BMC Nursing最新文献

{"title":"Development of a core competency evaluation indicator system for weight management nurses: a Delphi and analytic hierarchy process study.","authors":"Liang Wang, Hao Yang, Yan Zhang, Xiwei Wang, Xinyuan Qi, Siyi Zhang, Li Gou","doi":"10.1186/s12912-026-05273-9","DOIUrl":"https://doi.org/10.1186/s12912-026-05273-9","url":null,"abstract":"<p><strong>Background: </strong>Weight management services increasingly require nurses to contribute to risk assessment, behavioural support, multidisciplinary coordination and long-term follow-up. However, there is limited consensus on the competencies required for nurses working in this emerging field. This study aimed to develop an evaluation indicator system for the core competencies of weight management nurses.</p><p><strong>Methods: </strong>A methodological study was conducted using semi-structured interviews, grounded theory coding, two rounds of Delphi consultation and the analytic hierarchy process. An initial indicator pool was developed from interviews with 20 weight management professionals and literature review. From April to June 2026, 18 experts in clinical nursing, nursing management, nursing education, clinical medicine and health management rated the importance of the indicators. Indicator screening was based on the mean importance score, coefficient of variation and expert comments. Expert consensus was evaluated using the coefficient of variation and Kendall's coefficient of concordance, and indicator weights were determined using the analytic hierarchy process (AHP).</p><p><strong>Results: </strong>The valid response rate was 100.0% in both Delphi rounds, and the expert authority coefficient was 0.843. Kendall's coefficients of concordance for first-, second- and third-level indicators were 0.229, 0.183 and 0.139 in the first round and 0.241, 0.196 and 0.171 in the second round, respectively; all were statistically significant. In the second round, the coefficients of variation for all indicators were less than 0.25. The final system included 5 first-level, 21 second-level and 62 third-level indicators. The first-level weights were intervention implementation (0.211), knowledge integration (0.206), professional motivation (0.203), multidisciplinary coordination (0.198) and professional development (0.183).</p><p><strong>Conclusions: </strong>The indicator system provides a structured framework for competency-based training, selection and evaluation of weight management nurses. Further validation in different healthcare settings is needed before broad application.</p>","PeriodicalId":48580,"journal":{"name":"BMC Nursing","volume":"25 1","pages":""},"PeriodicalIF":5.2,"publicationDate":"2026-08-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13628801/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149116998","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":"Enhancing geriatric perioperative care competencies through structured, geriatric-focused clinical rounds for operating room nursing students: a quasi-experimental study.","authors":"Leila Sadati, Sahar Karami, Nasser Hassaninia, Farimah Shahraki","doi":"10.1186/s12912-026-05248-w","DOIUrl":"10.1186/s12912-026-05248-w","url":null,"abstract":"<p><strong>Background: </strong>The growing number of older adults undergoing surgery highlights the need for strengthened geriatric competencies among operating room (OR) nursing students. Despite this demand, geriatric-focused perioperative training remains limited in OR curricula. This study examined the effectiveness of structured, geriatric-focused clinical rounds in enhancing OR nursing students' theoretical knowledge and self-reported clinical performance in perioperative care for older adults.</p><p><strong>Methods: </strong>A quasi-experimental study was conducted among 64 OR nursing students allocated by clinical rotation schedule to an intervention group (n = 30) or a control group (n = 34). The intervention group participated in 15 structured geriatric clinical rounds based on a six-step educational framework, while the control group received routine clinical training. Pre- and post-intervention assessments measured geriatric perioperative knowledge and self-reported clinical performance. Data were analysed using paired t-tests, independent t-tests, chi-square tests, and analysis of covariance (ANCOVA) adjusting for baseline values.</p><p><strong>Results: </strong>The intervention group showed substantially greater improvement in knowledge scores than the control group (mean change + 9.34 vs. +1.73; p < 0.001). Self-reported clinical performance also increased more in the intervention group (mean change + 17.43 vs. +0.61), with ANCOVA confirming a significant between-group association (F = 9.01, p = 0.004). Older age and living with older adult family members were associated with greater gains.