BMC Nursing最新文献

{"title":"Perceived barriers and facilitators to family and community nurses' care for older adults: a descriptive qualitative study.","authors":"Isabella Santomauro, Erika Bassi, Erica Busca, Ines Basso, Elisa Ambrosi, Melania Stedile, Angela Durante, Alberto Dal Molin","doi":"10.1186/s12912-025-03890-4","DOIUrl":"https://doi.org/10.1186/s12912-025-03890-4","url":null,"abstract":"<p><strong>Background: </strong>The aging population is becoming a growing challenge for health care systems, pushing toward the need for systemic adaptations. In Italy, the role of the Family and Community Nurse (FCN) was introduced as a response to these demographic changes, aimed at ensuring personalized and integrated care for the older adults at the national level. Despite national institutional recognition, the implementation of the FCN role varies considerably across regions, resulting in uneven and fragmented service delivery. To better understand this variability, the present study aimed to describe the perceived barriers and facilitators influencing the delivery of community-based care to older adults.</p><p><strong>Methods: </strong>A qualitative descriptive study was conducted, from December 2023 to May 2024, using semi-structured interviews on a purposive sample. Forty-one FCNs from four Italian regions were interviewed. The interviews were transcribed verbatim and analyzed using Qualitative Content Analysis, supported by NVivo software.</p><p><strong>Results: </strong>Under the overarching theme reflecting the barriers and facilitators that influence the delivery of family and community nursing care to older adults, six sub-themes and thirteen categories were identified. The key barriers were the misalignment between strategic leadership level and managerial and operational levels, shortages of instrumental and human resources, heterogeneity and fragmentation of nursing documentation, lack of uniformity of the training pathways and, limited recognition of the FCN role. The most frequent facilitators were current regulations and national policies, the support and collaboration of local organizations and local political institutions, as well as the expansion of interprofessional collaborations.</p><p><strong>Conclusions: </strong>The study emphasizes the need for targeted interventions to strengthen the governance of the FCN role, ensuring greater integration between policy directives, resources, training, and organizational practice. This requires coordinated efforts among health care institutions, universities, and professional organizations to create a system that not only adequately trains FCNs but also ensures their functional and effective placement within community-based care.</p><p><strong>Clinical trial number: </strong>Not applicable.</p>","PeriodicalId":48580,"journal":{"name":"BMC Nursing","volume":"24 1","pages":"1259"},"PeriodicalIF":3.9,"publicationDate":"2025-10-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145276433","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Attribution, risk perception, and response to workplace violence: a scenario-based study of triage nurses.","authors":"Di Liu, Lanxin Ouyang, Mengmeng Wu, Lei Li, Yin Lin","doi":"10.1186/s12912-025-03914-z","DOIUrl":"https://doi.org/10.1186/s12912-025-03914-z","url":null,"abstract":"","PeriodicalId":48580,"journal":{"name":"BMC Nursing","volume":"24 1","pages":"1260"},"PeriodicalIF":3.9,"publicationDate":"2025-10-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145276419","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"An educational intervention to bridge the gap between nurses and nurse assistants- a focus group study in Norway.","authors":"Ann-Chatrin Linqvist Leonardsen, Renate Slang, Anna Pauline Pedersen, Helene Matri, Malin H Westerlund, Trine Hovland, Kristin Myhre","doi":"10.1186/s12912-025-03909-w","DOIUrl":"https://doi.org/10.1186/s12912-025-03909-w","url":null,"abstract":"<p><strong>Background: </strong>Studies have found that a mixed staffing model where nurses and nurse assistants work as a team can deliver better care quality than standard nurse staffing models. However, there are issues related to communication gaps, unclear job descriptions, hierarchical barriers, resource limitations, cultural and systemic factors that need to be solved. The aim of the current study was to explore nurses' and nurse assistants' experiences with an educational intervention to bridge the gap between nurses and nurse assistants.</p><p><strong>Methods: </strong>The educational intervention involved nurses and nurse assistants and comprised a lecture of 90 min, followed by 60 min of simulation in the respective subject 'respiratory issues' and 'sepsis'. A qualitative study design, with six focus group interviews (N = 23), was used. Data were analyzed using thematic analysis in-line with recommendations from Braun and Clarke.