Journal of Perianesthesia Nursing最新文献

{"title":"Mapping the Nursing Literature on Postoperative Pain: A Bibliometric Analysis.","authors":"Havvane Kulaksızoğlu, Seçil Taylan, Fatma Eti Aslan","doi":"10.1016/j.jopan.2025.01.017","DOIUrl":"https://doi.org/10.1016/j.jopan.2025.01.017","url":null,"abstract":"<p><strong>Purpose: </strong>To evaluate nursing research related to postoperative pain through bibliometric analysis and to provide a structured macroscopic overview of the characteristics and development of this research.</p><p><strong>Design: </strong>A bibliometric analysis.</p><p><strong>Methods: </strong>The Web of Science database was selected for the bibliometric analysis study, with data included up to August 30, 2024. The analysis was performed using the \"biblioshiny\" application available in the Bibliometrics R package.</p><p><strong>Findings: </strong>A total of 3,410 nursing articles on postoperative pain were published in 976 sources from 1975 to 2024. The journals with the highest number of publications were Pain Management Nursing, Journal of Perianesthesia Nursing, and Journal of Clinical Nursing. According to Bradford's law-based analyses, there are 26 journals in the first zone, 168 journals in the second zone, and 782 journals in the third zone. Wang J, Kehlet J, and He HK were the most prolific authors. The study found that the distribution of authors did not follow Lotka's law. Developed countries were the most prolific in nursing publications on postoperative pain, and these countries had the highest number of collaborative publications. Keywords focused on \"management,\" \"surgery,\" \"nursing,\" and \"pain,\" with \"management,\" \"surgery,\" and \"postoperative pain\" being the most concentrated themes in the thematic map. Gaps in the literature included \"education,\" \"women,\" \"mortality,\" \"programme,\" and \"rehabilitation,\" while key themes requiring further development were identified as \"pain,\" \"analgesia,\" \"anaesthesia,\" \"quality of life,\" \"risk factors,\" and \"risk.\"</p><p><strong>Conclusions: </strong>This bibliometric study provides a comprehensive and integrative review of the global literature on postoperative pain in nursing.</p>","PeriodicalId":49028,"journal":{"name":"Journal of Perianesthesia Nursing","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-06-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144327491","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Effects of Maxillary Nerve Block in Septoplasty.","authors":"Nezir Yılmaz, Burak Çilingir","doi":"10.1016/j.jopan.2025.02.010","DOIUrl":"https://doi.org/10.1016/j.jopan.2025.02.010","url":null,"abstract":"<p><strong>Purpose: </strong>This study aimed to evaluate the effect of suprazygomatic maxillary nerve block (SMB) in patients undergoing septoplasty surgery.</p><p><strong>Design: </strong>Randomized controlled trial.</p><p><strong>Methods: </strong>A total of 60 patients who met the inclusion criteria were enrolled in this prospective, randomized controlled study. The patients were divided into two groups: group C (control group) and group B (block group). The groups were compared in terms of demographic variables, American Society of Anesthesiologists scores, hemodynamic parameters (mean arterial pressure and heart rate), visual analog scale (VAS) pain scores, postoperative recovery quality (QoR-15 scores) (Quality of recovery-15 (QoR-15)), and the need for rescue analgesics.</p><p><strong>Findings: </strong>There were no statistically significant differences between the groups regarding age, gender, or American Society of Anesthesiologists scores (P > .05). Baseline hemodynamic parameters were similar between the groups (P > .05). However, mean arterial pressure and heart rate were significantly lower in group B at 15, 30, 45, and 60 minutes postoperatively (P < .05). Visual analog scale scores at 0, 2, 6, and 12 hours were significantly lower in group B (P < .05). QoR-15 scores were also significantly higher in group B (P < .05), while the patients need rescue analgesics was lower in this group (P < .05). There was no significant difference in the total number of postoperative analgesic doses between the two groups (P > .05).</p><p><strong>Conclusions: </strong>The application of SMB during septoplasty surgery provides improved perioperative hemodynamic stability, reduced postoperative pain, and enhanced recovery quality. The SMB can be considered a valuable component of a multimodal analgesic approach in septoplasty surgeries.