BMC Nursing最新文献

{"title":"Factors influencing the self-rationing of nursing care in palliative care settings.","authors":"Karolina Włostowska, Izabella Uchmanowicz, Maria Jędrzejczyk, Michał Czapla, Beata Guzak","doi":"10.1186/s12912-025-03029-5","DOIUrl":"10.1186/s12912-025-03029-5","url":null,"abstract":"<p><strong>Background: </strong>The rationing of nursing care is a significant concern in palliative care settings, where resource limitations can prevent nurses from providing comprehensive patient care. This study aims to examine the factors influencing the rationing of nursing care among palliative care nurses, focusing on the impact of psychological factors and workplace characteristics.</p><p><strong>Methods: </strong>A cross-sectional survey was conducted using the Perceived Implicit Rationing of Nursing Care (PIRNCA) questionnaire among 104 nurses working in palliative care. Data on anxiety and depression levels were collected using the HADS scale. Multivariate regression analysis was employed to identify key predictors of care rationing, including depression, anxiety, and type of care setting.</p><p><strong>Results: </strong>The average PIRNCA score was 0.82 (SD = 0.53), indicating that care rationing occurs \"rarely.\" The most frequently rationed tasks were emotional and psychological support, patient education, and assistance with mobility. Nurses with higher depression (p = 0.002) and anxiety levels (p = 0.0012) were more likely to ration care. Working in a home-based hospice was associated with increased care rationing (p = 0.0012), while working in a palliative care ward reduced it (p = 0.0027).</p><p><strong>Conclusions: </strong>Psychological distress, particularly depression and anxiety, significantly contributes to nursing care rationing in palliative care. Additionally, the type of care setting plays a critical role, with home-based hospice care being more prone to rationing. Interventions to support nurses' mental health and optimize resource allocation, particularly in home-based care, are essential to ensure comprehensive patient care in palliative settings.</p><p><strong>Clinical trial number: </strong>Not applicable.</p>","PeriodicalId":48580,"journal":{"name":"BMC Nursing","volume":"24 1","pages":"345"},"PeriodicalIF":3.1,"publicationDate":"2025-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11959988/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143753787","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 associated factors of workplace violence among Chinese nurses in tertiary hospitals: a national cross-sectional study.","authors":"Jianghao Yuan, Jiaxin Yang, Yiting Liu, Meng Ning, Qiang Yu, Xuting Li, Zengyu Chen, Chongmei Huang, Dan Zhang, Zhenhui Ren, Chunhui Bin, Yamin Li, Yusheng Tian","doi":"10.1186/s12912-025-02975-4","DOIUrl":"10.1186/s12912-025-02975-4","url":null,"abstract":"<p><strong>Background: </strong>Workplace violence (WPV) is a major issue for nurses worldwide, causing both physical and mental harm, and impairing their ability to work effectively. Several researches reported on the prevalence of WPV among nurses in China, ranging from 56.4 to 71%. However, little information is available about the correlates of different types of WPV among nurses across different departments in tertiary hospitals in China.</p><p><strong>Methods: </strong>A self-designed WeChat-based questionnaire was utilized, incorporating demographic and occupational factors. WPV was measured using the Chinese version Workplace Violence Scale. Two questions regarding career choices were employed to assess career satisfaction. Descriptive analyses, chi-square tests, and bivariate logistic regression analysis were conducted.</p><p><strong>Results: </strong>122,237 participants were included in the analysis. 26.6% of them experienced at least one form of WPV in the past year. Male sex, shift work, postgraduate education, senior professional title, department, and working more than 50 h per week were factors associated with WPV. Nurses encountered high levels of WPV were less likely to be satisfied with their nursing career.</p><p><strong>Conclusions: </strong>WPV is a special concern for Chinese nurses. Interventions to reduce WPV should be conducted by health authorities to create a zero-violence working environment for nurses, and to increase their career satisfaction.</p><p><strong>Clinical trial number: </strong>Not applicable.