BMC Nursing最新文献

{"title":"Knowledge, attitude, and practice of Palestinian critical care nurses about hemodynamic instability in patients with cardiovascular diseases.","authors":"Hamza Abu Farah, Mohamad Khleif","doi":"10.1186/s12912-024-02549-w","DOIUrl":"10.1186/s12912-024-02549-w","url":null,"abstract":"<p><strong>Background: </strong>Managing hemodynamic instability in critically ill patients due to cardiovascular disease or, in particular, coronary artery disease requires an integrated and responsive approach. The complexity lies in simultaneously addressing the underlying cardiovascular pathology and managing its systemic effects. The complexity described above involves a careful balance of interventions, including fluid and electrolyte management, pharmacological support, and, in some cases, mechanical circulatory support. The dynamic nature of hemodynamic instability necessitates constant vigilance and rapid adaptation of treatment strategies to align with the evolving clinical picture. So, this study aims to investigate the knowledge, attitude, and practice of Palestinian critical care nurses about hemodynamic instability in patients with cardiovascular diseases.</p><p><strong>Method: </strong>A cross-sectional design was conducted on 300 nurses in 30 hospitals in the West Bank and East Jerusalem of Palestine. Data were collected using a self-administered questionnaire composed of four sections covering the socio-demographics, knowledge, attitudes, and practices of the sample. Quantitative statistical analysis was done using Statistical Package for Social Sciences (SPSS) software.</p><p><strong>Results: </strong>The nurses demonstrated an almost low overall level of knowledge about hemodynamic instability, with a mean score of 2.7 on a 7-points scale. Additionally, nurses generally expressed a high positive attitude toward their practice, with a mean score of 3.8 on a 5-point scale. Although; Palestinian nurses showed a low level of knowledge about hemodynamic instability but expressed positive attitudes toward their practice. The practice level was also moderate with a mean score of 2.3 on a 5-point scale. Significant differences were found with a higher attitude of male nurses and higher knowledge with bachelor or higher educational levels. Other variables showed non-significant differences.</p><p><strong>Conclusions: </strong>Several challenges were identified, including lack of training and resources, within this study context. Educational interventions and improved access to resources could improve nurses' knowledge and practice in managing hemodynamic instability.</p>","PeriodicalId":48580,"journal":{"name":"BMC Nursing","volume":"23 1","pages":"871"},"PeriodicalIF":3.1,"publicationDate":"2024-12-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11610183/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142773987","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":"Relationship between transition shock, resilience, career calling, and retention intention among new nurses: a moderated mediation model.","authors":"Dinuo Xin, Wanling Li, Wenjuan Zhu, Min Li, Na Xu, Lihong Yue, Liping Cui, Ying Wang","doi":"10.1186/s12912-024-02555-y","DOIUrl":"10.1186/s12912-024-02555-y","url":null,"abstract":"<p><strong>Background: </strong>Nurse shortage has become an ongoing and urgent problem worldwide. The high turnover rate of new nurses, who are the primary backup personnel for the nursing force, exacerbates the possibility of this situation. Transition shock has been demonstrated to be critical in influencing new nurses' retention intention. However, the mechanisms underlying this impact remain unclear.</p><p><strong>Objectives: </strong>This study aims to explore transition shock's effect mechanism on retention intention among new nurses, and to clarify the career calling's mediating role and the resilience's moderating role in this relationship.</p><p><strong>Methods: </strong>This is a multicenter cross-sectional study. From January 28 to February 20, 2024, an online questionnaire survey was administered among 739 new nurses from 11 hospitals in Shanxi Province, China, using convenience sampling. The survey included a demographic information questionnaire, the Transition Shock of Newly Graduated Nurses Scale, the Medical Staff Resilience Scale, the Career Calling Scale, and the Nurses' Intention to Stay Scale. The data were analyzed using descriptive analysis, Pearson correlation analysis, and the PROCESS Macro Model 4 and 7 for the regression.