Nursing Research最新文献

{"title":"Nurse Leaders' Interpersonal Communication Competence.","authors":"Petra Kämäräinen, Leena Mikkola, Anu Nurmeksela, Tarja Kvist","doi":"10.1097/NNR.0000000000000837","DOIUrl":"10.1097/NNR.0000000000000837","url":null,"abstract":"<p><strong>Background: </strong>Despite the beneficial associations of nurse leaders' interpersonal communication competence with job satisfaction, engagement, and reduced burnout among nurses, there has been little research on the topic.</p><p><strong>Objectives: </strong>To describe nurse leaders' perceptions of interpersonal communication competence.</p><p><strong>Methods: </strong>A qualitative descriptive study was conducted in the three well-being services counties in Finland between February and April 2024. A total sample of 21 nurse leaders participated. Data were analyzed using abductive content analysis, starting with a deductive phase guided by a conceptual framework of nurse leaders' interpersonal communication competence categories, followed by inductive analysis. Furthermore, the outcome of the analysis was viewed through the theory of interpersonal communication competence.</p><p><strong>Results: </strong>In addition to the three categories of nurse leaders' interpersonal communication competence-message competence, relational competence, and task competence-the study identified a fourth main category: ethical principles. Alongside these main categories, 27 subcategories were identified. An exploration of the results through the lens of interpersonal communication competence theory showed that the theory's cognitive, behavioral, and affective dimensions were identifiable in the description.</p><p><strong>Discussion: </strong>Using a unique multidisciplinary methodological solution, the results highlight the complex and adaptive nature of nurse leaders' interpersonal communication competence. It provides a thorough description of nurse leaders' interpersonal communication competence, supported by interpersonal communication competence theory. The results promote an understanding of the interpersonal communication competence required in nursing leadership. To retain competent nurses and ensure quality care, a comprehensive understanding of communication competence in nursing leadership is essential, highlighting the need for further research on this topic.</p>","PeriodicalId":49723,"journal":{"name":"Nursing Research","volume":" ","pages":"378-384"},"PeriodicalIF":2.2,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144112546","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":"Considerations in Launching an International Multisite Clinical Trial.","authors":"Laura Beth Kalvas, Mallory A Perry-Eaddy, Amy Cassidy, Onella S Dawkins-Henry, Laurie Lee, Lisa A Asaro, David Wypij, Martha A Q Curley","doi":"10.1097/NNR.0000000000000826","DOIUrl":"10.1097/NNR.0000000000000826","url":null,"abstract":"<p><strong>Background: </strong>Adequately powered randomized controlled clinical trials (RCTs) provide the highest level of evidence to support nursing interventions that are thought to improve clinical outcomes. To ensure adequate power, recruitment at multiple study sites is often required. Complexity is exponentiated when RCTs are conducted in multiple settings, especially on an international level. Regardless of logistical challenges, funders typically expect subjects to be enrolled within the first year of funding.</p><p><strong>Objective: </strong>To describe essential elements that must be considered when launching a multisite RCT.</p><p><strong>Methods: </strong>Step-by-step review of essential multisite RCT start-up activities using PROSpect , a nurse-led 50+ site international pediatric critical care RCT, as an exemplar. Essential pre- and postaward activities and organizational structure are discussed. The PROSpect launch timeline, with comparisons between United States and international study site initiation, is presented.</p><p><strong>Results: </strong>In the first 2 years of PROSpect funding (June 15, 2018-June 14, 2020), 54 sites in 13 countries spanning five continents initiated study launch activities and subsequently went on to begin subject screening. Of these, 15 sites (28%) began screening within the first funding year and 29 (54%) within the second year. PROSpect enrolled its first subject prior to the end of the first year of funding. Sites completed launch activities within a median of 295 days of receiving an instructional e-mail delineating study launch steps (IQR: 202, 379; range = 151-1,046). International sites ( n = 19) required more time to launch than U.S. sites ( n = 35; 448 [360, 785] vs. 219 [201, 299] days; p < .001).</p><p><strong>Discussion: </strong>Nurses must provide care that is supported by the best available evidence. Multisite RCTs are complex but provide high-quality evidence and can be managed with prospective systematic organization. In PROSpect, international sites took approximately twice as long to activate as U.S. sites. When developing a study start-up timeline, it is important to adjust milestones to accommodate the complexities of launching international sites and maintain momentum throughout the process, as start-up delays can increase the risk of trial failure. This paper contributes to recent efforts to demystify and streamline the multisite RCT start-up process for nurse investigators transitioning from conducting single-site to multisite trials.</p>","PeriodicalId":49723,"journal":{"name":"Nursing Research","volume":" ","pages":"391-398"},"PeriodicalIF":2.2,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144059214","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":"Modeling the Relationship Between Symptom Burden, Falls, and Outcomes.","authors":"Michelle A McKay, Margaret Brace","doi":"10.1097/NNR.0000000000000835","DOIUrl":"10.1097/NNR.0000000000000835","url":null,"abstract":"<p><strong>Background: </strong>Falls constitute a public health crisis for older adults. Almost half of older adults have increased symptom burden that limits function and increases fall risk.