BMC Nursing最新文献

{"title":"Virtual simulation in nursing education: a scoping review.","authors":"Hannan Dong, Chen Zhou, Lichun Xing, Dongying Li","doi":"10.1186/s12912-026-05295-3","DOIUrl":"10.1186/s12912-026-05295-3","url":null,"abstract":"<p><strong>Background: </strong>Virtual simulation has become an increasingly used pedagogical approach in nursing education, particularly since the COVID-19 pandemic. Despite rapid uptake across diverse modalities, a comprehensive map of the evidence covering the post-pandemic surge is lacking. This scoping review systematically maps evidence on virtual simulation in nursing education, identifying technology types, educational applications, research designs, outcome measures, and knowledge gaps to inform future practice and research.</p><p><strong>Methods: </strong>A scoping review was conducted in accordance with the Joanna Briggs Institute (JBI) methodology and reported using the PRISMA-ScR checklist; the protocol was retrospectively registered on the Open Science Framework. PubMed, CINAHL (via EBSCOhost), Web of Science Core Collection, and Scopus were searched on 15 January 2026 for English-language peer-reviewed primary research published between January 2019 and December 2025. Two reviewers independently screened records and extracted data, with a third reviewer adjudicating disagreements. Findings were synthesised using descriptive statistics and descriptive categorisation of the extracted data.</p><p><strong>Results: </strong>Of 5,990 records retrieved, 198 studies were included. Publications rose sharply, increasing from two studies in 2019 to 82 in 2025, with almost two-thirds appearing in 2024-2025 (64.6%). Studies originated predominantly from South Korea (21.2%), the USA (18.7%), and China, Taiwan (11.1%). Interactive immersive virtual reality and 360-degree/180-degree video virtual reality together accounted for 63.1% of studies, followed by screen-based virtual simulation (23.7%); augmented reality accounted for a smaller share (4.0%). Quasi-experimental designs (27.8%) and randomised controlled trials (22.7%) predominated. Self-confidence/self-efficacy (44.4%), knowledge acquisition (42.4%) and satisfaction (39.4%) were the most frequently measured outcomes. Favourable findings were commonly reported for these outcomes among the included studies; however, this review did not chart the direction or magnitude of effects, and no methodological quality appraisal was undertaken.</p><p><strong>Conclusions: </strong>Virtual simulation has been implemented across a broad range of nursing education contexts, and the mapped studies predominantly reported positive learning outcomes; however, limited longitudinal follow-up, geographic concentration in East Asia, small samples, and inconsistent outcome measures constrain the evidence base and warrant standardised, multi-site 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":"2026-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13531916/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148867535","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":"Comparison of educational outcomes and factors associated with clinical decision-making ability between virtual reality and simulation-based training among undergraduate nursing students.","authors":"Minkyung Gu, Sue Young Hahm, Sohyune Sok","doi":"10.1186/s12912-026-05321-4","DOIUrl":"10.1186/s12912-026-05321-4","url":null,"abstract":"<p><strong>Background: </strong>Clinical decision-making is a core competency in nursing practice, yet opportunities for direct patient care during clinical placements have become increasingly limited. Although virtual reality (VR) and simulation-based learning (SBL) are widely used in nursing education, comparative evidence regarding their educational outcomes and predictive factors remains limited. This study compared educational outcomes between VR training and simulation-based training and identified factors associated with clinical decision-making ability among undergraduate nursing students.</p><p><strong>Methods: </strong>This comparative cross-sectional study included 272 undergraduate nursing students from nursing colleges in South Korea who completed either VR training (n = 126) or simulation-based training (n = 146). Educational outcomes including clinical decision-making ability, learning engagement, self-efficacy, nursing performance, and nursing professional self-concept were evaluated using validated self-report questionnaires. Baseline homogeneity and outcome differences between groups were analyzed using chi-square tests and independent t-tests. Simple linear regression analyses were conducted separately for each educational modality to identify predictors of clinical decision-making ability.</p><p><strong>Results: </strong>The VR group scored significantly higher than the simulation-based group in clinical decision-making ability (t = 3.47, p = 0.001), learning engagement (p = 0.005), self-efficacy (p = 0.004), nursing performance (p = 0.020), and nursing professional self-concept (p = 0.003). Simple linear regression analyses identified self-directed learning as the strongest predictor of clinical decision-making ability in the VR group (B = 8.40, p < 0.001, R² = 0.144), with class comprehension ability, living arrangement, learning engagement, self-efficacy, male gender, nursing performance, and being 23 years of age or younger also showing significant positive associations (p < 0.05). In the simulation-based group, class comprehension ability (B = 2.40, p = 0.004, R² = 0.032), self-directed learning, learning engagement, and nursing professional self-concept were significant predictors (p < 0.05).