BMC Nursing最新文献

{"title":"Advancing transition readiness and health outcomes in adolescents with epilepsy: the role of evidence-based self-management interventions in nursing practice.","authors":"Cui Cui, Shuangzi Li, Qing Xia, Wenjing Chen, Xianlan Zheng","doi":"10.1186/s12912-025-03876-2","DOIUrl":"10.1186/s12912-025-03876-2","url":null,"abstract":"<p><strong>Background: </strong>Self-management interventions are crucial for adolescents with epilepsy (AWEs) to control seizures during their transition to adulthood. However, many AWEs face challenges in sustaining effective self-management, and evidence-based practices tailored to this population remain underexplored. This study developed and evaluated a self-management intervention plan to enhance transition readiness for AWEs.</p><p><strong>Methods: </strong>The setting is the neurological center of a Grade-III children's hospital in Southwest China. From March 2023 to February 2024, 92 AWEs and their families participated, along with 31 hospital staff members. A historical comparison design evaluated the intervention's effects on AWEs, while a self-controlled design assessed impacts on healthcare providers and the system environment. The intervention was developed using the Knowledge-To-Action framework and intervention mapping theory, guided by a logical model and a matrix of change goals. Through expert consensus, 53 strategies were formed using evidence-based behavior change methods. Key outcomes included behavior and physical health of AWEs, compliance among healthcare providers, and system-level improvements.</p><p><strong>Results: </strong>Post-intervention, significant improvements were observed across all assessed areas, including self-management, transition readiness, and electroencephalogram results, except for number of seizures and doctor-patient communication. Compliance with self-management behaviors among AWEs and family caregivers increased by 21.43%, healthcare providers' practice compliance improved by 34.08%, and clinical audit results at the system level rose by 58.83%. Notable system-level changes included improved resource allocation and care standardization.</p><p><strong>Conclusions: </strong>This intervention is a promising approach to improving health outcomes in AWEs and fostering self-management behaviors among patients and caregivers, while enhancing healthcare providers' practice and service capacity. The framework offers valuable guidance for integrating self-management support into transition ecosystems, with implications for both clinical practice and nursing education.</p>","PeriodicalId":48580,"journal":{"name":"BMC Nursing","volume":"24 1","pages":"1220"},"PeriodicalIF":3.9,"publicationDate":"2025-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12481995/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145193607","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":"Essential competencies of newly recruited ICU nurses in Iran: a qualitative content analysis study.","authors":"Hossein Ghasemi, Neda Khalili Samani, Masoud Etedali","doi":"10.1186/s12912-025-03865-5","DOIUrl":"10.1186/s12912-025-03865-5","url":null,"abstract":"<p><strong>Background: </strong>Newly recruited ICU nurses often face challenges related to complex patient conditions, high-pressure environments, and insufficient specialized training. In Iran, few qualitative studies have explored the core competencies required for these nurses. This study aimed to identify essential competencies necessary for the effective integration of newly recruited ICU nurses.</p><p><strong>Methods: </strong>A conventional content analysis was conducted from October 2023 to July 2024 in Isfahan, Iran. A total of eight participants, including five ICU nurses and three ICU managers, together with newly recruited nurses, were purposefully sampled to gain a comprehensive perspective on required competencies. Individual semi-structured interviews were held until data saturation. Transcripts were coded inductively and analyzed using MAXQDA version 2020.</p><p><strong>Results: </strong>Analysis yielded three main categories-Communication Competencies, Specialized Competencies, and General Competencies-comprising 12 sub-categories. Specialized skills included respiratory and cardiovascular management, neurological assessment, and equipment operation. General competencies covered patient safety, infection control, and informatics, while communication competencies encompassed family communication, emotional support, and intra-team collaboration.</p><p><strong>Conclusions: </strong>Newly recruited ICU nurses require structured education-incorporating simulation-based training-and stronger organizational support to enhance adaptation, skill acquisition, and stress management, thereby improving care quality for critically ill patients. Institutional onboarding programs, mentorship, and simulation-based education are essential to improve skill acquisition, reduce stress, and enhance care quality in ICUs.