BMC Nursing最新文献

{"title":"Impact of positive psychological capital and shared leadership on nurses' organizational well-being: a descriptive survey study.","authors":"HyunJoo Lee, Dong-Hee Kim, Yujin Kim","doi":"10.1186/s12912-025-02687-9","DOIUrl":"10.1186/s12912-025-02687-9","url":null,"abstract":"<p><strong>Background: </strong>Organizational well-being is a critical issue that should be addressed within nursing organizations as it boosts the morale and work motivation of its members by enhancing their satisfaction and happiness.</p><p><strong>Aim: </strong>This study aimed to evaluate the levels of positive psychological capital, shared leadership, and organizational well-being among nurses, and examine the impact of positive psychological capital and shared leadership on organizational well-being.</p><p><strong>Methods: </strong>A descriptive survey research design was used, involving 177 nurses with at least one year of work experience at highly specialized hospitals in Korea treating patients with severe conditions. Data were collected via an online survey from July 1 to August 31, 2023, using a questionnaire that included items on general characteristics, job-related characteristics, positive psychological capital, shared leadership, and organizational well-being. The collected data were analyzed using the SPSS 29.0 software, employing statistical measures such as frequency, percentage, mean, standard deviation, t-test, ANOVA, Pearson correlation coefficient, and hierarchical regression analysis.</p><p><strong>Results: </strong>The participants' scores were 3.32 ± 0.51 out of 5 for organizational well-being, 4.12 ± 0.58 out of 6 for positive psychological capital, and 3.64 ± 0.59 out of 5 for shared leadership. Factors identified that influenced organizational well-being included positive psychological capital (β = 0.462, p < .001) and shared leadership (β = 0.442, p < .001), which explained 58% of the total variance in the model (F = 48.74, p < .001).</p><p><strong>Conclusions: </strong>To improve the organizational well-being of nurses, it is essential to develop capacity-building and intervention programs that boost positive psychological capital and shared leadership. Achieving this goal necessitates not only the individual efforts of organizational members but also robust organizational support, engagement, and proactive management.</p>","PeriodicalId":48580,"journal":{"name":"BMC Nursing","volume":"24 1","pages":"109"},"PeriodicalIF":3.1,"publicationDate":"2025-01-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11776127/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143068898","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":"Simulation-based training program effect on pediatric nurses' knowledge and performance regarding heel-prick during newborn blood screening test.","authors":"Abdulaziz Asiri, Abeer A Almowafy, Shimaa M Moursy, Hanan A Abd-Elhay, Shimaa Abdelrahim Khalaf Ahmed, Aml S Abdelrahem, Marim T Abo Seif, Faransa A Ahmed","doi":"10.1186/s12912-024-02657-7","DOIUrl":"10.1186/s12912-024-02657-7","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Background: &lt;/strong&gt;One of the best ways to impart important skills to trainees is through simulation-based training, which is more reliable than the conventional clinical examination method. It is used in pediatric nursing training to allow nurses to practice and improve their clinical and conversational skills during an actual child encounter. A heel-prick is a complex psychomotor task that requires skill and knowledge from the pediatric nurse performing the procedure while applying for the National Newborn Screening Program.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Aim: &lt;/strong&gt;This study aimed to assess the impact of simulation-based training on pediatric nurses' knowledge and performance regarding the heel-prick technique used during newborn blood screening tests in select hospitals in Saudi Arabia and Egypt.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Methods: &lt;/strong&gt;This study utilized an experimental pre-test and post-test design. The G*Power Program&lt;sup&gt;®&lt;/sup&gt; Version 3.1.9.4 was employed to determine the sample size to fulfil the study's objectives. The sample consisted of 50 nurses recruited from the Maternity & Children Hospital Bisha, Al-Namas General Hospital in the Kingdom of Saudi Arabia, and Pediatric Assiut University Hospital in Egypt; they were randomly divided into two groups of 25 nurses, intervention and control. The sample size was calculated assuming α level of 0.05, a β level of 0.20, and a desired power of 80%. The study was conducted from June 1st to August 30th, 2023. Two data collection instruments were used: a structured questionnaire and