BMC Nursing最新文献

{"title":"Caregiver burden reduction program among family caregivers of patients undergoing coronary artery bypass graft surgery: designing and evaluating.","authors":"Fateme Beheshtaeen, Zahra Molazem, Majid Najafi Kalyani, Zinat Mohebbi","doi":"10.1186/s12912-025-03918-9","DOIUrl":"10.1186/s12912-025-03918-9","url":null,"abstract":"<p><strong>Background: </strong>Caregiver burden, with its negative consequences for family caregivers of patients undergoing coronary artery bypass graft (CABG) surgery, can adversely affect the healthcare system. Given the widespread impact of caregiver burden, designing and implementing a program to reduce this burden within the context of available resources and cultural considerations is deemed essential. The aim of this study was to design, implement, and evaluate a program to reduce caregiver burden among family caregivers of patients undergoing CABG surgery.</p><p><strong>Methods: </strong>In this study, a caregiver burden reduction program was initially designed based on the Ewles and Simnett model. Then, the designed program was implemented in the form of a randomized clinical trial involving 59 family caregivers (divided into intervention and control groups). The implemented program was then evaluated using questionnaire es assessing caregiver burden, general health, and quality of life among adult caregivers.</p><p><strong>Results: </strong>The findings revealed that the mean caregiver burden score after the intervention was lower in the intervention group compared to the control group (10.60 ± 9.27 vs. 16.78 ± 14.86, P < 0.001). Additionally, the mean general health score (37.26 ± 7.63 vs. 40.42 ± 12.39, P < 0.001) and quality of life score (67.00 ± 12.02 vs. 45.13 ± 13.00, P < 0.001) improved in the intervention group compared to the control group. Within-group analyses indicated that caregiver burden, general health, and quality of life improved in both the intervention and control groups post-intervention (P < 0.001).</p><p><strong>Conclusion: </strong>This study demonstrated that the caregiver burden reduction program had positive effects on reducing caregiver burden, improving general health, and enhancing the quality of life among family caregivers of patients undergoing CABG surgery. Given the program's effectiveness, healthcare providers and managers can utilize it to make decisions aimed at improving the quality of services for caregivers in healthcare settings.</p><p><strong>Trial registration: </strong>The study was registered in \"irct.behdasht.gov.ir\" a website and online database with the number 77592 (2024-06-29).</p>","PeriodicalId":48580,"journal":{"name":"BMC Nursing","volume":"24 1","pages":"1258"},"PeriodicalIF":3.9,"publicationDate":"2025-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12512962/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145259642","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 lived experience of presenteeism among emergency nurses: a qualitative study.","authors":"Hailong Hou, Yan Jiang, Chunling Xia, Xianjuan Cheng, He Li, Heng Dai, Shiqi Xiao","doi":"10.1186/s12912-025-03902-3","DOIUrl":"10.1186/s12912-025-03902-3","url":null,"abstract":"<p><strong>Objective: </strong>To describe and analyze the intrinsic experiences of emergency nurses regarding presenteeism, providing a basis for addressing this issue.</p><p><strong>Methods: </strong>This descriptive phenomenological study employed purposive sampling to select 18 emergency nurses from June to July 2024. Face-to-face, semi-structured interviews were conducted, and data were analyzed using Colaizzi's seven-step method to identify and refine key themes.</p><p><strong>Results: </strong>Four main themes emerged: (1) Insufficient and biased understanding of presenteeism among emergency nurses, (2) Multiple factors triggering presenteeism, (3) Multidimensional impacts of presenteeism, and (4) Coping strategies and interventions for presenteeism.</p><p><strong>Conclusion: </strong>Presenteeism among emergency nurses is a complex, multidimensional issue with significant negative consequences. Nursing administrators should prioritize nurses' health management, optimize workforce allocation, and provide psychological support and humanistic care to mitigate presenteeism.</p>","PeriodicalId":48580,"journal":{"name":"BMC Nursing","volume":"24 1","pages":"1255"},"PeriodicalIF":3.9,"publicationDate":"2025-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12512700/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145259672","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 and experiences of sexual harassment among Saudi female nursing students: a cross-sectional study.","authors":"Wafa Hamad Almegewly, Haya Abu Saleh, Alanoud Alasmari, Amirah Alnashery, Atheer Alanazi, Fatima Alqahtani, Rawan Alharbi, Rahaf Alotaibi, Shefaa Alanazi, Taif Alanazi, Rasha Mahfouz, Savvato Karavasileiadou, Christos Kleisiaris","doi":"10.1186/s12912-025-03811-5","DOIUrl":"10.1186/s12912-025-03811-5","url":null,"abstract":"<p><strong>Background: </strong>Female nursing students are at risk of various types of sexual harassment, including physical, emotional, psychological, and visual abuse. This study aims to assess the prevalence and dimensions of sexual harassment experienced by female undergraduate nursing students.