Nursing & Health Sciences最新文献

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Integrating Advanced Practice Nurses in Anesthesia to Tackle Gaps in Current Health Care: A Qualitative Study. 整合麻醉高级实习护士以解决当前卫生保健的差距:一项定性研究。
IF 2.1 3区 医学
Nursing & Health Sciences Pub Date : 2026-03-01 DOI: 10.1111/nhs.70317
Luzia Vetter, Balthasar L Hug, Maya Zumstein-Shaha
{"title":"Integrating Advanced Practice Nurses in Anesthesia to Tackle Gaps in Current Health Care: A Qualitative Study.","authors":"Luzia Vetter, Balthasar L Hug, Maya Zumstein-Shaha","doi":"10.1111/nhs.70317","DOIUrl":"10.1111/nhs.70317","url":null,"abstract":"<p><p>Aging population and growing shortage of specialists present increasing challenges to anesthetic care. In Switzerland, advanced practice nurses in anesthesia are not yet integrated, despite their potential to contribute to innovative care models. This qualitative study explored current gaps in anesthetic care and assessed the potential role of advanced practice nursing in anesthesia. Semi-structured interviews were held with 46 participants, including patients, nurse anesthetists, and anesthesiologists. Data were analyzed using Mayring's summarizing content analysis. Patients emphasized \"Information and Preparation Needs,\" \"pain,\" and \"recurrent hospital stays.\" Nurse anesthetists highlighted gaps in \"making nursing care visible,\" \"(interprofessional) practice development,\" and \"pain therapy.\" Anesthesiologists identified challenges in \"changes in anesthesia,\" the \"treatment process,\" and \"pain management.\" The results reveal relevant deficits in perioperative care, underscoring the need for sustainable solutions. Integrating advanced practice nurses into anesthesia could address these gaps by providing patient-centered preoperative support, fostering interprofessional practice development in the operating room, and providing clinical leadership in the postoperative recovery room and pain management. Advanced practice nursing in anesthesia is a promising strategy to sustainably improve the quality of perioperative health care.</p>","PeriodicalId":49730,"journal":{"name":"Nursing & Health Sciences","volume":"28 1","pages":"e70317"},"PeriodicalIF":2.1,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12968485/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147379321","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
Man Enough to Care: Intersections of Masculinities, Care, and Aging. 足够关心的男人:男子气概、关心和衰老的交叉点。
IF 2.1 3区 医学
Nursing & Health Sciences Pub Date : 2026-03-01 DOI: 10.1111/nhs.70315
Daniela Rendl
{"title":"Man Enough to Care: Intersections of Masculinities, Care, and Aging.","authors":"Daniela Rendl","doi":"10.1111/nhs.70315","DOIUrl":"10.1111/nhs.70315","url":null,"abstract":"<p><p>This study explores the intersection of masculinities, care, and aging through in-depth interviews with 12 men employed in nursing in the Czech Republic. Using a qualitative design grounded in inductive grounded theory, data were transcribed verbatim and analyzed through thematic analysis in ATLAS.ti, following COREQ guidelines. The analysis identified two contrasting strategies of performing masculinity within a feminized profession: the adaptation of hegemonic masculinity through the incorporation of caring elements, and the re-masculinization of care through relationality, emotional openness, and the rejection of dominance. The findings also show that physical strength operates as an ambivalent resource-granting younger men legitimacy and status while becoming a source of vulnerability with age. By conceptualizing care as a universal human skill rather than a gendered role, the study contributes to critical research on men and masculinities. It expands the framework of caring masculinities by integrating the perspective of aging. Men in nursing thus appear \"man enough to care,\" while their practices both reinforce and challenge the gender order.</p>","PeriodicalId":49730,"journal":{"name":"Nursing & Health Sciences","volume":"28 1","pages":"e70315"},"PeriodicalIF":2.1,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12975315/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147437302","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
Experience of Cancer-Related Fatigue in Patients With Head and Neck Cancer: A Qualitative Meta-Synthesis. 头颈癌患者癌症相关疲劳的经验:一项定性综合研究。
IF 2.1 3区 医学
Nursing & Health Sciences Pub Date : 2026-03-01 DOI: 10.1111/nhs.70303
Qiongyu Zhou, Chunxiang Ma, Wanying Wu, Liwei Yao
