Clinical Nursing Research最新文献

{"title":"Social Vulnerability, Perceived Stigma, and Multidimensional Frailty Among Older People Living with HIV: A Structural Equation Modeling Analysis.","authors":"Wenxiu Sun, Yanyun Pan, Jiajie Tang, Lin Zhang","doi":"10.1177/10547738261441468","DOIUrl":"10.1177/10547738261441468","url":null,"abstract":"<p><p>This study explored the relationships among social vulnerability, perceived stigma, and multidimensional frailty among older people living with HIV (PWH) and examined the mediating roles of loneliness and perceived stigma in these relationships. A cross-sectional study was performed among older PWH, between December 2022 and October 2023. Data on sociodemographic characteristics, perceived stigma, social vulnerability (including social isolation and loneliness), and multidimensional frailty were collected and analyzed. Social vulnerability and perceived stigma were significantly positively correlated with multidimensional frailty. Social isolation directly affected multidimensional frailty (β = .239, <i>p</i> < .001) and had an indirect influence (β = .331, <i>p</i> < .001) through the mediating effects of loneliness and perceived stigma. Social isolation among older PWH is associated with multidimensional frailty, which is mediated by loneliness and perceived stigma. On the basis of these findings, interventions aimed at reducing social vulnerability and perceived stigma may help prevent or alleviate frailty among older PWH, thereby improving their overall well-being. The results highlight the critical need to assess loneliness and perceived stigma among socially isolated older PWH. Interventions should prioritize stigma reduction and foster meaningful social connections to mitigate their compounding effects on frailty progression.</p>","PeriodicalId":50677,"journal":{"name":"Clinical Nursing Research","volume":" ","pages":"323-331"},"PeriodicalIF":1.5,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147935148","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Food Insecurity, Advanced Anthropometric Indices, and Central Obesity in Older Adults: Implications for Geriatric Nursing Assessments.","authors":"Tasneem Ahmed Shoulkamy, Asmaa A Ibrahim, Rasha Ahmed Fouad, Saieda Abdelhameed, Safaa Rabea Osman","doi":"10.1177/10547738261429356","DOIUrl":"10.1177/10547738261429356","url":null,"abstract":"<p><p>Food insecurity and obesity often coexist in older adults, leading to complex health issues. Standard obesity measures, such as Body Mass Index (BMI), do not adequately capture central adiposity, which is a more accurate predictor of metabolic risk. Newer anthropometric indices, such as the A Body Shape Index (ABSI) and the Body Roundness Index (BRI), offer improved precision in measuring central adiposity but are not commonly used in geriatric nursing assessments. To examine the associations between food insecurity and advanced anthropometric indices (BMI, ABSI, and BRI) in older adults, and explore implications for clinical nursing practice. A cross-sectional study was conducted with 152 older adults aged ≥65 from outpatient clinics at Assiut University Hospital, Egypt. Data were collected using the United States Department of Agriculture Food Security Survey and structured anthropometric measurements. BMI, ABSI, and BRI were calculated. Pearson correlations and multivariable regression identified predictors of food security status. Food insecurity was reported by 35.5% of participants. We found significant negative correlations between food security scores and BMI (<i>r</i> = -0.192, <i>p</i> = .018), BRI (<i>r</i> = -0.191, <i>p</i> = .019), and ABSI (<i>r</i> = -0.021, <i>p</i> = .023). This indicates that higher levels of adiposity and central obesity are associated with poorer food security. Regression analysis showed that gender, marital status, education, income, BMI, ABSI, and BRI were significant predictors of food security (<i>p</i> < .05 for all). Our findings demonstrate a significant association between central obesity, particularly as measured by ABSI and BRI, and food insecurity in older adults. We recommend that geriatric nurses integrate these advanced anthropometric indices into routine assessments to more accurately screen for food insecurity. This approach would allow for more effective and targeted nursing interventions for this vulnerable population.