</p><p><strong>Conclusion: </strong>Structured geriatric-focused clinical rounds were associated with notable improvements in OR nursing students' knowledge and self-reported perioperative performance. Because the design was quasi-experimental, these findings should be interpreted as educational associations rather than causal effects. Integrating this strategy into OR nursing curricula may enhance preparedness for age-sensitive perioperative care. Further research with larger samples and objective assessments is recommended.</p><p><strong>Clinical trial number: </strong>Not applicable; as a non-randomised educational intervention, the study did not meet the criteria for clinical-trial registration.</p>","PeriodicalId":48580,"journal":{"name":"BMC Nursing","volume":"25 1","pages":""},"PeriodicalIF":5.2,"publicationDate":"2026-08-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13584469/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148983853","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":"Inpatient ward nurses' perceptions of extended visiting hours in a Singapore tertiary acute hospital: a repeated cross-sectional mixed-methods study.","authors":"Kai Yunn Teo, Sook Han Kan, Long Xia Yuan, Patricia Yueh Li Yong, Jade Gaik Nai Ng","doi":"10.1186/s12912-026-05270-y","DOIUrl":"10.1186/s12912-026-05270-y","url":null,"abstract":"<p><strong>Background: </strong>Extended family visiting hours may support person- and family-centred care but can increase operational burden for ward nurses. The relevant operational domains include noise and rest, procedure timing and ward routines, family interactions and communication, infection control, ward space and workflow, care quality and coordination, and stress and workload. Evidence on how nurses' perceptions across these domains evolve during implementation remains limited.</p><p><strong>Methods: </strong>We conducted a repeated cross-sectional, quantitatively dominant mixed-methods study using two anonymous hospital-wide surveys: Wave 1 (16-30 March 2025) and Wave 2 (30 March-15 April 2026). The analytic samples comprised 268 and 338 nursing respondents. Thirteen de novo items derived from operational monitoring objectives were compared using Pearson chi-square tests with Benjamini-Hochberg false-discovery-rate correction; binary logistic regression estimated the odds of reporting 'Worsened'. Brief free-text comments underwent structured descriptive content analysis, with operational themes stratified by the common general-suggestions prompt and the Wave-2-only problem-focused prompt.</p><p><strong>Results: </strong>Based on human-resources-confirmed inpatient ward nurse denominators (2,625 and 2,792), response rates were 10.2% and 12.1%. Response distributions were more favourable in Wave 2 for 12 of 13 shared items after false-discovery-rate correction (q < 0.05; odds ratios for 'Worsened' 0.33-0.57). Infection control was the sole estimate compatible with no cross-wave difference (OR 0.92, 95% CI 0.67-1.27), while 46.2% still rated it 'Worsened' in Wave 2. Workload (43.2%), ward space (48.8%), noise (39.3%), and workflow (34.0%) also remained substantial burdens. Prompt-stratified free text described relational benefits alongside persistent interruptions, infection-control monitoring, noise/rest concerns, and variable caregiver participation.</p><p><strong>Conclusions: </strong>Nursing respondents reported more favourable perceptions in Wave 2 across most domains, particularly relational and communication domains, but the anonymous repeated cross-sectional design cannot distinguish adaptation from differences in respondent composition. The combined pattern is most consistent with partial adaptation rather than full normalisation. Persistent infection-control, workload, noise, and space burdens indicate priorities for structural support and prospective evaluation.</p><p><strong>Trial registration: </strong>Not applicable.</p>","PeriodicalId":48580,"journal":{"name":"BMC Nursing","volume":"25 1","pages":""},"PeriodicalIF":5.2,"publicationDate":"2026-08-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13563986/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148931616","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":"Relationships between nurse-patient assignment, perceived nursing workload, and missed care among intensive care unit nurses: a cross-sectional study.","authors":"Shin-Ae Kim, Hyunjeong Kwon","doi":"10.1186/s12912-026-05231-5","DOIUrl":"10.1186/s12912-026-05231-5","url":null,"abstract":"<p><strong>Background: </strong>Missed care is a key indicator of nursing care quality and has been associated with nursing workload. However, little is known about whether nursing workload affects specific nursing activities in intensive care units (ICUs). This study examined the association between nurse-patient assignment and perceived nursing workload among ICU nurses and investigated the associations between perceived workload and missed care activities.