BMC Nursing最新文献

{"title":"Metaphorical perspectives of pediatric nurses on the use of artificial intelligence in the education of children with chronic diseases.","authors":"Elif Bakır, Tuğçe Torun, Handan Özdemir","doi":"10.1186/s12912-026-04717-6","DOIUrl":"https://doi.org/10.1186/s12912-026-04717-6","url":null,"abstract":"<p><strong>Purpose: </strong>This study aimed to explore pediatric nurses' perceptions of using artificial intelligence in the education of children with chronic diseases through metaphor analysis.</p><p><strong>Design and methods: </strong>This study was designed as a qualitative descriptive study using metaphor-based content analysis. Sixty pediatric nurses from a university hospital participated. The data were collected using a semi-structured metaphor form and analyzed using content analysis. The metaphors generated by the participants were organized into thematic categories to identify underlying perceptions and attitudes toward artificial intelligence use in pediatric care.</p><p><strong>Results: </strong>Most participants were female (95%), and only 20% reported prior experience with artificial intelligence. A total of 42 distinct metaphors were identified. These metaphors were grouped into five themes: \"providing information and guidance role,\" \"supportive and helpful role,\" \"understanding complexity and multidimensionality,\" \"social-emotional support role,\" and \"technology and mechanical power role.\" The most frequently used metaphor was \"guide,\" followed by private tutor, machine, smart friend, helping hand, translator, compass, school, information pool, lantern, and light.</p><p><strong>Conclusions: </strong>The findings suggest that pediatric nurses generally have positive perceptions of artificial intelligence, though they may underestimate its ethical and safety challenges due to limited training and experience. It is essential to strengthen nurses' artificial intelligence literacy, ethical awareness and decision-support competencies through education and scenario-based training programs to ensure the safe and effective integration of artificial intelligence technologies into pediatric nursing practice.</p>","PeriodicalId":48580,"journal":{"name":"BMC Nursing","volume":" ","pages":""},"PeriodicalIF":3.9,"publicationDate":"2026-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147822475","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":"Core competencies of clinical nursing educators in the AI era: a qualitative study.","authors":"Ting Luo, Yuhang Chen, Xueqin Gan, Chaoya Hu, Xiaoxia Lin, Shuxia Deng, Qian Yang","doi":"10.1186/s12912-026-04686-w","DOIUrl":"https://doi.org/10.1186/s12912-026-04686-w","url":null,"abstract":"<p><strong>Background: </strong>As artificial intelligence (AI) becomes increasingly integrated into healthcare and nursing education, existing competency standards and training systems for clinical nursing educators are no longer sufficient to meet the demands of technology-enabled teaching. This study aimed to explore the lived experiences and perceived competency demands and training needs of clinical nursing educators in the AI era, and to provide empirical evidence to inform competency framework development and training-system optimization.</p><p><strong>Methods: </strong>A descriptive phenomenological qualitative study was conducted in four tertiary hospitals in Chengdu, China, between July and September 2025. Fourteen clinical nursing educators were recruited using purposive sampling. Data were collected through semi-structured interviews and analyzed using Colaizzi's seven-step method.</p><p><strong>Results: </strong>Five themes and 17 subthemes were identified. The core competency framework comprised four key domains: professional foundation and specialized technical skills, communication and humanistic care, AI tool application, and research translation. Training-system optimization involved four interrelated areas: systematic training design, incentive and support mechanisms, specialty-based and tiered teaching design, and the educational value and practical challenges of integrating AI into clinical teaching. These findings suggest that clinical nursing educators require both foundational teaching competencies and new AI-related capabilities.</p><p><strong>Conclusions: </strong>Clinical nursing educators in the AI era require a competency-based development pathway that integrates pedagogical, clinical, technological, and research capabilities. Hospitals and nursing education institutions should establish tiered training programs, practice-oriented assessments, and supportive organizational policies to strengthen educator preparedness and facilitate the intelligent transformation of clinical nursing education.