</p>","PeriodicalId":48580,"journal":{"name":"BMC Nursing","volume":"24 1","pages":"1214"},"PeriodicalIF":3.9,"publicationDate":"2025-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12482745/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145193615","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":"'More blessing than burden' African family carers' beliefs and experiences caring for their older relatives in New South Wales, Australia.","authors":"Anthony Obinna Iwuagwu, Elizabeth Fernandez, Abner Weng Cheong Poon","doi":"10.1186/s12912-025-03884-2","DOIUrl":"10.1186/s12912-025-03884-2","url":null,"abstract":"","PeriodicalId":48580,"journal":{"name":"BMC Nursing","volume":"24 1","pages":"1215"},"PeriodicalIF":3.9,"publicationDate":"2025-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12482556/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145193630","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":"From bedside to system change: the TRIL nurse advocacy model for sustainable healthcare.","authors":"Susanna Aba Abraham, Diana Bosomtwe-Duker, Dorcas Frempomaa Agyare, Andrews Adjei Druye, Gifty Osei Berchie","doi":"10.1186/s12912-025-03870-8","DOIUrl":"10.1186/s12912-025-03870-8","url":null,"abstract":"","PeriodicalId":48580,"journal":{"name":"BMC Nursing","volume":"24 1","pages":"1224"},"PeriodicalIF":3.9,"publicationDate":"2025-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12482235/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145193639","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":"Progressive muscle relaxation to reduce anxiety before electroconvulsive therapy (ECT).","authors":"Gamze Özyiğit, Özge Sukut","doi":"10.1186/s12912-025-03874-4","DOIUrl":"10.1186/s12912-025-03874-4","url":null,"abstract":"<p><strong>Background: </strong>ECT is a well-established treatment modality for severe psychiatric disorders, particularly major depressive disorder and bipolar disorder. It is well-documented that patients experience significant anxiety before treatment, which can adversely affect nursing care and the treatment process. This study aims to determine the effect of progressive muscle relaxation exercises on anxiety levels among patients with bipolar and depressive disorders prior to their first ECT session.</p><p><strong>Method: </strong>Data for this quasi-experimental study were collected from 30 in-patients with bipolar disorder and depression who received ECT for the first time in the hospital between May 29 and October 29, 2020. Data collection involved an information form, the STAXI State Anxiety Scale, and the Visual Analogue Scale for Anxiety. The data were analyzed using descriptive statistics, the Friedman test, and the Wilcoxon test.</p><p><strong>Results: </strong>The mean VAS-A score decreased from 4.93 ± 1.88 before PMR to 2.83 ± 1.76 after PMR, and further to 1.43 ± 1.21 after ECT (p < .001). However, STAI-S scores did not show a statistically significant difference before and after PMR (p > .05). Heart rate and respiratory rate also significantly decreased after PMR exercises (p < .05), while oxygen saturation remained unchanged. Prior to the next ECT session, the mean VAS-A score increased to 5.10 ± 1.77, and no significant changes were observed in either physiological parameters or anxiety measures.</p><p><strong>Conclusion: </strong>While a short-term effect on VAS Anxiety levels was observed following PMR exercises before ECT, patients still exhibited high levels of anxiety before subsequent ECT sessions. Therefore, it is recommended that PMR exercises be performed before each ECT session, and the effects of long-term application should be further investigated. Future studies should employ a randomized controlled design to compare results with a control group.</p><p><strong>Clinical trial number: </strong>Not applicable.</p>","PeriodicalId":48580,"journal":{"name":"BMC Nursing","volume":"24 1","pages":"1217"},"PeriodicalIF":3.9,"publicationDate":"2025-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12482224/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145193672","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":"Lived experiences of student nurses during practical examinations in Ghana: a phenomenological study.","authors":"Ba-Etilayoo Atinga, Vincentia Sarfo-Brobbey, Albert Henyo, Christiana Asospae Ayamga, Godfrey Konnyebal, Diana Hans Wilson","doi":"10.1186/s12912-025-03899-9","DOIUrl":"10.1186/s12912-025-03899-9","url":null,"abstract":"","PeriodicalId":48580,"journal":{"name":"BMC Nursing","volume":"24 