BMC Nursing最新文献

{"title":"Moral distress effects on spirituality determinants in nurses.","authors":"Nahid Tavakol, Majid Tavakol, Shima Daman","doi":"10.1186/s12912-025-03003-1","DOIUrl":"10.1186/s12912-025-03003-1","url":null,"abstract":"<p><strong>Background: </strong>Moral distress in nurses is a widespread issue with lasting consequences. Understanding the relationship between spiritual factors, like spiritual sensitivity, workplace spirituality, and moral distress, is important due to the significant role of spirituality in nursing ethics. This study explores the connections between these three phenomena, focusing on the psychological, spiritual, and ethical dimensions of nursing.</p><p><strong>Methods: </strong>This cross-sectional study involved 120 nurses from hospitals affiliated with Jahrom University of Medical Sciences, selected randomly using a number table. Inclusion criteria were having at least a bachelor's degree in nursing, at least 6 months of work experience, and no history of mental health issues or medication use. Participants completed questionnaires on moral distress (Hamrick et al.), workplace spirituality, and spiritual sensitivity. Descriptive tests were used to determine the frequency distribution of demographic variables. Analysis of variance (ANOVA) and independent t-tests were used to compare the mean scores of variables across different groups of nurses based on demographic factors. Pearson's correlation coefficient and linear regression were used to determine relationships between the variables. Data were analyzed using SPSS version 23, with a significance level set at 0.05.</p><p><strong>Results: </strong>In determining the relationship between moral distress and the study variables, demographic and occupational variables (i.e., gender, age, and type of department and moral distress) were significantly related. Similarly, it shows that gender, level of education, and the organization's type of department significantly impact spiritual sensitivity. Conversely, there is a significant relationship between age, the organization's department type, and workplace spirituality. Workplace spirituality and spiritual sensitivity displayed substantial negative correlations with moral distress.</p><p><strong>Conclusion: </strong>According to this study, positive environmental and individual spiritual factors significantly influenced and reduced moral distress in nurses. The findings highlight the significance of spiritual education for nurses to strengthen spiritual awareness and environmental strategies to promote a spiritual environment in healthcare settings. More studies are suggested in this field.</p><p><strong>Clinical trial number: </strong>Not applicable.</p>","PeriodicalId":48580,"journal":{"name":"BMC Nursing","volume":"24 1","pages":"349"},"PeriodicalIF":3.1,"publicationDate":"2025-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143754932","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Characteristics and influencing factors of fear of cancer recurrence among family caregivers of breast cancer patients: a latent class analysis.","authors":"Wenting Liu, Wengao Li, Lili Deng, Xian Luo, Yibing Tan, Jiagen Xiang, Yan Wu, Yanan Hu, Hengwen Sun, Yuan Yang","doi":"10.1186/s12912-025-02964-7","DOIUrl":"10.1186/s12912-025-02964-7","url":null,"abstract":"<p><strong>Background: </strong>Family caregivers of breast cancer patients often experience significant psychological challenges, including depression, anxiety, and fear of cancer recurrence (FCR), yet these issues receive insufficient attention. This study aims to explore the heterogeneity of FCR among family caregivers and identify distinct subgroups based on their FCR levels.</p><p><strong>Methods: </strong>A cross-sectional survey was conducted with 866 family caregivers of breast cancer patients at two tertiary hospitals in Guangzhou, Guangdong Province. All participants completed the Fear of Cancer Recurrence Scale (FCR-7), the Patient Health Questionnaire (PHQ-9), and the Generalized Anxiety Scale (GAD-7) to assess their levels of FCR, depression, and anxiety. Latent class analysis (LCA) was used to identify subgroups of FCR, and multiple logistic regression analyses were performed to explore factors influencing FCR.</p><p><strong>Results: </strong>Three distinct subgroups of FCR were identified: low FCR group (16.17%), moderate FCR group (13.16%), and high FCR group (70.67%). Predictors of higher FCR included lower income, higher anxiety, and higher depression levels.