{"title":"Experience of Cancer-Related Fatigue in Patients With Head and Neck Cancer: A Qualitative Meta-Synthesis.","authors":"Qiongyu Zhou, Chunxiang Ma, Wanying Wu, Liwei Yao","doi":"10.1111/nhs.70303","DOIUrl":"10.1111/nhs.70303","url":null,"abstract":"<p><p>This study aimed to synthesize qualitative evidence on the lived experiences of cancer-related fatigue (CRF) in patients with head and neck cancer to inform targeted nursing interventions. Four Chinese and six English databases were systematically searched from inception to March 2025 for qualitative studies exploring CRF experiences. The quality of included studies was assessed using the JBI Critical Appraisal Checklist, and findings were synthesized using the JBI meta-aggregation methodology. Eight studies were included, generating 54 findings which were aggregated into six categories and three synthesized themes: essential characteristics and dynamic evolution; multidimensional influence and vicious circle; and management dilemmas and long-term challenges. The review highlights that CRF is a dynamic, individualized experience significantly impacting quality of life, yet current management strategies remain often insufficient. Consequently, multidisciplinary nursing interventions prioritizing comprehensive assessment, self-management support, and psychological care are essential to optimize patients' long-term adaptation and well-being.</p>","PeriodicalId":49730,"journal":{"name":"Nursing & Health Sciences","volume":"28 1","pages":"e70303"},"PeriodicalIF":2.1,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146144594","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
In Response to: "Commentary on Therapeutic Inertia in Nursing: A Concept Analysis (Jackson and Miller 2025)". 回应:“评论护理中的治疗惯性:一个概念分析(Jackson and Miller 2025)”。
IF 1.6 3区 医学
Nursing & Health Sciences Pub Date : 2026-03-01 DOI: 10.1111/nhs.70287
George V Joy, Abdulqadir J Nashwan
{"title":"In Response to: \"Commentary on Therapeutic Inertia in Nursing: A Concept Analysis (Jackson and Miller 2025)\".","authors":"George V Joy, Abdulqadir J Nashwan","doi":"10.1111/nhs.70287","DOIUrl":"10.1111/nhs.70287","url":null,"abstract":"","PeriodicalId":49730,"journal":{"name":"Nursing & Health Sciences","volume":"28 1","pages":"e70287"},"PeriodicalIF":1.6,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145918982","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
Knowledge Attitudes and Practices of Intern-Nursing Students in Prevention of Peripherally Inserted Central Catheter Unplanned Extubation: A Cross-Sectional Study. 护理实习学生预防中心导管外周插拔的知识、态度和实践:一项横断面研究。
IF 2.1 3区 医学
Nursing & Health Sciences Pub Date : 2026-03-01 DOI: 10.1111/nhs.70292
Jiaji Hu, Jiaxin Lv, Ran Xu, Nian Yao, Bo Zhang, Binbin Xu, Jinghui Zhang
{"title":"Knowledge Attitudes and Practices of Intern-Nursing Students in Prevention of Peripherally Inserted Central Catheter Unplanned Extubation: A Cross-Sectional Study.","authors":"Jiaji Hu, Jiaxin Lv, Ran Xu, Nian Yao, Bo Zhang, Binbin Xu, Jinghui Zhang","doi":"10.1111/nhs.70292","DOIUrl":"10.1111/nhs.70292","url":null,"abstract":"<p><p>Unplanned extubation of peripherally inserted central catheters (PICC-UE) is a prevalent complication with a high incidence rate and significant adverse effects. This study aimed to investigate the knowledge, attitudes, and practices (KAP) of nursing interns regarding PICC-UE. A cross-sectional study was conducted with 802 nursing interns from 10 hospitals in China. The score rate for KAP dimensions was 65.75%, 95.47%, and 78.67%, respectively. Factors associated with knowledge scores included gender (female), prior nursing experience, age (20-22 years), weeks of clinical practice (15-30 and > 30 weeks), training times (1-2 and > 3 sessions), and learning format (centralized online and offline) (all p < 0.05). Attitudes were significantly influenced by nursing experience, age (20-22 years), education level (undergraduate), weeks of clinical practice (15-30 and > 30 weeks), and training times (1-2 or > 3 sessions) (all p < 0.05). Practices were significantly associated with nursing experience, education level (undergraduate and graduate), weeks of clinical practice (15-30 weeks), and training times (1-2 and > 3 sessions) (all p < 0.05). In conclusion, while the participants demonstrated positive attitudes, their knowledge requires enhancement, and their practices are moderate.</p>","PeriodicalId":49730,"journal":{"name":"Nursing & Health Sciences","volume":"28 1","pages":"e70292"},"PeriodicalIF":2.1,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146054646","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
Effectiveness of Mobile Health Technology-Based Interventions on Foot Care Behaviors, Knowledge and Beliefs in Patients With Diabetes: A Systematic Review and Meta-Analysis. 基于移动医疗技术的干预对糖尿病患者足部护理行为、知识和信念的影响:系统回顾和meta分析
IF 2.1 3区 医学
Nursing & Health Sciences Pub Date : 2026-03-01 DOI: 10.1111/nhs.70295
Luwen Zhang, Fangli Liu, Yujun Fan, Rui Guan