</p>","PeriodicalId":48580,"journal":{"name":"BMC Nursing","volume":"24 1","pages":"344"},"PeriodicalIF":3.1,"publicationDate":"2025-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11959857/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143755097","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 properties of the Chinese version of the quality of nursing care scale among hospital nurses: a bifactor exploratory structural equation modeling analysis.","authors":"Chiu-Shu Fang, Cheng-Hsien Li, Shu-Ching Ma, Fang-Ming Hwang, Maria Manuela Martins, Fan-Hao Chou","doi":"10.1186/s12912-025-03012-0","DOIUrl":"10.1186/s12912-025-03012-0","url":null,"abstract":"<p><strong>Background: </strong>Nurses play an indispensable role in healthcare teams. The quality of nursing care reflects nurses' ability to integrate care and their overall performance in patient care, making it a core objective of clinical nursing. The Chinese version of the Quality of Nursing Care (QNC) scale is a multidimensional assessment tool used for self-evaluation of nursing care quality and holds significant importance in clinical practice. This study aimed to assess the reliability and validity of the Chinese version of the QNC scale among nurses.</p><p><strong>Methods: </strong>This was an observational, cross-sectional, methodological study conducted at three hospitals in southern Taiwan. The 25-item Chinese version of the QNC scale was employed in the study. Data were collected from 944 nurses (response rate: 65.42%) through an online survey conducted between July and August 2022. The factor structure of the QNC scale was evaluated using confirmatory factor analysis (unidimensional, independent cluster model, higher-order, and bifactor) and first-order, higher-order, and bifactor ESEM. Model comparisons were conducted to determine the best-fitting factor structure.</p><p><strong>Results: </strong>The bifactor ESEM provided the best fit for the QNC scale, consisting of a general QNC factor and seven specific factors: patient satisfaction, health promotion, complication prevention, well-being and self-care, functional readaptation, nursing care organization, and responsibility and rigor. Some items exhibited significant cross-loadings, highlighting the model's ability to capture the multidimensional nature of nursing care quality.</p><p><strong>Conclusions: </strong>The bifactor ESEM model demonstrated the best model fit for the Chinese version of the QNC scale, offering a reliable and interpretable representation of the multidimensional nature of nursing care. The validated scale provides a valuable tool for assessing nursing care quality in clinical practice.</p>","PeriodicalId":48580,"journal":{"name":"BMC Nursing","volume":"24 1","pages":"343"},"PeriodicalIF":3.1,"publicationDate":"2025-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11959774/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143755129","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":"Analysis of the current status and influencing factors of moral courage among operating room nurses in Southwest China: a multi-center study.","authors":"Xiao Hu, Yu Long, Chenfang Wang, Jianping Yi, Feng Peng, Yidi Chen","doi":"10.1186/s12912-025-02991-4","DOIUrl":"10.1186/s12912-025-02991-4","url":null,"abstract":"<p><strong>Background: </strong>Moral courage is crucial for nurses to act ethically despite professional risks. Operating room (OR) nurses frequently encounter ethical dilemmas, requiring a balance between personal convictions and institutional policies. This study investigates the current status of moral courage among OR nurses in Southwest China and explores key influencing factors.</p><p><strong>Materials and methods: </strong>The cross-sectional, multi-center study was conducted from April to May 2024. A total of 482 operating room nurses from 16 hospitals in Southwest China were surveyed. The nurses were assessed using a self-designed demographic questionnaire, the Nurses' Moral Courage Scale (NMCS), the Psychological Empowerment Scale (PES), and the Hospital Ethical Climate Survey (HECS). Statistical analyses, including Spearman's rho and multiple linear regression, were used to explore the relationships between nurses' moral courage and various influencing factors, such as age, educational level, income, professional title, psychological empowerment, and hospital ethical climate.</p><p><strong>Results: </strong>The total score for operating room nurses' moral courage in this study was 80.26 ± 19.30, with subscale scores as follows: moral integrity (26.89 ± 6.73), moral responsibility (15.33 ± 3.92), commitment to providing quality care to patients (18.81 ± 4.77), and compassion and genuine presence with patients (19.23 ± 4.86). The moral courage was positively correlated with age, hospital level, years of experience, professional title, income, psychological empowerment and hospital ethical climate score. The multiple linear regression analysis revealed that work meaning, autonomy, work impact, and relationships with nurses, patients, and the hospital being significant factors influencing moral courage. The correlation analysis showed no significant correlation between educational level and moral courage. Furthermore, although nurses with lower income had lower moral courage scores, there was no significant correlation between income satisfaction and moral courage.