BMC Nursing最新文献

{"title":"Effectiveness of an educational intervention on intensive care nurses' knowledge and practice of endotracheal suctioning: a single-group pretest-posttest study.","authors":"Imran Inayat Yousafzai, Ihsanur Rahman, Bakhtyar Ali Shah","doi":"10.1186/s12912-026-05049-1","DOIUrl":"10.1186/s12912-026-05049-1","url":null,"abstract":"<p><strong>Background: </strong>Endotracheal tube (ETT) suctioning is a critical nursing procedure essential for airway management in mechanically ventilated patients admitted to intensive care units (ICUs). Proper suctioning practices help reduce complications, including ventilator-associated pneumonia (VAP). However, evidence suggests that ICU nurses' knowledge and practices regarding ETT suctioning remain suboptimal. This study aimed to assess the effectiveness of an educational intervention on ICU nurses' knowledge and practices regarding ETT suctioning.</p><p><strong>Methodology: </strong>A quasi-experimental single-group pretest-posttest study was conducted in the intensive care units (ICUs) of three public sector tertiary care hospitals in Peshawar, Pakistan. Eligible ICU nurses who met the inclusion criteria and consented to participate were recruited using convenience sampling (n = 60). Knowledge and practice were assessed before and after the educational intervention using a structured knowledge questionnaire and an observational practice checklist.</p><p><strong>Results: </strong>Nurses' knowledge scores improved significantly following the intervention (pre-intervention: 6.57 ± 1.79 vs. post-intervention: 10.23 ± 1.68; mean difference = 3.66; p < 0.001), with a very large effect size (Cohen's d = 2.12). Practice scores also increased significantly from 12.65 ± 1.83 to 16.38 ± 1.43 (mean difference = 3.73; p < 0.001), corresponding to a very large effect size (Cohen's d = 2.27).</p><p><strong>Conclusion: </strong>The educational intervention was associated with substantial improvements in ICU nurses' knowledge and practices regarding endotracheal suctioning. However, because this study employed a single-group pretest-posttest design without a control group, the findings should be interpreted with caution, as causal relationships cannot be established. Regular in-service education is recommended to maintain competency and promote adherence to evidence-based endotracheal suctioning practices.</p><p><strong>Clinical trial registration: </strong>Not applicable.</p>","PeriodicalId":48580,"journal":{"name":"BMC Nursing","volume":"25 1","pages":""},"PeriodicalIF":5.2,"publicationDate":"2026-07-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13449507/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148686264","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":"Hand hygiene knowledge, perception, and self-reported practice among healthcare workers in a tertiary care hospital: a cross-sectional study.","authors":"Anbuselvi Danapalan, Nalini Sirala Jagadeesh, Alexander Arthur Bialasiewicz, Mohammed El Ahmady, Ashokkumar Palanivinayagam","doi":"10.1186/s12912-026-05058-0","DOIUrl":"https://doi.org/10.1186/s12912-026-05058-0","url":null,"abstract":"<p><strong>Background: </strong>Hand hygiene (HH) regimens significantly prevent the spread of healthcare-associated infections and multidrug-resistant organisms. Practising correct HH is crucial in achieving the target of near-zero infections. Globally, HH compliance rates among healthcare workers (HCWs) remain suboptimal. This study aimed to evaluate HCWs' hand hygiene knowledge, perception and self-reported practice and their correlations in a tertiary care hospital in Qatar.</p><p><strong>Methods: </strong>A cross-sectional study was conducted at Al Ahli Hospital, an Australian Council on Healthcare Standards International (ACHSI) accredited tertiary care hospital, from December 2023 to February 2024. The final analytical sample comprised 434 licensed HCWs (physicians, nurses and allied health professionals) responses. A validated self-administered questionnaire from the World Health Organisation and the Centers for Disease Control resource was used. Descriptive and inferential statistics were used for analysis.</p><p><strong>Results: </strong>The mean and standard deviation scores of knowledge, perception, and self-reported practice were 24.9 ± 2.83, 25.5 ± 2.69, and 18 ± 2.99 respectively. 65% of HCWs demonstrated a high level of knowledge. Between 57% and 90% of HCWs perceived HH as highly important, whereas 59 to 86% of HCWs self-reported that they performed HH more than 95% of the time in a day. Pearson's correlation analysis showed significant positive correlations between HH knowledge and self-reported practice (r = 0.215, P < 0.001). Chi-square test and one-way ANOVA analysis shown statistically significant differences (p < 0.05) across professional groups for selected knowledge, perception and self-reported practice items. These findings revealed that nurses were moderately compliant, which potentially reflects patient contact and nature. Post-hoc Bonferroni analyses showed statistically significant mean group differences (p < 0.05) confirming that nurses performed better than physicians and allied health professionals. Major barriers to HH practice included being too busy, lacking time, skin irritation and prioritisation of patient needs.