Nursing Research最新文献

{"title":"Review of Protection Against Bots and Fraudulent Survey Submissions in Nursing Researchs.","authors":"John R Blakeman, Sandra Nielsen, Ann L Eckhardt, Caitlin M McCarthy, MyoungJin Kim","doi":"10.1097/NNR.0000000000000909","DOIUrl":"10.1097/NNR.0000000000000909","url":null,"abstract":"<p><strong>Background: </strong>Online survey-based research is common in nursing, but potentially fraudulent responses (e.g., bots or bad actors) threaten the validity of the data obtained from these studies.</p><p><strong>Objectives: </strong>The purpose of this methods paper was to quantify and describe the extent to which nursing investigators have protected against fraudulent submissions in online, survey-based research studies.</p><p><strong>Methods: </strong>A random sample of articles published in nursing journals and reporting the results of online, survey-based research was obtained from PubMed in June 2024. Each article was audited using a standardized audit matrix.</p><p><strong>Results: </strong>The included articles ( n = 132) were published in 51 unique journals and involved 56,159 participants. Studies were primarily cross-sectional and conducted worldwide, with most originating in the United States, multiple nations, or China. Investigators mentioned screening for response validity in only 21 articles; fewer explicitly described the screening processes used. Screening strategies included reviewing open-ended responses, checking for response-set biases, reviewing completion times, using computer-assisted tools, and examining responses for implausible values. In all cases where a potentially fraudulent response was identified, investigators excluded the response from analysis. There was no significant difference in the frequency of fraud screening across journal impact factor tertiles.</p><p><strong>Discussion: </strong>Fraudulent responses are an ever-present problem in survey research. The articles examined did not routinely report strategies for detecting potentially fraudulent responses or protecting data quality. Published online, survey-based studies that include methods for detecting fraudulent responses enhance reader confidence. Investigators are encouraged to develop an a priori data analysis plan that includes multiple means to identify and eliminate, or otherwise, process fraudulent responses. We suggest that investigators transparently detail the use of a standard checklist for online survey research, in addition to the Fraud detection strategies, Recruitment, Incentive, Excluded responses, Data collection (FRIED) checklist we propose in this article.</p>","PeriodicalId":49723,"journal":{"name":"Nursing Research","volume":" ","pages":"388-394"},"PeriodicalIF":2.5,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147534134","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":"Onward: Giving Your Best to Manuscript Reviews.","authors":"Rita H Pickler","doi":"10.1097/NNR.0000000000000917","DOIUrl":"10.1097/NNR.0000000000000917","url":null,"abstract":"","PeriodicalId":49723,"journal":{"name":"Nursing Research","volume":" ","pages":"333-334"},"PeriodicalIF":2.5,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148521360","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":"Moderating Effects of Dementia on Health Outcomes in Dyads of Older Adults and Family Caregivers.","authors":"Cristina B de Rosa, Tania T Von Visger, Christopher Barrick, Weijun Wang, Yu-Ping Chang","doi":"10.1097/NNR.0000000000000920","DOIUrl":"10.1097/NNR.0000000000000920","url":null,"abstract":"<p><strong>Background: </strong>While both older adults receiving assistance with daily living tasks for health or functioning reasons and the family members or kin-like friends who help them are affected by the context of caregiving, little is known about how their interactions might simultaneously affect each other's well-being.</p><p><strong>Objective: </strong>This study aimed to determine the influence of intrapersonal factors on health outcomes for dyads of older adults and their family caregivers and to examine the moderating effect of dementia status on these associations.</p><p><strong>Methods: </strong>Cross-sectional dyadic data were obtained from the National Health and Aging Trends Study (NHATS; Round 12, 2022) linked to the National Study of Caregiving (NSOC; IV, 2022), yielding a sample of 1,560 older adults paired with their respective primary family caregiver, defined as the person providing the greatest number of hours of care. A series of actor-partner interdependence models (APIMs), which statistically account for nonindependent observations, examined associations between older adults' and caregivers' positive affect, negative affect, and self-realization on both their own and each other's mental health (depression and anxiety) and perceived general health. A second series of APIMs explored interactions between predictors and the dementia status of the care recipient. All models controlled for dyad members' own age, gender, race/ethnicity, and dementia status.