</p><p><strong>Conclusion: </strong>Psychological empowerment and a positive hospital ethical climate are key determinants of moral courage among OR nurses. Hospitals should implement targeted interventions to enhance nurses' ethical decision-making capacities, foster professional autonomy, and strengthen interpersonal support networks to mitigate ethical distress.</p><p><strong>Clinical trial number: </strong>Not applicable.</p>","PeriodicalId":48580,"journal":{"name":"BMC Nursing","volume":"24 1","pages":"342"},"PeriodicalIF":3.1,"publicationDate":"2025-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11959945/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143755276","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":"Effectiveness of non-pharmacological interventions for thirst in ICU patients: a systematic review and network meta-analysis.","authors":"Meng Xiao, Fangfang Zhu, Yanting Zhang, Jing Ma, Anlong Zheng, Lan Deng, Shiwen Wei, Pu Zhang, Xinbo Ding","doi":"10.1186/s12912-025-03017-9","DOIUrl":"10.1186/s12912-025-03017-9","url":null,"abstract":"<p><strong>Aim: </strong>This study systematically compared the efficacy of non-pharmacological interventions that may improve thirst in intensive care unit (ICU) patients.</p><p><strong>Background: </strong>Thirst is among the most intense and distressing symptoms experienced by ICU patients. Recently, various non-pharmacological interventions have been applied to alleviate thirst symptoms and have shown positive effects. However, there is no consensus on which non-pharmacological intervention is the most effective, making it difficult to choose interventions to alleviate thirst in ICU patients.</p><p><strong>Design: </strong>Systematic review and network meta-analysis based on PRISMA.</p><p><strong>Methods: </strong>Computer searches were conducted in eight Chinese and English databases to identify randomized controlled trials published before October 12, 2024, on non-pharmacological interventions to improve thirst symptoms in ICU patients. Two researchers performed literature screening and data extraction, and RevMan 5.3 and Stata 15.0 software were used for literature quality assessment and data analysis.</p><p><strong>Results: </strong>24 articles involving 2480 ICU patients and 14 types of non-drug interventions were included. The network meta-analysis results revealed that compared with those in routine care, the degree of thirst in ICU patients was significantly different significant for menthol lozenges, ice water injection, menthol water spray, ice saline water spray, ice menthol water spray, and ice water spray (all P < 0.05). According to the ranking results of the cumulative ranking probability curve area (SUCRA), ice menthol water spray is the optimal solution for improving the degree of thirst in ICU patients.</p><p><strong>Conclusion: </strong>Ice menthol water spray is the best non-pharmacological intervention for reducing thirst in ICU patients. When patients experience thirst, such as in the ICU ward, medical staff can use ice peppermint water spray to relieve the patient's thirst symptoms. Future research should focus on directly comparing the effects of different non-pharmacological interventions and evaluating their cost-effectiveness. PROSPERO (INTERNATIONAL PROSPECTIVE REGISTER OF SYSTEMATIC REVIEWS)REGISTRATION NUMBER: CRD42024614636.</p><p><strong>Relevance to clinical practice: </strong>The results of this study can provide a basis for medical staff to alleviate the thirst of ICU patients, with the results particularly supporting the use of ice mint water spray to reduce the level of thirst in ICU patients.</p>","PeriodicalId":48580,"journal":{"name":"BMC Nursing","volume":"24 1","pages":"348"},"PeriodicalIF":3.1,"publicationDate":"2025-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11959786/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143753784","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":"Moral distress effects on spirituality determinants in nurses.","authors":"Nahid Tavakol, Majid Tavakol, Shima Daman","doi":"10.1186/s12912-025-03003-1","DOIUrl":"10.1186/s12912-025-03003-1","url":null,"abstract":"<p><strong>Background: </strong>Moral distress in nurses is a widespread issue with lasting consequences. Understanding the relationship between spiritual factors, like spiritual sensitivity, workplace spirituality, and moral distress, is important due to the significant role of spirituality in nursing ethics. This study explores the connections between these three phenomena, focusing on the psychological, spiritual, and ethical dimensions of nursing.