BMC Nursing最新文献

{"title":"Influencing factors of knowledge, attitudes, and practices regarding physical restraints among pediatric ICU nurses: a multicenter survey.","authors":"Rui Zhu, Jie Zhang, Kening Ma, Jiaojiao Zang, Nan Song","doi":"10.1186/s12912-026-05238-y","DOIUrl":"10.1186/s12912-026-05238-y","url":null,"abstract":"<p><strong>Background: </strong>Physical restraint, as a medical adjunct, is commonly employed in intensive care units. Presently, most studies on physical restraint in China focus on adult populations, with limited research and small sample sizes concerning critically ill pediatric patients. This study aims to investigate the current knowledge, attitudes, and practices regarding physical restraint among pediatric ICU nurses through a multicenter survey, analyzing the factors influencing the use of physical restraint.</p><p><strong>Methods: </strong>A questionnaire survey was conducted among 825 pediatric ICU nurses in 25 children's hospitals by convenience sampling method. The survey tools were self-designed general information questionnaire, knowledge, attitudes, and practices questionnaire for physical restraints and the influencing factors were analyzed.</p><p><strong>Results: </strong>A total of 850 questionnaires were distributed, with 825 returned, yielding a valid response rate of 97.05%. The total knowledge, attitudes, and practices scores for physical restraints among pediatric ICU nurses were (75.67 ± 6.83) scores, comprising (7.67 ± 1.45) scores for knowledge, (30.00 ± 6.44) scores for attitude, and (37.40 ± 3.29) scores for practice. Multiple linear regression analysis revealed that age, professional title and whether or not nurses had received training in physical restraint were statistically associated with the total knowledge-attitudes-practices score (P < 0.05), although the explanatory power of the model was limited. Specifically, nurses aged 31 ~ 40 (β = -1.524) and those aged 50 and over (β = -4.109) had significantly lower total scores for knowledge, attitudes and practices than the 20 ~ 30 age group; nurses with the professional title of Senior Nurse (β = 1.732) and those who had received training (β = 1.202) had higher total scores for knowledge, attitudes and practice.</p><p><strong>Conclusions: </strong>The total knowledge, attitudes, and practices scores for physical restraints among pediatric ICU nurses were (75.67 ± 6.83) scores. Administrators should develop personalized training programs based on evidence, tailored to their specific needs, and deliver differentiated training tailored to the characteristics of different ICU units, thereby improving the quality of physical restraint among pediatric nurses.</p>","PeriodicalId":48580,"journal":{"name":"BMC Nursing","volume":"25 1","pages":""},"PeriodicalIF":5.2,"publicationDate":"2026-08-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13525670/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148851304","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":"Workplace discrimination among Muslim nurses in the United States: a qualitative content analysis.","authors":"Khulud Almutairi, Eftkhar Alroyley","doi":"10.1186/s12912-026-05229-z","DOIUrl":"10.1186/s12912-026-05229-z","url":null,"abstract":"<p><strong>Aim(s): </strong>To analyze narratives of workplace discrimination among Muslim nurses in the United States and identify themes shaping their experiences in clinical settings.</p><p><strong>Design: </strong>This study is a qualitative content analysis of a single open-ended question embedded within a larger quantitative survey of Muslim nurses.</p><p><strong>Methods: </strong>Muslim registered nurses working in the United States were recruited through national organizations, social media platforms, and healthcare networks. Data were collected between December 2023 and April 2024 using an online survey that included a single open-ended question on experiences of discrimination. A total of 74 responses were received, of which 59 were substantive and were retained for analysis. Qualitative data were analyzed using inductive content analysis to identify themes in participants' narratives.</p><p><strong>Results: </strong>The analysis yielded three themes: pre-discrimination factors, discrimination events, and post-event responses. These themes are comprised of seven categories: identity, antecedents, environmental influences, discriminatory actors and actions, consequences of discrimination, staff and management responses, and coping strategies. Participants identified patients as the most frequent source of discrimination, followed by colleagues and institutions. These encounters shaped by visible religious identity and sociopolitical context, with consequences spanning emotional distress, professional challenges, and career disruption. In response, participants employed a range of coping strategies, including employment-related decisions, emotion-focused avoidance, impression management, positive self-identification as a Muslim, and advocacy. Where supportive leadership, culturally aware colleagues, and inclusive environments were present, participants reported a lower perception of discrimination.