BMC Nursing最新文献

{"title":"Correction: The effect of virtual reality based disaster training on disaster preparedness of nursing students: a randomized controlled study.","authors":"Bekir Ertuğrul, Ziyafet Uğurlu","doi":"10.1186/s12912-026-05340-1","DOIUrl":"10.1186/s12912-026-05340-1","url":null,"abstract":"","PeriodicalId":48580,"journal":{"name":"BMC Nursing","volume":"25 1","pages":""},"PeriodicalIF":5.2,"publicationDate":"2026-09-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13548464/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148907554","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":"Psychometric validation of the seven-time dimensions scale: a measure of daily time experience quality for nurses' mental health.","authors":"Jingxi Xu, Hong Luo, Xiang Li, Ke'er Mou","doi":"10.1186/s12912-026-05362-9","DOIUrl":"10.1186/s12912-026-05362-9","url":null,"abstract":"<p><strong>Background: </strong>The Seven-Time Dimensions Scale (STDS) assesses daily life rhythms and perceived psychosocial resources, addressing the limitations of traditional symptom-focused tools and meeting the need for a comprehensive assessment for mental-health-related factors. However, as this scale has not been validated in Chinese nurses, the present study evaluates its application in this population.</p><p><strong>Methods: </strong>Convenience sampling was used to recruit 1,301 Chinese nurses. Reliability was verified using internal consistency coefficient and split-half reliability. The sample was randomly divided into two independent subsamples for exploratory (Group 1, n = 650) and confirmatory (Group 2, n = 651) factor analyses. To further assess the structural stability and verify the unidimensional structure of STDS, a bifactor confirmatory factor analysis (CFA) and an exploratory structural equation modeling (ESEM) were conducted. Additionally, multigroup confirmatory factor analyses (MG-CFA) were performed across demographic variables to test measurement invariance. Convergent and criterion-related validity were evaluated using Pearson correlations, and incremental variance beyond demographic covariates was assessed using hierarchical regression analyses.</p><p><strong>Results: </strong>The item-total correlation coefficients ranged from 0.764 to 0.890 (p < 0.001), indicating good internal consistency (Cronbach's α = 0.900; split-half reliability = 0.893). Exploratory factor analysis extracted a single factor accounting for 61.049% of the variance; CFA supported the unidimensional structure (χ²/df = 2.214, RMSEA = 0.043, CFI = 0.993, TLI = 0.990, SRMR = 0.016). A 1-factor ESEM on the confirmatory subsample cross-validated this structure (χ²/df = 2.214, CFI = 0.993, TLI = 0.990, RMSEA = 0.043, SRMR = 0.014), providing further evidence for the stability of the single-factor solution. The bifactor model demonstrated excellent fit (χ²/df = 1.800, CFI = 0.996, TLI = 0.989, RMSEA = 0.035, SRMR = 0.011). The hierarchical ω coefficient (ωh) was 0.896, and the covariation variance explained (ECV) was 0.953, indicating that the general factor explained over 95% of the covariation variance. The MG-CFA results supported full scalar invariance across demographic variables (except for sex and ethnicity) across the full scale (ΔCFI ≤ 0.003, ΔRMSEA ≤ 0.007), suggesting that STDS has strong structural stability across different nurse subgroups. Criterion-related validity analyses revealed that STDS scores were positively correlated with WHO-5, PSSS, and CD-RISC-10 (r = 0.650, 0.492, and 0.555, respectively; p < 0.001) and negatively correlated with the PSS (r = - 0.526, p < 0.001). Hierarchical regression analyses indicated that the scale explained significant incremental variance in the criterion variables beyond demographic covariates.</p><p><strong>Conclusions: </strong>STDS demonstrates acceptable reliability and validity as a preliminary","PeriodicalId":48580,"journal":{"name":"BMC Nursing","volume":"25 1","pages":""},"PeriodicalIF":5.2,"publicationDate":"2026-09-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13644048/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149116931","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":"Comparing shared governance and psychological empowerment among nurses in Magnet and non-Magnet hospitals.","authors":"Lorraine T Estadilla, Tyrone Bitanga, Jerelyn Jean Dongallo, Bradley Goldie Loo, Wireen Leila Tanggawon Dator, Jennifer R Olivar, Chandrakala Sankarapandian, Sahar Mahmoud Hashim, Sahar Hamdi El Sayed Abdelmaksoud, Kawther Eltayeb Ahmed, Maysa Mohsen Abdulrahman, Arianne Katrina I Coballes, Edna M Margallo, Jadel Aviane A Cordero, Lalaine R Bangloy","doi":"10.1186/s12912-026-05347-8","DOIUrl":"https://doi.org/10.1186/s12912-026-05347-8","url":null,"abstract":"<p><p>Globally, the nursing industry has never been watered down by challenges related to burnout, job satisfaction and high turnover rates. Healthcare organizations progressively employ strategies to improve nurse engagement in the decision