</p><p><strong>Conclusion: </strong>HCWs possess strong knowledge and positive perception toward HH, and notable gaps persist between their understanding and their self-reported practices. These findings highlight the need for periodical monitoring and specialised HH modular training integrated with behavioural interventions. A collaborative approach involving all stakeholders is essential to implement strategic initiatives to eliminate the identified barriers and improve HH compliance, contributing to improved patient safety.</p>","PeriodicalId":48580,"journal":{"name":"BMC Nursing","volume":"25 1","pages":""},"PeriodicalIF":5.2,"publicationDate":"2026-07-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13495255/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148799654","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":"Nurses' experiences and challenges in postnatal stabilisation of newborns: a phenomenological study.","authors":"Ridvan Akdogan, Seda Nur Yürük Yucakuş","doi":"10.1186/s12912-026-05135-4","DOIUrl":"10.1186/s12912-026-05135-4","url":null,"abstract":"<p><strong>Background: </strong>Postnatal stabilisation of newborns is a critical phase that directly influences neonatal survival and long-term outcomes. Neonatal nurses play a central role in this process, yet limited research has explored their lived experiences, particularly regarding clinical responsibility, organisational constraints, and emotional demands. This study aimed to explore nurses' lived experiences of stabilising newborns during the immediate postnatal period and to identify the clinical, organisational, relational, and emotional dimensions shaping this practice.</p><p><strong>Methods: </strong>A descriptive phenomenological study was conducted using in-depth, semi-structured interviews with 17 neonatal nurses working in delivery room and operating theatre units of a tertiary hospital. Data were collected between August and December 2025. Interviews were analysed using Colaizzi's phenomenological analysis method to identify themes reflecting nurses' lived experiences.</p><p><strong>Results: </strong>Five interrelated themes emerged: clinical competence and standardisation; structural and hierarchical barriers; relational dynamics and safety culture; emotional labour and moral distress; and strategic defence and professional development. Nurses experienced postnatal stabilisation as a high-stakes threshold requiring rapid, coordinated, and protocol-based actions to ensure newborn survival. While clinical protocols enhanced confidence and supported decision-making, limited authority, environmental constraints, and communication gaps generated ethical tension and professional frustration. Emotional involvement, empathic identification with newborns, and fear of irreversible error contributed to psychological burden, whereas documentation practices and continuous education were perceived as protective strategies.</p><p><strong>Conclusions: </strong>Postnatal stabilisation is experienced by nurses as a multidimensional practice rather than a purely technical intervention. Clinical responsibility, organisational context, teamwork dynamics, and emotional labour collectively shape this process. The findings suggest that organisational support, effective communication, and ongoing professional development may help address challenges experienced during postnatal stabilisation and inform improvements in neonatal nursing practice.</p>","PeriodicalId":48580,"journal":{"name":"BMC Nursing","volume":"25 1","pages":""},"PeriodicalIF":5.2,"publicationDate":"2026-07-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13560154/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148921373","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":"Relationships among emotional intelligence, conscientiousness, and resilience in nurses at Hamadan teaching hospitals, Iran: a cross-sectional study.","authors":"Meysam Safi-Keykaleh, Parisa Solgi, Hamid Safarpour, Maryam Maddineshat, Sajad Zivari-Nemat, Mohammad Torabi","doi":"10.1186/s12912-026-05131-8","DOIUrl":"https://doi.org/10.1186/s12912-026-05131-8","url":null,"abstract":"<p><strong>Background: </strong>Nurses working in high-stress environments depend substantially on resilience to maintain mental health and professional performance. Emotional intelligence (EI) and conscientiousness are known to be associated with resilience; however, their interrelationships in Iranian hospital nurses have not been thoroughly investigated. Therefore, this study aimed to investigate the relationships among EI, conscientiousness, and resilience in nurses at teaching hospitals in Hamadan, Iran.