</p>","PeriodicalId":49028,"journal":{"name":"Journal of Perianesthesia Nursing","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-06-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144267739","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Effect of Waiting Time on the Surgical Stretcher in the Operating Room for Urological Surgery on Anxiety and Surgical Fear: A Comparative Cross-sectional Study.","authors":"Aynur Koyuncu, Erdoğan Yakıt","doi":"10.1016/j.jopan.2025.02.018","DOIUrl":"https://doi.org/10.1016/j.jopan.2025.02.018","url":null,"abstract":"<p><strong>Purpose: </strong>This study was conducted to examine the effect of operating room waiting time on surgical fear and preoperative anxiety in patients undergoing urinary system surgery.</p><p><strong>Design: </strong>This study was conducted as a comparative cross-sectional.</p><p><strong>Methods: </strong>This study was conducted with 150 patients undergoing urinary system surgery at a state hospital in Turkey between December 2023 and July 2024. Data were collected using a Descriptive Characteristics Form, the Visual Analog Scale, and the Surgical Fear Questionnaire at two time points: before entering the operating room (T0) and before being placed on the surgical table (T1). Patients were divided into 2 groups based on waiting time: group A (<30 minutes) and group B (≥30 minutes). Statistical analysis was performed with SPSS 27.0 at a significance level of P less than .05.</p><p><strong>Findings: </strong>Patients in groups A and B were similar in terms of descriptive characteristics and T0 assessment. However, at T1 assessment, patients in group B had significantly higher levels of anxiety (P = .002), short-term fear (P = .001), and total fear (P = .001) compared to group A. Waiting time had a significant effect on anxiety (β = 0.637, P = .001), short-term fear (β = 0.788, P = .001), and total fear (β = 0.536, P = .001).</p><p><strong>Conclusions: </strong>Prolonged waiting time in the operating room significantly increases psychological burden by significantly increasing anxiety, short-term fear, and total fear levels in patients.</p>","PeriodicalId":49028,"journal":{"name":"Journal of Perianesthesia Nursing","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-06-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144267738","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effectiveness of Slow-stroke Back and Hot Stone Massage Therapy on Postoperative Anxiety Management in Orthopedic Patients: A Randomized Clinical Trial Study.","authors":"Morteza Hojat Ansari, Seyedeh Zahra Aemmi, Habibollah Esmaily","doi":"10.1016/j.jopan.2025.01.025","DOIUrl":"https://doi.org/10.1016/j.jopan.2025.01.025","url":null,"abstract":"<p><strong>Purpose: </strong>Surgery is a stressful experience for patients, and most surgical patients have some degree of anxiety. Postoperative anxiety management of patients as a nursing intervention and care can be effective in improving the patient's outcome and preventing postoperative complications.</p><p><strong>Design: </strong>A randomized controlled trial.</p><p><strong>Methods: </strong>Ninety-nine patients were randomly assigned to slow-stroke back or hot stone massage therapy and routine care group after orthopedic surgery from 2023 to 2024. On the first or second day after the surgery, participants in the intervention groups received slow-stroke back or hot stone massage therapy 2 times in the morning and afternoon for 10 to 15 minutes. At the baseline and 30 minutes after the intervention, the anxiety (Spielberger Anxiety Inventory) of patients was measured.</p><p><strong>Findings: </strong>Slow-stroke back or hot stone massage therapy significantly decreased patient anxiety compared with the routine care group (P < .001) and also before the intervention (P < .001).</p><p><strong>Conclusions: </strong>This study suggests that massage therapy in the form of slow-stroke back or with hot stone can be an effective complementary and alternative care in alleviating postoperative anxiety.</p>","PeriodicalId":49028,"journal":{"name":"Journal of Perianesthesia Nursing","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-06-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144250481","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Effect of Breathing Exercise With Incentive Spirometer on Pain, Anxiety, Comfort, and Physiological Parameters Before and After Cardiac Surgery: A Randomized Controlled Experimental Study.","authors":"Hatice Çiftçi, Sevda Korkut, Suat Karaca","doi":"10.1016/j.jopan.2025.02.005","DOIUrl":"https://doi.org/10.1016/j.jopan.2025.02.005","url":null,"abstract":"<p><strong>Purpose: </strong>This study was conducted to investigate the effect of breathing exercise with incentive spirometer on pain, anxiety, comfort, and physiological parameters in cardiac surgery patients before and after surgery.