Applied Nursing Research最新文献

{"title":"Assessing perceived social support in atrial fibrillation: Development and validation of an instrument to inform nursing care development","authors":"Outi Kähkönen PhD, Docent,&nbsp;Juha Hartikainen MD, PhD, Professor,&nbsp;Anna-Mari Hekkala MD, PhD,&nbsp;Ville Hautamäki PhD, Associate Professor,&nbsp;Signe Stelling Risom PhD, Associate Professor,&nbsp;Tone M. Norekvål PhD, Professor,&nbsp;Ying Lau PhD, MN, BN(Hons), BSc, RN, RM, FAAN, Professor,&nbsp;Anneli Vauhkonen MSc, Doctoral Researcher","doi":"10.1016/j.apnr.2026.152111","DOIUrl":"10.1016/j.apnr.2026.152111","url":null,"abstract":"<div><h3>Background</h3><div>Atrial fibrillation (AF) is associated with a significant clinical and psychosocial burden. It requires adequate informational, emotional, and functional support in addition to evidence-based treatment. Existing social support measures are largely generic and do not address the specific needs of AF care.</div></div><div><h3>Aim</h3><div>To develop and psychometrically validate the Social Support for Patients with Atrial Fibrillation Instrument (SSAFI).</div></div><div><h3>Methods</h3><div>A methodological, cross-sectional validation study was conducted among 265 adults with AF in Finland. Data were collected using an online survey. Item characteristics were examined using descriptive statistics and correlation analyses. Exploratory factor analysis (EFA) was applied to examine empirical clustering patterns, followed by confirmatory factor analysis (CFA) to test a theoretically derived hierarchical model. Model fit, internal consistency, and construct validity were evaluated using established psychometric criteria.</div></div><div><h3>Results</h3><div>EFA suggested source-influenced clustering, whereas CFA supported a hierarchical model with informational, emotional, and functional support domains, showing acceptable fit (χ²/df = 2.29; CFI = 0.936; TLI = 0.926; IFI = 0.937; RMSEA = 0.077). Standardized loadings ranged from 0.301 to 0.864 with weaker loadings interpreted cautiously according to the predefined retention criterion, second-order loadings were strong (λ = 0.928–0.963), and reliability and validity indices supported the multidimensional structure.</div></div><div><h3>Conclusions</h3><div>The SSAFI demonstrated satisfactory psychometric properties and provides a disease-specific tool for assessing perceived informational, emotional, and functional support. At the group and service levels, the instrument may provide nursing services and healthcare systems with a structured means to identify perceived gaps in patient education and support, informing the development of nurse-led AF care pathways.</div></div>","PeriodicalId":50740,"journal":{"name":"Applied Nursing Research","volume":"90 ","pages":"Article 152111"},"PeriodicalIF":2.2,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148641528","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":"From talk to action: A randomized controlled design on the role of huddles in shaping safety climate and reducing missed nursing care","authors":"Marina Vexler,&nbsp;Anat Drach-Zahavy,&nbsp;Einav Srulovici","doi":"10.1016/j.apnr.2026.152117","DOIUrl":"10.1016/j.apnr.2026.152117","url":null,"abstract":"<div><h3>Background</h3><div>Missed nursing care compromises patient safety and care quality worldwide. Although inadequate staffing, high workloads, and poor work environments contribute, brief structured team interventions may reduce care omissions. Proactive huddles aim to enhance communication, coordination, and early risk identification, yet the mediating role of safety climate remains unclear.</div></div><div><h3>Objective</h3><div>To evaluate the effectiveness of proactive huddles in reducing missed nursing care and examine the mediating role of safety climate.</div></div><div><h3>Design</h3><div>Randomized controlled design.</div></div><div><h3>Methods</h3><div>Data were collected between July 2022 and May 2023 from ten hospital wards, pair-matched by type and size and randomly assigned to proactive huddles or usual practice. The sample comprised 180 nurses (85 intervention, 95 control). The MISSCARE Survey, Safety Organizing Scale, and NASA Task Load Index were administered pre- and post-intervention across three shifts. Linear mixed-effects models and moderated mediation analysis were conducted.