</p><p><strong>Conclusion: </strong>Workplace discrimination among Muslim nurses is a complex and ongoing phenomenon shaped by intersecting religious, racial, and gender identities and sociopolitical and organizational contexts. Participants self-reported that it undermined their perceived well-being and professional experiences, while those in inclusive, supportive workplaces reported a lower perception of discrimination.</p>","PeriodicalId":48580,"journal":{"name":"BMC Nursing","volume":"25 1","pages":""},"PeriodicalIF":5.2,"publicationDate":"2026-08-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13525686/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148851344","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":"Foundations for growth: lived experiences of nurses one year after a clinical nursing introduction programme.","authors":"Fredrika Sundberg, Mia Berglund, Anna Kjellsdotter","doi":"10.1186/s12912-026-05210-w","DOIUrl":"10.1186/s12912-026-05210-w","url":null,"abstract":"<p><strong>Background: </strong>Discrepancies between academic nursing education and the realities of clinical practice may contribute to challenges during the transition from student to professional nurse. To address this, many countries and hospitals have implemented clinical introduction programmes for newly graduated nurses. However, limited knowledge exists regarding how these programmes influence nurses' experiences of transitioning into their professional role over time.</p><p><strong>Objectives: </strong>This study seeks to explore the lived experiences of nurses one year after completing a clinical nursing introduction programme, two years post-graduation.</p><p><strong>Design: </strong>The study adopted a qualitative descriptive phenomenological design.</p><p><strong>Setting: </strong>The setting was a general hospital in southwest Sweden.</p><p><strong>Participants: </strong>The participants comprised 12 registered nurses two years after graduation who had completed a one-year clinical nursing introduction programme.</p><p><strong>Methods: </strong>Semi-structured interviews were conducted and analysed using qualitative thematic analysis grounded in descriptive phenomenology.</p><p><strong>Findings: </strong>Three themes were identified: A hunger for more, responsibility for being a caring nurse, and becoming self-aware and self-confident. Two years post-graduation and one year after completing the clinical nursing introduction programme, nurses expressed a strong drive for ongoing professional and personal growth, characterized by curiosity and a desire for autonomy. They emphasized responsibility for delivering patient-centred care, often prioritizing caring values to the extent of considering leaving workplaces that failed to support these ideals. Finally, participants reported increased confidence and self-awareness, viewing help-seeking as a sign of professional security rather than weakness. This development was supported by collegial relationships and reflective discussions on ethical dilemmas.</p><p><strong>Conclusions: </strong>The clinical nursing introduction programme may provide an important foundation for ongoing professional and personal growth. The findings suggest that protected time, peer interaction, reflective practice, and supportive management were perceived as contributing to a developmental trajectory from 'being' to 'becoming' a nurse, while supporting lifelong learning, caring values, and clinical confidence. However, these perceived longer-term benefits should be interpreted with caution, as they may also reflect broader processes of professional maturation and workplace socialisation. The findings indicate that introduction programmes that incorporate opportunities for reflection, collegial support, and leadership engagement may help support the continued development of competence and confidence beyond the programme period.</p>","PeriodicalId":48580,"journal":{"name":"BMC Nursing","volume":"25 1","pages":""},"PeriodicalIF":5.2,"publicationDate":"2026-08-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13459428/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148714212","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A cross-sectional mixed-methods study of nurses' quality of working life in telenursing and care satisfaction comparing those participating in continuing professional development or not during the previous year.","authors":"Annica Björkman, Karin Myrberg, Anna Carin Wahlberg, Maria Engström","doi":"10.1186/s12912-026-05205-7","DOIUrl":"10.1186/s12912-026-05205-7","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Background: &lt;/strong&gt;Rapid changes in healthcare and digitalization underscore the importance of continuing professional development (CPD) in nursing. However, participation is often limited by high workloads, staffing shortages, and insufficient organizational support. Telenursing is a growing field with specific competence requirements, yet previous research indicates demanding working conditions and limited development opportunities. Further evidence is needed regarding CPD participation, its association with work-related outcomes, and nurses' perceived CPD needs.