Nursing Research最新文献

{"title":"Factors Associated With Workplace Violence Among Hospital-Based Nurses.","authors":"Frankie B Hale, Eunjung Lim, Molly R Altman, Christine Griffin, Holly B Fontenot","doi":"10.1097/NNR.0000000000000887","DOIUrl":"10.1097/NNR.0000000000000887","url":null,"abstract":"<p><strong>Background: </strong>Despite studies confirming that violence against nurses in the workplace is a critical issue, research concerning the factors associated with violence is sparse. Workplace violence is significantly associated with nurse well-being, which is a national priority.</p><p><strong>Objectives: </strong>In this study, we sought to uncover the factors associated with experiencing violence among nurses to facilitate the development of well-being strategies in the workplace.</p><p><strong>Methods: </strong>In December 2023, hospital-based nurses at two major hospitals in Hawaii responded to email invitations for an online survey to identify factors affecting their well-being. This analysis is based on data collected from 470 nurses who completed the violence-related question.</p><p><strong>Results: </strong>A total of 51.7% ( n =243) of the participants reported the experience of one or more incidents of violence at work during the past year. In the final model, the factors significantly associated with workplace violence included the type of unit, leadership responsibility, frequency of being asked to work additional shifts, and perceptions related to a healthy work environment.</p><p><strong>Discussion: </strong>Recognizing the factors associated with workplace violence is essential for developing evidence-based interventions that protect the well-being (physical and mental health) of nurses and foster wellness cultures.</p>","PeriodicalId":49723,"journal":{"name":"Nursing Research","volume":" ","pages":"190-196"},"PeriodicalIF":2.5,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145953737","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":"Systematic Review of Measures of Psychosocial Adaptation in Adults With Chronic Disease.","authors":"Qi Zhang, Yage Du, Xintong Li, Baoping Song, Ning Wu, Qunfeng Lu","doi":"10.1097/NNR.0000000000000882","DOIUrl":"10.1097/NNR.0000000000000882","url":null,"abstract":"<p><strong>Background: </strong>Psychosocial adaptation is a key indicator for chronic disease rehabilitation. Many instruments have been proposed to evaluate psychosocial adaptation in individuals with chronic disease, but their measurement properties are unknown.</p><p><strong>Objectives: </strong>This systematic review aims to identify and critically assess the measurement properties of all existing instruments intended for measuring psychosocial adaptation in adults with chronic disease.</p><p><strong>Methods: </strong>A systematic search was conducted in PubMed, Embase, CINAHL, PsycINFO, Chinese databases, including China National Knowledge Infrastructure (CNKI), and Wan Fang from their inception to July 10, 2025. The search followed the COSMIN guideline for systematic reviews of patient-reported outcome measures.</p><p><strong>Results: </strong>Out of the 8,399 retrieved studies, only 24 studies that concerned 13 instruments were eventually included. Five instruments showed high-quality evidence from one measurement property, and two instruments were rated high-quality evidence from three and four measurement properties, respectively. There was no sufficient evidence for which instruments identified for assessing psychosocial adaptation in adults with chronic disease appear to be generally superior to the others. Therefore, further studies are recommended to validate the measurement properties of existing psychosocial adaptation instruments for adults with chronic disease.</p><p><strong>Discussion: </strong>A total of 13 instruments were identified. However, current evidence for selecting instruments suitable for assessing psychosocial adaptation in adults with chronic disease was insufficient.</p>","PeriodicalId":49723,"journal":{"name":"Nursing Research","volume":" ","pages":"229-240"},"PeriodicalIF":2.5,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145967719","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 Racial Discrimination in Health Care Settings and Lung Cancer Screening Use.","authors":"Hermine Poghosyan, Sayantani Sarkar, Maryum Zaidi, Polly Sather, Rufei Duan, Henry S Park","doi":"10.1097/NNR.0000000000000897","DOIUrl":"10.1097/NNR.0000000000000897","url":null,"abstract":"<p><strong>Background: </strong>Racial and ethnic minoritized individuals have lower uptake of lung cancer screening (LCS). It is unclear how perceived racial discrimination in the health care setting affects LCS uptake.</p><p><strong>Objectives: </strong>The purpose of this study was to investigate the association between perceived racial discrimination in health care and LCS use among LCS-eligible adults in the United States.