International Journal of Nursing Studies最新文献

{"title":"Always on duty - Fostering climate resilience in the nursing profession: A discussion paper.","authors":"Jennifer Baumbusch,Isabel Sloan Yip,Nilanga Aki Bandara","doi":"10.1016/j.ijnurstu.2025.105227","DOIUrl":"https://doi.org/10.1016/j.ijnurstu.2025.105227","url":null,"abstract":"BACKGROUND & PURPOSEAs with the SARS-CoV-2 pandemic, climate change is a global phenomenon reshaping the nursing profession. While nursing organizations have produced numerous position statements on nursing and climate change, these tend to focus exclusively on the profession's important role in mitigating and adapting health systems and providing climate-informed patient care. However, to adequately prepare for the acceleration of climate change impacts, we also need to focus on supporting the health and wellbeing of the nursing workforce. The purpose of this discussion paper is to examine key areas of climate vulnerability for nursing and provide recommendations that address these factors.DISCUSSIONWe consider three factors that may negatively impact on nurses' health and well-being in relation to climate change. First, there are social locations at the individual and population level, in particular gender, as the majority of nurses are women, and age, as the global workforce is aging. Both of these social locations are well documented areas of climate vulnerability. Second, the aging infrastructure of healthcare facilities puts nurses at risk by exposing them to harmful environments, such as extreme heat and poor air quality. Third, there are consequences for nurses' mental health as a result of providing care during climate-related weather emergencies and growing awareness of the impacts of climate change.RECOMMENDATIONSIn response to these risk factors, we recommend urgent actions that will support and promote nurses' health and well-being. For example, workplace policies and environments should be adjusted to address the unique healthcare issues of an aging workforce that is primarily women. As well, actions that promote climate-resilient healthcare systems are needed. These actions include updating physical infrastructures as well as ensuring adequate staffing during climate-related weather emergencies. There is also a pressing need for interventions that provide mental health supports and psychological safety in the workplace for nurses.","PeriodicalId":50299,"journal":{"name":"International Journal of Nursing Studies","volume":"102 1","pages":"105227"},"PeriodicalIF":8.1,"publicationDate":"2025-09-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145194839","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Experiences of mothers in the context of a staffing intervention in select newborn units in Kenyan public hospitals","authors":"Dorothy Oluoch ,&nbsp;Nancy Odinga ,&nbsp;Caroline Waithira ,&nbsp;Gloria Ngaiza ,&nbsp;Justinah Maluni ,&nbsp;Edna Mutua ,&nbsp;Michuki Maina ,&nbsp;Kenneth Karumba ,&nbsp;Sassy Molyneux ,&nbsp;Sebastian Fuller ,&nbsp;Fred Were ,&nbsp;Mike English ,&nbsp;Caroline Jones ,&nbsp;HIGH Q Hospital Group","doi":"10.1016/j.ijnurstu.2025.105222","DOIUrl":"10.1016/j.ijnurstu.2025.105222","url":null,"abstract":"<div><h3>Background</h3><div>Maternal involvement, effective communication and adequate support are widely recognised as promoting respectful care and better maternal experience of small and sick neonate care. Nurses play a critical role in neonatal care, but staffing shortages and workplace stress significantly impact their ability to provide quality care. Few studies have examined the implications of staffing interventions for maternal care experiences in newborn units.</div></div><div><h3>Methods</h3><div>In this ethnographic study, we explored mothers' experiences following a staffing intervention (addition of 3 nurses and 3 ward assistants) across four newborn units in Kenyan County referral hospitals. Data were collected through nonparticipant observations and interviews with mothers. Across the four hospitals, we interviewed 46 mothers and conducted over 1000 observation hours over three phases of data collection. We examined mothers' experiences of care and any changes with the staffing intervention in relation to communication, involvement in care, nurse-mother relationships and support.</div></div><div><h3>Findings</h3><div>Mothers in newborn units face intense emotional, physical and practical challenges with limited guidance and support to cope with the demands of neonatal caregiving. We did not observe significant changes in communication, nurse-mother relationships, or the support offered to mothers due to the additional nurses. However, the addition of ward assistants was valued by mothers, who appreciated their role in orientation, maintaining ward cleanliness, and cleaning feeding cups. Following the staffing intervention, mothers continued to report challenges with adequacy of information, disrespectful communication, and limited support with tasks. Peer-to-peer support between mothers was evident across all sites and study phases. Contextual factors and norms of care greatly influenced nursing practices.