</p><p><strong>Results: </strong>Dyad members' positive affect, negative affect, and self-realization were significantly associated with their own depression, anxiety, and perceived general health. In addition, caregivers' negative mood was associated with their care recipients' symptoms of depression, and older adults' self-realization was associated with their caregivers' perceived general health. Dementia status of the older adult was also found to moderate the relationship between older adults' positive affect and their own depression. Probing revealed that this relationship was stronger for older adults with dementia than for those without dementia.</p><p><strong>Discussion: </strong>Considering caregiving dyads together provides a more holistic perspective. Intrapersonal factors are potentially modifiable aspects of caregiving contexts, and addressing older adults and their family caregivers simultaneously could be synergistically beneficial.</p>","PeriodicalId":49723,"journal":{"name":"Nursing Research","volume":" ","pages":"346-354"},"PeriodicalIF":2.5,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148044444","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":"Perceived Family Support and Treatment Adherence in Older Adults With Type 2 Diabetes.","authors":"Simge Kalav, Arife Altin Çetin","doi":"10.1097/NNR.0000000000000914","DOIUrl":"10.1097/NNR.0000000000000914","url":null,"abstract":"<p><strong>Background: </strong>Evidence regarding the association between family support and treatment adherence among older adults with type 2 diabetes (T2D) remains limited.</p><p><strong>Objectives: </strong>The purpose of this study was to examine the association between perceived family support and treatment adherence among older adults with T2D.</p><p><strong>Methods: </strong>This cross-sectional study included 233 older adults with T2D from an endocrinology outpatient clinic in southern Turkey. Data were collected using a personal information form, Hensarling's Diabetes Family Support Scale (HDFSS), and the Type 2 Diabetes Mellitus Treatment Patient Compliance Scale.</p><p><strong>Results: </strong>Older adults with T2D reported moderate-to-high levels of perceived family support, alongside moderate overall patient compliance. Some participants reported T2D-related complications and a history of hospitalization. Regression analysis indicated that the model accounted for a substantial proportion of the variance in patient adherence. Although total HDFSS was not significantly associated with compliance, the encouragement subscale showed a positive association, whereas the facilitative support subscale showed a negative association with patient compliance.</p><p><strong>Discussion: </strong>The results highlighted that facilitative support was associated with better treatment adherence among older adults, suggesting the importance of considering patient-centered and family-centered approaches in diabetes care. Encouraging initiatives, when carried out entirely under family control, seemed to be linked to lower self-management skills among older adults.</p>","PeriodicalId":49723,"journal":{"name":"Nursing Research","volume":" ","pages":"E251-E259"},"PeriodicalIF":2.5,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147787330","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":"Scoping Review of Adolescent Autonomy and Responsibility for Managing Chronic Physical Conditions.","authors":"Elif Isik, Brittany Haynes, Melanie Morton, Nina M Fredland, Safiye Sayma, Jean-Marie Bruzzese","doi":"10.1097/NNR.0000000000000921","DOIUrl":"10.1097/NNR.0000000000000921","url":null,"abstract":"<p><strong>Background: </strong>Adolescents' autonomy is a key developmental milestone. Adolescents rely on active support from parents, nurses, and peers as they transition toward self-managing their chronic health conditions. Gaining insight into how adolescents perceive and practice autonomy is essential for supporting the gradual transfer of disease self-management responsibilities.</p><p><strong>Objectives: </strong>To map and synthesize evidence on adolescents' perceived autonomy and responsibility for self-management of their chronic conditions, including decision-making, goal setting, and actions.</p><p><strong>Methods: </strong>This review followed the Joanna Briggs Institute methodology and was reported in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews guidelines. Searches were conducted in CINAHL, APA PsycARTICLES, PubMed, Nursing and Allied Health, Scopus, and Embase without publication date limits, yielding studies published between 2002 and 2024. A total of 4,738 studies were imported into Covidence for screening. Results were analyzed using inductive content analysis.