International Journal of Nursing Studies最新文献

{"title":"Effects of non-pharmacological interventions on chemotherapy-induced taste alterations among cancer patients: A systematic review and meta-analysis","authors":"Wencan Cheng, Jia Fang, Duo Zhang, Yiheng Zhang, Ni Zhang, Ye Zhang, Jingwen Yan, Meifen Zhang","doi":"10.1016/j.ijnurstu.2026.105677","DOIUrl":"https://doi.org/10.1016/j.ijnurstu.2026.105677","url":null,"abstract":"","PeriodicalId":50299,"journal":{"name":"International Journal of Nursing Studies","volume":"5 1","pages":"105677"},"PeriodicalIF":8.1,"publicationDate":"2026-08-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148755111","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":"Strengthening the PhD nursing workforce: Strategies for sustained progress","authors":"Lisa van Dongen, Thóra B. Hafsteinsdóttir, Helena Leino-Kilpi, Riitta Suhonen","doi":"10.1016/j.ijnurstu.2026.105649","DOIUrl":"https://doi.org/10.1016/j.ijnurstu.2026.105649","url":null,"abstract":"","PeriodicalId":50299,"journal":{"name":"International Journal of Nursing Studies","volume":"29 1","pages":""},"PeriodicalIF":8.1,"publicationDate":"2026-07-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148691497","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":"Nurses as frontline responders for displaced populations","authors":"Lusine Poghosyan, Pavlos Myrianthefs, Monica O'Reilly-Jacob, Susan Michaels-Strasser, Adena Alahverdian, Madeline M. Pollifrone, Sarah Giordano, Howard Catton, Ciara Flood, Polyxeni Mangoulia, Madison Horton, Vaneh Hovsepian, Helen Dinh, Rika Matsumaru","doi":"10.1016/j.ijnurstu.2026.105637","DOIUrl":"https://doi.org/10.1016/j.ijnurstu.2026.105637","url":null,"abstract":"","PeriodicalId":50299,"journal":{"name":"International Journal of Nursing Studies","volume":"15 1","pages":""},"PeriodicalIF":8.1,"publicationDate":"2026-07-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148461871","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":"Rethinking occupational health and safety for healthcare workers treating Ebola","authors":"Chandini Raina MacIntyre, Abrar Ahmad Chughtai","doi":"10.1016/j.ijnurstu.2026.105626","DOIUrl":"https://doi.org/10.1016/j.ijnurstu.2026.105626","url":null,"abstract":"","PeriodicalId":50299,"journal":{"name":"International Journal of Nursing Studies","volume":"56 1","pages":""},"PeriodicalIF":8.1,"publicationDate":"2026-06-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148355983","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":"Measuring nurses' clinical intuition where it happens: From self-report inventories to bedside cue-based scales","authors":"Filip Haegdorens","doi":"10.1016/j.ijnurstu.2026.105618","DOIUrl":"https://doi.org/10.1016/j.ijnurstu.2026.105618","url":null,"abstract":"","PeriodicalId":50299,"journal":{"name":"International Journal of Nursing Studies","volume":"20 1","pages":"105618"},"PeriodicalIF":8.1,"publicationDate":"2026-06-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148286909","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":"Which individual and organizational factors shape nurses' attitudes toward family involvement in nursing care? A multicenter cross-sectional study","authors":"Jessica Longhini ,&nbsp;Federica Canzan ,&nbsp;Erika Bassi ,&nbsp;Alberto Dal Molin ,&nbsp;Beatrice Albanesi ,&nbsp;Tatiana Bolgeo ,&nbsp;Anna Brugnolli ,&nbsp;Sara Campagna ,&nbsp;Valerio Dimonte ,&nbsp;Alvisa Palese ,&nbsp;Elisa Ambrosi","doi":"10.1016/j.ijnurstu.2026.105358","DOIUrl":"10.1016/j.ijnurstu.2026.105358","url":null,"abstract":"<div><h3>Background</h3><div>Family involvement in care has been shown to improve patient outcomes and reduce family caregiver burden. However, nurses' attitudes toward family participation vary widely and are influenced by multiple individual and contextual factors. Despite international evidence, there is a lack of data in relation to individual psycho-emotional and organizational predictors across settings.</div></div><div><h3>Aim</h3><div>To assess nurses' attitudes toward involving families in care and individual and organizational factors associated with these attitudes.