BMC Nursing最新文献

{"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}

{"title":"Grounded theory study on the psychological and behavioural processes of medical nurses in response to patient incivility.","authors":"Xinyang Zhao, Tianle Wang, Yuqi Niu, Xiaochun Zhang","doi":"10.1186/s12912-026-05174-x","DOIUrl":"10.1186/s12912-026-05174-x","url":null,"abstract":"<p><strong>Background: </strong>Patient incivility is a significant source of work-related stress for nurses, particularly in highly interactive departments such as internal medicine. Although such behaviours are low in intensity, they occur frequently, continuously depleting nurses' emotional and psychological resources and impacting their well-being and the safety of nursing care. Existing research predominantly focuses on the impact at an overall level, lacking in-depth understanding of nurses' individual cognition, coping strategies, and internal psychological processes within specific situations. This study aimed to explore the psychological and behavioural processes of medical nurses when encountering uncivil behaviours from patients, and to provide a basis for clinical management and support systems.</p><p><strong>Methods: </strong>A qualitative research method using Grounded Theory was adopted. Semi-structured in-depth interviews were conducted with 20 nurses recruited from the internal medicine department of a tertiary hospital in China. Interview data were analysed using NVivo 12 software, following the principle of constant comparison. A theoretical model was constructed through open coding, axial coding, and selective coding.</p><p><strong>Results: </strong>The analysis generated four core themes: (1) Situational Perception and Cognitive Appraisal: Nurses distinguish between emotional dysregulation caused by illness and purely malicious intent. (2) Diverse Coping Strategies: Including relational repair, boundary setting, cognitive reappraisal, and seeking external support. (3) Internal Negotiation: Reflected in the conflict between suppressing emotional expression and adhering to professional roles, the negotiation between professional ethics and personal dignity, and the trade-off between short-term and long-term outcomes. (4) Outcomes and Reflections: Manifested as changes in nurse-patient relationship quality, the dual outcomes of professional versus psychological capital, and the perceived absence of and demands for organizational support.</p><p><strong>Conclusion: </strong>Nurses' responses to patient incivility constitute a dynamic, cognitively-driven psychological process. The core dilemma lies in the internal negotiation and resource depletion inherent in emotional labour. The effectiveness of individual coping strategies is limited, and systemic impact depends on the support of the organizational environment.</p><p><strong>Clinical trial number: </strong>Not applicable.</p>","PeriodicalId":48580,"journal":{"name":"BMC Nursing","volume":"25 1","pages":""},"PeriodicalIF":5.2,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13587451/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148991979","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":"Moral distress and associated factors among nurses working in public hospitals in West Arsi Zone, Ethiopia. a cross-sectional study.","authors":"Lemma Desalegn, Debela Gela, Abdissa Boka","doi":"10.1186/s12912-026-05143-4","DOIUrl":"https://doi.org/10.1186/s12912-026-05143-4","url":null,"abstract":"<p><strong>Background: </strong>Moral distress occurs when nurses recognize an ethically appropriate action but feel unable to act due to institutional or systemic constraints. It is a major concern in nursing practice because ethical conflicts, limited autonomy, inadequate resources, and poor organizational support may affect nurses' well-being and quality of patient care. Evidence on moral distress in Ethiopia remains limited. This study aimed to assess the prevalence of moral distress and factors associated with moral distress among nurses working in public hospitals in the West Arsi Zone, Ethiopia.</p><p><strong>Methods: </strong>An analytical cross-sectional study was conducted from February 13 to March 2, 2023, among 349 nurses selected by simple random sampling from four public hospitals. Nurses with at least six months of work experience were included, while those unavailable during data collection were excluded. Data were collected using a structured self-administered questionnaire comprising the Moral Distress Scale-Revised (MDS-R) and measures of personal and environmental factors. Data were entered into EpiData version 4.6 and analyzed using SPSS version 26. Moral distress was categorized into low and high levels using the sample mean. Factors associated with moral distress were identified using logistic regression analysis. Statistical significance was declared at p < 0.05 with 95% confidence intervals.