</p><p><strong>Methods: </strong>This cross-sectional study involved 120 nurses from hospitals affiliated with Jahrom University of Medical Sciences, selected randomly using a number table. Inclusion criteria were having at least a bachelor's degree in nursing, at least 6 months of work experience, and no history of mental health issues or medication use. Participants completed questionnaires on moral distress (Hamrick et al.), workplace spirituality, and spiritual sensitivity. Descriptive tests were used to determine the frequency distribution of demographic variables. Analysis of variance (ANOVA) and independent t-tests were used to compare the mean scores of variables across different groups of nurses based on demographic factors. Pearson's correlation coefficient and linear regression were used to determine relationships between the variables. Data were analyzed using SPSS version 23, with a significance level set at 0.05.</p><p><strong>Results: </strong>In determining the relationship between moral distress and the study variables, demographic and occupational variables (i.e., gender, age, and type of department and moral distress) were significantly related. Similarly, it shows that gender, level of education, and the organization's type of department significantly impact spiritual sensitivity. Conversely, there is a significant relationship between age, the organization's department type, and workplace spirituality. Workplace spirituality and spiritual sensitivity displayed substantial negative correlations with moral distress.</p><p><strong>Conclusion: </strong>According to this study, positive environmental and individual spiritual factors significantly influenced and reduced moral distress in nurses. The findings highlight the significance of spiritual education for nurses to strengthen spiritual awareness and environmental strategies to promote a spiritual environment in healthcare settings. More studies are suggested in this field.</p><p><strong>Clinical trial number: </strong>Not applicable.</p>","PeriodicalId":48580,"journal":{"name":"BMC Nursing","volume":"24 1","pages":"349"},"PeriodicalIF":3.1,"publicationDate":"2025-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11959760/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143754932","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":"Characteristics and influencing factors of fear of cancer recurrence among family caregivers of breast cancer patients: a latent class analysis.","authors":"Wenting Liu, Wengao Li, Lili Deng, Xian Luo, Yibing Tan, Jiagen Xiang, Yan Wu, Yanan Hu, Hengwen Sun, Yuan Yang","doi":"10.1186/s12912-025-02964-7","DOIUrl":"10.1186/s12912-025-02964-7","url":null,"abstract":"<p><strong>Background: </strong>Family caregivers of breast cancer patients often experience significant psychological challenges, including depression, anxiety, and fear of cancer recurrence (FCR), yet these issues receive insufficient attention. This study aims to explore the heterogeneity of FCR among family caregivers and identify distinct subgroups based on their FCR levels.</p><p><strong>Methods: </strong>A cross-sectional survey was conducted with 866 family caregivers of breast cancer patients at two tertiary hospitals in Guangzhou, Guangdong Province. All participants completed the Fear of Cancer Recurrence Scale (FCR-7), the Patient Health Questionnaire (PHQ-9), and the Generalized Anxiety Scale (GAD-7) to assess their levels of FCR, depression, and anxiety. Latent class analysis (LCA) was used to identify subgroups of FCR, and multiple logistic regression analyses were performed to explore factors influencing FCR.</p><p><strong>Results: </strong>Three distinct subgroups of FCR were identified: low FCR group (16.17%), moderate FCR group (13.16%), and high FCR group (70.67%). Predictors of higher FCR included lower income, higher anxiety, and higher depression levels.</p><p><strong>Conclusions: </strong>Family caregivers of breast cancer patients exhibit varying levels of FCR, with significant predictors being income, anxiety, and depression. Targeted interventions (e.g., psychoeducation, stress management, mindfulness exercises, and cognitive-behavioral therapy) that address these factors may help improve the mental health and well-being of family caregivers.