1","pages":"1222"},"PeriodicalIF":3.9,"publicationDate":"2025-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12481981/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145193646","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":"Application of the BOPPPS teaching model in the teaching of introduction to nursing course.","authors":"Bei Zhang, Aixu Duan, Jiaqing Lan, Yonglian Ren","doi":"10.1186/s12912-025-03880-6","DOIUrl":"10.1186/s12912-025-03880-6","url":null,"abstract":"","PeriodicalId":48580,"journal":{"name":"BMC Nursing","volume":"24 1","pages":"1223"},"PeriodicalIF":3.9,"publicationDate":"2025-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12482276/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145193619","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":"Translation and psychometric validation of the Medical Artificial Intelligence Readiness Scale (MAIRS-MS) for Chinese medical students.","authors":"Xuancheng Chen, Yangyi Chen, Yuhuan Xie, Linan Cheng","doi":"10.1186/s12912-025-03852-w","DOIUrl":"10.1186/s12912-025-03852-w","url":null,"abstract":"<p><strong>Background: </strong>With the rapid integration of artificial intelligence (AI) into medical education, assessing medical students' readiness has become critical. This readiness encompasses not only familiarity with AI tools but also the ability to apply, evaluate, and ethically reflect on them. Despite international advances, China currently lacks a validated instrument to systematically evaluate medical students' readiness for medical AI. Therefore, this study aimed to translate, culturally adapt, and evaluate the psychometric properties of the Medical Artificial Intelligence Readiness Scale (MAIRS-MS) for Chinese medical students.</p><p><strong>Methods: </strong>The MAIRS-MS was translated into Chinese following Brislin's guidelines, with subsequent cultural adaptation informed by expert consultation. A pilot study was then conducted with 30 medical students to refine the Chinese version (C-MAIRS-MS). A cross-sectional survey was conducted among 516 undergraduate medical students from March to May 2025. The psychometric properties of the C-MAIRS-MS were evaluated through exploratory factor analysis (EFA), confirmatory factor analysis (CFA), Cronbach's α coefficient, Spearman-Brown split-half reliability, and the intraclass correlation coefficient (ICC).</p><p><strong>Results: </strong>The C-MAIRS-MS included 22 items with scale content validity index (S-CVI) of 0.982. EFA extracted four factors explaining 65.274% of the total variance, with factor loadings ranging from 0.508 to 0.881. CFA results indicating that the revised 4-factor model was well fitted (χ²/df = 2.303, RMSEA = 0.071, CFI = 0.924, IFI = 0.925, and TLI = 0.912), with good structural validity. The Cronbach's α coefficient, Spearman-Brown Split-half reliability, and ICC values for the C-MAIRS-MS were 0.935, 0.832, and 0.945, indicating the scale has good reliability.</p><p><strong>Conclusion: </strong>The C-MAIRS-MS demonstrated sound psychometric properties and provides a reliable tool to assess medical students' readiness for medical AI. Beyond individual assessment, the scale can inform curriculum development, facilitate ongoing monitoring of students' progress, and support the evaluation of AI-focused educational programmes, thereby offering educators valuable evidence to guide the design and refinement of AI-related training in medical education.</p><p><strong>Clinical trial number: </strong>Not applicable.</p>","PeriodicalId":48580,"journal":{"name":"BMC Nursing","volume":"24 1","pages":"1210"},"PeriodicalIF":3.9,"publicationDate":"2025-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12482387/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145193632","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":"Abusive supervision and nurses' deviant behaviors: the moderating effect of self-efficacy.","authors":"Senay Yürür, Oktay Koç, H Rıdvan Yurtseven","doi":"10.1186/s12912-025-03892-2","DOIUrl":"10.1186/s12912-025-03892-2","url":null,"abstract":"<p><strong>Background: </strong>Nurses play a critical role in care processes that involve patient monitoring and coordination and any failure in these processes or deviation from safety standards may result in serious consequences for patients and ultimately for the entire system. Nevertheless, research examining nurses' deviant behaviors in terms of their antecedents is inadequate. Therefore, the objective of this study was to examine abusive supervision as an antecedent of deviant behavior in nurses and the role of nurses' self-efficacy in this effect.</p><p><strong>Methods: </strong>A cross-sectional study was conducted in 2024 across 252 nurses who work in education and research hospitals affiliated with Health Sciences University (Türkiye). In the study, data were collected including perceptions of the nurses regarding the abusive behaviors of their superiors, their own deviant behaviors, and their thoughts regarding their self-efficacy levels. The PROCESS macro (model 1) was used to analyze the moderation model of the study.