</p><p><strong>Methods: </strong>This cross-sectional study analyzed survey data collected between June 27 and November 13, 2025, from 155 nurses working in adult ICUs in South Korea. Nurse-patient assignment was assessed using the number of assigned patients and satisfaction with assignments. Perceived workload was measured using the National Aeronautics and Space Administration Task Load Index, and missed care was measured using the revised MISSCARE Survey. Missed care activities were classified into five domains, comprising four direct care domains and one indirect domain, with a total of 25 individual activities. Multivariable linear regression analyses examined associations among assignment, perceived workload, and overall and domain-specific missed care. Multivariable logistic regression analyses examined associations between perceived workload and individual missed care activities.</p><p><strong>Results: </strong>Nurses were assigned an average of 2.0 patients, and the mean overall nursing workload score was 61.9 out of 100. Nurses assigned two patients reported higher perceived workload than those assigned one; however, nurses assigned three or more patients did not report higher workload than those assigned one. Perceived workload was not associated with overall missed care or any missed care domain. Among the individual missed care activities, higher workload was associated only with increased odds of missing \"Full documentation of all necessary data\" (odds ratio = 1.04, 95% confidence interval = 1.01-1.07).</p><p><strong>Conclusions: </strong>Perceived workload did not increase consistently with the number of patients per nurse and was not associated with overall missed care. However, higher workload was associated with a small increase in the odds of missed documentation in item-level analyses. These findings suggest that examining individual nursing activities improves understanding of workload-related missed care.</p>","PeriodicalId":48580,"journal":{"name":"BMC Nursing","volume":"25 1","pages":""},"PeriodicalIF":5.2,"publicationDate":"2026-08-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13563827/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148931784","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":"\"It's going to be a glass of wine shift:\" a qualitative exploration of alcohol cultures in nursing in Australia.","authors":"Adam Searby, Dianna Burr, Louise Alexander","doi":"10.1186/s12912-026-05245-z","DOIUrl":"10.1186/s12912-026-05245-z","url":null,"abstract":"<p><strong>Introduction: </strong>Alcohol use is prevalent among nurses, with previous studies describing high levels of risky or hazardous alcohol consumption among this occupational group. Drinking cultures, defined as the patterns, norms and values that exist within a subgroup within society, have been shown to influence alcohol consumption among occupational groups. The aim of this paper is to explore alcohol cultures in nursing in Australia, by applying the Alcohol Cultures Framework to two qualitative datasets.</p><p><strong>Methods: </strong>Secondary, framework-driven analysis of two qualitative datasets of interviews with nurses, one collected in 2021 with 42 participants, and one collected in 2023/2024 with 55 participants. Structural coding was used to analyse data according to the Alcohol Cultures Framework.</p><p><strong>Results: </strong>Participants described an alcohol culture that was anchored in ideas of being able to handle any eventuality arising in their nursing role, which created stress. Participants described conversations around the use of alcohol to ameliorate this stress as normalised in their workplace, particularly in response to critical incidents; in these instances, alcohol was often considered the \"go-to.\" Drinking cultures were also described as being positively encouraged, with beliefs that alcohol consumption was part of the nursing identity.</p><p><strong>Discussion and conclusions: </strong>In this paper, we have explored the concept of the alcohol culture among nurses, finding alcohol consumption normalised and expected in some environments, particularly in the context of critical and stressful incidents. Nurses need to be provided education into their role and how it may result in harmful alcohol consumption, with nursing administrators being mindful of the impact of alcohol cultures and the normalisation of harmful alcohol consumption on nurse wellbeing.