BMC Nursing最新文献

{"title":"Comparison of peripheral intravenous catheterization applied to different anatomical sites in terms of pain, phlebitis and infiltration.","authors":"Feride Kaplan, Hanife Çelik, Hakime Aslan, Seher Çevik Aktura","doi":"10.1186/s12912-025-02979-0","DOIUrl":"https://doi.org/10.1186/s12912-025-02979-0","url":null,"abstract":"<p><strong>Aim: </strong>This study was conducted to compare peripheral intravenous catheterization (PIVC) at different anatomical sites in terms of pain, phlebitis and infiltration.</p><p><strong>Material and methods: </strong>The study was a comparative-descriptive study. The population of the study consisted of all adult patients being treated and receiving intravenous drug therapy in a state hospital. The sample of the study consisted of a total of 154 patients who met the inclusion criteria for the study and were selected by non-probability sampling method. The \"Patient Information Form\" created by the researchers, \"Phlebitis and Infiltration Scale\" and \"Visual Analogue Scale (VAS)\" were used to collect data.</p><p><strong>Results: </strong>In the study, it was determined that there was no significant difference between the degree of phlebitis, time of phlebitis and degree of infiltration between the PIVC applied upper hand, forearm and antecubital regions (p > 0.05), but there was a significant difference between the regions in terms of pain (p < 0.05). It was determined that the severity of pain upper hand was significantly higher than the other groups.</p><p><strong>Conclusion: </strong>PIVC's applied at different anatomical sites were similar in terms of the risk of phlebitis and infiltration, but pain intensity was much higher upper hand. It has been determined that various factors related to the patient, nurse and other variables affecting the level of phlebitis, infiltration and pain are effective.</p>","PeriodicalId":48580,"journal":{"name":"BMC Nursing","volume":"24 1","pages":"393"},"PeriodicalIF":3.1,"publicationDate":"2025-04-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143812703","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":"Barriers to reporting workplace violence: a qualitative study of nurses' perceptions in tertiary care settings.","authors":"Nadia Bassuoni Elsharkawy, Abeer Nuwayfi Alruwaili, Osama Mohamed Elsayed Ramadan, Majed Mowanes Alruwaili, Ali Alhaiti, Enas Mahrous Abdelaziz","doi":"10.1186/s12912-025-03039-3","DOIUrl":"https://doi.org/10.1186/s12912-025-03039-3","url":null,"abstract":"<p><strong>Background: </strong>Workplace violence (WPV) remains a formidable concern among nurses worldwide, with up to 60% in Saudi Arabia reportedly experiencing some form of aggression. In tertiary care hospitals, robust hierarchies and cultural norms intensify underreporting, thwarting evidence-based prevention and obscuring vital data.</p><p><strong>Aim: </strong>This qualitative study investigated the perceived barriers to WPV reporting among nurses in tertiary care settings in the Aljouf region of Saudi Arabia, specifically addressing how organizational and cultural factors converge to discourage formal incident reporting.</p><p><strong>Methods: </strong>A qualitative descriptive design was employed, guided by Ajzen's Theory of Planned Behavior and the Social Ecological Model. Thirty-six registered nurses, purposively sampled from three tertiary hospitals, participated in six semi-structured focus groups conducted in Arabic or English, depending on participant preference. Data were thematically analyzed in NVivo, with methodological rigor ensured through triangulation and inter-coder reliability.</p><p><strong>Results: </strong>Three principal themes emerged: (1) Emotional and Psychological Barriers (78%), encompassing distress, anxiety, and fears of professional blame; (2) Organizational Ineffectiveness (65%), marked by convoluted reporting processes and perceived managerial indifference; and (3) Cultural and Hierarchical Influences (57%), reflecting deference to authority and normalization of violence. These themes illustrate how attitudes, subjective norms, and perceived behavioral control shaped by socio-cultural dynamics collectively contribute to persistent underreporting.</p><p><strong>Conclusions: </strong>Mitigating WPV underreporting in Saudi tertiary care hospitals requires streamlined, user-friendly reporting channels, leadership accountability, and holistic psychosocial support. Implementing interprofessional education aimed at dismantling hierarchical imbalances can foster a zero-tolerance ethos toward violence. Longitudinal and comparative research should further examine evolving reporting behaviors to refine context-specific, culturally attuned strategies for addressing WPV.</p><p><strong>Clinical trial number: </strong>Not applicable.