</p><p><strong>Objectives: </strong>The aims of this study were to determine if the relationship between symptom burden and outcomes are mediated by falls and whether symptoms further moderate the outcomes of falls.</p><p><strong>Methods: </strong>Data came from the National Health and Aging Trends Study. Path models were used to test the mediation of the relationship between symptom burden in 2015 and outcomes in 2016 by falls in the past year, as well as the moderation of the effect of falls on outcomes by symptom burden. Models were stratified by age.</p><p><strong>Results: </strong>There was a significant moderated mediation for participants aged ≥80 years in which higher symptom burden had a direct association with higher risk for hospitalization, an indirect link to higher risk for hospitalization through an increased risk for falls, but a dampening effect on the association between falls and hospitalization. For disability and well-being, falls partially mediated the association between symptom burden and outcomes for those <80 years. For ≥80 years, symptom burden was associated with falls and with the outcome, but there was no mediation. Falls consistently mediate the connection between symptoms and outcomes for those aged 65-79, but not for those aged 80 and older.</p><p><strong>Discussion: </strong>The results suggest that symptom burden may be a potential assessment tool for identifying the risk for falls in older adults. Further research could explore tailored intervention development for targeting symptom management and fall prevention.</p>","PeriodicalId":49723,"journal":{"name":"Nursing Research","volume":" ","pages":"357-363"},"PeriodicalIF":2.2,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144112544","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":"Inclusive Hospital Policies, Nurse Burnout, and Job Turnover.","authors":"Hyunmin Yu, José A Bauermeister, Matthew D McHugh, Tari Hanneman, Karen B Lasater","doi":"10.1097/NNR.0000000000000834","DOIUrl":"10.1097/NNR.0000000000000834","url":null,"abstract":"<p><strong>Background: </strong>Organizational turnover among nurses is associated with high levels of burnout, which may be exacerbated by workplace discrimination and exclusionary organizational policies. The theory of inclusive organizations suggests that fostering inclusive workplace environments can positively affect job retention.</p><p><strong>Objectives: </strong>This study examined the role of inclusive hospital policies in shaping nurses' intentions to leave employment. We hypothesized that inclusive policies would reduce turnover intentions among all nurses, with a stronger effect among those experiencing high burnout.</p><p><strong>Methods: </strong>This cross-sectional study analyzed three survey data sets from 2021: the RN4CAST-NY/IL data collected from registered nurses in New York and Illinois; the Healthcare Equality Index data, which assesses and scores hospitals' inclusion efforts for lesbian, gay, bisexual, transgender, queer or questioning, and other sexual and gender-diverse individuals; and the American Hospital Association Annual Survey. The dependent variable was nurses' intent to leave their employer within a year. The independent variable was the Healthcare Equality Index score, with nurses' high burnout serving as the moderating variable. Multilevel logistic regression with cross-level interaction was employed for the analysis.</p><p><strong>Results: </strong>A total of 6,294 nurses from 111 hospitals were included in the study. An increase in the total Healthcare Equality Index score was associated with decreased odds of nurses intending to leave their employer. Nurses experiencing high burnout were more likely to intend to leave their employer compared to those without high burnout. Nurses' high-burnout status did not moderate the relationship between hospitals' Healthcare Equality Index scores and nurses' intent to leave.</p><p><strong>Discussion: </strong>Inclusive hospital policies positively affect job retention regardless of nurses' burnout status. Healthcare organizations should foster inclusive and supportive environments as one strategy to improve nurse retention and organizational stability.</p>","PeriodicalId":49723,"journal":{"name":"Nursing Research","volume":" ","pages":"364-370"},"PeriodicalIF":2.2,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144081652","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":"Tips for Ensuring Sustainable Programs to Prepare Students for Tenure-Track Faculty Positions.","authors":"Mary K Killela, Cassandra Dictus, Harry Adynski, Gillian Adynski, Elizabeth Allen Myer, Leah Morgan, Hayden Hmiel, Jessica Williams","doi":"10.1097/NNR.0000000000000845","DOIUrl":"https://doi.org/10.1097/NNR.0000000000000845","url":null,"abstract":"","PeriodicalId":49723,"journal":{"name":"Nursing Research","volume":"74 5","pages":"333-334"},"PeriodicalIF":2.2,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144976500","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":"Birth of a PhD Nurse.","authors":"J Clorrice Briggs","doi":"10.1097/NNR.0000000000000842","DOIUrl":"https://doi.org/10.1097/NNR.0000000000000842","url":null,"abstract":"","PeriodicalId":49723,"journal":{"name":"Nursing Research","volume":"74 5","pages":"332"},"PeriodicalIF":2.2,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144976384","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":"Celebrating Peer Review.","authors":"Rita H Pickler","doi":"10.1097/NNR.0000000000000839","DOIUrl":"https://doi.org/10.1097/NNR.0000000000000839","url":null,"abstract":"","PeriodicalId":49723,"journal":{"name":"Nursing Research","volume":"74 5","pages":"329-330"},"PeriodicalIF":2.2,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144976395","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":"Facilitators and Barriers to Patient-Caregiver Dyadic Recruitment in Transplantation.","authors":"Brittany Koons, Rachel Lehman, Barbara Riegel, Harleah Buck","doi":"10.1097/NNR.0000000000000838","DOIUrl":"10.1097/NNR.0000000000000838","url":null,"abstract":"<p><strong>Background: </strong>Despite growing awareness of the dyadic role in transplant care and a mandate for patient-caregiver dyads for transplant listing, the integration of dyadic science into transplantation research is lacking. Recruiting transplant patient-caregiver dyads has unique challenges that need to be considered when designing and conducting dyadic studies in transplantation.