</p><p><strong>Results: </strong>Abusive supervision was found to increase interpersonal deviant behavior among nurses, as predicted. From the perspective of social exchange theory (SET), this result can be interpreted as the nurses responding to the abusive managers by disrupting their interpersonal relationships. Another finding of the current study is that self-efficacy can serve as a mitigating factor in the destructive effects that an abusive supervisor can have on her subordinates. In other words, nurses with high self-efficacy are less affected by their abusive supervisors and demonstrate lower levels of interpersonal deviance.</p><p><strong>Conclusions: </strong>Nurses who experience abusive behaviors from their managers are likely to respond with interpersonal deviant behaviors, such as being disruptive or uncooperative with colleagues. Moreover, nurses with high self-efficacy are less affected by abusive leadership and are less likely to engage in deviant behaviors. Future research could explore why nurses refrain from responding to abusive managers with organizational deviance. Investigating whether this is due to professional ethics, fear of consequences, or social learning could yield valuable insights.</p>","PeriodicalId":48580,"journal":{"name":"BMC Nursing","volume":"24 1","pages":"1212"},"PeriodicalIF":3.9,"publicationDate":"2025-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12481827/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145193677","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":"Impact of moulage-based simulation on nursing students' recognition of physical violence: a randomised controlled trial.","authors":"Suna Uysal Yalçın, Mehtap Akkoç, Tuğba Ozdemir, Yurdanur Dikmen, Merve Zehra Türkay, Nurhan Özpancar Şolpan","doi":"10.1186/s12912-025-03898-w","DOIUrl":"10.1186/s12912-025-03898-w","url":null,"abstract":"<p><strong>Background: </strong>Violence against women is a global public health and human rights issue with profound physical and psychological consequences. Simulation-based learning may help nursing students recognize signs of violence. This study examined whether physical violence indicators created on a standardized patient using moulage improve nursing students' recognition of violence and their related attitudes, knowledge, satisfaction, self-efficacy, and communication skills.</p><p><strong>Methods: </strong>A randomized controlled pretest-posttest design was conducted with 55 fourth-year nursing students allocated to a moulage group (n = 28) and a control group (n = 27). The data collection tools included the \"Demographic Information Form\", \"ISKEBE Attitude Scale for Violence Against Women,\" \"Communication Skills Assessment Form\", \"Nurses' and Midwives' Recognition of Signs of Violence Against Women Form\", \"Modified Simulation Effectiveness Tool\", \"Student Satisfaction and Self-Efficacy Scale in Learning,\" and \"Moulage Evaluation Questionnaire.\" Data analysis involved calculating frequency, mean, standard deviation, chi-square tests, the Mann-Whitney U test, and the Wilcoxon Signed Ranks Test.</p><p><strong>Results: </strong>The demographic data of the moulage and control groups were similar. Recognition of violence indicators was significantly higher in the moulage group (19.75 ± 2.78) than in the control group (16.38 ± 3.63; p < 0.05). The communication skills of the students in the moulage group had an average score of 5.35 ± 0.48 for the effective communication subscale, while the average score for the therapeutic communication subscale was 4.55 ± 2.91. Additionally, the moulage group reported greater satisfaction with current learning (51.85 ± 6.66) and higher self-efficacy (29.21 ± 4.26, p = 0.006) than the control group. The mean Modified simulation effectiveness tool score was 68.42 ± 20.87, indicating a positive perception of learning effectiveness. No significant between-group difference was found for attitudes (ISKEBE).</p><p><strong>Conclusion: </strong>Moulage-supported simulation enhanced recognition of physical violence indicators, satisfaction, self-efficacy, and communication-related outcomes. The integration of these methods is recommended in future educational programs.</p><p><strong>Clinical registration: </strong>The study is registered on ClinicalTrials.gov. ID: NCT06982017 (date: 2024-05-20).</p>","PeriodicalId":48580,"journal":{"name":"BMC Nursing","volume":"24 1","pages":"1218"},"PeriodicalIF":3.9,"publicationDate":"2025-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12482659/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145193662","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}