</p><p><strong>Trial registration: </strong>This is a qualitative study, not a health care intervention trial, so no trial registration is applicable.</p>","PeriodicalId":48580,"journal":{"name":"BMC Nursing","volume":" ","pages":""},"PeriodicalIF":3.9,"publicationDate":"2026-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147822436","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":"Job resources, job demands, and their relationships with thriving, burnout, and work-life conflict among Swedish nursing staff.","authors":"Karin Myrberg, Annica Björkman, Maria Engström","doi":"10.1186/s12912-026-04693-x","DOIUrl":"10.1186/s12912-026-04693-x","url":null,"abstract":"<p><strong>Background: </strong>Nursing staff working in healthcare are exposed to high job demands, leading to turnover, stress, and decreased motivation. Work-life balance, empowered structures, and thriving have been shown to contribute positively to their psychosocial work environment. This study examined the relationships between job demands, job resources, and the outcomes of thriving, burnout, and work-life conflict among nursing staff.</p><p><strong>Methods: </strong>A cross-sectional descriptive correlational design was employed, involving 192 nursing staff within somatic in-patient care. Data were collected using the Copenhagen Psychosocial Questionnaire, the Thriving scale, and the Conditions of Work Effectiveness Questionnaire II. Descriptive statistics, Pearson's correlation coefficients, and multiple regression analyses were conducted to assess the relationships between job demands, job resources, and outcomes.</p><p><strong>Results: </strong>Job resources, quantified as structural empowerment, showed a positive relationship with thriving and negative relationships with both burnout and work-life conflict. Among job demands, quantitative demands, emotional demands, and work pace demonstrated negative relationships with thriving and positive relationships with burnout and work-life conflict. All resources and demands remained statistically significant in multiple regression models except for emotional demands and work pace on thriving. Regarding interaction effects, structural empowerment moderated the relationship between work pace and both thriving and burnout but did not moderate the relationship with work-life conflict. The interaction between structural empowerment and emotional demands was also statistically significantly positively related to thriving.</p><p><strong>Conclusion: </strong>The findings of this study underscore the value of adopting strategies that enhance access to empowering job resources, through both top-down and bottom-up approaches, to improve staff well-being. Recognizing and addressing the complex relationships between job demands, resources, and staff outcomes is important for meeting the diverse needs and staffing challenges in healthcare settings.</p>","PeriodicalId":48580,"journal":{"name":"BMC Nursing","volume":" ","pages":""},"PeriodicalIF":3.9,"publicationDate":"2026-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13141581/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147822438","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":"Association between psychological resilience and psychological distress in Chinese psychiatric nurses: a cross-sectional study.","authors":"Zhaoqin Wang, Fengying Zu, Yanhong Zhang, Ying Gao, Chao Zhou","doi":"10.1186/s12912-026-04716-7","DOIUrl":"https://doi.org/10.1186/s12912-026-04716-7","url":null,"abstract":"<p><strong>Background: </strong>Psychiatric nurses in China face high psychological and occupational strain. Understanding the factors influencing their mental health is essential. This study aimed to determine the positive rate of psychological distress among Chinese psychiatric nurses and to examine the associations of psychological resilience and other psychosocial factors with psychological distress.</p><p><strong>Methods: </strong>A cross-sectional study was conducted from October 2024 to January 2025. Using an online survey, 436 psychiatric nurses from six hospitals in Jiangsu Province, China, were recruited. Data were collected using a general information questionnaire, the 12-item General Health Questionnaire (GHQ-12), and the Connor-Davidson Resilience Scale (CD-RISC). Chi-square tests, Spearman correlation, and multivariate logistic regression were employed for analysis.