Unit and the Northern Regional Health Directorate, from January 2022 to March 2022. Stata for Windows V16.0 was used to analyse the data. Bivariate and multivariable logistic regression models were used to explore the factors associated with the prevalence of perceived workplace bullying among nurses. Confidence intervals were computed at a 95% confidence level, and a p-value of 0.05 or less was considered statistically significant.</p><p><strong>Results: </strong>The majority of respondents (85.5%) indicated they had observed workplace bullying before, and 50.6% had witnessed the bullying of a nurse by another nurse. A little over one-third had been victims of workplace bullying. Females constituted a higher proportion of both the perpetrators (53.0%) and the main targets (80.2%) of workplace bullying. Additionally, 34.6% reported having the intention to travel abroad to practise nursing as a result of observing bullying or being victims themselves. Multivariable analysis showed that the odds of experiencing workplace bullying were 63% lower among nurses working in the surgical ward compared to those in the Outpatient Department (AOR: 0.37, 95% CI: 0.15-0.91, p = 0.030).</p><p><strong>Conclusion: </strong>This study revealed that workplace bullying is prevalent among nurses in the three main hospitals within the Tamale Metropolis. Most respondents had witnessed workplace bullying, and a little over one-third had been victims themselves. Workplace bullying is a measurable issue that negatively affects nurses' mental health and job performance. Therefore, nursing leaders should organise regular sensitisation programmes to raise awareness of the impact of workplace bullying. Additionally, hospital management should encourage nurses to report instances of bullying, establish disciplinary committees to address such cases, punish offenders, and protect those who witness or are victims of bullying.</p>","PeriodicalId":48570,"journal":{"name":"Nursing Open","volume":"12 7","pages":"e70282"},"PeriodicalIF":2.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12276762/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144676225","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":"Entrepreneurial Instincts of Nurses and Midwives in Ghana.","authors":"Adelaide Maria Ansah Ofei, Jane Owusu-Asiamah, Theresa Barnes, Emma Annan","doi":"10.1002/nop2.70246","DOIUrl":"10.1002/nop2.70246","url":null,"abstract":"<p><strong>Background: </strong>In recent years, the popularity of entrepreneurship among nurses and midwives has increased. People in the nursing and midwifery professions have reaped numerous benefits from this endeavour. However, little is known about the reasons why nurses and midwives decide to become business owners. The aim of the study was to explore the motivation for entrepreneurial instincts among nurses and midwives in Ghana.</p><p><strong>Methodology: </strong>This qualitative study snowball-sampled nurses and midwives in the Greater Accra Region who have established their health-related businesses. The participants consisted of eleven participants based on theoretical saturation. Using an interview guide, researchers gathered in-depth data on the discussed phenomenon and then analysed the data using thematic analysis.</p><p><strong>Results: </strong>Five themes were identified from analysis of data, and they are frustration at the former workplace, the desire to own a business, preserving family legacy, the necessity for extra income, and engaging in something during retirement.</p><p><strong>Conclusion: </strong>Nurses and midwives gain experience through their work as professionals, which motivates them to become entrepreneurs. In addition to these experiences, other factors play an important role in the entrepreneurial ambitions of nurses and midwives.</p><p><strong>Patient or public contribution: </strong>We are grateful to all nurses and midwives for their help during the study.</p>","PeriodicalId":48570,"journal":{"name":"Nursing Open","volume":"12 7","pages":"e70246"},"PeriodicalIF":2.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12238728/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144592611","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":"Caregiving Experiences of Caregivers of Adolescents With Inflammatory Bowel Disease: A Qualitative Meta-Synthesis.","authors":"Huan Xu, Chao Wu, Changchang Chen, Bo Yan, Ning Zha, Kai Zhang, Fang Liu, Hongjuan Lang","doi":"10.1002/nop2.70267","DOIUrl":"10.1002/nop2.70267","url":null,"abstract":"<p><strong>Background: </strong>Inflammatory Bowel Disease (IBD) is a chronic condition that significantly affects the physical and mental health of adolescents. Caregivers are crucial in the treatment process, offering both physical care and emotional support. Caring for adolescents with IBD can significantly affect caregivers' physical, psychological and daily lives, presenting a range of emotional, financial and practical challenges.</p><p><strong>Aims: </strong>To explore and integrate the caregiving experiences of caregivers of adolescents with IBD, in order to inform future caregiving support and intervention strategies.