BMC Nursing最新文献

{"title":"Students' motives for enrolling in the master of nursing program in Croatia despite degree recognition uncertainties: a cross-sectional study.","authors":"Andrea Vuksa, Vesna Mijoc, Ivica Matic, Marta Civljak, Marin Cargo, Snježana Cukljek, Kata Ivanisevic, Mario Marendic, Zrinka Puharic, Natasa Skitarelic, Sanja Zoranic, Marijana Neuberg, Dijana Majstorovic, Alen Brecek, Ivana Barac, Livia Puljak","doi":"10.1186/s12912-025-03261-z","DOIUrl":"10.1186/s12912-025-03261-z","url":null,"abstract":"<p><strong>Background: </strong>Despite global recognition of Master of Nursing (MN) degrees for career advancement, less than a quarter of MN graduates in Croatia hold MN-specific roles, and salary incentives are limited. Yet, MN programs remain popular among Croatian students. This study aimed to explore students' intentions and motives for enrolling in the MN program in Croatia despite the uncertainties regarding degree recognition in the healthcare sector.</p><p><strong>Methods: </strong>An observational, cross-sectional study. Data were collected from June to September 2024 via an online survey targeting current Bachelor of Nursing (BN) and MN students from all Croatian higher nursing education institutions.</p><p><strong>Results: </strong>The study included 1,548 students (1,129 BN and 419 MN). Among BN students, 39% intended to enrol in MN studies, citing personal and professional development as key motives. Most BN and MN students, while cognizant of the limited MN-recognized roles, were primarily motivated to enrol in MN programs to deepen knowledge (94%) and advance career opportunities. Key motivators were improved working conditions (93% BN, 87% MN) and higher salaries (93%). Compared to MN students, BN students demonstrated significantly stronger personal motivation to expand nursing knowledge and engage with the academic community. They were also more professionally motivated to pursue leadership roles, work abroad, and open private institutions. Additionally, BN students expressed greater interest in continuing their education and student life opportunities, while MN students reported less motivation driven by fears of job insecurity. Students expressed optimism (89% BN, 84% MN) about the long-term value of an MN degree despite current market limitations. Most participants considered the MN degree would increase their competencies and should lead to a higher salary coefficient. Qualitative responses revealed dissatisfaction with degree recognition, concerns about overproduction of MN graduates, a desire for specialization and practical training, and growing intent to seek employment abroad.</p><p><strong>Conclusion: </strong>Despite currently limited roles recognised for MN graduates in Croatia, BN and MN students remained highly motivated by a desire to expand their knowledge, career advancement, improved working conditions, and higher salaries. Aligning Croatia's educational and healthcare systems to recognize and utilize MN graduates effectively could strengthen the nation's healthcare workforce.</p><p><strong>Clinical trial registration: </strong>Not applicable. This study was not a clinical trial.</p>","PeriodicalId":48580,"journal":{"name":"BMC Nursing","volume":"24 1","pages":"609"},"PeriodicalIF":3.1,"publicationDate":"2025-05-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12121186/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144174549","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":"Spiritual care competence and associated factors among nurses: a multi-center cross-sectional study.","authors":"Yalemwork Getahun Azanaw, Ashenafi Worku Woretaw, Tiruye Azene, Desalegn Getachew Ayele, Tsehayu Melak Siyoum, Tizita Gebeyehu, Kalkidan Bazezew, Kassye Ahmed Zeleke, Esayas Alemsht, Sintayehu Simie Tsega, Melkamu Tilahun Dessie, Ashenafi Fekad Getahun, Astewil Moges Bazezew","doi":"10.1186/s12912-025-03268-6","DOIUrl":"10.1186/s12912-025-03268-6","url":null,"abstract":"<p><strong>Background: </strong>Spiritual care competence among nurses is a crucial aspect of delivering holistic care to patients. Although conducting a study on the Spiritual Care Competence Scale (SCCS) of nurses not only contributes to the improvement of patient care but also provides valuable insights for the continuous development of healthcare professionals and the enhancement of healthcare services, it has been observed to receive comparatively less attention in recognizing its importance. The study aimed to assess the level of nurses' Spiritual Care Competence Scale and associated factors in Northwest Amhara Regional State Referral Hospitals, Northwest, Ethiopia, 2024.</p><p><strong>Methods: </strong>An institution-based cross-sectional study was conducted from December 15, 2023, to January 15, 2024, in Northwest Amhara Regional State Referral Hospitals, Northwest Ethiopia. A systematic random sampling technique was used to select 460 study participants. A self-administered questionnaire was undertaken to gather the data. Epi Info 7.2.1 was used to code the datasets, and SPSS version 25 was used for analysis. The researchers carried out bivariate and multivariable linear regression analyses to identify factors associated with spiritual care competence. The significance level was obtained at 95% CI and p-value < 0.05.