BMC Nursing最新文献

{"title":"The workplace violence against emergency nurses in Jordan: its impact on the treatment process and nursing work.","authors":"Mohammad Ghassan Ibrahim, Hana Mohammad Abu-Snieneh","doi":"10.1186/s12912-026-05224-4","DOIUrl":"10.1186/s12912-026-05224-4","url":null,"abstract":"<p><strong>Background: </strong>The Jordanian emergency nurses are now the victims of cruel behaviors such as violence. The incident of Workplace Violence (WPV) is increasing annually with a growing impact on the continuity of the treatment process and nursing work.</p><p><strong>Aim: </strong>The purpose of this study was to identify the types of WPV against nurses in emergency departments EDs and identify the contributing factors. Also, it establishes the variations in WPV exposure among ED nurses based on the geographical location of hospitals (North, Middle, and South).</p><p><strong>Methods: </strong>A descriptive cross-sectional, comparative design was conducted with a convenience sample of 200 emergency nurses. Data were collected via the Arabic version of the WHO workplace violence questionnaire. Bivariate associations were examined using Chi-square, Mann-Whitney U, and Kruskal-Wallis tests, with Cramer's V for effect sizes. Binary Logistic Regression was executed to identify independent predictors of violence exposure (P ≤ 0.05).</p><p><strong>Results: </strong>Overall, 73.5% of emergency nurses experienced workplace violence; 70% faced non-physical violence and 27% experienced physical violence. Bivariate analysis showed male nurses were significantly more exposed to physical violence than females (p = 0.024). Binary logistic regression revealed that female gender significantly predicted lower odds of physical violence (OR = 0.42,95% C.I.[0.21, 0.83], p = 0.01). Significant geographical variations were found for both physical (x² = 6.112, p = 0.047) and non-physical violence(x² = 15.755, p = 0.001), with the Middle region exhibiting the highest exposure rates. Working in the Southern region significantly predicted lower odds of non-physical violence (OR = 0.56, 95% C.I.[0.37, 0.87], p = 0.01).</p><p><strong>Conclusion: </strong>Workplace violence is highly prevalent among Jordanian emergency nurses, significantly disrupting the continuity of the treatment process and compromising nursing work environments. Aligned with the study's aim, the findings highlight that hospital overcrowding and regional density-particularly in the Middle region-escalate violence exposure. Urgent administrative interventions, such as extending outpatient clinic hours and strengthening security enforcement, are vital to safeguard emergency staff and optimize healthcare delivery.</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/PMC13459339/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148708031","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":"Nurse-led family integrated care and time to first parent-infant holding in very preterm infants (< 32 weeks): a multi-site pre-post quasi-experimental study.","authors":"Nadia Bassuoni Elsharkawy, Elham Aldousari, Osama Mohamed Elsayed Ramadan, Afrah Madyan Alshammari, Alaa Hussain Hafiz, Nouran Essam Katooa, Areej Abunar, Minerva Raguini, Dena Marwan A Attallah, Majed Mowanes Alruwaili, Enas Mahrous Abdelaziz, Marwa Mohamed Ouda, Maha Suwailem S Alshammari, Hassan Elamin, Fatma Ali Oraby","doi":"10.1186/s12912-026-05202-w","DOIUrl":"10.1186/s12912-026-05202-w","url":null,"abstract":"<p><strong>Background: </strong>Preterm birth often leads to prolonged neonatal intensive care unit (NICU) stays and delays early parent-infant bonding. While Family Integrated Care (FICare) addresses these issues, the specific impact of a nurse-led FICare model on expediting first parent-infant holding in very preterm infants remains underexplored.</p><p><strong>Aim: </strong>This study evaluated a nurse-led FICare intervention to reduce the time to first parent-infant holding for very preterm infants (gestational age < 32 weeks) in the NICU.</p><p><strong>Methods: </strong>Multi-site, nonrandomized pre-post (nonequivalent groups) Type 2 implementation-effectiveness hybrid across four Level III NICUs in Saudi Arabia. Study periods: pre (September 1, 2024-February 28, 2025) and post (April 16-August 31, 2025), separated by a 6-week wash-in (March 1-April 15, 2025); audits verified 0% NL-FICare exposure pre-intervention and ≥ 80% fidelity post-implementation.</p><p><strong>Primary outcome: </strong>time from birth to the first continuous parent-infant holding ≥ 20 min; infants without the event were censored at discharge/transfer/death or day 21.</p><p><strong>Secondary outcomes: </strong>parental stress/anxiety and breastfeeding indicators. Analyses were intention-to-treat, using Kaplan-Meier, Cox models with site fixed effects (robust SEs), and restricted mean survival time.