</p><p><strong>Conclusions: </strong>Family caregivers of breast cancer patients exhibit varying levels of FCR, with significant predictors being income, anxiety, and depression. Targeted interventions (e.g., psychoeducation, stress management, mindfulness exercises, and cognitive-behavioral therapy) that address these factors may help improve the mental health and well-being of family caregivers.</p>","PeriodicalId":48580,"journal":{"name":"BMC Nursing","volume":"24 1","pages":"352"},"PeriodicalIF":3.1,"publicationDate":"2025-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143755282","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Improving the psychomotor performance of student nurses using remote clinical skills practice: a mixed-methods study.","authors":"Ükke Karabacak, Hilal Yıldız Çelik","doi":"10.1186/s12912-025-03028-6","DOIUrl":"https://doi.org/10.1186/s12912-025-03028-6","url":null,"abstract":"<p><strong>Introduction: </strong>Innovative approaches are essential in nursing education to ensure the continuity of skill acquisition, particularly in situations where traditional face-to-face teaching methods are not feasible.</p><p><strong>Objective: </strong>This study aimed to evaluate the effectiveness of remote learning in enabling student nurses to acquire psychomotor skills, with a focus on 'blood pressure measurement'-a noninvasive procedure that can be practiced safely at home.</p><p><strong>Methods: </strong>Using an experimental design with group randomization and a mixed-method approach, 44 first-year nursing students participated, with 22 in the experimental group and 22 in the control group. After a theoretical course on blood pressure measurement, the control group followed a licensed video program, while the experimental group practiced with a simulated patient under an educator's guidance in an remote environment. The research was conducted between March 2021 and October 2021, encompassing all phases of the study. These phases included preliminary information, remote training, and feedback sessions in March 2021, the first assessment in April 2021, and the second assessment in October 2021. The 'Descriptive Characteristics Form,' 'Blood Pressure Measurement Skill Checklist,' and 'We Practice Remote Clinical Skills Together Online Comments Form' were used for data collection. Descriptive statistics (means, standard deviations, frequencies, percentages) and the Mann-Whitney U test were applied for quantitative data analysis, while qualitative data were analyzed inductively based on student opinions from both groups.</p><p><strong>Results: </strong>The first performance assessment showed no significant difference between the control and experimental groups' mean scores (p = 0.440). However, the second assessment revealed a significant difference favoring the experimental group (p = 0.001). The qualitative data were categorised into three main themes: emotions, learning and confidence, with a total of 34 codes. Emotions accounted for 50% of the codes, including happiness, stress, comfort and anxiety. Learning accounted for 41% and included awareness, interaction-communication, skill acquisition and information retention. Finally, self-confidence, represented by skill practice in the laboratory, accounted for 9% of the codes.</p><p><strong>Conclusion: </strong>This study demonstrates that educator-guided remote skill training can positively impact students' psychomotor skill acquisition. It highlights the potential for effectively teaching specific nursing skills in remote environments when guided by an educator.</p>","PeriodicalId":48580,"journal":{"name":"BMC Nursing","volume":"24 1","pages":"338"},"PeriodicalIF":3.1,"publicationDate":"2025-03-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143743986","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Empowering nurse leaders: leveraging financial management practices to foster sustainable healthcare - a mixed-methods study.","authors":"Hossam Ali Ismail, Mohamed Hashem Kotp, Hassan Ahmed Awad Basyouny, Aliaa Ezz Eldin Abd Elmoaty, Abdelaziz Hendy, Rasha Kadri Ibrahim, Sally Mohammed Farghaly Abdelaliem, Ahmed Hendy, Mohamed Ahmed Aly","doi":"10.1186/s12912-025-02981-6","DOIUrl":"https://doi.org/10.1186/s12912-025-02981-6","url":null,"abstract":"<p><strong>Introduction: </strong>Nurse leaders play a crucial role in balancing financial sustainability and high-quality patient care. Their financial management skills impact patient safety, care quality, and satisfaction. However, many nurse leaders lack formal training in financial management, making it challenging to navigate budget constraints while maintaining care standards.