BMC Nursing最新文献

{"title":"The trajectory of caregiver burden and the predictive role of sense of coherence among primary caregivers of colorectal cancer patients: a longitudinal study.","authors":"Wangjie Xia, Tingting Liu, Mengru Wu, Zhen Luo, Daoxia Guo, Li Tian","doi":"10.1186/s12912-025-03807-1","DOIUrl":"10.1186/s12912-025-03807-1","url":null,"abstract":"<p><strong>Background: </strong>Patients undergoing postoperative chemotherapy for colorectal cancer often have long-term and complex care needs, which places a significant physical and psychological burden on their primary caregivers. Sense of coherence (SOC) may help alleviate this burden by fostering correct perceptions and a positive mindset. This study aimed to analyze the trajectory of caregiver burden and the predictive role of SOC among primary caregivers of CRC patients.</p><p><strong>Methods: </strong>A longitudinal survey was conducted from November 2021 to November 2022 in the oncology departments of three Class A tertiary hospitals in Suzhou. The survey was collected at four time points: before the first chemotherapy, after the first chemotherapy, in the middle of the chemotherapy, and after the last chemotherapy. The Sense of Coherence scale and the Zarit Caregiver Burden Interview were used. Growth Mixture Modeling classified potential trajectories of caregiver burden, and logistic regression assessed the influence of SOC on these.</p><p><strong>Results: </strong>204 primary caregivers of CRC patients completed the survey. The overall caregiver burden showed an initial increase and subsequent decrease, being most severe at T2 and least severe at T4. Caregiver burden trajectories were categorized into low and high caregiving burden groups (P < 0.01). SOC was moderate (65.52 ± 14.75) and was negatively associated with the trajectory of caregiver burden (OR = 0.955, 95% CI: 0.927-0.985). Factors significantly linked to the high-burden group included having one child, low education, being the patient's child, having other family members to care for, lacking alternative caregivers, and caregiving ≥ 12 h daily (all P < 0.01).</p><p><strong>Conclusion: </strong>A lower SOC can exacerbate the primary caregiver burden. Healthcare professionals should pay special attention to primary caregivers who have low education, have one child, are the children of patients, are responsible for caring for other family members, and lack alternative caregivers. Timely interventions should be initiated to provide appropriate support, such as mental health education, SOC training, cognitive therapy, and other interventions. These efforts aim to enhance SOC levels and reduce the caregiver burden, thereby promoting the overall well-being of primary caregivers.</p><p><strong>Clinical trial number: </strong>Not applicable.</p>","PeriodicalId":48580,"journal":{"name":"BMC Nursing","volume":"24 1","pages":"1202"},"PeriodicalIF":3.9,"publicationDate":"2025-09-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12465131/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145179218","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":"Neonatal nurses' e-health literacy and technology‑mediated clinical practice: a cross-sectional analysis of digital health competencies and practice patterns.","authors":"Osama Mohamed Elsayed Ramadan, Nadia Bassuoni Elsharkawy, Alaa Hussain Hafiz, Nouran Essam Katooa, Areej Abunar, Dena Marwan A Attallah, Mashael Dewan, Majed Mowanes Alruwaili, Abeer Nuwayfi Alruwaili, Afrah Madyan Alshammari, Nourah Alsadaan, Enas Mahrous Abdelaziz, Lareen Magdi El-Sayed Abo-Seif","doi":"10.1186/s12912-025-03839-7","DOIUrl":"10.1186/s12912-025-03839-7","url":null,"abstract":"","PeriodicalId":48580,"journal":{"name":"BMC Nursing","volume":"24 1","pages":"1199"},"PeriodicalIF":3.9,"publicationDate":"2025-09-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12465202/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145179461","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":"Effects of a Salutogenic Model-Based Frailty Prevention Program (SAFRAPP) in pre-frail women: a randomized controlled trial.","authors":"Merve Altiner Yas, Selda Secginli","doi":"10.1186/s12912-025-03832-0","DOIUrl":"10.1186/s12912-025-03832-0","url":null,"abstract":"","PeriodicalId":48580,"journal":{"name":"BMC Nursing","volume":"24 1","pages":"1200"},"PeriodicalIF":3.9,"publicationDate":"2025-09-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12465935/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145179344","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":"Examining the mediating role of intrinsic motivation in Laissez-Faire leadership and nurses' task performance: a cross-sectional study.","authors":"Nourah Alsadaan, Osama Mohamed Elsayed Ramadan, Mohammed Alqahtani, Shimaa Magdi Farghaly","doi":"10.1186/s12912-025-03869-1","DOIUrl":"10.1186/s12912-025-03869-1","url":null,"abstract":"<p><strong>Background: </strong>The paradoxical effects of laissez-faire leadership on nursing outcomes in culturally diverse healthcare settings remain inadequately understood, particularly regarding the mediating role of intrinsic motivation.