Nursing & Health Sciences最新文献_第7页

Facilitators and Barriers to Hand Hygiene Compliance Among Health Care Providers in Hospital Settings: A Qualitative Systematic Review. 医院卫生保健提供者手部卫生依从性的促进因素和障碍：一项定性系统评价。

IF 2.1 3区医学

Nursing & Health Sciences Pub Date : 2026-03-01 DOI: 10.1111/nhs.70297

Alwin Issac, Shalini Ganesh Nayak, Rebecca George, T Priyadarshini, Jaison Jacob

{"title":"Facilitators and Barriers to Hand Hygiene Compliance Among Health Care Providers in Hospital Settings: A Qualitative Systematic Review.","authors":"Alwin Issac, Shalini Ganesh Nayak, Rebecca George, T Priyadarshini, Jaison Jacob","doi":"10.1111/nhs.70297","DOIUrl":"10.1111/nhs.70297","url":null,"abstract":"Healthcare-associated infections pose a significant challenge to patient safety, and hand hygiene plays a vital role. This review intended to identify the barriers and facilitators to hand hygiene compliance among doctors, nurses, and students directly involved in patient care in hospitals. A comprehensive search was conducted in PubMed, CINAHL, Scopus, Web of Science, ClinicalKey, and ProQuest. The Patricia J Lucas 4-step approach to thematically analyze the data was adopted. A total of eight themes encompassing both facilitators and barriers, such as professional and moral identity: from \"do no harm\" to moral distress, protection of self and family: selective risk focus, workload, time pressure and competing priorities: pragmatism under strain, social modeling and norms: positive exemplars versus negative contagion, feedback, hierarchy and interdisciplinary climate, knowledge, training and misconceptions: from ritual to resistance, gloving, shortcuts and subjective risk: workarounds to an unrealistic ideal, and infrastructure, products and the material environment, were identified and mapped across the levels of the Social Ecological Model. Healthcare personnel's facilitators and barriers to utilizing hand hygiene practices should be considered when developing strategies to reduce infections.","PeriodicalId":49730,"journal":{"name":"Nursing & Health Sciences","volume":"28 1","pages":"e70297"},"PeriodicalIF":2.1,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146108175","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

Sustainable Business Models in Artificial Intelligence-Integrated Nursing: A Qualitative Study of Opportunities and Risks. 人工智能整合护理中的可持续商业模式：机会与风险的定性研究。

IF 2.1 3区医学

Nursing & Health Sciences Pub Date : 2026-03-01 DOI: 10.1111/nhs.70321

Rukshanda Rahman, Halima Ahmed, Moustaq Karim Khan Rony, Mashuk Rahman Utsho, Bayzid Kamal, Masuma Akter Semi, Mohammad Hossain, Srabani Das, Mohaimin Rashid

{"title":"Sustainable Business Models in Artificial Intelligence-Integrated Nursing: A Qualitative Study of Opportunities and Risks.","authors":"Rukshanda Rahman, Halima Ahmed, Moustaq Karim Khan Rony, Mashuk Rahman Utsho, Bayzid Kamal, Masuma Akter Semi, Mohammad Hossain, Srabani Das, Mohaimin Rashid","doi":"10.1111/nhs.70321","DOIUrl":"10.1111/nhs.70321","url":null,"abstract":"This study aimed to examine the opportunities and risks of sustainable business models in AI-integrated nursing, as perceived by nurses, nursing educators, nurse researchers, administrators, and policymakers. A qualitative design grounded in an interpretivist paradigm was adopted. Data were collected through 41 semi-structured interviews and three focus groups. Transcripts were thematically analyzed following Braun and Clarke's framework. The analysis generated four overarching themes: (1) opportunities for sustainable nursing practice, (2) patient-centered sustainability benefits, (3) organizational and economic dimensions, and (4) risks and challenges to sustainable AI models. Participants highlighted AI's role in reducing administrative burden, improving patient safety, supporting professional growth, and strengthening institutional resilience. However, concerns were raised about data security, ethical dilemmas, resistance related to professional identity, and financial or infrastructural barriers. AI has strong potential to support sustainable nursing systems when accompanied by robust governance, policy alignment, and workforce empowerment. Addressing ethical, cultural, and infrastructural challenges is vital to ensure AI integration enhances rather than disrupts nursing practice and contributes to equitable, patient-centered care.","PeriodicalId":49730,"journal":{"name":"Nursing & Health Sciences","volume":"28 1","pages":"e70321"},"PeriodicalIF":2.1,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147505412","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