</div></div><div><h3>Methods</h3><div>A multicenter cross-sectional study between April 2024 and April 2025 across 16 local health authorities in Northern Italy. A total of 1288 registered nurses completed an anonymous online survey. Data included sociodemographic, professional, psychological (burnout, family functioning, caregiver support), and organizational variables, along with the Families' Importance in Nursing Care – Nurses' Attitudes (FINC-NA) scale. Hierarchical linear regression models were used to explore the role of individual and organizational predictors of attitudes across four FINC-NA subscales.</div></div><div><h3>Results</h3><div>Overall, nurses reported positive attitudes toward family involvement (FINC-NA mean = 100.5). Attitudes were most favorable in pediatric and primary care settings and less so in intensive care. Key individual predictors of positive attitudes included lower depersonalization, higher personal accomplishment, and greater perceived support from caregivers. Burnout, particularly depersonalization and emotional exhaustion, significantly predicted negative perceptions of families as burdens. Shift profile (day–night rotation) and lower private family functioning were also linked to more negative attitudes. Organizational factors, such as the presence of institutional caregiver procedures and unrestricted family access, were associated with more favorable attitudes but did not reduce perception of family as a burden. Notably, traditional variables such as age, gender, education, and work experience showed no influence.</div></div><div><h3>Conclusion</h3><div>Nurses' attitudes toward family involvement are shaped by a dynamic interplay of psychological, relational, and organizational factors. Structural policies, while necessary, are insufficient on their own. Promoting family-centered care requires addressing nurses' emotional well-being and supporting relational competencies, particularly in high-stress settings. These findings call for integrated interventions and further longitudinal research to explore how attitudes evolve over time and respond to systemic changes.</div></div>","PeriodicalId":50299,"journal":{"name":"International Journal of Nursing Studies","volume":"177 ","pages":"Article 105358"},"PeriodicalIF":7.1,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146047858","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":"Development of a short version of the Delirium Observation Screening Scale (s-DOSS): A psychometric validation study","authors":"Koen Milisen ,&nbsp;Sining Zeng ,&nbsp;Ellen Bruynseraede ,&nbsp;Anke Ceusters ,&nbsp;Geert Verbeke ,&nbsp;Kelu Yang ,&nbsp;Steffen Rex ,&nbsp;Marieke Schuurmans ,&nbsp;Elke Detroyer","doi":"10.1016/j.ijnurstu.2026.105362","DOIUrl":"10.1016/j.ijnurstu.2026.105362","url":null,"abstract":"<div><h3>Background</h3><div>Delirium is associated with increased mortality and morbidity, prolonged hospital stays, and a heightened risk of developing dementia, while its complete prevention remains challenging. Therefore, an efficient and time-saving screening tool is essential for the timely detection of delirium, enabling prompt intervention and reducing the associated healthcare burden. The original 13-item Delirium Observation Screening Scale (DOSS) is widely used and well-validated, but its relatively high workload leaves room for simplification.</div></div><div><h3>Objective</h3><div>This study aimed to develop and validate a shortened version of the DOSS (s-DOSS) to reduce screening burden while maintaining diagnostic accuracy.</div></div><div><h3>Methods</h3><div>The s-DOSS was developed in two phases. First, the content validity index (CVI) of the original 13-item DOSS was assessed through ratings from 14 delirium experts. Second, psychometric properties were assessed using 16,110 routine DOSS assessments from hospitalized patients. Item response theory parameters, classical test theory indices, and inter-item correlations were examined to inform item retention or deletion. A refined factor structure of the s-DOSS was subsequently evaluated. Finally, psychometric validation of the s-DOSS was conducted via secondary analysis of a prospective study, comparing its diagnostic performance to the Confusion Assessment Method (CAM) in 113 paired patient assessments.