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Aim: &lt;/strong&gt;The aim of the study was to compare nurse-rated quality of working life and satisfaction with given care among nurses working in telenursing services who had participated in CPD during the previous year and those who had not. A further aim was to explore nurses' preferences and perceived needs related to CPD activities.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Methods: &lt;/strong&gt;A cross-sectional survey among nurses in Sweden's national healthcare advisory service (1177) measured quality of working life four instruments were used. Emotional thriving was measured using a brief four-item scale. Telenursing working conditions were assessed using a telenursing-specific instrument. Growth opportunities were measured with a six-item factor from the instrument Safety, Communication, Operational Reliability and Engagement and job satisfaction using the four-item Brief Index of Affective Job Satisfaction scale. Satisfaction with given care was measured using the eight-item Satisfaction with Given Care scale. Participation in continuing professional development (CPD) was assessed by self-reported number of CPD days during the past year, including none, and an open-ended question capturing desired areas of competence development.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Results: &lt;/strong&gt;Nurses who had participated in CPD reported significantly higher emotional thriving, as well as higher ratings for management and collegial support and growth opportunities, compared with those not participating in CPD. No group differences were found regarding satisfaction with given care. Identified CPD needs included strengthened clinical knowledge, reflective and self-directed learning, and improved communication skills.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Conclusion: &lt;/strong&gt;Participating in CPD during the previous year is associated with more positive work-related outcomes among telenursing nurses such as thriving, growth opportunities, better management and collegial support but not with nurse-sensitive outcomes such as nurse satisfaction with given care. Nurses described clear preferences and needs for clinically relevant, reflective, and self-directed professional development.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Clinical trial number: &lt;/strong&gt;Not applicable.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Reporting method: &lt;/strong&gt;This study adhered to the relevant EQUATOR guidelines for observational studies and was reported in accordance with the STROBE. See attached file STROBE_CPD.&lt;/p&gt;&lt;p","PeriodicalId":48580,"journal":{"name":"BMC Nursing","volume":"25 1","pages":""},"PeriodicalIF":5.2,"publicationDate":"2026-08-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13531882/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148876014","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 interplay between spiritual care practice, perception, and competency among critical care nurses: structural equation modeling study.","authors":"Eman Arafa Hassan, Maysa Abdalla Ali Elbiaa, Shimmaa Mohamed Elsayed","doi":"10.1186/s12912-026-05176-9","DOIUrl":"10.1186/s12912-026-05176-9","url":null,"abstract":"<p><strong>Background: </strong>Spiritual care is a vital yet often overlooked component of holistic nursing, particularly in high-stress environments similar intensive care units. While critical care nurses' spiritual perceptions and practices have been investigated, the mediating role of competency and the influence of demographic factors remain understudied.</p><p><strong>Aim: </strong>This study aimed to investigate relationships among spiritual perception, competency, and practice in critical care nurses, focusing on how competency mediates these relationships and the potential moderating role of demographic variables.</p><p><strong>Methods: </strong>A multicenter cross-sectional study was conducted with a convenience sample of 312 critical care nurses across three hospitals in Egypt. Data were collected from 14 intensive care units between February and March 2024 using an online questionnaire that included the Spiritual Care Practice Questionnaire, the Perception of Spirituality and Spiritual Care Rating Scale, and the Spiritual Care Competency Scale. Structural equation modeling was employed to analyze mediation and moderator variables.</p><p><strong>Results: </strong>A total of 312 nurses participated in the study. Spiritual competency significantly mediated the relationship between spiritual perception and Spiritual Care Practice (unstandardized indirect effect = 0.302, p < 0.001; standardized β = 0.357). Structural relationships were evaluated based on individual path coefficients rather than the global model fit. Additionally, age significantly moderated the paths from spiritual perception to practice and from spiritual competency to practice; ICU type significantly moderated the paths from spiritual perception to practice, from spiritual perception to competency, and from competency to practice; gender did not significantly moderate any path; and education level significantly moderated the paths from spiritual perception to practice, from spiritual perception to competency, and from competency to practice. Years of ICU experience did not show a significant moderating role.