Nursing Open最新文献

{"title":"Psychological Wellbeing and Predictors of Early Help-Seeking Behaviours of International Students of Undergraduate Nursing Programs: A Scoping Review.","authors":"Claire Hayes, Sharon Bourke, Sini Jacob, Bindu Joseph, Ligi Anish, Virginia Plummer, Amany Abdelkader","doi":"10.1002/nop2.70249","DOIUrl":"10.1002/nop2.70249","url":null,"abstract":"<p><strong>Background: </strong>Australian Universities are the principal providers of nurse education for international students. While researchers have recognised the important issue of poor psychological well-being among nursing students, few have explored the factors which impact international nursing students.</p><p><strong>Aim: </strong>This review aimed to map the reported factors impacting psychological health, wellness and early help-seeking behaviours of international students enrolled in Bachelor of Nursing programmes.</p><p><strong>Methods: </strong>A scoping review with a five-stage methodological framework to interpret and synthesise the available literature was utilised. The following databases were searched: CINAHL Complete, PsycINFO, MEDLINE, ERIC and Scopus for studies published in English from 2012 to 2022. Additional sources were also sought through a review of the references of included studies. Four studies met the inclusion criteria.</p><p><strong>Results: </strong>Results revealed that all included studies were from Australia and utilised a quantitative approach. Factors impacting psychological health and wellbeing, as well as help-seeking behaviours included but were not limited to migrating alone, language spoken, marginalisation and the COVID-19 pandemic. Published literature on this topic is limited, with a notable absence from other countries.</p><p><strong>Conclusion: </strong>This review highlights a gap in evidence concerning ways to support international nursing students.</p><p><strong>Patient or public contribution: </strong>There were no patient or public contributions in the design, conduct, analysis or preparation of this manuscript.</p>","PeriodicalId":48570,"journal":{"name":"Nursing Open","volume":"12 6","pages":"e70249"},"PeriodicalIF":2.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12163187/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144286838","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Development of an Assessment Tool for Vertical Accessibility in Spanish Homes.","authors":"Estíbaliz Jiménez-Arberas, Isabel Fernández Méndez, Gemma Ruíz Varela, Feliciano Francisco Ordóñez Fernández","doi":"10.1002/nop2.70243","DOIUrl":"10.1002/nop2.70243","url":null,"abstract":"<p><p>Universal accessibility is one of the most active lines of action among the steps to mitigate and compensate the restriction in participation and the limitation of activity in people with disabilities. Occupational therapists often work in a person's natural environment to assess and intervene in occupational performance. In addition to being a tool for evaluating the accessibility of individuals who visit community health professionals, especially nursing staff, this resource can significantly improve patient care and outreach efforts.</p><p><strong>Objective: </strong>The main aim of this study was to create and validate an instrument to measure the limitations in the activity of each person related to the vertical accessibility of their home.</p><p><strong>Design: </strong>The methodology of this work is a psychometric design. This is a process of construct validation of a vertical accessibility scale through confirmatory factor analysis.</p><p><strong>Methods: </strong>The scale construction is carried out following a content validation process, involving the participation of five expert occupational therapists, and the analysis of their contributions using the Attribute Agreement Analysis. In this process, Fleiss Kappa statistical analysis is used, and Kendal's W is included due to the utilisation of ordinal variables. For the construct validation of the tool, the most suitable process is followed, an Exploratory Factor Analysis, and subsequent Confirmatory Factor Analysis using Global Absolute Adjustment indices for all the subscales of the test. The analysis of the indicators was performed using the weighted least squares (DWLS) estimation method. An initial test of 63 items distributed into four subscales was configured based on the different determined accessibility spaces: (a) exterior areas and access to the building/living space; (b) horizontal mobility inside the building and common areas; (c) vertical mobility of the building/living spaces and (d) access to and the entrance door as well as the interior of the living spaces.</p><p><strong>Results: </strong>Once the analysis has been carried out with the absolute fit indices obtaining excellent values, the validation process is concluded and the final scale with 48 items is finalised. This validation process allows us to affirm that it is a useful and viable tool to evaluate accessibility. No public or patient contribution.