</p><p><strong>Results: </strong>Of the 349 eligible nurses, 344 participated (98.5% response rate). The mean (± SD) age of respondents was 31.92 ± 7.0 years, and 194 (55.6%) were female. Overall, 73.1% of nurses experienced high moral distress. Male nurses were less likely to experience high moral distress compared with female nurses (AOR = 0.46; 95% CI: 0.27-0.91). Nurses who were dissatisfied with their jobs had nearly eight times higher odds of experiencing high moral distress (AOR = 7.67 [3.08, 19.12]). Similarly, nurses working in a non-conducive environment had four times higher odds of experiencing high moral distress (AOR = 4.07 [1.92, 8.65]).</p><p><strong>Conclusions: </strong>A high proportion of nurses experienced moral distress in West Arsi Zone public hospitals. Improving job satisfaction and creating supportive work environments may help reduce moral distress and improve nursing practice.</p>","PeriodicalId":48580,"journal":{"name":"BMC Nursing","volume":"25 1","pages":""},"PeriodicalIF":5.2,"publicationDate":"2026-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13479561/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148799790","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":"From adoption to interaction: examining human-GenAI engagement patterns, ethical tensions, and educational trade-offs in nursing education.","authors":"Meichun Yang, Jiahui Long, Yaolei He, Ruifeng Meng, Caixia Ling, Qijun Long, Jianjun Wen","doi":"10.1186/s12912-026-05132-7","DOIUrl":"10.1186/s12912-026-05132-7","url":null,"abstract":"<p><p>While generative AI (GenAI) tools such as DeepSeek are increasingly embedded in higher education, existing research has predominantly focused on accuracy, bias, and adoption, with limited attention to the nature of human-GenAI interaction in learning. This study examines how nursing students interact with GenAI and how distinct interaction patterns shape cognitive, behavioral, and affective outcomes, as well as ethical risks in professional training contexts. A cross-sectional mixed-methods design was employed, integrating a rapid review, survey data (n = 401), and qualitative interviews (n = 30). Quantitative data were analyzed using descriptive statistics, correlations, and regression, while qualitative data underwent thematic analysis to identify recurring interaction patterns. Four dominant interaction patterns emerged: (1) passive consumption, characterized by uncritical acceptance of outputs; (2) efficiency-driven use, where GenAI functions as a productivity shortcut; (3) dependent interaction, reflecting overreliance and reduced self-directed learning; and (4) critical engagement, involving verification and reflective use. These patterns are associated with divergent outcomes. Efficiency-driven and dependent interactions were associated with greater perceived task efficiency and performance, but were also associated with lower critical thinking, reduced motivation, and increased academic dishonesty. In contrast, critical engagement supports deeper learning but demands higher AI literacy and effort. Ethical risks-including misinformation, fabricated references, and misalignment with clinical standards-are most pronounced under passive and dependent use. The findings suggest that educational outcomes are shaped not merely by GenAI adoption but by interaction quality. This study advances a shift toward interaction-centered frameworks, emphasizing the need for structured, critical, and ethically grounded GenAI engagement in higher education.</p>","PeriodicalId":48580,"journal":{"name":"BMC Nursing","volume":"25 1","pages":""},"PeriodicalIF":5.2,"publicationDate":"2026-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13536568/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148876031","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 efficacy of a PERMA-based intervention on PTSD symptoms and well-being in newly qualified operating room nurses: a quasi-experimental study.","authors":"Linhe Yang, Shun Zhou, Xiaoya Zhang, Xiuli Zhu, Lihua Bai, Yunying Li, Zhenyu Luo","doi":"10.1186/s12912-026-05158-x","DOIUrl":"10.1186/s12912-026-05158-x","url":null,"abstract":"<p><strong>Background: </strong>Newly qualified operating room nurses suffer from common workplace verbal violence and occupational stress, increasing their risk of Post-Traumatic Stress Disorder (PTSD). However, evidence regarding the efficacy of the PERMA model (Positive Emotion, Engagement, Relationships, Meaning, Achievement) in reducing PTSD symptoms in this cohort remains limited.</p><p><strong>Methods: </strong>This preliminary, quasi-experimental study included two phases: a cross-sectional survey of 178 operating room nurses to assess probable PTSD prevalence, followed by an 8-week PERMA-based intervention for 27 nurses who screened positive for probable PTSD. The PTSD Checklist-Civilian Version (PCL-C) and Campbell Index of Well-being (IWB) were measured at baseline, post-intervention, and 3-month follow-up.