</p><p><strong>Results: </strong>The median time to first holding decreased by 24.5 h, from 52.5 h (Brookmeyer-Crowley 95% CI 38.0-71.0) pre-intervention to 28.0 h (95% CI 20.5-38.5) post-intervention. Landmark Kaplan-Meier cumulative probabilities were higher post-intervention at 24 h (23.2% vs. 8.6%), 48 h (53.6% vs. 29.3%), 72 h (71.4% vs. 46.6%), and day 21 (91.1% vs. 79.3%). In adjusted Cox models, the rate of first holding was higher post-intervention (aHR = 1.62, 95% CI 1.08-2.43; p = 0.019). The restricted mean survival time (RMST) difference indicated 51.6 fewer hours without holding by day 21 post-intervention. Parental stress/anxiety decreased, and breastfeeding initiation/duration improved.</p><p><strong>Conclusions: </strong>A nurse-led FICare intervention was associated with earlier first parent-infant holding and more favourable parental and breastfeeding outcomes in very preterm infants. Given the quasi-experimental design, findings should be interpreted as associative rather than causal, and replication in adequately powered randomised trials is warranted.</p><p><strong>Implications for nursing: </strong>The findings support integrating nurse-driven FICare strategies into routine NICU practice to advance family-centered care and optimize parent-infant contact.</p><p><strong>Clinical trial number: </strong>Not Applicable.</p>","PeriodicalId":48580,"journal":{"name":"BMC Nursing","volume":"25 1","pages":""},"PeriodicalIF":5.2,"publicationDate":"2026-08-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13579974/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148978604","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 of communication competence and nursing professionalism with burnout among nurses working at coronavirus residential treatment centers.","authors":"Hyunjung Moon, Ogcheol Lee, Sunghee Kim","doi":"10.1186/s12912-026-05188-5","DOIUrl":"10.1186/s12912-026-05188-5","url":null,"abstract":"<p><strong>Background: </strong>Owing to the increasing number of cases of the coronavirus disease, treatment facilities and nursing services were diversifying, necessitating appropriate hiring and operating guidelines. This study aimed to identify the association of communication skills and nursing professionalism with burnout among nurses who have worked at coronavirus residential treatment centers since March 2020.</p><p><strong>Methods: </strong>This study followed a cross-sectional design. An online survey was conducted in November 2021 using a self-report questionnaire covering sociodemographic characteristics, communication competence, nursing professionalism, and burnout.</p><p><strong>Results: </strong>The data of 145 nurses were analyzed. The average scores for communication competence, nursing professionalism, and burnout were 3.70, 3.25, and 2.98, respectively. Nursing professionalism was positively correlated with communication competence and negatively correlated with burnout. Factors associated with burnout were the length of residential treatment center service, prior experience in responding to infectious diseases, and nursing professionalism, with an explanatory power of 24.0%.</p><p><strong>Conclusions: </strong>Higher nursing professionalism, greater experience in responding to infectious diseases, and longer residential treatment center service period were associated with lower burnout. This study provides evidence to frame guidelines for hiring priorities and working conditions in an unfamiliar clinical nursing setting in the context of future infectious disease outbreaks to reduce nurses' burnout.</p>","PeriodicalId":48580,"journal":{"name":"BMC Nursing","volume":"25 1","pages":""},"PeriodicalIF":5.2,"publicationDate":"2026-08-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13528087/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148867463","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 hospital safety culture and workplace sexual harassment on turnover intention of nursing professionals in Upper East Region, Ghana.","authors":"Charles Lwanga M Tabase, Lisa C Barry, Edward W Ansah","doi":"10.1186/s12912-026-05204-8","DOIUrl":"10.1186/s12912-026-05204-8","url":null,"abstract":"<p><strong>Background: </strong>The global nursing professionals' shortfall is alarming, reaching 4.81 million by 2030, with Africa and South-East Asia disproportionately affected. While improved organizational safety culture promotes worker retention, unsafe work environments, including sexual harassment, contribute to high turnover rates and associated decrease in healthcare service quality. However, the literature is limited on how hospital safety culture and sexual harassment of nursing professionals affect their turnover intention rates in rural settings.</p><p><strong>Methods: </strong>We conducted a cross-sectional study to evaluate the relationships among safety culture, sexual harassment, and turnover intention among nursing professionals (N = 812) in the Upper East Region of Ghana. Participants completed an online survey that included the 25-item Airline Safety Culture Index, the 17-item Sexual Experience Questionnaire, and the 6-item Turnover Intention Scale. Descriptive statistics summarized participants' characteristics and the variables under study. Chi-square test assessed bivariate associations, and multivariable binary logistic regression estimated the association between safety culture, sexual harassment and turnover intention, adjusting for years of working experience and sex. Sex-stratified analysis was also performed.