</p><p><strong>Design: </strong>The research was conducted as a single-center, prospective, randomized controlled experimental study.</p><p><strong>Methods: </strong>Patients in the intervention I group had breathing exercises performed, in addition to the routine practices of the clinic for 5 days after surgery. Patients in intervention II group had breathing exercises in addition to routine practices for 5 days before surgery and 5 days after surgery. In the control group, only the routine practice of the clinic was performed.</p><p><strong>Findings: </strong>On postoperative days 1 and 5, the pain and anxiety levels of the intervention I and II groups were significantly lower, and the comfort level was significantly higher than the control group. On the post-op first day, partial oxygen pressure values of the patients in the intervention II group were significantly higher than the others. The heart rate of the individuals in the intervention I group on the first post-op day was significantly lower than the other two groups. Post-op days 1 and 5, SaO2 values were significantly higher in the intervention groups compared with the control group.</p><p><strong>Conclusions: </strong>Breathing exercises performed with incentive spirometer before and after the operation decreased the pain and anxiety levels of the patients and increased their comfort. However, it was determined that this application did not create a significant difference in vital signs (except heart rate), pulmonary function test values (except SaO2), and arterial blood gas values (except partial oxygen pressure).</p>","PeriodicalId":49028,"journal":{"name":"Journal of Perianesthesia Nursing","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-06-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144250482","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Postoperative Movement-evoked Pain Trajectories in Abdominal Surgery Patients: A Retrospective Study.","authors":"Zihao Xue, Jingying Huang, Minjun Liu, Haiou Qi","doi":"10.1016/j.jopan.2025.02.006","DOIUrl":"https://doi.org/10.1016/j.jopan.2025.02.006","url":null,"abstract":"<p><strong>Purpose: </strong>This study aimed to characterize the early postoperative movement-evoked pain (MEP) trajectories in patients undergoing major abdominal surgery and to explore factors that may influence MEP trajectories.</p><p><strong>Design: </strong>A single-center, retrospective analysis.</p><p><strong>Methods: </strong>This retrospective study was conducted on 268 patients who underwent major abdominal surgery at a university hospital in China. Data were extracted from the hospital's electronic medical records and the DoCare Anesthesia Clinical Information System. MEP trajectories were assessed at four time points: in the postanesthesia care unit (PACU), and on postoperative days 1, 2, and 3. Longitudinal latent profile analysis was employed to classify patients into different groups based on similar pain trajectory characteristics over time. Ordinal logistic regression was used to analyze potential factors associated with different pain trajectory profiles.</p><p><strong>Findings: </strong>Three latent classes of MEP trajectories were identified and classified into no pain, mild pain, and moderate-to-severe pain trajectories. Factors significantly associated with MEP trajectory membership included opioid consumption during operation, opioid consumption during PACU, and patient-controlled analgesia consumption.</p><p><strong>Conclusions: </strong>Perioperative and perianesthesia health care providers, especially nurses, should strategically optimize opioid use during surgery and proactively manage pain in the early recovery period. Perioperative and perianesthesia nurses play a critical role in postoperative pain management, specifically in guiding pain assessment and treatment interventions, analgesic dosing, and information transfer during care transitions.</p>","PeriodicalId":49028,"journal":{"name":"Journal of Perianesthesia Nursing","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-06-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144235682","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Assessment of Pressure Injury Risk and Affecting Factors in the Operating Room.","authors":"Kenan Gümüs, Cem Celiktas","doi":"10.1016/j.jopan.2025.01.028","DOIUrl":"https://doi.org/10.1016/j.jopan.2025.01.028","url":null,"abstract":"<p><strong>Purpose: </strong>The aim of this study was to determine the risk of pressure injury in the operating theater in patients undergoing surgical intervention and to identify the factors contributing to this risk.