Nursing Open最新文献

{"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":"Benefit Finding in Maintenance Haemodialysis Patients: Associations With Social Support and Life Orientation.","authors":"Xianghao Chen, Xiaodan Lin, Haidan Xie, Jialian Huang, Huifeng Song, Xiaozhou Zhou","doi":"10.1002/nop2.70946","DOIUrl":"https://doi.org/10.1002/nop2.70946","url":null,"abstract":"<p><strong>Aim: </strong>To explore the current status of benefit finding (BF) in maintenance haemodialysis patients and identify its key influencing factors.</p><p><strong>Design: </strong>A cross-sectional study.</p><p><strong>Methods: </strong>A total of 250 maintenance haemodialysis patients were recruited via convenience sampling from the blood purification centres of two Grade A tertiary hospitals between September 2024 and March 2025. Data were collected using a general information questionnaire, the BF Scale, the Perceived Social Support Scale and the Life Orientation Test-Revised. One-way analysis and multiple linear regression analysis were conducted to explore the associations and influencing factors of BF.</p><p><strong>Results: </strong>Benefit finding was positively correlated with social support (r = 0.423, p < 0.001) and life orientation (r = 0.236, p < 0.001). Female gender, higher education level, retired status, family support, friend support and life orientation were significant predictors of BF.</p><p><strong>Patient or public contribution: </strong>No patient or public involvement was conducted in this study.</p><p><strong>Implications for nursing practice: </strong>Nurses should routinely assess BF and related psychosocial factors in maintenance haemodialysis patients. Nurse-led interventions that strengthen family and peer support and enhance optimism may help promote BF in this population.</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":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149289245","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Mental Health and Addiction Care Professionals' Views on Artificial Intelligence Integration in Oman: A Descriptive Qualitative Study.","authors":"Khalood Rashid Al-Abri, Amal Ali Al Saadi, Alzahraa Yasir Al Rashdi, Jamila Mohammed Al Nasseri, Ali Khalid Al Mashaykhi, Alyamama Obaid Al Maqbali, Samia Salim Alharrasi","doi":"10.1002/nop2.70939","DOIUrl":"https://doi.org/10.1002/nop2.70939","url":null,"abstract":"<p><strong>Aim: </strong>To explore mental health and addiction care professionals' views on integrating artificial intelligence into clinical practice at a tertiary psychiatric hospital.</p><p><strong>Design: </strong>A qualitative descriptive study.</p><p><strong>Methods: </strong>Purposive sampling recruited 17 nurses, psychiatrists, psychologists, and social workers. Face-to-face semi-structured interviews were audio-recorded, transcribed verbatim, translated from Arabic into English, and analysed through codebook-based thematic analysis informed by Braun and Clarke's six phases.</p><p><strong>Results: </strong>Four themes were identified: variable familiarity with artificial intelligence (AI); actual experience with artificial intelligence and non-artificial-intelligence digital technologies, with telemedicine and electronic health records more common than AI-specific tools; anticipated benefits involving efficiency, clinical decision support, communication, data management, and service access; and anticipated barriers concerning infrastructure, resources, training, clinical suitability, therapeutic relationships, and ethics.</p><p><strong>Conclusion: </strong>Participants were cautiously optimistic but had limited direct clinical experience and sometimes conflated AI with other digital technologies. Safe implementation requires a shared understanding of AI, reliable infrastructure, role-specific education, ethical governance, accountable human oversight, and protection of therapeutic relationships.</p><p><strong>Patient or public contribution: </strong>No patients or members of the public were involved in the design, conduct, analysis, interpretation, or reporting of this study. The participants were healthcare professionals.</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":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149289326","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"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}

{"title":"Breaking the Cycle: First-Generation College Nursing Students Attending a Rural Community College.","authors":"Alvaro Tellez Arriaga, Elizabeth Castillo, Garrett K Chan, Laura M Wagner","doi":"10.1002/nop2.70878","DOIUrl":"10.1002/nop2.70878","url":null,"abstract":"<p><strong>Aim: </strong>This study describes the physical, mental, social, economic, and diversity issues experienced by rural first-generation college nursing students.</p><p><strong>Design and methods: </strong>This cross sectional study was conducted at a rural community college situated in an agricultural area with a significant Latinx farm worker population. A total of 87 students matriculated in an associate degree RN program were invited to participate in a survey to explore a variety of issues impacting students.</p><p><strong>Results: </strong>An overwhelming majority of participants (75.6%) reported family depending on them as a source of emotional support while 47.6% also had family depending on them for financial support while attending school. Approximately 73% of participants were unsure of receiving mentoring support or did not receive mentoring support during the admissions application process. A substantial number of respondents (31.6%) had financial concerns and considered dropping out of college. First-generation college students were significantly more likely to express an interest to work in rural settings (87.9%) following graduation (χ² = 9.85; df = 2; p = 0.007). Many first-generation college nursing students expressed breaking down the barriers of stigma and serving as an inspiration to future family members to pursue higher education.</p><p><strong>Public contribution: </strong>First-generation college nursing students lack several supports traditionally viewed to help students pursue a higher education. Despite this, the participants noted they were making a difference among themselves, their family, and the rural community from which they hail.