</p><p><strong>Results: </strong>Transition shock was significantly negatively correlated with retention intention (p < 0.001). Career calling played a partial mediating role between transition shock and retention intention, accounting for 63.53% of the total effect. Further, resilience moderated transition shock's effect on career calling; thereby, a moderated mediation model was developed.</p><p><strong>Conclusions: </strong>Transition shock reduces retention intention by decreasing new nurses' levels of career calling, while resilience moderates this mechanism. Nursing managers can adopt measures to increase retention intention among new nurses by reducing their transition shock and enhancing their career calling education and resilience training.</p><p><strong>Trial and protocol registration: </strong>This study was registered with the Chinese Clinical Trial Registry ( http://www.chictr.org/cn/ ) under the following ID: ChiCTR2400080373.</p>","PeriodicalId":48580,"journal":{"name":"BMC Nursing","volume":"23 1","pages":"873"},"PeriodicalIF":3.1,"publicationDate":"2024-12-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11613888/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142773672","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":"Assessment of operating room nurses' exposure to biological hazards: development and psychometric evaluation of a scale.","authors":"Majid Bagheri, Camellia Torabizadeh, Mina Amiri Doreh, Yaser Adelmanesh","doi":"10.1186/s12912-024-02560-1","DOIUrl":"10.1186/s12912-024-02560-1","url":null,"abstract":"<p><strong>Background: </strong>Biological hazards are one of the most common threats that operating room personnel face. The present study was conducted to develop and test the psychometric properties of a scale for measuring operating room nurses' exposure to biological hazards.</p><p><strong>Methods: </strong>This study is a methodological research that was conducted in two stages. In the first stage, a pool of items was developed after an extensive literature review. In the second stage, the scale's validity and reliability were tested. The validity of the scale was assessed in terms of face validity, content validity, and construct validity. To determine the scale's reliability, the researchers evaluated internal consistency and stability.</p><p><strong>Results: </strong>The initial version of the exposure to biological hazards scale consisted of 75 items. After assessing face validity, 16 items were eliminated, and one item was added following an evaluation of content validity. In evaluation the construct validity of the scale, three factors were identified that accounted for 66.61% of the variance. The internal consistency of the scale was confirmed with a Cronbach's alpha of 0.88. Additionally, the split-half correlation coefficient was found to be 0.92, and an intraclass correlation coefficient (ICC) of 0.96 confirmed the stability of the scale.</p><p><strong>Conclusion: </strong>The results of the study show that the developed scale has satisfactory reliability and validity. Nursing managers can use it to assess operating room nurses' exposure to biological hazards in the workplace.</p>","PeriodicalId":48580,"journal":{"name":"BMC Nursing","volume":"23 1","pages":"878"},"PeriodicalIF":3.1,"publicationDate":"2024-12-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11613739/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142773937","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":"The mediating effects of self-efficacy, family health, and perceived stress on the relationship between perceived social support and eHealth literacy in nursing students: a structural equation model.","authors":"Xinji Shi, Jiang Li, Xiaotong Ji, Yibo Wu, Shuang Zang","doi":"10.1186/s12912-024-02546-z","DOIUrl":"https://doi.org/10.1186/s12912-024-02546-z","url":null,"abstract":"<p><strong>Background: </strong>This study aimed to explore the association between perceived social support and eHealth literacy in Chinese nursing students, with a particular emphasis on the mediating effects of self-efficacy, family health, and perceived stress within this relationship.</p><p><strong>Method: </strong>This study utilized data drawn from the 2023 Psychology and Behavior Investigation of Chinese Residents (PBICR) survey, which involved a sample of 967 nursing students. Structural equation modeling was utilized to examine the relationships among the study variables.