making in the organization. One of these strategies is the Magnet recognition Program established by the American Nurses Credentialing Center which recognizes the institutions that exhibits excellence in the nursing practice and leadership. Despite these recognitions, there is scarcity of research that examined the association of Magnet recognition to the psychological empowerment of the staff compared to non-Magnet hospitals. The finding of this study may contribute insights for the hospital administrators and nursing leaders in strengthening nurses' involvement in decision making within the organization, specifically supporting the Saudi Vision 2030 through healthcare transformation. This descriptive cross-sectional study research design explored perceived level of shared governance and psychological empowerment among nurses from Magnet and non-Magnet hospitals, as well as the differences between variables. A survey was conducted between March 2026-April 2026. at King Abdulaziz University Hospital (KAUH) and King Abdullah bin Abdulaziz University Hospital (KAAUH) in Riyadh, Saudi Arabia. Convenience sampling will be used to recruit participants. Using the Index of Professional Nursing Governance (IPNG) Tool 3.0 and Psychological Empowerment Indicator (PEI), it was revealed that there was significant difference between the perceived level of shared governance among nurses in the Magnet and non-Magnet hospital. However, an absence in significant difference was noted in terms of psychological empowerment. In conclusion, the findings of this study implies that there is a need to foster a shared governance that improves the involvement of nurses in the organization's decision-making and continue practicing empowerment strategies.</p>","PeriodicalId":48580,"journal":{"name":"BMC Nursing","volume":"25 1","pages":""},"PeriodicalIF":5.2,"publicationDate":"2026-09-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13634213/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149116972","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A tiered training program for emergency nurses' core competencies based on Kolb's Experiential Learning Cycle: A Delphi study.","authors":"Qian Wu, Chunli Chen, Wenjun Cai, Fang Cheng, Yan Jiang","doi":"10.1186/s12912-026-05152-3","DOIUrl":"10.1186/s12912-026-05152-3","url":null,"abstract":"<p><strong>Background: </strong>Emergency nursing requires a high level of professional competencies. However, current emergency nursing training in China lacks adequate theoretical grounding and alignment with nurses' career development. Based on Kolb's Experiential Learning Cycle, this study aims to develop a tiered core competencies training framework corresponding to nurses' professional stages (N1-N4).</p><p><strong>Methods: </strong>A mixed-methods research design was employed, incorporating a literature review, semi-structured interviews, and a two-round Delphi expert consultation. A preliminary draft of the training framework was formulated through systematic literature review and semi-structured interviews. Subsequently, 18 experts with over 10 years of emergency nursing experience from four provinces across China were invited to participate in two rounds of the Delphi method. A 5-point Likert scale was used to evaluate the importance of each framework item. Consensus criteria were defined as follows: a mean importance score ≥ 4.0, a coefficient of variation ≤ 0.25, and agreement rate (score ≥ 4) ≥ 75%. Expert engagement, authority coefficient, and degree of opinion coordination were evaluated using the questionnaire response rate, Cr, and Kendall's W, respectively.</p><p><strong>Results: </strong>The response rates for both rounds were 100%, and the authority coefficients were 0.913 and 0.917, indicating acceptable expert authority. After two rounds of revisions, the final training framework consisted of 5 first-level items, 15 second-level items, and 48 third-level items, all achieving consensus. The framework systematically integrated Kolb's Experiential Learning Cycle with the competency advancement pathway, covering nurses from novice (N1) to expert (N4) levels.</p><p><strong>Conclusion: </strong>This study developed a preliminary consensus-based tiered training framework that covers the entire career trajectory of emergency nurses. The framework provides a theoretical foundation for standardized training design and competency certification. However, its practical effectiveness and clinical feasibility require empirical validation in future research.</p><p><strong>Clinical trial number: </strong>Not applicable.