</p><p><strong>Conclusions: </strong>VR training was associated with significantly higher clinical decision-making ability and major educational outcomes compared to simulation-based training. Distinct predictive patterns emerged between modalities, with self-directed learning and class comprehension playing pivotal roles. These findings suggest that learner-centered VR education provides an immersive learning environment that effectively fosters clinical reasoning skills in undergraduate nursing education.</p><p><strong>Clinical trial number: </strong>Not applicable.</p>","PeriodicalId":48580,"journal":{"name":"BMC Nursing","volume":"25 1","pages":""},"PeriodicalIF":5.2,"publicationDate":"2026-08-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13653409/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149149305","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":"School nurses' perspectives on key features of a mobile app to support early identification of adolescent mental health problems: a qualitative study.","authors":"Elin Holmgren Celander, N Gårevik, Zarina Nahar Kabir, Lisa Ring, Lise-Lott Rydström","doi":"10.1186/s12912-026-05302-7","DOIUrl":"10.1186/s12912-026-05302-7","url":null,"abstract":"<p><strong>Background: </strong>Adolescent mental ill health is increasing globally and in Sweden, with rising levels of stress, anxiety, depression, and sleep problems. Many adolescents do not seek help due to stigma, fear of judgement, and limited mental health literacy. School nurses play a key role in early identification and preventive support. Digital tools may complement relational nursing practices and lower thresholds for help-seeking, but little is known about what features school nurses consider feasible and useful in their daily practice.</p><p><strong>Objective: </strong>To explore school nurses' perspectives on key features and content of a mobile app intended to support early identification and management of mental health problems among high school students.</p><p><strong>Methods: </strong>An exploratory qualitative study was conducted using semi-structured interviews with ten school nurses working in upper secondary schools. Interviews were held via Zoom, transcribed verbatim, and analysed using reflexive thematic analysis (RTA). COREQ guidelines informed the study's design and reporting.</p><p><strong>Results: </strong>Two overarching themes emerged. First, Fostering mental wellbeing: the school nurse as a trusted ally in a complex world highlighted how early identification often relies on relational continuity, trust, and interpretation of indirect indicators such as somatic complaints or behavioural changes. Second, Nurturing minds: the digital dance of support and solitude reflected nurses' belief that a mobile app could support time management, self-regulation, psychoeducation, and accessible communication. Feasibility, however, depended on safeguarding confidentiality, maintaining professional boundaries, preventing workload escalation, and managing the \"anonymity paradox,\" in which anonymity can both facilitate disclosure and hinder safe escalation.</p><p><strong>Conclusions: </strong>School nurses perceive that a mobile app could complement face-to-face care by supporting early identification and self-management among adolescents. Successful implementation requires aligning digital features with relational nursing practice, ensuring ethical governance, and integrating clear escalation pathways. Thoughtfully designed mHealth solutions have potential to strengthen preventive mental health support within school health services.</p><p><strong>Clinical trial number: </strong>Not applicable.</p>","PeriodicalId":48580,"journal":{"name":"BMC Nursing","volume":"25 1","pages":""},"PeriodicalIF":5.2,"publicationDate":"2026-08-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13525641/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148857814","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":"Developing a readiness evaluation framework for public hospital-led digital home nursing services in China: a Delphi-AHP study.","authors":"Yuzhe Wang, Zimin Wang, Yingchun Liu, Guiming Yan, Fang Hu, Xiaodan Wu, Tianzhi Yu","doi":"10.1186/s12912-026-05311-6","DOIUrl":"10.1186/s12912-026-05311-6","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Background: &lt;/strong&gt;Internet Plus Nursing Services have become an important public hospital-led model for extending professional nursing care from hospitals to patients' homes through digital platforms in China. Although previous studies have examined service quality, patient experience, nurse participation, and platform functions, little attention has been paid to whether public hospitals possess the system readiness required to deliver safe, sustainable, traceable, and accountable digital home nursing. This study aimed to develop a readiness evaluation framework for public hospital-led digital home nursing services and determine the relative priority of its indicators.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Methods: &lt;/strong&gt;Porter's Five Forces model was contextualized as an organizing framework for readiness domains after consideration of established health-system and implementation perspectives. An initial indicator pool was developed through literature review, policy document analysis, and preliminary expert consultation. Two rounds of Delphi consultation were conducted to refine the second- and third-level indicators. A score-informed adaptation of the analytic hierarchy process (AHP) was subsequently used to estimate indicator weights from the second-round Delphi importance scores. Expert authority, consensus, judgment-matrix consistency, and the sensitivity of the resulting priorities to small changes in the score-to-Saaty conversion boundaries were evaluated.