</p><p><strong>Results: </strong>The prevalence of probable PTSD was 19.0%. All nurses in the probable PTSD group reported verbal violence exposure; specific occupational fears were significant independent predictors of probable PTSD. A dose-response relationship existed between stressor count and probable PTSD risk (OR = 7.426, 95% CI: 3.704-14.890). The intervention was associated with a significant reduction in PCL-C scores (p = 0.007), while IWB scores showed no significant change.</p><p><strong>Conclusions: </strong>Newly qualified operating room nurses are exposed to probable PTSD risk, closely linked to verbal violence and occupational stressors. A PERMA-based intervention was associated with a reduction in their PTSD symptoms, highlighting the need to incorporate targeted psychological support and anti-workplace violence policies to protect this workforce. As a preliminary study, these findings should be confirmed in a larger, definitive randomized controlled trial.</p>","PeriodicalId":48580,"journal":{"name":"BMC Nursing","volume":"25 1","pages":""},"PeriodicalIF":5.2,"publicationDate":"2026-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13560203/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148921359","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 nursing care model with a skill mix in the intensive care unit: a qualitative study of ICU nurses' and care assistants' experiences.","authors":"Atreyu van Esch, Dewi Stalpers, Susanne M Maassen, Monique van Dijk, Margo M C van Mol","doi":"10.1186/s12912-026-05170-1","DOIUrl":"10.1186/s12912-026-05170-1","url":null,"abstract":"<p><strong>Background: </strong>Nursing care models that incorporate a skill mix, including care assistants, are increasingly introduced in intensive care units (ICUs) to address workforce challenges. Understanding staff experiences with the early implementation of such models is essential to support effective collaboration and safe care delivery. This study aimed to explore the ICU nurses' and care assistants' experiences with a newly implemented skill mix, focusing on collaboration, role allocation, and perceptions of care delivery.</p><p><strong>Methods: </strong>An exploratory qualitative study was conducted using four focus group meetings with 33 ICU nurses and nine care assistants working in two adult ICUs of a large tertiary hospital in the Netherlands (August to December 2023). Data were audiotape-recorded, transcribed verbatim, independently coded by two researchers, and analysed using thematic content analysis.</p><p><strong>Findings: </strong>Three major themes were identified: (1) Navigating change and adopting roles, including clear and continuous communication, realistic expectations, and guidance through team managers; (2) Collaboration and team dynamics, encompassing team spirit, recognition to bridge a knowledge gap, opportunities for professional growth, and added value in essential care; (3) Balancing responsibilities in delivering safe care, highlighting tensions related to task allocation and accountability during early implementation.</p><p><strong>Conclusion: </strong>The findings of this early phase evaluation illustrate tensions experienced by ICU nurses and care assistants when adapting to new role distributions within a nursing care model including skill mix. Clear and continuous communication, aligned expectations, and practical support tools-such as guidelines or task cards-facilitate collaboration and support ICU teams during the implementation of such models.</p><p><strong>Trial registration: </strong>Not applicable.</p>","PeriodicalId":48580,"journal":{"name":"BMC Nursing","volume":"25 1","pages":""},"PeriodicalIF":5.2,"publicationDate":"2026-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13439978/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148674199","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":"Validation of the Chinese version of the telehealth attitudes scale for nurses: a cross-sectional study.","authors":"Jinlong Zheng, Wenhao Tang, Bo Zheng, Haihang Xu, Jun Zhou, Mingzhu Chen","doi":"10.1186/s12912-026-05164-z","DOIUrl":"10.1186/s12912-026-05164-z","url":null,"abstract":"<p><strong>Background: </strong>Telehealth helps overcome temporal and spatial constraints, enabling remote disease monitoring and rehabilitation guidance for patients. Nurse-led telehealth services optimize resource allocation by significantly reducing non-essential hospital visits and readmissions, while providing personalized care and rehabilitation, thereby lowering the economic burden on patients. However, effective tools for assessing nurses' attitudes towards telehealth adoption remain lacking.</p><p><strong>Aim: </strong>This study primarily aimed to translate and culturally adapt the Nurses' Attitudes Towards Telehealth Scale (NATUTS) for the Chinese context and to subsequently validate its psychometric properties.