</p><p><strong>Methods: </strong>We used population-based, cross-sectional data from the 2022 Behavioral Risk Factor Surveillance System Survey Reaction to Race module. Eligible participants were adults aged 50-79 who currently use cigarettes or quit within the past 15 years and have ≥20 pack-years of tobacco use history. The outcome was LCS use in the past year. The key predictor was self-reported racial discrimination experienced in a health care setting within the past 12 months. We conducted descriptive statistics, including frequencies, weighted means, and percentages and weighted multinomial multivariable logistic regression analysis.</p><p><strong>Results: </strong>The majority of study participants were men, aged 50-64 years, non-Hispanic White, metropolitan county residents, and held high school or less education. Individuals perceiving racial discrimination had lower odds of LCS uptake in the past year compared with those who did not report such experience. The odds of LCS utilization in the past year were higher among individuals with certain characteristics, such as men (vs. women), aged 65-79 (vs. 50-64 y), retired (vs. employed), and metropolitan area residents (vs. nonmetropolitan residents).</p><p><strong>Discussion: </strong>LCS utilization remains low, and perceived racial discrimination is associated with low uptake of LCS. Strategies such as digital LCS resources, diversifying the health care workforce, and cultural competence training for the providers may address perceived racial discrimination and ensure equitable LCS initiatives to improve LCS participation.</p>","PeriodicalId":49723,"journal":{"name":"Nursing Research","volume":" ","pages":"167-174"},"PeriodicalIF":2.5,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146203475","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":"Acceptance and Commitment Therapy (ACT) for Smoking Cessation: A Scoping Review.","authors":"Jiahui Liu, Yao Pei, Hualong Ma, Xiaoge Liu, Xiaoshen Zhang, Wei Xia, Qiaohong Yang","doi":"10.1097/NNR.0000000000000900","DOIUrl":"10.1097/NNR.0000000000000900","url":null,"abstract":"<p><strong>Background: </strong>Acceptance and commitment therapy (ACT), a third-generation cognitive behavioral therapy, has been increasingly applied in smoking cessation. However, the progress of ACT in smoking cessation, the scope of existing research, and its findings and limitations require further investigation.</p><p><strong>Objectives: </strong>To investigate the application of ACT in smoking cessation, analyze the current state of research, and provide theoretical insights and solutions for addressing the smoking issue in the future.</p><p><strong>Methods: </strong>Ten databases (PubMed, Web of Science, Embase, Cochrane Library, CINAHL, PsycINFO, China Biology Medicine Disc, China National Knowledge Infrastructure, Wanfang Database, and China Science and Technology Journal Database) were systematically searched. The search covered publications from the inception of each database up to March 20, 2024. Following the search, two researchers independently screened the literature, extracted relevant data, and summarized and analyzed the included studies.</p><p><strong>Results: </strong>A total of 35 articles from eight countries were included in the review. Participants included both general smokers and those from special populations, such as smokers with anxiety, depression, or severe mental illness. Interventions were delivered either face-to-face or online. Follow-up durations ranged from 1 to 13 months. The content primarily focused on the six core aspects of ACT. Outcome measures included the evaluation of smokers' smoking cessation outcomes, the feasibility of the research design, participants' acceptability and satisfaction, and the acceptance of cravings to smoke.</p><p><strong>Discussion: </strong>ACT-based intervention provides a reasonable and safe strategy to assist health care professionals in guiding patients to quit smoking, particularly those with mental health conditions. The findings indicate that further research is necessary to optimize the quality and efficacy of ACT interventions for smoking cessation.</p>","PeriodicalId":49723,"journal":{"name":"Nursing Research","volume":" ","pages":"E10-E24"},"PeriodicalIF":2.5,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147291758","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":"Feasibility and Acceptability of the ABC123 Framework for Advanced Cancer Care: Study Protocol.","authors":"Elizabeth Riley Kessler, Sung-Joon Min, Kaitlyn Hoover, Heather Coats, Stacy M Fischer","doi":"10.1097/NNR.0000000000000888","DOIUrl":"10.1097/NNR.0000000000000888","url":null,"abstract":"<p><strong>Background: </strong>The ABC123 care planning framework may facilitate an improved understanding of the unique conditions of older adults with advanced cancer and support the creation of an individualized, patient-centered care plan that is both medically feasible and aligned with patients' health, goals, and values.