</p><p><strong>Results: </strong>Results indicate that 7.5%, 63.1% and 29.4% of the workers rated their hospitals as having a low, moderate, and high safety culture, respectively. Overall prevalence of workplace sexual harassment was 30.7%; gender harassment 27.3%, unwanted sexual harassment 50.9%, and sexual coercion 49.8%, with 48.2% of these workers intending to leave their current positions in the very near future. Perception of safety culture within healthcare facilities, years of work experience, sexual harassment, and sex are associated with turnover intention among nursing professionals. Among females, sexual harassment predicted turnover intention, whereas among males, years of experience and safety culture were significant predictors.</p><p><strong>Conclusion: </strong>Immediate action is needed to enhance the organizational safety culture of these healthcare facilities, addressing workplace sexual harassment, reducing sex stereotypes, and preventing further depletion of this critical healthcare workforce. Without immediate action, this could severely affect patient outcomes and healthcare quality in Ghana, thereby compromising progress toward Sustainable Development Goal 3.</p><p><strong>Clinical trial number: </strong>Not applicable.</p>","PeriodicalId":48580,"journal":{"name":"BMC Nursing","volume":"25 1","pages":""},"PeriodicalIF":5.2,"publicationDate":"2026-08-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13584373/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148983872","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 and virtual reality-based communication skills training in nursing education: a systematic review with implications for palliative care.","authors":"James Raj K, Sharmila J","doi":"10.1186/s12912-026-05192-9","DOIUrl":"10.1186/s12912-026-05192-9","url":null,"abstract":"<p><strong>Background: </strong>The need for communication is common to all nurses during patient interaction in different medical scenarios, such as palliative care and end of life care. It is important to note that many nurses and nursing students perceive their level of training as inadequate to deal with difficult conversations. The two tools - virtual reality and artificial intelligence - provide practical help in achieving this.</p><p><strong>Aim: </strong>To synthesize empirical evidence on artificial intelligence (AI)- and virtual reality (VR)-based communication skills training among nurses and nursing students and examine its implications for palliative care education.</p><p><strong>Design: </strong>Systematic review conducted in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) 2020 statement.</p><p><strong>Methods: </strong>Original studies written in English and published from database inception until March 2026 were identified. Studies that used AI- and/or VR-based communication training for nurses or nursing students using randomized controlled, quasi-experimental, mixed-methods, cross-sectional, or qualitative study designs were eligible for inclusion in this review. Thirteen studies were included in this review. Quality of the methodology was appraised using the Mixed Methods Appraisal Tool (MMAT).</p><p><strong>Results: </strong>Communication training through VR led to increased confidence in end-of-life communication, improved postmortem care knowledge, increased motivation and high acceptability. A 360 VR communication workshop was found to be feasible and scalable. Multiuser VR simulation reached the same communication outcome as live simulation, and VR-based communication training was more effective than video-based training for basic nurse-patient communication.</p><p><strong>Conclusions: </strong>AI- and VR-based communication training represents an innovative tool for nursing education, specifically in the field of palliative and end-of-life care. However, further randomized controlled trials with objective performance measurements and long-term follow-ups are needed due to the heavy reliance on subjective self-reports in the existing literature.</p>","PeriodicalId":48580,"journal":{"name":"BMC Nursing","volume":"25 1","pages":""},"PeriodicalIF":5.2,"publicationDate":"2026-08-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13644024/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149116843","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":"Registered nurse staffing intensity, skill mix, and acute-care use among long-stay nursing home residents: a fixed-effects panel analysis.","authors":"Wenya He, Hongzhi Zhai, Lisha Wu, Guiyang Zhou","doi":"10.1186/s12912-026-05186-7","DOIUrl":"10.1186/s12912-026-05186-7","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Background: &lt;/strong&gt;Nursing homes depend on sufficient staffing and an appropriate skill mix to recognize and manage acute clinical deterioration among long-stay residents. Although nurse staffing has been widely associated with resident outcomes, measures of total nursing hours may obscure clinically important differences in registered nurse (RN) intensity and staffing composition. Longitudinal evidence distinguishing RN skill mix from overall staffing volume, while examining within-facility changes in both hospitalization and outpatient emergency department (ED) use over an extended national panel, remains limited.