</div></div><div><h3>Results</h3><div>Proactive huddles were associated with improved safety climate compared with usual practice (b = −0.217, <em>p</em> &lt; .001) and with reduced missed nursing care (b = 0.123, <em>p</em> &lt; .001). Higher safety climate was associated with lower missed nursing care (b = −0.184, p &lt; .001). Moderated mediation indicated a greater mediated reduction in missed nursing care via safety climate in the intervention group (difference in average causal mediation effect = −0.038; 95% CI [−0.059, −0.018]; <em>p</em> &lt; .0001).</div></div><div><h3>Conclusion</h3><div>Proactive huddles may offer a feasible, time-efficient strategy for reducing missed nursing care. Safety climate may be one mechanism linking structured communication with improved care quality, alongside other team-level mechanisms.</div></div>","PeriodicalId":50740,"journal":{"name":"Applied Nursing Research","volume":"90 ","pages":"Article 152117"},"PeriodicalIF":2.2,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148657088","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":"Communication frustration and avoidance after SPEACS-2 training in the ICU","authors":"Ji Won Shin,&nbsp;Audrey Lund Rothchild,&nbsp;Loraine Theresa Sinnott,&nbsp;Judith A. Tate,&nbsp;Mary Beth Happ","doi":"10.1016/j.apnr.2026.152122","DOIUrl":"10.1016/j.apnr.2026.152122","url":null,"abstract":"<div><h3>Background</h3><div>Nurses report frustration with and avoidance of mechanically ventilated patients with communication impairments. The SPEACS-2 program provides online training in patient communication assessment and assistive communication strategies. This study measured frustration and avoidance among ICU nurses and student nurses after SPEACS-2 training.</div></div><div><h3>Purpose</h3><div>(1) Determine the relationship between frustration with communication and avoidance of patients who are difficult to understand; (2) Describe changes in frustration and avoidance after SPEACS-2 training relative to before (ICU nurses only); and (3) Compare post-training frustration and avoidance between ICU nurses and student nurses.</div></div><div><h3>Methods</h3><div>We conducted a descriptive, comparative secondary analysis of Nurse Communication Survey (NCS) data collected in two separate SPEACS-2 studies with ICU nurses and pre-licensure student nurses. ICU nurses completed the post-intervention survey 3 months after SPEACS-2 training, whereas student nurses completed the post-intervention survey 1 year after training.</div></div><div><h3>Results</h3><div>263 ICU nurses and 85 student nurses participated in the survey. Findings suggest a weak-to-moderate positive correlation between avoidance and frustration, indicating that participants who reported greater frustration also tended to report greater avoidance, although the relationship was modest (Spearman's ρ = 0.302, <em>p</em> &lt; 0.0001). The ICU nurse group showed a significant change post-intervention in feeling frustrated (<em>p</em> = 0.0001) but no change in avoidance. Most ICU nurses (84.1%) and student nurses (87.0%) reported never or rarely avoiding contact with patients.</div></div><div><h3>Conclusion</h3><div>The significant reduction in nurse frustration as a result of this communication training intervention may translate into greater nurse satisfaction and better patient experience.</div></div>","PeriodicalId":50740,"journal":{"name":"Applied Nursing Research","volume":"90 ","pages":"Article 152122"},"PeriodicalIF":2.2,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148657193","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":"Development and psychometric validation of a self-report instrument assessing perceived disaster preparedness among Spanish nurses","authors":"José Antonio Cernuda-Martínez,&nbsp;Lidia Llaneza-Méndez,&nbsp;Tatiana Cuartas-Álvarez,&nbsp;Rafael Castro-Delgado","doi":"10.1016/j.apnr.2026.152119","DOIUrl":"10.1016/j.apnr.2026.152119","url":null,"abstract":"&lt;div&gt;&lt;h3&gt;Aim&lt;/h3&gt;&lt;div&gt;To develop and validate SN-READY, a context-specific, self-reporting instrument that measures perceived disaster preparedness and self-efficacy among Spanish registered nurses.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Background&lt;/h3&gt;&lt;div&gt;In light of the escalating frequency and severity of disasters, there is an imperative for a nursing workforce that can respond in an effective and coordinated manner. While the World Health Organization recognises the indispensable role of nurses in disaster health systems, there was previously no validated instrument to measure perceived preparedness specifically within the Spanish nursing context.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Design&lt;/h3&gt;&lt;div&gt;Cross-sectional psychometric validation study.