</div></div><div><h3>Results</h3><div>Four items were removed from the original DOSS. “Attention to conversation” was excluded due to conceptual redundancy, a low collected item-total correlation, and limited information contribution. The items ‘remembers events’, ‘pulls tubes’, and ‘sudden emotional’ were removed because of poor content validity, redundancy or local dependence, and weak internal coherence with the remaining items. The resulting 9-item s-DOSS demonstrated an average scale-level CVI (S-CVI/Ave) of 0.833 and a Cronbach's α of 0.853. Using a cutoff point of two, s-DOSS achieved a sensitivity of 90.9% (95% CI: 62–98), a specificity of 92.2% (95% CI: 85–96), and an overall diagnostic accuracy of 92.0% (95% CI: 86–96). The area under the ROC curve (AUC) was 0.935 (95% CI: 0.822–1.000).</div></div><div><h3>Conclusion</h3><div>The first validation of the 9-item s-DOSS suggests that it is a reliable and efficient tool for delirium screening, maintaining high diagnostic accuracy while reducing workload. Further adequately powered, multi-site validation studies are required to confirm the robustness of the cut-off and diagnostic performance across clinical settings.</div></div>","PeriodicalId":50299,"journal":{"name":"International Journal of Nursing Studies","volume":"177 ","pages":"Article 105362"},"PeriodicalIF":7.1,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146047855","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":"Effectiveness of a nurse-led, mHealth-based cardiac rehabilitation program on cardiorespiratory fitness and physical activity in youth with congenital heart disease: A randomized controlled trial","authors":"Yuan Li ,&nbsp;Yaxin Zhou ,&nbsp;Yinyue Zhang ,&nbsp;Hanmei Peng ,&nbsp;Mei R. Fu ,&nbsp;Miao Chen ,&nbsp;Ying Xu ,&nbsp;Biru Luo","doi":"10.1016/j.ijnurstu.2026.105370","DOIUrl":"10.1016/j.ijnurstu.2026.105370","url":null,"abstract":"&lt;div&gt;&lt;h3&gt;Background&lt;/h3&gt;&lt;div&gt;Youth living with congenital heart disease face impaired cardiorespiratory fitness and reduced physical activity, compromising long-term health outcomes. Cardiac rehabilitation is crucial for optimizing functional capacity and preventing secondary complications, yet access barriers limit participation in traditional center-based programs. Nurse-led, mHealth-based models may improve accessibility and effectiveness.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Objective&lt;/h3&gt;&lt;div&gt;To evaluate the effectiveness of a nurse-led, mHealth-based cardiac rehabilitation program (HeartFIT) versus usual care on cardiorespiratory fitness and physical activity in youth with congenital heart disease.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Design&lt;/h3&gt;&lt;div&gt;A prospective, randomized, open-label, parallel-group controlled trial.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Setting&lt;/h3&gt;&lt;div&gt;Two tertiary hospitals in Chengdu, China.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Participants&lt;/h3&gt;&lt;div&gt;Youth aged 8 to 18 years, ≥&lt;!--&gt; &lt;!--&gt;6 months post-correction for congenital heart disease, with impaired exercise capacity.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Methods&lt;/h3&gt;&lt;div&gt;Participants (N = 68) were randomized (1:1) to HeartFIT or usual care. HeartFIT comprised a 12-week, nurse-led, home-based mHealth cardiac rehabilitation intervention (via WeChat), with the entire program design grounded in the Individual and Family Self-Management Theory and incorporating specific Behavior Change Techniques. The program featured individualized exercise prescriptions based on baseline cardiopulmonary exercise testing and risk stratification, tailored health education, goal-setting with self-monitoring, and remote nursing support. The primary outcome was change in cardiorespiratory fitness (peak oxygen uptake, VO&lt;sub&gt;2 peak&lt;/sub&gt;) measured by cardiopulmonary exercise testing. Secondary outcomes included other cardiopulmonary exercise testing parameters (oxygen pulse, exercise duration, maximal workload, ventilatory efficiency) and physical activity levels assessed by accelerometry and the Physical Activity Questionnaire. Analysis of covariance (ANCOVA), adjusting for baseline values, was used to determine between-group differences.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Results&lt;/h3&gt;&lt;div&gt;The HeartFIT group demonstrated statistically significantly greater improvement in VO&lt;sub&gt;2 peak&lt;/sub&gt; versus controls (adjusted mean difference: 3.60 ml·kg&lt;sup&gt;−1&lt;/sup&gt;·min&lt;sup&gt;−1&lt;/sup&gt;, 95% CI 1.48 to 5.73; &lt;em&gt;P&lt;/em&gt; = 0.001). Significant improvements favoring HeartFIT were also observed in oxygen pulse (0.78 ml·beat&lt;sup&gt;−1&lt;/sup&gt;), exercise duration (0.76 min), maximal workload (11.70 W), and physical activity levels (&lt;em&gt;P&lt;/em&gt; = 0.004 for accelerometry; &lt;em&gt;P&lt;/em&gt; = 0.001 for Physical Activity Questionnaire). No serious adverse events occurred.