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Results: &lt;/strong&gt;52 experts participated in the first Delphi round, and 48 completed the second round. The expert authority coefficient was 0.74. Kendall's W increased from 0.150 to 0.196 for the second-level indicators and from 0.144 to 0.205 for the third-level indicators, with all tests statistically significant (P &lt; 0.001). The final framework comprised five first-level domains, 14 second-level indicators, and 43 third-level indicators. Workforce and Digital Platform Infrastructure received the highest first-level weight (32.29%), followed by Patient Adoption, Payment, and Value Recognition (24.47%) and Operational Quality, Safety, and Accountability (18.54%). All applicable AHP judgment matrices met the consistency criterion, with CR values ranging from 0.0088 to 0.0516. Sensitivity analyses showed that small shifts in the conversion boundaries did not materially alter the overall priority structure.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Conclusions: &lt;/strong&gt;This study developed a structured readiness evaluation framework for public hospital-led digital home nursing services in China. The findings highlight workforce and digital platform infrastructure, patient adoption and payment support, and operational quality, safety, and accountability as priority readiness conditions. The framework provides a structured reference for assessing the conditions required for safe, traceable, and sustainable digital home nursing, while further validation using multicenter and real-world service data is warranted","PeriodicalId":48580,"journal":{"name":"BMC Nursing","volume":"25 1","pages":""},"PeriodicalIF":5.2,"publicationDate":"2026-08-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13589386/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149002610","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":"Determinants of gout therapy non-adherence in patients attending an Egyptian rheumatology outpatient clinic.","authors":"Samira Saad Ali, Samah Ramadan Shaheen Ibrahim, Manal Saeed Mohammed","doi":"10.1186/s12912-026-05073-1","DOIUrl":"10.1186/s12912-026-05073-1","url":null,"abstract":"<p><strong>Background: </strong>Non-adherence to urate-lowering therapy (ULT) is a significant issue in the management of gout, a prevalent form of inflammatory arthritis that adversely affects patients' quality of life and burdens healthcare systems. Although ULT is effective in reducing serum uric acid levels, many patients fail to adhere to their medication regimens. Factors contributing to this non-adherence include treatment complexity, medication costs, side effects, forgetfulness, and individual health beliefs, as well as issues related to healthcare providers such as communication and education. Understanding these barriers is crucial for developing effective nursing interventions that enhance adherence and improve patient outcomes.</p><p><strong>Aim: </strong>Identify and analyze the factors influencing patient adherence to gout therapy and explore the barriers experienced by patients in a clinical setting.</p><p><strong>Methods: </strong>A descriptive research design was utilized with a convenience sample of 150 adults aged 21-60 years diagnosed with gout, who had been prescribed urate-lowering therapy for at least three months. Data collection occurred from November 1, 2024, to March 30, 2025. Participants were required to have the capacity to provide informed consent and understand the study requirements. Individuals with comorbidities affecting medication adherence, those currently enrolled in other clinical trials, and individuals unable to provide informed consent were excluded from the study. The study employed two questionnaires: a sociodemographic and clinical data questionnaire to gather relevant participant information and Intentional Non-Adherence Scale (INAS) to assess medication adherence.</p><p><strong>Results: </strong>Approximately 60.7% of respondents indicate a low adherence level to medications, while 39.3% report a high adherence level to medications. Key factors affecting adherence include socio-demographic variables, such as higher rates among males and those aged 30-39, as well as sufficient income. In addition, the findings suggest that clinical data correlate with better adherence.</p><p><strong>Conclusion and implications: </strong>This study highlights critical socio-demographic and clinical characteristics of gout patients, emphasizing the need for enhanced public awareness campaigns, early screening programs, and targeted interventions to improve healthcare access and medication adherence among underserved populations. By addressing barriers such as medication costs and psychological factors through tailored nursing interventions and multidisciplinary collaboration, we can significantly enhance patient outcomes and quality of life for individuals living with gout.