Applied Nursing Research最新文献

{"title":"Correlation between perceived and actual diabetes knowledge among nurses in an outpatient setting","authors":"Shannon Knapp ,&nbsp;Melissa Matras ,&nbsp;Susan Cotey ,&nbsp;James Bena ,&nbsp;Sarah Kirschling ,&nbsp;Lee Anne Siegmund","doi":"10.1016/j.apnr.2025.151944","DOIUrl":"10.1016/j.apnr.2025.151944","url":null,"abstract":"<div><h3>Background</h3><div>Nurses' perceived basic diabetes knowledge may not align with actual knowledge of diabetes basics. Prior to this study, little was known about basic diabetes knowledge among outpatient nurses.</div></div><div><h3>Method</h3><div>Surveys were used to collect data to identify differences between perceived and actual knowledge among outpatient nurses and data were analyzed using Kruskal-Wallis and Spearman's correlation as appropriate.</div></div><div><h3>Results</h3><div>There were 492 participants. Perceived knowledge was associated with actual (<em>p</em> = 0.009); however, the effect size was small (<em>r</em> = 0.12), indicating an unlikely correlation. Actual knowledge scores were higher for those who obtained diabetes information from job experience, recent continuing education, and those who reported having diabetes. Item discrimination showed higher overall test scores with higher item scores (&gt;0.15).</div></div><div><h3>Conclusions</h3><div>Correlation between actual and perceived knowledge was negligible, indicating nurses may think they have high diabetes knowledge when they may not. Results reflect the need for ongoing diabetes continuing education for outpatient nurses, regardless of specialty.</div></div>","PeriodicalId":50740,"journal":{"name":"Applied Nursing Research","volume":"83 ","pages":"Article 151944"},"PeriodicalIF":2.7,"publicationDate":"2025-03-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143697695","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":"Severity of insomnia and stress perception as a chained mediator between perceived social support and somatic symptoms in Chinese's nurses","authors":"Xiaoyan Qi ,&nbsp;Qian Zhao ,&nbsp;Wenru Wang","doi":"10.1016/j.apnr.2025.151940","DOIUrl":"10.1016/j.apnr.2025.151940","url":null,"abstract":"<div><h3>Background</h3><div>Social support is crucial for reducing nurses' somatic symptoms and insomnia, which are linked to stress perception. Understanding these relationships can help explain somatic symptom mechanisms in nursing staff.</div></div><div><h3>Methods</h3><div>We studied 293 front-line nurses using scales for perceived stress, social support, insomnia severity, and somatic symptoms. We analyzed the data with Pearson correlations and SPSS mediation model.</div></div><div><h3>Results</h3><div>Greater perceived social support was associated with fewer somatic symptoms, lower insomnia severity, and less perceived stress. Insomnia severity was linked to stress perception and somatic symptoms. Stress perception also correlated with somatic symptoms. Social support indirectly predicted somatic symptoms through insomnia severity and stress perception, explaining 6.62% of the total effect.</div></div><div><h3>Conclusion</h3><div>Social support indirectly affects somatic symptoms in nurses, with insomnia severity and stress perception playing a mediating role. This finding highlights the importance of addressing these factors to reduce somatic symptoms in nursing staff.</div></div>","PeriodicalId":50740,"journal":{"name":"Applied Nursing Research","volume":"83 ","pages":"Article 151940"},"PeriodicalIF":2.7,"publicationDate":"2025-03-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143632157","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":"Delirium in older adults following traumatic brain injury during the acute stage: Validation of the Chinese version of the confusion assessment method","authors":"Chia-Jou Lin RN ,&nbsp;Yun-Hsuan Lai RN, MSN ,&nbsp;Donna Marie Fick RN, PhD ,&nbsp;Chia-Chi Hsiao RN ,&nbsp;Yi-Chen Chen RN ,&nbsp;Sheng-Wen Huang MD ,&nbsp;Hsiao-Yean Chiu RN, PhD","doi":"10.1016/j.apnr.2025.151943","DOIUrl":"10.1016/j.apnr.2025.151943","url":null,"abstract":"<div><h3>Aim</h3><div>To translate and validate the confusion assessment method into traditional Chinese (CAM-TC) and explore the incidence of delirium following traumatic brain injury (TBI) in the ward setting.