</p>","PeriodicalId":48580,"journal":{"name":"BMC Nursing","volume":"25 1","pages":""},"PeriodicalIF":5.2,"publicationDate":"2026-09-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13579945/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148978566","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 the second victim phenomenon on nurse turnover intentions and absenteeism: a systematic review and meta-analysis.","authors":"Jing Liu, Dandan Ma, Jinrong He, Danfeng Tan, Ling Zhang, Xin Peng, Muhammad Sohaib, Shuoting Hu","doi":"10.1186/s12912-026-05247-x","DOIUrl":"10.1186/s12912-026-05247-x","url":null,"abstract":"<p><strong>Background: </strong>The Second Victim Phenomenon (SVP) is the psychological trauma that healthcare workers experience due to their negative experiences with patients. Its incidence in nurses is well known, but its quantitative implications on nurse retention and attendance are poorly understood. This systematic review and meta-analysis summarizes the evidence regarding the relationship between SVP and nurse turnover intentions and absenteeism.</p><p><strong>Methods: </strong>A systematic search of the PubMed, Embase, CINAHL, Web of Science, and the Cochrane Library (CENTRAL) databases was conducted through April 2026, following PRISMA guidelines. The included studies were cross-sectional studies that investigated the relationship between SVP and turnover intentions or absenteeism among nurses. Two independent reviewers used the Newcastle-Ottawa Scale (NOS) to screen, extract data, and evaluate the quality. Random-effects models were used to pool effect sizes in meta-analyses. Heterogeneity was measured using both the I² statistic and the Cochran Q test. Subgroup analyses were performed to examine differences across geographic regions, healthcare settings, and study quality. Publication bias was measured using funnel plots and the Egger test. The quality of evidence was determined according to GRADE criteria.</p><p><strong>Results: </strong>A total of 38 cross-sectional studies were included, comprising 22,241 participants in the turnover intention analysis and 14,662 participants in the absenteeism analysis. Meta-analysis revealed that nurses experiencing SVP had significantly higher odds of turnover intention (pooled OR = 2.99, 95% CI: 2.81-3.18, p < 0.001, I² = 75.9%) and increased risk of absenteeism (pooled RR = 2.21, 95% CI: 2.05-2.37, p < 0.001, I² = 82.6%). There was significant study heterogeneity. Subgroup analyses showed that the effects were similar in varied geographic areas and health care settings. There was no significant publication bias (Egger test p > 0.05 in both results). GRADE evaluation showed low-quality evidence due to the observational study design and heterogeneity, but upgraded the effect size to large.</p><p><strong>Conclusions: </strong>This meta-analysis provides strong evidence that SVP is significantly associated with higher turnover intention and absenteeism among nurses, posing a serious risk to the stability of the health care workforce. The results highlight the importance of organizational interventions to support nurses with SVP, such as peer support programs, psychological counseling, and changes in institutional culture. Future studies need to use longitudinal designs to examine temporal relationships and intervention studies to assess the effectiveness of support programs.</p>","PeriodicalId":48580,"journal":{"name":"BMC Nursing","volume":"25 1","pages":""},"PeriodicalIF":5.2,"publicationDate":"2026-09-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13589391/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149002604","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":"Correction to: Effectiveness of virtual nurse interventions in chronic disease self-management: a systematic review of randomized controlled trials.","authors":"Tsuei-Wun Chang, Hsin-Yi Chen, Shiouh-Chu Shieh, Yu-Chi Chen","doi":"10.1186/s12912-026-05249-9","DOIUrl":"10.1186/s12912-026-05249-9","url":null,"abstract":"","PeriodicalId":48580,"journal":{"name":"BMC Nursing","volume":"25 1","pages":""},"PeriodicalIF":5.2,"publicationDate":"2026-09-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13540063/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148888954","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":"Experiences of social participation and inclusion among primary caregivers of children with cerebral palsy in China: a qualitative descriptive study.","authors":"Hui Liu, Xiaojia Wu, Fang Wen, Lanxia Meng, Chunying Liu","doi":"10.1186/s12912-026-05314-3","DOIUrl":"10.1186/s12912-026-05314-3","url":null,"abstract":"<p><strong>Background: </strong>Primary caregivers of children with cerebral palsy (CP) may experience challenges affecting their social participation and inclusion. However, these experiences remain insufficiently understood in the Chinese context. Understanding these experiences is important for family-centred nursing and rehabilitation support.</p><p><strong>Methods: </strong>A qualitative descriptive study was conducted with 26 primary caregivers recruited from a tertiary rehabilitation hospital in China. Semi-structured interviews were conducted face-to-face, via WeChat video call, or by telephone. Data were analysed inductively using Braun and Clarke's six-phase approach to reflexive thematic analysis.