</p><p><strong>Methods: </strong>This cross-sectional study was conducted in 2025 on 390 nurses from nine teaching hospitals in Hamadan, Iran, using proportional stratified random sampling. Data were collected using the Wong and Law Emotional Intelligence Scale (WLEIS), the conscientiousness subscale of the NEO Five-Factor Inventory (NEO-FFI), and the 10-item Connor-Davidson Resilience Scale (CD-RISC-10). Descriptive statistics, Pearson correlation analysis, and hierarchical multiple regression analysis were conducted using SPSS version 26.</p><p><strong>Results: </strong>There was a moderately strong positive association between EI and resilience (r = 0.56, p < 0.001) and between conscientiousness and resilience (r = 0.49, p < 0.001). The final regression model, including demographic variables, EI, and conscientiousness, explained 47% of the variance in resilience (R² = 0.47, F(7, 382) = 48.30, p < 0.001), with EI showing the strongest association with resilience.</p><p><strong>Conclusions: </strong>EI and conscientiousness are significantly associated with resilience in this sample of nurses. Assessing these psychological resources and evaluating targeted training programs may be useful for supporting resilience in high-stress clinical settings. However, longitudinal and interventional studies are needed to confirm these findings.</p>","PeriodicalId":48580,"journal":{"name":"BMC Nursing","volume":"25 1","pages":""},"PeriodicalIF":5.2,"publicationDate":"2026-07-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13476916/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148762506","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":"Construction of a comprehensive competency evaluation index system for clinical nursing instructors based on a multifaceted feedback model.","authors":"Kele Wang, Jin Pang, Xin Jia, Yun Zheng, Heng Yang, Na Chen, Li Yang, Lidan Peng","doi":"10.1186/s12912-026-05084-y","DOIUrl":"10.1186/s12912-026-05084-y","url":null,"abstract":"<p><strong>Objective: </strong>This study constructed a comprehensive competency evaluation Index system for clinical nursing instructors based on a Multifaceted Feedback Model, which can provide a scientific reference for the recruitment, appointment and competency assessment of clinical nursing teachers.</p><p><strong>Methods: </strong>Based on the multifaceted feedback model, the initial draft of the evaluation index system was formulated through literature review, mixed-method research, and group discussions. The expert consultation method was then used to refine and finalize the evaluation system. The weight of each indicator was determined using the Analytic Hierarchy Process (AHP), and a consistency test was conducted to ensure reliability.</p><p><strong>Results: </strong>Two rounds of expert consultations were conducted. The expert response rates were 100% and 93%, the authority coefficients were 0.922 and 0.929, and the Kendall's coefficients of concordance were 0.175 and 0.235, respectively. The final evaluation index system for the competencies of clinical nursing instructors consists of four first-level indicators, twelve second-level indicators, and fifty-six third-level indicators.</p><p><strong>Conclusion: </strong>The comprehensive competency evaluation indicator system for clinical nursing instructors constructed in this study establishes a foundation for the recruitment, training, performance appraisal, competency evaluation and standardized management of clinical nursing teachers. Moreover, this system provides theoretical and practical references for cultivating high-quality nursing talents that meet the development requirements of new medical disciplines and the reform objectives of the medical and health system.</p>","PeriodicalId":48580,"journal":{"name":"BMC Nursing","volume":"25 1","pages":""},"PeriodicalIF":5.2,"publicationDate":"2026-07-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13449387/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148686245","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":"Strategies for improving comfort and satisfaction in adult patients undergoing urodynamic studies: an evidence summary.","authors":"Linlin Zhou, Chunyan She, Shuang Hu, Fengjie Tan, Ling Dai, Lu Hua","doi":"10.1186/s12912-026-05117-6","DOIUrl":"https://doi.org/10.1186/s12912-026-05117-6","url":null,"abstract":"<p><strong>Objective: </strong>To systematically review and summarize the best available evidence on improving comfort and satisfaction in adult patients undergoing urodynamic study (UDS), to provide an evidence-based foundation for clinical practice.