BMC Nursing最新文献

{"title":"Turkish adaptation and validation of the ethical decision-making competence scale.","authors":"Sema Üstündağ, Nihan Durgu, Eda Özge Yazgan","doi":"10.1186/s12912-025-03201-x","DOIUrl":"https://doi.org/10.1186/s12912-025-03201-x","url":null,"abstract":"<p><strong>Background: </strong>Nursing students often encounter ethical dilemmas throughout their professional training, which can pose challenges to their development. These dilemmas may lead to questioning professional values, hesitation during clinical practice, and even emotional fatigue. Therefore, reliable and valid tools are essential to assess and enhance their ethical decision-making abilities.</p><p><strong>Methods: </strong>Conducted as a methodological study, this research involved 233 nursing students from Manisa Celal Bayar University during November and December 2024. Data collection tools included the Ethical Decision-Making Competence Scale and the Inclination to Ethical Values Scale. Structural validity was analyzed using principal component analysis and confirmatory factor analysis, while internal consistency was assessed with Cronbach's alpha.</p><p><strong>Results: </strong>The scale demonstrated acceptable model fit indices [χ2 (129) = 234.701, χ2/df = 3.295, GFI = 0.841, CFI = 0.900, IFI = 0.901, RMSEA = 0.096 (0.087-0.105)], with all factor loadings exceeding 0.4 and achieving statistical significance. Cronbach's alpha values for the four dimensions were 0.865, 0.867, 0.868, and 0.886, indicating strong internal consistency. Furthermore, the test-retest analysis confirmed the scale's stability over time, validating its use for repeated measurements.</p><p><strong>Conclusion: </strong>Given its psychometric strengths, this tool can be effectively employed in future studies focusing on ethical decision-making competencies in nursing education.</p><p><strong>Clinical trial number: </strong>Not applicable.</p>","PeriodicalId":48580,"journal":{"name":"BMC Nursing","volume":"24 1","pages":"526"},"PeriodicalIF":3.1,"publicationDate":"2025-05-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12077012/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144081560","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":"Experiences of mental health nurses who give nursing intervention among child and adolescent with cyberbullying: a qualitative study.","authors":"Iyus Yosep, Ai Mardhiyah, Suryani Suryani, Rohman Hikmat, Kurniawan Kurniawan, Heni Purnama","doi":"10.1186/s12912-025-03182-x","DOIUrl":"https://doi.org/10.1186/s12912-025-03182-x","url":null,"abstract":"<p><strong>Background: </strong>The incidence of cyberbullying among adolescents has been increasing significantly each year, causing negative psychological impacts such as anxiety, low self-esteem, and depression. Mental health nurses play a pivotal role in mitigating these effects and supporting adolescent victims of cyberbullying through comprehensive nursing care.</p><p><strong>Objective: </strong>This study aimed to investigate the experiences of Mental health nurses in providing nursing interventions to adolescent victims of cyberbullying, focusing on challenges, strategies, and specific care practices.</p><p><strong>Methods: </strong>A qualitative descriptive approach was employed, utilizing semi-structured interviews to gather data from 12 Mental health nurses working in child and adolescent rehabilitation units at a psychiatric hospital in West Java Province, Indonesia. Participants were selected using purposive sampling to ensure a diverse representation of nurses with experience in handling cases of cyberbullying. Data were analyzed thematically, with specific attention to the identification of recurring patterns and themes related to nurses' interventions and experiences.</p><p><strong>Results: </strong>The analysis identified five main themes: (1) types of bullying experienced by adolescents, (2) factors influencing the impact of cyberbullying, (3) obstacles and difficulties faced by nurses, (4) specific nursing interventions employed, and (5) unique experiences and coping strategies of nurses. Nurses underscored the challenges of addressing the multifaceted effects of cyberbullying and the importance of individualized interventions to support victims effectively.</p><p><strong>Conclusion: </strong>The study highlights the critical role of mental health nurses in providing targeted, holistic care for adolescent victims of cyberbullying. Nurses emphasize the need for comprehensive care strategies, the involvement of parents, and collaboration with the adolescent's social environment to foster positive coping mechanisms and resilience. These findings advocate for healthcare policies and training programs that empower nurses to effectively address cyberbullying and provide robust support to affected adolescents.