</p><p><strong>Results: </strong>Four themes, each comprising two subthemes, were developed: (1) Emotional distress and withdrawal from social life; (2) Caregiving demands restricting opportunities for participation; (3) Role expectations narrowing social identities and everyday roles; and (4) Stigma and exclusion undermining belonging and acceptance.</p><p><strong>Conclusions: </strong>In this study, primary caregivers of children with CP described reduced social participation and limited inclusion associated with overlapping emotional, caregiving, role-related, and social influences.</p>","PeriodicalId":48580,"journal":{"name":"BMC Nursing","volume":"25 1","pages":""},"PeriodicalIF":5.2,"publicationDate":"2026-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13651276/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149138892","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":"Visual attention during post-handover bedside observation of critically ill patients: an eye-tracking comparison across emergency and critical care nursing experience groups.","authors":"Takafumi Noguchi, Hidekazu Hishinuma, Jin Kikuchi, Ryo Kayashima, Tetsuya Nakada, Tomomi Muraoka, Sadami Momiyama, Michiko Saito, Toshimi Sairenchi, Koji Wake","doi":"10.1186/s12912-026-05324-1","DOIUrl":"10.1186/s12912-026-05324-1","url":null,"abstract":"<p><strong>Background: </strong>Post-handover bedside observation is routine in critical care, but experience-related differences in gaze behavior during this observation remain unclear. This study compared gaze behavior according to emergency and critical care nursing experience.</p><p><strong>Methods: </strong>This cross-sectional observational study was conducted in a Japanese emergency and critical care center between September 2022 and February 2024. Sixty-six nurses were classified into four experience groups: <1 year, 1-<4 years, 4-<9 years, and ≥ 9 years. Eighteen mechanically ventilated patients contributed 66 observation sessions. Mobile eye tracking measured fixation duration, fixation count, and visit count across 13 areas of interest. Fixation duration was expressed as a percentage of observation time, while count outcomes were analyzed using negative binomial generalized estimating equations with observation duration as an offset and patient-level clustering. The Benjamini-Hochberg procedure controlled the false discovery rate across 42 tests.</p><p><strong>Results: </strong>After false discovery rate correction, significant differences among experience groups remained for five fixation-duration, four fixation-rate, and six visit-rate measures. Pairwise differences in fixation duration and fixation rate varied in direction across areas of interest. In contrast, all significant visit-rate comparisons involving the < 1-year group showed lower rates, including for the lower limbs, insertion sites, physiological measurement devices, infusion lines and pumps, and urinary catheter. Total visit rate was also lower in the < 1-year group than in the 4-<9-year group. This categorical association remained significant after covariate adjustment and in a generalized linear mixed-model sensitivity analysis. When experience was modeled numerically with covariate adjustment, the association was attenuated (p = 0.055).</p><p><strong>Conclusions: </strong>Experience-related differences were observed across gaze measures, with visit rate demonstrating the most directionally consistent pattern. Nurses with < 1 year of experience showed fewer gaze entries per unit time into several patient-, device-, and treatment-related areas than nurses in a more-experienced group. The findings suggest that experience-related differences may involve not only the amount of visual attention directed to individual areas but also the frequency with which nurses direct gaze toward multiple potential sources of patient information. Gaze behavior should not be interpreted as a direct measure of clinical competence, observation quality, or clinical judgment.</p>","PeriodicalId":48580,"journal":{"name":"BMC Nursing","volume":"25 1","pages":""},"PeriodicalIF":5.2,"publicationDate":"2026-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13563798/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148931749","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":"Daily temporal associations among AI replacement anxiety, state anxiety, and academic burnout indicators in medicine and nursing students: a 10-day diary study.","authors":"Haoqian Li, Zheng Zhang, Bo Yang, Chiahsuan Liu, Jian Sun, Jiansong Zhou, Xia Cao","doi":"10.1186/s12912-026-05275-7","DOIUrl":"10.1186/s12912-026-05275-7","url":null,"abstract":"<p><strong>Background: </strong>Artificial intelligence (AI) is increasingly entering medicine and nursing education, raising concerns about how healthcare students respond to AI-related occupational uncertainty. AI replacement anxiety (ARA) may become more or less salient across academic days, but little is known about its short-term within-person temporal associations with state anxiety and day-level academic burnout indicators.