</p><p><strong>Methods: </strong>A cross-sectional quantitative design was employed. A convenient sample of undergraduate nursing students (n = 236) enrolled in the Bachelor of Science in Nursing Program at the selected university was recruited. The Sexual Experiences Questionnaire was administered as an online survey via Google Forms to collect data from February to March 2022. Both descriptive and inferential analyses were conducted to analyze the data.</p><p><strong>Results: </strong>Among the 236 students, 62.2% reported experiencing harassment at least once. The most prevalent form of sexual harassment identified was unwanted sexual attention, particularly reflected in uncomfortable looks, which affected 41.1% of participants. Several reasons were noted for the failure to report incidents, including fear, lack of knowledge, and feelings of shame. Participants also suggested that educational lessons and awareness campaigns emphasizing the importance of reporting incidents could help reduce the incidence of sexual harassment.</p><p><strong>Conclusion: </strong>More than half of nursing students reported experiencing sexual harassment during clinical training, highlighting a serious concern. Academic institutions and health policymakers must ensure a safe clinical environment through awareness sessions, clear reporting procedures, and education on legal protections under Saudi law.</p>","PeriodicalId":48580,"journal":{"name":"BMC Nursing","volume":"24 1","pages":"1250"},"PeriodicalIF":3.9,"publicationDate":"2025-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12505719/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145253347","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":"Development and validation of a Knowledge, Attitude, and Practice Questionnaire Related to Prone Positioning among Intensive Care Unit Nurses.","authors":"Xueyi Wei, Xiuwen Chen, Huiqiong Chen, Jing Chen","doi":"10.1186/s12912-025-03900-5","DOIUrl":"10.1186/s12912-025-03900-5","url":null,"abstract":"<p><strong>Background: </strong>As a non-invasive and economically feasible treatment method, prone position ventilation is a significant adjunctive therapy for patients with moderate and severe acute respiratory distress syndrome (ARDS) as well as those with severe pneumonia.</p><p><strong>Aims: </strong>This study aimed to develop a Knowledge, Attitude, and Practice Questionnaire Related to Prone Positioning among Intensive Care Unit Nurses (PPICUNs-KAP) and assess the validation of this questionnaire in ICU nurses.</p><p><strong>Methods: </strong>The draft questionnaire was formed by literature reviews and 2 rounds of expert consultations. This questionnaire was used to survey 267 ICU nurses from three tertiary hospitals in western Hunan Province, China in August 2024. Content validity and construct validity were evaluated by content validity index (CVI), exploratory factor analysis, respectively. Reliability was tested by internal consistency and test-retest reliability.</p><p><strong>Results: </strong>After the exploratory factor analysis, three items(knowledge, attitude and practice) were excluded. Finally, the newly developed questionnaire included 42 items. It consisted of three dimensions: Knowledge (20 items); Attitude (7 items), and Practice (15 items). The Cronbach's α and test-retest reliability of the questionnaire were 0.970 and 0.962, respectively.</p><p><strong>Conclusions: </strong>PPICUNs-KAP is valid and reliable, and it is recommended for use in clinical practice and research to assess knowledge, attitude and practice related to prone positioning among ICU nurses.</p>","PeriodicalId":48580,"journal":{"name":"BMC Nursing","volume":"24 1","pages":"1249"},"PeriodicalIF":3.9,"publicationDate":"2025-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12505774/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145253361","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":"Primary caregiver-reported family resilience in children with cancer in central China: a latent profile analysis.","authors":"Bowen Li, Dan Shu, Shiguang Pang, Li Wang, Lixiu Wang, Xuelin Yin, Jingtian Xing, Huijing Zou, Bing Xiang Yang, Qian Liu","doi":"10.1186/s12912-025-03444-8","DOIUrl":"10.1186/s12912-025-03444-8","url":null,"abstract":"<p><strong>Background: </strong>Childhood cancer can disrupt family functioning, increase caregiver psychological distress, and impair caregiver quality of life. While family resilience is crucial for adaptation, most research has focused on individual-level factors, neglecting heterogeneity and multilevel influences on family resilience.