</p><p><strong>Aim: </strong>To assess nurse leaders' perceptions of their financial management practices and explore their relationship to patient care quality and outcomes.</p><p><strong>Methods: </strong>A convergent parallel mixed-methods approach was conducted with 87 nurse leaders in private hospitals across Egypt. Quantitative data (n = 87) were collected using the validated Nurse Leaders' Financial Management Practices Assessment (NLFMP) tool, a 15-item instrument measuring budgeting, resource allocation, cost-effectiveness, decision-making, and its impact on patient care. The data were analyzed using SPSS. Concurrently, qualitative data from open-ended responses underwent thematic analysis. The results were then integrated to compare statistical trends with key themes, providing deeper insights into the financial decision-making challenges faced by nurse leaders.</p><p><strong>Results: </strong>Findings indicated moderate financial management proficiency among 70% of participants, with high scores in decision-making influence (mean = 4.10 ± 0.48) and cost-effectiveness (mean = 4.05 ± 0.45). Budgeting practices (mean = 3.90 ± 0.50) and resource allocation (mean = 3.85 ± 0.55) were rated slightly lower, highlighting areas for improvement. The majority (87.3%) of nurse leaders perceived a strong relationship between financial management and patient care outcomes. Regression analysis showed that age (p = 0.010), educational attainment (p = 0.044), and employment status (p = 0.009) were significant predictors of financial management proficiency. Thematic analysis highlighted key challenges, including budget constraints, staffing shortages, and balancing cost-efficiency with care quality.</p><p><strong>Conclusion: </strong>Nurse leaders perceive a strong link between financial management and patient care outcomes, emphasizing the need for targeted financial training and greater involvement in decision-making. Enhancing financial literacy among nurse leaders could foster better alignment between cost-efficiency and quality care, ensuring sustainable healthcare delivery.</p><p><strong>Clinical trial number: </strong>Not applicable.</p>","PeriodicalId":48580,"journal":{"name":"BMC Nursing","volume":"24 1","pages":"335"},"PeriodicalIF":3.1,"publicationDate":"2025-03-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11951552/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143743974","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 risk factors for intimate partner violence among ICU nurses.","authors":"Huimin Yan, Xiaoqing Yang, Yujuan Xu, Xijuan Zhao, Chunmei Yang, Tingting Cai","doi":"10.1186/s12912-025-03000-4","DOIUrl":"https://doi.org/10.1186/s12912-025-03000-4","url":null,"abstract":"<p><strong>Aim: </strong>This study aims to investigate the prevalence and risk factors of intimate partner violence (IPV) among intensive care unit (ICU) nurses.</p><p><strong>Methods: </strong>ICU nurses from a tertiary hospital in Yunnan, China, were recruited for this study. Participants completed a survey assessing demographics, experiences of IPV, dyadic coping, anxiety, depression, and social relationships. In line with the STROBE guidelines, descriptive statistics were used to summarize the data, and regression analysis was employed to explore influencing factors. All statistical analyses were performed using SPSS 25.0, and missing data were addressed with appropriate methods. Results are reported with 95% confidence intervals and p-values.</p><p><strong>Results: </strong>Of the 232 ICU nurses approached, 191 completed the survey, with 58.1% reporting experiences of IPV. The most common types of IPV reported were negotiation (67.6%), psychological aggression (61.3%), physical assault (41.4%), injury (18.9%), and sexual coercion (8.1%). Significant factors associated with IPV included being an only child, partner's age, and partner's occupation (P < 0.05). Differences in social support and anxiety levels were also significantly associated with IPV (P < 0.05).</p><p><strong>Conclusion: </strong>This study highlights a high prevalence of IPV among ICU nurses, with negotiation, psychological aggression, and physical assault being the most common forms. Key factors such as being an only child, partner characteristics, and social support were found to significantly influence IPV experiences. These findings emphasize the need for targeted support and interventions to address IPV within this healthcare group. Further research is necessary to explore effective prevention strategies and the role of personal and social factors in IPV.