an observational checklist for the heel-prick technique in newborn bloodspot screening sample collection. Before the training intervention, a pre-test assessing knowledge and performance was administered. Intervention and control groups received two hours of instruction every 5 days. The researcher utilized PowerPoint presentations, videos, and interactive learning session intervention to deliver the instructional content to increase nurses' knowledge and also employed mannequins for a newborn blood spot test simulator to train participants on performance. A post-test 1 was administered immediately after the training sessions. Additionally, post-test 2 was conducted 20 days after the study and followed up after 40 days of intervention (post-test 3).&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Results: &lt;/strong&gt;The study participants ranged in age from 25 to 30 years, with the majority being female. A statistically significant difference was observed in the knowledge and performance of pediatric nurses following simulation-based training. The majority of nurses demonstrated correct responses after the simulation-based learning intervention. However, the nurses' knowledge varied, as evidenced by the mean scores of their total knowledge regarding the heel-prick for the newborn bloodspot screening test. Immediately after the learning intervention session, the mean scores were 37.86 ± 1.28 and 34.84 ± 1.22 in the experimental and control groups, respective","PeriodicalId":48580,"journal":{"name":"BMC Nursing","volume":"24 1","pages":"110"},"PeriodicalIF":3.1,"publicationDate":"2025-01-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11776318/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143068903","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 moderating effects of nurses' characteristics on the perceptions and practices of family-centered care for chronically ill children and their families in Saudi Arabia.","authors":"Nada Alqarawi, Eman Alhalal, Ibrahim Alasqah","doi":"10.1186/s12912-025-02758-x","DOIUrl":"10.1186/s12912-025-02758-x","url":null,"abstract":"<p><strong>Background/purpose: </strong>Nurses play a vital role in providing effective family-centered care (FCC) to enhance the quality of healthcare for children with chronic illnesses and increase family satisfaction. This study aimed to investigate nurses' perceptions and practices of FCC for children with chronic illnesses, and how nursing characteristics influence this relationship.</p><p><strong>Method: </strong>This multicenter cross-sectional study involved a convenience sample of 405 nurses, each with at least six months of experience caring for chronically ill children, infants, and toddlers in Saudi Arabia. An online survey was conducted between February 2023 and August 2023. A paired sample t-test of differences between nurses' perceptions and practices of FCC among chronically ill children was performed. Correlations were carried out to test the relationships between nurses' perceptions and practices of FCC and their sociodemographic factors, including age, gender, marital status, education level, and years of work experience, and attributes of nurses, including professional competence, interpersonal skills, job commitment, and knowing one's self. Moderation analyses were conducted using the SPSS PROCESS macro version 4.</p><p><strong>Results: </strong>Nurses' FCC practice was significantly poorer than their perception. The moderation analysis highlighted that marital status (β = 0.122, p = .014), interpersonal skills (β = 0.131, p = .002), job commitment (β = 0.096, p = .024), and self-awareness (β = 0.127, p < .001) significantly strengthened the relationship between FCC perception and practice.</p><p><strong>Conclusions: </strong>Nurses' sociodemographic factors and personal attributes influenced the relationship between their perceptions of FCC and its implementation. Leaders should consider aspects such as marital status, interpersonal skills, job commitment, and self-awareness as these factors affect the strength of this relationship. Further research is needed to assess these impacts through longitudinal design and causal intervention studies to create a conceptual model of FCC for children with chronic illnesses.</p>","PeriodicalId":48580,"journal":{"name":"BMC Nursing","volume":"24 1","pages":"107"},"PeriodicalIF":3.1,"publicationDate":"2025-01-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11776219/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143068908","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 parental care-seeking behavior of children with osteogenesis imperfecta based on the Anderson's model: a qualitative study.","authors":"Lin Mo, Fan-Yan Du","doi":"10.1186/s12912-025-02740-7","DOIUrl":"10.1186/s12912-025-02740-7","url":null,"abstract":"<p><strong>Objective: </strong>This study aims to analyze the medical-seeking behavior of Osteogenesis Imperfecta(OI) children in Southwest China, summarize and analyze the issues in their medical process, and propose corresponding improvement strategies.