BMC Nursing最新文献

{"title":"The needs of the family caregivers of patients with end-stage chronic obstructive pulmonary disease: a qualitative study in Iran.","authors":"Ramin Sami, Kobra Salehi, Mohammad Akbari, Mahsa Zolfaghari, Vajihe Atashi, Arman Riyahi","doi":"10.1186/s12912-025-03871-7","DOIUrl":"10.1186/s12912-025-03871-7","url":null,"abstract":"","PeriodicalId":48580,"journal":{"name":"BMC Nursing","volume":"24 1","pages":"1188"},"PeriodicalIF":3.9,"publicationDate":"2025-09-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12465522/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145179110","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":"Lens on eye care in intensive care units: deficiencies, training, and improvement recommendations - a descriptive observational study.","authors":"Ayşegül Tuğba Yıldız, Özlem Ceyhan","doi":"10.1186/s12912-025-03787-2","DOIUrl":"10.1186/s12912-025-03787-2","url":null,"abstract":"","PeriodicalId":48580,"journal":{"name":"BMC Nursing","volume":"24 1","pages":"1179"},"PeriodicalIF":3.9,"publicationDate":"2025-09-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12465265/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145179401","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":"Motivational interviewing on engaging family members on advance care planning in residential care homes: a quasi-experimental study.","authors":"Tongyao Wang, Mu-Hsing Ho, Nick Tse, Chia-Chin Lin","doi":"10.1186/s12912-025-03853-9","DOIUrl":"10.1186/s12912-025-03853-9","url":null,"abstract":"<p><strong>Background: </strong>It is important to engage family caregivers strategically and earlier in the Advance Care Planning (ACP) process. However, there is a lack of supportive information and education for family members on ACP. This study aimed to evaluate the feasibility and preliminary efficacy of a nurse-led motivational interviewing ACP intervention for family caregivers of older adults in nursing homes.</p><p><strong>Methods: </strong>This was a quasi-experimental study with a post-trial qualitative study (N = 50). Fifty family caregivers of nursing home residents in Hong Kong, China, were first recruited to the intervention group and then the control group in a 1:1 ratio. The intervention was a 3-session, nurse-led program with a motivational interviewing approach to improving their knowledge and understanding of ACP. The control group had no intervention. We evaluated feasibility outcomes with the logistics data and a semi-structured post-intervention qualitative interview and evaluated preliminary efficacy outcomes using the stages of change scale, the ACP readiness measurement, and a measurement of family caregivers' quality of life before and after the intervention.</p><p><strong>Results: </strong>The participation rate was 56%, and the overall attendance rate of the intervention group was up to 100%. Compared to the control group, the intervention group had significant increases in ACP knowledge, confidence, and stages of change for ACP activity score, except communication skills. Family members recognized their need for ACP information to be prepared as caregivers, and many reported the intervention improved their knowledge and attitude towards ACP and had a stronger desire to sign advance directives.</p><p><strong>Conclusions: </strong>A nurse-led motivational interviewing intervention is feasible and effective for improving ACP readiness of family caregivers. Nurses play a vital role in preparing the family caregivers for end-of-life care decision-making for their loved ones. Our data inform future ACP interventions for family caregivers of older adults living in nursing homes.</p><p><strong>Trial registration: </strong>This trial was registered at ClinicalTrials.gov with the following registration number NCT05901506 on June 13th, 2023.</p>","PeriodicalId":48580,"journal":{"name":"BMC Nursing","volume":"24 1","pages":"1190"},"PeriodicalIF":3.9,"publicationDate":"2025-09-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12465269/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145179424","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 digital intelligent precise nursing framework: theory development in health recommender system.","authors":"Yi Chen, Ka Yan Ho, Xuqian Zong, Yajuan Weng, Changrong Yuan, Janelle Yorke","doi":"10.1186/s12912-025-03830-2","DOIUrl":"10.1186/s12912-025-03830-2","url":null,"abstract":"","PeriodicalId":48580,"journal":{"name":"BMC Nursing","volume":"24 1","pages":"1191"},"PeriodicalIF":3.9,"publicationDate":"2025-09-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12465332/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145178930","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 psychological capital, quality of work life and career success among nurse managers in tertiary general hospitals: a cross-sectional study.","authors":"Cuicui Zhang, Wenjing Xu, Lili Zhu, Changju Liao","doi":"10.1186/s12912-025-03854-8","DOIUrl":"10.1186/s12912-025-03854-8","url":null,"abstract":"<p><strong>Background: </strong>Nurse managers' career success is crucial for healthcare quality, nursing workforce stability, and field advancement. While demographic and organizational factors are well-documented predictors, the impact of psychological mechanisms, specifically psychological capital mediated through quality of work life, remains insufficiently researched. This research aims to investigate the current state of career success among nurse managers and to explore the mediating effect of quality of work life between psychological capital and career success.</p><p><strong>Methods: </strong>A national cross-sectional study was conducted in 2023 with 2,085 Chinese nurse managers recruited from 51 tertiary general hospitals through multi-stage stratified proportional sampling. The participants completed an online questionnaire assessing their psychological capital, quality of work life, and career success. The Statistical Package for the Social Sciences version 26 was used for descriptive analysis, Pearson correlation analysis, hierarchical multiple linear regression, and structural equation modeling to analyze the data and confirm the relationships between the variables using Mplus version 7.0 software.