Nursing Open最新文献

{"title":"Nurse-Led Instant Message-Delivered Dyadic Intervention in Sodium Intake Reduction Knowledge, Attitude and Practice in Hypertensive Stroke Survivors: Randomised Controlled Trial Protocol.","authors":"Yongyang Yan, Man Ping Wang, Kui Kai Lau, Haobo Chen, Yong Yang, Zulian Yang, Fen Ye, Jung Jae Lee","doi":"10.1002/nop2.70973","DOIUrl":"10.1002/nop2.70973","url":null,"abstract":"<p><strong>Aims: </strong>To evaluate the effectiveness of a nurse-led, instant message-delivered dyadic behavioural intervention on sodium intake reduction knowledge, attitude and practice (KAP) among stroke survivors with hypertension (HTN).</p><p><strong>Design: </strong>A single-blind, two-arm parallel randomised controlled trial.</p><p><strong>Methods: </strong>A total of 110 stroke survivor-family caregiver dyads will be randomised. Dyads in the intervention group will receive 60 brief regular messages about sodium intake reduction education and practical skills, plus nurse-led real-time chat support via an instant messaging application (i.e., WeChat) for 2 months, while the control group will receive 10 brief regular messages about stroke education only. The primary outcome is stroke survivors' sodium intake reduction KAP immediately post-intervention (T1). Secondary outcomes include stroke survivors' KAP at 2-month follow-up (T2), blood pressure (BP), self-efficacy, quality of life and dyadic relationship (DR) at T1 and T2; family caregivers' sodium intake reduction KAP, self-efficacy, DR and caregiver burden at T1 and T2. Following intention-to-treat, the effects will be analysed using generalised estimating equations adjusting for covariates.</p><p><strong>Implications for the profession and/or patient care: </strong>This study provides nurses with a replicable model for designing theory-driven, behaviour change technique-incorporated interventions targeting sodium intake reduction. Evidence on changes in KAP and BP among stroke survivors with HTN will inform nurse-led secondary stroke prevention strategies.</p><p><strong>Impact: </strong>By leveraging nurses and a widely accessible instant messaging platform, this study will demonstrate a scalable mobile health approach to address the leading dietary risk factor for stroke burden in China, potentially applicable to similar settings where sodium intake is amenable to behavioural interventions and contributing to the World Health Organization's global sodium reduction target.</p><p><strong>Reporting method: </strong>SPIRIT 2013 Statement.</p><p><strong>Patient or public contribution: </strong>Health professionals, stroke survivors and family caregivers were invited to evaluate the intervention development.</p><p><strong>Trial registration: </strong>Chinese Clinical Trial Registry: ChiCTR2400086708.</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/PMC13688242/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149246969","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":"Determination of Managerial Competence Levels and Training Requirements of New Nurse Managers for Role Transition: Empirical Research Quantitative.","authors":"Miray Aksu, Belgin Varol, Emine Özer Küçük","doi":"10.1002/nop2.70715","DOIUrl":"https://doi.org/10.1002/nop2.70715","url":null,"abstract":"<p><strong>Aim: </strong>The aim of this study was to identify managerial competencies and training needs of new nurse managers to improve their role transitions and inform the design of structured training programmes. Nurse managers significantly influence patient outcomes and organisational effectiveness. However, they are often appointed based on clinical expertise rather than managerial skills, creating challenges in leadership roles.</p><p><strong>Design: </strong>A descriptive cross-sectional study design was used.</p><p><strong>Methods: </strong>Data were collected from 185 new nurse managers using an online survey that assessed various domains of managerial competencies, including unit management, personnel management and care management.</p><p><strong>Results: </strong>New nurse managers demonstrated high overall managerial competency scores. However, most participants reported limited formal managerial training before their appointments. Structured training programmes are essential for effectively developing managerial competencies in new nurse managers. Orientation and ongoing training programmes, including mentoring and coaching by experienced nurse managers and academic staff, will facilitate smoother role transitions and improve organisational outcomes.</p><p><strong>Patient or public contribution: </strong>No patıent or publıc contribution.