</p>","PeriodicalId":48580,"journal":{"name":"BMC Nursing","volume":"25 1","pages":""},"PeriodicalIF":5.2,"publicationDate":"2026-08-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13528100/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148867431","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Latent profiles and influencing factors of missed nursing care among ICU nurses.","authors":"Xiangyue Liu, Xue Deng, Bo He, Wenling Tian, Lin Cui, Dongfa Liao, Dongwen Li, Jing Cui, Ye Bi, Qian Tan","doi":"10.1186/s12912-026-05308-1","DOIUrl":"10.1186/s12912-026-05308-1","url":null,"abstract":"<p><strong>Background: </strong>Missed nursing care (MNC) is common in intensive care units (ICUs) and seriously threatens patient safety. Most existing studies treat ICU nurses as a homogeneous group, overlooking within-group heterogeneity. Based on the Job Demands-Resources model, this study aimed to identify latent profiles of missed nursing care among ICU nurses and examine their influencing factors.</p><p><strong>Methods: </strong>A cross-sectional study was conducted from November 30, 2025, to March 31, 2026. A convenience sample of 332 ICU nurses was recruited from five tertiary Grade A hospitals in Sichuan, China. Data were collected using the Missed Nursing Care Scale, Moral Sensitivity Questionnaire, and Perceived Organizational Support Questionnaire. Latent profile analysis, correlation analysis, hierarchical regression, and multinomial logistic regression were used for analysis.</p><p><strong>Results: </strong>The overall score of missed nursing care was 67.54 ± 21.33. Three subgroups were identified: low (56.63%), moderate (28.31%), and high (15.06%) missed nursing care. The high group had the highest missed care scores and the lowest perceived organizational support, while the low group had the highest moral sensitivity and the highest proportion of ICU specialist nurses. The pattern of missed nursing care differed across profiles: the low group mainly reported omissions in supportive nursing activities, the moderate group showed additional deficits in care planning, and the high group demonstrated omissions in core clinical care activities, including sedation and analgesia management. The total moral sensitivity score was negatively associated with missed nursing care overall, and this association was significant only in the low MNC subgroup. Lower perceived organizational support was associated with membership in the high MNC group relative to the moderate group. Hierarchical regression identified monthly overtime, dissatisfaction with human resource allocation and communication climate, ICU specialist nurse qualification, moral sensitivity, and perceived organizational support as factors associated with missed nursing care.</p><p><strong>Conclusions: </strong>Missed nursing care among ICU nurses shows clear heterogeneity and can be divided into three subgroups. The associations of moral sensitivity and organizational support might be context-dependent. Stratified interventions tailored to subgroup characteristics may help address missed nursing care, though their effectiveness requires testing in future studies.</p><p><strong>Trial registration: </strong>Not applicable (this study is an observational study, not a randomized controlled trial).</p><p><strong>Clinical trial number: </strong>Not applicable.</p>","PeriodicalId":48580,"journal":{"name":"BMC Nursing","volume":"25 1","pages":""},"PeriodicalIF":5.2,"publicationDate":"2026-08-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13681808/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149225316","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":"Ethical challenges in medical error disclosure among healthcare professionals in teaching hospitals: a qualitative study.","authors":"Masoumeh Fuladvandi, Leila Malekyan, Parvane Hamidian","doi":"10.1186/s12912-026-05257-9","DOIUrl":"10.1186/s12912-026-05257-9","url":null,"abstract":"<p><strong>Background: </strong>Medical error disclosure is a fundamental component of patient safety and professional ethics in healthcare systems; however, in practice, it is frequently influenced by individual, organizational, and contextual factors. Although international research has examined issues such as blame culture and psychological safety, an in-depth qualitative understanding of the ethical challenges surrounding medical error disclosure in Iranian teaching hospitals remains limited.</p><p><strong>Purpose: </strong>This study aimed to explore the ethical challenges of medical error disclosure among healthcare professionals working in Iranian teaching hospitals.</p><p><strong>Methods: </strong>This qualitative study using an inductive qualitative content analysis approach was conducted in 2025 in teaching hospitals affiliated with Bam University of Medical Sciences. Sixteen healthcare professionals were selected through purposive sampling with maximum variation. Data were collected through in-depth semi-structured interviews and analyzed concurrently using the qualitative content analysis approach of Graneheim and Lundman.</p><p><strong>Findings: </strong>Data analysis yielded five main themes and 20 categories: conflict between ethical commitment to honesty and perceived organizational insecurity; blame-oriented organizational responses and the suppression of learning; selective concealment and informal management of errors as protective responses; psychological and moral burden following error experiences; and structural and relational conditions shaping error disclosure. Overall, participants described error disclosure as a context-dependent ethical process shaped by the interaction of professional commitment, organizational insecurity, managerial responses, and broader structural conditions.