</div></div><div><h3>Background</h3><div>The CAM is a widely recognized tool for screening delirium, but it has not been translated into Traditional Chinese version, and it has seldom been used to assess delirium in TBI survivors in general wards.</div></div><div><h3>Methods</h3><div>Patients aged 20 years or older, diagnosed with TBI, and with a Glasgow Coma Scale (GCS) score of 9 or higher at admission were included. The <em>Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition, Text Revision</em> (<em>DSM-5-TR</em>) criteria were employed as the gold standard. Cohen's kappa was used to calculate inter-rater reliability.</div></div><div><h3>Results</h3><div>Our study enrolled 100 patients with a mean age of 68.5 years and mild TBI. Post-TBI delirium was diagnosed in 10 % of the sample using <em>DSM-5-TR</em> criteria. A subset of 10 patients was selected for inter-rater reliability analysis, and a kappa value of 1.0 was obtained. The sensitivity, specificity, and area under the receiver operating characteristic curve values were 0.90, 0.98, and 0.94, respectively.</div></div><div><h3>Conclusions</h3><div>The CAM-TC is a reliable tool for screening delirium following TBI in the ward setting. Our findings provide new insights into post-TBI delirium in this environment. Implementing an applicable delirium screening tool for post-TBI patients could facilitate further research on prevention and intervention strategies.</div></div>","PeriodicalId":50740,"journal":{"name":"Applied Nursing Research","volume":"83 ","pages":"Article 151943"},"PeriodicalIF":2.7,"publicationDate":"2025-03-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143628795","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 association of depression, anxiety, stress, and quality of life with the presence or absence of chronic obstructive pulmonary disease in lung cancer patients","authors":"Canan Bozkurt ,&nbsp;Hülya Bulut","doi":"10.1016/j.apnr.2025.151933","DOIUrl":"10.1016/j.apnr.2025.151933","url":null,"abstract":"<div><h3>Aim</h3><div>This study examines the association between mental health symptoms (depression, anxiety, and stress) and quality of life (QoL) in lung cancer patients, stratified by the presence or absence of chronic obstructive pulmonary disease (COPD). It also identified predictors of physical and mental QoL.</div></div><div><h3>Background</h3><div>Lung cancer and COPD frequently coexist due to shared risk factors, such as smoking, which compounds physical and psychological burdens. Despite this, limited research has explored how this comorbidity affects mental health and QoL.</div></div><div><h3>Methods</h3><div>This cross-sectional study included 456 hospitalized lung cancer patients, of whom 235 had COPD. Depression, anxiety, and stress were assessed using the DASS-21, while QoL was measured using the SF-12. Multiple regression analyses were conducted to identify predictors of QoL.</div></div><div><h3>Results</h3><div>Patients with COPD reported significantly higher levels of depression, anxiety, and stress (p &lt; .05). Stress was a significant negative predictor of physical QoL (adjusted R²: 0.103, p &lt; .001), while COPD and anxiety significantly negatively predicted mental QoL (adjusted R²: 0.128, p &lt; .001).</div></div><div><h3>Conclusions</h3><div>COPD exacerbates psychological distress and worsens QoL in lung cancer patients. Stress and anxiety significantly impair physical and mental QoL, underscoring the need for integrated care.</div></div><div><h3>Implications for practice</h3><div>Holistic care approaches that address stress and anxiety, promote smoking cessation, and provide personalized treatments are essential for improving QoL and outcomes in this vulnerable population.