</p><p><strong>Results: </strong>Through analysis, two themes were identified, namely (1) Simulation; a love-hate relationship and (2) Increased insight into each other's competence and understanding of each other's focus. Both nurses and nurse assistants were sceptic to simulation as an educational intervention. However, all appreciated the combination of theory and simulation. The level seemed appropriate for nurse assistants, while nurses perceived the level as mostly repetition. The education day increased insight into each other's competence and understanding of each other's focus across wards and specialties, and across nurses and nurse assistants.</p><p><strong>Conclusions: </strong>Educational interventions between nurses and nurse assistants may be appropriate to decrease communication and collaboration gaps across occupations. Combining theoretical lectures and simulations also seemed to support this.</p><p><strong>Clinical trial number: </strong>Not applicable.</p>","PeriodicalId":48580,"journal":{"name":"BMC Nursing","volume":"24 1","pages":"1261"},"PeriodicalIF":3.9,"publicationDate":"2025-10-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145276451","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Translation and psychometric evaluation of the Persian version of the nurse team resilience scale in the context of cardiopulmonary resuscitation.","authors":"Mobina Rajaee, Mehrsa Basiri Moghaddam, Alireza Jafari, Mahdi Basiri Moghaddam","doi":"10.1186/s12912-025-03919-8","DOIUrl":"https://doi.org/10.1186/s12912-025-03919-8","url":null,"abstract":"","PeriodicalId":48580,"journal":{"name":"BMC Nursing","volume":"24 1","pages":"1262"},"PeriodicalIF":3.9,"publicationDate":"2025-10-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145276488","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Patterns of proactive health behaviors and associated factors among middle-aged and older women in China: a latent class analysis.","authors":"Yujie Lei, Hongxia Zhuo, Kangning Li, Zuxia Li, Huiwu Han","doi":"10.1186/s12912-025-03922-z","DOIUrl":"https://doi.org/10.1186/s12912-025-03922-z","url":null,"abstract":"","PeriodicalId":48580,"journal":{"name":"BMC Nursing","volume":"24 1","pages":"1251"},"PeriodicalIF":3.9,"publicationDate":"2025-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145259667","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Unveiling critical care nurses' knowledge, practice, self-confidence, and perceived barriers affecting the use of the Glasgow Coma Scale: findings for enhancing unconscious patient care.","authors":"Sameer A Alkubati, Mohammad Alharbi, Hamdan M Albaqawi, Abdulhafith Alharbi, Aziza Z Ali, Adel O Laradhi, Habib Alrashedi, Galal F Albani, Awatif M Alrasheeday, Bushra Alshammari, Layla S Alshammari, Hajer I Motakef","doi":"10.1186/s12912-025-03915-y","DOIUrl":"10.1186/s12912-025-03915-y","url":null,"abstract":"","PeriodicalId":48580,"journal":{"name":"BMC Nursing","volume":"24 1","pages":"1253"},"PeriodicalIF":3.9,"publicationDate":"2025-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12512736/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145259593","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The effect of nurses' professional quality of life on attitudes toward organ donation: a structural equation modeling approach.","authors":"Gülay Turgay, Hüseyin Tolga Çağatay, Yüksel Demirel, Mustafa Gülşen","doi":"10.1186/s12912-025-03925-w","DOIUrl":"10.1186/s12912-025-03925-w","url":null,"abstract":"<p><strong>Objectives: </strong>This study aimed to examine the relationship between nurses' professional quality of life and their attitudes toward organ donation. Specifically, the research evaluated the effects of compassion satisfaction, burnout, and compassion fatigue on nurses' degree of humanity and moral convictions, fear of medical neglect, and fear of bodily mutilation related to organ donation.</p><p><strong>Methods: </strong>A cross-sectional study was conducted among 696 nurses working in public and private hospitals in Ankara, Türkiye. The participants were selected via an online survey using a non-probability sampling approach. Data were collected consisting of three sections: a sociodemographic information form, the Professional Quality of Life Scale (ProQOL), and the Organ Donation Attitude Scale (ODAS). Structural equation modeling (SEM) was used to examine the hypothesized relationships.</p><p><strong>Results: </strong>According to the structural equation modeling results, compassion satisfaction positively influenced humanity and moral conviction (β = 0.203; p < 0.001) and negatively influenced both fear of medical neglect (β=-0.287; p < 0.001) and fear of bodily mutilation (β=-0.167; p < 0.005). Burnout negatively affected humanity and moral conviction (β=-0.387; p < 0.001), positively affected fear of medical neglect (β = 0.280; p < 0.001), and had no significant effect on fear of bodily mutilation (β = 0.047; p > 0.005). Contrary to initial expectations, compassion fatigue showed unexpected associations: while it was hypothesized to negatively relate to humanity and moral conviction, it instead exhibited a positive effect (β = 0.154; p < 0.005), leading to the rejection of the corresponding hypothesis. Compassion fatigue also positively impacted fear of bodily mutilation (β = 0.545; p < 0.001), whereas its hypothesized positive impact on fear of medical neglect was not supported (β=-0.053; p > 0.005).