</p><p><strong>Methods: </strong>After securing authorization from the original authors, the NATUTS was systematically adapted through translation, back-translation, cultural refinement, and pilot testing. The culturally adapted Chinese version was then psychometrically validated with 452 nurses from tertiary hospitals in Hubei Province, selected via convenience sampling.</p><p><strong>Results: </strong>The Chinese NATUTS comprises 19 items across three dimensions: Satisfaction, Rejection, and Development. The scale demonstrated satisfactory reliability (Cronbach's α = 0.893; McDonald's ω = 0.928; test-retest = 0.879) and validity (I-CVI: 0.778-1.00; S-CVI/Ave = 0.971). Confirmatory factor analysis yielded a good model fit (χ²/df = 1.335, RMSEA = 0.058,SRMR = 0.045, CFI = 0.983, TLI = 0.981).</p><p><strong>Conclusion: </strong>The Chinese Nurses' Telehealth Attitudes Scale exhibits strong reliability and validity, demonstrating its effectiveness as an instrument for measuring nurses' attitudes towards telehealth technology adoption in China.</p>","PeriodicalId":48580,"journal":{"name":"BMC Nursing","volume":"25 1","pages":""},"PeriodicalIF":5.2,"publicationDate":"2026-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13589373/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149002669","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":"Towards a safer future: a qualitative exploration of strategies for preventing medical errors in nursing practice.","authors":"Nastaran Heydarikhayat, Nezar Ghanbarzehi, Masoume Moqaddam, Fatemeh Darban","doi":"10.1186/s12912-026-05166-x","DOIUrl":"https://doi.org/10.1186/s12912-026-05166-x","url":null,"abstract":"<p><strong>Background: </strong>Medical errors remain a significant and preventable cause of patient injury and death, presenting a continuous challenge to safety within hospitals worldwide. Understanding the origins and preventative strategies for medical errors has become a renewed priority for numerous healthcare systems worldwide in an effort to enhance patient safety.</p><p><strong>Methods: </strong>In this descriptive phenomenological study, 12 multidisciplinary healthcare staff, nurse managers, and faculty members were selected through purposive sampling from three hospitals and one university-based center affiliated with a medical university in southeastern Iran. Data collection was done through semi-structured in-depth individual interviews with participants. All interviews were analyzed by the seven steps of Colaizzi's method in MAXQDA version 10.</p><p><strong>Results: </strong>\"The unfinished architecture of safe care: reflection on prevention\" emerged as the main theme of the study. Six subthemes and 29 categories were extracted from data analysis. Six subthemes were identified: \"Excellence in Care\", \"Empowerment: the cornerstone of patient safety\", \"Professional Supervision: a vigilant eye for patient safety\", \"Managerial Enhancement\", \"Supportive Chains\", and \"Cultural Responsiveness\".</p><p><strong>Conclusions: </strong>Participants perceived multidimensional strategies for error prevention. Although some of the strategies are already recognized, in settings with limited resources, workforce, and infrastructure, they may still require sustained effort, repetition, and ongoing revision. The proposed strategies encompass consideration of contextual factors, care delivery, infrastructural readiness, and management and planning practices -along with certain preventive changes and innovations- which may contribute to reducing medical errors in nursing practice. These findings offer a foundation for context‑sensitive interventions in under‑resourced healthcare settings.</p>","PeriodicalId":48580,"journal":{"name":"BMC Nursing","volume":"25 1","pages":""},"PeriodicalIF":5.2,"publicationDate":"2026-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13474824/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148762638","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":"Effectiveness of an educational intervention on intensive care nurses' knowledge and practice of endotracheal suctioning: a single-group pretest-posttest study.","authors":"Imran Inayat Yousafzai, Ihsanur Rahman, Bakhtyar Ali Shah","doi":"10.1186/s12912-026-05049-1","DOIUrl":"10.1186/s12912-026-05049-1","url":null,"abstract":"<p><strong>Background: </strong>Endotracheal tube (ETT) suctioning is a critical nursing procedure essential for airway management in mechanically ventilated patients admitted to intensive care units (ICUs). Proper suctioning practices help reduce complications, including ventilator-associated pneumonia (VAP). However, evidence suggests that ICU nurses' knowledge and practices regarding ETT suctioning remain suboptimal. This study aimed to assess the effectiveness of an educational intervention on ICU nurses' knowledge and practices regarding ETT suctioning.</p><p><strong>Methodology: </strong>A quasi-experimental single-group pretest-posttest study was conducted in the intensive care units (ICUs) of three public sector tertiary care hospitals in Peshawar, Pakistan. Eligible ICU nurses who met the inclusion criteria and consented to participate were recruited using convenience sampling (n = 60). Knowledge and practice were assessed before and after the educational intervention using a structured knowledge questionnaire and an observational practice checklist.