International Journal of Nursing Studies最新文献

{"title":"Effect of zero-time exercise on physically inactive adults with insomnia disorder: A randomized controlled trial","authors":"Wing-Fai Yeung ,&nbsp;Agnes Yuen-Kwan Lai ,&nbsp;Branda Yee-Man Yu ,&nbsp;Fiona Yan-Yee Ho ,&nbsp;Ka-Fai Chung ,&nbsp;Janice Yuen-Shan Ho ,&nbsp;Lorna Kwai-Ping Suen ,&nbsp;Lai-Ming Ho ,&nbsp;Tai-Hing Lam","doi":"10.1016/j.ijnurstu.2025.105033","DOIUrl":"10.1016/j.ijnurstu.2025.105033","url":null,"abstract":"<div><h3>Background</h3><div>Whether simple lifestyle-integrated exercise training can improve insomnia remains unclear. In this study, we examined whether zero-time exercise, a simple exercise incorporated into daily routines without extra time, can improve sleep in physically inactive adults with insomnia.</div></div><div><h3>Methods</h3><div>This was a single-blinded, parallel-group, randomized controlled trial. A total of 140 physically inactive adults (mean [SD] age, 46.7 [14.0] years; 115 [82.1 %] women; mean [SD] insomnia duration, 4.9 [6.7] years) with insomnia disorders were randomly allocated (1:1) to the zero-time exercise intervention group or the sleep hygiene education control group. They received two 2-h zero-time exercise training sessions or sleep hygiene education lessons within 2 weeks and two phone call reminders per week for 8 weeks to follow their respective programs. The outcomes were assessed at 8, 16, and 24 weeks. The primary outcome was the Insomnia Severity Index score at week 24.</div></div><div><h3>Results</h3><div>The intervention group showed a significantly greater decrease in the Insomnia Severity Index scores than those in the control group at weeks 16 (−<!--> <!-->1.59 points, 95 % CI -3.09 to −<!--> <!-->0.08; P = 0.039) and 24 (−<!--> <!-->2.59 points, 95 % CI -4.17 to −<!--> <!-->1.01; P = 0.001); however, the difference at week 8 was not significant (−<!--> <!-->1.23 points, 95 % CI -2.54 to 0.07; P = 0.065). No serious adverse events were observed.</div></div><div><h3>Conclusions</h3><div>Zero-time exercise effectively reduces insomnia severity in physically inactive adults and can be easily incorporated into daily routines to improve insomnia symptoms and daytime impairment.</div></div><div><h3>Trial registration</h3><div><span><span>ClinicalTrials.gov</span><svg><path></path></svg></span>, <span><span>NCT04227587</span><svg><path></path></svg></span> (Registration date: January 13, 2020; The first participant was recruited on September 1, 2020). Word count: 240.</div></div>","PeriodicalId":50299,"journal":{"name":"International Journal of Nursing Studies","volume":"165 ","pages":"Article 105033"},"PeriodicalIF":7.5,"publicationDate":"2025-02-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143479703","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":"Comment on Raya-Benítez et al. (2025) ‘Effectiveness of non-instrumental early mobilization to reduce the incidence of deep vein thrombosis in hospitalized patients’","authors":"Fangshi Xu ,&nbsp;Hongxin Ni ,&nbsp;Liwei Zhang,&nbsp;Jiancang Ma","doi":"10.1016/j.ijnurstu.2025.105030","DOIUrl":"10.1016/j.ijnurstu.2025.105030","url":null,"abstract":"","PeriodicalId":50299,"journal":{"name":"International Journal of Nursing Studies","volume":"165 ","pages":"Article 105030"},"PeriodicalIF":7.5,"publicationDate":"2025-02-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143463774","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":"What makes a local accreditation programme successful and how? A rapid realist review and in-depth consultation with senior nursing leaders","authors":"Ruth Harris,&nbsp;Sarah Sims,&nbsp;Mary Leamy","doi":"10.1016/j.ijnurstu.2025.105016","DOIUrl":"10.1016/j.ijnurstu.2025.105016","url":null,"abstract":"&lt;div&gt;&lt;h3&gt;Background&lt;/h3&gt;&lt;div&gt;Locally driven ward and unit accreditation programmes provide a comprehensive tool to assess the quality of care delivered to patients, bringing together several measures in a single overarching framework. Reported outcomes of locally driven ward accreditation include reduced variation in care delivery, increased assurance of care quality and improved staff motivation. However, there is little empirical research that clarifies the underlying assumptions about what causes outcomes or the theoretical basis to explain how ward accreditation programmes work.