</p><p><strong>Results: </strong>The review included 30 articles. Four main categories were identified related to how adolescents perceive autonomy and progressively assume, exercise, and sustain responsibility for their daily care and self-management: (a) navigating responsibility transfer and regression; (b) communication and support for readiness; (c) emotional turmoil and identity adaptation; and (d) emerging autonomy in action.</p><p><strong>Discussion: </strong>Acquiring self-management skills introduces a growing complexity of effectively monitoring symptoms, adhering to treatments and medication regimens, acquiring dexterity for interventions, and action planning. Nurses play a vital role in assessing adolescents' readiness for autonomy based on developmental maturity and health literacy rather than age alone, while actively involving them in care decisions to foster confidence and a gradual assumption of self-management responsibilities.</p>","PeriodicalId":49723,"journal":{"name":"Nursing Research","volume":" ","pages":"407-419"},"PeriodicalIF":2.5,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13329876/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148044431","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"LASSO Regression-Derived Nomogram of Cognitive Frailty Following Ischemic Stroke Based on Self-Perceptions of Aging.","authors":"Xiaoqing Tao, Li He, Yu Liu, Yu Ren, Weihong Zhang","doi":"10.1097/NNR.0000000000000910","DOIUrl":"10.1097/NNR.0000000000000910","url":null,"abstract":"<p><strong>Background: </strong>Cognitive frailty (CF) is a high-risk state associated with poor long-term outcomes in elderly ischemic stroke (IS) patients.</p><p><strong>Objectives: </strong>The purpose of this study was to develop and validate a nomogram incorporating self-perceptions of aging (SPA) and clinical variables to predict individualized risk of CF in elderly IS survivors.</p><p><strong>Methods: </strong>This study included 940 elderly IS patients (≥60 years) who were randomly split into a training set (70%, n = 658) and a validation set (30%, n = 282). The optimal predictors were identified by taking the intersection of variables selected through Least Absolute Shrinkage and Selection Operator (LASSO) regression, univariable logistic regression, and multivariable logistic regression, and a nomogram was subsequently developed to visualize the model. Model performance was evaluated using area under the curve (AUC), calibration plots, and decision curve analysis (DCA), with validation by a gradient boosting machine (GBM) model.</p><p><strong>Results: </strong>Eight predictors (age, living with family members, family history of cognitive decline, physical activity, previous stroke ≥2 times, SPA, cancer, chronic kidney disease) were retained. The nomogram achieved AUCs of 0.913 in the training set and 0.899 in the validation set, with excellent calibration. Calibration curve and DCA demonstrated clinical utility across threshold probabilities. GBM confirmed SPA as the most influential predictor.</p><p><strong>Discussion: </strong>This nomogram, integrating SPA and clinical factors, provides a robust tool for predicting CF in elderly IS patients, supporting early intervention and personalized care strategies.</p>","PeriodicalId":49723,"journal":{"name":"Nursing Research","volume":" ","pages":"378-386"},"PeriodicalIF":2.5,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147787294","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":"Mixed Method Study of Drivers and Obstacles to Exposure-reducing Behaviors to Endocrine-disrupting Chemicals During Pregnancy.","authors":"Nalae Moon, Ju Hee Kim","doi":"10.1097/NNR.0000000000000911","DOIUrl":"10.1097/NNR.0000000000000911","url":null,"abstract":"<p><strong>Background: </strong>Pregnant women are particularly vulnerable to endocrine-disrupting chemicals (EDCs). However, there is limited evidence on the behavioral determinants of exposure-reducing practices during pregnancy. This gap underscores the need for mixed-methods inquiry.</p><p><strong>Objectives: </strong>The aims of this study were to identify drivers and obstacles influencing EDC exposure-reducing behaviors (EDC-RB) among pregnant Korean women, guided by an extended theory of planned behavior.