</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":"149289345","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":"The Lived Experience of Older Adults With Recurrent Diabetic Foot Ulcers: Empirical Research Qualitative.","authors":"Shixiao Zhang, Wen Qin, Yanfen Fu, Yue Ming, Hui Fan, Zhe Liu, Zhijun Bao, Jiaojiao Bai","doi":"10.1002/nop2.70941","DOIUrl":"https://doi.org/10.1002/nop2.70941","url":null,"abstract":"<p><strong>Aim: </strong>To describe the lived experiences and shared essential structure of recurrent diabetic foot ulceration among adults aged 65 years or older.</p><p><strong>Design: </strong>A descriptive phenomenological study.</p><p><strong>Methods: </strong>Seventeen participants were purposively recruited from a multidisciplinary diabetic foot clinic in China. Individual semi-structured interviews were conducted from October 2025 to February 2026 and analysed inductively using Colaizzi's seven-step method.</p><p><strong>Results: </strong>Four themes were identified: (1) navigating recurrence: varied recognition, interpretations and responses; (2) pain and altered sensation: functional limitations and social participation; (3) living under the threat of amputation: distress, difficult decisions and acceptance and (4) relying on support while striving to preserve autonomy and dignity. The shared essential structure was continuing vulnerability after healing, alongside efforts to preserve control, autonomy and dignity.</p><p><strong>Conclusion: </strong>For older adults, recurrent diabetic foot ulceration was experienced as continuing vulnerability after healing, reshaping bodily confidence, everyday functioning, independence and future expectations.</p><p><strong>Implications for the profession and/or patient care: </strong>Care for older adults with recurrent diabetic foot ulceration should extend beyond wound management to assess recurrence recognition, sensory changes, pain, mobility and psychological distress, while supporting shared decision-making, rehabilitation, continuity of care and autonomy.</p><p><strong>Impact: </strong>This study identifies continuing vulnerability after healing, alongside efforts to preserve control, autonomy and dignity, as the shared experiential structure of recurrent diabetic foot ulceration in older adults, informing nursing and multidisciplinary care across settings.</p><p><strong>Reporting method: </strong>This study adhered to the Consolidated Criteria for Reporting Qualitative Research.</p><p><strong>Patient or public contribution: </strong>Patients were not involved as research partners in the design or conduct of the study. Seventeen older adults participated in interviews, and three subsequently reviewed a summary of the themes and shared essential structure.</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":"149289272","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":"Support Utilization, Not Availability, Is Associated With Lower Burnout and Presenteeism Among Haemodialysis Nurses: A JD-R Model Study.","authors":"Xuejiao Li, Yan Zhang, Xia Liu, Wenxu Wang, Huili Jiang","doi":"10.1002/nop2.70960","DOIUrl":"10.1002/nop2.70960","url":null,"abstract":"<p><strong>Aim: </strong>To investigate the distinct pathways of social support and safety attitudes on presenteeism mediated by burnout in haemodialysis nurses and to identify the most potent protective resources within the JD-R model.</p><p><strong>Design: </strong>A multicentre, cross-sectional survey.</p><p><strong>Methods: </strong>Data from 583 haemodialysis nurses across multiple provinces were analysed using validated scales (SSRS, SAQ, MBI-HSS and SPS-6) and mediation analyses (PROCESS macro).</p><p><strong>Results: </strong>Burnout fully mediated the relationship between job stress and presenteeism. Support utilization (rather than mere availability) was associated with the largest protective indirect effect. Management perceptions had a unique direct association with presenteeism. Clinically significant presenteeism was observed in 47.2% of the nurses. Low income combined with overtime was associated with higher burnout.</p><p><strong>Conclusion: </strong>In clinical practice, activating support utilization (e.g., help-seeking behaviours) appears more critical than merely providing resources. Trust in leadership may directly safeguard organizational performance. Nursing managers should implement structural interventions (overtime caps, specialty premiums) to reduce the effort-reward imbalance.</p><p><strong>Nursing implications: </strong>Creating help-seeking cultures and trustworthy leadership, alongside correcting systemic inequities, can break the burnout-presenteeism cycle and improve patient safety. Nursing managers should implement structured interventions such as overtime caps and specialty premiums to reduce effort-reward imbalance and develop resource navigation systems to activate support utilization at the unit level.