</p><p><strong>Results: </strong>Of 436 nurses invited, 412 provided valid responses (response rate: 94.5%). The positive screening rate for psychological distress (GHQ-12 score ≥ 3) was 38.38%. Multivariate logistic regression analysis showed that among Chinese psychiatric nurses, higher psychological resilience (OR = 0.948, 95% CI: 0.931-0.965, p < 0.001) was associated with lower odds of psychological distress. In contrast, more frequent weekly night shifts (≥ 3 vs. ≤ 2; OR = 2.452, 95% CI: 1.212-4.959, p = 0.013) and poorer self-rated health status (per level increase; OR = 1.711, 95% CI: 1.274-2.299, p < 0.001) were associated with a greater odds of psychological distress.</p><p><strong>Conclusion: </strong>Psychological resilience, night shift frequency, and self-rated health status are significantly associated with psychological distress among Chinese psychiatric nurses. Interventions aimed at building resilience, optimizing work schedules, and promoting health may help protect their mental well-being.</p><p><strong>Clinical trial number: </strong>Not applicable.</p>","PeriodicalId":48580,"journal":{"name":"BMC Nursing","volume":" ","pages":""},"PeriodicalIF":3.9,"publicationDate":"2026-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147822462","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":"Effectiveness of a scenario-based interactive E-book in enhancing nursing students' health literacy: a quasi-experimental study.","authors":"Pei-Ling Tseng, Chen-Yin Tung","doi":"10.1186/s12912-026-04715-8","DOIUrl":"https://doi.org/10.1186/s12912-026-04715-8","url":null,"abstract":"<p><strong>Background: </strong>Health literacy is essential for safe and effective nursing practice, yet traditional teaching methods may not fully address students' needs. This study evaluated a scenario-based interactive e-book integrating multimedia elements (e.g., videos, quizzes, and case-based activities) delivered through a digital learning platform to enhance nursing students' health literacy performance.</p><p><strong>Methods: </strong>A quasi-experimental design was conducted with 55 fourth-year nursing students from a Taiwanese university. Students were assigned to an experimental group (n = 28) that received a structured, instructor-guided e-book intervention within a course session or a control group (n = 27) that received traditional teaching. The 26-item Health Literacy Performance Scale, demonstrating strong validity and reliability, was administered three weeks before and immediately after the intervention. For educational parity, the control group accessed the e-book after data collection.</p><p><strong>Results: </strong>Generalized Estimating Equations revealed no significant effects of time or time × group interaction. However, after adjusting for age, the main effect of group was significant (p = .015). Post hoc analysis showed that the experimental group scored higher on the post-test (p = .035), particularly in interpreting health education materials, assessing care needs, and correctly using medication, suggesting improved application of health literacy skills in clinical contexts.</p><p><strong>Conclusions: </strong>Findings indicate that the scenario-based e-book effectively improved nursing students' health literacy performance. This study highlights the value of integrating interactive, scenario-based digital learning tools into nursing education to support the development of practical communication and decision-making competencies.</p>","PeriodicalId":48580,"journal":{"name":"BMC Nursing","volume":" ","pages":""},"PeriodicalIF":3.9,"publicationDate":"2026-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147822477","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":"Navigating complexity: nurses' experiences in delivering holistic care to patients with chronic obstructive pulmonary disease.","authors":"Yousef S Aldabayan, Mohammed Nasser Albarqi, Abdulrhman Khaled Al Abdulqader, Mohamed Adel Ghoneam","doi":"10.1186/s12912-026-04673-1","DOIUrl":"https://doi.org/10.1186/s12912-026-04673-1","url":null,"abstract":"","PeriodicalId":48580,"journal":{"name":"BMC Nursing","volume":"25 1","pages":""},"PeriodicalIF":3.9,"publicationDate":"2026-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13134286/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147822432","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":"An evaluation of the impact of a double preceptorship model on nursing students' career adaptability: a quasi-experimental study.","authors":"Yanyan Wang, Philip R Della, Bijun Cheng, Fengqiu Gong, Caixia Ke, Lanxin Tang, Na Li, Chaoyan Xu","doi":"10.1186/s12912-026-04692-y","DOIUrl":"https://doi.org/10.1186/s12912-026-04692-y","url":null,"abstract":"<p><strong>Background: </strong>Preceptorship