BMC Nursing最新文献

{"title":"Enhancing outcomes in type 2 diabetes: the role of psychological interventions within multidisciplinary rehabilitation care.","authors":"Xueqin Lu, Haojin Yang, Xiaoyun Ying, Sisi Lin","doi":"10.1186/s12912-025-03877-1","DOIUrl":"10.1186/s12912-025-03877-1","url":null,"abstract":"","PeriodicalId":48580,"journal":{"name":"BMC Nursing","volume":"24 1","pages":"1221"},"PeriodicalIF":3.9,"publicationDate":"2025-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12482004/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145193610","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 profile analysis of nurses' knowledge, attitudes, and practices regarding pressure injury prevention: a multicenter large-sample study.","authors":"Caili Li, Xiaoqian Lu, Liyan Zhang, Xiuju Huang, Pinyue Tao, Xiao Pan, Hong Li, Tian Tian, Yanfei Pan, Qini Pan, Dongmei Huang, Dandan Han, Huiqiao Huang","doi":"10.1186/s12912-025-03875-3","DOIUrl":"10.1186/s12912-025-03875-3","url":null,"abstract":"<p><strong>Background: </strong>This study aimed to analyze latent profiles and characteristics of nurses' knowledge, attitudes, and practices (KAP) regarding pressure injury (PI) prevention, as well as influencing factors across distinct profiles.</p><p><strong>Methods: </strong>A convenience sampling method was employed to recruit nurses from hospitals at various tiers in Guangxi Zhuang Autonomous Region between July and August 2024. Data were collected using a General Information Questionnaire and a Nurse PI-KAP Questionnaire. Latent profile analysis (LPA) identified distinct PI-KAP profiles, while univariate analysis and multinomial logistic regression determined profile-specific influencing factors.</p><p><strong>Results: </strong>Among 17,253 enrolled nurses, the total PI-KAP score was 63.44 ± 7.69. Three latent profiles emerged: low-level PI-KAP (12.82%), moderate-level PI-KAP (52.23%), and high-level PI-KAP (34.95%). Multinomial logistic regression revealed that hospital tier, years of experience, education level, professional title, gender, and attitudes toward PI training significantly influenced PI-KAP profiles (p < .05).</p><p><strong>Conclusion: </strong>Heterogeneity exists in nurses' PI-KAP profiles, with a substantial proportion demonstrating suboptimal competency. Nursing administrators should establish hierarchical training systems tailored to PI-KAP characteristics. Capacity-building strategies include prioritizing training for core nurses, optimizing resource allocation, and establishing tiered hospital assistance mechanisms to enhance team-based PI prevention capabilities.</p><p><strong>Clinical trial number: </strong>Not applicable.</p>","PeriodicalId":48580,"journal":{"name":"BMC Nursing","volume":"24 1","pages":"1213"},"PeriodicalIF":3.9,"publicationDate":"2025-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12482050/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145193580","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":"Effect of narrative nursing on treatment adherence and self-management in elderly patients with diabetes: a randomized controlled trial.","authors":"Weiwei Sha, Hongying Pi","doi":"10.1186/s12912-025-03846-8","DOIUrl":"10.1186/s12912-025-03846-8","url":null,"abstract":"<p><strong>Objective: </strong>To explore the influence of the narrative nursing model on medication and dietary compliance in elderly patients with diabetes mellitus (DM).</p><p><strong>Methods: </strong>A total of 84 elderly patients with DM admitted to the hospital between January 2022 and January 2023 were randomly assigned to either the control group or observation group, with 42 patients in each group. The control group received standard nursing care for elderly patients with DM, while patients in the observation group received care based on the narrative nursing model. Outcomes compared between the two groups included medication compliance (assessed by the Adherence to Refills and Medications Scale [ARMS] and the Self-Efficacy for Appropriate Medication Use Scale [SEAMS]), dietary behavior compliance, self-management behavior (measured by the Diabetes Self-Management Behavior for Older Adults Scale [DSMB-FOK]), fear of disease progression (assessed by the Fear of Progression Questionnaire-Short Form [FOP-Q-SF]), and the incidence of nursing-related adverse events.</p><p><strong>Results: </strong>Patients in the observation group had significantly higher scores following treatment in SEAMS, dietary compliance, and DSMB-FOK compared to those in the control group. Conversely, ARMS and FOP-Q-SF scores, as well as the incidence of nursing-related adverse events (2.38%), were significantly lower in the observation group than in the control group (21.43%) (P < 0.05).</p><p><strong>Conclusion: </strong>The narrative nursing model significantly improves medication and dietary compliance, enhances self-management behavior, reduces fear of disease progression, and lowers the occurrence of nursing-related risk events in elderly patients with DM.