</p><p><strong>Methods: </strong>Guided by the Social Ecological Model (SEM), this cross-sectional observational study used latent profile analysis (LPA) to identify distinct profiles of family resilience among caregivers of children with cancer and to explore factors associated with these profiles. Between July 2022 and March 2024, 292 caregivers were recruited. Family resilience was measured using the Family Resilience Assessment Scale. LPA was employed to identify resilience profiles, and binary logistic regression was used to explore influencing factors.</p><p><strong>Results: </strong>Two latent profiles were identified: the Low Resources-Low Positivity profile (86%) and the High Internal Resilience profile (14%). The Low Resource-Low Positivity profile demonstrated generally lower scores, especially in utilizing social and economic resources and maintaining a positive outlook. The High Internal Resilience profile showed higher scores across all family resilience dimensions, particularly in communication/problem solving, positive outlook, and meaning-making, while the use of external social and economic resources remained relatively lower. Univariate analysis showed significant differences between profiles in residence, number of siblings, caregiver education, individual resilience, social support, caregivers' physical and psychological well-being and child communication (caregiver-reported). Binary logistic regression identified having more than one child (OR = 3.184, 95% CI: 1.437 ~ 7.057, P = 0.004) and higher individual resilience (OR = 1.095, 95% CI: 1.028 ~ 1.165, P = 0.005) as significant predictors of High Internal Resilience profile.</p><p><strong>Conclusion: </strong>This study identified two distinct family resilience profiles among caregivers of children with cancer. Limited use of social and economic resources was common, while caregiver resilience and having multiple children predicted higher family resilience. Interventions should enhance caregiver coping capacity, support one-child families through peer and family programs, and improve access to social support, flexible employment, and affordable care to strengthen family resilience.</p><p><strong>Clinical trial number: </strong>Not applicable.</p>","PeriodicalId":48580,"journal":{"name":"BMC Nursing","volume":"24 1","pages":"1248"},"PeriodicalIF":3.9,"publicationDate":"2025-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12505539/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145253384","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":"Design and evaluation of a non-contact AI system for monitoring unplanned device removal in neurocritical care.","authors":"Zhongjie Shi, Hualing Huang, Taotao Shi, Dongfeng Li, Chongfei Li, Yixia Chen, Zhangyu Li, Sifang Chen, Zhanxiang Wang","doi":"10.1186/s12912-025-03893-1","DOIUrl":"10.1186/s12912-025-03893-1","url":null,"abstract":"","PeriodicalId":48580,"journal":{"name":"BMC Nursing","volume":"24 1","pages":"1247"},"PeriodicalIF":3.9,"publicationDate":"2025-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12506316/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145253339","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 validity of the Alcohol Use Disorders Identification Test (AUDIT) among Australian nurses.","authors":"Van Nguyen, Adam Searby","doi":"10.1186/s12912-025-03897-x","DOIUrl":"10.1186/s12912-025-03897-x","url":null,"abstract":"<p><strong>Introduction: </strong>The Alcohol Use Disorders Identification Test (AUDIT) has been used in various global settings as a rapid, reliable screening instrument to detect risky and hazardous alcohol consumption. However, there remain populations where the AUDIT has not been validated. Nurses make up a substantial proportion of healthcare workers globally, and their experiences during the recent pandemic response have indicated that risky and hazardous alcohol consumption has occurred among this occupational group. The objective of this study was to validate the AUDIT amongst a cohort of nurses.</p><p><strong>Methods: </strong>This paper uses a dataset of Australian nurses (n = 1,159) who completed the AUDIT as part of a nationwide survey on alcohol consumption conducted between July and October 2021. A three-step factor analysis method was used to determine the validity and reliability of the AUDIT as a screen for risky and hazardous alcohol consumption among Australian nurses.</p><p><strong>Results: </strong>Initial confirmatory factor analysis found poor performance on items 5, 6 and 9 of the AUDIT. Further exploratory factor analysis confirmed these results, additionally finding other items (1 and 10) that contributed marginally to the AUDIT performance among nurses. A final Goodness-of-Fit test on the remaining five items in the AUDIT was significant ([Formula: see text]= 59.871(5), p < 0.001), suggesting that a five-item AUDIT scale is reliable amongst nurses.