</p><p><strong>Impact: </strong>This study suggests that support utilization may be a key protective factor against burnout and presenteeism in high-reliability nursing settings, offering a targeted, tiered intervention framework for managers and policymakers.</p><p><strong>Reporting method: </strong>The STROBE guidelines for cross-sectional studies.</p><p><strong>Patient or public contribution: </strong>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/PMC13710793/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149275755","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 Students' Participation and Perceptions of Teaching Effectiveness at Clinical Teaching Bases: A Cross-Sectional Survey.","authors":"Hao Zhang, Yuan Mei, Chun-Ling Zhang, Jie Liu, Xu-Jue Ma","doi":"10.1002/nop2.70824","DOIUrl":"10.1002/nop2.70824","url":null,"abstract":"<p><strong>Aim: </strong>To assess nursing students' participation and perceptions of teaching effectiveness at clinical teaching bases and to identify the improvements students themselves prioritize.</p><p><strong>Design: </strong>A cross-sectional, descriptive survey.</p><p><strong>Methods: </strong>During the 2023-2024 academic year, a self-developed eight-item questionnaire, together with a single overall-satisfaction item, was administered to 366 final-year students in 3-year associate degree nursing programmes at two clinical teaching bases in Chongqing, China; 318 valid responses (86.9%) were analysed. Analyses comprised descriptive statistics, between-centre comparison, effect-size estimation and content analysis of open-ended suggestions.</p><p><strong>Results: </strong>About two-thirds of students reported active participation in class discussions (64%), whereas far fewer joined extracurricular academic activities (31%) or a study group (28%). About half considered teaching methods diverse (53%) or felt encouraged to express their opinions (50%). Written suggestions centred on interdisciplinary case teaching, emergency care training, and more diverse assessment. No item differed significantly between the two centres.</p><p><strong>Conclusions: </strong>Participation clustered in timetabled sessions and appeared to fall sharply for activities requiring students' own time, and the interactive quality of teaching was rated below its content. Routinely collecting and acting on student feedback may offer clinical teaching bases a practical way to address both.</p><p><strong>Implications for the profession: </strong>Participation was consistently higher for timetabled activities, pointing to scheduling as a lever educators can act on, and fewer than one-third of students volunteered a concrete suggestion. Nurse educators and clinical teaching administrators may draw on these student-derived priorities when adjusting curricula, training preceptors and designing feedback mechanisms.</p><p><strong>Impact (addressing): </strong>What problem did the study address? ○ Evidence on students' clinical teaching participation was limited. What were the main findings? ○ Participation was high for scheduled activities, lower for voluntary ones. Where and on whom will the research have an impact? ○ Findings may guide scheduling and preceptor training at teaching bases.</p><p><strong>Reporting method: </strong>Reported in accordance with the Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) checklist for cross-sectional studies.</p><p><strong>Patient or public contribution: </strong>No patient or public contribution.</p>","PeriodicalId":48570,"journal":{"name":"Nursing Open","volume":"13 10","pages":"e70824"},"PeriodicalIF":3.1,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13639934/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149116718","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":"Experience of Pregnancy Loss Among Maternal Nurses and Midwives: A Phenomenological Study.","authors":"Sawsan Abuhammad, Shaher Hamaideh, Hossam Alhawatmeh, Rowaida AlMaaitah, Heba H Hijazi, Maryam K El-Zubi, Amat Al-Khaleq Mehrass, Ahlam Hamaidi, Vidya Seshan, Nabeel Al Yateem","doi":"10.1002/nop2.70892","DOIUrl":"10.1002/nop2.70892","url":null,"abstract":"<p><strong>Aim: </strong>This study explored the lived experience of pregnancy loss among maternal nurses and midwives in Jordan, with attention to how loss shaped work, grief, and decisions about future pregnancy within the Jordanian cultural and religious context.</p><p><strong>Design: </strong>Descriptive phenomenological qualitative study.