Creation of a Collaborative Model for Community Health Promotion Through Empowerment Among Community Health Workers in Japan: A Descriptive Qualitative Study. 日本社区卫生工作者赋权促进社区健康合作模式的创建：一项描述性质的研究。

IF 2.1 3区医学

Nursing & Health Sciences Pub Date : 2026-03-01 DOI: 10.1111/nhs.70316

Rie Matsui, Mina Ishimaru

{"title":"Creation of a Collaborative Model for Community Health Promotion Through Empowerment Among Community Health Workers in Japan: A Descriptive Qualitative Study.","authors":"Rie Matsui, Mina Ishimaru","doi":"10.1111/nhs.70316","DOIUrl":"10.1111/nhs.70316","url":null,"abstract":"To promote community-based health, it is important to develop a practical model that integrates the perspectives of both public health nurses (PHNs) and community health workers (CHWs). This study explored collaboration and empowerment between PHNs and CHWs and used the findings to construct a collaborative model. Using empowerment and collaboration as the research framework, qualitative interviews were conducted with five PHNs and 24 CHWs from five municipalities in Japan. Individual interviews were held with PHNs, and group interviews (4-6 participants) were conducted with CHWs. An inductive qualitative analysis was performed. The data were organized into 7 themes. PHNs recognized CHWs' roles in supporting residents' lifestyles, building trust, promoting discussion, and collaborating. CHWs formed connections within their communities, communicated within their organizations, and found meaning in their work. These findings informed the creation of a collaborative model. The proposed model can help enhance the practical skills of health professionals involved in community health promotion and support effective collaboration between PHNs and CHWs.","PeriodicalId":49730,"journal":{"name":"Nursing & Health Sciences","volume":"28 1","pages":"e70316"},"PeriodicalIF":2.1,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12981970/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147445789","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

The Treatment Burden for Multimorbidity Scale: A Development and Psychometric Validation Study. 多病量表的治疗负担：一项发展和心理计量学验证研究。

IF 2.1 3区医学

Nursing & Health Sciences Pub Date : 2026-03-01 DOI: 10.1111/nhs.70318

Kyoung Suk Lee, Jihyang Lee, Minji Kim, Rooheui Shin

{"title":"The Treatment Burden for Multimorbidity Scale: A Development and Psychometric Validation Study.","authors":"Kyoung Suk Lee, Jihyang Lee, Minji Kim, Rooheui Shin","doi":"10.1111/nhs.70318","DOIUrl":"10.1111/nhs.70318","url":null,"abstract":"Existing instruments have limitations in comprehensively capturing multimorbidity treatment burden. This study aimed to develop and validate a new measure, the Treatment Burden for Multimorbidity Scale (TBMS). We developed preliminary items based on the literature review and existing instruments. Content validity was evaluated with experts and patients. A longitudinal survey design was used for psychometric testing, with data collected at baseline (n = 503) and at 6-month follow-up (n = 313). We examined reliability, construct validity, and responsiveness of the TBMS. One item was deleted after the content validity evaluation, resulting in 12 items. Factor analyses revealed two domains (healthcare tasks and impacts) aligned with the conceptual definition. Cronbach's alpha for the total scale was 0.93. TBMS scores significantly correlated with scores of the disease burden, an existing multimorbidity treatment burden measure, and self-care as hypothesized. Changes in TBMS scores over 6 months were associated with changes in self-care, depressive symptoms, physical function, and self-rated health. The TBMS demonstrates sound reliability, validity, and responsiveness, making it a valuable tool for assessing multimorbidity treatment burden in clinical practice.","PeriodicalId":49730,"journal":{"name":"Nursing & Health Sciences","volume":"28 1","pages":"e70318"},"PeriodicalIF":2.1,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12989467/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147464046","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

Comment on "Mediating Role of Cognitive Emotion Regulation Between Transition Readiness and Quality of Life in Adolescents With Inflammatory Bowel Disease." 对“认知情绪调节在青少年炎症性肠病的过渡准备和生活质量之间的中介作用”的评论

