Nursing & Health Sciences最新文献_第4页

Nurse Managers' Awareness of and Competence in Palliative Care in Municipal Care Settings: A Systematic Mixed Studies Review. 城市护理机构护士管理者对姑息治疗的认识和能力：一项系统的混合研究综述。

IF 2.1 3区医学

Nursing & Health Sciences Pub Date : 2026-06-01 DOI: 10.1111/nhs.70352

Hongxuan Xu, Marie-Louise Möllerberg, Karin Dalhammar, Mariette Bengtsson, Katarina Sjögren Forss

{"title":"Nurse Managers' Awareness of and Competence in Palliative Care in Municipal Care Settings: A Systematic Mixed Studies Review.","authors":"Hongxuan Xu, Marie-Louise Möllerberg, Karin Dalhammar, Mariette Bengtsson, Katarina Sjögren Forss","doi":"10.1111/nhs.70352","DOIUrl":"10.1111/nhs.70352","url":null,"abstract":"Nurse managers' role in providing high-quality palliative care is crucial for addressing the increasing demand in municipal care. This study aims to compile existing evidence on nurse managers' awareness of and competence in palliative care in municipal care settings. The systematic review followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses recommendations and was registered in PROSPERO (CRD42024559183). In total, 6289 articles were initially retrieved, and 489 additional articles were identified in the updated searches. A narrative synthesis was conducted. Eight studies met the inclusion criteria and three themes emerged from the narrative synthesis: (1) Conceptual grasp of palliative care, (2) Recognition of gaps and needs, and (3) Competence in fulfilling complex responsibilities. Nurse managers' understanding of palliative care along with identified gaps and priorities shaped their competence in managing complex responsibilities related to palliative care, where confidence influenced how they performed the responsibilities. The results pointed to a knowledge gap in the explored area. Future research is needed to explore nurse managers' perspectives on how they understand and perform their leadership role in relation to palliative care.","PeriodicalId":49730,"journal":{"name":"Nursing & Health Sciences","volume":"28 2","pages":"e70352"},"PeriodicalIF":2.1,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13167248/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147934900","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

Advanced Competencies for Endoscopy Nurses: A Rapid Review of Current Practices and Training Approaches. 内窥镜检查护士的高级能力：当前实践和培训方法的快速回顾。

IF 2.1 3区医学

Nursing & Health Sciences Pub Date : 2026-06-01 DOI: 10.1111/nhs.70328

Andrea Minciullo, Daniela Tartaglini, Lucia Filomeno, Riccardo Grande, Dhurata Ivziku

{"title":"Advanced Competencies for Endoscopy Nurses: A Rapid Review of Current Practices and Training Approaches.","authors":"Andrea Minciullo, Daniela Tartaglini, Lucia Filomeno, Riccardo Grande, Dhurata Ivziku","doi":"10.1111/nhs.70328","DOIUrl":"10.1111/nhs.70328","url":null,"abstract":"As endoscopy procedures expand in scope and technology, endoscopy nurses find themselves requiring advanced competencies that span both technical skills and clinical knowledge. This review aims to identify the key advanced competencies for nurses in endoscopy, addressing competencies that optimize patient outcomes and the efficacy of endoscopic procedures. This review was conducted in accordance with Cochrane Rapid Review guidance between June and September 2025 using MeSH terms including \"endoscopy,\" \"gastrointestinal endoscopy,\" \"nurse,\" \"nursing,\" \"competence,\" \"competency,\" \"advanced practice,\" and \"training.\" PubMed, CINAHL and Scopus were searched for peer-reviewed articles and gray literature, with no language or time limitations. Sixteen articles were included. The core competency domains identified are: clinical assessment and patient management, procedural and interventional support competence, equipment management and infection control, sedation and patient monitoring, documentation and quality assurance. This rapid review provides an updated synthesis of advanced competencies in gastrointestinal endoscopy nursing. While core domains are recognized internationally, variation in training structures and role delineation persists. Findings contribute to the development of harmonized frameworks and inform future curriculum design and workforce planning.","PeriodicalId":49730,"journal":{"name":"Nursing & Health Sciences","volume":"28 2","pages":"e70328"},"PeriodicalIF":2.1,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13051248/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147624551","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

Robustness in Older Adults: A Concept Analysis Using Rodgers' Evolutionary Approach. 老年人的稳健性：使用罗杰斯进化方法的概念分析。