</p><p><strong>Methods: </strong>Twenty maternal nurses and midwives who had experienced pregnancy loss participated in individual semi-structured interviews conducted in private locations selected by participants. Snowball sampling was used. Interviews lasted 45-60 min, were audio-recorded with participants' consent, transcribed, and coded manually by the research team using Colaizzi's seven-step descriptive phenomenological method. Two researchers coded the data independently before discussing and agreeing on themes.</p><p><strong>Results: </strong>Participants were 26-55 years old, 17 of 20 had more than 10 years of nursing experience, 17 of 20 worked in health centers, and 18 of 20 had children. Four interpretive themes were developed: loss without warning; embodied loss: inseparable physical and psychological suffering; grieving while caregiving: negotiating work, disclosure, and peer support; and trying again with fear.</p><p><strong>Conclusion: </strong>Pregnancy loss among maternal nurses and midwives in Jordan produced physical, emotional, occupational, and culturally situated consequences. The study contributes evidence that clinicians who provide maternity care may return to the same clinical spaces that mirror their loss, making workplace flexibility, trusted peer support, and culturally sensitive acknowledgment of grief especially important.</p><p><strong>Public contribution: </strong>No patient or public contribution.</p>","PeriodicalId":48570,"journal":{"name":"Nursing Open","volume":"13 10","pages":"e70892"},"PeriodicalIF":3.1,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13658935/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149170491","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":"Dysphagia in Hospitalised Older Adults: Prevalence, Incidence and Predictors in the Multicentre NUTRIFAG Cohort: Empirical Research Quantitative.","authors":"Cristina Carretero-Randez, María Isabel Orts-Cortés, Lilia De Souza-Nogueira, Joaquín Moncho-Vasallo, Rafaela Camacho-Bejarano","doi":"10.1002/nop2.70852","DOIUrl":"10.1002/nop2.70852","url":null,"abstract":"<p><strong>Aims: </strong>To determine the prevalence, incidence, associated factors and progression of suspected and clinically diagnosed dysphagia in hospitalised adults aged 65 years and over.</p><p><strong>Design: </strong>A multicentre prospective observational cohort study in nine public hospitals.</p><p><strong>Methods: </strong>Older adults (≥ 65 years) staying ≥ 48 h were consecutively recruited. Sociodemographic, functional, cognitive, nutritional and clinical data were collected at admission and discharge. Dysphagia was screened using the Eating Assessment Tool-10 and clinically diagnosed with the Volume-Viscosity Swallow Test. Descriptive, bivariate and multivariate analyses included logistic and Cox regression models. The study was approved by participating ethics committees.</p><p><strong>Results: </strong>The study included 3139 patients with discharge data available for 2817. Suspected dysphagia affected 16.01% at admission and 12.96% at discharge; among clinically assessed patients, diagnosed dysphagia affected 69.66% and 76.57%, respectively. New cases appeared during hospitalisation (2.50% suspected; 8.33% diagnosed). Lower calf circumference, functional dependence and mild cognitive impairment were independently associated with both suspected and confirmed dysphagia. The presence of dysphagia was linked to longer hospital stays.</p><p><strong>Conclusion: </strong>Dysphagia was common and often persisted or worsened during hospitalisation in older adults. Its association with functional, cognitive and nutritional vulnerability reinforces the need for systematic screening and follow-up.</p><p><strong>Implications for the profession and/or patient care: </strong>Nurses can integrate dysphagia screening and reassessment into geriatric care, prioritising older inpatients with functional, cognitive or nutritional vulnerability.</p><p><strong>Impact: </strong>Dysphagia persisted or emerged during hospitalisation; findings support the potential value of nurse-led screening and reassessment in hospitalised older adults.</p><p><strong>Reporting method: </strong>Reported in accordance with the Strengthening the Reporting of Observational Studies in Epidemiology statement for cohort studies.</p><p><strong>Patient or public contribution: </strong>A patient representative contributed to study design and variable selection. The NUTRIFAG Public Advisory Group supported the interpretation of findings and clinical relevance.