</p><p><strong>Conclusion: </strong>Medical error disclosure emerged as a complex, context-dependent ethical process embedded within organizational and relational contexts rather than an isolated individual decision. The findings highlight the importance of fostering Just Culture and psychological safety to support transparent error disclosure and organizational learning in Iranian teaching hospitals.</p>","PeriodicalId":48580,"journal":{"name":"BMC Nursing","volume":"25 1","pages":""},"PeriodicalIF":5.2,"publicationDate":"2026-08-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13651162/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149138875","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":"Nurse-led behavioural support for lifestyle self-management in adults with type 2 diabetes mellitus: an integrative review.","authors":"Mingyang Han, YanLing Pei","doi":"10.1186/s12912-026-05304-5","DOIUrl":"10.1186/s12912-026-05304-5","url":null,"abstract":"<p><strong>Background: </strong>Type 2 diabetes mellitus (T2DM) requires sustained self-management across diet, physical activity, body weight, glucose monitoring, and medication-taking behaviours. Although lifestyle recommendations are central to diabetes care, patients often need professional support to translate advice into feasible, culturally acceptable, and safe daily routines.</p><p><strong>Aim: </strong>To synthesize evidence on lifestyle interventions and nurse-led behavioural support for adults with T2DM, and to clarify implications for nursing self-management support and service delivery.</p><p><strong>Methods: </strong>An integrative review with narrative synthesis was conducted. We searched Embase, the Cochrane Library, Scopus, Web of Science, WanFang Data, VIP, PubMed, and CINAHL for literature published between 2006 and 2026. To strengthen currency and nursing relevance, we added high-relevance, peer-reviewed studies on nurse-led education, behavioural coaching, medication adherence, technology-enabled support, and self-management. Twenty articles were included, comprising randomized and quasi-experimental studies, systematic reviews and meta-analyses, narrative reviews, position statements, and analytic studies. Data were summarized using inductive content analysis and appraised narratively for methodological clarity, relevance, and nursing implications; no design-specific formal risk-of-bias assessment, GRADE assessment, or quantitative synthesis was undertaken.</p><p><strong>Results: </strong>Four interrelated themes were identified: physical activity and dietary habits; weight management and obesity control; structured patient education, behavioural coaching and empowerment; and medication-related support, glucose-monitoring guidance and technology-enabled follow-up. Lifestyle interventions provided the behavioural foundation for T2DM management. Nurse-led support may strengthen implementation by helping patients set realistic goals, interpret glucose data, address medication concerns, adapt recommendations to cultural and family routines, and maintain follow-up contact.</p><p><strong>Conclusion: </strong>This integrative synthesis suggests that structured lifestyle interventions and nurse-led behavioural support may be useful complementary components of T2DM care. Nurses may help translate lifestyle recommendations into feasible self-management routines, but the review does not establish comparative effectiveness or superiority over other delivery models. Findings should therefore inform practice-oriented nursing support rather than be interpreted as a graded clinical recommendation.</p>","PeriodicalId":48580,"journal":{"name":"BMC Nursing","volume":"25 1","pages":""},"PeriodicalIF":5.2,"publicationDate":"2026-08-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13579771/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148978563","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 scoping review of virtual reality technology utilization in patients with colorectal cancer.","authors":"Yiyun Huang, Zhoumin Shen, Juan Tan, Yin Hu, Miyao Wu, Pengpeng Gao, Feilan Jiang, Hongdan Jiang","doi":"10.1186/s12912-026-05187-6","DOIUrl":"10.1186/s12912-026-05187-6","url":null,"abstract":"<p><strong>Background: </strong>Virtual reality (VR) technology has shown promise in supporting colorectal cancer (CRC) patients throughout their care journey; however, the evidence concerning its specific applications, intervention characteristics, and clinical outcomes remains scattered. This scoping review aims to systematically map the application domains, intervention features, implementation effects, and current challenges of VR in CRC patients, thereby providing an evidence base for nursing practice and the development of personalised rehabilitation programmes.</p><p><strong>Methods: </strong>Following the Joanna Briggs Institute (JBI) methodological framework for scoping reviews, we systematically searched eight databases (CNKI, Wanfang Data, VIP, Web of Science, Embase, PubMed, CINAHL, and Cochrane Library) from their inception to January 26, 2026. Original studies that applied VR technology to patients with colorectal cancer were included. Two independent reviewers performed study selection, data extraction, and analysis.