</p>","PeriodicalId":48570,"journal":{"name":"Nursing Open","volume":"12 6","pages":"e70243"},"PeriodicalIF":2.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12173148/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144318436","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 Application of a Combined Online and Offline Health Intervention Model for Assessing Parents' KAP About Testicular Torsion: A Self-Controlled Study.","authors":"Qin Xia, Chengli Wu, Yanjun Gou, Ruixia Wang","doi":"10.1002/nop2.70255","DOIUrl":"10.1002/nop2.70255","url":null,"abstract":"<p><strong>Aim: </strong>To assess the efficacy of a combined online and offline health intervention model tailored to the needs of the study population in the levels of knowledge, beliefs and behaviours of parents about testicular torsion.</p><p><strong>Design: </strong>A cross-sectional and a self-controlled study.</p><p><strong>Methods: </strong>From March to July 2023, a convenience sampling method was employed to select 500 parents of male children from a kindergarten and a primary school in a city in Guizhou Province, China. A pre- and post-intervention survey was conducted utilising a self-designed questionnaire to assess the parents' existing knowledge, beliefs and behaviours concerning testicular torsion. This survey utilised a design tailored to the study, incorporating both before and after control measures.</p><p><strong>Results: </strong>A total of 476 children's parents completed a 3-month health intervention in this study. Knowledge of testicular torsion among children's parents increased from 21.71% before the intervention to 74.85% after the intervention, and the difference was statistically significant ( <math> <semantics> <mrow><msup><mi>χ</mi> <mn>2</mn></msup> </mrow> <annotation>$$ {chi}^2 $$</annotation></semantics> </math>  = 3767.559, p < 0.001); children's parents' attitude scores toward testicular torsion increased from (35.72 ± 3.55) before the intervention to (39.84 ± 2.56) after the intervention, and the difference was statistically significant (t = 20.193, p < 0.001); and the behavioural scores of children's parents toward testicular torsion increased from (15.72 ± 3.02) points before the intervention to (38.08 ± 1.62) points after the intervention, with a statistically significant difference (t = 137.454, p < 0.001).</p><p><strong>Conclusion: </strong>The health intervention, combining both online and offline methods, significantly improved parental knowledge of testicular torsion. It also effectively shifted parental beliefs and behaviours toward more proactive management of the condition. This model demonstrates considerable potential for practical implementation of testicular torsion knowledge among parents, thereby potentially reducing critical response times in clinical scenarios.</p><p><strong>Impact: </strong>The current study highlights the effectiveness of a comprehensive health intervention model that integrates online and offline components in enhancing the knowledge and beliefs of parents regarding testicular torsion. Additionally, it provides novel insights for enhancing parental knowledge and beliefs about testicular torsion, aiming to mitigate prehospital delays and reduce the likelihood of orchiectomy.</p><p><strong>Reporting method: </strong>Study methods and results reported in adherence to the STROBE checklist.</p><p><strong>Patient or public contribution: </strong>No patient or public contribution.</p>","PeriodicalId":48570,"journal":{"name":"Nursing Open","volume":"12 6","pages":"e70255"},"PeriodicalIF":2.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12163184/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144286839","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Factors Associated With Postoperative Complications Among Critical Patients Undergoing Open-Heart Surgery: A Cross-Sectional Study.","authors":"Arunee Kamhor, Thitipong Tankumpuan, Napaporn Wanitkun, Wanchai Wongkornrat","doi":"10.1002/nop2.70241","DOIUrl":"10.1002/nop2.70241","url":null,"abstract":"<p><strong>Aim: </strong>To identify the factors associated with postoperative complications within the first 24 h among individuals who have undergone open-heart surgery.</p><p><strong>Design: </strong>A cross-sectional study.</p><p><strong>Methods: </strong>The participants were 192 elective open-heart surgery patients admitted to a university hospital in Bangkok, Thailand. Data were collected through data recording forms and questionnaires between August 2023 and February 2024, including the clinical frailty scale health questionnaire, serum creatinine assessment form, systemic immune-inflammation index, vasoactive-inotropic score, Society of Thoracic Surgeons risk score and the comprehensive complication index. Multiple regression was used to analyse the data.