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Method&lt;/h3&gt;&lt;div&gt;A purposive sample of 301 registered Spanish nurses was recruited for the study. Participants were recruited via professional associations, hospital departments and social media. The SN-READY instrument was developed through a systematic literature review and expert content validation (assessed using I-CVI, S-CVI/Ave and modified Kappa). Psychometric validation was achieved through the implementation of a split-sample approach, with a sample size of 150 for the exploratory factor analysis (EFA) and 151 for the confirmatory factor analysis (CFA). The construct validity was analysed using exploratory factor analysis (polychoric correlations, oblique Promax rotation and parallel analysis) and confirmatory factor analysis (the WLSMV estimator). The convergent and discriminant validity of the model were evaluated using factor loadings, average variance extracted (AVE), the Fornell-Larcker criterion and HTMT ratios. The reliability of the system was assessed using three different methods: Cronbach's alpha, McDonald's omega and item-total correlations. The known-groups validity of the study was analysed using the Mann–Whitney &lt;em&gt;U&lt;/em&gt; test.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Results&lt;/h3&gt;&lt;div&gt;The EFA identified five factors of perceived disaster preparedness, accounting for 69.61% of the cumulative variance. The CFA confirmed adequate model fit (chi-square/df = 2.80; CFI = 0.92; TLI = 0.91; RMSEA = 0.07; SRMR = 0.06). The convergent validity of the model was supported by factor loadings greater than 0.40 and AVE values ranging from 0.54 to 0.69. Discriminant validity was confirmed via Fornell-Larcker criterion and HTMT ratios (&lt; 0.90). The reliability of the instrument was found to be excellent, with Cronbach's alpha and McDonald's omega both measuring 0.96, and composite reliability ranging from 0.88 to 0.93. The results of the known-groups analysis demonstrated that nurses with formal disaster training obtained significantly higher scores (&lt;em&gt;p&lt;/em&gt; &lt; .001).&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Conclusions&lt;/h3&gt;&lt;div&gt;The SN-READY scale demonstrates robust content, construct, convergent, and discriminant validity, along with excellent internal consistency. The instrument has been found to be psychometrically sound for the purpose ","PeriodicalId":50740,"journal":{"name":"Applied Nursing Research","volume":"90 ","pages":"Article 152119"},"PeriodicalIF":2.2,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148641530","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":"Chain-mediating effects of psychological capital and pain management self-efficacy on the relationship between perceived organizational support and cancer pain management competency among oncology nurses: A cross-sectional study","authors":"Lujuan Wu,&nbsp;Xianqi Wei,&nbsp;Xuan Chen,&nbsp;Qingling Hua,&nbsp;Jinxia Ding","doi":"10.1016/j.apnr.2026.152123","DOIUrl":"10.1016/j.apnr.2026.152123","url":null,"abstract":"&lt;div&gt;&lt;h3&gt;Background&lt;/h3&gt;&lt;div&gt;Cancer pain management competency among oncology nurses remains suboptimal, although it is essential for improving patient outcomes and quality of care. Existing evidence has primarily focused on individual-level determinants, such as knowledge, clinical experience, and training, whereas less is known about how organizational resources influence this competency. In particular, the psychological mechanisms through which perceived organizational support affects cancer pain management competency remain insufficiently understood.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Aim&lt;/h3&gt;&lt;div&gt;This study aimed to examine the association between perceived organizational support and oncology nurses' cancer pain management competency and to test the chain-mediating roles of psychological capital and pain management self-efficacy.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Methods&lt;/h3&gt;&lt;div&gt;A multicenter cross-sectional survey was conducted among oncology nurses from 48 hospitals in Anhui Province, China, between July and September 2025. Eligible participants were registered nurses with at least one year of oncology nursing experience who provided informed consent. Nurses on leave or visiting nurses were excluded. Data were collected through an online survey comprising measures of demographic and professional characteristics, perceived organizational support, psychological capital, pain management self-efficacy, and cancer pain management competency. Spearman correlation analysis, group comparisons, and structural equation modeling were performed. Bias-corrected bootstrapping with 5000 resamples was used to test mediation effects.