</p>","PeriodicalId":48580,"journal":{"name":"BMC Nursing","volume":"24 1","pages":"527"},"PeriodicalIF":3.1,"publicationDate":"2025-05-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12080159/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144081487","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":"Translation and psychometric validation of the Chinese version of the Nurses' Work Value Scale: a cross-sectional study.","authors":"Yuecong Wang, Xin Wang, Yaling Ji, Tianxiang Jiang, Meigui Bao","doi":"10.1186/s12912-025-03161-2","DOIUrl":"https://doi.org/10.1186/s12912-025-03161-2","url":null,"abstract":"<p><strong>Background: </strong>Nurses' work values constitute the core driving force of their professional careers. These values deeply reflect an individual's comprehensive understanding of the nursing profession, positive attitudes toward it, and aspirations for its goals. However, there is currently no specific scale available in China for assessing nurses' work values.</p><p><strong>Objective: </strong>To translate the Nurses' Work Values Scale (NWVS) and validate its reliability and validity among clinical nurses, providing a reliable tool for assessing nurses' work values in China.</p><p><strong>Design: </strong>A quantitative and cross-sectional design.</p><p><strong>Methods: </strong>On the basis of Brislin's translation model, the NWVS was translated, back-translated, synthesized, culturally adapted, and pilot tested to develop a Chinese version of the NWVS. Convenience sampling was used to select clinical nurses from three tertiary-level A hospitals in Jiangsu and Zhejiang from January to April 2024 to assess the reliability and validity of the Chinese version of the NWVS.</p><p><strong>Results: </strong>The Chinese version of the NWVS includes four factors with 30 items. The exploratory factor analysis extracted four common factors with eigenvalues > 1, and the cumulative variance contribution rate was 68.762%. Validated factor analysis revealed good model fit, with χ²/df = 2.027, RMSEA = 0.060, SRMR = 0.067, CFI = 0.911, TLI = 0.901, and IFI = 0.912; the item-level content validity index ranged from 0.875 to 1.000, and the scale-level content validity index/average was 0.933; the Cronbach's α coefficient for the scale was 0.921; the test-retest reliability was 0.942; and the split-half reliability was 0.653.</p><p><strong>Conclusion: </strong>The Chinese version of the Nurses' Work Values Scale has good reliability and validity in assessing the work values of Chinese nurses, making it a reliable tool.</p><p><strong>Clinical trial number: </strong>Not applicable.</p>","PeriodicalId":48580,"journal":{"name":"BMC Nursing","volume":"24 1","pages":"533"},"PeriodicalIF":3.1,"publicationDate":"2025-05-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12080145/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144081558","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":"Effects of implementation leadership of head nurses on nurses' evidence-based pain management practices behavior.","authors":"Lingyu Li, Quanru Wang, Ying Cao, Ling Liao, Binjie Yang, Min Tan","doi":"10.1186/s12912-025-03140-7","DOIUrl":"https://doi.org/10.1186/s12912-025-03140-7","url":null,"abstract":"<p><strong>Background: </strong>Nurses' evidence-based practice competencies were positively correlated with the implementation leadership (IL) of head nurses. However, there was no study to analyze the effect of IL on nurses' evidence-based pain management practices (EBPMP) behavior from the hierarchical linear model (HLM) perspective. The objective of this study was to investigate the current status of head nurses' IL and nurses' EBPMP behavior, and to analyze the effects of head nurses' IL on nurses' EBPMP behavior.</p><p><strong>Methods: </strong>In September 16, 2024 to September 30, 2024, nurses from 17 secondary and tertiary hospitals in Sichuan Province were selected by convenience sampling and investigated with the demographic characteristics, implementation leadership scale (ILS), and nurses' evidence-based practice behavior questionnaire for pain management. The influence of the head nurses' IL on nurses' EBPMP behavior was analyzed using the HLM.