</div></div><div><h3>Conclusions</h3><div>Enhancing mothers' experiences in neonatal units will require integrated approaches that acknowledge their critical role in newborn care. Mothers need structured psychosocial and practical support, strengthened communication with healthcare providers, and broader structural interventions that significantly increase staff numbers and shift care norms.</div></div>","PeriodicalId":50299,"journal":{"name":"International Journal of Nursing Studies","volume":"172 ","pages":"Article 105222"},"PeriodicalIF":7.1,"publicationDate":"2025-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145153508","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Comparative effectiveness of non-pharmacological interventions on the prognosis of critically ill patients: A systematic review and network meta-analysis","authors":"Yawen Zhu ,&nbsp;Chenjie Hu ,&nbsp;Lingqi Yang ,&nbsp;Xiaoqing Zhang ,&nbsp;Hui Shen","doi":"10.1016/j.ijnurstu.2025.105218","DOIUrl":"10.1016/j.ijnurstu.2025.105218","url":null,"abstract":"<div><h3>Background</h3><div>The prognosis of critically ill patients has received extensive attention. Multiple non-pharmacological interventions have been proposed; however, their comparative effectiveness remains uncertain.</div></div><div><h3>Objective</h3><div>To evaluate and compare the effectiveness of non-pharmacological interventions for critically ill patients on the incidence of intensive care unit (ICU)-acquired weakness, muscle strength, daily activities, quality of life, and physical performance.</div></div><div><h3>Methods</h3><div>A comprehensive search was conducted in PubMed, Embase, the Cochrane Library, Web of Science, China Biology Medicine, Chinese National Knowledge Infrastructure, and Wanfang databases from inception to August 2025 for randomized controlled trials involving adults hospitalized in the ICU for more than 48 h. Risk of bias was assessed using the with Cochrane Risk of Bias tool version 2.0 (RoB2). Network meta-analysis was performed using Stata version 16.0. The surface under the cumulative ranking curve (SUCRA) was utilized to rank intervention effectiveness. The study protocol was registered in PROSPERO (CRD42024499277).</div></div><div><h3>Results</h3><div>A total of 45 studies evaluating nine non-pharmacological interventions were included. Physical exercise combined with electrical stimulation, physical exercise combined with virtual reality technology, physical exercise combined with nutritional supplementation, physical exercise alone significantly reduced the incidence of ICU-acquired weakness, with odds rations (OR) and 95 % confidence intervals (CI) of 0.14 (0.09, 0.24), 0.13 (0.03, 0.54), 0.46 (0.22, 0.94) and 0.46 (0.22, 0.94), respectively. For muscle strength, light therapy showed significant improvement, with mean differences (MD) and 95 % CI of 10.42 (1.65, 19.19). Physical exercise combined with electrical stimulation and physical exercise alone effectively improved activities of daily living, with standardized mean differences (SMD) and 95 % CI of 0.83 (0.34, 1.32) and 0.51 (0.09, 0.93). Physical exercise combined with electrical stimulation also improved quality of life (SMD 0.50, 95 % CI 0.07, 0.93), and physical performance (SMD 1.09, 95 % CI 0.40, 1.77), while physical exercise alone improved physical performance (SMD 0.61, 95 % CI 0.14, 1.08). Sensitivity analysis indicated that the effects of these interventions were unstable for quality of life and physical performance.</div></div><div><h3>Conclusion</h3><div>Physical exercise combined with electrical stimulation appears most effective in reducing ICU-acquired weakness and enhancing daily living activities. Light therapy significantly improved muscle strength. However, the effects of these interventions on quality of life and physical performance were less stable. These findings provide valuable insights for the clinical management of critically ill patients.