</p><p><strong>Conclusion: </strong>Spiritual care competency was associated with the relationship between perception of spirituality and spiritual care and its practice among nurses. Specific demographic characteristics demonstrated significant interaction effects on selected pathways. Age and ICU type showed significant interaction effects on several structural pathways, whereas years of ICU experience did not demonstrate significant interaction effects, underscoring the need for tailored approaches to spiritual care training and practice. Integrating spiritual care competency into training programs for critical care nurses, while considering demographic factors, may enhance holistic care in intensive care units.</p><p><strong>Clinical trial: </strong>Not applicable.</p>","PeriodicalId":48580,"journal":{"name":"BMC Nursing","volume":"25 1","pages":""},"PeriodicalIF":5.2,"publicationDate":"2026-08-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13459367/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148714236","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":"Perceptions of humanistic caring among nursing students in Chinese vocational colleges: a cross-sectional study.","authors":"Yufeng Liao, Jieyu Wang, Sai Yang, Rui Chen, Xiao Peng, Chunyan Guan, Ruixia Xie, Ronghua Wang, Shuang Wang, Qian Chen, Yilan Liu","doi":"10.1186/s12912-026-05102-z","DOIUrl":"https://doi.org/10.1186/s12912-026-05102-z","url":null,"abstract":"<p><strong>Background: </strong>Humanistic caring is a fundamental component of nursing practice and a key goal of nursing education. However, previous research has largely emphasized caring competence rather than nursing students' own perceptions of humanistic caring. In China, vocational colleges educate a large proportion of the frontline nursing workforce, yet evidence regarding vocational nursing students' perceptions of humanistic caring remains limited. This study, therefore, investigated perceptions of humanistic caring among nursing students enrolled in Chinese vocational colleges.</p><p><strong>Methods: </strong>A cross-sectional survey was conducted among nursing students from six vocational colleges in Hubei, Guangdong, and Gansu provinces, China, between March and June 2024. Data were collected through an online questionnaire comprising participants' background characteristics and the Nursing Students' Perceptions of Humanistic Caring Questionnaire (NSPHCQ). A total of 1,270 valid questionnaires were included in the analysis. Descriptive statistics were used to summarize the data, with categorical variables presented as frequencies and percentages and continuous variables as means and standard deviations. Group differences were examined using independent-samples t-tests and one-way analysis of variance (ANOVA). Ethical approval was obtained from the institutional ethics committee, and informed consent was obtained from all participants before data collection.</p><p><strong>Results: </strong>Nursing students reported a relatively high level of perceived humanistic caring, with a total score of 140.18 ± 24.94 (mean = 4.10 ± 0.73). Caring from teachers received the highest ratings, followed by caring from peers. Perceived humanistic caring differed significantly according to household registration status, reasons for choosing nursing, harmonious relationships with peers and teachers, participation in volunteer activities, experience serving as a student leader at the school, college, or class level, willingness to pursue a nursing career, and prior caregiving experience.</p><p><strong>Conclusions: </strong>Nursing students in vocational colleges demonstrated a relatively high level of perceived humanistic caring, particularly regarding caring from teachers and peers. In comparison, lower ratings for school management and the school environment suggest that greater organizational and environmental support is needed within nursing education. Perceptions of humanistic caring also varied across several background characteristics. These findings underscore the importance of cultivating supportive learning environments, reinforcing professional commitment to nursing, and enhancing experiential learning opportunities to enhance humanistic caring in vocational nursing education further.</p>","PeriodicalId":48580,"journal":{"name":"BMC Nursing","volume":"25 1","pages":""},"PeriodicalIF":5.2,"publicationDate":"2026-08-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13488583/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148799762","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":"Workplace civility climate and its relationship with organizational citizenship behavior and intention to stay among nurses.","authors":"Esraa Mohammed Soltan, Nahed Ahmed Hussien, Yasmine M Osman, Nadia Mohamed El-Sayed Ghonem, Alaa Mohamed Salah El-Demerdash","doi":"10.1186/s12912-026-05127-4","DOIUrl":"10.1186/s12912-026-05127-4","url":null,"abstract":"<p><strong>Background: </strong>A workplace civility climate is a critical factor in shaping healthy nursing work environments. It influences nurses' organizational citizenship behavior (OCB) and intention to stay, yet evidence from many healthcare systems, including Egypt, remains limited.