</p><p><strong>Results: </strong>A total of 2124 nurses were included in the analysis. The scores for head nurses' IL were (M = 2.88, SD = 0.74) and nurses' EBPMP behavior was (M = 3.98, SD = 0.76). The results of the HLM analysis showed that IL of head nurses had a positive predictive effect on nurses' EBPMP behavior (p < 0.001); Nurses' attitudes towards pain management and participation in pain education and training had a positive predictive effect on nurses' EBPMP behavior (p < 0.001).</p><p><strong>Conclusions: </strong>The EBPMP behavior of nurses and the IL of head nurses are at medium-high levels and still need further improvement. The IL of head nurses positively affected the nurses' EBPMP behavior. Hospital managers can construct programs to improve the level of head nurses' IL to facilitate the implementation of EBPMP and the implementation of more clinical evidence-based practices behavior.</p><p><strong>Clinical trial number: </strong>Not applicable.</p>","PeriodicalId":48580,"journal":{"name":"BMC Nursing","volume":"24 1","pages":"530"},"PeriodicalIF":3.1,"publicationDate":"2025-05-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12079869/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144081468","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":"Impact of effort-reward imbalance, emotional labour, and nurse-patient relationship on physical and mental health of registered nurses in China: a structural equation modeling.","authors":"Fanfan Lv, Longti Li, Na Wang, Kefei Yu, Xiaofei Nie, Li Ke, Jia Jia","doi":"10.1186/s12912-025-03147-0","DOIUrl":"https://doi.org/10.1186/s12912-025-03147-0","url":null,"abstract":"<p><strong>Background: </strong>Currently, the physical and mental health of nursing staff in China is not optimistic and cannot be ignored. Meanwhile, the tense nurse-patient relationship imposes higher demands on the emotional labor of nursing staff. How to maintain a balance between the contributions and rewards of nursing staff, guide them to engage in moderate emotional labor, and improve their physical and mental health has become an important and urgent issue that medical institutions and the entire society need to address. The purpose of this study was to explore the effect of effort-reward imbalance on the physical and mental health of nurses, focusing on the mediating role of emotional labor and nurse-patient relationship, and to provide a basis for formulating strategies and measures to improve the health status of nursing staff.</p><p><strong>Methods: </strong>A cross-sectional design was employed.Using convenience sampling methods, 2191 new nurses were surveyed in 7 hospitals in Hubei Province, China, from June to October 2024. Data were collected using demographic characteristics questionnaire, the Short Form-12(SF-12) scale, the Effort-reward imbalance Scale, the Emotional labour Scale for Nurses, while the nurse-patient relationship was assessed using single items. AMOS 26.0 was used for model drawing and mediation path testing, and SPSS 26.0 was used for data analysis.</p><p><strong>Results: </strong>The mediation model shows a good fit (χ²/df = 2.747, CFI = 0.981, AGFI = 0.971, IFI = 0.982, GFI = 0.990, TLI = 0.961, and RMSEA = 0.056). In this study, we found emotional labour is a mediating variable between effort-reward imbalance and physical and mental health of nurses (β = 0.009, P = 0.019), nurse-patient relationship is a mediating variable between effort-reward imbalance and physical and mental health of nurses (β = 0.126, P < 0.01) and emotional labour and nurse-patient relationship play a chain mediating role in effort-reward imbalance and physical and mental health (β = 0.011, P = 0. 023).</p><p><strong>Conclusions: </strong>The study emphasizes the significance of enhancing the physical and mental health of nurses. Policymakers and hospital administrators should devise policies and strategies that encourage nurses to demonstrate an appropriate level of dedication, balance effort and reward, establish a safe working environment, and improve emotional labor to promote harmonious nurse-patient relationships, thereby improving the physical and mental health of nurses.