</p><p><strong>Methods: </strong>This evidence summary followed the standardized reporting framework of the Fudan University Center for Evidence-Based Nursing (Registration number: ES20259563). Based on the \"5S\" model of evidence resources, a systematic search was conducted in the following databases: BMJ Best Practice, UpToDate, Guidelines International Network, World Health Organization, National Institute for Health and Care Excellence, MedPulse, European Association of Urology, American College of Obstetricians and Gynecologists, American Urogynecologic Society, Cochrane Library, PubMed, Embase, Web of Science, Sinomed, CNKI, and Wanfang. The search focused on strategies to enhance satisfaction and comfort during UDS in adults. Literature types included clinical decisions, guidelines, expert consensus, evidence summaries, systematic reviews, meta-analyses, randomized controlled trials (RCTs), and qualitative studies, from inception to December 31, 2025. Two researchers independently conducted literature quality assessment, evidence extraction, and synthesis.</p><p><strong>Results: </strong>A total of 968 records were retrieved, with 21 articles meeting the inclusion criteria after screening, comprising 2 systematic reviews, 1 expert consensus, 15 RCTs, and 3 qualitative studies. From these, 18 evidence items were summarized across four domains: Communication and Information Support, Environmental and Sensory Modulation, Local and Pharmacological Interventions, and Privacy and Dignity Preservation, with 11 classified as Level 1, 6 as Level 3, and 1 as Level 5.</p><p><strong>Conclusion: </strong>This study systematically integrated the best available evidence for improving comfort and satisfaction during UDS in adults, identifying effective strategies of nursing interventions. These findings provide an evidence-based foundation for implementing standardized, personalized comfort care in clinical practice, enhancing the quality of nursing care, and offer a reference for developing or updating UDS-related guidelines or standards.</p>","PeriodicalId":48580,"journal":{"name":"BMC Nursing","volume":"25 1","pages":""},"PeriodicalIF":5.2,"publicationDate":"2026-07-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13488153/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148799750","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":"Structural determinants in quality of care for older adults: a nursing perspective on medical services - qualitative findings from focus group discussions in Germany.","authors":"Evelyn Kleinert, Laura Mohacsi, Eva Hummers","doi":"10.1186/s12912-026-05133-6","DOIUrl":"10.1186/s12912-026-05133-6","url":null,"abstract":"<p><strong>Background: </strong>Aging populations, multimorbidity, and rapid medical progress have expanded treatment options in old age, but also intensified ethical and organizational challenges in everyday care. Little is known about how nurses, as key frontline professionals, experience these structural developments specifically in the context of medical and nursing care for older adults in Germany. Therefore, this study aimed to examine how nursing staff perceive structural conditions in the German healthcare system and their effects on medical and nursing care for older patients.</p><p><strong>Methods: </strong>This study employed a qualitative analysis of five focus group discussions with 28 nurses from hospitals, nursing homes, and home-based nursing services in Germany. Participants with diverse qualifications and work settings were purposively and conveniently sampled, and discussions were stimulated by case vignettes on elective surgery and life-prolonging interventions in very old age. Data were analyzed using Kuckartz's Qualitative Content Analysis.</p><p><strong>Results: </strong>Nurses described medical progress as simultaneously enabling better symptom control, mobility, and end-of-life care, while also prolonging phases of frail survival with high care dependence. They reported strong treatment pressures and financially driven incentive structures that foster overtreatment and can conflict with older patients' wishes and perceived quality of life. Chronic staff shortages and time constraints led to \"shortcuts\" such as tube feeding or increased use of psychotropic medication, which were experienced as undermining person-centered care and professional ethics. Across settings, nurses highlighted a loss of professional influence in medical decision-making, feelings of powerlessness, and moral distress linked to implementing decisions they had not shaped but were responsible for carrying out.</p><p><strong>Conclusions: </strong>From a nursing perspective, good medical care in old age depends not only on technological advances and geriatric expertise but also on structural reforms of financing, staffing, and decision-making processes. Strengthening nurses' autonomy, involvement in treatment decisions, and ethical support within interprofessional teams may help align medical interventions more closely with older people's concepts of a good life and a good death.</p><p><strong>German clinical trials register: </strong>DRKS00027076, 05/11/2021. https://www.drks.de/search/de/trial/DRKS00027076/details .