</p>","PeriodicalId":50677,"journal":{"name":"Clinical Nursing Research","volume":" ","pages":"248-257"},"PeriodicalIF":1.5,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147629030","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Relationship Between Dyspnea and Fatigue and Levels of Medication Adherence and Self-Efficacy in Individuals with Chronic Obstructive Pulmonary Disease.","authors":"Derya Bıçak Ayık, Uğur Öner, Züleyha Gürdap, Zeliha Cengiz","doi":"10.1177/10547738261431619","DOIUrl":"10.1177/10547738261431619","url":null,"abstract":"<p><p>Chronic obstructive pulmonary disease (COPD) is a progressive respiratory disease marked by symptoms such as dyspnea and fatigue, which negatively affect patients' quality of life. Self-efficacy influences patients' ability to manage symptoms, while medication adherence is crucial for effective disease control. This study aimed to examine the impact of dyspnea and fatigue on medication adherence and self-efficacy in individuals with COPD. A descriptive, cross-sectional, and correlational study was conducted with 171 COPD patients receiving treatment in a tertiary hospital in eastern Turkiye between November 2024 and April 2025. Data were collected using validated scales measuring fatigue, dyspnea, medication adherence, and self-efficacy. Statistical analyses included correlation and regression to examine relationships and predictors. The findings revealed high levels of dyspnea and fatigue, which were significantly and negatively correlated with self-efficacy (<i>p</i> < .001). Both dyspnea and fatigue significantly predicted decreased self-efficacy, accounting for over 60% of the variance. Medication adherence levels were generally high; medication adherence decreased when dyspnea increased, while no relationship was observed between fatigue and medication adherence. Dyspnea and fatigue are prevalent symptoms in COPD patients that adversely affect self-efficacy. Enhancing self-efficacy may be critical in improving symptom management and quality of life. The complex nature of medication adherence requires further in-depth investigation. Nurses should prioritize interventions that strengthen self-efficacy and address symptom burden to optimize COPD management and patient outcomes.</p>","PeriodicalId":50677,"journal":{"name":"Clinical Nursing Research","volume":" ","pages":"258-266"},"PeriodicalIF":1.5,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147576190","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Effect of Gradual Mobilization on Vital Signs and Comfort Level After Transfemoral Coronary Angiography.","authors":"Hümeyra Yüksel, Özlem Ceyhan, Mürüvvet Başer","doi":"10.1177/10547738261429818","DOIUrl":"10.1177/10547738261429818","url":null,"abstract":"<p><p>Transfemoral coronary angiography (TFA) is widely used for the diagnosis and treatment of coronary artery disease. Prolonged bed rest after TFA may lead to discomfort, groin and back pain, and delayed recovery. Gradual mobilization has been suggested to improve post-procedural outcomes and patient comfort. This study aimed to evaluate the effects of planned gradual mobilization on vital signs, post-procedural symptoms, and comfort levels in patients undergoing TFA. A randomized controlled experimental study was conducted with 40 patients in a single cardiology clinic. Participants were assigned to an intervention group (planned gradual mobilization) or a control group (standard mobilization) 12 hr post-angiography. Vital signs were recorded before and 20 min after mobilization. Post-procedural symptoms including dizziness, palpitations, and falling sensations-as well as complications such as bleeding or hematoma-were documented. Patient comfort was assessed using the General Comfort Scale Short Form 2 hr after mobilization. The intervention group experienced significantly lower rates of dizziness (15% vs. 70%, <i>p</i> < .001), falling sensations (5% vs. 85%, <i>p</i> < .001), and palpitations (25% vs. 65%, <i>p</i> = .011) compared to the control group. No significant differences were observed in systolic or diastolic blood pressure, pulse rate, or overall comfort scores. Minor post-mobilization changes were noted in respiratory rate, body temperature, and SpO₂, with a significant increase in SpO₂ within the intervention group (<i>p</i> < .05). No major complications, such as hematoma or significant bleeding, were reported in either group. Planned gradual mobilization 12 hr after TFA effectively reduced dizziness, palpitations, and falling sensations without adversely affecting vital signs or comfort. Implementing gradual mobilization in nursing care may enhance patient safety, comfort, and recovery outcomes.