</p><p><strong>Aim: </strong>To examine how intrinsic motivation mediates the relationship between laissez-faire leadership and nursing task performance in Saudi Arabian healthcare settings.</p><p><strong>Methods: </strong>A cross-sectional study was conducted with 250 nurses using validated instruments, including the Laissez-Faire Leadership Assessment Tool, the Intrinsic Motivation Scale, and Nursing Task Performance Metrics. Data were analyzed using regression and mediation analyses to assess direct and indirect relationships between variables.</p><p><strong>Results: </strong>Laissez-faire leadership enhanced intrinsic motivation (β = 0.42, p < 0.001) while simultaneously impairing task performance through a significant negative direct effect (β = -0.47, p < 0.001). Mediation analysis confirmed intrinsic motivation significantly mediated this relationship (indirect effect = 0.218, 95% CI [0.145, 0.298]), operating as a suppressor variable that partially masked the detrimental impact of inadequate supervision. The model explained 52.2% of the variance in performance. Domain-specific analysis revealed patient satisfaction improved (β = 0.30, p < 0.001) while medication errors increased (β = -0.21, p < 0.001). Higher intrinsic motivation amplified the negative effects on critical safety outcomes, contradicting the assumption that motivation has a protective role.</p><p><strong>Conclusion: </strong>This study provides novel evidence for culturally moderated, paradoxical effects of laissez-faire leadership in healthcare. The suppression effect extends Self-Determination Theory by demonstrating that basic psychological needs may operate independently rather than synergistically under certain leadership conditions. Healthcare organizations should implement \"structured autonomy\" approaches that preserve motivational benefits while providing necessary competence support and safety oversight, particularly in the context of healthcare transformation initiatives.</p><p><strong>Clinical trial number: </strong>Not applicable.</p>","PeriodicalId":48580,"journal":{"name":"BMC Nursing","volume":"24 1","pages":"1195"},"PeriodicalIF":3.9,"publicationDate":"2025-09-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12465585/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145179369","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":"Reliability and validity testing the Chinese version of the nursing surveillance scale: a cross-sectional study.","authors":"Di Xu, Sibo Liu, Wei Hu, Xia Li","doi":"10.1186/s12912-025-03859-3","DOIUrl":"10.1186/s12912-025-03859-3","url":null,"abstract":"","PeriodicalId":48580,"journal":{"name":"BMC Nursing","volume":"24 1","pages":"1196"},"PeriodicalIF":3.9,"publicationDate":"2025-09-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12465439/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145178876","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":"What matters in end-of-life communication with nursing staff: an interview study among older people and their family caregivers.","authors":"Fran B A L Peerboom, Jolanda H H M Friesen-Storms, Jenny T van der Steen, Daisy J A Janssen, Judith M M Meijers","doi":"10.1186/s12912-025-03882-4","DOIUrl":"10.1186/s12912-025-03882-4","url":null,"abstract":"<p><strong>Background: </strong>End-of-life communication as part of advance care planning (ACP) aims to support older people to reflect on their values, needs, and wishes regarding the end of life. Previous studies have provided an understanding of the important aspects (\"fundamentals\") of end-of-life conversations with older people from the perspective of nursing staff. Developing further understanding of the experiences and needs of older people and their family caregivers will help identify gaps in communication, guide nursing staff in providing successful ACP, and ultimately enhance person-centered care. We aimed to explore the experiences of older people and their family caregivers in home, nursing home and hospital settings regarding the fundamentals of end-of-life communication as part of ACP by nursing staff.