</p><p><strong>Methods: </strong>This 10-day weekday diary study included 751 medicine and nursing students who provided 4,625 observed diary records after quality screening. Daily surveys assessed ARA and three academic burnout constructs using single day-adapted proxy indicators, together with a two-item state-anxiety measure. Two-level Bayesian dynamic structural equation modeling tested six primary dimension-specific models in the ARA-to-state-anxiety and state-anxiety-to-ARA directions. Supplementary joint multivariate models, a stricter 695-participant sensitivity sample, and a targeted calendar-spacing sensitivity analysis examined unique effects, posterior contrasts, and robustness.</p><p><strong>Results: </strong>In the ARA-to-state-anxiety direction, higher daily ARA was associated with higher subsequent cynicism, and higher cynicism was associated with later state anxiety. This M2 component pattern remained supported when the weekend interval was represented using calendar-day spacing. In the reverse direction, higher state anxiety was consistently associated with a higher subsequent score on the academic-inefficacy proxy indicator, but the subsequent association of this indicator with ARA was less robust across model specifications and was attenuated in the weekend-spacing sensitivity analysis. The model-based indirect effects remained uncertain, with 95% credible intervals including zero. Joint models indicated that the clearest cross-dimension differences were concentrated mainly in first-stage associations rather than complete unique downstream indirect processes.</p><p><strong>Conclusions: </strong>The findings support dimension-specific temporal associations among ARA, state anxiety, and academic burnout-related daily indicators, highlighting cynicism and academic-inefficacy-related daily appraisals as particularly relevant components of the temporal links between ARA and state anxiety among medicine and nursing students. These findings provide a more differentiated basis for future research on targeted support and intervention in health-professions education.</p>","PeriodicalId":48580,"journal":{"name":"BMC Nursing","volume":"25 1","pages":""},"PeriodicalIF":5.2,"publicationDate":"2026-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13599073/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149026448","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 of knowledge and observed skills with self-reported readiness of nurses and midwives to perform cardiopulmonary resuscitation in a tertiary hospital in Ghana: a cross-sectional study.","authors":"Rita Opoku-Danso, Mercy Aseye Bockor, Ebenezer Quayson, Joyce Boahemaa, Edward Odoom, Gifty Owusu","doi":"10.1186/s12912-026-05327-y","DOIUrl":"https://doi.org/10.1186/s12912-026-05327-y","url":null,"abstract":"<p><strong>Background: </strong>Cardiopulmonary resuscitation (CPR) is a critical emergency intervention, yet evidence on CPR competence and readiness among nurses and midwives in Ghana is limited. This study assessed CPR knowledge, observed skills, self-reported readiness, and factors associated with readiness in a tertiary hospital.</p><p><strong>Methods: </strong>An analytical cross-sectional study was conducted among nurses and midwives in critical and emergency care units. Of 331 eligible staff, 271 participated (81.9% response rate). Knowledge was assessed using a structured test, skills were observed on a manikin using a 12-item checklist and self-reported readiness using an 11-item Likert scale. Data were analysed using descriptive statistics, chi-square tests and binomial logistic regression.</p><p><strong>Results: </strong>Most respondents had low CPR knowledge (94.8%), while 65.7% demonstrated adequate observed skills and 90.0% reported moderate readiness. In the binomial logistic regression, adequate CPR skills were associated with moderate readiness (AOR = 12.84, 95% CI [4.09, 40.36], p < .001). Moderate knowledge was associated with lower odds of moderate readiness compared with low knowledge (AOR = 0.11, 95% CI [0.03, 0.46], p = .003), although this finding should be interpreted cautiously. Other demographic and training variables were not significant predictors.</p><p><strong>Conclusion: </strong>CPR preparedness was characterised by low theoretical knowledge, comparatively better but incomplete observed skills and moderate self-reported readiness among the nurses and midwives. Observed CPR skills were strongly associated with readiness. Therefore, regular simulation-based training and competency assessment combining knowledge testing with observed practical performance are recommended.</p><p><strong>Clinical trial number: </strong>Not applicable.</p>","PeriodicalId":48580,"journal":{"name":"BMC Nursing","volume":"25 1","pages":""},"PeriodicalIF":5.2,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13628930/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149116978","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}