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Results&lt;/h3&gt;&lt;div&gt;A total of 391 oncology nurses were included. Most participants were female (98.47%), held a bachelor's degree (91.05%), and worked in tertiary hospitals (86.70%). Perceived organizational support, psychological capital, pain management self-efficacy, and cancer pain management competency were significantly and positively correlated with each other (all &lt;em&gt;P&lt;/em&gt; &lt; 0.01). Structural equation modeling showed that perceived organizational support did not directly predict cancer pain management competency (&lt;em&gt;β&lt;/em&gt; = 0.027; Boot SE = 0.050; 95% CI [−0.068, 0.127]). However, the total indirect effect was significant (&lt;em&gt;β&lt;/em&gt; = 0.399; Boot SE = 0.046; 95% CI [0.313, 0.492]), accounting for 93.7% of the total effect. Two significant indirect pathways were identified: mediation through psychological capital alone (&lt;em&gt;β&lt;/em&gt; = 0.149; Boot SE = 0.042; 95% CI [0.072, 0.239]) and chain mediation through psychological capital and pain management self-efficacy (&lt;em&gt;β&lt;/em&gt; = 0.188; Boot SE = 0.030; 95% CI [0.137, 0.256]). The indirect pathway through pain management self-efficacy alone was not statistically significant (&lt;em&gt;β&lt;/em&gt; = 0.062; Boot SE = 0.035; 95% CI [−0.005, 0.135]).&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Conclusions&lt;/h3&gt;&lt;div&gt;Perceived organizational support was associated with oncology nurses' cancer pain management competenc","PeriodicalId":50740,"journal":{"name":"Applied Nursing Research","volume":"90 ","pages":"Article 152123"},"PeriodicalIF":2.2,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148657087","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":"Artificial intelligence attitudes and ethical sensitivity in patient care among nursing students: A cross-sectional study","authors":"Merve Gözde Sezgin RN, Ph.D. (Lecturer),&nbsp;Hicran Bektaş RN, Ph.D. (Professor)","doi":"10.1016/j.apnr.2026.152120","DOIUrl":"10.1016/j.apnr.2026.152120","url":null,"abstract":"<div><h3>Background</h3><div>The growing integration of artificial intelligence (AI) into healthcare is transforming nursing practice and clinical decision-making. However, evidence regarding the relationship between nursing students' attitudes toward AI and ethical sensitivity remains limited.</div></div><div><h3>Aim</h3><div>This study examined the relationship between nursing students' attitudes toward AI and their ethical sensitivity in patient care and identified factors associated with these variables.</div></div><div><h3>Methods</h3><div>This descriptive, cross-sectional correlational study was conducted with 278 nursing students at a public university in Türkiye. Data were collected through an online survey using the Ethical Sensitivity Questionnaire in Nurses (ESQ<img>N), the Artificial Intelligence Attitude Scale–Short Form (AIAS-4), and a sociodemographic form. Data were analyzed using non-parametric tests, Spearman's correlation, and multiple linear regression analyses.</div></div><div><h3>Results</h3><div>The mean ESQ-N score was 39.82 ± 5.41, and the mean AIAS-4 score was 27.16 ± 6.82. Ethical sensitivity scores differed significantly according to AI ethics education (<em>p</em> = 0.008). AI attitudes differed significantly by academic year (χ²(3) = 8.04, <em>p</em> = 0.018), with fourth-year students reporting higher scores than first-year students (p_adj &lt; 0.05). No significant correlation was found between ESQ-N and AIAS-4 scores (<em>p</em> &gt; 0.05). Regression analyses showed that ethical sensitivity was predicted by academic year and AI ethics education (Adj. R² = 0.13), whereas AI attitudes were predicted only by academic year (Adj. R² = 0.15).</div></div><div><h3>Conclusions</h3><div>Attitudes toward AI and ethical sensitivity appear to represent distinct dimensions of professional competence. Integrating AI-related ethical content into nursing curricula may support the development of both digital and ethical competencies in future nurses.