</p><p><strong>Results: </strong>The mediating effect analysis revealed a negative direct relationship between perceived social support and eHealth literacy in Chinese nursing students (β = -0.149, p < 0.001). Both self-efficacy (β = 0.124, p < 0.05) and family health (β = 0.148, p < 0.05) acted as mediators in the association between perceived social support and eHealth literacy. Additionally, perceived social support positively affected eHealth literacy through a chain mediation of self-efficacy, perceived stress, and family health (β = 0.008, p < 0.05).</p><p><strong>Conclusion: </strong>This study provides valuable insights for developing strategies to enhance nursing students' eHealth literacy, ultimately contributing to their professional development and the quality of healthcare services they provide.</p>","PeriodicalId":48580,"journal":{"name":"BMC Nursing","volume":"23 1","pages":"868"},"PeriodicalIF":3.1,"publicationDate":"2024-11-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11607907/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142773775","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":"The relationship between work-family conflict and missed nursing care; a cross-sectional study in Iran.","authors":"Mohammad Javad Ahmadzadeh-Zeidi, Zahra Rooddehghan, Shima Haghani","doi":"10.1186/s12912-024-02556-x","DOIUrl":"https://doi.org/10.1186/s12912-024-02556-x","url":null,"abstract":"<p><strong>Background & aims: </strong>Work-family conflict, an important issue in nursing management, has been examined extensively worldwide among nurses. Nurses' inability to handle these conflicts affect their quality of care and may lead to missed nursing care. This study aimed to investigate the relationship between work-family conflict and missed nursing care in Iran.</p><p><strong>Materials & methods: </strong>This cross-sectional descriptive-analytical study was conducted on 270 nurses working in two hospitals affiliated to Tehran University of Medical Sciences (Sina & Shariati) from September to December 2023. The research community included all nurses working in medical-surgical wards in the designated hospitals. The research samples were included in the study in a targeted and quota sampling after obtaining organizational permits, ethical approval and informed consent. Data collection was done using three questionnaires including: Demographic information form, Carlson's work-family conflict and Kalisch MISSCARE Questionnaire. The collected data was analyzed in SPSS software, version 25.</p><p><strong>Results: </strong>The results of Pearson's correlation test showed that there is a positive relationship between nurses' work-family conflict and missed nursing care scores (r = 0.21) (p = 0.001). The mean (SD) score of nurses' work-family conflict was reported at a moderate level (61.58(11.57)) and the mean (SD) score of missed nursing care was reported at a low level (47.84(16.48)). Nurses under 29 years old and male nurses had more missed nursing care other than their participants. No more relationship was observed between other demographic variables with missed nursing care and nurses' work-family conflict.</p><p><strong>Conclusion: </strong>According to the results of this research, it can be concluded that the existence of work-family conflict can be an obstacle for the correct implementation of nursing care. In such a way that nurses exposed to higher work-family conflict level had higher missed nursing care. Based on the findings of this research, it is recommended for health care providers and nursing managers to identify nurses exposed to high work-family conflicts, adopt programs to decrease their conflicts and consequently reduce missed nursing care.</p>","PeriodicalId":48580,"journal":{"name":"BMC Nursing","volume":"23 1","pages":"869"},"PeriodicalIF":3.1,"publicationDate":"2024-11-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11608465/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142773744","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":"Understanding patients' decision to leave hospital care in Ghana: clinical cases and underlying determinants.","authors":"Abukari Kwame, Pammla M Petrucka","doi":"10.1186/s12912-024-02469-9","DOIUrl":"10.1186/s12912-024-02469-9","url":null,"abstract":"<p><strong>Background: </strong>The quality of patient discharge teaching and information influences most patients' readiness for discharge and perceptions of care. Planned patient discharge positively impacts patient health outcomes and post-discharge care management. However, some patients withdraw from care before being formally discharged, often termed discharge against medical advice (DAMA), among other labels. Patient withdrawal from care occurs in some Ghanaian hospitals, yet this phenomenon is understudied. We present clinical cases of this phenomenon in a Ghanaian hospital to understand why patients and their families leave hospital care before formal discharge.