</p>","PeriodicalId":48580,"journal":{"name":"BMC Nursing","volume":"24 1","pages":"535"},"PeriodicalIF":3.1,"publicationDate":"2025-05-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12080039/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144081523","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":"How do school nurses spend their time? A quantitative time study within Norwegian school health services.","authors":"Gunhild Hustad, Marit Müller De Bortoli, Elisabeth Holm Hansen","doi":"10.1186/s12912-025-03206-6","DOIUrl":"https://doi.org/10.1186/s12912-025-03206-6","url":null,"abstract":"<p><strong>Background: </strong>School nurses perform a unique role by providing health care to all children and adolescents. In Norway, their activities are regulated by the National Professional Guidelines for Health Promotion and Prevention Work in Health Centers, School Health Services and Youth Health Clinics. However, a large part of their workday involves independently planning and prioritizing activities. Understanding how they allocate this time is limited. Filling this knowledge gap is important, both for central authorities in their planning and staffing of the service, and for the continuous development of school health services. This study aims to describe how school nurses spend their time within the Norwegian school health services.</p><p><strong>Methods: </strong>Over a period of 10 days, 104 school nurses documented all activities spent in school health services for a cross-sectional time study. An activity list was developed that encompassed 25 activities, 10 of which were directly devoted to interactions with children, adolescents, and/or their guardians. Time was measured at 10-minute intervals and analysed via descriptive statistics.</p><p><strong>Results: </strong>Administrative work constituted the largest proportion of the registered time (22.1%), followed by individual consultations (15.9%) and meetings (10.9%). Minimal time was allocated to group activities for pupils and guardians, comprising 2.8%. The time dedicated to direct interaction with children, adolescents, and/or guardians accounted for 36% of the time, whereas the remaining 64% was spent on activities not involving direct interaction.</p><p><strong>Conclusion: </strong>This study provides insights into how school nurses spend their time within Norwegian school health services and indicates a large variation in the time spent on different tasks. Future research should investigate the reasons behind these variations and analyze the content and interventions used in various activities. Although the study is conducted in a Norwegian context, the methods for describing time usage are applicable to other health sectors and countries.</p>","PeriodicalId":48580,"journal":{"name":"BMC Nursing","volume":"24 1","pages":"531"},"PeriodicalIF":3.1,"publicationDate":"2025-05-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12080160/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144081500","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":"Measuring honesty in nursing: scale development and validation.","authors":"Mohammad Mehdi Mohammadi, Amirhossein Naghibzadeh, Hadis Mosafer, Mohammad Mohammadi","doi":"10.1186/s12912-025-03163-0","DOIUrl":"https://doi.org/10.1186/s12912-025-03163-0","url":null,"abstract":"<p><strong>Background: </strong>Honesty is considered a desirable trait that can impact happiness and job performance. The clinical environment can present ethical challenges for nurses. A lack of honesty can lead to significant issues for both nurses and patients. Existing tools for measuring honesty have limitations and do not focus specifically on nurses. This study aimed to design and psychometrically evaluate a scale to measure honesty among nurses.</p><p><strong>Methods: </strong>This methodological study involved the design and validation of an honesty measurement tool for nurses. The study employed an inductive-deductive approach to generate items. The face (10 nurses), content (10 nursing experts), and construct validity (320 hospital nurses) of the scale were assessed, along with reliability using internal consistency and stability methods. The Item Impact Method was used for quantitative face validity determination. Content validity was assessed using qualitative and quantitative methods, with the participation of researchers and nursing experts. Cronbach's alpha was used to assess internal consistency, and the test-retest method and Intraclass Correlation Coefficient (ICC) were used to assess reliability. Exploratory factor analysis (EFA) was used to assess construct validity.</p><p><strong>Results: </strong>The study resulted in an 8-item tool with two dimensions: behavioral honesty and verbal honesty. The tool explained 51.034% of the total variance. Cronbach's alpha for the entire scale was 0.823, and McDonald's omega was 0.898. The Intraclass Correlation Coefficient (ICC) was reported as 0.918, with a 95% confidence interval of 0.827 to 0.961.</p><p><strong>Conclusion: </strong>The developed tool is a reliable and valid instrument for measuring honesty among nurses. This study contributes to the field by providing a tool to measure honesty in nurses. The tool's scoring system effectively distinguishes between different levels of honesty in nursing practice, with elevated scores reflecting greater adherence to honest professional conduct. This tool can be used by managers and organizational decision-makers to enhance the quality of management planning.