</p>","PeriodicalId":50677,"journal":{"name":"Clinical Nursing Research","volume":" ","pages":"267-275"},"PeriodicalIF":1.5,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147624553","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Care Transition Strategies, Opportunities, and Challenges for Patients Following COVID-19 Hospitalization: An Integrative Review.","authors":"Márcia Liane Klauck Santos, Catiele Raquel Schmidt, Camila Xavier Dalcól, Michelle Mariah Malkiewiez, Ana Graziela Alvarez, Greici Capellari Fabrizzio, Gabriela Marcellino de Melo Lanzoni, Elisiane Lorenzini","doi":"10.1177/10547738261429358","DOIUrl":"10.1177/10547738261429358","url":null,"abstract":"<p><p>Care transition is a strategy that aims to overcome the fragmentation of healthcare services, ensuring continuity of care. The review question was: What scientific evidence is available on care transition strategies for patients after hospitalization for COVID-19 and what are the opportunities and challenges of their implementation? Integrative literature review was guided by Preferred Reporting Items for Systematic Review and Meta-Analysis guidelines and carried out between March and June 2024 in the Medical Literature Analysis and Retrieval System Online, Web of Science, Excerpta Medica Database, Cumulative Index to Nursing and Allied Health Literature, <i>Literatura Latino-Americana e do Caribe em Ciências da Saúde</i>, Cochrane Library, Scientific Electronic Library Online and Scopus databases, using Medical Subject Headings, Health Sciences Descriptors, and Entry Terms. Fourteen articles published between 2020 and 2023 were included, with 57% originating from the Americas, 28.6% using a qualitative approach, 78.6% addressing the transition from hospital to home, and 78.6% involving patients. The results were organized into four thematic categories: virtual care transition; patients' and healthcare professionals' experiences in care environments; patients' needs after hospital discharge; and care transition assessment through Care Transition Measure (CTM-15). Care transition strategies, including teleconsultations, videoconferencing, telerehabilitation, and discharge guidance, can reduce complications and readmissions and improve patient satisfaction, but challenges such as early discharge, poor communication, lack of protocols, variability in care transition strategies, and discontinuity of care still persist. The results of this review highlight the importance of structured, patient-centered transition planning, integration of telehealth and remote monitoring, and the use of systematic assessment tools, such as the CTM-15, to optimize post-hospital care for COVID-19 survivors.</p>","PeriodicalId":50677,"journal":{"name":"Clinical Nursing Research","volume":" ","pages":"235-247"},"PeriodicalIF":1.5,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147730506","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effects of Patient-Preferred Music on Anxiety, Pain, and Quality of Recovery After Knee Arthroplasty Under Spinal Anesthesia: A Randomized Controlled Trial.","authors":"Burak Nalbant, Gokhan Erdem, Muhammed Kose, Enes Saglam, Abdulaziz Aysel, Fatma Kavak Akelma","doi":"10.1177/10547738261442747","DOIUrl":"10.1177/10547738261442747","url":null,"abstract":"<p><p>Preoperative anxiety and pain can adversely affect recovery and satisfaction. Music is a safe, low-cost, non-pharmacological intervention that may enhance perioperative outcomes. This study evaluated the effects of patient-preferred music on anxiety, recovery, pain, satisfaction, and hemodynamics during unilateral knee arthroplasty under spinal anesthesia. In this prospective, randomized, controlled, single-blind trial, 80 patients were assigned to either a music group (Group M) or a control group (Group C). Group M listened to preferred music via headphones before and during surgery, while Group C received standard care. Anxiety (State-Trait Anxiety Inventory; state: STAI-S, trait: STAI-T), recovery (Quality of Recovery-15 [QoR-15]), pain (Numeric Rating Scale [NRS]), satisfaction, and hemodynamic parameters were measured. Minimal clinically important difference (MCID) analyses were used to assess clinical significance. Sixty-five patients (Group M: 32; Group C: 33) were analyzed. Postoperative STAI-S scores were significantly lower in Group M (<i>p</i> = .001), with a 6.18-point difference exceeding the MCID by 283%. QoR-15 scores were higher in Group M (<i>p</i> = .007), surpassing the MCID by 123%. Group M also showed lower systolic blood pressure at several perioperative points (<i>p</i> < .05), lower NRS pain scores at the 12th postoperative hour (<i>p</i> = .001), and reduced need for rescue analgesia (<i>p</i> = .035). Satisfaction was significantly greater in Group M (<i>p</i> = .001). No significant differences were found in heart rate (<i>p</i> > .05). Patient-preferred music significantly improved anxiety, pain, recovery quality, hemodynamic stability, and satisfaction. MCID analysis confirmed clinical relevance. Music may serve as an effective and feasible adjunct in perioperative care.