</p><p><strong>Methods: </strong>Data was obtained through interviews, a focus group, and participant observations from nurses, patients, and caregivers. Thematic analysis and ethnographic case mapping helped us to identify patient discharge types and five DAMA cases.</p><p><strong>Results: </strong>The underlying factors for discharge in these cases were identified and interpreted. These included health beliefs and cultural norms, costs of care, low health literacy, length of hospital stay and recovery outcomes. Others were social responsibility demands and lack of medical specialists and equipment. A detailed interrogation of the clinical cases and underlying factors revealed the need to reconceptualize discharge against medical advice.</p><p><strong>Conclusion: </strong>We recommend that providers embrace dialogue, cultural competency, and person-centered care and communication in managing patients' decisions respecting discharge. We reason that discharge against medical advice is a quality gap requiring both patient rights and ethical lense to address.</p>","PeriodicalId":48580,"journal":{"name":"BMC Nursing","volume":"23 1","pages":"867"},"PeriodicalIF":3.1,"publicationDate":"2024-11-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11606217/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142755349","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":"Association between interpersonal sensitivity and loneliness in college nursing students based on a network approach.","authors":"Jiukai Zhao, Yibo Wu, Jie Yuan, Juanxia Miao, Xue Wang, Yu Yang, Shuang Zang","doi":"10.1186/s12912-024-02537-0","DOIUrl":"10.1186/s12912-024-02537-0","url":null,"abstract":"<p><strong>Background: </strong>The symptoms of interpersonal sensitivity and loneliness are prevalent among college nursing students. This study aims to investigate the interactions at the symptom level and elucidate the characteristics of the interpersonal sensitivity and loneliness symptoms network among Chinese college nursing students.</p><p><strong>Method: </strong>A cohort of 864 college nursing students participated in the study. Interpersonal sensitivity was assessed using the Chinese Version of the Short Form of the Interpersonal Sensitivity Measure (IPSM-CS), while loneliness symptoms were evaluated using the three-item Loneliness Scale (T-ILS). Central symptoms and bridge symptoms were determined using centrality and bridge centrality indices, respectively. The stability of the network was evaluated through the case-dropping procedure.</p><p><strong>Results: </strong>The most robust direct relationship was observed between the interpersonal sensitivity symptoms 'Feel happy when someone compliments' (IPSM-CS9) and 'Make others happy' (IPSM-CS10). 'Feel happy when someone compliments' (IPSM-CS9) exhibited the highest node strength in the interpersonal sensitivity and loneliness network, with 'They would not like me' (IPSM-CS2) following closely behind. Among the loneliness symptoms, 'Relational loneliness' (T-ILS1) demonstrated the highest bridge strength, followed by 'Intimate loneliness' (T-ILS3) and 'Social loneliness' (T-ILS2). The entire network displayed robustness in both stability and accuracy assessments.</p><p><strong>Conclusion: </strong>This study emphasized the importance of central symptoms (e.g., 'Feel happy when someone compliments' and 'They would not like me') and bridge symptoms (e.g., 'Relational loneliness', 'Intimate loneliness', and 'Social loneliness'). Intervening in the central symptoms may effectively enhance the self-confidence of nursing students and foster harmonious relationships with others, thereby facilitating better adaptation to interpersonal relationships. Furthermore, by addressing bridge symptoms (e.g., meeting the need for approval and providing social support), nursing students can better adjust to their studies and practice with a more positive attitude during their college years.