{"title":"Effectiveness of Mobile Health Technology-Based Interventions on Foot Care Behaviors, Knowledge and Beliefs in Patients With Diabetes: A Systematic Review and Meta-Analysis.","authors":"Luwen Zhang, Fangli Liu, Yujun Fan, Rui Guan","doi":"10.1111/nhs.70295","DOIUrl":"10.1111/nhs.70295","url":null,"abstract":"<p><p>Mobile Health (mHealth) technology offers the potential to improve healthcare quality. This study aims to evaluate the effectiveness of mHealth interventions on the foot care behaviors, knowledge, and beliefs of patients with diabetes. Eleven databases were systematically searched for relevant RCTs between databases' inception and February 2025. We used Review Manager 5.4 software for meta-analysis. Subgroup analysis, publication bias tests, and sensitivity analysis were performed. The quality of the evidence was rated according to the GRADE. A total of eight studies were included in the meta-analysis. There was moderate-quality evidence that compared with other traditional foot care education, mHealth interventions can effectively enhance foot care behaviors, knowledge, and beliefs among patients with diabetes. Additionally, there was low-quality evidence that mHealth interventions can also improve patients' blood glucose levels. The findings provide preliminary reference for nurses to explore more effective auxiliary tools for patient education. However, the current evidence is of moderate and low quality, indicating that it remains necessary to focus on new evidence in the future. More high-quality RCTs are needed to explore long-term effects of mHealth interventions.</p>","PeriodicalId":49730,"journal":{"name":"Nursing & Health Sciences","volume":"28 1","pages":"e70295"},"PeriodicalIF":2.1,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146101063","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
The Effect of Emotional Intelligence on Ethical Decision-Making Competence in Nursing Students: A Cross-Sectional Study. 情绪智力对护生伦理决策能力影响的横断面研究
IF 2.1 3区 医学
Nursing & Health Sciences Pub Date : 2026-03-01 DOI: 10.1111/nhs.70301
Mustafa Sabri Kovanci, Sinem Ocalan
{"title":"The Effect of Emotional Intelligence on Ethical Decision-Making Competence in Nursing Students: A Cross-Sectional Study.","authors":"Mustafa Sabri Kovanci, Sinem Ocalan","doi":"10.1111/nhs.70301","DOIUrl":"10.1111/nhs.70301","url":null,"abstract":"<p><p>This study aimed to examine the relationship between emotional intelligence and ethical decision-making competence in nursing students and to evaluate the validity and reliability of the Ethical Decision-Making Competence Scale (EDM-CS) in the Turkish context. A descriptive-predictive cross-sectional design was used with 273 third- and fourth-year nursing students from a public university. Data were collected using the Individual Information Form and Trait Emotional Intelligence Questionnaire-Short Form. Confirmatory factor analysis, Pearson correlation, and stepwise multiple regression analyses were conducted. Ethical decision-making competence was significantly and positively correlated with emotional intelligence (r = 0.486, p < 0.01). Regression analysis identified four significant predictors: emotional intelligence, self-confidence in solving ethical problems, clinical setting, and academic year. Emotional intelligence emerged as the strongest predictor, explaining 36.1% of the variance in ethical competence. Nursing students' ethical decision-making competence was at a good level and closely associated with emotional intelligence. Emotional intelligence plays a central role in enhancing ethical awareness, motivation, and action. Educational strategies that promote emotional intelligence and reflective learning may strengthen students' ethical competence in clinical practice.</p>","PeriodicalId":49730,"journal":{"name":"Nursing & Health Sciences","volume":"28 1","pages":"e70301"},"PeriodicalIF":2.1,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146114739","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
Workplace Challenges and Policy Responses in the Caribbean Nursing Workforce: Insights From Country Chief Nurses. 加勒比地区护理人员的工作场所挑战和政策应对:来自国家首席护士的见解。
IF 2.1 3区 医学
Nursing & Health Sciences Pub Date : 2026-03-01 DOI: 10.1111/nhs.70320
Eileen T Lake, Domenique Villani, Lynne Moronski, Lindsey Lee, Sherif Olanrewaju, Norah Solaiman, Claire Burke Draucker
{"title":"Workplace Challenges and Policy Responses in the Caribbean Nursing Workforce: Insights From Country Chief Nurses.","authors":"Eileen T Lake, Domenique Villani, Lynne Moronski, Lindsey Lee, Sherif Olanrewaju, Norah Solaiman, Claire Burke Draucker","doi":"10.1111/nhs.70320","DOIUrl":"10.1111/nhs.70320","url":null,"abstract":"<p><p>The Caribbean faces significant nursing and midwifery workforce challenges. A 2023 PAHO policy advises Member States to develop and implement strategies to strengthen their health workforce, including \"promoting decent work conditions.\" Caribbean nurses' work conditions have not been described. The country's chief nurse has responsibility for policy development. The study purpose was to describe the Caribbean country chief nurses' concerns about nurses' work environments, strides made and polices implemented to support nurse work environments and quality care. Chief nurses of 20 Caribbean countries were surveyed. Inductive content analysis was done. Five concerns represented: (1) physical environment; (2) staffing and workload; (3) safety and security; (4) professional development; and (5) nurses' well-being. Improvements and policies reflected similar themes. The predominant work environment concerns center on inadequate physical environment, nurse staffing and workloads, and inconsistent security. The sporadic improvements and few policies initiated in several countries may warrant coordinated regional effort to achieve broader improvement in working conditions. To optimize patient care and a healthy, safe nursing workforce, policymakers should consider the priorities of government chief nurses to improve working conditions.