</p>","PeriodicalId":50677,"journal":{"name":"Clinical Nursing Research","volume":" ","pages":"276-285"},"PeriodicalIF":1.5,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13291381/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147718917","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effects of Early Mobilization Training on Mobility, Pain, Comfort, and Sleep Quality in Laparoscopic Abdominal Surgery Patients: A Randomized Controlled Trial.","authors":"Fatma Nur Daldaban, Sevinc Tastan","doi":"10.1177/10547738261433799","DOIUrl":"10.1177/10547738261433799","url":null,"abstract":"<p><p>Implementing early mobilization protocols can improve patient outcomes and accelerate postoperative recovery. This pre-test and posttest randomized controlled experimental study aims to evaluate the effects of early mobilization training on mobility, pain, comfort, and sleep quality in patients undergoing laparoscopic abdominal surgery. The study was conducted at a state hospital in Northern Cyprus between June and October 2022, and participant recruitment and follow-up were reported using the CONSORT 2010 flow diagram. The sample of the study comprised 78 abdominal surgery patients who were equally assigned to the intervention (<i>n</i> = 39) and control groups (<i>n</i> = 39). Perioperative information form and patient mobility scale were used for data collection. The mean ages of the intervention and control groups were 44.82 ± 12.37 and 44.41 ± 10.80 years, respectively. The total duration of mobilization in the intervention group (58.33 ± 11.20 min) was significantly higher than that of the control group (24.92 ± 5.64 min). Postoperative pain scores of the intervention group were significantly lower than those of the control group. Comfort and sleep quality scores of the intervention group were significantly higher than those of the control group. Finally, the length of hospital stay in the intervention group was significantly lower than that of the control group. The findings of this study imply that early mobilization training had a positive impact on reducing postoperative pain and increasing the duration of mobilization, comfort while turning in bed, and lying and the quality of sleep on the first postoperative day. This study provides practical insights for enhancing comfort, mobility, pain management, and sleep quality, while addressing a key gap in the literature and contributing to evidence-based clinical practice.</p>","PeriodicalId":50677,"journal":{"name":"Clinical Nursing Research","volume":" ","pages":"182-192"},"PeriodicalIF":1.5,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13149995/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147647214","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effect of Music Intervention on Pain, Anxiety, and Vital Signs in Radiotherapy Patients: A Randomized Controlled Trial Based on the Roy Adaptation Model.","authors":"Duygu Akbas Uysal, Fısun Senuzun Aykar, Oguzhan Ayrancıoglu, Zumre Arıcan Alıcıkus","doi":"10.1177/10547738261428534","DOIUrl":"10.1177/10547738261428534","url":null,"abstract":"<p><p>Cancer is the second leading cause of death globally, following cardiovascular diseases. Radiotherapy (RT), a common cancer treatment modality, often induces both physical discomfort and psychological distress, including pain and anxiety. Although music interventions have shown promise in reducing such symptoms, most studies lack a theoretical foundation, limiting their generalizability and application in nursing practice. This study aimed to evaluate the effects of a music intervention on pain, anxiety, and vital signs in patients undergoing RT, using the Roy Adaptation Model (RAM) as the theoretical framework. A randomized controlled trial was conducted between May 2024 and April 2025 in the Radiation Oncology Department. A total of 120 patients were randomly assigned to either the intervention group (<i>n</i> = 60) or control group (<i>n</i> = 60). The intervention group listened to specially composed therapeutic music via speakers for 20 to 40 min during weekly RT sessions. Pain (Visual Analog Scale), anxiety (Facial Anxiety Scale), and vital signs (blood pressure, heart rate, and respiratory rate) were measured before and after RT sessions. Data were analyzed using paired-sample t-tests and Cohen's <i>d</i> for effect sizes. The music intervention significantly reduced pain and anxiety scores in the intervention group compared to the control group (<i>p</i> < .001). Additionally, positive changes in vital signs were observed, including decreased systolic blood pressure and heart rate. The findings support the regulatory and cognator adaptive responses described in RAM, indicating that music functions as an effective coping mechanism for physiological and psychological stressors during RT. Music intervention is a safe, non-pharmacological, and cost-effective strategy for enhancing patient adaptation during RT. This study contributes to the evidence base by integrating a theoretical model into clinical nursing practice and underscores the importance of model-based interventions in improving holistic patient care.