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Conclusions&lt;/h3&gt;&lt;div&gt;The nurse-led, mHealth-based cardiac rehabilitation program effectively improved cardiorespiratory fitness and physical activity in youth with congenital heart disease, offering a safe and scalable approach for ac","PeriodicalId":50299,"journal":{"name":"International Journal of Nursing Studies","volume":"177 ","pages":"Article 105370"},"PeriodicalIF":7.1,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146134137","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":"Patient and nurse perceptions of electronic medical records in an acute setting: A multi-method qualitative study","authors":"Marina Bogiatzis ,&nbsp;Wendy Smyth ,&nbsp;Mariann Hadland ,&nbsp;Laura Irving ,&nbsp;Cate Nagle","doi":"10.1016/j.ijnurstu.2026.105363","DOIUrl":"10.1016/j.ijnurstu.2026.105363","url":null,"abstract":"&lt;div&gt;&lt;h3&gt;Background&lt;/h3&gt;&lt;div&gt;Electronic medical records are progressively replacing paper records in many healthcare settings worldwide. However, the patient experience is not well represented in the published literature. Research on nurses' experience using the electronic medical record has shown increased documentation burden, time spent-on-computers and concerns for the negative impacts on patient-centred care. Further understanding is warranted of both patient and nurse experience of the electronic medical record.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Aim&lt;/h3&gt;&lt;div&gt;This study aimed to explore the experiences of patients and nurses with electronic medical records, and the impact of computers on nurses' documentation, practice, and interaction with patients in their care.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Design&lt;/h3&gt;&lt;div&gt;A multi-method qualitative study comprising an ethnographic observational component, followed by interviews of nurses and patients.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Setting&lt;/h3&gt;&lt;div&gt;The Cardiac Centre (cardiac ward and coronary care unit) in a regional tertiary hospital in northern Australia.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Participants&lt;/h3&gt;&lt;div&gt;Inpatients and nurses working clinically in the Cardiac Centre were invited to participate.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Methods&lt;/h3&gt;&lt;div&gt;The initial phase, during April–July 2022, involved in-depth observations of the impact of the electronic medical record and computers-on-wheels on nurses' practice and interactions with patients. The second phase, during January 2023, comprised semi-structured interviews with patients and nurses to further explore their perspectives and attitudes towards electronic medical records and computers. Information sheets were provided, and written consent forms were obtained, for both phases. Field notes were analysed deductively, and interview transcriptions were analysed thematically. Findings have been presented descriptively with themes explained using quotes from participants supported by observations.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Findings&lt;/h3&gt;&lt;div&gt;Observation periods totalled 1220 min. In the times observed, nurses spent approximately one-third of their time using the computer. Interviews and observations revealed two themes: ‘Moving ahead with the times’ and ‘A balancing act’. Both patients and nurses agreed that accessible information in the electronic medical record improved timely communication between health professionals; however, balancing nursing care with managing digital technologies presented physical and professional challenges for the nurses. Despite these challenges, the patients were supportive of the technology and saw it as beneficial to their health outcomes.