</p>","PeriodicalId":48580,"journal":{"name":"BMC Nursing","volume":"23 1","pages":"864"},"PeriodicalIF":3.1,"publicationDate":"2024-11-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11605870/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142752043","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":"Fear of progression in patients with acute myocardial infarction: a cross-sectional study.","authors":"Xinghui Wang, Nan Jiang, Shuoxin Chen, Subinuer Tuerdi, Jiayu Yang, Rong Yan, Li He, Jiajia Wang, Yuewei Li","doi":"10.1186/s12912-024-02552-1","DOIUrl":"10.1186/s12912-024-02552-1","url":null,"abstract":"<p><strong>Background: </strong>Acute myocardial infarction (AMI) is the most serious manifestation of coronary artery disease. At present, existing treatments cannot change the risk factors for the occurrence of the disease, so patients are prone to fear of progression or recurrence, and studies have shown that excessive fear will cause patients to over-examine, mental abnormalities, suicide and other behaviors, increase unnecessary medical care costs and the social medical burden. Thus to investigate the current situation of progression fear in patients with Acute Myocardial Infarction (AMI) admitted to hospital in stable stage and analyze its influencing factors.</p><p><strong>Methods: </strong>This is a cross-sectional study. In this study, 160 AMI patients admitted to the Department of Cardiology of a 3 A hospital in Changchun from November 2022 to April 2023 were selected as the research sample by a convenient sampling method. Patients completed the general information questionnaire, the Fear of Progression Questionnaire-Short Form (FoP-Q-SF), the Brief Illness Perception Questionnaire (BIPQ), the Medical Coping Modes Questionnaire (MCSQ), the Social Support Rating Scale (SSRS), and the Positive Psychological Questionnaire (PPQ) at the time of stable condition. Using SPSS 25.0 software for data analysis, statistical methods mainly include descriptive statistics, analysis of variance, Pearson correlation analysis and multiple linear regression analysis.</p><p><strong>Results: </strong>A total of 160 subjects were included, among which the score of simplified fear of progression scale was (33.43 ± 7.09), and the incidence of disorder of fear of progression was 50.60%. The influencing factors included gender (Beta = 0.118, P<0.05), disease perception (Beta = 0.445, P<0.001), psychological capital (Beta=-0.252, P<0.05) and resignation (Beta = 0.167, P < 0.05).</p><p><strong>Conclusion: </strong>The overall level of fear of progression in patients with AMI at the stable stage of hospitalization is above the medium level. Nursing staff should focus on AIM patients suffering from multiple diseases and lacking awareness of their own diseases, and provide personalized health guidance and psychological nursing targeted to improve patients' rehabilitation, quality of life and FoP level.</p>","PeriodicalId":48580,"journal":{"name":"BMC Nursing","volume":"23 1","pages":"866"},"PeriodicalIF":3.1,"publicationDate":"2024-11-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11606214/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142752045","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":"Bridging cultural gaps in end-of-life care: the experiences of international charge nurses in Saudi Arabia.","authors":"Zakaria A Mani","doi":"10.1186/s12912-024-02514-7","DOIUrl":"10.1186/s12912-024-02514-7","url":null,"abstract":"<p><strong>Introduction: </strong>This qualitative study explores the experiences and perspectives of international intensive care unit charge nurses providing end-of-life care to Muslim patients in Saudi Arabia. It examines how these nurses navigate the complexities of delivering culturally sensitive care, particularly regarding Islamic beliefs and practices. The study also investigates the challenges encountered by international nurses due to differing healthcare expectations between themselves and patients' families, highlighting the interplay between cultural sensitivity and effective end-of-life care in this unique context.</p><p><strong>Method: </strong>A qualitative descriptive design was employed, using semi-structured interviews to gather data from eight international ICU charge nurses working in a tertiary hospital in Saudi Arabia. Thematic analysis was used to analyze the interview transcripts.</p><p><strong>Results: </strong>This qualitative study explored the experiences of international ICU charge nurses in Saudi Arabia regarding culturally sensitive end-of-life care within Islamic traditions. Analysis revealed nine key themes and 31 subthemes reflecting the multifaceted nature of this sensitive domain. These themes encompassed intercultural anxieties, emotional burdens on families and nurses, the importance of bridging cultural divides, advocating for change in end-of-life care practices, and honoring diverse spiritual needs. Key findings emphasized the significance of family presence, honoring faith in the absence of family, and ensuring peaceful and compassionate passings, highlighting nurses' commitment to holistic, patient-centered care that respects both cultural and individual beliefs..