Nursing & Health Sciences最新文献_第3页

Who Knows the Patient Best? An Epistemological Approach to Family-Centered Care for Unconscious Patients in the Adult Intensive Care Unit. 谁最了解病人？以家庭为中心的成人重症监护室无意识病人护理的认识论方法。

IF 2.1 3区医学

Nursing & Health Sciences Pub Date : 2026-06-01 DOI: 10.1111/nhs.70360

Julie Joseph

{"title":"Who Knows the Patient Best? An Epistemological Approach to Family-Centered Care for Unconscious Patients in the Adult Intensive Care Unit.","authors":"Julie Joseph","doi":"10.1111/nhs.70360","DOIUrl":"10.1111/nhs.70360","url":null,"abstract":"The adult intensive care unit is a complex, high-acuity environment where critically ill patients frequently cannot communicate their needs, values, or preferences due to altered consciousness, sedation, or neurological impairment. This Discussion paper develops an epistemological framework for family-centered care in adult intensive care units, emphasizing the integration of diverse knowledge forms, empirical, personal, ethical, aesthetic, and emancipatory into clinical decision-making for unconscious patients. It highlights families as essential epistemic authorities who provide unique insights into patients' values, preferences, and identities, complementing biomedical knowledge. The framework addresses epistemic injustices that marginalize family knowledge, advocating for culturally sensitive, collaborative approaches that fuse clinical expertise with familial narratives. Practical strategies such as structured communication protocols and narrative integration are discussed to enhance family involvement. The discussion paper underscores epistemic humility, recognizing the limits of both clinical and family knowledge in the face of prognostic uncertainty. By promoting dialogue and shared understanding, this pluralistic approach aims to improve ethical clarity and patient-centered outcomes in ICU care, fostering a partnership model where families and clinicians co-construct meaning and care decisions.","PeriodicalId":49730,"journal":{"name":"Nursing & Health Sciences","volume":"28 2","pages":"e70360"},"PeriodicalIF":2.1,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148018584","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Beyond "Peer Worker": Centering Experiential Expertise Within Interprofessional Mental Health Teams. 超越“同伴工作者”：在跨专业心理健康团队中集中经验专业知识。

IF 2.1 3区医学

Nursing & Health Sciences Pub Date : 2026-06-01 DOI: 10.1111/nhs.70374

Hannah Stahl, Kateryna Metersky

{"title":"Beyond \"Peer Worker\": Centering Experiential Expertise Within Interprofessional Mental Health Teams.","authors":"Hannah Stahl, Kateryna Metersky","doi":"10.1111/nhs.70374","DOIUrl":"10.1111/nhs.70374","url":null,"abstract":"Experiential workers, sometimes referred to as \"peer support workers\" and often simply as \"peers,\" are increasingly integrated into mental health and community care systems. Despite the growing workforce, these roles remain poorly defined, undervalued, and structurally marginalized. This discussion paper critically examines the systemic challenges faced by experiential workers, including role ambiguity, stigma, precarious employment, and exclusion in interprofessional contexts. Drawing on historical and current debates around professionalization, this paper argues that mental health care teams must actively support the legitimacy and sustainability of experiential work through creation of clearer role definitions and inclusive knowledge frameworks, without compromising its community-rooted ethos. This is explored through interrogating the implications of terminology, workplace dynamics, and professionalization. Recommendations are provided for clinical teams, organizations, researchers, and policymakers to foster meaningful integration, support, and recognition of experiential workers. These include co-developing job roles, embedding interprofessional anti-stigma education, reforming exclusionary labor practices, and funding participatory research. Ultimately, this discussion paper calls for sector-wide collaboration to address structural inequities and ensure that experiential expertise is valued as core to mental health care.","PeriodicalId":49730,"journal":{"name":"Nursing & Health Sciences","volume":"28 2","pages":"e70374"},"PeriodicalIF":2.1,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13247629/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148206653","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Perceptions of Intensive Care Nurses Toward Artificial Intelligence Technologies: A Qualitative Study. 重症监护护士对人工智能技术的看法：一项定性研究。

