BMC Nursing最新文献

{"title":"Explaining the causes and factors related to nurse migration from the perspective of nursing students in Iran: a content analysis study.","authors":"Maysam Safari Nezhad, Alireza Abdi, Ali Akbar Vaisi-Raygani","doi":"10.1186/s12912-025-03879-z","DOIUrl":"10.1186/s12912-025-03879-z","url":null,"abstract":"<p><strong>Introduction: </strong>Nurse migration represents a critical determinant in the depletion of the professional healthcare workforce in developing countries.</p><p><strong>Objective: </strong>In light of the limited empirical evidence in this domain, the present study sought to investigate the underlying factors influencing nurse migration, as perceived by nursing students.</p><p><strong>Methods: </strong>This qualitative content analysis study included 24 nursing students who voluntarily participated in the study. Participants were selected through purposive sampling. In-depth, semi-structured interviews were conducted in 24 separate sessions, each lasting between 60 and 70 min, with one session per participant. The final number of participants (24) was determined by the point at which data saturation was reached, meaning that no new concepts or codes emerged from the data. The data were analyzed using conventional content analysis based on Zhang's (2009) approach, while adhering to Guba and Lincoln's trustworthiness criteria. MAXQDA2020 software was utilized for data management.</p><p><strong>Results: </strong>Data analysis resulted in 500 initial codes, 9 subcategories, and 4 main categories: 1- Structural barriers and career mobility opportunities, 2- Exploring a new world of welfare and advanced facilities, 3- Difficulties and Challenges of Migration, 4-Transformations in human and social relationships in a new environment.</p><p><strong>Conclusion: </strong>The findings indicated that nursing students perceive migration as a means of achieving career advancement and enhancing their quality of life; however, they emphasize the need for greater institutional support to facilitate adaptation and to overcome the associated challenges.</p>","PeriodicalId":48580,"journal":{"name":"BMC Nursing","volume":"24 1","pages":"1204"},"PeriodicalIF":3.9,"publicationDate":"2025-09-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12465807/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145179335","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":"Perceived social support, caregiver capacity, and socioeconomic determinants mediating pathways to family resilience in Chinese stroke survivors: a cross-sectional study.","authors":"Yiqing Zhang, Jingjing Ma, Lijun Chen, Huiying Chen, Yamei Xu, Hong Xu, Lei Gu, Lu Shi","doi":"10.1186/s12912-025-03826-y","DOIUrl":"10.1186/s12912-025-03826-y","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Background: &lt;/strong&gt;Family resilience theory posits that families can cultivate adaptive capacities to thrive amid adversity. However, evidence on family resilience mechanisms among Chinese stroke survivors and their caregivers remains limited.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Objectives: &lt;/strong&gt;To investigate the direct and indirect pathways linking perceived social support, caregiver capacity, and family resilience in stroke-affected families and to identify socioeconomic determinants shaping resilience outcomes.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Design: &lt;/strong&gt;This is a cross-sectional study.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Methods: &lt;/strong&gt;A convenience sample of 513 stroke survivor-caregiver dyads was recruited from two hospitals in Ningbo, China: a large public hospital and a private rehabilitation hospital. Quantitative data were collected using a structured questionnaire with respondent-stratified data sources. Primary family caregivers self-reported their general demographics, as well as their responses to the Perceived Social Support Scale (PSSS), Family Caregiver Task Inventory (FCTI), and Family Resilience Assessment Scale (FRAS-C). Concurrently, the demographics, clinical characteristics, and Activities of Daily Living (ADLs) of stroke survivors were assessed. Statistical analyses encompassed descriptive statistics, Pearson correlation coefficients, multivariate regression models, and mediation analysis to examine relationships between variables.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Results: &lt;/strong&gt;Family resilience scores (mean = 86.70 ± 19.00) showed significant positive correlations with perceived social support (PSS) (r = 0.523, p &lt; 0.01) and positive correlations with caregiver capacity (FCTI, r = 0.522, p &lt; 0.01). Mediation analysis revealed that caregiver capacity partially mediated the relationship between PSS and family resilience (indirect effect: 26.68%). Socioeconomic determinants played a critical role: higher education (β = 8.50, p = 0.008), medical insurance coverage (β = -6.47, p = 0.009), and mild stroke survivors dependence (ADL;β = 9.40, p &lt; 0.001) enhanced resilience, while higher pre-illness income of stroke survivors (β = -8.31, p = 0.002) and poor caregiver sleep quality (β = -6.20, p &lt; 0.05) reduced it.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Conclusion: &lt;/strong&gt;This study provides novel evidence on the psychosocial mechanisms underlying family resilience in Chinese stroke populations. First, we identify caregiver capacity as a critical mediator between social support and resilience, elucidating a previously underexplored pathway. Second, we reveal the paradoxical association between higher pre-stroke income and reduced resilience, challenging conventional socioeconomic assumptions in resilience research. Third, we establish caregiver sleep quality as a modifiable determinant of family resilience. The study suggests that interventions should simultaneously strengthen social support networks and caregiver skills, while addressing issues related to sleep quality and financial concerns.