</p>","PeriodicalId":48580,"journal":{"name":"BMC Nursing","volume":"24 1","pages":"395"},"PeriodicalIF":3.1,"publicationDate":"2025-04-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143812699","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":"Psychometric properties of the Chinese version of difficulty scale for nurses who care for patients with delirium in the intensive care unit.","authors":"Tianxiang Jiang, Yuecong Wang, Weiying Yang, Hongying Chen, Nan Wang","doi":"10.1186/s12912-025-02955-8","DOIUrl":"https://doi.org/10.1186/s12912-025-02955-8","url":null,"abstract":"<p><strong>Background: </strong>Intensive Care Unit (ICU) nurses experience many difficulties and challenges in caring for delirium patients. Identifying and measuring these difficulties experienced by nurses is critical for implementing precise interventions. We currently lack a standard tool for assessing the level of difficulty faced by ICU nurses in caring for delirium patients that fits the nursing context in China. This study aimed to translate the Difficulty Scale for Nurses who Care for Patients with Delirium in the Intensive Care Unit (DSNCPD-ICU) into Chinese (C-DSNCPD-ICU) and psychometrically validate the translated scale.</p><p><strong>Methods: </strong>The English version of DSNCPD-ICU consisted of a main scale with eight factors and an additional scale of one factor. It was translated in strict accordance with Brislin's translation model to yield the Chinese versions. Using a convenience sampling method, 477 ICU nurses from ten general hospitals were recruited for online survey, which collected sociodemographic information, scores on C-DSNCPD-ICU and the Strain of Care for Delirium Index. Subsequent psychometric attributes of the C-DSNCPD-ICU were also tested by the validity and reliability.</p><p><strong>Results: </strong>There were 437 valid responses. The content validity index was calculated as 0.96. Cronbach's alpha for the total scale and each factor were 0.919 and 0.705-0.878, respectively. Exploratory factor analysis verified an eight-factor scale and an additional scale structure with cumulative variance contributions of the factors of 63.78% and 57.62%, respectively. Confirmatory factor analysis showed that all data-model fits were acceptable.</p><p><strong>Conclusions: </strong>The C-DSNCPD-ICU validated in this study showed satisfactory psychometric properties. This will help Chinese nurse managers to accurately assess the degree of difficulty and identify the causes of precise barriers in caring for patients with delirium. Using the scale, nurse managers can determine what kind of measures should be taken, including formulating effective and tailored educational programs and providing more resources to support nurses.</p>","PeriodicalId":48580,"journal":{"name":"BMC Nursing","volume":"24 1","pages":"391"},"PeriodicalIF":3.1,"publicationDate":"2025-04-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143812708","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":"Deltoid muscle intramuscular injection methods examining pain comfort satisfaction and fear in ShotBlocker helfer skin tap and standard techniques.","authors":"Güzel Nur Yildiz, Bahar Çiftçi","doi":"10.1186/s12912-025-02901-8","DOIUrl":"https://doi.org/10.1186/s12912-025-02901-8","url":null,"abstract":"<p><strong>Background: </strong>Deltoid Muscle intramuscular (IM) injection is a standard nursing procedure that often causes discomfort and anxiety. Helfer Skin Tap (HST) and ShotBlocker have been introduced to reduce injection-related pain and improve patient experience.</p><p><strong>Aim: </strong>This study compares the effects of the deltoid muscle intramuscular injection techniques Helfer Skin Tap, ShotBlocker, and Standard Technique on patients' pain, comfort, satisfaction, and fear levels.</p><p><strong>Design: </strong>The study used a single-center, randomized, Controlled interventional study design in which three injection techniques were applied to one group.</p><p><strong>Participants: </strong>Forty patients participated in the study.</p><p><strong>Methods: </strong>A single-center randomized controlled interventional study was conducted with patients from the Emergency Department of Atatürk University Study Hospital. Data collection tools included forms for sociodemographic characteristics, pain assessment, comfort levels, satisfaction, and fear related to injections. The interventions were applied once daily for three days, and data were analyzed using appropriate statistical methods.</p><p><strong>Results: </strong>Compared to the Helfer Skin Tap and Standard Technique, the ShotBlocker technique caused the most minor pain and fear and the highest levels of comfort and satisfaction among patients.</p><p><strong>Conclusion: </strong>The findings suggest that the ShotBlocker technique is the most effective in reducing pain and fear while providing the highest comfort and satisfaction levels. This indicates its potential for widespread adoption in clinical practice to improve patient outcomes during deltoid muscle IM injections.</p><p><strong>Trial registration: </strong>This research is a randomized controlled study. Therefore, a registration number was applied for at ClinicalTrials.gov. The registration number was obtained with the number \"NCT05577832\". (First Posted 13/10/2022) CONCLUSION AND IMPLICATIONS FOR NURSING AND/OR HEALTH POLICY: Due to its superior performance, the ShotBlocker technique should be integrated into nursing education and practice. This technique can improve the quality of patient care and enhance the patient experience during deltoid muscle IM injections.