</p><p><strong>Methods: </strong>A phenomenological study involving semi-structured interviews with 20 OI caregivers at a tertiary centre for children from March to August 2021 was analyzed thematically, following Anderson's model.</p><p><strong>Results: </strong>We identified eight themes in the data: 1)Regional disparities of OI management, 2)Big economic burden, 3)High-risk population, 4)Lack of health education, 5)Multiple treatments,6)Strict treatment indications,7)Disappointing therapeutic outcomes,8)Effective or ineffective treatment results.</p><p><strong>Discussion: </strong>The current rare disease insurance policies do not cater to the needs of the OI community. The treatment fees are excessively high, surpassing the financial limits of patient families. Caregivers, lacking sufficient knowledge of the disease, find it difficult to manage the condition effectively. There is a pressing need for the state to revise relevant policies, and for tertiary hospitals, grassroots medical institutions, and specialized medical personnel to each shoulder their responsibilities in the treatment and management of rare diseases.</p><p><strong>Conclusions: </strong>OI patients face many challenges in seeking care behavior. Improving access to medical resources, promoting collaboration between specialists and general practitioners, reforming insurance for rare diseases, leveraging social resources, and educating families can boost OI diagnosis rates and enhance family disease management.</p>","PeriodicalId":48580,"journal":{"name":"BMC Nursing","volume":"24 1","pages":"108"},"PeriodicalIF":3.1,"publicationDate":"2025-01-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11776287/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143068910","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 moderating effect of psychological capital on the relationship between nurses' perceived workplace bullying and emotional exhaustion: a cross-sectional study.","authors":"Xiao Peng, Jing Ma, Ying Chen, Ying Han, Hong Zhou, Aiping Gong, Fang Peng, Xinzhang Sun, Xingfen Wang, Xunya Xiong, Li Li, Mengting Huang, Qingsong Zeng","doi":"10.1186/s12912-025-02763-0","DOIUrl":"10.1186/s12912-025-02763-0","url":null,"abstract":"<p><strong>Background: </strong>Workplace bullying (WPB) is common in nursing profession, leading to adverse effects on nurses' health and teamwork. Although it has been suggested that psychological capital (PsyCap) could potentially moderate the relationship between WPB and emotional exhaustion, there is currently a lack of direct empirical evidence supporting this claim. Therefore, this study aims to examine how PsyCap moderates the relationship between WPB and emotional exhaustion in nurses.</p><p><strong>Methods: </strong>A cross-sectional study was carried out involving 1068 nurses using a general information questionnaire, Negative Acts Questionnaire-Revised, Psychological Capital Questionnaire-Revision, and emotional exhaustion subscale of the Chinese version of Maslach Burnout Inventory-General Survey. The PROCESS macro was utilized to examine the moderating effect of PsyCap.</p><p><strong>Results: </strong>WPB led to emotional exhaustion among nurses (β = 1.488, P < 0.001), and PsyCap moderated this positive relationship (β = 0.300, P < 0.001). The group with high PsyCap exhibited lower levels of emotional exhaustion. However, as the perceived WPB increased, the disparity in emotional exhaustion between the high and low PsyCap groups diminished.</p><p><strong>Conclusions: </strong>WPB significantly contributes to nurses' emotional exhaustion. PsyCap mitigates this impact, but this effect is limited in organizations with high WPB. it is recommended that nursing managers mitigate the detrimental impact of WPB on nurses' emotional well-being by both strengthening nurses' individual PsyCap and implementing comprehensive strategies to reduce WPB behaviors.