</div></div>","PeriodicalId":50740,"journal":{"name":"Applied Nursing Research","volume":"83 ","pages":"Article 151933"},"PeriodicalIF":2.7,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143579123","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":"Spiritual interventions on physical and psychological outcomes in adults receiving haemodialysis: A systematic review and meta-analysis of randomized controlled studies","authors":"Şefika Tuğba Yangöz ,&nbsp;Selma Turan Kavradim ,&nbsp;Zeynep Özer","doi":"10.1016/j.apnr.2025.151918","DOIUrl":"10.1016/j.apnr.2025.151918","url":null,"abstract":"<div><h3>Background</h3><div>Adults receiving haemodialysis experience several physical and psychological problems. Recently, spiritual interventions have been commonly performed for haemodialysis, but evidence of their effectiveness is lacking.</div></div><div><h3>Aim</h3><div>To synthesize the effects of spiritual interventions on physical and psychological problems in haemodialysis.</div></div><div><h3>Methods</h3><div>The study protocol was registered with PROSPERO. We searched 11 electronic databases from inception to August 2024. Participants included: 1) adults 18 years and older receiving haemodialysis for at least three months; 2) studies implementing spiritual interventions; 3) studies evaluating spiritual interventions' effects on physical and psychological outcomes. Data synthesis was undertaken using Comprehensive Meta-analysis version 3. Random-effects meta-analysis was conducted to pool effects of interventions. The Grading of Recommendations, Assessment, Development, and Evaluations assessed evidence certainty.</div></div><div><h3>Results</h3><div>Twelve trials with 869 participants were included. Only one trial assessed physical outcomes, so they weren't included in the meta-analysis. For psychological outcomes, this intervention was not effective for anxiety and depression symptoms, with low-quality evidence. This intervention showed a medium positive effect on improving hope, with high-quality evidence. Subgroup analysis demonstrated that spiritual intervention, with or without prayer, was effective, and there was no difference between these variables in improving hope. Additionally, eight spiritual intervention sessions were more effective than fewer than eight sessions in improving hope for haemodialysis population.</div></div><div><h3>Conclusions</h3><div>This meta-analysis shows that spiritual interventions moderately improve hope with high-quality evidence but do not affect anxiety and depression symptoms in haemodialysis. Nurses and health professionals can use these interventions to enhance hope as evidence-based practice in haemodialysis.</div></div>","PeriodicalId":50740,"journal":{"name":"Applied Nursing Research","volume":"83 ","pages":"Article 151918"},"PeriodicalIF":2.7,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143681689","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":"Does confidence mirror competence? Outcomes following Stop the Bleed® training among lay community members","authors":"Allison R. Jones ,&nbsp;Rebekah D. Day ,&nbsp;Penni I. Watts","doi":"10.1016/j.apnr.2025.151928","DOIUrl":"10.1016/j.apnr.2025.151928","url":null,"abstract":"<div><h3>Aim</h3><div>To evaluate and compare pre- and post-STB training outcomes of bleeding control knowledge, willingness to act and confidence in doing so.</div></div><div><h3>Background</h3><div>Stop the Bleed® (STB) training improves trainees' willingness to intervene in pre-hospital bleeding emergencies and confidence in doing so, but few studies report associated knowledge-based outcomes.</div></div><div><h3>Methods</h3><div>A cross-sectional, observational study was performed using a pre-/post-test approach. Lay community members aged ≥18 who read and spoke English were included. On enrollment, participants completed the Stop the Bleed Training Survey (STB-TS) (five self-assessment and three knowledge-based items), and provided demographics and work history data; the STB-TS was completed again immediately after training. Descriptive statistics were used to characterize the sample. Paired <em>t</em>-tests were used to compare STB-TS self-assessment items. McNemar's Test was used to compare proportions of correct answers to STB-TS knowledge-based items.