&lt;/p&gt;&lt;p&gt;&lt;str","PeriodicalId":48580,"journal":{"name":"BMC Nursing","volume":"24 1","pages":"1180"},"PeriodicalIF":3.9,"publicationDate":"2025-09-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12465349/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145179380","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":"Cultural adaptation experiences of long-term older Turkish immigrants: a qualitative study.","authors":"Ayşegül Ilgaz, Büşra Nur Temür, Süleyman Şahin, Sebahat Gözüm, Anne-Sofie Helvik","doi":"10.1186/s12912-025-03848-6","DOIUrl":"10.1186/s12912-025-03848-6","url":null,"abstract":"","PeriodicalId":48580,"journal":{"name":"BMC Nursing","volume":"24 1","pages":"1197"},"PeriodicalIF":3.9,"publicationDate":"2025-09-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12465484/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145179351","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":"Person-centered shared decision-making in district nursing care on interventions to support independence in older adults with multiple chronic conditions: a video observation study.","authors":"Sigrid Wulfse-Huisman, Dorien Oostra, Jessica Veldhuizen, Nienke Bleijenberg, Bianca Buurman-van Es, Ruth Pel-Littel","doi":"10.1186/s12912-025-03778-3","DOIUrl":"10.1186/s12912-025-03778-3","url":null,"abstract":"","PeriodicalId":48580,"journal":{"name":"BMC Nursing","volume":"24 1","pages":"1189"},"PeriodicalIF":3.9,"publicationDate":"2025-09-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12465545/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145179389","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":"Turkish adaptation of the nurses' sexual harassment scale: validity and reliability study.","authors":"Duygu Yeşilfidan, Filiz Adana, Merve Özkan","doi":"10.1186/s12912-025-03831-1","DOIUrl":"10.1186/s12912-025-03831-1","url":null,"abstract":"","PeriodicalId":48580,"journal":{"name":"BMC Nursing","volume":"24 1","pages":"1176"},"PeriodicalIF":3.9,"publicationDate":"2025-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12465537/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145151372","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":"Breakthrough cancer pain: assessment and self-management perspectives among oncology nurses.","authors":"Ulku Saygili Duzova, Mustafa Kilic, Fatma Gundogdu, Dilek Yildirim, Gulbeyaz Can, Gul Koknel Talu","doi":"10.1186/s12912-025-03827-x","DOIUrl":"10.1186/s12912-025-03827-x","url":null,"abstract":"","PeriodicalId":48580,"journal":{"name":"BMC Nursing","volume":"24 1","pages":"1178"},"PeriodicalIF":3.9,"publicationDate":"2025-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12465389/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145151354","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-led strategy to combat antimicrobial resistance: multi-method design.","authors":"Manuel Jesús Pérez-Baena, Alejandro Torres-Gonçalves, Marina Holgado-Madruga","doi":"10.1186/s12912-025-03822-2","DOIUrl":"10.1186/s12912-025-03822-2","url":null,"abstract":"","PeriodicalId":48580,"journal":{"name":"BMC Nursing","volume":"24 1","pages":"1177"},"PeriodicalIF":3.9,"publicationDate":"2025-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12465921/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145151434","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":"How NGDLES affect nursing students' empowering outcomes and professional identity: a cross-sectional study.","authors":"Marwa Samir Sorour, Sara Mohamed Ahmed El-Gamal, Omnya Sobhy Mohamad El-Ayari, Reda M Nabil Aboushady, Sabah Abo El Ftouh Mohamed, Sally Mohammed Elsayed Ibrahim, Wedad Saber Shafek Abdelkhalek, Atalla Megahed Ebrahim, Asmaa Hosny Belal Wanas","doi":"10.1186/s12912-025-03654-0","DOIUrl":"10.1186/s12912-025-03654-0","url":null,"abstract":"<p><strong>Aim of the study: </strong>Explore how the next-generation digital learning environment affects nursing students' learning, psychological empowerment, and professional identity.</p><p><strong>Background: </strong>The future of the nursing profession depends on leading the next generation of professional nurses, so it is imperative to empower students academically and psychologically to maintain and advance their professional identity. Nursing students will be more confident in their abilities and knowledge and more fulfilled in their roles if they feel empowered.</p><p><strong>Design: </strong>Descriptive, correlational, and cross-sectional research designs were utilized in this study.</p><p><strong>Methods: </strong>384 nursing students, using the following instruments: the next-generation digital learning environment scale (NGDLES), the learning empowering outcomes scale (LEOS), and the nursing students' professional identity questionnaire (NSPIQ).</p><p><strong>Results: </strong>A significant positive correlation between NGDLES and LEOS as p ≤ .001. Also, there is a significant positive correlation between NGDLES and NSPIQ, as p ≤ .001.</p><p><strong>Conclusions: </strong>There were statistically significant positive correlations between the next-generation digital learning environment, learning and psychologically empowering outcomes, and professional identity among nursing students, so providing faculties with professional development in technology skills and improving the work environment for digital learning can improve nursing students' adaptability to digital learning.