</p><p><strong>Results: </strong>Nurses' knowledge scores improved significantly following the intervention (pre-intervention: 6.57 ± 1.79 vs. post-intervention: 10.23 ± 1.68; mean difference = 3.66; p < 0.001), with a very large effect size (Cohen's d = 2.12). Practice scores also increased significantly from 12.65 ± 1.83 to 16.38 ± 1.43 (mean difference = 3.73; p < 0.001), corresponding to a very large effect size (Cohen's d = 2.27).</p><p><strong>Conclusion: </strong>The educational intervention was associated with substantial improvements in ICU nurses' knowledge and practices regarding endotracheal suctioning. However, because this study employed a single-group pretest-posttest design without a control group, the findings should be interpreted with caution, as causal relationships cannot be established. Regular in-service education is recommended to maintain competency and promote adherence to evidence-based endotracheal suctioning practices.</p><p><strong>Clinical trial registration: </strong>Not applicable.</p>","PeriodicalId":48580,"journal":{"name":"BMC Nursing","volume":"25 1","pages":""},"PeriodicalIF":5.2,"publicationDate":"2026-07-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13449507/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148686264","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":"Hand hygiene knowledge, perception, and self-reported practice among healthcare workers in a tertiary care hospital: a cross-sectional study.","authors":"Anbuselvi Danapalan, Nalini Sirala Jagadeesh, Alexander Arthur Bialasiewicz, Mohammed El Ahmady, Ashokkumar Palanivinayagam","doi":"10.1186/s12912-026-05058-0","DOIUrl":"https://doi.org/10.1186/s12912-026-05058-0","url":null,"abstract":"<p><strong>Background: </strong>Hand hygiene (HH) regimens significantly prevent the spread of healthcare-associated infections and multidrug-resistant organisms. Practising correct HH is crucial in achieving the target of near-zero infections. Globally, HH compliance rates among healthcare workers (HCWs) remain suboptimal. This study aimed to evaluate HCWs' hand hygiene knowledge, perception and self-reported practice and their correlations in a tertiary care hospital in Qatar.</p><p><strong>Methods: </strong>A cross-sectional study was conducted at Al Ahli Hospital, an Australian Council on Healthcare Standards International (ACHSI) accredited tertiary care hospital, from December 2023 to February 2024. The final analytical sample comprised 434 licensed HCWs (physicians, nurses and allied health professionals) responses. A validated self-administered questionnaire from the World Health Organisation and the Centers for Disease Control resource was used. Descriptive and inferential statistics were used for analysis.</p><p><strong>Results: </strong>The mean and standard deviation scores of knowledge, perception, and self-reported practice were 24.9 ± 2.83, 25.5 ± 2.69, and 18 ± 2.99 respectively. 65% of HCWs demonstrated a high level of knowledge. Between 57% and 90% of HCWs perceived HH as highly important, whereas 59 to 86% of HCWs self-reported that they performed HH more than 95% of the time in a day. Pearson's correlation analysis showed significant positive correlations between HH knowledge and self-reported practice (r = 0.215, P < 0.001). Chi-square test and one-way ANOVA analysis shown statistically significant differences (p < 0.05) across professional groups for selected knowledge, perception and self-reported practice items. These findings revealed that nurses were moderately compliant, which potentially reflects patient contact and nature. Post-hoc Bonferroni analyses showed statistically significant mean group differences (p < 0.05) confirming that nurses performed better than physicians and allied health professionals. Major barriers to HH practice included being too busy, lacking time, skin irritation and prioritisation of patient needs.</p><p><strong>Conclusion: </strong>HCWs possess strong knowledge and positive perception toward HH, and notable gaps persist between their understanding and their self-reported practices. These findings highlight the need for periodical monitoring and specialised HH modular training integrated with behavioural interventions. A collaborative approach involving all stakeholders is essential to implement strategic initiatives to eliminate the identified barriers and improve HH compliance, contributing to improved patient safety.</p>","PeriodicalId":48580,"journal":{"name":"BMC Nursing","volume":"25 1","pages":""},"PeriodicalIF":5.2,"publicationDate":"2026-07-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13495255/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148799654","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}