</p>","PeriodicalId":50677,"journal":{"name":"Clinical Nursing Research","volume":" ","pages":"171-181"},"PeriodicalIF":1.5,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147504718","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Workplace Environment and Psychological Distress of Nurses and Nursing Assistants During COVID-19.","authors":"Harry Adynski, Cassandra Dictus, Mary K Killela, Gillian I Adynski, Elizabeth Allen Myer, Leah Morgan, Hayden Hmiel, Jessica R Williams","doi":"10.1177/10547738261429339","DOIUrl":"10.1177/10547738261429339","url":null,"abstract":"<p><p>Registered nurses (RNs) and nursing assistants (NAs) play critical roles during crises. Understanding how the perceived work environment affects psychological distress among these healthcare workers is essential for developing interventions that support mental health and organizational outcomes. This study examined the association between perceived workplace environment and psychological distress, including stress, depressive, anxiety, and somatic symptoms, among inpatient RNs and NAs during the COVID-19 pandemic. A cross-sectional survey was conducted with 84 RNs and NAs employed at a large academic medical center between April and September 2021. The Practice Environment Scale of the Nursing Work Index (PES-NWI) was used to measure the perceived workplace environment, while psychological distress symptoms were assessed using the Perceived Stress Scale, Patient Health Questionnaire-9 (PHQ-9), Generalized Anxiety Disorder-7, and PHQ-15. Descriptive statistics and independent t-tests analyzed cohort characteristics. A stepwise approach with univariate and adjusted linear regression models assessed the relationship between workplace environment scores and psychological distress, incorporating demographic variables. Approximately one-third of participants reported moderate to severe psychological distress. No significant differences in distress symptoms were found between RNs and NAs; however, NAs rated Collegial Nurse-Physician Relations significantly lower than RNs (<i>t</i> = -3.84, 95% confidence interval [<i>CI</i>] [-1.15, -0.33], <i>p</i> = .001). Across all unadjusted models, higher PES-NWI total scores were associated with lower psychological distress. In adjusted models, unit-level Nurse Manager Leadership and Support subscale was significantly related to lower depressive (estimate: -2.03, 95% <i>CI</i> [-4.01, -0.04], <i>p</i> = .045) and somatic symptoms (estimate: -2.11, 95% <i>CI</i> [-4.16, -0.06], <i>p</i> = .044). These findings underscore the critical role of nurse managers in fostering supportive workplace environments and highlight the unique challenges faced by NAs. Targeted interventions at the unit and hospital levels can enhance RN and NA well-being, improve organizational outcomes, and build a resilient nursing workforce equipped to navigate future crises.</p>","PeriodicalId":50677,"journal":{"name":"Clinical Nursing Research","volume":" ","pages":"200-214"},"PeriodicalIF":1.5,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13150001/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147505123","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Effects of Midwife-Led Care on the Perception of Labor Pain, Labor Duration, Labor Comfort, and Respectful Maternity Care: A Single-Blind Randomized Controlled Trial.","authors":"Betül Uncu, Hicret Gök, Bihter Akın","doi":"10.1177/10547738261428073","DOIUrl":"10.1177/10547738261428073","url":null,"abstract":"<p><p>Continuous care provided by the same midwife throughout the maternity journey may have significant benefits for labor outcomes and women's childbirth experiences. This single-blind randomized controlled trial, conducted in a public hospital in Türkiye between October 2024 and February 2025, investigated the effects of continuous midwifery care on labor pain, duration, comfort, and the perception of respectful maternity care. A total of 85 women were randomly assigned to either an intervention group (<i>n</i> = 43), receiving care from the same midwife during the prenatal, intrapartum, and postnatal periods, or a control group (<i>n</i> = 42), where care was provided by different midwives. Findings revealed that women in the intervention group experienced significantly lower pain during labor, shorter labor durations, and greater comfort. Additionally, their perceptions of respectful maternity care were markedly more positive than those in the control group (<i>p</i> < .001). These results suggest that continuity of midwifery care enhances both clinical and experiential outcomes for women. Implementing midwife-led continuity of care models in Türkiye could contribute to more personalized, comfortable, and respectful childbirth experiences, ultimately improving maternal satisfaction and well-being.</p>","PeriodicalId":50677,"journal":{"name":"Clinical Nursing Research","volume":" ","pages":"157-170"},"PeriodicalIF":1.5,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147500282","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}