</p><p><strong>Results: </strong>The mean spiritual care competence score among nurses was 3.45 ± 0.67 (95% CI: 3.39, 3.51) with a response rate of 97.2%. Factor analysis revealed significant associations between spiritual care competence and variables such as sex, working unit, training, and the current role of nurses.</p><p><strong>Conclusions: </strong>Nurses' competence in spiritual care was found to be moderate, influenced by factors such as sex, workplace, current professional position, and level of training. These findings highlight the need for targeted training and ongoing support from spiritual care professionals to enhance nurses' competency. Healthcare policymakers and administrators should prioritize spiritual care competence. Head nurses should implement flexible schedules to address the challenges of a stressful work environment. Additionally, further research, particularly in private clinics, is essential to deepen understanding in this area.</p>","PeriodicalId":48580,"journal":{"name":"BMC Nursing","volume":"24 1","pages":"606"},"PeriodicalIF":3.1,"publicationDate":"2025-05-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12117743/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144175739","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":"End-of-life care preparedness and educational needs among nursing staff of long-term care facilities: a cross-sectional study.","authors":"Soo Jung Chang, Seongmi Moon, Na Kyoung Lee","doi":"10.1186/s12912-025-03244-0","DOIUrl":"10.1186/s12912-025-03244-0","url":null,"abstract":"<p><strong>Background: </strong>This study assessed the preparedness and knowledge levels of nursing staff-registered nurses (RNs), nursing assistants (NAs), and care workers (CWs)-in South Korean long-term care facilities (LTCFs) regarding end-of-life care (EOLC). It aimed to identify their educational needs and prioritize training topics.</p><p><strong>Methods: </strong>This study employed a convenience sampling method to recruit RNs, NAs, and CWs from five LTCFs in S City and J Province in Korea. Participants were instructed to complete the questionnaire anonymously in a quiet and distraction-free environment. Data collection was conducted from October 23 to November 10, 2023. The five-step priority-setting process in needs analysis was applied to determine training priorities by occupation group (RNs, NAs, and CWs). The Korean versions of the Staff Preparedness for Palliative and End-of-Life Care in Long-Term Care Homes and the Questionnaire of Palliative Care Education Needs of Nursing Home Staff were used to measure EOLC preparedness and educational needs, respectively. Educational priorities were determined using the Borich needs Discrepancy assessment model, with high-priority items identified via the Locus for Focus model.</p><p><strong>Results: </strong>A total of 246 nursing staff participated (27 RNs, 17 NAs, 202 CWs). The overall mean EOLC preparedness score was 3.59 ± 0.70, with significant intergroup differences. The overall mean EOLC knowledge score was 2.56 ± 0.62, likewise revealing significant intergroup differences. EOLC educational needs, derived using the Borich needs assessment and Locus for Focus models, varied by occupation group: spiritual care and bereavement support for families were identified as top-priority items for RNs, while interdisciplinary teamwork was the highest-priority item for NAs and CWs.</p><p><strong>Conclusions: </strong>As a meaningful attempt to establish education plans to improve EOLC competency of LTCF nursing staff, this study provides an evidence-based foundation and thus contributes to the advancement of nursing education. Based on the findings of this study, we suggest the following measures: (1) development of EOLC training programs tailored to the career levels of LTCF nursing staff and (2) designing and evaluation of competency-building programs specific to each occupational group to ensure high-quality EOLC in LTCFs.</p><p><strong>Trial registration: </strong>Approved by the Institutional Review Board of GangneungWonju National University (No. GWNUIRB2023143).</p><p><strong>Clinical trial number: </strong>Not applicable.</p>","PeriodicalId":48580,"journal":{"name":"BMC Nursing","volume":"24 1","pages":"608"},"PeriodicalIF":3.1,"publicationDate":"2025-05-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12121291/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144175735","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":"I'm still quite young: women's lived experience of precocious or premature menopause: a qualitative study among Egyptian women.","authors":"Yasmine M Osman, Hend Reda Ali El-Kest, Majed Awad Alanazi, Mostafa Shaban","doi":"10.1186/s12912-025-03133-6","DOIUrl":"10.1186/s12912-025-03133-6","url":null,"abstract":"<p><strong>Background: </strong>Precocious menopause, the cessation of ovarian function before age 40, presents complex physical, emotional, and socio-cultural challenges. In settings where fertility is central to a woman's identity, early menopause can lead to stigma, psychological distress, and limited healthcare engagement. Nurses play a pivotal role in supporting affected women through education and empathetic care.