</p>","PeriodicalId":48580,"journal":{"name":"BMC Nursing","volume":"24 1","pages":"103"},"PeriodicalIF":3.1,"publicationDate":"2025-01-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11773958/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143061119","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":"Assessment of nurses' knowledge and practice of pressure injuries prevention for critically ill patients in Rwanda: a cross-sectional study.","authors":"Sophie Mukantwari, Emmanuel Bikorimana, Liberatha Rumagihwa, Ime U Akaninyene, Christian Ntakirutimana, Joseph Mucumbitsi, Thierry Claudien Uhawenimana, David Ikwuka","doi":"10.1186/s12912-025-02754-1","DOIUrl":"10.1186/s12912-025-02754-1","url":null,"abstract":"<p><strong>Background: </strong>Pressure injuries are costly and can lead to mortality and psychosocial consequences if not managed effectively. Proper management of pressure injuries is crucial for quality nursing care. However, there is limited research on nurses' knowledge and practices in preventing and managing pressure injuries among critically ill patients in Rwanda. In addition, barriers affecting nurses' practices in this area also need further investigation in order to inform the interventions to improve nursing care of patients with pressure injuries in Rwandan hospitals.</p><p><strong>Methodology: </strong>A cross-sectional study involving 129 health nurses was conducted to determine their knowledge and practice levels regarding the prevention of pressure injuries in critically ill patients, and barriers impeding practice in this area. The research modified the Pieper-Zulkowski Pressure Ulcer Knowledge Test to evaluate the knowledge of nurses concerning the prevention of pressure injuries. A 33-item instrument drawn from pressure ulcer risk assessment and prevention toolkits established by the Agency for Healthcare Research and Quality was used to assess nurses' practices. Additionally, barriers influencing nurses' knowledge and practices related to the prevention of pressure injuries were evaluated through questions derived from a comparable study conducted in Ethiopia. Descriptive statistics were computed for each variable. Mean scores were computed to categorize nurses' level of knowledge and practice. Logistic regression analysis was employed to examine the influence of sociodemographic factors and training on the nurses' knowledge and practice, with a statistical significance set at a p-value less than 0.05.</p><p><strong>Results: </strong>The study found that 40.0% of nurses had inadequate knowledge towards pressure injury prevention, and 60.0% reported that they inadequately practiced pressure injury prevention among critically ill patients. Nurses who have not been trained in pressure injury prevention have a 52.4% reduction in the odd of having adequate practice compared to those who have been trained (OR 0.476; 95% CI 0.211-0.996). Heavy workload, inadequate staff, shortage of equipments, presence of other priorities than pressure injury prevention, inadequate training coverage of pressure injury prevention were the most prevalent barriers reported.</p><p><strong>Conclusion: </strong>The evaluation of nurses' knowledge and practices on pressure injury prevention in critically ill patients at the study setting found that while nurses have satisfactory knowledge, their practical application is lacking due to factors like high workloads and insufficient staffing. The study recommends caution in interpreting the results due to a limited sample size, suggesting further research to guide improvements in nursing practices.</p>","PeriodicalId":48580,"journal":{"name":"BMC Nursing","volume":"24 1","pages":"104"},"PeriodicalIF":3.1,"publicationDate":"2025-01-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11776269/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143061104","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":"Racism in clinical nursing practice: a qualitative study.","authors":"Nichole Crenshaw, LaToya Lewis, Cynthia L Foronda","doi":"10.1186/s12912-024-02521-8","DOIUrl":"10.1186/s12912-024-02521-8","url":null,"abstract":"<p><strong>Background: </strong>Racism in healthcare has led to disparate health outcomes amongst people of color. The construct of racism may be misunderstood, and research is lacking about the actions nurses can in the clinical setting take to reduce racism. The purpose of the study was to determine behaviors demonstrative of racism in nursing care and behaviors that are demonstrative of culturally humble nursing care to develop an awareness of racial bias in nursing to inform future educational practices.</p><p><strong>Methods: </strong>A qualitative, descriptive design was used with 10 doctoral-prepared nurses of color with expertise in diversity, equity, inclusion, and social determinants of health.</p><p><strong>Findings: </strong>Three overarching themes emerged: (1) Experience of Racism as a Nurse of Color (with subthemes of False Assumptions/ Negative Stereotyping, Discrediting/Unheard, and Rejection), (2) Experience of Racism as a Patient of Color (with subthemes of False Assumptions/Negative Stereotyping, Inequitable Treatment/ Lack of Care, and Dismissing/Ignoring or Not Believing), and (3) Culturally Humble Care (with subthemes of Asking, Active Listening, Caring Body Language, Individualized Care, and Respect).