</p><p><strong>Objectives: </strong>To present a study protocol designed to (a) assess the preliminary feasibility of ABC123 intervention through recruitment, retention, and clinician feedback, (b) evaluate ABC123 as measured by goal-concordant care, and examine patients' quality of life, value clarity, decisional efficacy, and care team communication over a 6-month period following ABC123 intervention exposure.</p><p><strong>Methods: </strong>This feasibility trial will enroll up to 48 older adults who have advanced cancer that is not curable with surgery and are beginning treatment with an oncologist from one of four clinics in the Denver Metro area. Patients who consent will complete a series of assessments grounded in geriatric, oncologic, and palliative care that make up the ABC123 intervention. Findings from these assessments will be documented in their medical records and shared with their oncologists by an advanced practice provider. Patient participants will be followed for 6 months, with follow-up questionnaires, including a goal-of-treatment question, and interviews administered at 1, 3, and 6 months. Patients' oncologists will also be asked to assess the goal of care for each participant to assess goal alignment.</p><p><strong>Results: </strong>Since January 2023, 54 potential patient participants have been approached, 29 have enrolled, and 14 have completed the ABC123 intervention and the first follow-up visit.</p><p><strong>Discussion: </strong>This study introduces a novel multicomponent care planning intervention for older adults with advanced cancer that implements expert-recommended tools early in a patient's care planning process. The pilot will evaluate its effect on aligning care with patient goals, the feasibility and acceptability of implementation across different oncology clinics, and its potential to guide future pragmatic approaches to improve goal-concordant care.</p>","PeriodicalId":49723,"journal":{"name":"Nursing Research","volume":" ","pages":"241-245"},"PeriodicalIF":2.5,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146108144","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":"Systematic Review and Network Meta-Analysis of Psychosocial Interventions on Antiretroviral Therapy Adherence.","authors":"Mingyue Shi, Yunxian Zhou","doi":"10.1097/NNR.0000000000000889","DOIUrl":"10.1097/NNR.0000000000000889","url":null,"abstract":"<p><strong>Background: </strong>Antiretroviral therapy (ART) is crucial for prolonging the lives of people with human immunodeficiency virus (HIV), but adherence remains suboptimal. Psychosocial interventions show promise for improving ART adherence, yet no consensus exists on the most effective approach.</p><p><strong>Objectives: </strong>To identify the most effective psychosocial interventions for improving ART adherence in people with HIV.</p><p><strong>Methods: </strong>Six databases (EMBASE, MEDLINE, Web of Science, CINAHL, PsycINFO, and CENTRAL) were searched from their inception to April 2024, yielding 35 studies with 7,808 participants. Traditional pairwise and network meta-analyses were conducted to compare psychosocial interventions. Meta-regression and subgroup analyses were performed to examine the relationships among intervention efficacy and participant characteristics as well as intervention duration.</p><p><strong>Results: </strong>Eight interventions were identified. Pairwise meta-analysis showed psychosocial interventions significantly improved ART adherence. Network meta-analysis found that multicomponent interventions were the most effective. Meta-regression showed no significant effect of participant characteristics on efficacy. The subgroup analyses found that multicomponent interventions were effective in both the short and long term, whereas case management had positive but less robust short-term effects.</p><p><strong>Discussion: </strong>Multicomponent interventions appear to be the most effective psychosocial strategy to promote ART adherence. However, feasibility and cost-effectiveness may constrain use in resource-limited settings. Future research should focus on identifying optimal and simplified intervention packages tailored to specific subpopulations of people living with HIV.</p>","PeriodicalId":49723,"journal":{"name":"Nursing Research","volume":" ","pages":"E1-E9"},"PeriodicalIF":2.5,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146144668","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":"Comparison of Two Analytical Approaches to Dyadic Illness Management Among Patient-Caregiver Dyads in Type 2 Diabetes.","authors":"Diletta Fabrizi, Michela Luciani, Maria Grazia Valsecchi, Davide Ausili, Paola Rebora","doi":"10.1097/NNR.0000000000000891","DOIUrl":"10.1097/NNR.0000000000000891","url":null,"abstract":"<p><strong>Background: </strong>Patient self-care and caregiver contribution to self-care in chronic illnesses should be considered together as a dyadic phenomenon called \"dyadic illness management.\" The possibility of classifying dyadic engagement in chronic conditions care may uncover behavioral patterns useful for improving disease management. Mixed-effects models have been used to obtain dyadic scores, which serve as inputs for latent class analysis. However, the advantages of this approach over simpler synthetic dyadic measures remain unclear.