</p><p><strong>Design: </strong>This research is a descriptive and cross-sectional study.</p><p><strong>Methods: </strong>This study included 203 patients who underwent surgery in a training and research hospital. Data were collected using a patient descriptive information form and the 3S Intraoperative Pressure Injury Risk Assessment Scale (IPIRAS).</p><p><strong>Findings: </strong>The mean age of the patients was 54.96% ± 13.43%, and 51.7% were male. Patients aged 61 to 86 years, smokers, and patients with chronic diseases had higher 3S IPIRAS scores (P < .001; P = .020; P < .001, respectively). In addition, patients with joint prosthesis, those who used walking aids, and those with semidependent mobility had higher 3S IPIRAS scores (P = .017; P = .001; P = .003, respectively). In particular, patients who underwent neurosurgery, orthopedics, and gynecology operations and patients in physical status classification of IV had higher 3S IPIRAS scores (P < .001; P < .001, respectively). Patients with high serum albumin levels (4.6-4.8 g/dL) had lower 3S IPIRAS scores (P = .001).</p><p><strong>Conclusions: </strong>Some individual and surgical characteristics of patients increase the risk of pressure injury in the operating room. Targeted interventions for at-risk populations will contribute to the prevention of pressure injury development.</p>","PeriodicalId":49028,"journal":{"name":"Journal of Perianesthesia Nursing","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-06-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144210027","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Prevalence and Effect of Prewarming on Unintentional Perioperative Hypothermia in Patients Undergoing Major Abdominal Surgery Walking to the Operating Room: A Non-randomized Prospective Intervention Study.","authors":"Charlotte Rosenkilde, Dorthe Hasfeldt, Hanne Irene Jensen","doi":"10.1016/j.jopan.2025.01.021","DOIUrl":"https://doi.org/10.1016/j.jopan.2025.01.021","url":null,"abstract":"<p><strong>Purpose: </strong>The purpose of the study was to determine the prevalence of unintentional perioperative hypothermia with and without preoperative warming and evaluate the effect of prewarming on core temperature in patients undergoing major abdominal surgery walking to the operating room (OR).</p><p><strong>Design: </strong>A non-randomized prospective intervention study.</p><p><strong>Methods: </strong>Participants were patients scheduled for major abdominal surgery and walking to the OR. The control group received a forced-air warming system during the surgery, whereas the intervention group received a forced-air warming system throughout the perioperative period. Core temperature was assessed on arrival to the OR and in 30-minute intervals after induction of anesthesia and during surgery and on arrival at the postanesthesia care unit (PACU).</p><p><strong>Findings: </strong>Overall, 30 patients were included in the control group and 30 patients in the intervention group. Five patients (16.7%) in the intervention group and 19 patients (63.6%) in the control group were hypothermic at a given time in the perioperative period. The prevalence of hypothermia was significantly lower in the intervention group from 30 minutes after induction of anesthesia until arrival in the postanesthesia care unit. Prewarming reduced the drop in core temperature.</p><p><strong>Conclusions: </strong>The prewarming method combined with peroperative active warming with forced-air warming in patients walking to the OR reduces the drop in core temperature and the prevalence of unintentional perioperative hypothermia throughout the perioperative period.</p>","PeriodicalId":49028,"journal":{"name":"Journal of Perianesthesia Nursing","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-06-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144210030","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effect of Watching Nature-based Videos With Virtual Reality Glasses on Surgical Fear and Anxiety in Patients Scheduled for Open Heart Surgery.","authors":"Sabriye Gül, Aydan Akkurt Yalcinturk","doi":"10.1016/j.jopan.2025.01.015","DOIUrl":"https://doi.org/10.1016/j.jopan.2025.01.015","url":null,"abstract":"<p><strong>Purpose: </strong>The purpose of the study was to examine the effect of watching nature-based videos with virtual reality (VR) glasses on surgical fear and anxiety in patients scheduled for open heart surgery.