Nursing Research最新文献

{"title":"Accessibility and Feasibility of Bluetooth Communication System and Smart Devices to Measure Nursing Activity.","authors":"Younhee Kang, Yujin Hur","doi":"10.1097/NNR.0000000000000906","DOIUrl":"10.1097/NNR.0000000000000906","url":null,"abstract":"<p><strong>Background: </strong>One of the main reasons nurses leave the clinical field is the increasing workload. Researchers have estimated nursing workload by relying on self-reported nursing hours, tasks, and nurse-to-patient ratios. However, directly measuring nursing hours is essential for obtaining an accurate estimate.</p><p><strong>Objectives: </strong>The aims of this study were to measure nursing activities using real-time location information from beacons, smartwatches, and smartphones in the medical unit, and concurrently to collect physiological indicators through wearable devices.</p><p><strong>Methods: </strong>We used a descriptive, cross-sectional design to explore nursing workload in a medical ward based on partial data from the SMART-NURSE project involving the collection of biometric and location data using smartwatches and Bluetooth beacons, with subsequent integration based on synchronized timestamps. Descriptive statistics, the Kruskal-Wallis test, and Spearman's rank correlation were used to analyze physical activity indicators such as heart rate, step count, and energy expenditure.</p><p><strong>Results: </strong>A total of 49 work shifts were studied, with 15, 16, and 18 shifts for day, evening, and night, respectively. Nursing hours had significant differences depending on duties, with night>day>evening. The average total energy expenditure during the duties was 906.21 kcal ( SD =205.99). The average heart rate was 92.55 ( SD =9.79), and it was significantly correlated with the number of patients' procedures and the number of discharged patients. The average number of steps was 7343.65 ( SD =1376.62), which was positively correlated with direct nursing and negatively correlated with indirect nursing and nursing stress.</p><p><strong>Discussion: </strong>The nursing hours measured in this study were almost identical to the actual nursing hours, leading us to conclude that this method was successful in measuring nursing hours without any loss. As a result, physical activity data could be used as a fundamental basis for devising a measurement method to measure nurses' workload and burden.</p>","PeriodicalId":49723,"journal":{"name":"Nursing Research","volume":" ","pages":"E231-E237"},"PeriodicalIF":2.5,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147474802","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":"Factors Associated With Physical Function in Adults With Fibromyalgia.","authors":"Heather Lashley, Sarah Holmes, Nicole Jennifer Klinedinst, Barbara Resnick","doi":"10.1097/NNR.0000000000000901","DOIUrl":"10.1097/NNR.0000000000000901","url":null,"abstract":"<p><strong>Background: </strong>Fibromyalgia (FM) is a widespread chronic pain condition affecting 3%-6% of the world's population. Research suggests psychological resilience, defined as the ability to rebound from adversity and adapt while retaining self-determination and a positive outlook, may play a role in reducing FM severity, managing symptom burden, and improving physical function. A thorough understanding of how resilience relates to coping with the adverse consequences of FM may enable nurses to develop interventions that assist patients in coping with the disorder and living a meaningful life.</p><p><strong>Objectives: </strong>The aim of this study was to examine factors associated with psychological resilience and physical function among adults with FM.</p><p><strong>Methods: </strong>A cross-sectional survey study was conducted on a purposive sample of 200 participants recruited from the Autoimmune Registry Inc. Online survey data were collected on sociodemographic variables, resilience, physical function, comorbidities, pain intensity, and depression. Structural equation modeling was used to test the central hypothesis that age, sex, race, education, work status, comorbidities, resilience, depression, and pain intensity were directly related to physical function.</p><p><strong>Results: </strong>The model explained 14.9% of the variance in psychological resilience, 25.3% of the variance in pain intensity, 18.6% of the variance in depression, and 38.2% of the variance in physical function. Age and comorbidities were indirectly associated with physical function through psychological resilience, whereas age, comorbidities, psychological resilience, and pain intensity were directly associated with physical function. Depression had neither a direct nor indirect association with physical function but did have a significant direct association with resilience.