IF 2.1 3区医学

Nursing & Health Sciences Pub Date : 2026-06-01 DOI: 10.1111/nhs.70349

Yoosun Yang, Jun-Ah Song

{"title":"Robustness in Older Adults: A Concept Analysis Using Rodgers' Evolutionary Approach.","authors":"Yoosun Yang, Jun-Ah Song","doi":"10.1111/nhs.70349","DOIUrl":"10.1111/nhs.70349","url":null,"abstract":"As the number of healthy older adults increases, robustness has emerged as an important concept to describe individual differences in adaptability and health outcomes. However, the concept remains inconsistently defined across healthcare disciplines, necessitating conceptual clarification. This study aims to conduct an evolutionary concept analysis of robustness in older adults. An evolutionary concept analysis method was conducted. Four healthcare databases (PubMed, CINAHL Complete, EMBASE, Scopus) and Google Scholar were systematically searched without publication year restrictions, excluding gray literature. Data were extracted and analyzed to identify attributes, antecedents, consequences, and related terms. Analysis of 31 studies revealed three attributes: multidimensional vitality, resilient stability, and functional autonomy. Antecedents include socioeconomic resources, beneficial lifestyle behaviors, and supportive social networks, while consequences encompass enhanced quality of life, reduced healthcare needs, and decreased mortality. Comparison with related terms confirmed robustness as distinct from successful aging, non-frailty, intrinsic capacity, and resilience. This study established conceptual boundaries for robustness, enabling healthcare professionals to move beyond age-based approaches toward individualized assessment and care strategies, providing a theoretical framework for developing measurement tools and implementing personalized interventions.","PeriodicalId":49730,"journal":{"name":"Nursing & Health Sciences","volume":"28 2","pages":"e70349"},"PeriodicalIF":2.1,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13138878/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147845199","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

Providing Care During an Earthquake: Effects of Trauma and Emotion Regulation on Nurses' Caring Behavior. 地震中的护理：创伤和情绪调节对护士护理行为的影响。

IF 1.6 3区医学

Nursing & Health Sciences Pub Date : 2026-06-01 DOI: 10.1111/nhs.70362

Kübra Tohumcu, Neslihan Gülsah Izgi, Nuray Simsek, Ceyda Basogul

{"title":"Providing Care During an Earthquake: Effects of Trauma and Emotion Regulation on Nurses' Caring Behavior.","authors":"Kübra Tohumcu, Neslihan Gülsah Izgi, Nuray Simsek, Ceyda Basogul","doi":"10.1111/nhs.70362","DOIUrl":"10.1111/nhs.70362","url":null,"abstract":"Earthquakes pose substantial psychological challenges for nurses who continue to provide care under extreme conditions. Trauma exposure and difficulties in emotion regulation may influence nurses' care-related behaviors in post-disaster settings. This descriptive and comparative study aimed to determine the levels of post-earthquake trauma and emotion regulation difficulties among nurses exposed to earthquakes, and to examine their effects on caring behaviors. The study was conducted with 143 nurses working in two state hospitals affected by the February 6, 2023, Kahramanmaraş earthquakes. Data were collected using a sociodemographic characteristics form and standardized scales assessing post-earthquake trauma, emotion regulation difficulties, and caring behaviors. The findings indicated that nurses experienced post-earthquake trauma and difficulties in emotion regulation while providing care in disaster-affected settings. These factors were associated with changes in caring behaviors in the post-earthquake period. Post-earthquake trauma and emotion regulation difficulties were significant predictors of nurses' caring behaviors, highlighting the need to address the psychological impact of disasters on nursing care.","PeriodicalId":49730,"journal":{"name":"Nursing & Health Sciences","volume":"28 2","pages":"e70362"},"PeriodicalIF":1.6,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148145054","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

Experiences of adolescents with type 1 diabetes, their parents, and health care providers during the transition to adult health care settings. 1型糖尿病青少年、其父母和卫生保健提供者在向成人卫生保健机构过渡期间的经历

IF 1.6 3区医学

Nursing & Health Sciences Pub Date : 2026-06-01 DOI: 10.1111/nhs.70335

引用次数: 0

Nursing Workload in Systemic Anti-Cancer Therapy Day Units: A Scoping Review and Gap Analysis. 系统性抗癌治疗日间单位的护理工作量：范围回顾和差距分析。