</p><p><strong>Relevance for clinical practice: </strong>This study provided evidence supporting the effectiveness of the narrative nursing model in enhancing rational medication use and dietary adherence among elderly diabetic patients. It also presented a basis for incorporating narrative nursing into clinical practice to reduce the incidence of adverse events and strengthen comprehensive diabetes management in elderly populations.</p><p><strong>Clinical trial number: </strong>Not applicable.</p>","PeriodicalId":48580,"journal":{"name":"BMC Nursing","volume":"24 1","pages":"1211"},"PeriodicalIF":3.9,"publicationDate":"2025-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12482785/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145193622","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 qualitative study of treatment adherence from the perspective of nurses and patients following acute coronary syndrome.","authors":"Amineh Rashidi, Lisa Whitehead, Lisa Newson, Andrea Connolly, Suzanne Robinson, Prachi Kaistha, Mark Makokha, Rebecca Larsen, Rosemary Saunders","doi":"10.1186/s12912-025-03469-z","DOIUrl":"10.1186/s12912-025-03469-z","url":null,"abstract":"<p><strong>Aim: </strong>To gain an understanding of potential aspects influencing treatment adherence for patients with acute coronary syndrome.</p><p><strong>Design: </strong>A qualitative deductive approach.</p><p><strong>Methods: </strong>Patient and nurse participants were recruited from a single hospital in Australia, who participated in a semi-structured interview. Data were analysed using a deductive thematic analysis.</p><p><strong>Results: </strong>Fifteen patients with acute coronary syndrome and 13 registered nurses participated in the study. Potential aspects influencing treatment adherence included perceived risk, perceived benefits, perceived barriers, self-efficacy, and cues to action.</p><p><strong>Conclusion: </strong>This study provides insights into the limited evidence into understanding the aspects that influence treatment adherence for acute coronary syndrome from both the patient and the nurse perspective. This is important given the continuing low rate of treatment adherence among patients with acute coronary syndrome. Future studies are recommended to consider patients' perceived benefits, barriers, and cues to action that target increased treatment adherence for this population.</p><p><strong>Clinical trial number: </strong>Not applicable.</p>","PeriodicalId":48580,"journal":{"name":"BMC Nursing","volume":"24 1","pages":"1203"},"PeriodicalIF":3.9,"publicationDate":"2025-09-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12465365/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145179314","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 Iranian critical care nurses' initiation of resuscitation decisions: a qualitative study.","authors":"Golshan Moghbeli, Fariborz Roshangar, Amin Soheili, Fazlollah Ahmadi, Hossein Feizollahzadeh, Hadi Hassankhani","doi":"10.1186/s12912-025-03816-0","DOIUrl":"10.1186/s12912-025-03816-0","url":null,"abstract":"","PeriodicalId":48580,"journal":{"name":"BMC Nursing","volume":"24 1","pages":"1194"},"PeriodicalIF":3.9,"publicationDate":"2025-09-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12465769/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145179318","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":"Operating room nurses' experiences of maintaining sterile technique: a qualitative study.","authors":"Nurten Taşdemir, Dilek Yildirim Tank","doi":"10.1186/s12912-025-03834-y","DOIUrl":"10.1186/s12912-025-03834-y","url":null,"abstract":"<p><strong>Background: </strong>Operating room nurses play a crucial role in maintaining sterile technique to prevent surgical site infections and ensure patient safety. Despite guidelines in place, challenges persist in maintaining sterility due to systemic issues and interpersonal dynamics. This study aims to explore the experiences of OR nurses in maintaining sterile technique, focusing on the challenges they face, the emotional burden they experience, the dynamics of teamwork, and recommendations for improving practice.</p><p><strong>Methods: </strong>A qualitative descriptive study using semi-structured interviews was conducted with twelve OR nurses from a university hospital in Turkey. Data were collected between May 5 and 9, 2023, through in-depth, face-to-face interviews, which were transcribed verbatim and analysed using a content analysis approach.</p><p><strong>Findings: </strong>Analysis of interviews with 12 operating room (OR) nurses produced four main themes and eleven subthemes. General Chaos and Systemic Challenges reflected barriers such as rushed scheduling, excessive OR traffic, technical limitations, and staff shortages, all of which compromised sterility. Teamwork Challenges and Interpersonal Dynamics highlighted protocol non-compliance, inadequate training of novice staff, communication breakdowns, and a lack of respect from some surgeons. The Emotional Burden theme described nurses' experiences of persistent stress, anxiety, helplessness, and a strong sense of moral responsibility for patient safety. Finally, Training and Staff Selection captured participants' recommendations.