</p><p><strong>Aim: </strong>This study explored the lived experiences of Egyptian women diagnosed with precocious menopause, with a focus on physical and emotional challenges, cultural and familial dynamics, coping mechanisms, and interactions with healthcare providers-particularly nurses.</p><p><strong>Methods: </strong>A qualitative descriptive design was employed. Fifteen women diagnosed with precocious menopause were recruited through purposive sampling from reproductive health clinics in Tanta city and surrounding areas in the Nile Delta region. Data were collected through semi-structured, in-depth interviews and analyzed using thematic content analysis.</p><p><strong>Results: </strong>Participants reported significant disruption to self-identity and emotional well-being, compounded by cultural stigma and family pressures. Coping strategies included spiritual beliefs, peer support, and self-advocacy. Experiences with healthcare providers were mixed; nurses emerged as key figures in providing psychosocial support and education.</p><p><strong>Conclusion: </strong>Findings underscore the need for culturally sensitive, nurse-led interventions to address the unique needs of women with precocious menopause. Enhancing nursing education and integrating psychosocial care into reproductive health services can improve health outcomes and quality of life.</p><p><strong>Clinical trial number: </strong>Not applicable.</p>","PeriodicalId":48580,"journal":{"name":"BMC Nursing","volume":"24 1","pages":"612"},"PeriodicalIF":3.1,"publicationDate":"2025-05-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12121103/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144175737","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":"Uncertainty management strategies in clinical reasoning: perceptions of nurses in post-anesthesia care units.","authors":"Lara Daniela Matos Cunha, Paul K J Han, Filipa Ventura, Márcia Pestana-Santos, Lurdes Lomba, Margarida Reis Santos","doi":"10.1186/s12912-025-03193-8","DOIUrl":"10.1186/s12912-025-03193-8","url":null,"abstract":"<p><strong>Background: </strong>While it is acknowledged that effectively managing uncertainty in nursing clinical practice is imperative for ensuring safe healthcare delivery, there remains a scarcity of guidance on enhancing uncertainty management within the clinical reasoning of nurses.</p><p><strong>Aims: </strong>To describe strategies that nurses in post-anesthesia care units use to manage uncertainty in clinical reasoning; and to map these strategies within the Integrative Framework of Uncertainty Management, and the clinical realities of Wiedenbach's Prescriptive Theory.</p><p><strong>Material & methods: </strong>A descriptive qualitative study. Fourteen nurses from a post-anesthesia care unit of a third-level hospital at the center region of Portugal were recruited using a convenience sampling method. Data were collected through semi-structured interviews and analyzed using thematic analysis using MAXQDA software. Consolidated Criteria for Reporting Qualitative Research (COREQ) checklist was used for reporting. Ethical approval was obtained from the relevant Ethics Committee, with informed consent, confidentiality, and data protection measures in place to ensure participant anonymity and compliance with the Declaration of Helsinki.</p><p><strong>Results: </strong>The major theme 'uncertainty management strategies in clinical reasoning of nurses in Post-anesthesia Care Units' included four themes: ignorance-focused strategies, uncertainty-focused strategies, response-focused strategies, and person-focused strategies. These themes were mapped within key domains of nursing care: recipient, skills, policies, techniques, time sequence, agent, happenings, and supportive relationships. The domains encompassed various approaches such as person-centered care, evidence-based practice, postgraduate training, conflict management, critical thinking, continuous improvement projects, in-service team training, contingency planning, case discussions, simulation, self-reflectiveness, emotion self-regulation, optimizing working conditions, positive cognitive reframing, seeking support, fostering team reflection, and collaborative communication.</p><p><strong>Conclusion: </strong>Nurses in the Post-anesthesia Care Unit employed a range of uncertainty management strategies, which were effectively categorized within the Integrative Framework of Uncertainty Management (IFUM). Emphasizing nursing as a process, as described in Wiedenbach's Prescriptive Theory, these strategies were aligned with addressing the clinical realities tailored to each strategy. More research is needed to understand how the use of different strategies can promote nurses' wellbeing and enhance the safety of nursing care.