</p><p><strong>Aim: </strong>This study aimed to evaluate the workplace civility climate and its relationship with OCB and the intention to stay among nurses.</p><p><strong>Methods: </strong>A cross-sectional descriptive correlational design was employed with 136 nurses from a hospital in Ismailia Governorate, Egypt. Data were collected using the Perceived Workplace Civility Climate Scale, the OCB Scale, and McCain's Intent to Stay Scale.</p><p><strong>Results: </strong>Nurses reported moderate-to-high workplace civility, with the highest scores in the policies and procedures dimension. OCB also demonstrated a high overall level, particularly for altruism and courtesy. Intention to stay was moderate. Significant positive correlations were found between the total workplace civility climate and both OCB and the intention to stay.</p><p><strong>Conclusion: </strong>A positive workplace civility climate was correlated with higher OCB and greater intention to stay among nurses. Strengthening policies, reinforcing civil communication, and enhancing leadership practices may support retention and foster supportive work environments.</p>","PeriodicalId":48580,"journal":{"name":"BMC Nursing","volume":"25 1","pages":""},"PeriodicalIF":5.2,"publicationDate":"2026-08-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13463529/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148714269","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' learning preferences and satisfaction levels: pathways to effective education.","authors":"Noha Mohamed Rashed, Mervat Hussein Ahmed Aly, Sudharani B Banappagoudar","doi":"10.1186/s12912-026-04899-z","DOIUrl":"https://doi.org/10.1186/s12912-026-04899-z","url":null,"abstract":"<p><strong>Background: </strong>Understanding nursing students learning preferences may help educators design more engaging educational experiences. However, evidence regarding the relationship between learning preferences, student satisfaction, and academic performance remains inconsistent.</p><p><strong>Aim: </strong>To examine the associations between nursing students' preferences, satisfaction levels, and grade point average (GPA).</p><p><strong>Design: </strong>This was A Descriptive cross-sectional study.</p><p><strong>Setting: </strong>College of Nursing, Misr University for Science and Technology, Egypt.</p><p><strong>Sample: </strong>A convenient sample of 306 undergraduate nursing students from all academic levels was used.</p><p><strong>Tools: </strong>Data were collected using a socio-demographic questionnaire, the Student Satisfaction Scale, and Kolb's Learning Preferences Questionnaire. Descriptive statistics and chi-square tests were used to examine the associations between variables.</p><p><strong>Results: </strong>Diverging and Assimilating were the preferred learning styles, while Accommodating was the most frequently identified dominant learning style. Significant associations were found between learning preferences and student satisfaction levels (p ≤ 0.05), as well as between learning preferences and GPA (p ≤ 0.05), particularly for Assimilating, Converging, and Diverging styles.</p><p><strong>Conclusion: </strong>The present study highlights associations that may inform the consideration of diverse, student-centered teaching strategies; however, no causal conclusions can be drawn.</p>","PeriodicalId":48580,"journal":{"name":"BMC Nursing","volume":"25 1","pages":""},"PeriodicalIF":5.2,"publicationDate":"2026-08-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13474706/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148766368","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":"Artificial intelligence literacy and associations with thriving at work among nurses in Anhui Province, China: a latent profile analysis.","authors":"Zhenni Xie, Jiangying Han, Dalin Kuang, Jinxiu Hu, Chenxia Liao, Ruiqi Wang","doi":"10.1186/s12912-026-05215-5","DOIUrl":"https://doi.org/10.1186/s12912-026-05215-5","url":null,"abstract":"<p><strong>Background: </strong>The integration of artificial intelligence (AI) technologies into clinical nursing is changing nursing practice and creating new competency requirements for nurses. Some nurses may still face difficulties in technical adaptation, ethical judgment, and practical use of AI tools in intelligent healthcare environments. Understanding nurses' AI literacy and its relationship with thriving at work may help hospitals design more targeted support strategies.</p><p><strong>Aims: </strong>This study aimed to investigate the current status of nurses' artificial intelligence literacy, identify latent profiles of self-reported AI literacy, analyze factors associated with profile membership, and examine differences in thriving at work across AI literacy profiles.