IF 2.1 3区医学

Nursing & Health Sciences Pub Date : 2026-06-01 DOI: 10.1111/nhs.70332

Dilek Yildirim, Cennet Çiriş Yildiz, Emine Ergin

{"title":"Perceptions of Intensive Care Nurses Toward Artificial Intelligence Technologies: A Qualitative Study.","authors":"Dilek Yildirim, Cennet Çiriş Yildiz, Emine Ergin","doi":"10.1111/nhs.70332","DOIUrl":"10.1111/nhs.70332","url":null,"abstract":"Intensive care nurses play a pivotal role in patient care; however, their perceptions and concerns regarding artificial intelligence (AI) in intensive care units remain limited. This study aimed to explore ICU nurses' views on AI to support effective integration strategies. A qualitative descriptive design with interpretive elements was conducted between September and December 2025 in multiple hospitals in Istanbul, Turkey. Using purposive snowball sampling, 22 ICU nurses participated in semi-structured, face-to-face interviews. Data were analyzed inductively using interpretive description. Six themes were identified: knowledge and awareness of AI, experiences with AI, impact on nursing care, role in clinical decision-making, ethical and safety risks, and educational needs and future expectations. Findings revealed that nurses had limited and fragmented knowledge of AI, with mostly indirect exposure. While AI was perceived as having the potential to improve care quality and support clinical decisions, concerns were raised regarding loss of autonomy, data security, device errors, and accountability. Participants also emphasized the irreplaceable role of human presence in care and highlighted a clear need for structured education and institutional support.","PeriodicalId":49730,"journal":{"name":"Nursing & Health Sciences","volume":"28 2","pages":"e70332"},"PeriodicalIF":2.1,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13071536/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147678419","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Development and Validation of the ClimHealth-K: A Scale for Assessing Perceived Knowledge and Awareness of Climate Change-Related Health Effects. 气候健康- k量表的开发和验证：评估气候变化相关健康影响感知知识和意识的量表。

IF 2.1 3区医学

Nursing & Health Sciences Pub Date : 2026-06-01 DOI: 10.1111/nhs.70350

Taha Gökmen Ülger, Elif Gençer Şendur, Esra Tunçer, İsa Çelik, Murat Bektaş

{"title":"Development and Validation of the ClimHealth-K: A Scale for Assessing Perceived Knowledge and Awareness of Climate Change-Related Health Effects.","authors":"Taha Gökmen Ülger, Elif Gençer Şendur, Esra Tunçer, İsa Çelik, Murat Bektaş","doi":"10.1111/nhs.70350","DOIUrl":"10.1111/nhs.70350","url":null,"abstract":"Climate change poses a significant threat to human health and is linked to various direct and indirect outcomes, including infectious diseases, heat-related illnesses, and other climate-sensitive conditions. However, standardized tools assessing perceived knowledge and awareness of climate-related health effects remain limited. This methodological study aimed to develop and validate the ClimHealth-K scale for assessing university students' perceived climate-health knowledge. The sample included 449 students from a public university in Türkiye. Items were generated through literature review and evaluated by seven experts to establish content validity using the Davis method. Psychometric analyses included exploratory and confirmatory factor analyses and reliability testing. Item-level content validity index values ranged from 0.86 to 1.00, and the scale-level index was 0.98. Exploratory factor analysis supported a unidimensional structure explaining 62.67% of total variance, and confirmatory factor analysis showed good model fit (χ2/df = 2.27, CFI = 0.977, RMSEA = 0.075). Cronbach's alpha was 0.954, and test-retest reliability indicated moderate stability (ICC = 0.653, p < 0.001). The 11-item ClimHealth-K is a valid and reliable instrument for assessing perceived climate-health knowledge in educational and public health research.","PeriodicalId":49730,"journal":{"name":"Nursing & Health Sciences","volume":"28 2","pages":"e70350"},"PeriodicalIF":2.1,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13150948/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147845181","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Artificial Intelligence-Assisted Writing and Editing, and the Rise of "Tortured Phrases" in Nursing Literature. 人工智能辅助写作和编辑，以及护理文献中“折磨短语”的兴起。