</p><p><strong>Design: </strong>The present study used a randomized-controlled experimental design.</p><p><strong>Methods: </strong>The study was conducted between December 2023 and February 2024 at a cardiovascular surgery training and study hospital in Istanbul. The patients were randomly divided into 2 groups as the experimental (n = 30) and control groups (n = 30). After the experimental group was informed about the preoperative preparation, they watched a nature-based video with VR glasses. The control group was informed only about preoperative preparation. The data were collected by using the \"Personal Information Form,\" \"Surgical Fear Questionnaire,\" and \"State-Trait Anxiety Inventory.\"</p><p><strong>Findings: </strong>When the post-test mean scores of Surgical Fear Questionnaire were evaluated, they were found to be 35.80 ± 12.26 in the experimental group and 55.60 ± 10.91 in the control group. The post-test mean scores of the patients in the experimental group were significantly lower than those of the patients in the control group (P < .05). The post-test mean scores of the patients on State-Trait Anxiety Inventory-I were were 42.03 ± 6.99 in the experimental group and 63.80 ± 6.65 in the control group. The post-test mean scores of the patients in the experimental group were significantly lower than those of the control group (P < .05).</p><p><strong>Conclusions: </strong>Watching nature-based videos with VR glasses reduced both surgical fear and anxiety in patients scheduled for open heart surgery.</p>","PeriodicalId":49028,"journal":{"name":"Journal of Perianesthesia Nursing","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-06-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144210029","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Attitude and \"Self-Compassion and Purpose\" as Factors Influencing Nurses' Intentions to Engage in Mindful Self-care in the Perianesthesia Setting.","authors":"Brenda K Sanya, Dawn L Denny, Rhoda A Owens, Glenda Lindseth, Thomas Petros","doi":"10.1016/j.jopan.2025.02.008","DOIUrl":"https://doi.org/10.1016/j.jopan.2025.02.008","url":null,"abstract":"<p><strong>Purpose: </strong>This study examined relationships among variables shaping intention to engage in mindful self-care in nurses working in the perianesthesia setting.</p><p><strong>Design: </strong>The study employed a cross-sectional design guided by the Theory of Planned Behavior to explore relationships between variables.</p><p><strong>Methods: </strong>An online survey, approved by the ethics board, collected data from 85 perianesthesia nurses recruited via the American Society of PeriAnesthesia Nurses Listserv. Participants completed the Modified Theory of Planned Behavior Questionnaire and the Mindful Self-care Scale.</p><p><strong>Findings: </strong>Perceived behavioral control (r = 0.318, P = .003) and attitude (r = 0.616, P < .001) showed positive correlations with intentions to engage in self-care, while subjective norms had no significant association (r = -0.025, P = .821). Mindful awareness, perceived behavioral control, and self-compassion and purpose correlated significantly with most variables, except subjective norms. Regression analyses demonstrated attitude (β = 0.51, t = 5.63, P ≤ .001) and self-compassion and purpose (β = 0.29, t = 2.54, P = .013) as significant factors influencing the intention of perianesthesia nurses to engage in mindful self-care. Overall, the model for intent to engage in mindful self-care demonstrated a good fit using the significant factors from the Theory of Planned Behavior, F(8, 76) = 9.33; P = .001 with an adjusted R² of 0.44. On average, perianesthesia nurses engaged in mindful self-care 2 to 3 days per week.</p><p><strong>Conclusions: </strong>This cross-sectional study of perianesthesia nurses found attitude and self-compassion and purpose to be significant predictors of intention to engage in self-care for an average of 2 to 3 days per week. Findings from this study add evidence that positive attitude and self-compassion and purpose significantly influence nurses' intentions to engage in self-care, suggesting these factors are key targets for interventions to improve nurses' well-being and performance.</p>","PeriodicalId":49028,"journal":{"name":"Journal of Perianesthesia Nursing","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-06-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144210028","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}