</p><p><strong>Clinical trial number: </strong>Not applicable.</p>","PeriodicalId":48580,"journal":{"name":"BMC Nursing","volume":"24 1","pages":"337"},"PeriodicalIF":3.1,"publicationDate":"2025-03-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11954272/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143743921","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 integration and associated challenges of Mental Health Competencies in Undergraduate Nursing Education: a scoping review.","authors":"Precious Chibuike Chukwuere, Nombulelo Esme Zenani, Katlego Mthimunye, Rosemary Godbold, Ghada Shahrour","doi":"10.1186/s12912-025-02942-z","DOIUrl":"https://doi.org/10.1186/s12912-025-02942-z","url":null,"abstract":"<p><strong>Background: </strong>Educational institutions play a pivotal role in meeting healthcare needs by educating future professional nurses and other healthcare professionals. However, nursing education encounters challenges such as insufficient competencies among undergraduates and a gap in theory-practice integration in the curriculum. This scoping review aimed to map out the existing literature on integrating Mental Health Competencies in undergraduate Nursing Education and associated challenges.</p><p><strong>Methods: </strong>The electronic databases of CINAHL, MedLine \"PubMed\", Scopus, Science Direct, and Emerald Insight were searched for peer-reviewed articles on the subject, utilizing English search terms. Two authors independently reviewed the identified articles that met the inclusion criteria. The screening and selection process was conducted in the following phases: Firstly, the search results were imported into EPPI reviewer software, and duplicates were removed using the software's built-in function. Secondly, careful screening of the titles and abstracts of all imported studies was followed based on the inclusion criteria. Thirdly, the reference list of the identified articles was screened to foster a comprehensive coverage of evidence. Full-text screening was conducted for all the identified articles, and the research team carefully scrutinized this process.</p><p><strong>Results: </strong>The initial literature search generated 717 articles. Upon identification and careful screening, 17 eligible articles met our inclusion criteria. Two key themes were reported: Integrating Mental Health Competencies in Undergraduate Nursing Education and Challenges to integrating Mental Health Competencies in undergraduate Nursing Education.</p><p><strong>Conclusion: </strong>The findings of this scoping review indicated that various efforts are being made toward integrating mental health nursing into undergraduate nursing education. However, these efforts are constantly confronted by different challenges, such as societal stigma, patient behaviours, unequal student contributions in group work activities, and difficulties in understanding patients' symptoms. Meaningful efforts should be made towards addressing these challenges to prepare future nurses with the necessary mental health competence.</p>","PeriodicalId":48580,"journal":{"name":"BMC Nursing","volume":"24 1","pages":"336"},"PeriodicalIF":3.1,"publicationDate":"2025-03-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11951588/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143743993","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":"Examining the impact of perceived social support on mental workload in clinical nurses: the mediating role of positive coping style.","authors":"Qianqian Ren, Jialin Wang, Zhongqing Yuan, Man Jin, Mei Teng, Hong He, Meng Yu, Ying Xia, Shuangshuang Feng, Qi Tang","doi":"10.1186/s12912-025-02992-3","DOIUrl":"10.1186/s12912-025-02992-3","url":null,"abstract":"<p><strong>Background: </strong>The mental workload of nurses refers to the mental activities involved in the completion of nursing work, which can adversely impact both the physical and mental health of nurses, as well as the quality of nursing services provided. Positive coping style and perceived social support can protect nurses from the harm of mental workload. However, few studies have simultaneously examined the relationship between the three variables (mental workload, perceived social support and positive coping style). This study aims to investigate the relationship between mental workload, perceived social support and positive coping style among clinical nurses.