IF 1.6 3区医学

Nursing & Health Sciences Pub Date : 2026-06-01 DOI: 10.1111/nhs.70366

Jaime A Teixeira da Silva, Marilyn H Oermann

引用次数: 0

Symptom Clusters and Sentinel Symptoms in Newly Diagnosed Patients With Gastric Cancer: A Cross-Sectional Study. 新诊断胃癌患者的症状群和前哨症状：一项横断面研究

IF 2.1 3区医学

Nursing & Health Sciences Pub Date : 2026-06-01 DOI: 10.1111/nhs.70356

Yingyin Wang, Chunjuan Liu, Fangli Xiong, Keshu Li, Rong Zhang, Fengqing Wu

{"title":"Symptom Clusters and Sentinel Symptoms in Newly Diagnosed Patients With Gastric Cancer: A Cross-Sectional Study.","authors":"Yingyin Wang, Chunjuan Liu, Fangli Xiong, Keshu Li, Rong Zhang, Fengqing Wu","doi":"10.1111/nhs.70356","DOIUrl":"10.1111/nhs.70356","url":null,"abstract":"Newly diagnosed patients with gastric cancer often experience multiple co-occurring symptoms before anticancer treatment, and clarifying these patterns may support earlier nursing assessment and supportive care. This cross-sectional study aimed to identify symptom clusters and key symptom roles, including sentinel, core, and bridge symptoms, in newly diagnosed patients with gastric cancer before treatment. A total of 439 patients completed the MD Anderson Symptom Inventory Gastrointestinal Cancer Module Chinese version within 24 h of admission. Exploratory factor analysis and network analysis were performed using R version 4.3.0 with the psych, qgraph, bootnet, and networktools packages, and association rule mining was conducted in Python using pandas and mlxtend. Two symptom clusters were identified: gastrointestinal and psychosomatic. Vomiting and fatigue emerged as core symptoms, drowsiness was the principal bridge symptom, and vomiting and difficulty remembering were the principal sentinel symptoms. These findings suggest that vomiting, fatigue, drowsiness, and difficulty remembering may be useful targets for early nursing assessment and supportive care.","PeriodicalId":49730,"journal":{"name":"Nursing & Health Sciences","volume":"28 2","pages":"e70356"},"PeriodicalIF":2.1,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148018629","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Nurse-Led Health Education Intervention on Basic Life Support for Relatives of Patients With Cardiac Conditions: A Quasi-Experimental Pilot Study. 护士主导的健康教育干预对心脏病患者亲属的基本生命支持：一项准实验先导研究。

IF 2.1 3区医学

Nursing & Health Sciences Pub Date : 2026-06-01 DOI: 10.1111/nhs.70365

Irene Alcoceba, Sara García, Irene Bonilla, Marta Díez, Verónica Merayo, Denisse Pamela Jaya, Sara Lobo, María López, Nerea Lario, José María Jiménez

{"title":"Nurse-Led Health Education Intervention on Basic Life Support for Relatives of Patients With Cardiac Conditions: A Quasi-Experimental Pilot Study.","authors":"Irene Alcoceba, Sara García, Irene Bonilla, Marta Díez, Verónica Merayo, Denisse Pamela Jaya, Sara Lobo, María López, Nerea Lario, José María Jiménez","doi":"10.1111/nhs.70365","DOIUrl":"10.1111/nhs.70365","url":null,"abstract":"Introduction: Out-of-hospital cardiorespiratory arrest affects more than 350,000 people in Europe annually. Therefore, health education interventions led by nurses are essential to provide complete and adequate education on basic life support to family members of patients with cardiac conditions. The objective was to evaluate the impact of an educational intervention on basic CPR by assessing improvements in knowledge, practical skills, and self-perception among family members of patients with heart conditions.Methodology: A prospective quasi-experimental pretest-posttest design, involving a theoretical-practical educational intervention in basic life support aimed at relatives of patients with cardiac conditions treated at a tertiary care hospital. Theoretical data were collected using three validated questionnaires. Practical skills were assessed by solving a case study and evaluating CPR maneuvers using 14 validated items.Results: A total of 105 relatives of patients with cardiac conditions participated, with a mean age of 49.28 ± 13 years. Comparing the pre-intervention, post-intervention, and 5-month follow-up questionnaire scores, significant improvements were observed in knowledge, practical skills, and self-perception.Conclusions: The nurse-led educational intervention was effective, demonstrating statistically significant improvements across all areas without reflecting medium-term losses.","PeriodicalId":49730,"journal":{"name":"Nursing & Health Sciences","volume":"28 2","pages":"e70365"},"PeriodicalIF":2.1,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148018620","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Evaluation of a Palliative and End-of-Life Care Education Program for Healthcare Workers. 对医护人员的姑息治疗和临终关怀教育计划的评估。