</p><p><strong>Methods: </strong>A convergent mixed-methods design was used. Quantitative data were collected from 200 pregnant women through structured surveys assessing psychosocial and behavioral factors, while qualitative data were obtained from 17 participants through in-depth interviews and focus groups. Quantitative analyses examined predictors of EDC-RB, and qualitative thematic analysis explored contextual determinants. Integration of findings was conducted using methodological triangulation to enhance interpretive validity.</p><p><strong>Results: </strong>Quantitative analysis showed that perceived behavioral control, intention, risk perception, knowledge, education level, and prepregnancy drinking experience significantly predicted EDC-RB. Qualitative analysis identified five interrelated themes reflecting complex behavioral determinants. Integration revealed that knowledge and social influences functioned both as drivers and obstacles, providing explanatory depth to significant predictors and clarifying nonsignificant findings. Triangulation further highlighted interconnected factor relationships that were not evident through a single method.</p><p><strong>Discussion: </strong>EDC-RB during pregnancy is influenced by multiple individual and social factors. Mixed-methods integration clarified behavioral mechanisms and highlighted the importance of interventions targeting both personal and contextual barriers.</p>","PeriodicalId":49723,"journal":{"name":"Nursing Research","volume":" ","pages":"355-368"},"PeriodicalIF":2.5,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147787339","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":"Meta-Analysis and Meta-Regression of Perioperative Thirst Management Interventions.","authors":"Seçil Taylan, İlknur Özkan","doi":"10.1097/NNR.0000000000000919","DOIUrl":"10.1097/NNR.0000000000000919","url":null,"abstract":"<p><strong>Background: </strong>Perioperative thirst is a frequently reported and discomforting symptom in surgical patients, yet it remains underprioritized in clinical care, highlighting the need for evidence-based nursing interventions.</p><p><strong>Objectives: </strong>The aims of this study were to evaluate and compare the effectiveness of various nonpharmacological nursing interventions in reducing perioperative thirst severity.</p><p><strong>Methods: </strong>A systematic review and meta-analysis were conducted following Preferred Reporting Items for Systematic reviews and Meta-Analyses guidelines and registered with PROSPERO (CRD420251065306). Databases including PubMed, MEDLINE, CINAHL, and three others were searched through May 2025. Seventeen randomized controlled trials involving 1,771 participants were included. Interventions were classified as iced menthol, ice, menthol, or water. The primary outcome was thirst severity, analyzed using mean difference with a 95% confidence interval. Subgroup and meta-regression analyses were performed using a mixed-effects model.</p><p><strong>Results: </strong>Thirst management interventions were found to significantly reduce thirst severity compared with control conditions. Subgroup analyses suggested that iced menthol, ice, menthol, and room-temperature water interventions were all effective in alleviating thirst. However, meta-regression analysis indicated no meaningful differences between intervention types, suggesting that the presence of an intervention rather than its specific type was the primary factor associated with thirst reduction.</p><p><strong>Discussion: </strong>These findings suggest that, in the management of perioperative thirst, the implementation of evidence-based, nonpharmacological nursing interventions is more critical than the specific type of intervention. The study supports integrating timely thirst management strategies into routine perioperative nursing care to improve patient comfort and care quality.</p>","PeriodicalId":49723,"journal":{"name":"Nursing Research","volume":" ","pages":"E238-E250"},"PeriodicalIF":2.5,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147943461","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":"How Can Nursing Philosophy and Theory Be Strengthened? Courageous Individuals Acting Today to Build Tomorrow.","authors":"Juan P Cerón, Wendy J Gómez","doi":"10.1097/NNR.0000000000000918","DOIUrl":"10.1097/NNR.0000000000000918","url":null,"abstract":"","PeriodicalId":49723,"journal":{"name":"Nursing Research","volume":" ","pages":"337"},"PeriodicalIF":2.5,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148521413","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":"Leading Through Service: A Pathway to Growth and Transformation.","authors":"Ann-Margaret Navarra","doi":"10.1097/NNR.0000000000000933","DOIUrl":"10.1097/NNR.0000000000000933","url":null,"abstract":"","PeriodicalId":49723,"journal":{"name":"Nursing Research","volume":"75 5","pages":"387"},"PeriodicalIF":2.5,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148834408","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}