</p>","PeriodicalId":48580,"journal":{"name":"BMC Nursing","volume":"24 1","pages":"390"},"PeriodicalIF":3.1,"publicationDate":"2025-04-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143812705","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":"The mediating role of moral courage in the relationship between ethical leadership and error reporting behavior among nurses in Saudi Arabia: a structural equation modeling approach.","authors":"Ebtisam A Elhihi, Khadija Lafi Aljarary, Maha Alahmadi, Jawaher Bakor Adam, Ohud Atiah Almwualllad, Marwan S Hawsawei, Abdulmajid Ahmad Hamza, Ibrahim Abdullatif Ibrahim","doi":"10.1186/s12912-025-03043-7","DOIUrl":"https://doi.org/10.1186/s12912-025-03043-7","url":null,"abstract":"<p><strong>Background: </strong>Ethical leadership in nursing is pivotal for fostering a transparent workplace culture and encouraging error reporting, a critical behavior for enhancing patient safety. In Saudi Arabia, cultural and organizational factors may influence nurses' willingness to report errors, making this an essential area of study. This study investigates the correlation between ethical leadership and error reporting behavior, emphasizing the mediating influence of moral courage among nurses in Saudi Arabia.</p><p><strong>Methods: </strong>This cross-sectional research used a simple random sampling technique to recruit 269 clinical nurses from four specialized medical centers affiliated with King Abdullah Medical City in Makkah, Saudi Arabia. Data was collected between October and December 2024 using online self-reported questionnaires that included validated scales for ethical leadership, moral courage, error reporting, and demographic information form. This study was conducted in accordance with the STROBE guidelines. Structural equation modeling was used to investigate hypothesized relationships.</p><p><strong>Results: </strong>Ethical leadership significantly impacted error reporting behavior (β = 0.58, p < 0.001) and ethical courage (β = 0.35, p < 0.001). Moral courage was a significant predictor of error reporting behavior (β = 0.30, p = 0.01) and partially mediates the link between ethical leadership and error reporting (β = 0.11, p = 0.01). The total effect of ethical leadership on error reporting behavior was substantial (β = 0.69), with a BC 95% CI of (0.51, 0.89).</p><p><strong>Conclusions: </strong>The findings highlight the critical role of ethical leadership in fostering moral courage and promoting error reporting behavior among nurses. The mediation effect of moral courage underscores the importance of cultivating an ethical work environment that empowers nurses to act with integrity and report errors without fear of retaliation. These insights emphasize the need for nursing managers to prioritize ethical leadership practices and create transparent workplace cultures that enhance patient safety. By addressing cultural and organizational barriers, healthcare institutions in Saudi Arabia can further encourage error reporting, ultimately improving the quality of care and patient outcomes.</p>","PeriodicalId":48580,"journal":{"name":"BMC Nursing","volume":"24 1","pages":"392"},"PeriodicalIF":3.1,"publicationDate":"2025-04-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143812711","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":"Can large language models facilitate the effective implementation of nursing processes in clinical settings?","authors":"Yuqin Cao, Li Hu, Xu Cao, Jingjing Peng","doi":"10.1186/s12912-025-03010-2","DOIUrl":"https://doi.org/10.1186/s12912-025-03010-2","url":null,"abstract":"<p><strong>Background: </strong>The quality of generative nursing diagnoses and plans reported in existing research remains a topic of debate, and previous studies have primarily utilized ChatGPT as the sole large language mode.</p><p><strong>Purpose: </strong>To explore the quality of nursing diagnoses and plans generated by a prompt framework across different large language models (LLMs) and assess the potential applicability of LLMs in clinical settings.</p><p><strong>Methods: </strong>We designed a structured nursing assessment template and iteratively developed a prompt framework incorporating various prompting techniques. We then evaluated the quality of nursing diagnoses and care plans generated by this framework across two distinct LLMs(ERNIE Bot 4.0 and Moonshot AI), while also assessing their clinical utility.</p><p><strong>Results: </strong>The scope and nature of the nursing diagnoses generated by ERNIE Bot 4.0 and Moonshot AI were similar to the \"gold standard\" nursing diagnoses and care plans.The structured assessment template effectively and comprehensively captures the key characteristics of neurosurgical patients, while the strategic use of prompting techniques has enhanced the generalization capabilities of the LLMs.</p><p><strong>Conclusion: </strong>Our research further confirms the potential of LLMs in clinical nursing practice.However, significant challenges remain in the effective integration of LLM-assisted nursing processes into clinical environments.