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Design&lt;/h3&gt;&lt;div&gt;A rapid realist review methodology with in-depth stakeholder consultation was adopted to explore the question “What are the key principles and processes of successfully implemented local ward accreditation programmes?”&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Setting(s)&lt;/h3&gt;&lt;div&gt;Six study sites (NHS Trusts) across England participated in this review.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Participants&lt;/h3&gt;&lt;div&gt;Sixteen senior nurse leaders at six study sites participated in focus groups lasting 90–120 min to elicit detailed reflections on how their accreditation programmes had been designed and implemented, to test out initial programme theories identified in the literature. These theories were then further scrutinised through a consultation group of key stakeholders.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Methods&lt;/h3&gt;&lt;div&gt;Ten databases were searched, after screening 186 papers for relevance, 43 remained. An additional 11 papers were identified via a Google Scholar search. The 54 papers were then appraised for ‘fitness for purpose’, and thematically analysed for context, mechanisms and outcomes. A rapid realist review approach was adopted to develop and iteratively refine programme theories of locally driven ward accreditation programmes through evidence review, expert focus groups, and in-depth stakeholder consultation.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Results&lt;/h3&gt;&lt;div&gt;Seven initial programme theories were identified from the literature: 1) Performance assessment; 2) Public disclosure and/as incentivisation; 3) Strengthening the Nursing voice; 4) Standardisation, consistency, accountability and shared governance; 5) Cultures of improvement; 6) Leadership development and 7) Teamwork and communication. These were discussed in focus groups with senior nursing teams and through a consultation group of key stakeholders. There was evidence for all seven initial programme theories, although some had more resonance with the senior nursing teams and stakeholders than others. No new theories were identified, demonstrating that the review comprehensively captured the reasons why locally driven ward accreditation programmes are thought to generate actions that lead to the outcomes the programmes are designed to produce.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Conclusions&lt;/h3&gt;&lt;div&gt;This review provides an important and newly developed conceptual framework to underpin future empirical work and evaluate the effectiveness of locally driven","PeriodicalId":50299,"journal":{"name":"International Journal of Nursing Studies","volume":"165 ","pages":"Article 105016"},"PeriodicalIF":7.5,"publicationDate":"2025-02-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143453477","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effectiveness of the nurse-led multi-component BRIDGE program on maternal competence and selected post-discharge outcomes of preterm babies: A randomized controlled trial","authors":"Kavitha K ,&nbsp;Mallanagouda M. Patil ,&nbsp;Basheerahamed J. Sikandar ,&nbsp;Vijaya Soraganvi","doi":"10.1016/j.ijnurstu.2025.105027","DOIUrl":"10.1016/j.ijnurstu.2025.105027","url":null,"abstract":"&lt;div&gt;&lt;h3&gt;Background&lt;/h3&gt;&lt;div&gt;Mothers require sufficient knowledge and skill in caring for a preterm newborn at home after discharge. Infant weight gain and other health parameters can be used to assess the quality of care received. A comprehensive early intervention program can help mothers through this transitional period.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Objective&lt;/h3&gt;&lt;div&gt;To examine the effect of the BRIDGE Program versus standard care in improving maternal competence and the selected post-discharge outcomes of preterm newborns admitted to the tertiary-level hospital in India.