</p><p><strong>Results: </strong>Seven studies published between 2021 and 2025, involving a total of 388 participants, were included: 4 randomised controlled trials, 2 pilot studies, and 1 mixed-methods study. VR applications covered preoperative education, postoperative rehabilitation, chemotherapy management, and palliative support. Intervention types included immersive relaxation/meditation training, VR health education, VR rehabilitation training (interactive exergaming), and multisensory VR simulation. Session durations ranged from 7 to 30 minutes, with frequencies from a single session to twice daily; most intervention periods were single-session or aligned with hospitalisation/chemotherapy cycles. Six studies reported that VR reduced anxiety or improved emotional state, four noted improvements in physiological parameters, and two reported enhanced comprehension of surgical procedures. No serious adverse events were documented; only three mild cases of motion sickness were reported among the 388 participants (0.77%), indicating a low overall incidence of VR-related discomfort.</p><p><strong>Conclusion: </strong>The findings suggest that VR interventions may offer tentative indications of benefit in alleviating anxiety and improving mood among CRC patients. The available data also provide preliminary safety evidence, with only two mild motion sickness cases reported. However, given the limited and highly heterogeneous evidence base (n=7 studies; N=388 participants), these observations must be construed as strictly hypothesis‑generating rather than practice‑changing. Definitive conclusions regarding clinical efficacy and safety necessitate validation through large‑scale, adequately powered randomised controlled trials with standardised protocols.</p>","PeriodicalId":48580,"journal":{"name":"BMC Nursing","volume":"25 1","pages":""},"PeriodicalIF":5.2,"publicationDate":"2026-08-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13584266/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148983869","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Latent profiles and network characteristics of perceived patient safety culture among emergency and critical care nurses: a multicenter cross-sectional study.","authors":"Fanfan Lv, Li Ke, Min Zhang, Na Wang, Jia Jia","doi":"10.1186/s12912-026-05286-4","DOIUrl":"10.1186/s12912-026-05286-4","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Aim: &lt;/strong&gt;To identify latent profiles of perceived patient safety culture and examine associations among patient safety culture, missed nursing care and nurses' physical and mental health within the identified profiles.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Background: &lt;/strong&gt;Patient safety culture is a key organizational condition for safe nursing care. Emergency and critical care nurses practice in settings characterized by high clinical complexity, rapid decision-making, and substantial safety demands. Examining variations in their perceptions and associated occupational and health-related factors may inform safety management.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Design: &lt;/strong&gt;A multicenter cross-sectional study.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Methods: &lt;/strong&gt;From January to August 2025, 3,351 emergency and critical care nurses from 22 tertiary hospitals in Hubei Province, China, were included. The Hospital Survey on Patient Safety Culture Version 2.0, Missed Nursing Care Survey, and 12-Item Short Form Health Survey were administered. Latent profile analysis was conducted using the nine patient safety culture dimension scores. An Mplus three-step multinomial logistic regression procedure examined characteristics associated with profile membership while accounting for classification error. Profile-specific network analyses examined conditional associations among patient safety culture, missed nursing care, and physical and mental health among nurses assigned to each profile based on their highest posterior membership probability.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Results: &lt;/strong&gt;Three ordered profiles of perceived patient safety culture were identified: low (n = 778, 23.2%), moderate (n = 1,192, 35.6%) and high (n = 1,381, 41.2%). The profiles differed primarily in their overall levels across the nine dimensions. Compared with the high profile, membership in the low or moderate profiles was associated with poorer sleep quality, less favourable ratings of the nursing practice environment, poorer perceived nursing care quality, higher missed nursing care scores and poorer physical and mental health. The exploratory profile-specific network analyses indicated variation in conditional association patterns among nurses assigned to the three profiles. Emotional role functioning showed the highest overall connectedness in the low-profile network, whereas physical role functioning showed the highest overall connectedness in the moderate- and high-profile networks. The highest positive cross-domain connectedness was observed for organisational support for patient safety in the low profile, staffing and work pace in the moderate profile and mental health in the high profile. Missed nursing care showed net negative cross-domain connectedness in all three networks.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Conclusions: &lt;/strong&gt;Perceptions of patient safety culture were represented by an ordered low-to-high gradient rather than qualitatively distinct configurations. The observed profile associations and profile-specific network patterns are c","PeriodicalId":48580,"journal":{"name":"BMC Nursing","volume":"25 1","pages":""},"PeriodicalIF":5.2,"publicationDate":"2026-08-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13504796/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148814533","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}