</p><p><strong>Objective: </strong>The aim of this study was to compare two methods for obtaining dyadic scores to serve as inputs for identifying distinct patterns of dyadic illness management for type 2 diabetes (T2D) through latent class analysis.</p><p><strong>Methods: </strong>This work uses data from a cross-sectional study on 251 patients with T2D and their informal caregivers. Patient self-care and caregiver contribution to self-care were measured by the Self-Care of Diabetes Inventory and the Caregiver Contribution to Self-Care of Diabetes Inventory, respectively. To assess dyadic illness management, we first adopted the incongruence model, a mixed-effects model with a specific codification that enables the estimation of both the average and incongruence in the outcome within each dyad, through random intercepts and random slopes. These estimated coefficients were then used to perform a latent class analysis that was able to identify patterns of dyadic management. As an alternative approach, we calculated the dyadic average and incongruence using the raw means and the difference between patient and caregiver scores. These values were then used as inputs for latent class analysis.</p><p><strong>Results: </strong>The latent class analysis clustered the same dyads into the same classes across both approaches, with identical fit indices. The three-class model showed the best performance in terms of both fit and characterization of the dyads.</p><p><strong>Discussion: </strong>Mixed-effects models account for interdependence within the dyad and measurement error, returning predicted measures that are shrunk toward the overall mean. However, this approach yielded the same clusters as the simpler method based on observed measures.</p>","PeriodicalId":49723,"journal":{"name":"Nursing Research","volume":" ","pages":"206-213"},"PeriodicalIF":2.5,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13098665/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146133486","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":"Coping Strategies for Postpartum Stress: A Quantitative Positive Deviance Analysis.","authors":"Lorraine O Walker, Nicole Murry, Heather Becker","doi":"10.1097/NNR.0000000000000874","DOIUrl":"10.1097/NNR.0000000000000874","url":null,"abstract":"<p><strong>Background: </strong>Positive deviance (PD) methods, initially used to improve health in low-income countries, are now being applied across U.S. health sectors. \"Positive deviants\" are persons who maintain good outcomes despite facing the same adversity as their neighbors. One strength of PD in intervention development is building on successful local solutions.</p><p><strong>Objectives: </strong>The purpose of this study was to illustrate a quantitative approach to conducting a positive deviant analysis of postpartum coping strategies that were associated with good maternal health when stress was high.</p><p><strong>Methods: </strong>We described the process for identifying positive deviants and a normative group with high stress in a cross-sectional survey of 427 persons between 2 and 22 months postpartum. Measures included postpartum stress, physical and mental health, and postpartum coping strategies: self-regulation, spiritual care, self-care, use and seek support, internal and external resources, and health promotion. We used the Mann-Whitney U statistic to compare the coping strategies of positive deviants and a normative group.</p><p><strong>Results: </strong>Among 163 individuals with high stress, we identified 52 positive deviants with good physical health and 21 with good mental health. Positive deviants with good physical health more often used self-regulation and health promotion than the normative group, but those with good mental health used all coping strategies more often. Positive deviants did not differ significantly from the normative group in terms of demographic variables.</p><p><strong>Discussion: </strong>Use of a quantitative PD approach resulted in identifying potentially efficacious coping content for interventions to promote postpartum health during high stress. In community and clinical interventions, the use of PD to identify existing beneficial coping practices could aid populations facing health-related problems.</p>","PeriodicalId":49723,"journal":{"name":"Nursing Research","volume":" ","pages":"152-159"},"PeriodicalIF":2.2,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145543682","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":"Profiles of Stigma and Associated Factors Among Lung Cancer Patients Receiving Chemotherapy: A Latent Profile Analysis.","authors":"Xian Wei, Wen Zhang, Xing-Qiao Tao, Qing-Chen Wu, Huan Qiu","doi":"10.1097/NNR.0000000000000883","DOIUrl":"10.1097/NNR.0000000000000883","url":null,"abstract":"<p><strong>Background: </strong>Psychosocial stigma represents a significant burden in persons with lung cancer-particularly among those undergoing chemotherapy-yet the heterogeneity of stigma experiences remains understudied. While prior research has explored stigma in cancer populations, factors such as psychological resilience, social support, and clinical characteristics (eg, smoking history and comorbidities) in shaping distinct stigma profiles have not been comprehensively examined. Latent profile analysis-a statistical method to identify unobserved subgroups-offers a novel approach to understanding stigma variability and its predictors in this population.