</p>","PeriodicalId":48580,"journal":{"name":"BMC Nursing","volume":"25 1","pages":""},"PeriodicalIF":5.2,"publicationDate":"2026-08-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13651316/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149149688","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":"Prevalence and factors associated with suicidal ideation among undergraduate nursing students: a cross-sectional study.","authors":"Amal Ababneh, Fadi Zaben, Mohammad H Abuadas, Nour Ali Alrida, Mohammad Rabeh","doi":"10.1186/s12912-026-05259-7","DOIUrl":"10.1186/s12912-026-05259-7","url":null,"abstract":"<p><strong>Background: </strong>Suicidal ideation is a major public health concern and an important indicator of suicide risk among university students. Undergraduate nursing students may be particularly vulnerable because of the combined academic, clinical, and emotional demands of nursing education. Despite growing concern regarding students' mental health, evidence on the prevalence of suicidal ideation and its associated factors among nursing students in Jordan and Palestine remains limited. This study aimed to determine the prevalence of suicidal ideation and identify factors associated with suicidal ideation among undergraduate nursing students in Jordan and Palestine.</p><p><strong>Methods: </strong>A cross-sectional study was conducted between October and December 2025 among undergraduate nursing students enrolled in public and private universities in Jordan and Palestine. Participants were recruited using convenience sampling and completed a structured online self-administered questionnaire comprising a researcher-developed sociodemographic questionnaire and the validated Arabic version of the Beck Scale for Suicidal Ideation (BSS). Descriptive statistics were used to summarize participants' characteristics and estimate the prevalence of suicidal ideation. Spearman's rank correlation and multiple linear regression analyses were performed to identify factors independently associated with suicidal ideation scores. Statistical significance was established at p < 0.05.</p><p><strong>Results: </strong>A total of 646 undergraduate nursing students participated in the study. Using a BSS cutoff score of ≥ 6, 490 participants (75.9%) were classified as having elevated suicidal ideation. Bivariate analysis demonstrated that previous history of mental illness, economic status, younger age, and sleep duration were significantly correlated with suicidal ideation scores. In the multiple linear regression analysis, previous history of mental illness (β = 0.20, p < 0.001), higher perceived economic status (β = 0.13, p = 0.001), and younger age (β = -0.10, p = 0.010) were independently associated with higher suicidal ideation scores. Sleep duration was not independently associated with suicidal ideation after adjustment for other variables (p = 0.059).</p><p><strong>Conclusion: </strong>Elevated suicidal ideation was highly prevalent among undergraduate nursing students in Jordan and Palestine. Previous history of mental illness, younger age, and higher perceived economic status were independently associated with higher suicidal ideation scores. These findings highlight the importance of implementing routine mental health screening, strengthening accessible psychological support services, and developing culturally appropriate suicide prevention strategies within nursing education programs to promote students' mental well-being and facilitate early identification of those at increased risk.</p>","PeriodicalId":48580,"journal":{"name":"BMC Nursing","volume":"25 1","pages":""},"PeriodicalIF":5.2,"publicationDate":"2026-08-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13543389/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148892584","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":"Dyadic associations between patient self-efficacy, caregiver preparedness and self-care outcomes after stroke: a cross-sectional actor-partner interdependence model study.","authors":"Ling Yuan, Chunyu He, Yuanmei Zhao, Yan Xie, Yurou Tian, Zhen Zhuo","doi":"10.1186/s12912-026-05226-2","DOIUrl":"10.1186/s12912-026-05226-2","url":null,"abstract":"<p><strong>Background: </strong>Self-care after stroke develops within an interdependent patient-caregiver context. Although patient self-efficacy and caregiver preparedness are recognised as key determinants of post-stroke management, their dyadic associations with self-care-related variables remain insufficiently understood.