IF 2.1 3区医学

Nursing & Health Sciences Pub Date : 2026-06-01 DOI: 10.1111/nhs.70330

Zhuming Bao, Jenny Harris, Nianqi Cui, Verna Lavender, Anne Marie Rafferty, Jo Armes

{"title":"Nursing Workload in Systemic Anti-Cancer Therapy Day Units: A Scoping Review and Gap Analysis.","authors":"Zhuming Bao, Jenny Harris, Nianqi Cui, Verna Lavender, Anne Marie Rafferty, Jo Armes","doi":"10.1111/nhs.70330","DOIUrl":"10.1111/nhs.70330","url":null,"abstract":"This scoping review aims to identify, summarize, and compare evidence from studies examining nursing workload in Systemic Anti-Cancer Therapy (SACT) day units. The search included from January 2000 to 2025. Electronic databases, including MEDLINE, CINAHL, PsycINFO, EMBASE (Elsevier), ASSIA (ProQuest), Web of Science, Cochrane Library, and Global Index Medicus (WHO), were selected. A simplified search strategy was applied across platforms such as Open Gray, Google Scholar, Scopus, ProQuest Dissertations and Theses, and OAIster.20 studies were included in this review; among these, 16 studies were single centre. The studies were categorized into patient dependency workload (acuity tools, regimen-based patient dependency, and patient-based assessment) and nursing time workload. This review identified a significant gap in the literature, as the included studies largely failed to address non-patient-related care. It also highlighted that the complexity of SACT treatments influences nursing workload beyond patient numbers. This review underscores the distinct nature of nursing workload in SACT day units, the complexity and specialized nature of care required in SACT day units, and it highlights the need for refined workload measurement tools.","PeriodicalId":49730,"journal":{"name":"Nursing & Health Sciences","volume":"28 2","pages":"e70330"},"PeriodicalIF":2.1,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13092646/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147724462","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

Assessing Patient Safety Culture in Hospital at Home Services Across Spain Through a National Survey. 通过一项全国调查评估西班牙家庭医院服务中的患者安全文化。

IF 2.1 3区医学

Nursing & Health Sciences Pub Date : 2026-06-01 DOI: 10.1111/nhs.70337

Nina Granel, Eva Angels Sanchez Martos, Mireia Subirana-Casacuberta, Carolina E Watson, Rebeca Gomez-Ibáñez, Ester Risco

{"title":"Assessing Patient Safety Culture in Hospital at Home Services Across Spain Through a National Survey.","authors":"Nina Granel, Eva Angels Sanchez Martos, Mireia Subirana-Casacuberta, Carolina E Watson, Rebeca Gomez-Ibáñez, Ester Risco","doi":"10.1111/nhs.70337","DOIUrl":"10.1111/nhs.70337","url":null,"abstract":"Patient Safety Culture (PSC) is key to healthcare quality. While widely studied in hospitals, evidence on PSC in Hospital at Home (HaH)-a growing model delivering hospital-level care at home-remains scarce. This study evaluated PSC among professionals in Spanish public HaH units. A descriptive, cross-sectional survey was conducted using the Spanish-validated Hospital Survey on Patient Safety Culture 2.0. Participants were physicians, nurses, and other HaH professionals with ≥ 3 months' experience. A total of 199 responses were analyzed using non-parametric tests. Positive response rates identified strengths (≥ 75%) and improvement areas (≤ 50%). Teamwork Within Units achieved the highest positive responses, indicating strong collaboration, while Staffing and Work Pace scored lowest, reflecting workload concerns. Most rated unit safety as \"good\" or \"very good,\" though few as \"excellent.\" Nurses reported more favorable perceptions than other professionals. Significant differences appeared in teamwork, communication, and leadership support. Comments highlighted commitment despite workforce shortages and limited institutional recognition. HaH services demonstrate a generally positive PSC. Addressing staffing and workload challenges through stronger institutional support and safety protocols is crucial for sustainable, safe home-based care.","PeriodicalId":49730,"journal":{"name":"Nursing & Health Sciences","volume":"28 2","pages":"e70337"},"PeriodicalIF":2.1,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13080223/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147693134","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

Reducing Ageism in Nursing Students: A Pilot Randomized Controlled Trial of an Interactive Desktop Simulation-Enhanced Gagné Instructional Program. 减少护理专业学生的年龄歧视：一项交互式桌面模拟-增强教学计划的随机对照试验。