</p><p><strong>Clinical trial number: </strong>Not applicable.</p>","PeriodicalId":48580,"journal":{"name":"BMC Nursing","volume":"24 1","pages":"532"},"PeriodicalIF":3.1,"publicationDate":"2025-05-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12079846/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144081525","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":"Effect of high-quality nursing care on postoperative complications and quality of life for patients undergoing common bile duct exploration.","authors":"Eman Mohammed Hashem, Mervat Abd El-Fatah Ismael, Ramy Abdelrahim Hassan, Wafaa Ramadan Ahmed","doi":"10.1186/s12912-025-03119-4","DOIUrl":"10.1186/s12912-025-03119-4","url":null,"abstract":"<p><strong>Background: </strong>Complications following common bile duct exploration for managing gallstones or choledocholithiasis negatively impact patients' quality of life. Occasionally, high-quality nursing care is necessary to either improve the outcome or to avoid life-threatening consequences.</p><p><strong>Aim: </strong>This study aimed to evaluate the effect of high-quality nursing care on postoperative complications and quality of life for patients who underwent common bile duct exploration.</p><p><strong>Patients and method: </strong>A quasi-experimental research design was utilized. The study was conducted in the Hepatobiliary Surgical unit at Al-Rajhi Liver Hospital and the general surgery department at Assiut University Hospital. A purposive sample of sixty adult patients, whose ages ranged from 20 to 65 years, who underwent common bile duct exploration were included in the study. Patients were randomly divided into two equal groups (study and control) 30 patients for each.</p><p><strong>Tools: </strong>Tool (I): patient's assessment form, Tool (II): Postoperative complications evaluation record, and Tool (III): Abdominal surgery impact scale.</p><p><strong>Results: </strong>Wound infection and T -Tube problems demonstrated a statistically significant difference between the two groups on follow-up as it occurred in (36.7%, and 26.7%) of the control group compared to (6.7%, and 3.3%) of the study group. Also, there was a significant improvement in total mean scores of QoL among the study group as it increased from 54.4 ± 22.11 on pre-intervention to 77.8 ± 6.15 post (P.value 0.001**).</p><p><strong>Conclusion: </strong>High-quality nursing care proved to be effective in reducing the incidence of postoperative complications and improving quality of life among the study group compared to the control group.</p><p><strong>Recommendations: </strong>Nevertheless, high-quality nursing care is crucial and should serve as the basis for routine nursing care for patients undergoing common bile duct exploration.</p>","PeriodicalId":48580,"journal":{"name":"BMC Nursing","volume":"24 1","pages":"524"},"PeriodicalIF":3.1,"publicationDate":"2025-05-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12076965/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144004994","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 impact of scenario-based simulation training on nursing students' knowledge and performance in patient care after coronary artery surgery.","authors":"Elahe Maddahi, Hossein Akbari, Mahdieh Sabery","doi":"10.1186/s12912-025-03148-z","DOIUrl":"10.1186/s12912-025-03148-z","url":null,"abstract":"<p><strong>Background: </strong>Coronary artery bypass graft (CABG) surgery is one of the most effective treatments for coronary artery disease. Despite its many benefits, this surgery can also lead to potential complications. Studies have shown that nurses play an important role in managing these complications. Studies have shown that nurses play an important role in controlling these complications. Conventional nursing education often fails to prepare graduates for employment in complex and evolving clinical environments like cardiac wards. Meanwhile, scenario-based learning has recently emerged as a valuable educational method in the clinical training of healthcare professionals. Therefore, this study aimed to determine the effect of scenario-based learning on nursing students' knowledge and performance in patient care after coronary artery surgery at Kashan University of Medical Sciences.