IF 1.6 3区医学

Nursing & Health Sciences Pub Date : 2026-03-01 DOI: 10.1111/nhs.70296

Yuyu Peng, Xuefeng Liu, Yuedong Liu

引用次数: 0

Nursing Students' Understanding of Terms and Concepts Around Medication Review, Polypharmacy, and Deprescribing: A Cross-Sectional Survey Study. 护生对药物检讨、综合用药及处方解除相关术语及概念的理解：一项横断面调查研究。

IF 2.1 3区医学

Nursing & Health Sciences Pub Date : 2026-03-01 DOI: 10.1111/nhs.70291

Ehsan Khan, Alan J Poots, Barry Jubraj

{"title":"Nursing Students' Understanding of Terms and Concepts Around Medication Review, Polypharmacy, and Deprescribing: A Cross-Sectional Survey Study.","authors":"Ehsan Khan, Alan J Poots, Barry Jubraj","doi":"10.1111/nhs.70291","DOIUrl":"10.1111/nhs.70291","url":null,"abstract":"Nurses play a key role in medication review. This study explores nursing students' awareness and understanding of concepts (pharmacology, medication review, polypharmacy, and deprescribing) and gives insight into their preparedness to engage with these in clinical settings. This cross-sectional survey was conducted at a London higher education institution. The sample comprised 127 third-year undergraduate adult and paediatric nursing students. Data were collected using a structured questionnaire, which included free-text items to capture qualitative insights. Quantitative data were analyzed using descriptive statistics, while thematic analysis explored qualitative responses. Respondents were familiar with the terms medication review (94%, 118/125) and polypharmacy (76%, 96/126), but not deprescribing (37%, 46/125). Although respondents could identify triggers for initiating a medication review, their understanding of the collaborative nature of the process for healthcare professionals and patients was inconsistent. Respondents were able to identify medications that may warrant review and potential deprescribing. Core concepts related to medication review were generally understood by respondents. However, understanding of deprescribing, as well as the nurse's role in advocating for patients during medication review, was less consistent.","PeriodicalId":49730,"journal":{"name":"Nursing & Health Sciences","volume":"28 1","pages":"e70291"},"PeriodicalIF":2.1,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146004493","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

Caring Through Uncertainty: Indonesian Healthcare Professionals' Responses to Child Maltreatment. 通过不确定性的关怀：印度尼西亚医疗保健专业人员对儿童虐待的反应。

IF 2.1 3区医学

Nursing & Health Sciences Pub Date : 2026-03-01 DOI: 10.1111/nhs.70293

Rilani Riskiyana, Martina Sinta Kristanti, Jui-Ying Feng, Hsin-Yi Chang, Hsin-I Chiang, Susan J Fetzer

{"title":"Caring Through Uncertainty: Indonesian Healthcare Professionals' Responses to Child Maltreatment.","authors":"Rilani Riskiyana, Martina Sinta Kristanti, Jui-Ying Feng, Hsin-Yi Chang, Hsin-I Chiang, Susan J Fetzer","doi":"10.1111/nhs.70293","DOIUrl":"10.1111/nhs.70293","url":null,"abstract":"Child maltreatment is a serious global issue, threatening the health and well-being of future generations. In Indonesia, amid the high number of reports, the challenges lie in the preparedness of the healthcare professionals in responding to child maltreatment cases. This study explores the experiences of Indonesian healthcare professionals in responding to child maltreatment. Twenty-one healthcare professionals from hospitals and community health centers in Yogyakarta, Indonesia, were interviewed, including physicians (general practitioners, a psychiatrist, and a forensic doctor), psychologists, nurses, and midwives. A descriptive qualitative design was employed, and the data were analyzed using thematic analysis. Five themes represent the experience of Indonesian healthcare professionals in responding to child maltreatment: (1) child-centered care, (2) family and community engagement, (3) response dynamics, (4) response priorities, and (5) response uncertainty. The findings highlight the urgent need to strengthen standardized protocols and inter-agency collaboration in child protection efforts. Further research should examine the systemic and cultural factors influencing healthcare professionals' responses.","PeriodicalId":49730,"journal":{"name":"Nursing & Health Sciences","volume":"28 1","pages":"e70293"},"PeriodicalIF":2.1,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146068332","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