</p><p><strong>Conclusions: </strong>Study findings may be used to inform and improve nursing practice to reduce racism and decrease health disparities.</p>","PeriodicalId":48580,"journal":{"name":"BMC Nursing","volume":"24 1","pages":"105"},"PeriodicalIF":3.1,"publicationDate":"2025-01-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11776109/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143061115","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":"Assessing safety culture and second victim experience following adverse events among Romanian nurses: a cross-sectional study.","authors":"Mirabela Ioana Istrate, Alina Ioana Forray, Marius-Ionuț Ungureanu, José Joaquín Mira, Sorana Alexandra Constantinescu, Răzvan Mircea Cherecheș","doi":"10.1186/s12912-025-02745-2","DOIUrl":"10.1186/s12912-025-02745-2","url":null,"abstract":"<p><strong>Background: </strong>Healthcare adverse events (AEs) significantly impact professionals, often leading to emotional distress and lasting effects. This study investigates the impact of AEs on healthcare professionals in Romania, focusing on nurses to examine their experiences within the patient safety culture and the psychological consequences of AEs. With a limited body of research on patient safety, adverse events, and second victims (SVs) in Romania, this study addresses a crucial gap, highlighting the need for enhanced safety culture and support mechanisms for SVs.</p><p><strong>Methods: </strong>A cross-sectional study in Romania targeted healthcare professionals, focusing on nurses. Utilizing online and onsite surveys facilitated by the Order of Nurses, Midwives, and Medical Assistants in Romania, data were collected between April and June 2022, exploring AEs and related experiences. Statistical analysis included chi-square tests, Student's t-tests, one-way ANOVA, and logistic regression, using SPSS version 29.0.</p><p><strong>Results: </strong>This study surveyed 995 nurses in Romania, primarily aged 31-50 (67.8%). Over half (57.9%) reported near-miss incidents, and 30.8% were aware of serious adverse events. Nurses over 50 scored higher on safety culture (20.98 vs. 20.45, p = .024) than younger nurses. Higher safety culture scores were associated with reduced negative emotional responses (e.g., guilt, anxiety, insomnia, tiredness) following AEs. Higher safety culture scores were associated with reduced negative emotional responses. Additionally, 88.9% of nurses showed interest in training for coping with adverse events, highlighting the need for supportive interventions in healthcare settings.</p><p><strong>Discussion: </strong>This study underscores the significant emotional and professional impact of AEs on nurses in Romania, highlighting ongoing challenges in healthcare environments. The positive perception of safety culture among nurses suggests a basis for improvement, while training needs underscore areas for intervention. Tackling the second victim phenomenon is crucial for maintaining patient safety.</p>","PeriodicalId":48580,"journal":{"name":"BMC Nursing","volume":"24 1","pages":"102"},"PeriodicalIF":3.1,"publicationDate":"2025-01-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11773947/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143061103","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":"Self-administered active versus sham acupressure for diarrhea predominant irritable bowel syndrome: a nurse-led randomized clinical trial.","authors":"Maha Gamal Ramadan Asal, Ahmed Abdelwahab Ibrahim El-Sayed, Samira Ahmed Alsenany, Zahraa Hassan Ramzy, Rasha Fathy Ahmed Dawood","doi":"10.1186/s12912-024-02594-5","DOIUrl":"10.1186/s12912-024-02594-5","url":null,"abstract":"<p><strong>Background: </strong>Diarrhea-predominant irritable bowel syndrome (IBS-D) significantly impacts patients' quality of life, with existing treatments offering limited relief. Self-administered acupressure presents a potential non-invasive, cost-effective treatment option that could alleviate symptoms and enhance health outcomes in these patients.</p><p><strong>Aim: </strong>This randomized controlled trial aimed to evaluate the effect of active acupressure compared to sham acupressure on primary and secondary outcomes among IBS-D patients.</p><p><strong>Method: </strong>The study included 63 patients with IBS-D, recruited from Alexandria Main University Hospital, Egypt. Participants were randomized into either an active acupressure group or a sham acupressure group. Both groups underwent two days of training, followed by four weeks of intervention. The active group applied pressure to specific therapeutic acupoints, while the sham group used non-therapeutic points. Outcomes were assessed at baseline, week 2, and week 4.