is a crucial component of nursing education in the final year, as it facilitates the transition to being a registered nurse. Preceptors guide student nurses in the clinical area through supervision and development, typically employing a traditional model with multiple ward-based preceptors who focus on clinical skills. However, the role of the preceptors in shaping nursing students' career adaptability and professional identity has been underemphasized. This study evaluated a strategy of embedding a supplemental role-model mentor that provided continuous, personalized guidance during the final year of clinical placement. This study explored the influence of a newly implemented double preceptorship model on nursing students' career adaptability and professional identity.</p><p><strong>Methods: </strong>This study employed a quasi-experimental design. This study was conducted at a top-tier hospital in Guangzhou, China, from July 2023 to May 2024. The research subjects were final-year nursing students undertaking clinical placement in the hospital. The intervention group (n = 39) received additional support from a supplemental role-model mentor for the entire final year, in addition to ward-based clinical preceptors in each ward area. The control group (n = 32) received the traditional preceptorship model. The differences between the two groups were evaluated using the Career Adaptability Scale and the Professional Identity Scale.</p><p><strong>Results: </strong>At baseline, no significant differences were observed between the two groups. Following the intervention, the scores in the intervention group were significantly higher than those in the control group in both career adaptability and professional identity (all p < 0.05). Within-group analyses revealed a significant increase in career adaptability from pre- to post-intervention in the intervention group (p < 0.05), whereas no significant change was observed in the control group. For professional identity, subscale analysis indicated significant improvements across four dimensions (except social modelling) within the intervention group (all p < 0.05).</p><p><strong>Conclusion: </strong>The double preceptorship system, which embeds a supplemental role-model mentor in the final year of clinical placement for nursing students, appears to enhance career adaptability and professional identity, potentially leading to improved retention in the workplace after nursing education.</p>","PeriodicalId":48580,"journal":{"name":"BMC Nursing","volume":" ","pages":""},"PeriodicalIF":3.9,"publicationDate":"2026-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147786112","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":"Investigating the relationship between moral sensitivity, moral distress, and patient safety climate with missed nursing care in clinical nurses: a systematic review.","authors":"Amir Mohamad Nazari, Hossein Bakhtiari-Dovvombaygi, Mostafa Gholami, Fariba Borhani","doi":"10.1186/s12912-026-04697-7","DOIUrl":"https://doi.org/10.1186/s12912-026-04697-7","url":null,"abstract":"<p><strong>Background: </strong>In recent years, missed nursing care (MNC) has been a major concern for healthcare systems. Although existing literature highlights moral sensitivity (MS), moral distress (MD), and patient safety climate (PSCL), as important factors contributing to this issue, the precise relationship between these factors and MNC remains inadequately understood. This study aimed to explore the relationship between MS, MD, and PSCL with MNC in clinical nurses.</p><p><strong>Methods: </strong>The systematic review used several international databases, including PubMed, Web of Science, Scopus, EMBASE, ProQuest as well as Google Scholar search engine. The search covered publications from January 1, 1995, to August 31, 2025; thirteen articles were included in this review. Quality was assessed using the 8-item Joanna Briggs Institute (JBI) critical appraisal tool for analytical cross-sectional studies.</p><p><strong>Results: </strong>The findings showed varying links between MS and PSCL with MNC, spanning from no significant correlation to a significant negative one. Also, the findings revealed that the eligible included studies reported different relationships between MD and MNC, varying from no significant connection to a significant positive one.</p><p><strong>Conclusion: </strong>The study identified MS, MD, and the PSCL as potentially influencing factors for clinical nurses' MNC. Health policymakers and clinical nursing managers should focus on these specific factors to create initiatives that aim to minimize clinical nurse' MNC and improve the quality of care provided.