</div></div>","PeriodicalId":50299,"journal":{"name":"International Journal of Nursing Studies","volume":"172 ","pages":"Article 105218"},"PeriodicalIF":7.1,"publicationDate":"2025-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145119690","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"“From whispers to voices” - Challenges and experiences in recruiting cancer patients to research in China: A qualitative study","authors":"Ruishuang Zheng ,&nbsp;Jun Wang ,&nbsp;Yanhui Wang ,&nbsp;Ping Zhu ,&nbsp;Qiaohong Guo","doi":"10.1016/j.ijnurstu.2025.105220","DOIUrl":"10.1016/j.ijnurstu.2025.105220","url":null,"abstract":"&lt;div&gt;&lt;h3&gt;Background&lt;/h3&gt;&lt;div&gt;Recruiting cancer patients for research is fraught with systemic and cultural barriers, particularly in societies where cancer remains stigmatized. In China, cultural taboos equating cancer with death exacerbate these challenges, making patient recruitment especially complex. Despite the critical role of nursing researchers in facilitating cancer research, their experiences navigating these cultural and ethical obstacles remain underexplored, limiting the development of inclusive recruitment strategies.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Purpose&lt;/h3&gt;&lt;div&gt;To explore the experiences and challenges faced by nursing researchers in recruiting cancer patients within a cultural context where cancer is a sensitive and taboo topic.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Methods&lt;/h3&gt;&lt;div&gt;A qualitative descriptive study was conducted with 22 purposefully selected nursing researchers specializing in cancer research in China. Data were collected through semi-structured interviews between April 2023 and December 2024 and analyzed using thematic analysis to identify key themes and sub-themes.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Results&lt;/h3&gt;&lt;div&gt;Five themes emerged from the analysis: (1) At the threshold: Facing reluctance and challenges in cancer patient recruitment; (2) Navigating the labyrinth: Strategies to recruit cancer patients; (3) Walls of resistance: Barriers to participation; (4) Research and ethical issues: Concerns and dilemmas in recruitment; and (5) Building bridges: Essential needs for successful and ethical recruitment. Nursing researchers consistently reported significant challenges in recruiting cancer patients across all disease stages. These difficulties were particularly pronounced when recruiting terminally ill patients and conducting studies involving end-of-life discussions. To address these challenges, researchers employed culturally adapted strategies, such as leveraging trusted healthcare professionals, fostering rapport, obtaining family consent, using euphemistic language, emphasizing patient-centered benefits, and simplifying study procedures. Barriers included patient anxieties, cultural taboos, and gatekeeping by families and healthcare professionals. Ethical concerns included unintentional disclosure of prognostic information, the underrepresentation of vulnerable populations, the limited development of hospice research, and risks to ethical integrity. Researchers emphasized the need for culturally competent recruitment frameworks that integrate ethical considerations and strengthen engagement with patients and families.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Conclusion&lt;/h3&gt;&lt;div&gt;Recruiting cancer patients in China presents unique cultural and ethical challenges for nursing researchers. While researchers have developed innovative strategies to navigate these barriers, the findings underscore the urgent need for tailored recruitment guidelines that prioritize ethical transparency, promote inclusivity, and empower researchers to conduct high-quality, culturally sensitive","PeriodicalId":50299,"journal":{"name":"International Journal of Nursing Studies","volume":"172 ","pages":"Article 105220"},"PeriodicalIF":7.1,"publicationDate":"2025-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145140121","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Impact of noise exposure during emergence on acute pain after orthopedic surgery: A prospective observational study","authors":"Yongqin Chen ,&nbsp;Shu Wang ,&nbsp;Qian Fang,&nbsp;Yingcai Wu,&nbsp;He Huang,&nbsp;Yanxia Zhang,&nbsp;Guangyou Duan","doi":"10.1016/j.ijnurstu.2025.105223","DOIUrl":"10.1016/j.ijnurstu.2025.105223","url":null,"abstract":"<div><h3>Background</h3><div>Noise exposure is common during emergence from general anesthesia, particularly after orthopedic surgery.</div></div><div><h3>Objective</h3><div>We aimed to evaluate the direct impact of noise in the post-anesthesia care unit on postoperative pain and analgesic requirements in patients undergoing orthopedic surgery.</div></div><div><h3>Design</h3><div>Prospective observational study.</div></div><div><h3>Settings</h3><div>This prospective observational study was conducted at a tertiary, university-affiliated teaching hospital in Chongqing, China.</div></div><div><h3>Participants</h3><div>A total of 288 Chinese patients who underwent elective orthopedic surgery under general anesthesia were included.