Socio-Structural Factors Shaping Adolescent Mothers' Sex Education: A Qualitative Secondary Analysis. 影响青少年母亲性教育的社会结构因素：一项定性的二次分析。

IF 2.1 3区医学

Nursing & Health Sciences Pub Date : 2026-03-01 DOI: 10.1111/nhs.70314

Samar Mohsen Ashmawi, Lauren Gerchow, Allison Squires

{"title":"Socio-Structural Factors Shaping Adolescent Mothers' Sex Education: A Qualitative Secondary Analysis.","authors":"Samar Mohsen Ashmawi, Lauren Gerchow, Allison Squires","doi":"10.1111/nhs.70314","DOIUrl":"10.1111/nhs.70314","url":null,"abstract":"Sex education is a vital component of healthy adolescent development, yet its effectiveness is often compromised by socio-structural factors, particularly among marginalized youth. In New York City, Black and Hispanic adolescents face disproportionately adverse sexual and reproductive health outcomes (highest rates of births/sexually transmitted infections). This qualitative secondary analysis explores how socio-structural factors within educational, healthcare, and community contexts influence Black and Hispanic adolescent mothers' access, understanding, and application of sex education. Directed content analysis, guided by the socio-ecological model, was performed on semi-structured interview data from 16 Black and Hispanic adolescent mothers (14-19 years old) to examine factors at the individual, interpersonal, organizational, community, and structural levels. Interconnected barriers were revealed across all levels. Individually, untimely education and emotional readiness were key challenges, although motherhood acted as a transformative catalyst. While interpersonal and community barriers included parental taboos and social stigma, organizational gaps in curricula and provider training were compounded by structural factors of race and socioeconomic status, leading to marginalized access. Sex education for this population is undermined by these systemic barriers, demanding consistent, culturally sensitive programming.","PeriodicalId":49730,"journal":{"name":"Nursing & Health Sciences","volume":"28 1","pages":"e70314"},"PeriodicalIF":2.1,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147272678","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

Nurses' Experiences of End-of-Life Care in East Asia: A Scoping Review. 东亚护士临终关怀的经验：范围回顾。

IF 2.1 3区医学

Nursing & Health Sciences Pub Date : 2026-03-01 DOI: 10.1111/nhs.70319

Yi-Ping Tseng, Mei-Chu Tasi, Cheng-Yen Chiang, Whei-Mei Shih

{"title":"Nurses' Experiences of End-of-Life Care in East Asia: A Scoping Review.","authors":"Yi-Ping Tseng, Mei-Chu Tasi, Cheng-Yen Chiang, Whei-Mei Shih","doi":"10.1111/nhs.70319","DOIUrl":"10.1111/nhs.70319","url":null,"abstract":"End-of-life care enhances quality of life and alleviates suffering in patients with life-limiting illnesses, and its practice is shaped by cultural contexts. With East Asia comprising more than one-fifth of the global population, research in this region is essential. This scoping review explored nurses' experiences of providing end-of-life care in East Asia between 2015 and 2024. A total of 49 studies published in English or Chinese were selected from seven electronic databases, based on criteria involving direct care by registered nurses, and the review followed standard scoping methodology. Three themes were identified-requirements, transformation, and culture-encompassing seven categories: readiness, patient-centered, challenges, emotion, coping, transformation, and culture. A conceptual map was developed to visually present the findings. This review highlights the complexity of end-of-life care in East Asia and offers key insights into the real-world challenges and needs of nurses. Collectively, our results show that end-of-life care requires enhanced clinical readiness, recognition of nurses' emotional and professional transformation, and sensitivity to cultural and family-centered values. These findings highlight priorities for advancing training, emotional support, and culturally aligned care strategies in East Asia.","PeriodicalId":49730,"journal":{"name":"Nursing & Health Sciences","volume":"28 1","pages":"e70319"},"PeriodicalIF":2.1,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147505344","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

Risk of Type 2 Diabetes Development in Nurses: Does Shift Work Affect It? 护士患2型糖尿病的风险：轮班工作是否有影响？

IF 2.1 3区医学

Nursing & Health Sciences Pub Date : 2026-03-01 DOI: 10.1111/nhs.70294

Pınar Yel, Nedime Hazal Doner, Asiye Akyol, Aynur Tureyen

引用次数: 0