</p><p><strong>Objectives: </strong>The aim of this study was to present (a) the barriers and facilitators to dyadic recruitment in a patient-caregiver transplant population that we encountered and (b) strategies developed to overcome these challenges.</p><p><strong>Methods: </strong>We used the social marketing mix framework to guide this methodological report of patient-caregiver dyadic recruitment strategies employed during a post-lung-transplant psychometric study of 50 patient-caregiver dyads.</p><p><strong>Results: </strong>We identified several facilitators of dyadic recruitment in the lung transplant population, including (a) conducting a study of high relevance to both patients and caregivers, which helped facilitate maximum engagement of participants; (b) using remote recruitment and data collection strategies to improve accessibility to participation and minimize the amount of time or energy required to participate; (c) conducting patient and caregiver study visits independently from one another, which allowed for scheduling flexibility and helped improve participation among dyad members who do not live together; and (d) establishing clinical partnerships and having acquired clinical experience with the target population. We also identified barriers to dyadic recruitment that require careful planning in future studies, including (a) high healthcare utilization, which can delay the recruitment timeline; (b) recruiting patients and caregivers independently within relevant time frames; (c) gatekeeping, when the patient or the caregiver blocks researcher access to the other dyad member; (d) establishing contact with the participant via phone; and (e) limited study staffing that reduced recruitment and study visit scheduling flexibility.</p><p><strong>Discussion: </strong>To our knowledge, this is the first methodological report to present the barriers and facilitators to dyadic recruitment in a patient-caregiver transplant population. Our experience and lessons learned can be used to inform future research teams to successfully design and conduct much-needed dyadic research in organ transplantation.</p>","PeriodicalId":49723,"journal":{"name":"Nursing Research","volume":" ","pages":"399-404"},"PeriodicalIF":2.2,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144162422","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":"Limited English Proficient Patients and Nurses' Experiences With Language Access Services.","authors":"Julie McCulloh Nair, Alex Waad, Brenda Hollingsworth","doi":"10.1097/NNR.0000000000000822","DOIUrl":"10.1097/NNR.0000000000000822","url":null,"abstract":"<p><strong>Background: </strong>Persons with limited English proficiency may receive inequitable care due to the absence of language services. Despite health equity initiatives, knowledge gaps exist regarding how and when language access needs are identified, acted upon, and which methods are being used.</p><p><strong>Objective: </strong>The purpose of this study was to explore limited English proficient and deaf obstetrical patients and nurses' experiences with language services to improve delivery of culturally competent care.</p><p><strong>Methods: </strong>This mixed methods study occurred in two phases. In phase 1, demographic and language service data were collected via surveys that were deployed to obstetric patients with limited English proficiency. In phase 2, nurses' experiences with interpretive services were explored via three focus groups to identify facilitators and barriers to care. Quantitative data were analyzed using descriptive analysis methods, while qualitative data were analyzed using grounded theory methods.</p><p><strong>Results: </strong>Fifty participants receiving obstetric services who had limited English proficiency participated in phase 1. Language services were positively rated with a noted preference for in-person interpreters. Participants identified unique barriers, but felt comfortable discussing concerns, stating nurses listened to them, treated them with courtesy, kindness, and respect. In phase 2, 16 nurse participants identified two major themes: evidence of barriers to accessibility, convenience, and consistency of language access services; and increased need for cultural and linguistic competence.</p><p><strong>Discussion: </strong>Findings indicate in-person interpreters are most effective and capture cultural nuances often missed when using a phone/iPad during patient encounters. Language service delivery at various points of care requires further consideration to ensure consistent use during patient encounters. Future research should explore digital health language interventions, while nurses' suggestions to decrease language service barriers should be used to develop policies and programs designed to better meet linguistic needs.</p>","PeriodicalId":49723,"journal":{"name":"Nursing Research","volume":" ","pages":"371-377"},"PeriodicalIF":2.2,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143755535","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":"Further Discussion on Preparing PhD Students for Tenure-Track Faculty Positions.","authors":"Xiaojing Hu","doi":"10.1097/NNR.0000000000000843","DOIUrl":"https://doi.org/10.1097/NNR.0000000000000843","url":null,"abstract":"","PeriodicalId":49723,"journal":{"name":"Nursing Research","volume":"74 5","pages":"331"},"PeriodicalIF":2.2,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144976390","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}