</p><p><strong>Conclusion: </strong>OR nurses face significant challenges in maintaining sterile technique, influenced by organisational inefficiencies, interpersonal conflicts, and emotional stress. To enhance practice, support systems, communication protocols, and structured training programs must be improved. Recommendations include implementing structured training programs, enhancing communication protocols, and selecting appropriate personnel to ensure effective sterile technique maintenance in the OR.</p>","PeriodicalId":48580,"journal":{"name":"BMC Nursing","volume":"24 1","pages":"1184"},"PeriodicalIF":3.9,"publicationDate":"2025-09-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12465459/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145179407","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":"Nurses' perspectives on the implementation of patient-reported outcomes: a descriptive qualitative study.","authors":"Yu Min Zhang, Yang Yang Wang, Yu Liu, Chen Chen Zhong, Min Zhou, Li Chen, San Lan Guo","doi":"10.1186/s12912-025-03847-7","DOIUrl":"10.1186/s12912-025-03847-7","url":null,"abstract":"","PeriodicalId":48580,"journal":{"name":"BMC Nursing","volume":"24 1","pages":"1186"},"PeriodicalIF":3.9,"publicationDate":"2025-09-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12465861/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145179414","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":"Empowering informal caregivers of patients with musculoskeletal disorders: a randomized controlled trial of a structured home-based exercise intervention in a resource-limited Chinese community.","authors":"Jinming Sun, Xiaoya Li, Yanbin Cheng, Hui Liu, Xiaoyin Tian, Peirong Liang, Haifei Wang","doi":"10.1186/s12912-025-03881-5","DOIUrl":"10.1186/s12912-025-03881-5","url":null,"abstract":"","PeriodicalId":48580,"journal":{"name":"BMC Nursing","volume":"24 1","pages":"1207"},"PeriodicalIF":3.9,"publicationDate":"2025-09-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12465894/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145179360","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 evaluation of the person-centred climate questionnaire - staff version.","authors":"Furkan Cihat Arici, Arzu Kader Harmanci Seren, David Edvardsson","doi":"10.1186/s12912-025-03861-9","DOIUrl":"10.1186/s12912-025-03861-9","url":null,"abstract":"<p><strong>Background: </strong>Valid and reliable instruments are needed to assess person-centredness that serve as quality care indicators. Person-Centred Climate Questionnaire - staff version is an interculturally used tool to evaluate person-centredness in clinical settings. This study aimed to examine the psychometrics of the tool in the Turkish language.</p><p><strong>Methods: </strong>This was a methodological study involving a sample of 140 nurses. One of the researchers collected data using the Turkish version of the questionnaire-staff version in a private hospital in Istanbul. After performing the language validity steps, the researchers analysed the content validity ratios of the items and the questionnaire's content validity index, and they performed exploratory and confirmatory factor analysis to validate the construct. The internal consistency of the subdimensions and the questionnaire was determined utilising a Cronbach's Alpha test.</p><p><strong>Results: </strong>The content validity ratios of the items ranged from 0.84 to 1, and the correlation coefficients ranged from 0.50 to 0.69. The three-factor structure accounted for 70.40% of the total variance. The items' standardised factor loads were between 0.501 and 1.140. The Cronbach's alpha consistency value was 0.90.</p><p><strong>Conclusion: </strong>The staff version of the questionnaire is an adequately valid and reliable instrument in the Turkish language.</p>","PeriodicalId":48580,"journal":{"name":"BMC Nursing","volume":"24 1","pages":"1198"},"PeriodicalIF":3.9,"publicationDate":"2025-09-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12466071/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145179434","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 intensive care unit nurses in providing end-of-life care in public hospitals: a phenomenological study.","authors":"Abie Aschale, Teshome Gishu, Samson Mengist, Mekonnen Tsehay","doi":"10.1186/s12912-025-03849-5","DOIUrl":"10.1186/s12912-025-03849-5","url":null,"abstract":"","PeriodicalId":48580,"journal":{"name":"BMC Nursing","volume":"24 1","pages":"1185"},"PeriodicalIF":3.9,"publicationDate":"2025-09-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12465209/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145179296","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}