</p><p><strong>Clinical trial registration: </strong>Not applicable.</p>","PeriodicalId":48580,"journal":{"name":"BMC Nursing","volume":"24 1","pages":"605"},"PeriodicalIF":3.1,"publicationDate":"2025-05-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12117670/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144174906","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":"Exposure to distressing situations among registered nurses during the COVID-19 pandemic: a cross-sectional study.","authors":"Dara Rasoal, Oili Dahl, Petter Gustavsson, Anna Ehrenberg, Ann Rudman","doi":"10.1186/s12912-025-03249-9","DOIUrl":"10.1186/s12912-025-03249-9","url":null,"abstract":"<p><strong>Background: </strong>The COVID-19 pandemic exacerbated distressing situations among healthcare professionals, due to resource limitations and complex patient care challenges.</p><p><strong>Research objectives: </strong>The research aims to explore the frequency of RNs' exposure to distressing situations across various care settings during the pandemic and assess the association between this exposure and: (1) stress of conscience, (2) intentions to leave the profession, (3) job satisfaction, and (4) self-rated health in the late phase of the pandemic. In addition, the aim was to describe other common situations they encountered during the pandemic.</p><p><strong>Research design: </strong>A cross-sectional multi-method study was conducted with participants recruited from a national cohort of Registered Nurses (RNs) between October 2021 and January 2022. In total, 3,958 individuals met the eligibility criteria, with 2,237 participants (56.5%) responding to the survey. Among these respondents, 1,881 answered questions about distressing situations, and 239 shared open-ended responses about their experiences.</p><p><strong>Results: </strong>The results showed that during the peak of the COVID-19 pandemic, between 24% and 70% of RNs encountered distressing situations on a weekly basis or more often. Over 70% reported difficulties in communication due to personal protective equipment. Additionally, just over 40% of RNs reported working in situations lacking clear guidelines and facing prioritization challenges. RNs exposed to these distressing situations were frequently nearly twice as likely to experience stress of conscience (44% vs. 21%, [OR] = 2.87) and showed a stronger intention to leave the profession (25% vs. 14%, [OR] = 1.98). Moreover, they reported lower job satisfaction (85% vs. 92%, [OR] = 0.50) and poorer self-rated health (34% vs. 50%, [OR] = 0.52) compared to their counterparts with less exposure. In addition, RNs experienced a lack of support, understaffing, and working beyond their expertise, leading to emotional and physical exhaustion. They felt inadequate due to overwhelming workloads and limited recovery time.</p><p><strong>Conclusion: </strong>The COVID-19 pandemic has significantly impacted RNs, underscoring the need for strong organizational support and leadership. Nurses require guidance from leaders and institutions to manage distress and ethical challenges effectively. Future strategies should prioritize adequate staffing, skill development, teamwork, mental health resources, and transparent communication to support nurses' wellbeing and recovery, ensuring the delivery of high-quality care.</p>","PeriodicalId":48580,"journal":{"name":"BMC Nursing","volume":"24 1","pages":"611"},"PeriodicalIF":3.1,"publicationDate":"2025-05-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12121086/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144175736","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":"Understanding the role of resourcefulness in family functioning: mediating effects of family coping and social support in caregivers of young and middle-aged lymphoma patients.","authors":"Panpan Cui, Ruibo Wang, Hengyu Hu, Shengjie Guo, Ting Li, Xiaohui Miao, Chunyan Cheng","doi":"10.1186/s12912-025-03218-2","DOIUrl":"10.1186/s12912-025-03218-2","url":null,"abstract":"<p><strong>Background: </strong>Families of young and middle-aged lymphoma patients face significant burdens affecting their overall functioning and well-being. Caregivers play a critical role in managing these challenges, yet the factors that enhance their ability to support their families effectively, such as caregiver resourcefulness, remain inadequately understood.</p><p><strong>Aims: </strong>This study aimed to explore the relationships between caregiver resourcefulness and family functioning, focusing on the mediating roles of family coping and perceived social support.</p><p><strong>Methods: </strong>This cross-sectional study was conducted in the oncology units of two tertiary hospitals in China from May to November 2022. Data were collected on caregiver resourcefulness, family coping, perceived social support, and family functioning, and were analyzed using parallel mediation techniques.