</p><p><strong>Conclusions: </strong>Nurses' professional quality of life significantly influences their attitudes toward organ donation. Enhancing compassion satisfaction and reducing burnout and compassion fatigue among nurses can foster positive attitudes and reduce fears regarding organ donation. However, limitations include the cross-sectional design, the single geographic scope, and reliance on self-report measures, which may affect generalizability. Further longitudinal research and intervention studies are recommended to validate these findings and develop effective strategies for improving organ donation attitudes among healthcare professionals.</p>","PeriodicalId":48580,"journal":{"name":"BMC Nursing","volume":"24 1","pages":"1256"},"PeriodicalIF":3.9,"publicationDate":"2025-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12512619/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145259617","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Work engagement and its associated factors among nurses in hospitals of western Ethiopia.","authors":"Dereje Chala Diriba, Temesgen Tilahun, Adugna Olani Akuma, Amsalu Takele, Tesfaye Shibiru, Tesfaye Abera","doi":"10.1186/s12912-025-03872-6","DOIUrl":"10.1186/s12912-025-03872-6","url":null,"abstract":"<p><strong>Background: </strong>Nurses' work engagement is vital for enhancing the quality of care in healthcare settings. As a significant part of the healthcare workforce, nurses require motivation, self-identification, full concentration, and deep engagement to perform effectively. Factors such as the meaning of work, nursing leadership, and available resources have been identified as influencing nurses' work engagement. Despite previous studies addressing work engagement, few have assessed the associations between evidence-based practise, sociodemographic factors, and work-related characteristics. This study examines the level of work engagement and its associated factors among professional nurses in hospitals in western Ethiopia.</p><p><strong>Methods: </strong>A hospital-based cross-sectional study was conducted between 21 September and 31 December 2023, involving 418 nurses working in seven hospitals. The modified Job Demands-Resources and the Nursing Job Demands-Resources models guided the research. Work engagement was assessed using the 9-item Utrecht Work Engagement Scale, independent variables such as organisational justice, social support, job satisfaction, and employee involvement, were measured using the Copenhagen Psychosocial Questionnaire, and evidence-based practise was measured using a short Evidence-based Practise Implementation Scale. Data were analysed using IBM SPSS version 25, with simple and multiple linear regression analyses identifying relationships between independent and dependent variables. Statistical significance was set at p < 0.05.</p><p><strong>Results: </strong>The mean work engagement score among nurses was 4.02 (SD [Formula: see text] 1.29). Being female (β = 0.301, 95% CI: 0.067, 0.535), employed at a teaching hospital (β = 0.697, 95% CI: 0.395, 1.00), the meaning of work (β = 0.124, 95% CI: 0.057, 0.190), and engagement in evidence-based practise (β = 0.184, 95% CI: 0.065, 0.303) were associated with work engagement. The model explained 20.1% of the variability in work engagement.</p><p><strong>Conclusion: </strong>The level of work engagement among nurses in western Ethiopia aligns with findings from other studies. Factors like being female, working in the teaching hospitals, the meaning of work, and engagement in evidence-based practise were found to positively influence work engagement. Future research should explore predictors of work engagement at the national level.</p>","PeriodicalId":48580,"journal":{"name":"BMC Nursing","volume":"24 1","pages":"1254"},"PeriodicalIF":3.9,"publicationDate":"2025-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12512666/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145259662","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Correlation between nurses' knowledge and practices in prevention of catheter-associated urinary tract infection (CAUTI) with UTI incidence in ICU.","authors":"Ata Karami, Mohammad Azad Majedi, Naser Kamyari, Salam Vatandost","doi":"10.1186/s12912-025-03910-3","DOIUrl":"10.1186/s12912-025-03910-3","url":null,"abstract":"<p><strong>Background: </strong>The way of Foley insertion and required cares after that are key factors to prevent catheter-associated urinary tract infection. Nurses play the main role in catheter placement and care, so their knowledge and performance are important. This study aims to determine Correlation Between Nurses' Knowledge and Practices in prevention of catheter-associated urinary tract infection with Urinary Tract Infection Incidence in Intensive Care Unit.