</p>","PeriodicalId":48580,"journal":{"name":"BMC Nursing","volume":"24 1","pages":"352"},"PeriodicalIF":3.1,"publicationDate":"2025-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11959734/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143755282","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":"Improving the psychomotor performance of student nurses using remote clinical skills practice: a mixed-methods study.","authors":"Ükke Karabacak, Hilal Yıldız Çelik","doi":"10.1186/s12912-025-03028-6","DOIUrl":"10.1186/s12912-025-03028-6","url":null,"abstract":"<p><strong>Introduction: </strong>Innovative approaches are essential in nursing education to ensure the continuity of skill acquisition, particularly in situations where traditional face-to-face teaching methods are not feasible.</p><p><strong>Objective: </strong>This study aimed to evaluate the effectiveness of remote learning in enabling student nurses to acquire psychomotor skills, with a focus on 'blood pressure measurement'-a noninvasive procedure that can be practiced safely at home.</p><p><strong>Methods: </strong>Using an experimental design with group randomization and a mixed-method approach, 44 first-year nursing students participated, with 22 in the experimental group and 22 in the control group. After a theoretical course on blood pressure measurement, the control group followed a licensed video program, while the experimental group practiced with a simulated patient under an educator's guidance in an remote environment. The research was conducted between March 2021 and October 2021, encompassing all phases of the study. These phases included preliminary information, remote training, and feedback sessions in March 2021, the first assessment in April 2021, and the second assessment in October 2021. The 'Descriptive Characteristics Form,' 'Blood Pressure Measurement Skill Checklist,' and 'We Practice Remote Clinical Skills Together Online Comments Form' were used for data collection. Descriptive statistics (means, standard deviations, frequencies, percentages) and the Mann-Whitney U test were applied for quantitative data analysis, while qualitative data were analyzed inductively based on student opinions from both groups.</p><p><strong>Results: </strong>The first performance assessment showed no significant difference between the control and experimental groups' mean scores (p = 0.440). However, the second assessment revealed a significant difference favoring the experimental group (p = 0.001). The qualitative data were categorised into three main themes: emotions, learning and confidence, with a total of 34 codes. Emotions accounted for 50% of the codes, including happiness, stress, comfort and anxiety. Learning accounted for 41% and included awareness, interaction-communication, skill acquisition and information retention. Finally, self-confidence, represented by skill practice in the laboratory, accounted for 9% of the codes.</p><p><strong>Conclusion: </strong>This study demonstrates that educator-guided remote skill training can positively impact students' psychomotor skill acquisition. It highlights the potential for effectively teaching specific nursing skills in remote environments when guided by an educator.</p>","PeriodicalId":48580,"journal":{"name":"BMC Nursing","volume":"24 1","pages":"338"},"PeriodicalIF":3.1,"publicationDate":"2025-03-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11955127/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143743986","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 nurse leaders: leveraging financial management practices to foster sustainable healthcare - a mixed-methods study.","authors":"Hossam Ali Ismail, Mohamed Hashem Kotp, Hassan Ahmed Awad Basyouny, Aliaa Ezz Eldin Abd Elmoaty, Abdelaziz Hendy, Rasha Kadri Ibrahim, Sally Mohammed Farghaly Abdelaliem, Ahmed Hendy, Mohamed Ahmed Aly","doi":"10.1186/s12912-025-02981-6","DOIUrl":"https://doi.org/10.1186/s12912-025-02981-6","url":null,"abstract":"<p><strong>Introduction: </strong>Nurse leaders play a crucial role in balancing financial sustainability and high-quality patient care. Their financial management skills impact patient safety, care quality, and satisfaction. However, many nurse leaders lack formal training in financial management, making it challenging to navigate budget constraints while maintaining care standards.</p><p><strong>Aim: </strong>To assess nurse leaders' perceptions of their financial management practices and explore their relationship to patient care quality and outcomes.