</div></div><div><h3>Materials and methods</h3><div>After surgery, noise levels in the post-anesthesia care unit were continuously monitored. The average noise intensity and the proportion of time that environmental noise levels exceeded 70 dB were calculated. Participants were allocated to a higher noise group and a lower noise group based on noise intensity. Postoperative pain was assessed using a numerical rating scale in the post-anesthesia care unit and during the first 24 h after post-anesthesia care unit discharge. Analgesic consumption during the same period was recorded.</div></div><div><h3>Results</h3><div>Noise intensity was significantly associated with the maximum pain numerical rating scale in the post-anesthesia care unit (adjusted regression coefficient = 0.46; 95 % CI 0.33 to 0.713; <em>P</em> &lt; 0.001). A noise threshold of 68.945 dB was identified as the optimal cut-off value for predicting a numerical rating scale ≥<!--> <!-->6. Based on this threshold, patients were categorized into a high-noise group (mean noise intensity &gt;<!--> <!-->68.945 dB) or a low-noise group (&lt;<!--> <!-->68.945 dB). The high-noise group reported significantly higher maximum pain numerical rating scale scores than those of the low-noise group during the first 12 h (<em>P</em> &lt; 0.001) after post-anesthesia care unit discharge, 12–24 h (<em>P</em> &lt; 0.001), and over the entire 24 h (<em>P</em> = 0.001). Additionally, the incidence of pain with numerical rating scale ≥<!--> <!-->4 within 24 h after surgery and the requirement for rescue analgesia were both significantly higher in the high-noise group than in the low-noise group.</div></div><div><h3>Conclusion</h3><div>For patients undergoing orthopedic surgery, increased noise exposure in the post-anesthesia care unit was associated with greater postoperative pain during anesthesia recovery, as well as higher pain intensity and increased analgesic use within 24 h after post-anesthesia care unit discharge.</div></div>","PeriodicalId":50299,"journal":{"name":"International Journal of Nursing Studies","volume":"172 ","pages":"Article 105223"},"PeriodicalIF":7.1,"publicationDate":"2025-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145119573","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Global prevalence of perioperative depressive symptoms among non-emergency surgical patients: An umbrella review of current evidence from systematic review and meta-analyses.","authors":"Ling Jie Cheng, Jing Ying Cheng, Calvin Wei Jie Chern, Han Ming Liew, Siew Ping Tay, Muhammad Hasrul Bin Ja'Affar, Xi Vivien Wu, Wenru Wang, Hong-Gu He","doi":"10.1016/j.ijnurstu.2025.105213","DOIUrl":"https://doi.org/10.1016/j.ijnurstu.2025.105213","url":null,"abstract":"<p><strong>Background: </strong>Evidence on perioperative depressive symptoms among non-emergency surgical patients is fragmented and inconsistent.</p><p><strong>Objective: </strong>This umbrella review aims to systematically assess the strength and credibility of evidence on the worldwide prevalence of perioperative depressive symptoms among non-emergency surgical patients and investigate whether rates differ with pre-defined covariates.</p><p><strong>Design: </strong>An umbrella review of current evidence from systematic reviews and meta-analyses.</p><p><strong>Methods: </strong>We conducted an umbrella review of meta-analyses. Eight databases were searched until February 29, 2024, for systematic reviews and meta-analyses. Two independent reviewers conducted study selection, data extraction, and quality appraisal. The prevalence estimates were assessed for strength of evidence using umbrella review criteria and certainty of evidence using the Grading of Recommendations Assessment, Development, and Evaluation approach.</p><p><strong>Results: </strong>This review included 11 meta-analyses, with 196 unique primary studies and 395,933 pre-surgical and 29,431 post-surgical patients. The methodological quality of the included reviews was predominantly critically low (10/11) based on standardised confidence ratings. The study- and meta-level analyses produced consistent findings. The study-level meta-analysis revealed notable reductions in depressive symptom prevalence post-surgery for specific subtypes, including spine surgery (34 % to 27 %), total joint replacement (23 % to 12 %), and hysterectomy (28 % to 18 %). Bariatric surgery had a pre-surgery prevalence rate of 24 %, while breast surgery and organ transplants demonstrated moderate post-surgery prevalence rates of 19 % and 24 %, respectively. Subgroup analyses indicated regional and measurement-specific differences, with East Asia and Oceania typically reporting higher prevalence rates than Europe and the Americas. All estimates showed high heterogeneity and were graded as suggestive evidence with low certainty per GRADE criteria.