</p><p><strong>Results: </strong>The study included 211 caregivers. Those with higher levels of resourcefulness demonstrated better family functioning. Mediation analysis revealed that family coping and perceived social support partially mediated these relationships (β = - 0.132, 95% CI [-0.208, - 0.063]; β = - 0.123, 95% CI [-0.200, - 0.054], respectively). Both factors jointly mediated the relationships between resourcefulness and the communication and general functioning dimensions. However, neither significantly mediated the relationship between resourcefulness and behavioral control.</p><p><strong>Conclusions: </strong>Family coping and perceived social support act as partial parallel mediators in the relationship between caregiver resourcefulness and family functioning. Caregivers who exhibit higher resourcefulness, stronger family coping, and greater perceived social support experience enhanced family functioning, particularly in communication and general functioning domains. These findings highlight the importance of contextual factors, indicating that interventions designed to boost caregiver resourcefulness while promoting effective family coping and support systems are essential for improving outcomes for families navigating the challenges of lymphoma.</p><p><strong>Clinical trial number: </strong>Not applicable.</p>","PeriodicalId":48580,"journal":{"name":"BMC Nursing","volume":"24 1","pages":"610"},"PeriodicalIF":3.1,"publicationDate":"2025-05-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12121273/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144175140","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":"Prevalence of insomnia, fatigue and symptoms of mental health problems among emergency medical service nurses: a cross-sectional study.","authors":"Marieke M E Oosterhuis-Nienhaus, Lilian C M Vloet, Sarah I Detaille, Hester Vermeulen, Jan Hoefnagel, Mischa Knol, Ellen Schepens, Mark van den Boogaard, Sivera A A Berben, Remco H A Ebben","doi":"10.1186/s12912-025-03270-y","DOIUrl":"10.1186/s12912-025-03270-y","url":null,"abstract":"<p><strong>Background: </strong>Emergency medical service nurses worldwide face continuous high-stress situations caused by critical incidents that can overwhelm them emotionally and affect their daily functioning and sustainable employability. Repeated exposure to these incidents negatively impacts their mental health. The COVID-19 pandemic has further exacerbated these issues, with high prevalence rates of insomnia and fatigue among emergency medical service nurses serving as key predictors of mental health problems. Until now little is known about the mental consequences of the COVID-19 pandemic on EMS nurses. This study, the first of its kind in the Netherlands, aims to assess the prevalence of insomnia, fatigue, and symptoms of mental health problems and identify associated risk factors.</p><p><strong>Methods: </strong>A national cross-sectional study was conducted in the Netherlands in spring 2022. Data were collected through an online survey among emergency medical service nurses covering personal characteristics as well as validated scales on insomnia, fatigue, anxiety, depression, and Post Traumatic Stress Disorder.</p><p><strong>Results: </strong>Prevalence rates were 39.2% for insomnia, 32.5% for fatigue, 18.4% for anxiety, 16.2% for depression and 10% for Post Traumatic Stress Disorder. Not recovering from COVID-19 was linked to higher odds of fatigue, while living alone was associated with insomnia. Working as an emergency medical dispatcher and more work experience were linked to increased fatigue. Regional differences in emergency medical services organizations and full recovery of COVID-19 showed to result in lower odds of insomnia in ambulance professionals.</p><p><strong>Conclusions: </strong>Insomnia and fatigue are prevalent among emergency medical service nurses. These conditions heighten the risk of severe mental health problems and potential sickness leave. Further research is needed to explore factors contributing to these issues and to develop targeted interventions supporting professionals sustainability.</p><p><strong>Clinical trial number: </strong>Not applicable.</p>","PeriodicalId":48580,"journal":{"name":"BMC Nursing","volume":"24 1","pages":"607"},"PeriodicalIF":3.1,"publicationDate":"2025-05-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12117935/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144175738","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":"Exploring nursing interventions in family-based approaches for preventing bullying among children and adolescents: a scoping review.","authors":"Iyus Yosep, Ai Mardhiyah, Helmy Hazmi, Rohman Hikmat","doi":"10.1186/s12912-025-03221-7","DOIUrl":"10.1186/s12912-025-03221-7","url":null,"abstract":"<p><strong>Background: </strong>Bullying is a prevalent issue faced by children and adolescents in both school and community settings. One contributing factor to bullying behavior is the limited involvement or inadequate role of the family in addressing this issue. However, there is a noticeable gap in existing research regarding nursing interventions that focus on family-centered approaches to prevent bullying. Identifying and analyzing these interventions is crucial to enhancing the role of families in reducing bullying behavior. The aim of this study is to explore and map the various nursing-led, family-based interventions designed to mitigate bullying among children and adolescents, and thereby addressing this critical scientific gap.