</p><p><strong>Methods: </strong>A cross-sectional study was collected the total of 590 clinical nurses with convenience sampling in three tertiary hospitals of Chengdu in China. The data were collected using generally information questionnaire, Nurses' NASA Task Load Index (NASA-TLX), Perceived Social Support Scale (SPSS) and The Simplified Coping Style Questionnaire (SCSQ-PCS) for clinical nurses.</p><p><strong>Results: </strong>The total score of mental workload was 68.86 ± 17.53 among clinical nurses. Mental workload was negatively correlated with perceived social support (r = -0.340, p < 0.01) and positive coping style (r = -0.348, p < 0.01). Furthermore, positive coping style mediated the relationship between perceived social support and mental workload with the partial mediating effect of -0.161.</p><p><strong>Conclusion: </strong>Our study found that clinical nurses suffered relatively high level of mental workload. Positive coping style could mediate the effect of perceived social support on mental workload. Appropriate strategies should be formulated to enhance the accessibility and utilization of social support by nurses, and promote them to adopt positive coping methods to deal with clinical problems, so as to further reduce the mental workload of clinical nurses.</p>","PeriodicalId":48580,"journal":{"name":"BMC Nursing","volume":"24 1","pages":"331"},"PeriodicalIF":3.1,"publicationDate":"2025-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11948805/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143732473","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":"Latent profile analysis of mental workload among emergency department nurses: a cross-sectional study.","authors":"Xiaoyan Hao, Yueguang Dai, Shengjie Jia, Shuqin Liu, Chunling Zhao, Xiaomin Liu","doi":"10.1186/s12912-025-02976-3","DOIUrl":"10.1186/s12912-025-02976-3","url":null,"abstract":"<p><strong>Aim: </strong>Emergency department nurses experience varying degrees of mental workload due to various factors. The group with medium to high levels of mental workload requires particular attention. There is limited research on the potential profiles of mental workload among emergency department nurses. The purpose of this study was to identify different potential profiles of mental workload among emergency department nurses and analyze the influencing factors.</p><p><strong>Design: </strong>A cross-sectional study.</p><p><strong>Methods: </strong>This study followed the STROBE guidelines. The NASA-TLX scale was used to assess the mental workload of emergency department nurses, and latent profile analysis was employed to identify different potential profiles of their mental workload. Statistical methods, including Pearson's chi-square test and logistic regression analysis, were performed to identify factors affecting the mental workload of emergency department nurses.</p><p><strong>Results: </strong>A total of 305 emergency department nurses completed the survey, with the majority experiencing a moderate to severe mental workload. Mental workload was a complex and dynamic phenomenon influenced by many factors. The main factors affecting mental workload included age (year), marital status, monthly income (RMB), support style, coping style, and personality traits.</p><p><strong>Conclusion: </strong>The study suggested that mental workload among emergency department nurses is widespread in China. Nursing managers should provide targeted interventions based on the mental workload profiles of emergency department nurses. It is also crucial to enhance support from family and friends for emergency department nurses in their professional endeavors. This support should facilitate the adoption of positive coping styles to effectively address challenges. Tailored interventions, based on individual personality traits, should be implemented to reduce mental workload and promote the growth of the emergency department nursing team.</p>","PeriodicalId":48580,"journal":{"name":"BMC Nursing","volume":"24 1","pages":"332"},"PeriodicalIF":3.1,"publicationDate":"2025-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11948793/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143732501","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 effectiveness of an online educational program on nurses' electrocardiogram interpretation skills.","authors":"Gülşen Kılıç, İnci Mercan Annak, Hafize Savaş, Belma Ay Kılıçaslan, Merve Erdoğan Erener, Ahmet Arslan","doi":"10.1186/s12912-025-02997-y","DOIUrl":"10.1186/s12912-025-02997-y","url":null,"abstract":"<p><strong>Purpose: </strong>This study aimed to evaluate the effectiveness of an online educational program designed to improve nurses' skills in interpreting electrocardiograms (ECGs).