</p><p><strong>Methods: </strong>Semi-structured interviews were performed with older people and their family caregivers about their experiences, opinions, and preferences before, during, and after recent formal end-of-life conversations. Data were analyzed thematically.</p><p><strong>Results: </strong>Eight older people and four of their family caregivers participated in three dyadic and six individual interviews between June 2023 and May 2024. Overall, participants felt it was difficult to describe and evaluate their experiences with the end-of-life conversations because they initially had no specific expectations about end-of-life conversations and approached them with an open mind. Three overall themes were composed comprising 11 fundamentals of end-of-life communication: \"Navigating conversational phases: probing and reflecting\" (e.g., readiness), \"Fostering recognition and relational safety: acknowledging the older person\" (e.g., feeling at ease, feeling seen while nursing staff attune to the older person, feeling a human connection), and \"Engaging with family caregivers: valuing their role and well-being\" (e.g., considering their well-being).</p><p><strong>Conclusion: </strong>Older people and their family caregivers prioritize feeling comfortable in natural and humane end-of-life conversations. They want to be seen, heard, and acknowledged as individuals with backgrounds, values, and needs, not just as patients with a disease. Nursing staff should be aware of the expectations of an older person and family caregiver in end-of-life communication and adjust their approach accordingly. The results of this study can help in developing effective strategies to ensure that end-of-life communication is tailored to the unique needs of older people and their family caregivers, fostering an informed approach.</p>","PeriodicalId":48580,"journal":{"name":"BMC Nursing","volume":"24 1","pages":"1205"},"PeriodicalIF":3.9,"publicationDate":"2025-09-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12465498/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145179207","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":"Frailty and polypharmacy among geriatric home care patients: an epidemiological analysis and implications for optimised care.","authors":"Khalid Abdullah Aljohani","doi":"10.1186/s12912-025-03850-y","DOIUrl":"10.1186/s12912-025-03850-y","url":null,"abstract":"","PeriodicalId":48580,"journal":{"name":"BMC Nursing","volume":"24 1","pages":"1206"},"PeriodicalIF":3.9,"publicationDate":"2025-09-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12465399/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145179285","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":"Holopatient technology in nursing education: a cross-sectional analysis of student and faculty perceptions.","authors":"Amal Ali Alharbi, Wesam Taher Almagharbeh, Hazem AbdulKareem Alfanash, Khaldoon Aied Alnawafleh, Amal Ali Alasmari, Sameer A Alkubati, Malik A Altayar, Nesreen AbdelMonaem AbouZeid, Khulud Ahmad Rezq, Elham H Othman","doi":"10.1186/s12912-025-03856-6","DOIUrl":"10.1186/s12912-025-03856-6","url":null,"abstract":"<p><strong>Background: </strong>Holopatient technology, a mixed reality simulation tool, is increasingly used in nursing education to enhance clinical reasoning and student engagement. However, differences in perception between students and faculty remain underexplored.</p><p><strong>Methods: </strong>A cross-sectional survey was conducted among 126 participants (84 nursing students and 42 faculty members) at a Saudi Arabian nursing college. All participants had prior exposure to Holopatient scenarios, including adult medical-surgical and maternal health cases. A researcher-developed, 20-item Likert-scale questionnaire assessed four domains: perceived effectiveness, overall satisfaction, ease of use, and implementation challenges. Descriptive statistics, chi-square tests, and multiple regression analyses were performed.