IF 2.1 3区医学

Nursing & Health Sciences Pub Date : 2026-06-01 DOI: 10.1111/nhs.70376

Ahmed Dahshan, Marwa Ibrahim Mahfouz Khalil, Mohamed Hussein Ramadan Atta, Ahmed Hashem El-Monshed, Reem Said Shaala, Enas Fouad Sayed Mousa, Dina Metwally Sorour

{"title":"Reducing Ageism in Nursing Students: A Pilot Randomized Controlled Trial of an Interactive Desktop Simulation-Enhanced Gagné Instructional Program.","authors":"Ahmed Dahshan, Marwa Ibrahim Mahfouz Khalil, Mohamed Hussein Ramadan Atta, Ahmed Hashem El-Monshed, Reem Said Shaala, Enas Fouad Sayed Mousa, Dina Metwally Sorour","doi":"10.1111/nhs.70376","DOIUrl":"10.1111/nhs.70376","url":null,"abstract":"This pilot randomized controlled trial evaluated whether a Gagné's model-based interactive desktop simulation program could reduce ageism and improve nursing students' attitudes toward older adult care. Hundred and twenty nursing students were randomized to an intervention group (n = 60) receiving eight sessions combining Gagné's instructional events, desktop simulations, case discussions, and structured reflection, or a control group (n = 60) receiving no intervention. Groups were comparable at baseline across all outcome measures (WEPS, FSA, PCOP-SV; all p > 0.05). Post-intervention, the intervention group demonstrated significantly greater improvement in willingness to work with older adults (WEPS), reduced ageist attitudes (FSA), and more positive perspectives on caring for older patients (PCOP-SV), with statistically significant group-by-time interactions across all three outcomes sustained at follow-up. A simulation-enhanced instructional program based on Gagné's model shows promise for improving attitudinal outcomes in gerontological nursing education. Findings are preliminary and should be interpreted cautiously given the pilot design and complete-case analysis. Trial Registration: ClinicalTrials.gov identifier: NCT0613947.","PeriodicalId":49730,"journal":{"name":"Nursing & Health Sciences","volume":"28 2","pages":"e70376"},"PeriodicalIF":2.1,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148260555","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

Registered nurses' experiences of organizational change in acute care settings. 急症护理机构组织变革的注册护士经验。

IF 1.6 3区医学

Nursing & Health Sciences Pub Date : 2026-06-01 DOI: 10.1111/nhs.70336

引用次数: 0

Posttraumatic Growth Among Cancer Patients: A Conceptual Analysis. 癌症患者的创伤后成长：一个概念分析。

IF 1.6 3区医学

Nursing & Health Sciences Pub Date : 2026-06-01 DOI: 10.1111/nhs.70371

Wenji Xu, Jie Sun, Yan Li, Yu Chen, Xiaoxu Zhi, Liuliu Zhang, Shizheng Du

{"title":"Posttraumatic Growth Among Cancer Patients: A Conceptual Analysis.","authors":"Wenji Xu, Jie Sun, Yan Li, Yu Chen, Xiaoxu Zhi, Liuliu Zhang, Shizheng Du","doi":"10.1111/nhs.70371","DOIUrl":"10.1111/nhs.70371","url":null,"abstract":"Posttraumatic growth (PTG) is increasingly recognized as a positive psychological outcome among cancer patients; however, its conceptualization within oncology nursing remains insufficiently clarified. This study aimed to clarify the concept of PTG in cancer care and provide a theoretical foundation for its application in clinical nursing practice and future research. A systematic search of PubMed, Web of Science, CINAHL Complete, ScienceDirect, SpringerLink, and ProQuest identified 39 English-language articles relevant to PTG in cancer patients. Walker and Avant's concept analysis framework was applied to examine the defining attributes, antecedents, consequences, and empirical referents of the concept. The analysis identified five defining attributes of PTG among cancer patients: reconstruction of self-perception, reevaluation of interpersonal relationships, reshaping of philosophical beliefs, reconstruction of positive psychology, and extension of the temporal dimension. These attributes reflect the multidimensional and dynamic nature of PTG throughout the cancer experience. Clarifying the concept of PTG in cancer patients may provide theoretical support for psychosocial interventions and nursing strategies aimed at promoting emotional recovery, resilience, and psychological well-being across the cancer care continuum.","PeriodicalId":49730,"journal":{"name":"Nursing & Health Sciences","volume":"28 2","pages":"e70371"},"PeriodicalIF":1.6,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148165419","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