</p><p><strong>Methods: </strong>This study employed a single-group pretest‒posttest quasiexperimental design. The population consisted of 282 nurses who voluntarily participated in the online ECG education program. The five-hour online ECG education program covered six main topics: normal sinus rhythm and derivations, arrhythmias of sinus origin, arrhythmias of atrial origin, arrhythmias of ventricular origin, blocks, pacemakers, acute coronary syndrome, and myocardial infarction.</p><p><strong>Results: </strong>Participants had significantly higher mean posttest scores on the Electrocardiography Knowledge Test (ECG-KT) than did their pretest scores. Specifically, they achieved significantly higher posttest scores in the \"normal sinus rhythm and derivations,\" \"atrial arrhythmias,\" and \"acute coronary syndrome\" subcategories than did their pretest scores. The participants with intensive care certificates demonstrated significantly higher mean pretest and posttest ECG-KT scores than did those without such certificates. Additionally, participants with master's or Ph.D. degrees had significantly higher mean pretest and posttest ECG-KT scores than those with bachelor's degrees did.</p><p><strong>Conclusion: </strong>The results indicate that the ECG education program enhances nurses' knowledge and improves their ability to interpret ECGs quickly and accurately. Therefore, universities and hospitals are recommended to offer online ECG education programs to support nurses in developing these essential skills.</p>","PeriodicalId":48580,"journal":{"name":"BMC Nursing","volume":"24 1","pages":"334"},"PeriodicalIF":3.1,"publicationDate":"2025-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11948722/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143732591","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 assistants' competencies in pressure injury prevention and management in nursing homes: a qualitative study using the iceberg model.","authors":"Yanxia Guo, Wen Zhu, Plernpit Boonyamalik, Arpaporn Powwattana, Baolu Zhang, Junjun Sun","doi":"10.1186/s12912-025-02911-6","DOIUrl":"10.1186/s12912-025-02911-6","url":null,"abstract":"<p><strong>Background: </strong>As the global population ages rapidly, pressure injuries (PI) in nursing homes have become a serious health concern. Nursing assistants play an important role in pressure injury prevention and management (PIPM).</p><p><strong>Objective: </strong>This study aimed to explore the PIPM competencies required by nursing assistants within nursing homes based on the Iceberg Model.</p><p><strong>Methods: </strong>We employed a qualitative descriptive study and collected data through a focus group with 12 nursing assistants and semi-structured interviews with 11 key stakeholders in China. Deductive content analysis was utilized based on the Iceberg Model.</p><p><strong>Results: </strong>Five main categories of nursing assistants' PIPM competencies were identified: theoretical knowledge, comprehensive skills, self-concept, traits, and motives. Theoretical knowledge included PI basic and professional theoretical knowledge, emphasizing the importance of understanding PI mechanisms, risk factors, and prevention strategies. Comprehensive skills encompassed practical skills (e.g., repositioning techniques, wound care), communication skills, collaboration skills, and observation skills. Self-concept involves professional identity, ethical awareness, and a sense of responsibility. Traits included carefulness and love, and empathy and patience. Motives were driven by professional development opportunities and supportive institutional policies.</p><p><strong>Conclusion: </strong>The application of the Iceberg Model enhanced the understanding of competencies required for effective PIPM. The findings can guide the development of targeted training programs and assessment tools for nursing assistants in long-term care facilities. Future research should explore the long-term impacts of well-trained nursing assistants on patient outcomes and expand the PIPM competencies scope required by nursing assistants.</p><p><strong>Clinical trial number: </strong>Not applicable.</p>","PeriodicalId":48580,"journal":{"name":"BMC Nursing","volume":"24 1","pages":"333"},"PeriodicalIF":3.1,"publicationDate":"2025-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11948734/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143732478","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}