</p><p><strong>Results: </strong>The career success score was 37.09 ± 8.02. There was a positive correlation between psychological capital, quality of work life, and career success, with coefficients ranging from 0.573 to 0.673. Psychological capital and quality of work life explained 38.0% and 14.0% of the variance in career success, respectively. The structural equation modeling results showed that psychological capital positively and directly predicted career success (β = 0.371, P < 0.001), and indirectly affected career success via quality of work life (β = 0.346, P < 0.001). The final model explained 72.3% of the variance in career success.</p><p><strong>Conclusion: </strong>Psychological capital was positively correlated with career success among nurse managers, and the quality of work life partially mediated this relationship. Thus, interventions emphasizing these two factors may be beneficial in improving the career success of nurse managers. Hospital administrators should cultivate positive personalities in nurse managers to enhance their psychological capital, improve their quality of work life, help them grow within the organization, achieve career success, and ensure the quality of nursing and its effectiveness.</p><p><strong>Clinical trial number: </strong>Not applicable.</p>","PeriodicalId":48580,"journal":{"name":"BMC Nursing","volume":"24 1","pages":"1182"},"PeriodicalIF":3.9,"publicationDate":"2025-09-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12465340/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145179445","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":"Impact of the HIRAID emergency nursing framework on nurse and patient outcomes: a cross-sectional study in Saudi Arabia.","authors":"Shorok Hamed Alahmedi, Abdulaziz M Alodhialah","doi":"10.1186/s12912-025-03866-4","DOIUrl":"10.1186/s12912-025-03866-4","url":null,"abstract":"","PeriodicalId":48580,"journal":{"name":"BMC Nursing","volume":"24 1","pages":"1208"},"PeriodicalIF":3.9,"publicationDate":"2025-09-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12465516/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145179464","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 impact of clinical learning environment factors on caring behaviors: the mediating role of psychological resilience among nursing intern students.","authors":"Wenfen Zhu, Tang Jiao, Ge Chen","doi":"10.1186/s12912-025-03840-0","DOIUrl":"10.1186/s12912-025-03840-0","url":null,"abstract":"<p><strong>Background: </strong>Clinical learning environments significantly influence nursing students' caring behaviors; however, most studies have examined clinical learning environments in a general sense but have not identified the specific components or mechanisms that influence nursing students' caring behaviors. In this study, the relationships between specific factors in clinical learning environments and caring behaviors among nursing interns were examined, and whether psychological resilience mediates the influence of clinical learning environmental factors on caring behaviors was investigated.</p><p><strong>Methods: </strong>This study adopted a cross-sectional, descriptive correlational design involving 565 nursing interns in China. Three validated instruments-the Clinical Learning Environment Scale (CLES), the Caring Behaviors Inventory-24 (CBI-24), and the Connor-Davidson Resilience Scale (CD-RISC10)-were used to collect data. Descriptive statistics, Pearson correlation, and multiple linear regression analyses were conducted with SPSS 26.0 to identify relationships between variables. Mediation analysis was performed using the PROCESS macro (Model 4) with 5,000 bootstrap samples to examine the mediating role of psychological resilience.</p><p><strong>Results: </strong>Correlation analysis revealed six clinical learning environment factors were associated with nursing students' caring behaviors. In the multiple regression analysis, student involvement (β = 0.200), task orientation (β = 0.147), and psychological resilience (β = 0.668) were positive predictors of caring behaviors, whereas personalization (β=-0.098) was a negative predictor. The results of the mediation analysis further revealed that student involvement and task orientation had direct effects on caring behaviors (β = 0.232 and 0.201, respectively) and indirect effects via psychological resilience (β = 0.650 and 0.589, respectively). In contrast, personalization had no significant direct effect but exerted a significant indirect effect through psychological resilience (β = 0.652), suggesting a fully mediated relationship.</p><p><strong>Conclusions: </strong>Clinical learning environment factors were related to caring behaviors among nursing interns, and psychological resilience mediated the influence of clinical learning environment factors on caring behaviors. To improve caring behaviors, nursing educators should create a good clinical learning environment for nursing interns, provide structured task orientation, involve students more in clinical practice, and develop their resilience.</p><p><strong>Clinical trial number: </strong>Not applicable.