</p><p><strong>Conclusion: </strong>This study provides valuable insights into the cultural nuances of end-of-life care in Saudi Arabia. The findings underscore the importance of culturally sensitive practices that respect Islamic beliefs, prioritize family involvement, and address the holistic needs of patients and their families.</p><p><strong>Implications: </strong>This study underscores the need for culturally sensitive communication training for healthcare providers working with diverse patient populations. Hospitals and healthcare institutions should prioritize educational initiatives that equip staff with the skills to engage in open dialogues about death and dying, navigate cultural differences in end-of-life preferences, and address the use of traditional healing practices. By fostering greater cultural understanding and communication competency, healthcare systems can better support both patients and families in navigating the complexities of end-of-life care.</p>","PeriodicalId":48580,"journal":{"name":"BMC Nursing","volume":"23 1","pages":"865"},"PeriodicalIF":3.1,"publicationDate":"2024-11-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11606103/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142752044","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 of imposter syndrome and its association with depression, stress, and anxiety among nursing students: a multi-center cross-sectional study.","authors":"Ayman Mohamed El-Ashry, Samah Mohamed Taha, Eman Sameh Abd Elhay, Heba Abdel-Hamid Hammad, Mahmoud Abdelwahab Khedr, Mona Metwally El-Sayed","doi":"10.1186/s12912-024-02414-w","DOIUrl":"10.1186/s12912-024-02414-w","url":null,"abstract":"<p><strong>Objective: </strong>To examine the prevalence of imposter syndrome among nursing students and its association with depression, stress, and anxiety.</p><p><strong>Methods: </strong>A multi-center cross-sectional survey was conducted with 1572 nursing students randomly selected from three universities across Egypt. The study was conducted over 3 months, from the beginning of January to the end of March, during the academic year 2023/2024. Clance Imposter Phenomenon Scale and Depression Anxiety Stress Scale-21 were used for data collection.</p><p><strong>Results: </strong>A significant proportion of nursing students experience moderate to highly severe levels of depression, anxiety, and stress. Around a quarter of students had moderate depression, 22.6% had moderate anxiety, and 14.9% had severe anxiety. Additionally, 13.3% of participants experienced severe stress, with only 3.8% experiencing highly severe stress. The study also found that 46.3% of students experienced moderate imposter syndrome, with 33% having frequent imposter levels and 6.2% scoring intense imposter on the scale. Furthermore, imposter syndrome was positively correlated with depression, anxiety, and stress, and the total score of the Depression Anxiety Stress Scale (r = 0.639, p < 0.001). The stepwise linear regression analysis explained that 45.0% of the variance in students' depression, anxiety, and stress was due to imposter syndrome and other sociodemographic covariates.</p><p><strong>Conclusion: </strong>This study highlighted the relationship between imposter syndrome, depression, anxiety, and stress among nursing students. Specifically, female students in higher academic years, with lower grade point averages, living in urban areas, with lower family incomes, and not participating in hobbies are more prone to depression, anxiety, and stress.</p><p><strong>Nursing implications: </strong>These findings underscore the need for a holistic approach to managing the complex nature of mental health among nursing students. Incorporating education and resources on self-care and stress management techniques into nursing training programs is imperative for addressing the implications of imposter syndrome in nursing practice. Equipping nursing students with these essential skills can enhance their resilience, foster a healthier work environment, and ultimately improve patient care outcomes.</p>","PeriodicalId":48580,"journal":{"name":"BMC Nursing","volume":"23 1","pages":"862"},"PeriodicalIF":3.1,"publicationDate":"2024-11-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11603883/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142741030","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}