</p><p><strong>Results: </strong>Most of the participants (64.06%) were male with an average age of 63.14 (13.22) years. Almost a half of them (45.31%) were diagnosed with coronary artery disease. Frailty, kidney function, inflammation, the amount of packed red cells transfused, vasopressors and inotropes and operative risk were statistically significantly the factors affecting the severity of complications in patients after open-heart surgery during the first 24 h.</p><p><strong>Conclusion: </strong>The factors associated with postoperative complications specifically within 24 h after open-heart surgery should be closely monitored, including frailty, kidney function, inflammation, the amount of packed red cells transfused, vasopressors and inotropes and operative risk in order to prevent the postoperative complications.</p><p><strong>Patient or public contribution: </strong>All participants contributed to the conducting of this study by participating in a one-day pre-operation and post-operation within 24 h.</p>","PeriodicalId":48570,"journal":{"name":"Nursing Open","volume":"12 6","pages":"e70241"},"PeriodicalIF":2.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12121631/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144183286","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":"ChatGPT Applications in Nursing: Current Status and Future Perspectives.","authors":"Wenli Peng, Xinhua Cheng, Jili Deng, Xian Zhang","doi":"10.1002/nop2.70253","DOIUrl":"10.1002/nop2.70253","url":null,"abstract":"<p><strong>Aim: </strong>With the rapid advancement of generative artificial intelligence technologies, natural language processing tools represented by ChatGPT have been increasingly used. This narrative review explored the application, challenges, and future directions of ChatGPT in nursing.</p><p><strong>Design: </strong>Narrative review.</p><p><strong>Methods: </strong>The searches were conducted in PubMed, Web of Science and Google Scholar. The empirical studies of ChatGPT in nursing were selected and explored.</p><p><strong>Results: </strong>ChatGPT has been integrated into clinical nursing support, nurse education and patient service optimisation, demonstrating potential in improving efficiency and patient outcomes. However, technical limitations, ethical-legal issues and implementation barriers pose challenges to its widespread adoption. In future, technology iteration, standard development and multimodal convergence are needed to promote the construction of trusted artificial intelligence nursing systems.</p><p><strong>Patient or public contribution: </strong>This narrative review is based on a secondary analysis of existing literature and does not directly involve patient or public contributions.</p>","PeriodicalId":48570,"journal":{"name":"Nursing Open","volume":"12 6","pages":"e70253"},"PeriodicalIF":2.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12145163/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144250397","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A Bourdieusian Approach to Protecting the Wellbeing of Intimate Partner Violence Research Teams.","authors":"Kelly Lewer, Luke Molloy, Cristina Thompson, Tylah Emslie, Bronislava Brankovic, Patricia Davidson","doi":"10.1002/nop2.70256","DOIUrl":"10.1002/nop2.70256","url":null,"abstract":"<p><p>Intimate Partner Violence (IPV) (domestic violence or abuse) is a gendered, global issue. Scholarly interest has been stimulated by reported escalations in IPV during the COVID-19 pandemic with further impetus from the United Nations Sustainable Development Goals. IPV research is critical to improved interventions and service provision; however, it raises issues for researcher safety and wellbeing because of the risk of vicarious trauma. Nursing researchers may experience sustained exposure to distressing information during the data collection and data analysis phases of IPV research. This paper demonstrates the application of a Bourdieusian approach to protecting the wellbeing of an IPV research team. Through methods of reflection and synthesis we used Bourdieu's Theory of Practice framework and associated concepts of capital, field and habitus to develop a model to inform researcher wellbeing. Consideration of participant wellbeing is the foundation upon which researcher wellbeing is based. Researcher wellbeing is strengthened by an understanding of how vicarious trauma may manifest in researchers. Providing support through manageable workloads, self-care, and socialising is fundamental. As individual researchers have differential access to these resources, harnessing the collective resources of the team improves wellbeing. Including team members with lived experience of IPV contributes to team capital as do partnerships with service delivery organisations. Team processes to monitor workload, ensure debriefing, and provide specialised training are helpful. This paper has provided an understanding of a Bourdieusian approach to mitigating risk through the implementation of multi-faceted support strategies for the development of cultural and social capital within the research team.