</p>","PeriodicalId":48570,"journal":{"name":"Nursing Open","volume":"13 10","pages":"e70852"},"PeriodicalIF":3.1,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13663868/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149185489","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":"Prevalence and Factors Associated With Financial Toxicity in Cervical Cancer Patients: A Cross-Sectional Study.","authors":"Dongliu Li, Menghua Wen, Youfu Zhao, Tingyu Nie, Miaomiao Li, Li Yuan, Meiming Wang, Xiaoyi Zhu, Ying Li, Qian Zhang, Chunying He","doi":"10.1002/nop2.70873","DOIUrl":"10.1002/nop2.70873","url":null,"abstract":"<p><strong>Background: </strong>Financial toxicity threatens the survival and prognosis of cervical cancer patients, yet systematic exploration of its prevalence and full spectrum of protective and risk factors remains limited.</p><p><strong>Aims: </strong>To investigate the prevalence and factors associated with financial toxicity among patients with cervical cancer.</p><p><strong>Design: </strong>A cross-sectional quantitative study.</p><p><strong>Methods: </strong>We surveyed 351 cervical cancer patients from November 2023 to November 2024 using a general information questionnaire and the patient self-reported Comprehensive Score for Financial Toxicity. Binary logistic regression identified associated factors.</p><p><strong>Results: </strong>The 351 participants ranged in age from 25 to 88 years (57.70 ± 11.47 years). The prevalence of financial toxicity was 66.4%. Multivariable analysis demonstrated that each 1-year increase in age, having commercial insurance and fewer hospitalizations (< 3 times) may be associated with a reduced risk of financial toxicity, whereas lower disposable household savings (< 100,000 CNY), having urban-rural resident basic medical insurance and receiving radiotherapy may be associated with an increased risk.</p><p><strong>Conclusions: </strong>This study identified factors associated with financial toxicity in cervical cancer patients, with factors associated including age, commercial insurance, basic medical insurance type, disposable household savings, number of hospitalizations and radiotherapy. These findings may assist healthcare providers in identifying patients at higher risk of financial toxicity and inform the development of individualized care plans.</p><p><strong>Implications for the profession and/or patient care: </strong>These findings may assist healthcare providers to identify patients who may be at higher risk of financial toxicity early, which may support treatment adherence and health-related quality of life.</p><p><strong>Impact: </strong>This study examined financial toxicity prevalence and associated factors among cervical cancer patients, identified key modifiable and non-modifiable factors for clinical screening, and may inform nursing practice and healthcare policy adjustments.</p><p><strong>Reporting method: </strong>This study followed the STROBE guidelines for cross-sectional studies.</p><p><strong>Patient or public contribution: </strong>No patient or public contribution.</p>","PeriodicalId":48570,"journal":{"name":"Nursing Open","volume":"13 10","pages":"e70873"},"PeriodicalIF":3.1,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13625818/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149082477","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":"How Shift Work Impacts on Eating Behaviours Among Nurses: A Cross-Sectional Study.","authors":"Yun-Chen Chang, Rocco Mea, Elsa Vitale","doi":"10.1002/nop2.70884","DOIUrl":"https://doi.org/10.1002/nop2.70884","url":null,"abstract":"<p><strong>Aim: </strong>To evaluate differences in eating behaviours between nurses working exclusively daytime shifts and those engaged in night shift work.</p><p><strong>Background: </strong>A growing body of evidence suggests that night shift work exposed nurses to an increased risk of chronic conditions, including diabetes, metabolic syndrome, cardiovascular disease and cancer.</p><p><strong>Design: </strong>An online cross-sectional study was conducted in May 2022.</p><p><strong>Methods: </strong>Nurses were recruited through their social media pages on Facebook and Instagram.</p><p><strong>Results: </strong>A total of 408 Italian nurses participated in the study. Of these, 26.7% worked exclusively daytime shifts (morning and afternoon), while 73.3% also worked night shifts. The majority of participants in both groups were younger than 40 years. Nurses working night shifts more frequently reported shorter professional experience, with < 5 years (daily: 8.1%; night: 25.7%) and < 10 years (daily: 2.2%; night: 21.3%) of employment (p < 0.001) and were more often employed on a full-time basis (p = 0.004). In contrast, a significant difference emerged in snack consumption between main meals (p = 0.002), with nurses working night shifts reporting a higher frequency of snacking (49.8%) compared with those working exclusively daytime shifts (22.3%).