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Methods&lt;/h3&gt;&lt;div&gt;We conducted a single-blinded, two-arm, randomized controlled trial with a repeated measures design. Participants were recruited from a tertiary-level multi-specialty medical college hospital and research center in Vijayapur, India. Overall, 110 preterm babies aged 32 to 37 weeks of gestation and their mothers were randomly allocated to either intervention or control group (55 preterm infants and mother dyad in each group). The BRIDGE program included five phases: (I) family-centered health education on prematurity and preterm care; (II) demonstrations of preterm care procedures such as breastfeeding and burping techniques, kangaroo mother care, oil massage, and so on; (III), a home care guide on DO.s and DON'Ts of preterm care; (IV) a home visit on first day of discharge; and (V) digital based follow-up through video call for one-week post-discharge. Outcomes were measured in terms of mothers' competence, preterm newborn weight gain, hospital readmission rate, and neonatal death up to one month after discharge. Data on mothers' competence in preterm care was collected at baseline and 7th-day post-discharge of preterm infants. For newborns, measurements were taken at baseline, discharge, seventh-day post-discharge, 15th-day post-discharge, and 30th-day post-discharge.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Results&lt;/h3&gt;&lt;div&gt;After the BRIDGE program intervention, mean knowledge (95 % CI = 23.96–24.57) and skill (95 % CI = 14.02–14.69) scores of mothers in the intervention group has improved significantly than the control group (knowledge: 95 % CI = 18.20–20.60; and skill: 95%CI = 9.96–11.66). Preterm infants exposed to the BRIDGE program weighed 130 g and 790 g more than controls on days 15 and 30 after discharge (p = 0.016). However, no statistically significant differences were observed in readmission rate and post-discharge mortality of preterm infants (p &gt; 0.05).&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Conclusions&lt;/h3&gt;&lt;div&gt;Although the BRIDGE program did not affect preterm infants' outcomes, the components of the intervention such as education, home visits, and digital follow-up empowered mothers allowing them to thrive in their surroundings and experience fewer consequences in newborn care.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Registration&lt;/h3&gt;&lt;div&gt;The study was registered at the Clinical Trial Registry of India (Trial No. CTRI/2021/03/032349), and data was gathered between August 2021 and Octobe","PeriodicalId":50299,"journal":{"name":"International Journal of Nursing Studies","volume":"165 ","pages":"Article 105027"},"PeriodicalIF":7.5,"publicationDate":"2025-02-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143437697","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":"Why vital signs observations are delayed and interrupted on acute hospital wards: A multisite observational study","authors":"Joanna Hope ,&nbsp;Chiara Dall'Ora ,&nbsp;Oliver Redfern ,&nbsp;Julie L. Darbyshire ,&nbsp;Peter Griffiths","doi":"10.1016/j.ijnurstu.2025.105018","DOIUrl":"10.1016/j.ijnurstu.2025.105018","url":null,"abstract":"<div><h3>Background</h3><div>Vital signs monitoring is key to identifying deteriorating hospital patients. However, adherence to monitoring protocols is limited, with observations frequently missed or delayed. Previous studies of interruptions and delays to vital signs observations have been descriptive, with none attempting to conceptualise the types of tasks that are prioritised over vital signs observations.</div></div><div><h3>Objective</h3><div>This paper aims to explore how nursing teams perform vital sign observations on acute hospital wards and conceptualises which types of work delay or interrupt them.</div></div><div><h3>Design</h3><div>Non-participant observational study.</div></div><div><h3>Setting(s)</h3><div>Four hospitals in the south of England.</div></div><div><h3>Methods</h3><div>Eligible adult wards (surgical and medical) within each hospital were randomly sampled for inclusion. Four sets of two-hour daytime observation sessions were undertaken on each ward. Two observers recorded structured and unstructured observations (open comments, field notes) on a tablet with adapted QI Tool software. We collected data over 128 h, including 715 sets of vital signs observations and 1127 interruptions. We undertook a qualitative content analysis of interruptions and delays to planned vital signs observations using both structured and unstructured observations.