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Methods: &lt;/strong&gt;We constructed a nationwide quarterly panel of U.S. nursing homes from 2018Q4 through 2025Q2 using Centers for Medicare & Medicaid Services (CMS) Payroll-Based Journal (PBJ) and Care Compare data. The primary exposures were RN hours per resident day (HPRD) and RN share of total nursing HPRD. Total nursing HPRD was examined as a complementary measure of staffing volume, whereas licensed practical/vocational nurse and certified nursing assistant HPRD were secondary exposures. The primary outcome was the long-stay unplanned hospitalization rate, and the secondary outcome was the long-stay outpatient ED visit rate. Both outcomes reflected rolling 12-month measurement windows refreshed quarterly. We estimated nursing home and quarter fixed-effects models with facility-clustered robust standard errors. Sensitivity analyses used one-quarter-lagged staffing, replaced the Observed Score outcomes with the corresponding CMS \"Adjusted Score\" (risk-adjusted) fields, and excluded peak-pandemic quarters.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Results: &lt;/strong&gt;The sample comprised 14,993 nursing homes and 399,820 facility-quarter observations. Mean total and RN staffing were 3.80 and 0.65 HPRD, respectively. When total nursing HPRD and RN share were entered jointly, total HPRD was not independently associated with either outcome. Holding total HPRD constant, a 10-percentage-point higher RN share was associated with lower hospitalization (β = -0.800; 95% CI, - 1.368 to - 0.232) and outpatient ED visit rates (β = -0.560; 95% CI, - 0.952 to - 0.168). In type-specific models, a 0.1-HPRD increase in RN staffing was associated with lower hospitalization (β = -0.022; 95% CI, - 0.033 to - 0.011) and outpatient ED visit rates (β = -0.016; 95% CI, - 0.025 to - 0.007) per 1,000 resident-days. RN associations remained negative in the lagged, CMS-adjusted-score, and peak-pandemic-exclusion analyses.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Conclusion: &lt;/strong&gt;Within-facility increases in RN staffing intensity and a more RN-intensive skill mix were consistently associated with lower hospitalization and outpatient ED visit rates among long-stay nursing home residents. Although these observational findings do not support causal inference, they suggest that staffing composition should be considered alongside total nursing hours in quality improvement and workforce policy.","PeriodicalId":48580,"journal":{"name":"BMC Nursing","volume":"25 1","pages":""},"PeriodicalIF":5.2,"publicationDate":"2026-08-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13504823/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148814561","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 Effect of Tele-nursing Education on Medication Adherence and Health Literacy in COPD patients.","authors":"Zahra Khalilzadeh-Farsangi, Leila Mohammadifard, Hassan Robabi, Samaneh Fallah-Karimi","doi":"10.1186/s12912-026-05137-2","DOIUrl":"10.1186/s12912-026-05137-2","url":null,"abstract":"<p><strong>Background and aim: </strong>Chronic obstructive pulmonary disease (COPD) is one of the most common chronic conditions that requires effective management through medication adherence and improved health literacy. Tele-nursing, as a modern educational method, can play a significant role in enhancing these outcomes. This study aimed to investigate The Effect of Tele-nursing Education on Medication Adherence and Health Literacy in COPD patients.</p><p><strong>Methods: </strong>In this quasi-experimental study with a pre-test-post-test design, 70 patients with COPD who referred to teaching hospitals in Zahedan in 2024 were selected through convenience sampling and randomly assigned by coin toss into intervention and control groups (35 patients each). The intervention group used a researcher-developed mobile application called \"Hamdam-e-Salamat\" for one month. This app included educational videos, medication reminders, and the ability to record vital signs. Data collection tools included the Morisky Medication Adherence Questionnaire and the TOFHLA Health Literacy Questionnaire, which were completed by both groups before and one month after the intervention. Data were analyzed using SPSS version 27 with Chi-square, paired t-test, and independent t-test.