</p><p><strong>Discussion: </strong>Nurses caring for persons with FM ideally are positioned to provide evidence-based care that fosters resilience and ultimately improves physical function. Since resilience was found to be directly related to physical function, nurses need to evaluate resilience and utilize interventions that strengthen resilience, thereby enhancing physical function among adults living with FM. This will allow adults living with FM to manage their symptoms and experience improvements in overall functioning.</p>","PeriodicalId":49723,"journal":{"name":"Nursing Research","volume":" ","pages":"298-305"},"PeriodicalIF":2.5,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147291130","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":"Development and Validation of a Short Form of the Nurse Practitioner Primary Care Organizational Climate Questionnaire.","authors":"Kyle G Featherston, Miles DeGrazia, Maura Dougherty, Lusine Poghosyan","doi":"10.1097/NNR.0000000000000902","DOIUrl":"10.1097/NNR.0000000000000902","url":null,"abstract":"<p><strong>Background: </strong>Organizational climate affects patient, clinician, and health care organization outcomes. The 29-item Nurse Practitioner Primary Care Organizational Climate Questionnaire (NP-PCOCQ) has been a valuable research tool for measuring four domains of NP organizational climate in primary care settings: Professional Visibility, Independent Practice and Support, NP-Administration Relations, and NP-Physician Relations. It can benefit from shortening to reduce survey burden and improve response rates.</p><p><strong>Objectives: </strong>To design a shortened NP-PCOCQ-2 and assess the psychometric reliability and validity.</p><p><strong>Methods: </strong>To shorten the NP-PCOCQ, in Phase 1, we used data from 1,212 NPs collected in a cross-sectional survey of primary care NPs in 2018-2019. We used quantitative data and expert content review to select the items to retain in the NP-PCOCQ-2, based on data from half the sample. With the other half of the sample data, we evaluated the NP-PCOCQ-2's reliability, factor analytic structure, and correlation with the original scores and two key NP job outcomes, job satisfaction and intention to leave. In phase 2, we used data from a new sample of 915 NPs to further evaluate the reliability, factor analytic structure, and correlation to job satisfaction and intention to leave, and compared the categorical classification of the organizational climate of NP practices of the NP-PCOCQ-2 to the original NP-PCOCQ.</p><p><strong>Results: </strong>In phase 1, the NP-PCOCQ-2 subscales were all reliable, demonstrated a four-factor Confirmatory Factor Analysis (CFA) fit, and were highly correlated with scores on the 29-item NP-PCOCQ. All subscales were significantly positively correlated with job satisfaction and negatively correlated with intention to leave. In Phase 2, we found the same patterns: the NP-PCOCQ-2 subscales were all reliable, demonstrated a four-factor CFA fit, and were highly correlated with scores on the 29-item NP-PCOCQ. All subscales were significantly positively correlated with job satisfaction and negatively correlated with intention to leave. In addition, each NP-PCOCQ-2 subscale classified greater than 75% of NP's practices the same as the NP-PCOCQ.</p><p><strong>Discussion: </strong>The 17-item NP-PCOCQ-2 demonstrated reliability, maintenance of the constructs measured by the original scale, and convergent validity. Researchers can use the NP-PCOCQ-2 to measure the four domains of NP's organizational climate in primary care.</p>","PeriodicalId":49723,"journal":{"name":"Nursing Research","volume":" ","pages":"268-276"},"PeriodicalIF":2.5,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13192386/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147312281","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":"Predictors of Filipino Life Satisfaction Using the Revised Filipino Satisfaction With Life Scale.","authors":"Razel Bacuetes Milo, Patricia Calero, María Luisa B Ramira, Kathleen Soon, María Fontimayor, Cynthia D Connelly","doi":"10.1097/NNR.0000000000000908","DOIUrl":"10.1097/NNR.0000000000000908","url":null,"abstract":"<p><strong>Background: </strong>Mental health stigma serves as a significant barrier to seeking help, often leading to maladaptive coping strategies. Given these complexities, it is essential to validate the Satisfaction With Life Scale-Revised (SWLS-R) within the Filipino context to assess its psychometric reliability, cultural relevance, and suitability for evaluating well-being and mental health outcomes among Filipinos.</p><p><strong>Objectives: </strong>The aims of this study were to evaluate the psychometric properties of the SWLS-R and describe the relationships and significant predictors of life satisfaction among Filipinos living in the United States.</p><p><strong>Methods: </strong>A purposive sample of Filipino adults, fluent in both English and Filipino, completed an online survey through Qualtrics.