</p>","PeriodicalId":48580,"journal":{"name":"BMC Nursing","volume":"25 1","pages":""},"PeriodicalIF":5.2,"publicationDate":"2026-07-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13418417/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148622209","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":"Advantages, limitations, and ethical concerns of AI-assisted qualitative research in nursing: insights from a human-AI comparative thematic analysis.","authors":"Mingjie Wu, Xiaoyang Guo, Shuxian Yang, Ying Li, Ting Yu, Hanjiao Liu","doi":"10.1186/s12912-026-05085-x","DOIUrl":"10.1186/s12912-026-05085-x","url":null,"abstract":"<p><strong>Background: </strong>The rapid development of large language models has accelerated the use of artificial intelligence (AI) in qualitative research. AI-assisted thematic analysis may improve coding efficiency and data organization, but concerns remain about its ability to interpret emotionally nuanced, contextually embedded, and culturally situated nursing narratives. Existing studies have emphasized coding performance and efficiency, whereas ethical and interpretive concerns in nursing qualitative research remain insufficiently examined.</p><p><strong>Objective: </strong>This secondary qualitative analysis compared human-led reflexive thematic analysis and ChatGPT-assisted thematic analysis of the same nursing interview dataset and explored the advantages, limitations, and ethical concerns of AI-assisted qualitative inquiry in nursing.</p><p><strong>Methods: </strong>Semi-structured interview data originally collected within a broader nursing research platform project were analyzed through two separate pathways: human-led reflexive thematic analysis based on Braun and Clarke's approach and ChatGPT-assisted thematic analysis. The research team compared the outputs to examine convergence, divergence, contextual simplification, thematic representation, and ethical implications. Ethical concerns were interpreted through comparative and reflexive analysis.</p><p><strong>Results: </strong>The research team observed that AI-assisted analysis supported rapid data organization, preliminary coding, and identification of explicit thematic patterns. However, the two analytic pathways differed in their representation of contextual meanings, tacit nursing knowledge, and experience-based nursing narratives. Through comparative and reflexive interpretation, four ethical themes were identified: privacy and data security concerns; loss of contextual and emotional understanding; algorithmic reductionism and cultural bias; and changing roles and responsibilities in nursing research. AI-assisted outputs tended to be semantically coherent but contextually simplified.</p><p><strong>Conclusions: </strong>In this study, AI-assisted qualitative analysis was useful as a supportive tool for preliminary thematic exploration and data organization. However, human reflexive engagement remained essential for contextual interpretation, ethical judgment, and the representation of nursing experiences. The findings suggest that ethical concerns extend beyond technical performance to contextual representation, interpretive integrity, and researcher responsibility. Future research should develop reflexive, ethically grounded human-AI collaborative approaches to qualitative nursing inquiry.</p><p><strong>Clinical trial registration: </strong>Not applicable.</p>","PeriodicalId":48580,"journal":{"name":"BMC Nursing","volume":"25 1","pages":""},"PeriodicalIF":5.2,"publicationDate":"2026-07-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13520373/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148841696","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":"A concept analysis of artificial intelligence anxiety among nurses based on Walker and Avant's method.","authors":"Xin Luo, Chunxiu Zhang, Jiajia Xia, Fangmin Li, Qi Ao, Peili Xu","doi":"10.1186/s12912-026-05122-9","DOIUrl":"10.1186/s12912-026-05122-9","url":null,"abstract":"<p><strong>Background: </strong>The growing integration of artificial intelligence in nursing has been accompanied by increased anxiety among nurses, even as they aim to enhance the quality and efficiency of care. Artificial intelligence anxiety (AI anxiety) constitutes another significant factor influencing the decline in nursing work quality and the deterioration of nurses' physical and mental health. However, AI anxiety among nurses is still not clearly conceptualized and has received limited empirical examination.</p><p><strong>Objective: </strong>This study clarifies the concept of AI anxiety among nurses, offering a comprehensive understanding for nursing managers and researchers to support relevant measurements and interventions.</p><p><strong>Data sources: </strong>This study retrieved studies from inception to July 2026 across PubMed, CINAHL (via EBSCO), ELSEVIER ScienceDirect, ProQuest, Embase, Web of Science, Scopus, China National Knowledge Infrastructure (CNKI), China Wanfang Database, and China VIP Database. Relevant references were tracked. This systematic database search aimed to comprehensively collect various research and academic literature to provide evidence and support for conceptual analysis. A total of 31 articles were included in the review.