</p><p><strong>Results: </strong>The majority of patients were male. The mean age in the intervention group was 68.82 ± 6.88, and in the control group, 69.97 ± 4.23. The mean score of medication adherence before the intervention was 3.91 ± 1.63 in the intervention group and 3.74 ± 1.22 in the control group. After the intervention, this score changed to 1.11 ± 0.86 in the intervention group and 3.68 ± 1.25 in the control group. Tele-nursing education led to a 2-point reduction in medication nonadherence score in the intervention group, which was statistically significant compared to the control group (p < 0.001). Additionally, the mean health literacy score in the intervention group increased from 49.25 ± 4.97 before the intervention to 56.02 ± 4.94 after the intervention, which was statistically significant (p < 0.001), while this change in the control group was not significant (p = 0.37).</p><p><strong>Conclusion: </strong>Tele-nursing education can be an effective method for improving medication adherence and enhancing health literacy in patients with COPD. It is recommended that this educational approach be incorporated into care programs for patients with chronic illnesses.</p>","PeriodicalId":48580,"journal":{"name":"BMC Nursing","volume":"25 1","pages":""},"PeriodicalIF":5.2,"publicationDate":"2026-08-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13455366/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148707914","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 Rain classroom-based flipped classroom (RC-BFC) on surgical nursing education enhancement.","authors":"Qin Xu, Norhasmah Mohd Zain, Nur Adibah Solihin Sulaiman, Hasni Embong","doi":"10.1186/s12912-026-05022-y","DOIUrl":"10.1186/s12912-026-05022-y","url":null,"abstract":"<p><strong>Background: </strong>Clinical nursing education is essential for facilitating students' successful transition into professional practice. The Rain Classroom-based Flipped Classroom (RC-BFC) model represents an innovative teaching strategy that emphasizes active, student-centered learning through the integration of technology-mediated interactions. By combining the interactive features of Rain Classroom-such as real-time feedback, quizzes, and cloud-based resources-with the core principles of the Flipped Classroom, the RC-BFC model fosters an engaging and supportive learning environment. This study aimed to implement and evaluate the RC-BFC model in surgical nursing skills training among Chinese nursing students from diverse academic backgrounds. It was hypothesized that this approach would more effectively enhance skill performance, self-directed learning abilities, and critical thinking compared to traditional methods.</p><p><strong>Methods: </strong>A quasi-experimental design was employed to assess the effectiveness of the RC-BFC approach. The study involved 286 nursing interns from the Affiliated Hospital of Southwest Medical University in China, who were equally divided into an intervention group (receiving RC-BFC training) and a control group (undergoing traditional training). Pre- and post-intervention skill assessments were conducted, and two validated instruments were used to measure self-directed learning ability and critical thinking skills. Data were analyzed using SPSS version 26 through descriptive statistics, independent-samples t-tests, linear regression, and a three-way mixed-design ANOVA.</p><p><strong>Results: </strong>There were statistically significant differences in skill performance between the two groups (p < 0.001). The mean scores of students instructed with the RC-BFC method (94.50 ± 4.34) in the final examination were significantly higher than those of the control group (85.70 ± 6.45). Moreover, students in the intervention group scored significantly higher in self-directed learning ability (234.07 ± 10.07 vs. 206.99 ± 9.09) and critical thinking ability (266.03 ± 17.86 vs. 235.74 ± 21.23) compared to those in the control group (p < 0.001).</p><p><strong>Conclusion: </strong>Integrating the RC-BFC method into surgical nursing skills training can substantially enhance the skill proficiency, self-directed learning and critical thinking abilities of nursing students.</p><p><strong>Clinical trial number: </strong>Not applicable.</p>","PeriodicalId":48580,"journal":{"name":"BMC Nursing","volume":"25 1","pages":""},"PeriodicalIF":5.2,"publicationDate":"2026-08-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13532003/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148867444","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 and attitudes toward obesity care among nursing professionals.","authors":"Jana Makuc, Ana Ogrič Lapajne, Špela Hvalec, Mojca Jensterle, Andrej Janež","doi":"10.1186/s12912-026-05147-0","DOIUrl":"10.1186/s12912-026-05147-0","url":null,"abstract":"<p><strong>Background: </strong>The understanding of obesity is evolving from a perceived lifestyle-related condition to a chronic, biologically driven disease. Perception of obesity as a disease among health care professionals is important for effective evidence-based obesity care. Nurses have the most sustained patient contact and play an important role in obesity prevention and management, yet their role in this context remains underexplored. We therefore assessed the perceptions and attitudes towards obesity and obesity care in a Slovenian nursing care cohort.