</p>","PeriodicalId":48570,"journal":{"name":"Nursing Open","volume":"13 10","pages":"e70878"},"PeriodicalIF":3.1,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13658836/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149167765","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":"Users' Experiences During Cardiac Recovery Following Acute Myocardial Infarction: A Qualitative Study With a Gender Perspective.","authors":"Susana Santos-Ruiz, Carmen Jerez-Molina, Rocio Rodriguez-Romero, Juan José Zamora-Sánchez, Luis González-De Paz","doi":"10.1002/nop2.70886","DOIUrl":"10.1002/nop2.70886","url":null,"abstract":"<p><strong>Aim: </strong>To explore, including from a gender perspective, how people who have suffered a myocardial infarction describe the changes they need to adopt during the recovery phase following hospital discharge.</p><p><strong>Design: </strong>Qualitative interpretive phenomenological study.</p><p><strong>Method: </strong>Purposive theoretical sampling strategy with maximum variation. Semi-structured interviews were conducted with subsequent thematic analysis of semantic content, with deductive coding based on relevant aspects identified in the scientific literature and inductive coding on emerging codes in interviewees' discourse.</p><p><strong>Data sources: </strong>The interviews were conducted between March 2022 and December 2023.</p><p><strong>Results: </strong>The participants had an average age of 61 years. A total of nine participants were interviewed. Four of these were women. No one identified as non-binary. Three themes were identified: initiation of one's own resources, engagement with one's own emotions, and follow-up by the health team.</p><p><strong>Conclusion: </strong>In this sample, both men and women initially described motivation to assume responsibility for their self-care and lifestyle changes. Women reported greater difficulties in returning to work and maintaining physical activity, which may contribute to increased vulnerability during recovery. These findings may help inform nurse-led cardiac rehabilitation programmes that respond to patients' real needs.</p>","PeriodicalId":48570,"journal":{"name":"Nursing Open","volume":"13 10","pages":"e70886"},"PeriodicalIF":3.1,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13675514/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149208092","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":"Blurred Boundaries at the Bedside: Reframing Problematic Smartphone Use as an Ethical and Organisational Challenge in Nursing Practice.","authors":"Chanchal Kurup, Deepa Rijal","doi":"10.1002/nop2.70881","DOIUrl":"10.1002/nop2.70881","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Aim: &lt;/strong&gt;To critically examine problematic smartphone use in clinical nursing practice and to reframe it as an ethical, organisational and leadership challenge requiring system-level governance rather than individual behavioural regulation.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Design: &lt;/strong&gt;Position paper.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Methods: &lt;/strong&gt;A narrative, evidence-informed synthesis was undertaken using a structured search of CINAHL, MEDLINE via PubMed, Scopus and Web of Science, supplemented by Google Scholar and purposive identification of professional, regulatory and governance sources. The original search was conducted on 12 April 2026, and a structured evidence update was undertaken to 17 September 2026 using the same six evidence domains and eligibility criteria. The synthesis included practising nurses, nursing students and nursing interns where smartphone use occurred in clinical or clinical-placement contexts, together with carefully identified transferable evidence from interruption science and cognitive psychology. Evidence was classified as direct, indirect/transferable or normative/governance evidence and interpreted using a Socio-Technical Systems framework. No formal risk-of-bias appraisal was undertaken; instead, credibility, directness and applicability were assessed during interpretation.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Results: &lt;/strong&gt;The updated evidence base confirms that smartphones have legitimate clinical and educational functions while also identifying increasingly direct nursing evidence concerning problematic use and distraction. Newly incorporated 2026 evidence includes a systematic review of problematic mobile-phone use among nurses and primary studies examining smartphone distraction, clinical decision-making, medical-error tendency, job performance, professional conduct during clinical placement, mobile-phone addiction and related psychosocial factors. Across this literature, the strongest recurring finding is association rather than causation: greater problematic use or distraction is associated with poorer self-reported or scale-based professional outcomes, while student and intern studies identify simultaneous benefits for learning and risks involving distraction, confidentiality, professionalism and infection prevention. The evidence therefore supports proportionate governance that distinguishes legitimate clinical use from problematic personal use rather than blanket prohibition.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Conclusion: &lt;/strong&gt;The 2026 evidence update strengthens the empirical basis for treating problematic smartphone use as a nursing practice, leadership and organisational governance issue, but it does not establish that smartphone use directly causes patient harm. Nursing organisations should distinguish purposeful clinical use from avoidable personal engagement, provide secure and accessible digital alternatives, strengthen digital professionalism, and apply proportionate, non-punitive governance. Future research should prioritise prospective an","PeriodicalId":48570,"journal":{"name":"Nursing Open","volume":"13 10","pages":"e70881"},"PeriodicalIF":3.1,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13649126/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149138910","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}