</p><p><strong>Methods: </strong>This study employed Walker and Avant's concept analysis method.</p><p><strong>Results: </strong>A total of 31 papers were included in the study. The four primary characteristics of nurse AI anxiety are: Technical concerns, patient safety concerns, perceived ethical burden, and sense of occupational devaluation. The antecedents are categorized into individual, environmental and related to artificial intelligence. The consequences of AI anxiety are distinguished into individual-level and hospital-level impacts.</p><p><strong>Conclusion: </strong>This study provides a comprehensive understanding of the concept of AI anxiety among nurses by outlining its antecedents, attributes, and consequences. The conceptualization of AI anxiety will facilitate future research aimed at establishing effective prevention strategies.</p>","PeriodicalId":48580,"journal":{"name":"BMC Nursing","volume":"25 1","pages":""},"PeriodicalIF":5.2,"publicationDate":"2026-07-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13587399/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148991986","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":"Severity of impostor phenomenon syndrome among Iranian nursing and allied health students.","authors":"Mahla Kermani, Reyhane Sefidkar, Fatemeh Keshmiri","doi":"10.1186/s12912-026-05116-7","DOIUrl":"10.1186/s12912-026-05116-7","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Background: &lt;/strong&gt;The Impostor Phenomenon Syndrome (IPS) is characterized by persistent self-doubt and fear of being exposed as intellectually fraudulent despite objective evidence of competence. Increasing evidence suggests that IP is common among health professions students, and demanding academic environments, together with early clinical exposure, have been associated with greater psychological distress. This study examined the severity of impostor phenomenon among undergraduate nursing and allied health students at Shahid Sadoughi University of Medical Sciences, Yazd, Iran.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Methods: &lt;/strong&gt;This cross-sectional study was conducted in 2025 among 300 undergraduate students enrolled in Nursing, Midwifery, Operating Room Technology, Anesthesia Technology, and Medical Laboratory Sciences who had completed at least one clinical internship. These disciplines represent four-year undergraduate allied health degree programs. Participants were selected using stratified random sampling according to academic discipline. Impostor phenomenon was measured using the 20-item Clance Impostor Phenomenon Scale (CIPS), which assesses three dimensions: Fear of being exposed as a fraud (8 items), Discounting achievements (9 items), and Attributing success to luck (3 items). The total CIPS score ranges from 20 to 100 and is categorized as follows: 40 ≤ Mild IPS, 41-60 Moderate IPS, 61-80 Severe IPS, 80 &gt; Very severe IPS. Group comparisons were performed using independent-samples t tests, one-way ANOVA, or Mann-Whitney U tests, as appropriate. Associations between participant characteristics and impostor severity were explored using an ordinal logistic regression model. Statistical significance was set at p &lt; 0.05.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Results: &lt;/strong&gt;Based on the conventional CIPS severity categories, 48.7% of students (n = 146) were classified as having severe IP symptoms, whereas 36.3% (109) experienced moderate symptoms. Only 7.0% of participants (n = 21) were classified as having mild symptoms, while 8.0% were categorized as having very severe symptoms (n = 24). The mean total CIPS score was 62.43 ± 14.06, placing the group means at the lower threshold of the severe symptom category. Among the CIPS dimensions, the highest mean score was observed for discounting achievements (28.26 ± 6.97), followed by fear of being exposed as a fraud (25.86 ± 5.69) and attributing success to luck (8.31 ± 2.81). Overall differences in impostor scores across disciplines were modest (p-value = 0.04), and analyses identified significant differences only for the attributing success to luck dimension (p-value = 0.01). Compared with Nursing students (reference category), Midwifery students (p = 0.004) and Anesthesia Technology students (p = 0.002) had significantly higher odds of belonging to higher impostor phenomenon severity categories. Operating Room Technology students showed a borderline association with higher severity (0.05), whereas no significant diffe","PeriodicalId":48580,"journal":{"name":"BMC Nursing","volume":"25 1","pages":""},"PeriodicalIF":5.2,"publicationDate":"2026-07-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13440106/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148674215","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}