</p>","PeriodicalId":48580,"journal":{"name":"BMC Nursing","volume":"24 1","pages":"1187"},"PeriodicalIF":3.9,"publicationDate":"2025-09-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12466050/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145178966","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 effect of moral distress on the relationship between work environment and depression among critical care nurses.","authors":"Habib Alrashedi, Nader Alnomasy, Khalil A Saleh, Hamdi Lamine, Sameer A Alkubati","doi":"10.1186/s12912-025-03873-5","DOIUrl":"10.1186/s12912-025-03873-5","url":null,"abstract":"","PeriodicalId":48580,"journal":{"name":"BMC Nursing","volume":"24 1","pages":"1201"},"PeriodicalIF":3.9,"publicationDate":"2025-09-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12465591/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145179096","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 nursing quality evaluation indicators system for pressure injury in orthopedics based on the Donabedian model: a Delphi study.","authors":"Liqiong Zhou, Yinfeng Hu, Pingping Shuai","doi":"10.1186/s12912-025-03823-1","DOIUrl":"10.1186/s12912-025-03823-1","url":null,"abstract":"<p><strong>Aim: </strong>This study aims to develop and validate a scientific and reliable set of nursing quality assessment indicators for orthopedic patients with pressure injuries based on the Donabedian model. The Delphi method was adopted for the selection and establishment of the indicators.</p><p><strong>Design: </strong>Delphi method.</p><p><strong>Methods: </strong>We developed an evaluation index system using a literature review and semi-structured interviews. Two rounds of Delphi surveys were conducted with 25 international experts to gather insights on indicators for orthopedic pressure injury care quality. The analytic hierarchy process was used to determine indicator weights. Consensus was defined as an average score of at least 3.5 and agreement from 75% of participants. Based on these criteria, we finalized the evaluation framework.</p><p><strong>Results: </strong>The final evaluation index system for nursing quality in orthopedic pressure injury management comprises 3 first-level indicators-structural quality, process quality, and outcome quality-along with 9 second-level and 26 third-level indicators. Both rounds of expert consultation achieved a 100% effective response rate. The expert authority coefficients were 0.890 for the first round and 0.934 for the second round. In the second consultation round, Kendall's concordance coefficients for the first, second, and third-level indicators were 0.186, 0.217, and 0.115, respectively (P < 0.05).</p><p><strong>Conclusion: </strong>The nursing quality evaluation index system for orthopedic pressure injuries developed in this study is scientifically valid and applicable to clinical practice. It provides a standardized reference for assessing nursing quality in managing orthopedic pressure injuries.</p><p><strong>Implications for the profession and patient care: </strong>The nursing quality evaluation index system for orthopedic pressure injuries, based on the Donabedian model, offers a structured framework for monitoring nursing quality. It standardizes nursing processes and improves resource allocation efficiency. Through outcome-based feedback, the system promotes continuous quality improvement, enhances service standardization, increases patient safety, and completes the quality management cycle.</p><p><strong>Reporting method: </strong>This study was reported by the Conducting and Reporting of Delphi Studies (CREDES) guidance.</p><p><strong>Patient or public contribution: </strong>No Patient or Public Contribution.</p><p><strong>Clinical trial number: </strong>Not applicable.</p>","PeriodicalId":48580,"journal":{"name":"BMC Nursing","volume":"24 1","pages":"1183"},"PeriodicalIF":3.9,"publicationDate":"2025-09-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12465155/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145179307","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Psychometric evaluation of the Online Education Student Satisfaction Scale: a translation and validation study among Chinese nursing students.","authors":"Chuang Li, Youbei Lin, Hong Ye Guo, Haixia Zhao, Jinyan Xiong, Xu Yang Xiao, Lan Zhang","doi":"10.1186/s12912-025-03864-6","DOIUrl":"10.1186/s12912-025-03864-6","url":null,"abstract":"<p><strong>Objective: </strong>To translate the Online Education Student Satisfaction Scale and evaluate its reliability and validity among Chinese nursing students.</p><p><strong>Background: </strong>As online education continues to expand rapidly, understanding student satisfaction is essential for improving educational quality. However, there is a notable lack of assessment tools specifically designed to evaluate the satisfaction of nursing students in online learning environments in China.</p><p><strong>Design: </strong>A cross-sectional study design.</p><p><strong>Method: </strong>The Chinese version of OESSS adopted Brislin's translation model and conducted expert consultations to validate the face validity and testing of the translation version. Reliability and validity were tested using exploratory factor analysis, confirmatory factor analysis, and internal consistency reliability.</p><p><strong>Results: </strong>The Chinese version of the 28-item scale demonstrated good psychometric properties. Exploratory factor analysis identified five factors, accounting for 66.623% of the total variance. Confirmatory factor analysis showed excellent fit indices: CMIN/DF = 1.185, RMSEA = 0.025, NFI = 0.917, IFI = 0.986, TLI = 0.984, and CFI = 0.986. Reliability measures were also robust, with a total Cronbach's α coefficient of 0.918, McDonald's Omega of 0.910, and test-retest reliability of 0.916.</p><p><strong>Conclusion: </strong>The Chinese version of Online Education Student Satisfaction Scale (C-OESSS) exhibits strong psychometric properties and is well-suited for measuring online education satisfaction among nursing students in China.</p><p><strong>Clinical trial number: </strong>Not applicable.</p>","PeriodicalId":48580,"journal":{"name":"BMC Nursing","volume":"24 1","pages":"1193"},"PeriodicalIF":3.9,"publicationDate":"2025-09-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12465134/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145179375","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}