</p><p><strong>Methods: </strong>A convergent parallel mixed-methods approach was conducted with 87 nurse leaders in private hospitals across Egypt. Quantitative data (n = 87) were collected using the validated Nurse Leaders' Financial Management Practices Assessment (NLFMP) tool, a 15-item instrument measuring budgeting, resource allocation, cost-effectiveness, decision-making, and its impact on patient care. The data were analyzed using SPSS. Concurrently, qualitative data from open-ended responses underwent thematic analysis. The results were then integrated to compare statistical trends with key themes, providing deeper insights into the financial decision-making challenges faced by nurse leaders.</p><p><strong>Results: </strong>Findings indicated moderate financial management proficiency among 70% of participants, with high scores in decision-making influence (mean = 4.10 ± 0.48) and cost-effectiveness (mean = 4.05 ± 0.45). Budgeting practices (mean = 3.90 ± 0.50) and resource allocation (mean = 3.85 ± 0.55) were rated slightly lower, highlighting areas for improvement. The majority (87.3%) of nurse leaders perceived a strong relationship between financial management and patient care outcomes. Regression analysis showed that age (p = 0.010), educational attainment (p = 0.044), and employment status (p = 0.009) were significant predictors of financial management proficiency. Thematic analysis highlighted key challenges, including budget constraints, staffing shortages, and balancing cost-efficiency with care quality.</p><p><strong>Conclusion: </strong>Nurse leaders perceive a strong link between financial management and patient care outcomes, emphasizing the need for targeted financial training and greater involvement in decision-making. Enhancing financial literacy among nurse leaders could foster better alignment between cost-efficiency and quality care, ensuring sustainable healthcare delivery.</p><p><strong>Clinical trial number: </strong>Not applicable.</p>","PeriodicalId":48580,"journal":{"name":"BMC Nursing","volume":"24 1","pages":"335"},"PeriodicalIF":3.1,"publicationDate":"2025-03-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11951552/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143743974","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 risk factors for intimate partner violence among ICU nurses.","authors":"Huimin Yan, Xiaoqing Yang, Yujuan Xu, Xijuan Zhao, Chunmei Yang, Tingting Cai","doi":"10.1186/s12912-025-03000-4","DOIUrl":"https://doi.org/10.1186/s12912-025-03000-4","url":null,"abstract":"<p><strong>Aim: </strong>This study aims to investigate the prevalence and risk factors of intimate partner violence (IPV) among intensive care unit (ICU) nurses.</p><p><strong>Methods: </strong>ICU nurses from a tertiary hospital in Yunnan, China, were recruited for this study. Participants completed a survey assessing demographics, experiences of IPV, dyadic coping, anxiety, depression, and social relationships. In line with the STROBE guidelines, descriptive statistics were used to summarize the data, and regression analysis was employed to explore influencing factors. All statistical analyses were performed using SPSS 25.0, and missing data were addressed with appropriate methods. Results are reported with 95% confidence intervals and p-values.</p><p><strong>Results: </strong>Of the 232 ICU nurses approached, 191 completed the survey, with 58.1% reporting experiences of IPV. The most common types of IPV reported were negotiation (67.6%), psychological aggression (61.3%), physical assault (41.4%), injury (18.9%), and sexual coercion (8.1%). Significant factors associated with IPV included being an only child, partner's age, and partner's occupation (P < 0.05). Differences in social support and anxiety levels were also significantly associated with IPV (P < 0.05).</p><p><strong>Conclusion: </strong>This study highlights a high prevalence of IPV among ICU nurses, with negotiation, psychological aggression, and physical assault being the most common forms. Key factors such as being an only child, partner characteristics, and social support were found to significantly influence IPV experiences. These findings emphasize the need for targeted support and interventions to address IPV within this healthcare group. Further research is necessary to explore effective prevention strategies and the role of personal and social factors in IPV.</p><p><strong>Clinical trial number: </strong>Not applicable.</p>","PeriodicalId":48580,"journal":{"name":"BMC Nursing","volume":"24 1","pages":"337"},"PeriodicalIF":3.1,"publicationDate":"2025-03-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11954272/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143743921","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}