</p><p><strong>Design: </strong>A cross-sectional study.</p><p><strong>Methods: </strong>In January 2026, 1000 nurses from 62 hospitals in Anhui Province, China were recruited by convenience sampling. Data were collected using a general information questionnaire, the Artificial Intelligence Literacy Scale, the Chinese version of the Thriving at Work Scale, a nine-item measure of attitudes toward AI in nursing, and the General Self-Efficacy Scale. Latent profile analysis was used to classify nurses' AI literacy profiles. Factors associated with profile membership were examined using univariate analysis and multinomial logistic regression. Scores on the Thriving at Work Scale were compared across AI literacy profiles.</p><p><strong>Results: </strong>Three distinct latent profiles were identified: Ethical Awareness Deficit profile (n = 332, 33.20%), Cognition Practice Gap profile (n = 538, 53.80%), and Comprehensive Literacy Advantage profile (n = 130, 13.00%). Educational level, key nursing position/department management role, years of work experience, AI training experience, AI usage frequency in the past 6 months, attitude toward AI in nursing, and self-efficacy were associated with AI literacy profile membership (all P < 0.05). Scores on the Thriving at Work Scale differed significantly across the three profiles (P < 0.05).</p><p><strong>Conclusions: </strong>This multicenter cross-sectional study identified three latent profiles of self-reported artificial intelligence literacy among nurses from hospitals in Anhui Province, China. Thriving at work differed significantly across these profiles. The findings may inform stratified educational and managerial strategies to support nurses' AI literacy and thriving at work in similar clinical contexts.</p><p><strong>Clinical trial number: </strong>Not applicable.</p>","PeriodicalId":48580,"journal":{"name":"BMC Nursing","volume":"25 1","pages":""},"PeriodicalIF":5.2,"publicationDate":"2026-08-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13637257/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149117001","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 and validation of a post-ICU syndrome in family caregivers scale (PICS-F Scale).","authors":"Jia Lei, Xiao Cheng, Ya Hong Cui, Yu Jiao, Lin Yang, Xin Yuan Tang, Lei Li","doi":"10.1186/s12912-026-05207-5","DOIUrl":"10.1186/s12912-026-05207-5","url":null,"abstract":"<p><strong>Background: </strong>Recent studies indicate that rapid advances in medical technology have led to a steady increase in intensive care unit (ICU) survivors. The stressful experience of admission can lead to a series of symptoms in family caregivers of ICU patients, which is referred as Post-Intensive Care Syndrome‑Family (PICS‑F). However, existing tools are single-domain assessments and can only cover a portion of the four main domains of PICS-F. A comprehensive evaluation requires the combined use of multiple scales, which may make the process complex and time-consuming. Therefore, this study aims to develop and validate the PICS‑F Scale as an early screening tool for the risk of PICS‑F that covers physical, mental, cognitive, and social domains in family caregivers of adult ICU survivors.</p><p><strong>Methods: </strong>The initial item pool was generated through a literature review. Two rounds of the modified Delphi survey were conducted by a multidisciplinary panel of experts. Psychometric evaluation was conducted using data from 468 family caregivers of ICU survivors who were recruited from two general hospitals in Shandong Province, China, from March to May 2025. Validity was assessed via exploratory factor analysis (EFA) and confirmatory factor analysis (CFA). Cronbach's α was used to assess the internal consistency. Criterion validity was assessed by calculating the correlation coefficient with the 36-Item Short Form Health Survey questionnaire (SF-36) used as the criterion measure.</p><p><strong>Results: </strong>The final PICS-F Scale contains 22 items. EFA revealed a four-factor structure, corresponding to physical, mental, cognitive, and social dimensions, which explained 76.33% of the total variance. CFA showed satisfactory fit indices (SRMR = 0.075, RMSEA = 0.090, TLI = 0.917, and CFI = 0.927). The scale showed great internal consistency (Cronbach's α = 0.934; subscales: 0.891-0.958). With respect to criterion validity, the correlation between the PICS-F Scale and SF-36 was r = -0.723 (p < 0.001).</p><p><strong>Conclusions: </strong>The scale is a valid and reliable early screening tool for rapidly identifying family members at high risk of PICS‑F in Chinese language settings. It can be used in the early phase after ICU survivors are transferred out of the ICU.</p>","PeriodicalId":48580,"journal":{"name":"BMC Nursing","volume":"25 1","pages":""},"PeriodicalIF":5.2,"publicationDate":"2026-08-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13621639/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149076350","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}