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Conclusion&lt;/h3&gt;&lt;div&gt;While patients and nurses generally accepted the electronic medical record, our findings reveal tensions between technological adaptation and clinical practice, underscoring the need to include patient and nurse perspectives to ensure digital systems support person-centred care. Balancing the demands of clinical r","PeriodicalId":50299,"journal":{"name":"International Journal of Nursing Studies","volume":"177 ","pages":"Article 105363"},"PeriodicalIF":7.1,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146071688","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":"Burnout levels among nursing home care workers and its associations with workplace and individual factors: Results from a multicenter cross-sectional study","authors":"Lisa Geyskens ,&nbsp;Nasrin Khan ,&nbsp;Anja Declercq ,&nbsp;Lode Godderis ,&nbsp;Pieter Heeren ,&nbsp;Lien Janssens ,&nbsp;Şirin Özkan ,&nbsp;Jeroen Trybou ,&nbsp;Ellen Vlaeyen ,&nbsp;Franziska Zúñiga ,&nbsp;Koen Milisen ,&nbsp;Mieke Deschodt","doi":"10.1016/j.ijnurstu.2026.105367","DOIUrl":"10.1016/j.ijnurstu.2026.105367","url":null,"abstract":"&lt;div&gt;&lt;h3&gt;Background&lt;/h3&gt;&lt;div&gt;Nursing homes face substantial challenges due to increasingly complex care needs, and difficulties in recruiting and retaining care workers. High job demands and stressful work conditions contribute to burnout risk, exacerbating workforce shortages and potentially impacting care quality.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Objectives&lt;/h3&gt;&lt;div&gt;To determine the level of burnout and examine its association with workplace and individual factors among nursing home care workers.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Design&lt;/h3&gt;&lt;div&gt;A secondary analysis using cross-sectional survey data from the Flanders Nursing Home (FLANH) project, collected from February to July 2023.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Setting and participants&lt;/h3&gt;&lt;div&gt;A total of 1416 care workers from 25 Flemish nursing homes were included, comprising care assistants (42.7%), registered nurses (20.6%), support staff (15%), allied health professionals (15.6%), and team leaders (6.0%).&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Methods&lt;/h3&gt;&lt;div&gt;Burnout levels were assessed using the short Burnout Assessment Tool (BAT-12). Linear mixed models were used to examine associations between burnout and workplace factors (including facility characteristics and work environment factors) and individual factors (including care worker characteristics and personal resources). Both univariable and multivariable analyses were conducted.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Results&lt;/h3&gt;&lt;div&gt;Of the nursing home care workers, 12.7% were identified as being at risk for burnout, and 6.3% were likely suffering from burnout, resulting in a total of 19.0%. Among facility characteristics, lower staffing levels were statistically significantly associated with higher burnout levels in the unadjusted analysis, though this effect attenuated once additional factors were included in the model. Regarding the work environment, the multivariable model showed that higher perceived role clarity and skill use were significantly associated with lower levels of burnout, whereas greater emotional burden and work-life interference were related to higher levels of burnout. Care worker characteristics also appear to play a role: younger age, longer work experience, higher employment rates (&gt;&lt;!--&gt; &lt;!--&gt;50%), and alternating between day and night shifts were significantly associated with higher levels of burnout. Also, care assistants experienced higher burnout levels than other care worker groups. Finally, personal resources, including self-efficacy, resilience, and optimism, were protective factors against burnout.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Conclusions&lt;/h3&gt;&lt;div&gt;Our study showed that burnout risk is prevalent among nursing home care workers and is associated with both work environment and individual factors. These findings underscore the need for integrated strategies that improve workplace conditions and strengthen personal resources, while accounting for individual differences, to promote well-being and prevent burnout among all care workers in nursing homes.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Registra","PeriodicalId":50299,"journal":{"name":"International Journal of Nursing Studies","volume":"177 ","pages":"Article 105367"},"PeriodicalIF":7.1,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146134176","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}