</p>","PeriodicalId":48580,"journal":{"name":"BMC Nursing","volume":"24 1","pages":"394"},"PeriodicalIF":3.1,"publicationDate":"2025-04-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143812701","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":"The effect of nurses' perceptions of evidence-based attitudes on the quality of care: a cross-sectional study.","authors":"Mustafa Durmuş, Necmettin Çiftci, Metin Yildiz, Oktay Ferdi Yildiz","doi":"10.1186/s12912-025-02996-z","DOIUrl":"10.1186/s12912-025-02996-z","url":null,"abstract":"<p><strong>Background: </strong>Evidence-based practice, which is one of the key components of quality health care worldwide, has been emphasized more recently.</p><p><strong>Aim: </strong>This study was conducted to investigate the effect of nurses' evidence-based attitudes on the quality of care.</p><p><strong>Methods: </strong>This descriptive and cross-sectional study was conducted with 490 nurses actively working in Turkey. The Demographics Form, Attitude Scale for Evidence-based Nursing, and Caring Behaviors Scale were used to collect data. Structural Equation Modeling was used in the analysis of the research data, and the analysis was carried out using SPSS 22.0, AMOS V 24.0, G*Power 3.1 Statistical package programs.</p><p><strong>Results: </strong>Beliefs and expectations towards evidence-based nursing were validated in the model established between the evidence-based practice intention and feelings about evidence-based nursing and Caring Behaviors Scale variables (F = 81.44; p = 0.001). It was determined that the model created in line with the hypotheses was compatible and the model fit indices were within the desired limits as x²/Sd = 3.256, RMSEA = 0.06, CFI = 0.98, GFI = 0.97, AGFI = 0.94, IFI = 0.98. The model shows that there is a significant and positive relationship between the attitude towards evidence-based nursing and the quality of care (t = 9.025, p < 0.001).</p><p><strong>Conclusion: </strong>There is a significant and positive relationship between evidence-based attitude and care behaviors. It was found out that the evidence-based attitudes of nurses increase the quality of care. Further research could investigate specific interventions or training programs that effectively enhance nurses' attitudes towards evidence-based nursing and subsequently improve the quality of care provided.</p>","PeriodicalId":48580,"journal":{"name":"BMC Nursing","volume":"24 1","pages":"383"},"PeriodicalIF":3.1,"publicationDate":"2025-04-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143804533","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":"Factors influencing critical thinking in simulation-based maternal-child nursing education among undergraduate nursing students: a mixed methods study.","authors":"Sasitara Nuampa, Ameporn Ratinthorn, Pornnapa Tangsuksan, Thiwarphorn Chalermpichai, Kornkanok Kuesakul, Rungnapa Ruchob, Janya Chanphong, Jitrapee Buranasak, Naiyana Khadking, Kultida Subsomboon, Saowaros Pangzup, Sudhathai Sirithepmontree, Puttiraporn Hungsawanus","doi":"10.1186/s12912-025-03016-w","DOIUrl":"10.1186/s12912-025-03016-w","url":null,"abstract":"<p><strong>Background: </strong>Critical thinking constitutes a multifaceted and dynamic process to make appropriate decisions and solve problems. In simulation-based learning, critical thinking can be influenced by personal factors, facilitators, and design.</p><p><strong>Objective: </strong>This study was conducted to investigate the experiences and factors associated with critical thinking in simulation-based maternal-child nursing education.</p><p><strong>Methods: </strong>This study utilized an explanatory sequential mixed-methods approach. In the quantitative phase, convenience sampling was employed to select 400 undergraduate nursing students who met the following inclusion criteria: no history of repeating the maternal-child nursing and midwifery practicum course and class attendance of at least 80% of the total instructional hours. Following the completion of quantitative data collection, purposive sampling was used to recruit 80 students who had participated in and completed the initial survey to participate in focus group discussions.</p><p><strong>Results: </strong>Half of the nursing students had moderate scores of critical thinking on maternal-child nursing simulation. The regression analysis revealed that perception of professional identity, a personal factor, was statistically significantly associated with a high level of critical thinking (Beta = 0.207, t = 4.607, p = 0.000). Additionally, the attitude toward simulation (Beta = 0.139, t = 2.731, p = 0.007) and perceived stress (Beta = -0.103, t = -2.269, p = 0.024) were statistically significantly associated with critical thinking level. In the simulation design, the support aspect toward simulation design (Beta = 0.265, t = 2.943, p = 0.003) and the problem-solving aspect toward simulation importance (Beta = 0.239, t = 2.288, p = 0.023) were statistically significantly associated with a high level of critical thinking. The multiple linear regression model accounted for 35% of the variance in critical thinking with maternal-child nursing simulated learning. Qualitative data revealed the following themes: (1) a well-planned approach enables me to optimize my learning; (2) allow me to make mistakes, but please don't leave me with failure; and (3) emulating practice shapes my growth as a nursing professional.