</p><p><strong>Methods: </strong>The present study used a pretest-posttest design in 2024(April to December), with the research population consisting of fifty nursing students of Kashan University of Medical Sciences. All students were included in the study using convenience sampling method and were randomly assigned to two groups: one receiving conventional training methods and the other participating in scenario-based simulation training. First, the scenarios were written and validated. Data were collected using a demographic questionnaire, a knowledge assessment questionnaire, and a performance assessment checklist. The validity and reliability of the instruments were investigated and confirmed. After data collection, the analysis was conducted using SPSS 16 software, with a significance level of 0.05.</p><p><strong>Results: </strong>According to the study results, a significant increase was observed in the performance scores of nursing students in patient care after coronary artery surgery after receiving the training (P < 0.05). However, the change in the knowledge score was not significantly different between the two groups (P < 0.05). The results of the independent T-test showed no significant difference in the change in knowledge score between the two groups. But the increase in performance score between the two groups was significant (P < 0.05). The results of the ANCOVA test showed that the type of training had no effect on the change in knowledge scores (P = 0.301) but significantly affected the change in performance scores (P = 0.036).</p><p><strong>Conclusion: </strong>Given the effectiveness of scenario-based simulation training, it is recommended that this method be used in the clinical education of nursing students and nurses.</p>","PeriodicalId":48580,"journal":{"name":"BMC Nursing","volume":"24 1","pages":"519"},"PeriodicalIF":3.1,"publicationDate":"2025-05-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12070632/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144064697","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":"Impact of nurse staffing coverage and care complexity factors on health outcomes in hospitalized COVID-19 patients: a cross-sectional study.","authors":"Jordi Adamuz, Maribel González-Samartino, Emilio Jiménez-Martínez, Marta Tapia-Pérez, María-Magdalena López-Jiménez, Patricia Valero-Valdelvira, Esperanza Zuriguel-Pérez, Carmen Berbis-Morelló, Susana Asensio-Flores, Maria-Eulàlia Juvé-Udina","doi":"10.1186/s12912-025-03142-5","DOIUrl":"10.1186/s12912-025-03142-5","url":null,"abstract":"<p><strong>Background: </strong>Few studies have captured the impact of inadequate nurse staffing levels and broader health patient conditions in admitted patients during the COVID-19 pandemic. We aimed to determine the association between nurse staffing coverage, care complexity individual factors (CCIFs) and adverse events (AEs) in patients admitted with COVID-19.</p><p><strong>Methods: </strong>A multicentre cross-sectional study was conducted from March 1, 2020 to March 31, 2022 at eight public health hospitals in Spain. All patients with COVID-19 who were admitted to these hospitals were included. The main variables included AEs, nurse staffing coverage (as measured using the ATIC patient classification system) and CCIFs to evaluate broader patient health conditions. Adjusted logistic models were performed to identify associations with AEs, stratified by patients admitted to wards and hospitalized patients who required admission to intensive care units (ICUs).</p><p><strong>Results: </strong>A total of 11,968 hospitalized patients, 2,824 (23.6%) experienced AEs. Multivariate analysis showed that higher levels of nurse staffing coverage protected against AEs. Among patients admitted to acute wards, the independent risk factors for AEs included old age, haemodynamic instability, chronic disease, uncontrolled pain, urinary or faecal incontinence and mental status impairments. In addition to these factors, extreme weight, position impairment and communication disorders were factors associated with AEs in patients who required ICU admission.</p><p><strong>Conclusions: </strong>Nurse staffing coverage was a protective factor for AEs. Several CCIFs related to comorbidity/complications, developmental, and mental-cognitive domains were strongly associated with AEs. Therefore, ensuring safe nurse staffing levels could be improve patient outcomes.</p>","PeriodicalId":48580,"journal":{"name":"BMC Nursing","volume":"24 1","pages":"520"},"PeriodicalIF":3.1,"publicationDate":"2025-05-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12076968/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144064584","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}