</p>","PeriodicalId":48570,"journal":{"name":"Nursing Open","volume":"12 6","pages":"e70256"},"PeriodicalIF":2.3,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12159247/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144276267","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":"Domains of Discharge Readiness for Patients After Abdominal Surgery: A Qualitative Exploratory Study.","authors":"Ayodeji Olubunmi Ogunmuyiwa, Chinomso Ugochukwu Nwozichi, Rafiat Ajoke Anokwuru, Modupe Oyeronke Okenla, Deborah Tolulope Esan, Carlos Guillermo Ramos","doi":"10.1002/nop2.70244","DOIUrl":"10.1002/nop2.70244","url":null,"abstract":"<p><strong>Aim: </strong>To explore the domains of discharge readiness among patients following abdominal surgery.</p><p><strong>Design: </strong>A qualitative exploratory study.</p><p><strong>Methods: </strong>Data were collected through semi-structured interviews involving patients, caregivers, and healthcare providers (clinical nurses and surgeons) engaged in abdominal surgical care. A total of 19 participants contributed to the study through four focus group discussions and four individual interviews. Data were analysed using content analysis. The study adhered to the Consolidated Criteria for Reporting Qualitative Research (COREQ) guidelines.</p><p><strong>Results: </strong>Five key dimensions of discharge readiness were identified: physical readiness, knowledge/information readiness, psychological readiness, social readiness, and spiritual readiness. Each domain includes specific factors that influence a patient's preparedness to transition safely and effectively from hospital to home.</p><p><strong>Patient contribution: </strong>Patients and caregivers provided valuable insights into the core domains of discharge readiness through their active participation in this study.</p>","PeriodicalId":48570,"journal":{"name":"Nursing Open","volume":"12 6","pages":"e70244"},"PeriodicalIF":2.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12163183/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144286836","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Development and Utilisation of the Chinese Version of Professional Attitude Scale for Nurses: Two Cross-Sectional Studies.","authors":"Siai Zhang, Bingyan Zhao, Cuiwei Lai, Chunmei Zhang, Zhangyi Wang, Yajun Zhang, Jiajia Li, Xuechun Li, Sina Zhang, Tiane Fa","doi":"10.1002/nop2.70261","DOIUrl":"10.1002/nop2.70261","url":null,"abstract":"<p><strong>Aim: </strong>To translate and assess the psychometric characteristics of the Chinese version of the Professional Attitude Scale for Nurses (PASN-C) and utilise it to investigate the present status and associated factors of professional attitude among Chinese nurses.</p><p><strong>Background: </strong>Assessing professional attitude is a crucial aspect of nursing professionalism. However, there is a significant gap in the field as no reliable instrument exists in China to assess nurses' professional attitudes.</p><p><strong>Methods: </strong>The PASN-C was created by adapting the Brislin translation model. The participants hailed from 11 hospitals in Tianjin, China. Two cross-sectional studies were performed, in which a convenience sampling method was used to survey 877 participants (first study) to assess the validity and reliability of the PASN-C; furthermore, 1154 participants (second study) were surveyed to analyse the current status and associated factors of the professional attitudes of Chinese nurses.</p><p><strong>Results: </strong>The PASN-C maintained 38 items and 8 factors, which explained 60.540% of the variance. The item-level content validity index (0.860-1.000), dimension-total score correlation coefficient (0.622-0.766), and Cronbach's alpha coefficient (0.943) indicated PASN-C had good validity and reliability. The score of PASN-C was 136.16 ± 15.48. Male, tertiary hospitals, specialty hospitals, high-income, obstetric nurses and specialist nurses were associated with a higher professional attitude.</p><p><strong>Conclusions: </strong>The PASN-C is a reliable and valid instrument that can be utilised to assess Chinese nurses' professional attitudes. Furthermore, this study suggests that more attention should be paid to associated factors to improve nurses' professional attitudes.</p><p><strong>Implications for the profession: </strong>The PASN-C can be an effective tool to assess the professional attitude of Chinese nurses. Furthermore, nursing administrators, educators and clinical nursing practitioners could strengthen training in the dimensions of 'autonomy of clinical judgment', 'work-related independence' and 'enhancement of nursing education' to improve the professional attitude of nurses.</p><p><strong>Reporting method: </strong>This study followed and reported according to the Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) reporting guidelines.</p><p><strong>Public contribution: </strong>Researchers received the data from the managers of each participating hospital after distributing the electronic survey to the participants.