</p><p><strong>Results: </strong>Students rated perceived effectiveness significantly higher (mean [M] = 4.2, standard deviation [SD] = 0.6) than faculty (M = 3.8, SD = 0.8; p < 0.01). Satisfaction was also higher among students (M = 4.1, SD = 0.7) than faculty (M = 3.7, SD = 0.9). Ease of use was similar (M = 4.0 vs. 3.9), while faculty reported more implementation challenges (M = 3.5, SD = 0.9) than students (M = 3.0, SD = 0.6). A significant association was found between faculty teaching experience and perceived challenges (χ² (4) = 15.78, p < 0.05). Regression analysis showed that prior simulation exposure (β = 0.35, p < 0.001), digital literacy (β = 0.28, p = 0.01), and fewer teaching years (β = -0.15, p = 0.05) predicted more positive perceptions. The model explained 35% of the variance (R² = 0.35).</p><p><strong>Conclusions: </strong>Students expressed more favourable perceptions of Holopatient technology than faculty. Digital literacy and prior simulation exposure were strong predictors of acceptance, while longer teaching experience was linked to lower enthusiasm. Faculty development and targeted support are essential for successful adoption.</p><p><strong>Clinical trial number: </strong>Not applicable.</p>","PeriodicalId":48580,"journal":{"name":"BMC Nursing","volume":"24 1","pages":"1192"},"PeriodicalIF":3.9,"publicationDate":"2025-09-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12465255/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145179321","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 nurse-led thirst symptom management program for patients with heart failure: from evidence-based design to pilot study.","authors":"Yingjun Zheng, Chengyu Xia, Liuxia Ji, Hao Guo, Hui Liu","doi":"10.1186/s12912-025-03878-0","DOIUrl":"10.1186/s12912-025-03878-0","url":null,"abstract":"","PeriodicalId":48580,"journal":{"name":"BMC Nursing","volume":"24 1","pages":"1209"},"PeriodicalIF":3.9,"publicationDate":"2025-09-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12465483/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145179334","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":"Investigating the relationship between complementary and alternative therapy attitudes and pain management self-efficacy in surgical nurses: a cross-sectional study.","authors":"Sevcan Avcı Işık, Serpil Kaynarca","doi":"10.1186/s12912-025-03858-4","DOIUrl":"10.1186/s12912-025-03858-4","url":null,"abstract":"<p><strong>Background: </strong>Effective pain management is central to surgical nursing, yet nurses often face challenges in practice. Self-efficacy influences nurses' ability to manage pain, whereas attitudes toward complementary and alternative medicine (CAM) may also shape clinical decision-making. However, little is known about how CAM attitudes are related to surgical nurses' pain management self-efficacy. This study aimed to investigate the relationships between complementary and alternative therapy attitudes and pain management self-efficacy among surgical nurses.</p><p><strong>Methods: </strong>A cross-sectional analytical study was conducted with 153 surgical nurses working at a foundation university hospital in a metropolitan city in Turkey. Data were collected using a descriptive questionnaire, the Pain Management Self-Efficacy Questionnaire, and the Holistic Complementary and Alternative Medicine Questionnaire. Associations were analyzed with multiple linear regression.</p><p><strong>Results: </strong>Higher holistic health attitudes significantly and negatively predicted comprehensive (B = - 0.497, p = 0.001), evaluative (B = - 0.104, p = 0.009), supplemental (B = - 0.072, p = 0.035), and total self-efficacy scores (B = - 0.674, p = 0.001).</p><p><strong>Conclusion: </strong>This study revealed that surgical nurses' favorable holistic health attitudes were associated with lower pain management self-efficacy. Recognizing this gap highlights the need to integrate evidence-based CAM content into undergraduate and continuing education and to develop institutional protocols that support holistic approaches. Such strategies may enhance nurses' competence and confidence, ultimately improving patient-centered pain care. Future longitudinal and interventional studies are needed to confirm whether embedding CAM education strengthens self-efficacy in clinical practice.</p><p><strong>Clinical trial number: </strong>Not applicable.</p>","PeriodicalId":48580,"journal":{"name":"BMC Nursing","volume":"24 1","pages":"1181"},"PeriodicalIF":3.9,"publicationDate":"2025-09-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12465882/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145179442","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}