</p><p><strong>Conclusions: </strong>The personal factor and simulation design factors were important for increasing critical thinking level. Promoting effective learning strategies, such as the use of simulated experiences, is useful in enhancing midwifery and nursing students' competencies.</p>","PeriodicalId":48580,"journal":{"name":"BMC Nursing","volume":"24 1","pages":"389"},"PeriodicalIF":3.1,"publicationDate":"2025-04-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143804514","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":"Through the fog of disease: the challenges faced by and vision of medical staff and patients with regard to intermittent symptom management during colorectal cancer chemotherapy.","authors":"Xinchu Luo, Xi Zhang, Xi Ke, Xinyuan Yu, Yuxuan Wu, Huimin Du, Danan Lv, Dun Liu","doi":"10.1186/s12912-025-03007-x","DOIUrl":"10.1186/s12912-025-03007-x","url":null,"abstract":"<p><strong>Background: </strong>Intermittent symptom management during colorectal cancer (CRC) chemotherapy entails challenges for both medical staff and patients. This study aims to explore the factors influencing and feelings associated with symptom management with the aim of providing a reference for clinical nursing practice.</p><p><strong>Methods: </strong>The researchers used a descriptive phenomenological method to conduct semistructured interviews with 19 medical professionals working in the field of oncology as well as 18 patients in April to July 2024. The interview data obtained from both parties were transcribed, coded, analysed with the aim of identifying themes and categories, described and interpreted; furthermore, the challenges entailed by and visions of symptom management extracted from the data were analysed from different perspectives.</p><p><strong>Results: </strong>Four themes were obtained from the medical staff: the brilliance of the lighthouse, the fog in the dark night, the challenge of the helmsman, and the drafting of the chart. Three themes were extracted from the patients: the perception of the beacon, the symptom coping strategy, and the star map of the helmsman.</p><p><strong>Conclusions: </strong>At present, intermittent symptom management during CRC chemotherapy does not meet patients' needs. In the process of symptom management, patients are more dependent on medical staff, and medical staff are more likely to advocate common decision-making with regard to patients. However, both parties believe that developing home symptom management schemes is highly important, and they highlight the needs to focus on the challenges encountered in the process of symptom management, to overcome information barriers, to enhance communication, to strengthen education and information provision, and to help the community jointly establish a vision for a home multiple support network.</p>","PeriodicalId":48580,"journal":{"name":"BMC Nursing","volume":"24 1","pages":"387"},"PeriodicalIF":3.1,"publicationDate":"2025-04-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143804552","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":"Bridging generational gaps in medication safety: insights from nurses, students, and generative AI models.","authors":"Brurya Orkaby, Erika Kerner, Mor Saban, Chedva Levin","doi":"10.1186/s12912-025-03034-8","DOIUrl":"10.1186/s12912-025-03034-8","url":null,"abstract":"<p><strong>Background: </strong>This study investigated medication dose calculation accuracy among nurses, nursing students, and Generative AI (GenAI) models, examining error prevention strategies across generational cohorts.</p><p><strong>Methods: </strong>A cross-sectional study was conducted from June to August 2024, involving 101 pediatric/neonatal nurses, 91 nursing students, and four GenAI models. Participants completed a questionnaire on calculation proficiency and provided recommendations for error prevention. Qualitative responses were analyzed to describe attitudes and perceptions.</p><p><strong>Results: </strong>70% of nurses reported previous medication errors compared to 19.5% of students. Thematic analysis identified six key areas for error prevention: double-checking, calculation methods, work environment, training, drug configuration, and technology use. Only students recommended GenAI integration, while nurses emphasized double-checking.</p><p><strong>Conclusions: </strong>The study highlights generational differences in medication safety approaches and suggests potential benefits of incorporating GenAI as an additional verification layer. These findings contribute to improving nursing education and practice through technological advancements while addressing persistent medication calculation challenges.</p>","PeriodicalId":48580,"journal":{"name":"BMC Nursing","volume":"24 1","pages":"382"},"PeriodicalIF":3.1,"publicationDate":"2025-04-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143804490","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}