</p><p><strong>Results: </strong>The SWLS-R demonstrated excellent reliability. The findings strongly support the validity of a single-factor structure for the Filipino version of the SWLS-R. Confirmatory factor analysis established the validity of a single latent factor explaining life satisfaction among Filipino participants. A negative correlation was observed between the Perceived Stress Scale-10 Score and the SWLS-R supporting the discriminant validity of these two constructs.</p><p><strong>Discussion: </strong>Our findings support the psychometric validity and cultural relevance of the SWLS-R for assessing life satisfaction in this population. Future research is needed to explore its applicability among youth, Indigenous groups, and overseas Filipino workers.</p>","PeriodicalId":49723,"journal":{"name":"Nursing Research","volume":" ","pages":"287-297"},"PeriodicalIF":2.5,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13299041/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147595774","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":"Bad Bunny: A Tale of Artificial Intelligence.","authors":"Rita H Pickler","doi":"10.1097/NNR.0000000000000904","DOIUrl":"10.1097/NNR.0000000000000904","url":null,"abstract":"","PeriodicalId":49723,"journal":{"name":"Nursing Research","volume":"75 3","pages":"165-166"},"PeriodicalIF":2.2,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147787297","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":"Magnet Status in Nurse Practitioners' Care Assessments and Hospital Recommendations.","authors":"Hyunmin Yu, Heather Brom, Daniela Golinelli, Kathryn A Connell, Regina S Cunningham, Florence Vanek, Matthew D McHugh, Linda H Aiken","doi":"10.1097/NNR.0000000000000884","DOIUrl":"10.1097/NNR.0000000000000884","url":null,"abstract":"<p><strong>Background: </strong>Nurse practitioners (NPs) are a growing segment of the acute care hospital workforce, yet little is known about how organizational factors, such as Magnet designation, influence their workplace experiences.</p><p><strong>Objectives: </strong>We examined whether employment in a Magnet hospital was associated with NPs' strong recommendation of their hospital and whether this relationship was explained by NPs' assessments of care quality, patient safety, and care transitions.</p><p><strong>Methods: </strong>In this cross-sectional study, we analyzed data from 774 NPs across 425 US hospitals using the 2024 Penn Nurses4All Survey and the American Hospital Association Annual Survey. The independent variable was employment in a Magnet hospital versus a non-Magnet hospital. The dependent variable was NPs' strong recommendation of their hospital to family and friends. Mediating variables included NPs' assessments of nursing care quality, patient safety, and confidence in patient care transitions. Mediation analysis using weighting estimators was conducted to adjust for confounding variables and to evaluate the extent to which the hypothesized mediators explained the relationship between Magnet status and hospital recommendation.</p><p><strong>Results: </strong>NPs employed in Magnet hospitals were 15% more likely to strongly recommend their hospital compared with those in non-Magnet hospitals. The natural indirect associations through stronger quality of nursing care, patient safety grade, and confidence in care transitions accounted for ~13.3%, 26.6%, and 40% of the total association, respectively. The natural direct association remained positive and significant, suggesting that Magnet employment is associated with hospital recommendation among NPs independently of quality and safety assessments.</p><p><strong>Discussion: </strong>NPs in Magnet hospitals are more likely to endorse their hospital, partially due to more favorable assessments of care quality and safety. This supports Magnet's aim to attract and retain registered nurses and suggests the benefit extends to NPs. Health care leaders should apply Magnet principles to strengthen NP engagement, development, and retention.</p>","PeriodicalId":49723,"journal":{"name":"Nursing Research","volume":" ","pages":"183-189"},"PeriodicalIF":2.5,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13274605/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145901576","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":"Assessing the Efficiency and Quality of Audio-Coding Versus Transcript Coding.","authors":"Katrina M Long, Dai Pu, Rachel Bonnici, Lauren M Robins, Kathryn Greer, Debra Mitchell, Katie Palmer, Annette Peart, Bernice Redley, Cylie Williams, Terry Haines","doi":"10.1097/NNR.0000000000000893","DOIUrl":"10.1097/NNR.0000000000000893","url":null,"abstract":"<p><strong>Background: </strong>Manual transcription can be resource-consuming and time-consuming, while software-based audio coding offers a potentially cheaper and faster alternative.