</p><p><strong>Design: </strong>A systematic evaluation and synthesis of qualitative studies was conducted based on ENTREQ guidelines.</p><p><strong>Methods: </strong>A systematic search was performed in PubMed, Embase, Cochrane Library, Web of Science, CINAHL, PsyINFO, CNKI, Wangfang and VIP for qualitative studies on the caregiving experiences of caregivers of adolescents with IBD, from the start of the research until March 14 2025. The quality of the literature was assessed using the Joanna Briggs Institute's quality assessment criteria for qualitative research, and included studies were integrated using a pooled approach.</p><p><strong>Results: </strong>In total, nine studies were included, from which 69 themes were extracted. The findings were grouped into five main themes and 12 subthemes: Psychological and emotional challenges; Heavy caregiving burden; Multiple challenges; Indispensable external support; Positive progress.</p><p><strong>Conclusions: </strong>Caregivers of adolescents with IBD face numerous challenges. Healthcare professionals should recognise the varied needs of these caregivers and develop tailored support programmes to help alleviate psychological stress and enhance caregiving quality. Additionally, the Internet and community platforms can be utilised to establish a family support system, ensuring the well-being of both caregivers and adolescents.</p><p><strong>No patient or public contribution: </strong>This study is a meta-synthesis and does not require relevant contributions from patients or the public.</p><p><strong>Trial registration: </strong>PROSPERO number: CRD 420250654435.</p>","PeriodicalId":48570,"journal":{"name":"Nursing Open","volume":"12 7","pages":"e70267"},"PeriodicalIF":2.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12204846/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144530489","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":"Unveiling the Relationships of Professional Identity, Values and Communication Competence in Nursing Students' Clinical Practice Behaviours: A Cross-Sectional Study and Mediation Model Analysis.","authors":"Li Yang, Si Ni Li, Qingyu Wang, Si Pan, Wen Zhao","doi":"10.1002/nop2.70270","DOIUrl":"10.1002/nop2.70270","url":null,"abstract":"<p><strong>Aims: </strong>This study aimed to explore factors related to clinical practice behaviours and investigate the role of clinical communication competence in promoting professional identity/values and clinical practice behaviours among nursing students.</p><p><strong>Methods: </strong>Between July and August 2023, a cross-sectional online survey were conducted among 791 nursing students undergoing clinical internships at a tertiary hospital in Hunan Province, China, using convenience sampling methods. The Professional Identity Questionnaire for Nurse Students, the Nurses Professional Values Scale-Revised, the Clinical Communication Competence Scale and the Clinical Practice Behaviours Scale were used to assess students' professional identity, professional values, clinical communication competence and clinical practice behaviours, respectively. Descriptive statistics, t-tests, ANOVA and Pearson's correlation were performed. Mediation models explored relationships between professional identity, professional values, communication competence and clinical practice behaviours, with communication competence as a mediator. Indirect effects were tested using bias-corrected bootstrapping (5000 iterations) via the PROCESS macro.</p><p><strong>Results: </strong>The findings revealed that professional identity and professional values directly and indirectly influenced clinical practice behaviours in nursing students. Moreover, clinical communication competence was identified as a significant mediator in the relationship between professional identity (indirect effect = 0.11; 95% confidence interval [CI]: [0.09, 0.14], accounting for 23.4% of the total effect)/values (indirect effect = -0.13; 95% CI: [0.10, 0.17], accounting for 27.7% of the total effect) and clinical practice behaviours. Professional identity, professional values, clinical communication competence and clinical practice behaviours were found to have positive correlations with one another (Pearson's r ranged: 0.45-0.72, all ps < 0.05).</p><p><strong>Conclusion: </strong>This study sheds light on factors influencing nursing students' clinical practice behaviour, including professional identity, professional values and clinical communication competence. These insights can inform evidence-based strategies for nursing education and practice, facilitating targeted interventions to enhance students' professional development and clinical competence.</p><p><strong>Patient or public contribution: </strong>No patient or public contribution was involved.</p>","PeriodicalId":48570,"journal":{"name":"Nursing Open","volume":"12 7","pages":"e70270"},"PeriodicalIF":2.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12238724/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144592612","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}