</p>","PeriodicalId":49730,"journal":{"name":"Nursing & Health Sciences","volume":"28 1","pages":"e70320"},"PeriodicalIF":2.1,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12989469/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147464061","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
Feelings and Experiences of Return-to-Work Among Nurses Occupationally Infected With COVID-19 During the Late Phase of the Pandemic in Japan. 日本新冠肺炎后期职业感染护士重返工作岗位的体会
IF 2.1 3区 医学
Nursing & Health Sciences Pub Date : 2026-03-01 DOI: 10.1111/nhs.70307
Noriko Shinkai, Kayoko Ohnishi, Hisako Yano
{"title":"Feelings and Experiences of Return-to-Work Among Nurses Occupationally Infected With COVID-19 During the Late Phase of the Pandemic in Japan.","authors":"Noriko Shinkai, Kayoko Ohnishi, Hisako Yano","doi":"10.1111/nhs.70307","DOIUrl":"10.1111/nhs.70307","url":null,"abstract":"<p><p>This study explored the feelings of nurses occupationally infected with COVID-19 during the late pandemic phase in Japan, from diagnosis to return to work, to provide suggestions for safe and continuous employment. Semi-structured interviews were conducted among 11 nurses infected during the late phase of the pandemic (August 2022 to February 2023). The data were analyzed using a qualitative inductive approach. At diagnosis, nurses experienced shock and a strong sense of guilt and self-blame arising from the feeling of being blamed by others. Negative emotions during the infection period influenced postreturn feelings, leading to distrust stemming from insufficient infection control measures and a desire to leave their workplace. Conversely, gratitude for the support from managers and colleagues during the recuperation period fostered their determination to return. Furthermore, a sense of achievement, such as improved nursing expertise and reaffirmation of professional values, facilitated a positive transformation of the infection experience, supporting work motivation. These findings suggest that managers and colleagues recognize the importance of alleviating nurses' self-blame, improving environments, and organizational support, enabling nurses to maintain achievement by reframing their experiences positively.</p>","PeriodicalId":49730,"journal":{"name":"Nursing & Health Sciences","volume":"28 1","pages":"e70307"},"PeriodicalIF":2.1,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12912892/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146214786","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
Operating Room Nurses' Experiences in Donation After Brain Death Organ Retrieval Surgery: A Descriptive Phenomenological Study. 手术室护士在脑死亡器官摘取手术后捐赠的经验:描述现象学研究。
IF 2.1 3区 医学
Nursing & Health Sciences Pub Date : 2026-03-01 DOI: 10.1111/nhs.70312
Kyongran Park, Eunjeong Cho, Inhee Park, Yeon Jeong Heo
{"title":"Operating Room Nurses' Experiences in Donation After Brain Death Organ Retrieval Surgery: A Descriptive Phenomenological Study.","authors":"Kyongran Park, Eunjeong Cho, Inhee Park, Yeon Jeong Heo","doi":"10.1111/nhs.70312","DOIUrl":"10.1111/nhs.70312","url":null,"abstract":"<p><p>Operating room nurses involved in DBD organ retrieval surgery face profound ethical dilemmas, emotional distress, and professional challenges in a practice area that remains comparatively under-examined. This study focused on donation after brain death (DBD) and explored operating room nurses' experiences during DBD organ retrieval surgery. This study aimed to explore the lived experiences of Korean operating room nurses involved in these procedures, with a focus on the meanings and impacts derived from their participation. Using a descriptive phenomenological approach, in-depth individual interviews were conducted with 10 nurses from two university hospitals in South Korea. Data were analyzed through Colaizzi's method, and four central themes emerged: confronting a sudden surge of disorientation; experiencing emotional detachment when confronted by stark reality; reflection on a dignified death; developing professionalism and ethics through inner growth. The findings underscore the need for nursing-focused education and support systems to sustain perioperative nurses' moral resilience and well-being.</p>","PeriodicalId":49730,"journal":{"name":"Nursing & Health Sciences","volume":"28 1","pages":"e70312"},"PeriodicalIF":2.1,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147272592","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
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