</div></div><div><h3>Results</h3><div>We identified eight reasons why vital signs were delayed or interrupted: fixed routines, staff availability, bundled care, proximity-related activities, collaborative care, patient inaccessible or unavailable, requests for or responses to time-critical activities, or limited context available. We propose a new concept of ‘temporal status.’ Flexible care (vital signs observations, ‘bundled care’ and ‘proximity-related care’) has a low temporal status so is delayed in favour of higher temporal status activities (fixed routines and time-critical care).</div></div><div><h3>Conclusions</h3><div>Our findings could explain why vital signs taken early in the morning and evening are least likely to be postponed, as there may be fewer competing tasks with a higher temporal status at these times. Our work also challenges binary conceptualisations of interruptions as ‘beneficial’ or ‘detrimental’, recognising the complexity of nursing care decisions on a moment-by-moment basis. Our new framework suggests the lower temporal status of vital signs observations (and other flexible care) means they are delayed by higher temporal status tasks during daytime shifts in acute hospitals, regardless of their clinical priority.</div></div><div><h3>Registration</h3><div>10863045, ISRCTN (6/8/2019).</div></div>","PeriodicalId":50299,"journal":{"name":"International Journal of Nursing Studies","volume":"164 ","pages":"Article 105018"},"PeriodicalIF":7.5,"publicationDate":"2025-02-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143386333","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"From gift to mutilation: Exploring nursing Students' metaphorical conceptions of organ donation: A qualitative study","authors":"Halil Ibrahim Tasdemir ,&nbsp;Deniz Tasdemir","doi":"10.1016/j.ijnurstu.2025.105026","DOIUrl":"10.1016/j.ijnurstu.2025.105026","url":null,"abstract":"<div><h3>Background</h3><div>Understanding nursing students' perspectives on organ donation is essential to foster positive attitudes and increase donation rates.</div></div><div><h3>Objective</h3><div>This study aimed to uncover the metaphors used by nursing students to describe organ donation, revealing their underlying perceptions and beliefs.</div></div><div><h3>Design</h3><div>A qualitative metaphor analysis study.</div></div><div><h3>Methods</h3><div>This study was conducted at Burdur Mehmet Akif Ersoy University, Bucak Health College with 318 nursing students in Turkey. Data were collected through written responses and analyzed using metaphor analysis. The surveys, composed of open-ended questions to elicit nursing students' metaphors of organ donation, were distributed to the participants. The collected data were named, classified, and categorized.</div></div><div><h3>Results</h3><div>In this study, students produced 311 valid metaphors related to organ donation. The metaphors revealing the students' perceptions of the concept of organ donation were grouped under 10 categories. Nursing students in this study expressed both positive metaphorical concepts, such as ‘gift box,’ ‘rainbow bridge,’ ‘Candle in the dark,’ and ‘new beginning,’ as well as negative metaphorical concepts, such as ‘soldier on the battlefield,’ ‘heavy load,’ and ‘disfigurement’ associated with organ donation.</div></div><div><h3>Conclusion</h3><div>The findings reveal a wide spectrum of metaphorical perceptions among nursing students, ranging from highly positive to very negative. This variability underscores the need for targeted educational strategies to address divergent attitudes and misconceptions, fostering more consistent and informed perspectives on organ donation in nursing education.</div></div>","PeriodicalId":50299,"journal":{"name":"International Journal of Nursing Studies","volume":"164 ","pages":"Article 105026"},"PeriodicalIF":7.5,"publicationDate":"2025-02-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143378972","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":"Authors' response to “Comment on Rheindorf et al. (2024) ‘Getting midwives back to hospitals: A discrete choice experiment’”","authors":"Jessica Rheindorf,&nbsp;Christian Schlereth,&nbsp;Christian Hagist","doi":"10.1016/j.ijnurstu.2024.104985","DOIUrl":"10.1016/j.ijnurstu.2024.104985","url":null,"abstract":"","PeriodicalId":50299,"journal":{"name":"International Journal of Nursing