</p><p><strong>Methods: </strong>Non-interventional, descriptive, cross-sectional study collecting data via an online survey system was distributed to nationwide membership of the Nurses and Midwives Association of Slovenia via their digital communication channels. The online questionnaire was active for three months. Data was integrated with previously obtained responses from physicians, to enable cross-professional comparison.</p><p><strong>Results: </strong>The majority of respondents agreed that obesity is a disease (82.7%), that is equally important as other chronic diseases (86.9%). Most feel uncomfortable talking about obesity (54.8%) and assume patients fully responsible for their weight (58.1%), which correlates to a lower level in nursing care education. Those with higher nursing care education reported more positive professional attitudes toward obesity (p < 0.001). A strong misalignment between professional/personal standpoint was confirmed (p < 0.001), however, personal attitude was a strong positive predictor of professional attitude (p < 0.001). Female respondents showed more positive attitudes than males (p = 0.002). Participants within family medicine model practice (registered nurses with special knowledge in chronic diseases) have the least problems addressing obesity (25%).</p><p><strong>Conclusions: </strong>The concept of obesity being a disease is not fully adopted in nursing care respondents and a strong misalignment between the professional/personal standpoint exists. Personal attitude and education level were positive predictors of professional attitude towards obesity. Female respondents showed more positive attitudes. These findings highlight the importance of educational interventions aimed not only at increasing professional knowledge but also at addressing personal obesity-related attitudes among nursing professionals.</p>","PeriodicalId":48580,"journal":{"name":"BMC Nursing","volume":"25 1","pages":""},"PeriodicalIF":5.2,"publicationDate":"2026-08-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13584392/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148983968","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":"Caring for the caregivers: a scoping review of spiritual and religious interventions for family caregivers in home care.","authors":"Jenny Kubitza, Benedikt Kaiser, Ruth Mächler, Dagmar Teutsch, Juliane Stingl, Annette Haußmann, Eckhard Frick","doi":"10.1186/s12912-026-05173-y","DOIUrl":"10.1186/s12912-026-05173-y","url":null,"abstract":"<p><strong>Background: </strong>Family caregivers often experience stress, which negatively affects their well-being, health, and quality of life. This review of current studies on spiritual and religious interventions and their effects will contribute to the development of holistic strategies to support family caregivers.</p><p><strong>Methods: </strong>This scoping review followed Arksey and O'Malley's framework and is reported in accordance with the modified Preferred Reporting Items for Systematic Reviews and Meta-Analyses Extension for Scoping Reviews (PRISMA-ScR) guideline. A systematic search of studies and grey literature examining spiritual and/or religious interventions for family caregivers in the home setting was conducted across nine databases and Google Scholar.</p><p><strong>Results: </strong>The search yielded 608 hits, of which 19 studies met the inclusion criteria; a total of 1,025 family caregivers are involved. Most studies have a quantitative design, examine the feasibility and pilot testing of the interventions, and are of moderate quality. Interventions include spiritual training and therapy, faith community nursing, yoga, meditation, mindfulness programs, and self-expressive therapies. These range from single-session approaches to programs lasting several weeks and are conducted as individual, dyadic, or group sessions, either in-person, by telephone, or via virtual platforms. Most studies report improvements in spiritual well-being, health, and quality of life. Some studies reported deterioration in physical health and increased fatigue following spiritual or religious interventions.</p><p><strong>Conclusion: </strong>Spiritual or religious interventions can reduce stress among family caregivers and improve their well-being, provided they are tailored to their needs. To maximize their benefit, interventions should be tailored to caregivers' needs, be flexible in timing and easily accessible, foster meaningful relationships, and be of sufficient duration to enable them to develop practical strategies for daily life.</p>","PeriodicalId":48580,"journal":{"name":"BMC Nursing","volume":"25 1","pages":""},"PeriodicalIF":5.2,"publicationDate":"2026-08-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13445842/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148686322","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}