IF 1.6 3区医学

Nursing & Health Sciences Pub Date : 2026-06-01 DOI: 10.1111/nhs.70368

Chizuru Nagata, Aiko Tanaka

{"title":"Evaluation of a Palliative and End-of-Life Care Education Program for Healthcare Workers.","authors":"Chizuru Nagata, Aiko Tanaka","doi":"10.1111/nhs.70368","DOIUrl":"10.1111/nhs.70368","url":null,"abstract":"With growing global demand for high-quality palliative and end-of-life care in community-based settings, continuing education for care staff has become increasingly important. However, access to structured education remains limited, particularly in long-term care facilities. This study evaluated a palliative and end-of-life care education program comprising an education session and a focus group discussion using an embedded mixed-methods design. Thirty-nine healthcare workers from a small-scale, community-based facility participated in this study, and the online education was evaluated measuring four indicators-knowledge, confidence, and motivation, difficulties providing care, and job satisfaction-at three time points (before, after, and 3 months after), alongside qualitative data. Analysis indicated significant improvements in knowledge and confidence, with a notable reduction in difficulties observed 3 months post-program. While overall job satisfaction showed no significant change, the \"enhanced sense of efficacy\" sub-item increased significantly. Thematic analysis of focus group discussion and descriptive feedback confirmed enhanced knowledge and highlighted opportunities for further discussion. This suggests the program positively impacted care quality and job satisfaction. Long-term follow-up is suggested to confirm this effect and improve palliative and end-of-life care.","PeriodicalId":49730,"journal":{"name":"Nursing & Health Sciences","volume":"28 2","pages":"e70368"},"PeriodicalIF":1.6,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148145081","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Empowering Nurses Beyond the Nation State. 赋予护士超越国家的权力。

IF 1.6 3区医学

Nursing & Health Sciences Pub Date : 2026-06-01 DOI: 10.1111/nhs.70372

Faustino Jerome Babate, Radha Adhikari

引用次数: 0

The Effects of Nursing Students' Disaster Risk Perception on Disaster Literacy: A Structural Equation Modeling Analysis. 护生灾害风险感知对灾害素养的影响：结构方程模型分析。

IF 2.1 3区医学

Nursing & Health Sciences Pub Date : 2026-06-01 DOI: 10.1111/nhs.70351

Nilgün Kuru Alici, Ayşenur Çetin

{"title":"The Effects of Nursing Students' Disaster Risk Perception on Disaster Literacy: A Structural Equation Modeling Analysis.","authors":"Nilgün Kuru Alici, Ayşenur Çetin","doi":"10.1111/nhs.70351","DOIUrl":"10.1111/nhs.70351","url":null,"abstract":"Disaster risk perception and disaster literacy are important factors associated with individuals' preparedness in disaster-prone societies. Nursing students, as future healthcare professionals, play a critical role in disaster management; however, research on the relationship between these variables remains limited. This study examined the relationship between disaster risk perception and disaster literacy among nursing students using a cross-sectional correlational design. Data were collected using the Disaster Risk Perception Scale and the Disaster Literacy Scale, and structural equation modeling was applied. Disaster risk perception was represented by the dimensions of impact, exposure, anxiety, and uncontrollability. Among these subdimensions, impact had the highest mean score, whereas anxiety had the lowest. The results indicated that disaster risk perception was negatively associated with disaster literacy (β = -0.182). These findings suggest that higher levels of perceived risk are related to lower disaster literacy. Strengthening disaster literacy through targeted education and integrating it into nursing curricula and health policy may help support more balanced risk perceptions and improve disaster preparedness.","PeriodicalId":49730,"journal":{"name":"Nursing & Health Sciences","volume":"28 2","pages":"e70351"},"PeriodicalIF":2.1,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147934895","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0