</p><p><strong>Methods: </strong>A cross-sectional study was conducted among 198 patient-caregiver dyads recruited from three tertiary hospitals in China. Patient self-efficacy, caregiver preparedness, patient self-care ability and caregiver contribution were assessed using validated instruments. Dyadic associations were analysed using the actor-partner interdependence model within a distinguishable dyad regression framework. Standardised regression coefficients are reported.</p><p><strong>Results: </strong>Significant actor effects were identified for both members of the dyad. Patient self-efficacy was negatively associated with patient self-care ability (β= -0.242, p < 0.001), whereas caregiver preparedness was positively associated with caregiver contribution (β = 0.289, p < 0.001). No significant partner effects were observed. Patient self-efficacy and caregiver preparedness were positively correlated (r = 0.210, p < 0.01). The model explained 19.4% of the variance in patient self-care ability and 29.3% in caregiver contribution.</p><p><strong>Conclusions: </strong>In this sample, self-care ability and caregiver contribution were associated with individuals' own psychological resources rather than cross-partner influences. Given the cross-sectional design and the absence of objective functional status measures, these findings should be interpreted as preliminary and hypothesis-generating rather than confirmatory. Intervention strategies should address patients and caregivers separately but concurrently, while recognising their distinct roles in self-care processes.</p>","PeriodicalId":48580,"journal":{"name":"BMC Nursing","volume":"25 1","pages":""},"PeriodicalIF":5.2,"publicationDate":"2026-08-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13563833/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148931643","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":"Mental health distress among undergraduate nursing students in Egypt: associations with self-concealment, alexithymia, and personality traits in a cross-sectional study.","authors":"Mira Naguib Abdelrazek, Laila Saad Mahmoud, Marwa Fouad Hanafy Mahmoud, Heba Mohamed Abdelaal","doi":"10.1186/s12912-026-05175-w","DOIUrl":"10.1186/s12912-026-05175-w","url":null,"abstract":"<p><strong>Background: </strong>Psychological distress among nursing students is a major concern in nursing education. Difficulties in emotional processing and stable personality traits may be associated with depression, anxiety, and stress, yet self-concealment, alexithymia, and personality traits have rarely been examined together in undergraduate nursing students, particularly in Egypt. This study aimed to examine how self-concealment, alexithymia, and personality traits are associated with depression, anxiety, and stress among undergraduate nursing students.</p><p><strong>Methods: </strong>A cross-sectional correlational study was conducted among 353 undergraduate nursing students at the Faculty of Nursing, Alexandria University, Egypt. Participants were recruited using proportionate stratified random sampling across the four academic years. Data were collected using a socio-demographic and academic questionnaire, the Self-Concealment Scale, the Toronto Alexithymia Scale-20, the NEO Five-Factor Inventory, and the Depression Anxiety Stress Scales-21. Data were analyzed using descriptive statistics, Pearson correlation coefficients, independent-samples t-tests, one-way analyses of variance, and multiple linear regression.</p><p><strong>Results: </strong>Psychological distress symptoms were common on self-reported screening measures, and anxiety showed the greatest severity, with 53.8% of participants falling in the extremely severe symptom range. These classifications reflect screening scores rather than clinical diagnoses. Self-concealment and alexithymia were positively associated with depression, anxiety, and stress. The adjusted regression models explained 53.1% of the variance in depression, 48.9% in anxiety, and 47.5% in stress. Self-concealment and alexithymia remained significant correlates across all three adjusted models; self-concealment showed the largest standardized coefficient for anxiety and stress, whereas alexithymia showed the largest standardized coefficient for depression.</p><p><strong>Conclusions: </strong>Psychological distress symptoms in nursing students were associated with self-concealment, alexithymia, and selected personality traits. The findings support early confidential screening, timely access to counseling through clear referral pathways, and targeted resilience-, mindfulness-, peer-support-, and emotion-focused programs within nursing education. Because the design was cross-sectional, these associations should not be interpreted causally.