</div></div>","PeriodicalId":50740,"journal":{"name":"Applied Nursing Research","volume":"90 ","pages":"Article 152120"},"PeriodicalIF":2.2,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148641529","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":"Stigma, psychological resilience, and quality of life in caregivers of adolescents with depression: A cross-sectional structural equation study","authors":"Yutong Wang,&nbsp;Ruiming Gu,&nbsp;Wenfen Zhu,&nbsp;Fangyi Wang,&nbsp;Keyi Wen,&nbsp;Xiangyu Li,&nbsp;Yueyue Sun,&nbsp;Shengai Tao,&nbsp;Siqi wang,&nbsp;Yuan Sun,&nbsp;Yixiao Fu","doi":"10.1016/j.apnr.2026.152118","DOIUrl":"10.1016/j.apnr.2026.152118","url":null,"abstract":"<div><h3>Objective</h3><div>This study aimed to investigate the impact of stigma and psychological resilience (PR) on the quality of life (QOL) of these caregivers and to explore the potential mediating role of PR in the relationship between stigma and QOL.</div></div><div><h3>Methods</h3><div>A cross-sectional study was conducted involving 334 primary caregivers of adolescents with depression recruited from two tertiary hospitals in Chongqing, China. Participants completed the Perceived Devaluation-Discrimination Scale (PDD), Psychological Resilience Scale-10 (CD-RISC-10), and the World Health Organization Quality of Life-BREF scale (WHOQOL-BREF).</div></div><div><h3>Results</h3><div>Structural equation modeling revealed that stigma had a direct negative effect on PR. PR, in turn, had a direct positive effect on QOL. After controlling for PR, the direct effect of stigma on QOL was not significant (path cplus:β = −0.102, 95% CI: −0.401, 0.039). The indirect effect of stigma on QOL through PR was statistically significant (β = −0.192, 95% CI:-0.362, −0.088), indicating a full mediation effect of PR.</div></div><div><h3>Conclusion</h3><div>Stigma and PR are significant influence factor of the psychological and social QOL among caregivers of adolescents with depression. PR fully mediates the relationship between stigma and QOL. Interventions focused on enhancing PR may be particularly effective in improving the QOL for this population.</div></div>","PeriodicalId":50740,"journal":{"name":"Applied Nursing Research","volume":"90 ","pages":"Article 152118"},"PeriodicalIF":2.2,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148641531","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":"Development of an integrated AI-VR simulation system for preoperative nursing competency: A pilot study.","authors":"Jeong Lee, Bomi Kim","doi":"10.1016/j.apnr.2026.152133","DOIUrl":"10.1016/j.apnr.2026.152133","url":null,"abstract":"<p><strong>Background: </strong>AI-driven virtual standardized patients (VSPs) integrated within virtual reality (VR) environments offer structured opportunities for safe communication practice in nursing education; however, empirical evidence regarding their preliminary feasibility and educational effects remains limited, particularly in domain-specific clinical contexts such as preoperative nursing care.</p><p><strong>Methods: </strong>This mixed-methods pilot study pursued two objectives: (1) to develop a VR simulation integrating an AI-driven VSP (AI-VSP) for preoperative nursing communication, and (2) to pilot-test its preliminary feasibility and exploratory pre-post effects. Ten third-year nursing students completed a single 50-minute preoperative care simulation using the VIRTI platform (Meta Quest 3). Quantitative data on satisfaction, self-confidence, simulation design perceptions, and immersion were collected using four validated instruments and analysed using paired-samples t-tests with effect sizes and 95% confidence intervals. Qualitative data were collected via semi-structured interviews and analysed using inductive thematic analysis.</p><p><strong>Results: </strong>All four outcome variables showed statistically significant pre-post differences (all p ≤ .004), with large effect sizes (Cohen's d = 1.10-1.75). Qualitative themes indicated realistic conversational learning experiences and perceived clinical relevance, while identifying technical limitations in nonverbal feedback and scenario-level construct alignment as areas for refinement.</p><p><strong>Conclusion: </strong>These preliminary findings suggest that AI-VSP-based VR simulation may offer a feasible and structured pre-clinical learning environment for preoperative nursing communication competency development. Future work should prioritise multimodal feedback enhancement and controlled comparative designs to evaluate educational effectiveness more rigorously.</p>","PeriodicalId":50740,"journal":{"name":"Applied Nursing Research","volume":" ","pages":"152133"},"PeriodicalIF":2.2,"publicationDate":"2026-07-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148722719","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":"Work–family conflict and coping strategies as predictors of emotional exhaustion in nurses","authors":"Gamze Kars ,&nbsp;Nevin Günaydın","doi":"10.1016/j.apnr.2026.152092","DOIUrl":"10.1016/j.apnr.2026.152092","url":null,"abstract":"<div><h3>Background</h3><div>Nursing is a profession characterized by intensive workloads, shift work, and high emotional demands, often leading to conflicts between work and family roles. Work–family conflict has been associated with emotional exhaustion and coping strategies among nurses.