Studies","volume":"162 ","pages":"Article 104985"},"PeriodicalIF":7.5,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142899963","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":"Comment on Rheindorf et al. (2024) 'Getting midwives back to hospitals: A discrete choice experiment'","authors":"Yin Li ,&nbsp;John Howell ,&nbsp;Desireé Clement","doi":"10.1016/j.ijnurstu.2024.104984","DOIUrl":"10.1016/j.ijnurstu.2024.104984","url":null,"abstract":"","PeriodicalId":50299,"journal":{"name":"International Journal of Nursing Studies","volume":"162 ","pages":"Article 104984"},"PeriodicalIF":7.5,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142872874","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 “Effectiveness of nurse-delivered stepwise swallowing training on dysphagia in patients with Alzheimer's disease: A multi-center randomized controlled trial” [Int. J. Nurs. Stud. 150 (2024) 104649]","authors":"Junrong Ye ,&nbsp;Chenxin Wu ,&nbsp;Jiao Chen ,&nbsp;Haoyun Wang ,&nbsp;Yuanxin Pan ,&nbsp;Xingxiao Huang ,&nbsp;Jialan Wu ,&nbsp;Xiaomei Zhong ,&nbsp;Huarong Zhou ,&nbsp;Wen Wang ,&nbsp;Shengwei Wu ,&nbsp;Tingwei Zhou ,&nbsp;Li Wang ,&nbsp;Peilan Lu ,&nbsp;Chunrui Ruan ,&nbsp;Jianxiong Guo ,&nbsp;Yuping Ning ,&nbsp;Aixiang Xiao","doi":"10.1016/j.ijnurstu.2024.104966","DOIUrl":"10.1016/j.ijnurstu.2024.104966","url":null,"abstract":"","PeriodicalId":50299,"journal":{"name":"International Journal of Nursing Studies","volume":"162 ","pages":"Article 104966"},"PeriodicalIF":7.5,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142888109","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":"Mentors' and supervisors' perspectives regarding newly qualified nurses' practice in digitally enabled workplaces: A qualitative study","authors":"Manal Kleib ,&nbsp;Antonia Arnaert ,&nbsp;Rebecca Sugars ,&nbsp;Lynn M. Nagle","doi":"10.1016/j.ijnurstu.2024.104968","DOIUrl":"10.1016/j.ijnurstu.2024.104968","url":null,"abstract":"<div><h3>Background</h3><div>Contemporary healthcare environments are becoming increasingly reliant on digital health technologies, presenting new opportunities and challenges for the nursing profession and nurses across practice settings and roles. Little is known about newly qualified Canadian nurses' experiences as they transition from academic settings to digitally enabled healthcare workplaces.</div></div><div><h3>Objective</h3><div>To explore (1) perceptions of nurse managers, clinical preceptors and educators regarding newly qualified nurses' practice with digital health, and (2) identify strategies to enhance new nurses' practice with digital health technologies as they transition to the workplace.</div></div><div><h3>Methods</h3><div>A descriptive qualitative design was used. Fifteen participants representing nurse managers, clinical preceptors, and educators from two Canadian provinces participated in semi-structured interviews. Thematic analysis was applied to analyze the data.</div></div><div><h3>Results</h3><div>Three themes were identified: 1) Onboarding upon joining the workplace, 2) Factors influencing new hires' practice with technology, and 3) Improving the transition experience to the workplace. Newly qualified nurses have strong digital skills and access to technology training; however, they also face challenges that affect their overall transition and practice. Having a broader understanding of digital health during formal education and in the workplace, mentorship and support from mentors and colleagues, user-friendly technologies, and stable nursing practice environments are key for safe practice and can facilitate the transitional experience and professional growth of new nurses.</div></div><div><h3>Conclusion</h3><div>Clearly, digital health is here to stay and will further advance in the years to come. Considering global nursing shortages and the demand for a digitally capable workforce, it is imperative to address gaps and challenges that newly qualified nurses and all nurses face when providing care in digitally enabled healthcare environments.</div></div>","PeriodicalId":50299,"journal":{"name":"International Journal of Nursing Studies","volume":"162 ","pages":"Article 104968"},"PeriodicalIF":7.5,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142814844","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}