</p><p><strong>Implications for the profession and/or patient care: </strong>Nurses working daytime shifts reported higher snack consumption compared with their night shift counterparts. Further research will be necessary to examine the nutritional composition of snacks and overall meal frequency.</p><p><strong>Patient or public contribution: </strong>No patient or public contribution.</p>","PeriodicalId":48570,"journal":{"name":"Nursing Open","volume":"13 10","pages":"e70884"},"PeriodicalIF":3.1,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13627888/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149116737","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":"Consensus on the Content of an Instrument to Assess Psychological Distress Following Multifetal Pregnancy Reduction: A Delphi Study.","authors":"Jin Xu, Qingge Li, Hong Wen, Cuiwei Ye, Ge Peng","doi":"10.1002/nop2.70893","DOIUrl":"https://doi.org/10.1002/nop2.70893","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Aims: &lt;/strong&gt;To reach expert consensus on the content of an instrument to assess psychological distress in women following multifetal pregnancy reduction (MFPR) and to provide a reference for frontline nurses in conducting psychosocial assessment and care planning.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Design: &lt;/strong&gt;A two-round Delphi expert consensus study.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Methods: &lt;/strong&gt;The initial item pool was conceptualized based on an integrated framework combining the Dual-Process Model and the Post-Traumatic Stress Disorder model and generated through a literature review and semi-structured interviews. The degree of consensus was assessed by measuring the concentration and coordination of expert opinions. Content validity of the preliminary instrument was evaluated using the scale-level content validity index.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Results: &lt;/strong&gt;Experts reached consensus on the preliminary Post-Multifetal Pregnancy Reduction Maternal Psychological Distress Scale (PMRPDS), comprising 16 items across four dimensions: Post-traumatic Stress Response (5 items), Depression and Guilt (4 items), Health Anxiety and Concerns (3 items) and Psychological Adjustment and Coping (4 items). The positive coefficients of the two Delphi rounds were 90.9% and 91.7%, respectively; the authority coefficients were 0.885 and 0.889, respectively; the Kendall's W values for the two rounds were 0.142 and 0.159, respectively, with statistical significance (p &lt; 0.001). The content validity index scored 0.983.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Conclusion: &lt;/strong&gt;Expert consensus was reached on the content of the preliminary PMRPDS, demonstrating established content validity for assessing MFPR-related distress and guiding targeted psychosocial nursing interventions.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Implications for nursing: &lt;/strong&gt;The PMRPDS is helpful for nursing staff in systematically assessing psychological distress in women following MFPR. Nursing staff can use the instrument as an assessment and intervention tool to enhance patient-centred perinatal psychosocial care.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Impact: &lt;/strong&gt;What problem did the study address? The lack of a specialized assessment tool for psychological distress after MFPR. What were the main findings? A 16-item scale across four core dimensions was developed through a Delphi expert consensus study. Where and on whom will the research have an impact? The research will impact perinatal mental health clinicians, researchers and ultimately, the care received by women undergoing MFPR.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Reporting method: &lt;/strong&gt;This study adhered to the Conducting and REporting of DElphi Studies (CREDES) reporting guidelines.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Patient or public contribution: &lt;/strong&gt;No Patient or Public Contribution. WHAT DOES THIS PAPER CONTRIBUTE TO THE WIDER GLOBAL CLINICAL COMMUNITY?: Provides the first structured instrument to assess complex psychological distress following MFPR. Establishes a consensus-based foundation for future cross-cultural validation and research, fac","PeriodicalId":48570,"journal":{"name":"Nursing Open","volume":"13 10","pages":"e70893"},"PeriodicalIF":3.1,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13627879/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149116911","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}