</p>","PeriodicalId":48570,"journal":{"name":"Nursing Open","volume":"12 6","pages":"e70261"},"PeriodicalIF":2.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12167078/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144295157","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 Training Programme on the Empathy Skills of Nursing Students During the COVID-19 Pandemic: A Quasi-Experimental Study.","authors":"Maryam Sedaghati Kesbakhi, Simin Arab, Leila Hosseini Tabaghdehi, Camelia Rohani","doi":"10.1002/nop2.70223","DOIUrl":"10.1002/nop2.70223","url":null,"abstract":"<p><strong>Aim: </strong>To explore the impact of an innovative empathy training programme on undergraduate nursing students' empathy skills in the course of developing the COVID-19 pandemic.</p><p><strong>Design: </strong>A quasi-experimental study with one group and a pretest-posttest design.</p><p><strong>Methods: </strong>The training programme was produced with inspiration from an earlier qualitative study. It was held as an online 2-hour daily programme during 5 continuous weeks for 71 nursing students in the fourth, sixth and eighth semesters. Data collection was done before (T1), immediately (T2) and 2 months (T3) after the training programme using the Jefferson Scale of Empathy-Nursing Student version R. The data were analysed using the repeated measures analysis of variance (ANOVA).</p><p><strong>Results: </strong>The mean scores of total empathy scale (T1:108.1 ± 0.06 to T3: 118.6 ± 0.4) and its three subscales (perspective taking; T1: 56.2 ± 0.9 to T3: 60.5 ± 2.5, compassionate care; T1: 43.1 ± 0.1 to T3: 46.5 ± 0.9, and standing in the patient's shoes; T1: 8.7 ± 0.5 to T3: 12.2 ± 0.6) increased over time. These results showed that our two hypotheses were accepted (p < 0.0001) and the training programme had a moderately positive effect on increasing students' empathy scores (effect size: 0.53-0.69), except for the compassionate care subscale, which only showed a small positive effect (effect size: 0.31). However, the mean score of empathy in female students was significantly higher than in males at T1 (p < 0.01), there was no difference between male and female students at T3 (p > 0.05).</p><p><strong>Conclusions: </strong>This training programme can be incorporated into the undergraduate nursing curriculum planning to improve the quality of care and the relationship between patients and nursing students in clinical settings.</p><p><strong>Implications for the profession and/or patient care: </strong>Empathy is one of the essential nursing professional skills. Teaching this skill can be useful in increasing patients' quality of care.</p>","PeriodicalId":48570,"journal":{"name":"Nursing Open","volume":"12 6","pages":"e70223"},"PeriodicalIF":2.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12171997/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144318400","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":"Midwives' Support for Couples in Japanese Hospitals and Clinics During the COVID-19 Pandemic: A Cross-Sectional Survey.","authors":"Kumiko Nakajima, Ayano Hirose, Megumi Yoshino, Maho Watanuki, Tomoko Nameda","doi":"10.1002/nop2.70250","DOIUrl":"10.1002/nop2.70250","url":null,"abstract":"<p><strong>Aims: </strong>Severe restrictions and changes in perinatal care, social isolation, and disruption of marital relationships due to the coronavirus disease COVID-19 pandemic have become problematic. This study aimed to clarify the status of the health guidance and group education provided by midwives in Japanese hospitals and clinics before and after the COVID-19 pandemic. Furthermore, this study clarifies the role of midwifery support in promoting marital relationships.</p><p><strong>Design: </strong>Cross-sectional questionnaire survey.</p><p><strong>Methods: </strong>The STROBE statement was used to guide this study. Overall, 890 midwives working in hospitals and clinics throughout Japan were recruited for this study, which yielded 216 valid questionnaires.</p><p><strong>Results: </strong>The COVID-19 pandemic has transformed Japanese midwifery into a flexible system that can provide non-face-to-face individualised support for couples. However, continuous midwifery care was not provided to couples prior to the COVID-19 pandemic. As a result, midwifery support for couples has been limited since the outbreak of COVID-19. During the COVID-19 pandemic, there was a significant association between midwifery practice and the importance of promoting marital relationships.</p><p><strong>Conclusion: </strong>The challenge in providing midwifery support to couples is providing individualised and ongoing support in combination with direct and indirect support.</p>","PeriodicalId":48570,"journal":{"name":"Nursing Open","volume":"12 6","pages":"e70250"},"PeriodicalIF":2.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12181392/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144340509","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}