</p><p><strong>Conclusion: </strong>The factor analysis process confirmed that that original 10-item AUDIT was not valid and reliable to screen for risky and hazardous alcohol consumption among nurses in Australian settings. A modified, five item version of the AUDIT tool (the AUDIT-N) was a substantially better fit for use in a cohort of Australian nurses, although further testing for construct validity is required prior to deployment. Our findings have applicability for the use of the AUDIT in future workforce surveys of alcohol consumption among not only nurses, but the wider population of healthcare workers.</p>","PeriodicalId":48580,"journal":{"name":"BMC Nursing","volume":"24 1","pages":"1246"},"PeriodicalIF":3.9,"publicationDate":"2025-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12505713/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145253320","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":"Integrating a knowledge-based artificial intelligence chatbot into nursing training programs: a comparative quasi-experimental study in Egypt and Saudi Arabia.","authors":"Eman A Shokr","doi":"10.1186/s12912-025-03883-3","DOIUrl":"10.1186/s12912-025-03883-3","url":null,"abstract":"","PeriodicalId":48580,"journal":{"name":"BMC Nursing","volume":"24 1","pages":"1245"},"PeriodicalIF":3.9,"publicationDate":"2025-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12505844/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145253396","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":"Nursing students' competence and perceived mentor assessment literacy: the mediating role of self-efficacy and gender bias.","authors":"Yazhou Zhu, Jinxin Zhu","doi":"10.1186/s12912-025-03862-8","DOIUrl":"10.1186/s12912-025-03862-8","url":null,"abstract":"<p><strong>Background: </strong>Mentors play a crucial role in clinical nursing education, particularly in assessing student nurses. However, if students cannot perceive their mentors' assessment-literate practices (referred to as mentors' assessment-literate practices hereafter), students may not effectively utilize assessment information for learning. Despite its significance, mentors' assessment-literate practices and the antecedent factors are not well studied. This study aims to explore the mediating role of nursing students' self-efficacy in the relationship between their competence and their perception of mentors' assessment-literate practices, while also examining potential gender bias in mentors' assessment-literate practices.</p><p><strong>Methods: </strong>The study employed a cross-sectional quantitative design. Participants included 854 final-year nursing students (61 males, 793 females) from 10 colleges/universities in southern China. After eight months of clinical training, students reported on mentors' assessment-literate practices, self-efficacy, internship grades, and gender. Path analysis was conducted using Mplus 8.10 to test the mediating model, and gender bias was assessed through differential item functioning analysis with Winsteps^® (Version 5.6.0.0).</p><p><strong>Results: </strong>The study found a full mediation effect of self-efficacy between competence and students' perception of their mentors' assessment-literate practices, with a statistically significant indirect association of 0.10. The path coefficient between competence and self-efficacy is 0.12, and between self-efficacy and perceived mentors' assessment-literate practices is 0.86. Gender bias and gender difference were statistically not supported; however, three items showed large effect size regarding gender bias.</p><p><strong>Conclusions: </strong>This study introduces assessment-literate practices as a key concept in nursing education, highlighting its antecedent factors and potential gender biases for better assessment practices. The findings suggest that self-efficacy plays a full mediating role; hence, stakeholders should prioritize developing students' self-efficacy while improving their competence. Also, mentorship practices should be adjusted to ensure equal opportunities for both male and female students; specifically, they may need to be aware of potential gender bias, offering male students more practice opportunities and female students more chances to explain.</p>","PeriodicalId":48580,"journal":{"name":"BMC Nursing","volume":"24 1","pages":"1243"},"PeriodicalIF":3.9,"publicationDate":"2025-10-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12506267/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145245741","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 prediction model for sleep disturbances in Chinese nurses and identification of predictive factors: based on explainable machine learning methods.","authors":"Bingnan Du, Lin Li, Ke Zhang, Zhihui Gu, Di Zhang, Qi Li, Chenxin Yang, Shihan Yang, Xinyao Hao, Daiyu Wei, Qing Wu, Li Liu, Hui Wu","doi":"10.1186/s12912-025-03803-5","DOIUrl":"10.1186/s12912-025-03803-5","url":null,"abstract":"","PeriodicalId":48580,"journal":{"name":"BMC Nursing","volume":"24 1","pages":"1241"},"PeriodicalIF":3.9,"publicationDate":"2025-10-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12505783/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145245631","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}