</p>","PeriodicalId":48580,"journal":{"name":"BMC Nursing","volume":"24 1","pages":"1174"},"PeriodicalIF":3.9,"publicationDate":"2025-09-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12462016/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145139161","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-assisted nursing care: a concept analysis using Walker and Avant approach.","authors":"Reza Nematollahi Maleki, Shahla Shahbazi, Mina Hoseinzadeh, Mansour Ghafourifard, Hamed Gholizad Gougjehyaran, Amir Faravan","doi":"10.1186/s12912-025-03818-y","DOIUrl":"10.1186/s12912-025-03818-y","url":null,"abstract":"<p><strong>Background: </strong>Artificial Intelligence (AI) is increasingly integrated into healthcare, offering transformative potential for nursing practice by enhancing efficiency, accuracy, and patient outcomes. Despite growing interest, the concept of AI-assisted nursing care lacks clear consensus, hindering its clinical operationalization. This study aims to clarify this concept through a concept analysis to inform future research and practice.</p><p><strong>Methods: </strong>The Walker and Avant concept analysis method was utilized to examine 'AI-assisted nursing care.' A literature review was conducted across databases including PubMed, Scopus, ScienceDirect, and Embase, with no temporal limits, yielding 20 relevant records for analysis. The process identified the concept's uses, attributes, antecedents, consequences, and empirical referents.</p><p><strong>Results: </strong>Five defining attributes of AI-assisted nursing care emerged: data-driven decision support, automation of routine tasks, enhanced predictive capabilities, personalization of care, and continuous learning and adaptability. Antecedents included availability of advanced technology, integration into healthcare systems, nursing competence and acceptance, patient data availability, and ethical and regulatory frameworks. Consequences encompassed improved patient outcomes, increased nursing efficiency, enhanced nurses' satisfaction, potential cost savings, and ethical and social challenges. Model, borderline, and contrary cases further illustrated the concept's application.</p><p><strong>Conclusion: </strong>AI-assisted nursing care holds significant promise for revolutionizing clinical practice by improving care quality and nursing workflows. However, its implementation demands addressing technological, ethical, and systemic challenges. Future research should prioritize empirical validation of these findings and promote equitable access to AI technologies across diverse healthcare settings to fully realize its potential.</p>","PeriodicalId":48580,"journal":{"name":"BMC Nursing","volume":"24 1","pages":"1175"},"PeriodicalIF":3.9,"publicationDate":"2025-09-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12462223/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145139144","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":"Critical care nurses' and physicians' knowledge, attitudes, and self-reported behaviors in mobilizing older adult patients: implications for optimizing geriatric care.","authors":"Shimmaa Mohamed Elsayed, Asmaa Mahmoud Ali Ibrahim, Sameer A Alkubati, Mohamed Hussein Ramadan Atta, Heba Hashem Monged","doi":"10.1186/s12912-025-03696-4","DOIUrl":"10.1186/s12912-025-03696-4","url":null,"abstract":"<p><strong>Purpose: </strong>This study aimed to identify knowledge, attitudes, and behaviors regarding older adult patients' mobilization from the perspectives of critical care nurses (CCNs) and physicians.</p><p><strong>Methods: </strong>The researchers employed a cross-sectional study design following the STROBE guidelines. A total of 136 CCNs and 64 physicians completed an online electronic survey. This single-center study utilized the PMABS-ICU questionnaire and adopted a convenience sampling method.</p><p><strong>Results: </strong>Two hundred voluntary participants were involved in our study. The mean (SD) of the overall barrier score for CCNs was 113.16(16.7), significantly higher than the 107.75(10.9) reported by physicians (P = 0.007). The mean (SD) attitude in CCNs was 26.75(5.00), which was of higher significance (p = 0.000) than physicians at 23.56(4.78). CCNs had a higher total mean (SD) behavior subscale, 45.22(11.20), than physicians, 44.39(4.79), with no statistically significant differences between them (p = 0.461). There was a moderate positive correlation between the overall score and subscale knowledge (p = 0.000), attitude (p = 0.000), and behavior (p = 0.000).</p><p><strong>Conclusion: </strong>CCNs reported that barriers to older adult patients' mobility were perceived as higher than physicians. Safety fears and anticipation regarding falling can hinder CCNs' initial attempts to promote the mobility of older adult patients, while physicians perceive time constraints as a hurdle.</p><p><strong>Implications for practice: </strong>Mobility barriers among older adult patients in ICUs were reported to be higher among CCNs than physicians, with fear of injury and safety concerns being the most significant barriers.</p><p><strong>Clinical trial number: </strong>Not applicable.</p>","PeriodicalId":48580,"journal":{"name":"BMC Nursing","volume":"24 1","pages":"1173"},"PeriodicalIF":3.9,"publicationDate":"2025-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12447592/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145087766","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}