</p><p><strong>Results: </strong>The active acupressure group showed a significant reduction in symptom severity, improved stool consistency, and frequency, and greater adequate symptom relief by week 4 compared to the sham group. Psychological outcomes, including anxiety and depression, also improved significantly in the active group. Additionally, the active group reported reduced use of rescue medications.</p><p><strong>Conclusion: </strong>Active acupressure is an effective nursing intervention for alleviating symptoms of IBS-D, particularly when applied consistently over time. It improves both physical and psychological outcomes, offering a valuable non-pharmacological treatment option.</p><p><strong>Implications: </strong>Nurses can integrate self-administered acupressure into IBS-D care plans, teaching patients this technique to manage symptoms independently, thus enhancing their quality of life (QOL) and reducing reliance on conventional medications. This intervention aligns with holistic nursing care and offers a cost-effective, patient-friendly solution for managing IBS-D.</p><p><strong>Trial registration: </strong>This study was prospectively registered as a randomized controlled trial in https://clinicaltrials.gov/ Registration Date: January 7, 2023, Registration Number: NCT05702255.</p>","PeriodicalId":48580,"journal":{"name":"BMC Nursing","volume":"24 1","pages":"106"},"PeriodicalIF":3.1,"publicationDate":"2025-01-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11776273/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143061117","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":"Factors influencing compassion satisfaction and compassion fatigue among nurses: a study in a tertiary hospital.","authors":"Sarah Sharmala Nadarajan, Ping Lei Chui, Wan Ling Lee, Noor Hanita Zaini","doi":"10.1186/s12912-025-02736-3","DOIUrl":"10.1186/s12912-025-02736-3","url":null,"abstract":"<p><strong>Background: </strong>Nursing is a caring profession for which compassion is a core value. Increasing stress and declining job satisfaction are among the major challenges in nursing. Demographic and work-related factors may influence nurses' compassion satisfaction and compassion fatigue (i.e., burnout and secondary traumatic stress) levels. In this study, the level of compassion fatigue and compassion satisfaction and their associated factors were examined among nurses in a tertiary hospital.</p><p><strong>Methods: </strong>A cross-sectional study was conducted at a tertiary hospital in Malaysia. The data were collected over a period of 6 months via online distribution of the Personal Information Form, Copenhagen Psychosocial Questionnaire (COPSOQ) version III and Professional Quality of Life (ProQOL) version V questionnaires. The Cronbach's alpha internal consistency of the questionnaire scales was mostly acceptable and above 0.75. Descriptive statistics were used to summarize the sociodemographic and rank domains of work environment-related factors for nurses and their levels of compassion satisfaction and compassion fatigue. Relationships between sociodemographic factors and the levels of compassion fatigue, compassion satisfaction, and burnout were assessed by bivariate analyses. A p value < 0.05 was considered to indicate statistical significance.</p><p><strong>Results: </strong>A total of 323 registered nurses participated in this study. A majority of the participants were female (91%, n = 294), and the mean age of the participants was 33.01 ± 8.50 years. The majority of the participants had moderate levels of compassion satisfaction (71%, n = 229); 46% (n = 148) had moderate levels of burnout, and 45% (n = 147) had moderate levels of secondary traumatic stress. Hierarchical multiple regression analysis revealed that the health and well-being and demands at work domain were significantly associated with compassion satisfaction, burnout and secondary traumatic stress levels among nurses.</p><p><strong>Conclusions: </strong>In this study, the majority of the nurses reported decreased compassion satisfaction and increased burnout. These findings provide valuable insights, as there may be detrimental effects on the healthcare industry and retention of nurses if no action is taken to combat compassion fatigue. Recommendations to motivate nurses and reduce demands at work should be explored by healthcare organizations to increase nurses' performance and job satisfaction.</p>","PeriodicalId":48580,"journal":{"name":"BMC Nursing","volume":"24 1","pages":"93"},"PeriodicalIF":3.1,"publicationDate":"2025-01-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11770903/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143048429","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}