</p><p><strong>Clinical trial number: </strong>Not applicable.</p>","PeriodicalId":48580,"journal":{"name":"BMC Nursing","volume":" ","pages":""},"PeriodicalIF":3.9,"publicationDate":"2026-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147786173","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":"Impact of biophilic office features on nursing managers' well-being, productivity, and decision-making: a predictive correlational study.","authors":"Noura Alsayed Esmeil, Eman Kamel Hossny, Neama Mamdouh Mostafa, Abeer Mohamed Abdelkader, Hanan Azouz Abd Elhay, Hanan Sayed Younes, Hanaa Mohamed Ahmed","doi":"10.1186/s12912-026-04615-x","DOIUrl":"https://doi.org/10.1186/s12912-026-04615-x","url":null,"abstract":"","PeriodicalId":48580,"journal":{"name":"BMC Nursing","volume":" ","pages":""},"PeriodicalIF":3.9,"publicationDate":"2026-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147786233","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":"The application of digital technology in nursing quality management: a scoping review.","authors":"Cuiling Yin, Xinan Wang, Xinying Zhou, Liping Zhou","doi":"10.1186/s12912-026-04690-0","DOIUrl":"https://doi.org/10.1186/s12912-026-04690-0","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Background: &lt;/strong&gt;Digital technology integrates information and communication tools such as electronic health records, wearable devices, and artificial intelligence, which has become an important driving force for optimizing nursing quality management. However, existing studies on the application of digital technology in nursing quality management are fragmented, with unclear conceptual boundaries and lack of systematic evidence mapping. This scoping review aims to systematically map the application landscape of digital technology in nursing quality management, summarize its effectiveness and limitations, and identify knowledge gaps.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Methods: &lt;/strong&gt;A scoping review was conducted following the Joanna Briggs Institute (JBI) methodological framework and reported in accordance with the PRISMA-ScR guidelines. A systematic literature search was performed from the database inception to June 1, 2025, in seven electronic databases: PubMed, Embase, Web of Science Core Collection, Cochrane Library, China National Knowledge Infrastructure (CNKI), Wanfang Database, China Science and Technology Journal Database (VIP), China Biomedical Database (CBM). Two researchers independently completed the literature search, screening, and data extraction, with disagreements resolved by a third researcher. Data synthesis was conducted through inductive thematic analysis and evidence mapping based on the Donabedian structure-process-outcome model.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Results: &lt;/strong&gt;The initial literature search retrieved 992 records, and 16 studies (4 Chinese, 12 English) were included in the final analysis. Evidence mapping based on the Donabedian model identified three application dimensions: (1) Structural: EHRs and AI-assisted systems improved data standardization; (2) Process: real-time monitoring, virtual training, and digital safety controls enhanced care delivery and patient engagement; (3) Outcome: included studies described improvements in nursing efficiency, safety, and satisfaction; however, these reports derived from heterogeneous study designs and outcome measures, precluding pooled estimates of effectiveness. Evidence remains concentrated in hospital environments, with limited representation from community and long-term care settings.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Conclusion: &lt;/strong&gt;Digital technology demonstrates considerable potential to enhance nursing quality management across multiple domains, with generally positive feedback on feasibility and satisfaction reported in individual studies. However, the strength of inferences is limited by heterogeneous designs and outcome measures. However, evidence remains heterogeneous, and challenges related to technology integration, cost, training, and policy support persist. Future research should prioritize high-quality randomized trials, longitudinal evaluations, standardized outcome measures, and context-sensitive implementation strategies to strengthen the evidence base and guide scalable adoption ","PeriodicalId":48580,"journal":{"name":"BMC Nursing","volume":" ","pages":""},"PeriodicalIF":3.9,"publicationDate":"2026-04-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147786220","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}