</p><p><strong>Objectives: </strong>This study aimed to compare the time efficiency, cost effectiveness, and researcher experience of thematic analysis of audio recordings versus transcripts.</p><p><strong>Methods: </strong>This was a mixed-methods crossover study with two conditions (audio coding and transcript coding) and three categories of coders (novice, competent, and expert). Ten researchers coded 18 interview segments using NVivo, half in each format. Demographics, coding times, and coding experiences were collected.</p><p><strong>Results: </strong>On average, transcript coding took less time than audio coding, and NVivo experience was negatively associated with coding time across conditions. Economic analysis showed that audio was <60% the cost of transcript coding. Audio coding was perceived as being more difficult, yet coders agreed that both methods led to similar code quality. Audio coding may be a cost-saving alternative to transcript coding.</p><p><strong>Discussion: </strong>The potential cost savings, coupled with the more \"naturalistic\" source of audio data, may make audio coding an appropriate approach to consider for the qualitative researcher, despite coder perceptions of its greater difficulty. Audio coding should be considered as part of a qualitative project to enhance immersion in the data or improve coding efficiency. However, this approach should be preceded by careful consideration of the most effective computer-assisted qualitative data analysis software and extensive training and familiarization with audio coding procedures before analysis.</p>","PeriodicalId":49723,"journal":{"name":"Nursing Research","volume":" ","pages":"220-228"},"PeriodicalIF":2.5,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146151122","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":"Identifying and Managing Fraudulent Participants in Online Qualitative Research.","authors":"Emily M Crossen, Mary G Harper, Patsy Maloney","doi":"10.1097/NNR.0000000000000886","DOIUrl":"10.1097/NNR.0000000000000886","url":null,"abstract":"<p><strong>Background: </strong>As online data collection proliferates, health care researchers face challenges with fraudulent research participants. While substantial literature on preventing and detecting fraudulent responses in surveys is available, a dearth of nursing literature focuses on identifying and addressing fraudulent participation in online qualitative studies.</p><p><strong>Objectives: </strong>The aims of this article are to highlight the researchers' experience with fraudulent research participants in an online qualitative study, enhance awareness of imposter participants, and propose strategies for the identification of imposters' participation that threatens research validity.</p><p><strong>Methods: </strong>A qualitative, descriptive study was designed to explore nursing professional development (NPD) specialists' use of NPD practice judgment. Participants were recruited for online focus groups via email using a national association's email list. A $25 gift card was offered to participants. Suspected fraudulent participants led to the cancellation of focus groups and prompted a review of initial recruitment email responses. A framework for detecting fraudulent responses was developed based on this review.</p><p><strong>Results: </strong>Out of 2,368 volunteers, 28 were invited to participate in 4 focus groups. During the initial focus group, participants did not use their cameras despite the facilitator's request, and they failed to provide meaningful responses. These suspicious actions prompted the facilitator to end the focus group. Subsequently, the researchers investigated the phenomenon of imposter participants in qualitative research and analyzed their respondents' applications for signs of fraud. Indications of fraudulent responses to the call for volunteers included an unexpectedly large number of applications received in rapid succession, Gmail addresses with similar naming conventions, and common IP addresses originating outside the United States.</p><p><strong>Discussion: </strong>Examination of recruitment survey responses, including volume, timing, and email structure, suggests potential \"bot\" use for volunteer survey completion. Qualitative researchers must implement measures to prevent fraudulent participants, enhance data scanning protocols to detect suspicious responses, and exclude fraudulent data to maintain research integrity.</p>","PeriodicalId":49723,"journal":{"name":"Nursing Research","volume":" ","pages":"214-219"},"PeriodicalIF":2.5,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145919022","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":"Exploring Nurses' Perspectives on Climate Change Using Q Methodology.","authors":"Ick-Jee Kim","doi":"10.1097/NNR.0000000000000872","DOIUrl":"10.1097/NNR.0000000000000872","url":null,"abstract":"<p><strong>Background: </strong>As the negative effects of climate change on health increase, interest in responding to the climate crisis within the health care community is rising. Nurses, who comprise the majority of health care professionals, have significant potential to mitigate the health effects of climate change and can play a key role in addressing this global challenge.