</p>","PeriodicalId":48580,"journal":{"name":"BMC Nursing","volume":"25 1","pages":""},"PeriodicalIF":5.2,"publicationDate":"2026-08-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13483586/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148799645","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":"Nursing students' lived experiences during their first psychiatric clinical placement: a hermeneutic phenomenological study.","authors":"Abdullah Alharbi","doi":"10.1186/s12912-026-05241-3","DOIUrl":"10.1186/s12912-026-05241-3","url":null,"abstract":"<p><strong>Background: </strong>Psychiatric nursing is one of the most demanding areas in clinical practice. Undergraduate nursing students often experience fear, stigma, and uncertainty during their initial clinical placement in psychiatric settings. Understanding these early experiences is important for informing strategies to support students' confidence, empathy, and professional identity. Limited research has explored how nursing students in Saudi Arabia interpret their first transition into psychiatric settings; this study aimed to explore the lived experiences of nursing students during their initial clinical placement.</p><p><strong>Methods: </strong>This study used a qualitative design guided by van Manen's hermeneutic phenomenological approach. Purposive sampling was used to recruit 12 undergraduate nursing students enrolled in a psychiatric clinical training program at a public university in Saudi Arabia. Data were collected through semi-structured interviews, transcribed verbatim, and analyzed following van Manen's hermeneutic phenomenological approach, involving holistic, selective, and detailed reading with phenomenological reflection and interpretive writing.</p><p><strong>Findings: </strong>Four themes emerged, reflecting van Manen's four lifeworld existentials of space, body, time, and relation: entering an unfamiliar environment (lived space), emotional strain (lived body), uncertain beginnings to cautious adaptation (lived time), and confronting stigma and negotiating connections (lived relation).</p><p><strong>Conclusions: </strong>Students' first psychiatric placements were characterized by fear, uncertainty, and emotional strain, which gradually gave way to cautious adaptation and moments of emerging confidence. The findings highlight the value of structured mentorship, supportive learning environments, and preparatory strategies such as simulation and anti-stigma initiatives to help students manage the emotional complexity of psychiatric nursing practice.</p><p><strong>Clinical trial number: </strong>Not applicable.</p>","PeriodicalId":48580,"journal":{"name":"BMC Nursing","volume":"25 1","pages":""},"PeriodicalIF":5.2,"publicationDate":"2026-08-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13491684/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148799744","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":"Development of psychosocial care satisfaction scale for patients: validity and reliability study.","authors":"Melek Ertürk Yavuz, Nurhayat Kılıç Bayageldi","doi":"10.1186/s12912-026-05217-3","DOIUrl":"10.1186/s12912-026-05217-3","url":null,"abstract":"<p><strong>Background: </strong>It is important to determine the extent to which nurses perform psychosocial care in their daily practice. This study aims to develop a psychosocial care satisfaction scale for patients and examine its reliability and validity.</p><p><strong>Methods: </strong>This was a methodological study. It involved examining the conceptual structure, creating the item pool and draft form, pilot implementation, obtaining expert opinions, applying the draft form to the sample, measuring validity and reliability, and finalising the scale. The data were analysed using exploratory and confirmatory factor analyses for conceptual validity, Cronbach's α and item-total correlation values, a comparison was made between the lower 27% and upper 27% groups. The reliability of the scale was examined using the Cronbach α reliability coefficient and the split-half method. AVE and CR values were also calculated. The data were collected from 600 participants between February 2023 and February 2024.</p><p><strong>Results: </strong>The factor analysis resulted in a single-factor and 16-item measurement tool. The analyses revealed that the scale is acceptable regarding scope, content, and structure.</p><p><strong>Conclusion: </strong>The scale has been determined to have high overall reliability and provide a sensitive measurement of patient psychosocial care satisfaction.</p>","PeriodicalId":48580,"journal":{"name":"BMC Nursing","volume":"25 1","pages":""},"PeriodicalIF":5.2,"publicationDate":"2026-08-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13543541/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148888960","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}