</p><p><strong>Discussion: </strong>Depressive symptoms are common among non-emergency surgical patients and warrant clinical attention. However, prevalence estimates should be interpreted with caution due to high heterogeneity and a lack of data from low- and middle-income countries. Reviews remain limited for preoperative depressive symptoms in organ transplantation, breast surgery, and postoperative bariatric surgery. Integrating mental health screening and targeted interventions into perioperative care could improve outcomes. Future research should focus on standardised assessments and personalised mental health support for high-risk groups.</p><p><strong>Registration: </strong>The protocol was registered in the International Prospective Register of Systematic Reviews (PROSPERO) database (CRD42022342780). PROSPERO REGISTRATION NUMBER: (CRD42022342780).</p>","PeriodicalId":50299,"journal":{"name":"International Journal of Nursing Studies","volume":"172 ","pages":"105213"},"PeriodicalIF":7.1,"publicationDate":"2025-09-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145202076","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Factors influencing pain management in patients presenting to the emergency department: A mixed-method systematic review","authors":"Abdulmalik Almutairi ,&nbsp;Fiona Coyer ,&nbsp;Samantha Keogh ,&nbsp;James Hughes","doi":"10.1016/j.ijnurstu.2025.105214","DOIUrl":"10.1016/j.ijnurstu.2025.105214","url":null,"abstract":"&lt;div&gt;&lt;h3&gt;Background&lt;/h3&gt;&lt;div&gt;Up to 80 % of all presentations to the emergency department are due to pain. Although pain management practices have improved over time, suboptimal pain management still occurs in the emergency department.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Objectives&lt;/h3&gt;&lt;div&gt;To identify comprehensive factors influencing pain management outcomes among adult patients presenting to the emergency department with pain.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Design&lt;/h3&gt;&lt;div&gt;A mixed-method systematic review was conducted following the Joanna Briggs Institute convergent segregated integration methodology.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Method&lt;/h3&gt;&lt;div&gt;Six databases were searched from inception to October 2024 for relevant studies, including peer-reviewed primary studies in English. Empirical studies identifying factors influencing pain management outcomes were included. The databases were searched using Medical Subject Headings terms and keywords such as ‘pain management’ and ‘disparities.’ The included studies' methodological quality was assessed using Joanna Briggs Institute checklists. Data were synthesised through meta-analysis and narrative description, followed by the convergent segregated integration of quantitative and qualitative data. The Symptom Management Theory guided this review's synthesis, interpretation, and discussion.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Results&lt;/h3&gt;&lt;div&gt;Included in this review were 109 studies, 107 quantitative and two qualitative, reporting on 45 contributing factors and 25 outcome measures representing the domains and dimensions of the Symptom Management Theory. Thirty papers were included in the meta-analysis for the most common factors (race, age, and sex) and outcome measures (receipt of analgesic medication and opioid medication). African Americans were less likely to receive analgesics (OR 0.80, 95 % CI 0.73–0.88, p &lt; 0.001) and opioids (OR 0.62, 95 % CI 0.53–0.74, p &lt; 0.001) compared to Non-Hispanic White patients. Hispanic patients were also less likely to receive opioids compared to Non-Hispanic White patients (OR 0.83, 95 % CI 0.75–0.92, p = 0.04). There was no evidence of a significant difference in the likelihood of receiving analgesics between the sexes. Older patients were less likely to receive analgesics and opioids compared to younger counterparts (OR 0.74, 95 % CI 0.67–0.83, p &lt; 0.001; OR 0.90, 95 % CI 0.82–0.99, p = 0.03, respectively). The qualitative synthesis reinforced the quantitative findings, providing deeper insights into the role of spiritual and socioeconomic factors, as well as opioid legislation, which shaped patient experiences in the emergency department.