</p><p><strong>Methods: </strong>This correlational study was conducted with the cross-sectional method. 105 nurses from five Intensive Care Unit wards was selected with census sampling. The data about nurses' knowledge and practice to prevent catheter-associated urinary tract infection was collected through standard questionnaires with self-reporting. The incidence of Urinary Tract Infection in the last six months according to statistics recorded by the hospital infection control center was considered. The descriptive results of nurses' knowledge, their practice, Urinary Tract Infection prevalence, and the correlation between these factors was examined.</p><p><strong>Results: </strong>The average work experience of nurses was 2.90 ± 1.57 years. Only 16.20% of nurses had taken part in workshops related to Urinary Tract Infection prevention. The average score of knowledge was 73.26, and for practice was 2.85 ± 0.37, which both were in a low level. The overall incidence of Urinary Tract Infection in the mentioned period was 2.99%. Urinary Tract Infection prevalence had an inverse and significant correlation with nurses' knowledge and practice, 0.461 and 0.491 respectively.</p><p><strong>Conclusion: </strong>Nurses' knowledge and practice to prevent catheter-associated urinary tract infection were at poor level. Therefore, considering the negative and significant correlation of these variables with incidence of Urinary Tract Infection in this study, it is required that nurses be trained about specialized trainings related to urinary catheter care.</p><p><strong>Clinical trial number: </strong>Not applicable.</p>","PeriodicalId":48580,"journal":{"name":"BMC Nursing","volume":"24 1","pages":"1252"},"PeriodicalIF":3.9,"publicationDate":"2025-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12512579/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145259644","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Adapting nursing education to improve care for persons with disabilities: a systematic review of curriculum changes and training effectiveness.","authors":"Opprecht Geneviève, Da Rocha Rodrigues Sara, Rivas Velarde Minerva","doi":"10.1186/s12912-025-03894-0","DOIUrl":"10.1186/s12912-025-03894-0","url":null,"abstract":"<p><strong>Background: </strong>To ensure that nurses are equipped to provide effective care, it is essential to examine available evidence on how nursing curricula have adapted to meet the unique health needs of persons with disabilities. This study assesses how pedagogical strategies and interventions have changed in nursing education to develop disability competencies. It also examines whether such curriculum changes have been evaluated to assess their effectiveness in developing competencies.</p><p><strong>Methods: </strong>A systematic review based on a literature search in Web of Science, PubMed, Medline, PsycInfo, ERIC, CINAHL and Google Scholar. The study includes peer-reviewed papers, either qualitative or quantitative, that describe the development of disability-related education in undergraduate or postgraduate nursing training. With no time frame or publication restriction. The quality of the paper was assessed using the Mixed Methods Appraisal Tool (MMAT). 46 studies have met al.l inclusion criteria and were included in the final analysis.</p><p><strong>Results: </strong>In total, were 2803 articles found in the initial search across seven online electronic databases. Finally, a thorough review was conducted, incorporating 46 studies. Most of the studies come from high income countries. Among the 46 studies reviewed, 16 employed qualitative methodologies, 22 studies adopted quantitative descriptive designs, relying primarily on cross-sectional surveys and pre-post evaluations. Seven studies used mixed methods.Three major themes emerged from this analysis a) enhancing nurses' understanding of disability, b) pedagogical strategies to work with persons with disabilities and their families in a clinical setting, and c) diverse approaches to clinical simulation in nursing education. The results show that most educational interventions are not assessing their impact in developing disability competencies.</p><p><strong>Discussion: </strong>Many interventions aim to raise disability awareness, challenge prejudice, and promote more inclusive attitudes toward individuals with disabilities. While these goals are important, there is limited evidence demonstrating their effectiveness in enhancing nursing practice competencies. Research on strategies that equip nursing students with the core skills needed to provide quality care to people with disabilities remains scarce.</p>","PeriodicalId":48580,"journal":{"name":"BMC Nursing","volume":"24 1","pages":"1257"},"PeriodicalIF":3.9,"publicationDate":"2025-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12512678/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145259660","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}