</div></div><div><h3>Aim</h3><div>This study aimed to examine the relationships between nurses' work–family conflict, emotional exhaustion, and coping attitudes.</div></div><div><h3>Methods</h3><div>This descriptive and correlational study was conducted with 240 nurses working in public hospitals in Türkiye. Data were collected using standardized measurement tools. Correlation analyses, group comparisons, and hierarchical regression analyses were performed. A priori power analysis indicated a minimum sample size of 200 participants.</div></div><div><h3>Results</h3><div>The mean work–family conflict score was 33.78 ± 11.45, the mean emotional exhaustion score was 20.50 ± 6.49, and the mean coping attitudes score was 83.62 ± 9.73. Work–family conflict emerged as the strongest predictor of emotional exhaustion (β = 0.434, <em>p</em> &lt; .001). Better evaluation of working conditions (β = −0.299, p &lt; .001) and not bringing work-related problems home (β = −0.160, <em>p</em> &lt; .05) were associated with lower emotional exhaustion. The final regression model explained 49.3% of the variance in emotional exhaustion (R² = 0.493).</div></div><div><h3>Conclusion</h3><div>Work–family conflict was identified as the primary factor associated with emotional exhaustion among nurses. Coping strategies did not remain significant in the final model, suggesting that organizational and role-related factors may play a more central role. These findings highlight the importance of interventions targeting work–family balance and improving working conditions in nursing practice<em>.</em></div></div>","PeriodicalId":50740,"journal":{"name":"Applied Nursing Research","volume":"89 ","pages":"Article 152092"},"PeriodicalIF":2.2,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148145313","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":"Early clinical transition and professional adaptation among newly graduated nurses in post-pandemic clinical settings","authors":"Fen-Fang Chung RN, PhD ,&nbsp;Jung-Mei Tsai RN, PhD ,&nbsp;Yu-Hsia Lee RN, MSN ,&nbsp;Guey-Hau Wu RN, PhD ,&nbsp;Pao-Yu Wang RN, PhD ,&nbsp;Ming-Hsiang Tu RN, PhD ,&nbsp;Mei-Hsiang Lin RN, EdD","doi":"10.1016/j.apnr.2026.152096","DOIUrl":"10.1016/j.apnr.2026.152096","url":null,"abstract":"<div><h3>Aim</h3><div>To explore how newly graduated nurses experience early clinical transition and professional adaptation in post-pandemic clinical settings.</div></div><div><h3>Background</h3><div>Transitioning from student to registered nurse is a critical period often accompanied by work-related stress, role adjustment challenges, and difficulties in applying theoretical knowledge to practice. Changes in post-pandemic clinical environments have further increased job demands, highlighting the need for structured support and practical strategies to facilitate early workplace learning.</div></div><div><h3>Methods</h3><div>This descriptive qualitative study recruited thirty newly graduated nurses to participate in semi-structured individual interviews. Data were analyzed using content analysis to identify key patterns in participants' experiences and support needs during early clinical transition.</div></div><div><h3>Results</h3><div>Four themes were identified: developing situated clinical competence through real-world clinical exposure, knowledge application and clinical reasoning, navigating emotional turbulence and fostering resilience, and negotiating emerging professional identity in clinical contexts. Participants reported initial challenges during early clinical transition, with adaptation facilitated by experiential learning, mentorship, and supportive clinical environments.</div></div><div><h3>Conclusions</h3><div>Structured orientation, ongoing guidance, and supportive clinical environments help newly graduated nurses cope with work stress, build resilience, and integrate into professional roles. These strategies also contribute to better nurse retention and improved patient care in both post-pandemic and routine healthcare settings.</div></div>","PeriodicalId":50740,"journal":{"name":"Applied Nursing Research","volume":"89 ","pages":"Article 152096"},"PeriodicalIF":2.2,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148145235","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}