</p><p><strong>Objectives: </strong>This study aimed to (a) characterize sociodemographic and clinical profiles of persons with lung cancer receiving chemotherapy, (b) identify latent stigma subgroups based on psychosocial burden, and (c) examine factors associated with subgroup membership, including psychological resilience, social support, and health-related covariates.</p><p><strong>Methods: </strong>A cross-sectional analysis of 273 persons with lung cancer was conducted using validated instruments (Chinese Lung Cancer Stigma Scale, Connor-Davidson Resilience Scale, and Multidimensional Scale of Perceived Social Support). Latent profile analysis and multivariate logistic regression were employed to classify stigma subgroups and determine predictors.</p><p><strong>Results: </strong>Three latent subgroups emerged: low stigma-positive coping, moderate stigma, and high stigma-excessive anxiety. Lower psychological resilience and social support significantly predicted membership in moderate and high stigma subgroups. Smoking history and chronic comorbidities uniquely distinguished the high stigma subgroup. Higher education and stronger social support were protective against severe stigma.</p><p><strong>Discussion: </strong>Stigma heterogeneity in persons with lung cancer underscores the need for tailored psychosocial interventions. Enhancing psychological resilience and social support may mitigate stigma burden-particularly in high-risk subgroups. Clinical strategies for persons receiving chemotherapy should integrate stigma assessment and target modifiable predictors to improve mental health outcomes. This study highlights the clinical complexity of stigma management in oncology palliative care.</p>","PeriodicalId":49723,"journal":{"name":"Nursing Research","volume":" ","pages":"105-112"},"PeriodicalIF":2.2,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145866201","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":"Quasi-Experimental Study of Caregiver Training Using the PRECEDE-PROCEED Model for Stroke Home Care.","authors":"Sümeyye Akçoban, Betül Tosun, Mirko Prosen","doi":"10.1097/NNR.0000000000000873","DOIUrl":"10.1097/NNR.0000000000000873","url":null,"abstract":"<p><strong>Background: </strong>Caregivers of home care patients with stroke cope with physical, psychological, social, and economic problems. In addition, their inexperience in patient care affects patient outcomes.</p><p><strong>Objectives: </strong>This study aimed to evaluate the effect of a training program based on the PRECEDE-PROCEED Model on caregivers of home care of persons with stroke on caregivers' caregiving responses, perceived social support levels, and patient outcomes.</p><p><strong>Methods: </strong>The study was conducted with 70 stroke patients and 70 caregivers using a quasi-experimental design between July and December 2023. Caregivers were assessed using the \"Caregiver Personal Information Form,\" \"Caregiver Reaction Rating Scale,\" and \"Multidimensional Perceived Social Support Scale.\" Home care patients with stroke were evaluated using the \"Patient Personal Information Form,\" \"Braden Pressure Injury Risk Assessment Scale,\" and \"Hospital Admission Follow-up Form.\"</p><p><strong>Results: </strong>The caregivers who participated in the study had a mean age of 53 years, and 76% were female. In addition, 84% received care support. Many caregivers simultaneously had a chronic disease, were first-degree relatives of the patient, and required assistance in providing patient care. Over time, a significant improvement was observed in caregivers' responsiveness and perceived social support. Regarding patient outcomes following the intervention, notable improvements were found in the incidence of aspiration/pneumonia, incontinence, constipation, diarrhea, and falls. The risk of pressure injury significantly decreased over time. Furthermore, hospitalization rates showed a marked reduction after the intervention.</p><p><strong>Discussion: </strong>The training program based on the PRECEDE-PROCEED Model led to positive changes in caregiving responses and the perceived social support of caregivers of stroke patients. The training program was also associated with improved patient outcomes. These findings suggest that the PRECEDE-PROCEED Model can be effectively utilized for caregivers of home care patients with stroke.</p>","PeriodicalId":49723,"journal":{"name":"Nursing Research","volume":" ","pages":"113-120"},"PeriodicalIF":2.2,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145543639","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}