</p><p><strong>Objectives: </strong>This study aimed to explore nurses' perspectives on climate change and propose strategies to enhance their ability to respond to climate issues based on the results.</p><p><strong>Methods: </strong>Q methodology-which combines qualitative and quantitative research methods-was used. Thirty-seven Q statements were selected from 197 statements derived from literature reviews, newspaper articles, books, and interviews. Forty-four nurses in South Korea, who were expected to hold diverse perspectives on climate change, were purposively recruited and participated in Q sorting. The data were collected in July 2024 and August 2024 and analyzed using principal component analysis with varimax rotation in PQMethod software.</p><p><strong>Results: </strong>Four perspectives of climate change were identified among the nurses: being crisis-conscious and solidarity response-oriented, emphasizing the irrelevance to nursing and being corporate response-oriented, recognizing the relevance to nursing and having a strong will to act, and being critically indifferent and passive response-oriented.</p><p><strong>Discussion: </strong>The findings reveal that nurses' perspectives on climate change can be categorized based on the presence of a professional perspective in viewing the climate issue and the level of climate change response considered desirable. To encourage nurses' active participation in responding to climate change, it is necessary to develop appropriate strategies according to their various perspectives on this issue. The results of this study could be used to formulate solutions that enable nurses to contribute positively to climate change in countries with similar backgrounds to South Korea and those that have achieved rapid economic growth.</p>","PeriodicalId":49723,"journal":{"name":"Nursing Research","volume":" ","pages":"197-205"},"PeriodicalIF":2.2,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145543690","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":"Mediation of Diabetes Distress and Self-Management Behavior by Family Resilience and Self-Resilience Among Adolescents With Type 1 Diabetes.","authors":"Huijing Zhang, Rui Wang, Xumei Wang, Dan Luo, Ruxue Li, Qi Zhang, Yi Wu, Mingzi Li","doi":"10.1097/NNR.0000000000000885","DOIUrl":"10.1097/NNR.0000000000000885","url":null,"abstract":"<p><strong>Background: </strong>Adolescents with type 1 diabetes (T1D) often experience heightened levels of diabetes distress and struggle with maintaining effective self-management behavior. Resilience-both at the family and individual levels-is a crucial psychological capacity for coping with challenges. However, limited research has explored how diabetes distress, family resilience, self-resilience, and self-management behavior are interrelated in adolescents with T1D.</p><p><strong>Objectives: </strong>The purpose of this study was to examine whether family resilience and self-resilience mediate the association between diabetes distress and self-management behavior in adolescents with T1D.</p><p><strong>Methods: </strong>A cross-sectional study was conducted in a children's hospital in China, involving 143 adolescents with T1D (mean age=13.05 years) and their caregivers. Participants completed the Diabetes Behavior Rating Scale, Problem Areas in Diabetes Scale, Diabetes Strengths and Resilience measure for adolescents, and Family Resilience Assessment Scale. Structural equation modeling was employed for data analysis.</p><p><strong>Results: </strong>Diabetes distress was negatively associated with family resilience, self-resilience, and self-management behavior. Family resilience, self-resilience, and self-management behavior were positively correlated. Both family resilience and self-resilience significantly and partially mediated the association between diabetes distress and self-management behavior.</p><p><strong>Discussion: </strong>These findings highlight that family and individual resilience partly buffer the adverse effects of diabetes distress on self-management. Interventions should support families in recognizing and leveraging their strengths, while incorporating resilience-enhancing strategies to promote both psychological well-being and self-management in adolescents with T1D.</p>","PeriodicalId":49723,"journal":{"name":"Nursing Research","volume":" ","pages":"175-182"},"PeriodicalIF":2.5,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145913748","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}