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Conclusion&lt;/h3&gt;&lt;div&gt;This mixed-method systematic review demonstrated that several groups of patients still experience potentially inadequate pain management due to factors unrelated to the presenting condition and severity. The lack of standardisation in reporting factors and outcome measures limited the extent to which we can fully identify these asso","PeriodicalId":50299,"journal":{"name":"International Journal of Nursing Studies","volume":"172 ","pages":"Article 105214"},"PeriodicalIF":7.1,"publicationDate":"2025-09-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145119691","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Corrigendum to “Identifying decision-making biases in self-care behaviours among patients with type 2 diabetes mellitus: A qualitative study from a behavioural economics perspective” [Int. J. Nurs. Stud. 171 (2025) 105182]","authors":"Fanghong Yan ,&nbsp;Guotian Peng ,&nbsp;Ruiyi Sun ,&nbsp;Yanan Zhang ,&nbsp;Pengyu Qiao ,&nbsp;Meimei Liu ,&nbsp;Yuxia Ma ,&nbsp;Lin Han","doi":"10.1016/j.ijnurstu.2025.105208","DOIUrl":"10.1016/j.ijnurstu.2025.105208","url":null,"abstract":"","PeriodicalId":50299,"journal":{"name":"International Journal of Nursing Studies","volume":"171 ","pages":"Article 105208"},"PeriodicalIF":7.1,"publicationDate":"2025-09-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145046151","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Research culture in nursing: growing or dying?","authors":"David R Thompson, Hugh P McKenna","doi":"10.1016/j.ijnurstu.2025.105212","DOIUrl":"https://doi.org/10.1016/j.ijnurstu.2025.105212","url":null,"abstract":"","PeriodicalId":50299,"journal":{"name":"International Journal of Nursing Studies","volume":"172 ","pages":"105212"},"PeriodicalIF":7.1,"publicationDate":"2025-09-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145208177","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Nursing judgment in the age of generative artificial intelligence: A cross-national study on clinical decision-making performance among emergency nurses","authors":"C. Levin ,&nbsp;A. Zaboli ,&nbsp;G. Turcato ,&nbsp;M. Saban","doi":"10.1016/j.ijnurstu.2025.105216","DOIUrl":"10.1016/j.ijnurstu.2025.105216","url":null,"abstract":"<div><h3>Background</h3><div>Clinical decision-making is a core competency in emergency nursing, requiring rapid and accurate assessments. With the growing integration of Generative Artificial Intelligence in healthcare, there is a pressing need to understand its potential as a clinical decision support tool. While Generative Artificial Intelligence models show high accuracy and consistency, their ability to navigate complex, context-sensitive scenarios remains in question.</div></div><div><h3>Objectives</h3><div>This study aimed to compare the clinical decision-making performance of emergency nurses from Israel and Italy with Generative Artificial Intelligence models (Claude-3.5, ChatGPT-4.0, and Gemini-1.5). It evaluated differences in severity assessment, hospitalization decisions, and test selection, while exploring the influence of demographic and professional characteristics on decision accuracy.</div></div><div><h3>Methods</h3><div>A prospective observational study was conducted among 82 emergency nurses (49 from Italy, 33 from Israel), each independently evaluating five standardized clinical cases. Their decisions were compared with those generated by Generative Artificial Intelligence models using a structured evaluation rubric. Statistical analyses included ANOVA, chi-square tests, logistic regression, and receiver operating characteristic curve analysis to assess predictive accuracy.</div></div><div><h3>Results</h3><div>Generative Artificial Intelligence models exhibited higher overall decision accuracy and stronger alignment with expert recommendations. However, notable discrepancies emerged in hospitalization decisions and severity assessments. For example, in Case 2, Generative Artificial Intelligence rated severity as level 1, while Italian and Israeli nurses rated it at 1.98 and 2.23, respectively (P &lt; 0.01, F = 199). In Case 1, only 4.1 % of Italian nurses recommended hospitalization compared to 30.3 % of Israeli nurses, whereas all Generative Artificial Intelligence models advised hospitalization. Nurses showed greater variability in test selection and severity judgments, reflecting their use of clinical intuition and contextual reasoning. Demographics such as age, gender, and years of experience did not significantly predict accuracy.</div></div><div><h3>Conclusions</h3><div>Generative Artificial Intelligence models demonstrated consistency and expert alignment but lacked the contextual sensitivity vital in emergency care. These results highlight the potential of Generative Artificial Intelligence as a clinical decision-support tool while emphasizing the continued importance of human clinical judgment.</div></div>","PeriodicalId":50299,"journal":{"name":"International Journal of Nursing Studies","volume":"172 ","pages":"Article 105216"},"PeriodicalIF":7.1,"publicationDate":"2025-09-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145098448","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}