</p><p><strong>Methods: </strong>This study employed a scoping review method following Arksey and O'Malley's framework, including identifying research questions, systematically searching CINAHL, PubMed, and Scopus. The databases used are CINAHL, PubMed, and Scopus. The major keywords used are parenting, family interventions, bullying, adolescents, and children. Inclusion criteria in article selection were family-based intervention, English language, full-text, original research, and publication period in the last 15 years (2010-2024). Data analysis was carried out descriptively qualitatively.</p><p><strong>Results: </strong>The results of this research show that there are 10 articles that discuss Interventions focused on Family to reduce bullying behavior in children and adolescents. Various types of Interventions focused on Family are effective in reducing bullying behavior in children and adolescents, including improving parenting patterns, family-based education, and collaboration between school and family (p value < 0.05). Some of the activities carried out are education, role play, counseling, managing conflict, and conducting assessments. Interventions can be carried out offline and online. Interventions focused on Family offer a holistic and sustainable approach to dealing with bullying behavior in children and adolescents. The advantages of this intervention include improving family relationships, strengthening communication skills, and better understanding of children's emotions.</p><p><strong>Conclusions: </strong>This study highlights the critical role of families in addressing bullying and underscores the need for holistic interventions involving families, schools, and communities. Clinically, nurses can support families by providing education and strategies to build resilience in children facing bullying.</p>","PeriodicalId":48580,"journal":{"name":"BMC Nursing","volume":"24 1","pages":"601"},"PeriodicalIF":3.1,"publicationDate":"2025-05-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12107752/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144162933","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 clinical pathway teaching combined with objective structural clinical examination (OSCE) on nursing performance and clinical competence of new ICU nurses: a quasi-experimental study.","authors":"Yingying Gao, Xiaorong Ding, Jiaqing Xu, Wenting Zhang, Ying Huang, Minhua Mo, Yanyan Li","doi":"10.1186/s12912-025-03224-4","DOIUrl":"10.1186/s12912-025-03224-4","url":null,"abstract":"<p><strong>Background: </strong>Due to the theory-practice gap, new ICU nurses often struggle to manage critically ill patients and high-risk conditions. While structured training programs exist, they lack standardized content and implementation path. This study aims to explore the impact of clinical pathway teaching combined with OSCE on new ICU nurses' nursing performance and clinical competence.</p><p><strong>Methods: </strong>Used sampling, a quasi-experimental with non-randomized two-group study design. We selected new nurses (n = 52) who joined their ICU from August 2020 to January 2022 and divided the subjects chronologically into two groups. The experimental group used clinical pathway teaching combined with the OSCE evaluation, while the control group took the routine method. We used the six-dimension scale of nursing performance scale (6-D) and the Nursing Clinical Competence Questionnaire (CNCQ) to collect the new ICU nurses' data before and after a two-month training cycle. Statistical analysis was performed using t-tests and χ2-test, with a significance level set at P < 0.05.</p><p><strong>Results: </strong>After training, the nurses of the experimental group had higher scores on the Nursing Clinical Competence Questionnaire (93.46 ± 11.20) compared to the control group (85.92 ± 12.19), and this difference was significant (P < 0.05). The nurses of the experimental group had lower scores on the 6-D scale before training (154.19 ± 38.32) compared to the control group (187.15 ± 32.20), the difference was significant(P < 0.05), but there was no significant difference after training (P>0.05).</p><p><strong>Conclusion: </strong>Clinical pathway teaching combined with OSCE improve the clinical competence of new ICU nurses, and promote nursing performance. However, job experience and clinical environment might influence nursing performance.</p>","PeriodicalId":48580,"journal":{"name":"BMC Nursing","volume":"24 1","pages":"604"},"PeriodicalIF":3.1,"publicationDate":"2025-05-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12117723/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144163050","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}