</div></div><div><h3>Results</h3><div>Trainees (<em>N</em> = 31) had a mean age of 33 ± 16 years, identified as mostly female (58.1 %) and people of color (54.8 %), and reported little experience with bleeding control emergencies. Total STB-TS scores increased from 14.4 ± 6.7 to 17.0 ± 10.8 (<em>p</em> = .26), indicating greater knowledge, confidence, and willingness to act. Correct response rates increased significantly from pre- to post-training (27.6 % vs 69.2 %, <em>p</em> = .003) on only one of the knowledge-based items: proper tourniquet application.</div></div><div><h3>Discussion</h3><div>Findings suggest a disconnect among trainees' willingness to act and confidence in doing so compared to their knowledge of bleeding control intervention. Incorporating use of high-fidelity simulation and standardized evaluation instruments may enhance content and skill mastery.</div></div>","PeriodicalId":50740,"journal":{"name":"Applied Nursing Research","volume":"82 ","pages":"Article 151928"},"PeriodicalIF":2.7,"publicationDate":"2025-02-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143520592","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 balance mediates self-efficacy and subjective well-being among nurses in Chinese intensive care units: A cross-sectional study","authors":"Lating Zhang ,&nbsp;Xianzhen Jin ,&nbsp;Na Cheng ,&nbsp;Ruhua Wang ,&nbsp;Xinhui Liang ,&nbsp;Haiyan Fan ,&nbsp;Xue Jiang","doi":"10.1016/j.apnr.2025.151932","DOIUrl":"10.1016/j.apnr.2025.151932","url":null,"abstract":"<div><h3>Background</h3><div>ICU nurses frequently confront lengthy working hours, elevated job intensity, heavy medical responsibilities, round-the-clock shifts, and a comparatively closed working environment. The high-risk, high-intensity, high-stress nature of the profession may prompt nurses to consider resignation, culminating in a significant shortage of nursing staff, adversely affecting the health and well-being of nurses. Necessitating a comprehensive investigation into the factors influencing their subjective well-being and the interrelations among these factors, thereby establishing a theoretical foundation for a more focused intervention program aimed at enhancing the subjective well-being of nurses.</div></div><div><h3>Methods</h3><div>This study employed a cross-sectional design in accordance with STROBE criteria. Two hundred forty-seven ICU nurses from four tertiary general hospitals were intentionally chosen to take an online survey. Metrics encompassed self-efficacy, work-family balance, and subjective well-being.</div></div><div><h3>Results</h3><div>The findings demonstrated that self-efficacy strongly influenced nurses' work-family balance and subjective well-being. The work-family balance served as a mediating factor in the association between self-efficacy and subjective well-being. Mediation analysis indicated a substantial overall influence of self-efficacy on subjective well-being (β = 0.758, p &lt; 0.01). In addition, self-efficacy had a direct effect on subjective well-being (β = 0.575, p &lt; 0. 01), on work-family balance (β = 0.458, p &lt; 0. 01), and work-family balance had a direct effect on subjective well-being (β = 0.399, p &lt; 0.01).</div></div><div><h3>Conclusion</h3><div>This study found that among nurses in ICU have moderate levels of self-efficacy and subjective well-being, which are positively correlated. This suggests that improving the self-efficacy and work-family balance of ICU nurses may help enhance their subjective well-being levels.</div></div>","PeriodicalId":50740,"journal":{"name":"Applied Nursing Research","volume":"82 ","pages":"Article 151932"},"PeriodicalIF":2.7,"publicationDate":"2025-02-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143488761","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":"Self-care in patients with a Left Ventricular Assist Device (LVAD): A systematic review","authors":"Federica Dellafiore ,&nbsp;Luca Guardamagna ,&nbsp;Morgana Milani ,&nbsp;Lorenzo Casole ,&nbsp;Gloria Modena ,&nbsp;Orejeta Diamanti ,&nbsp;Pierpaolo Servi ,&nbsp;Alessia Trenta ,&nbsp;Tiziana Nania","doi":"10.1016/j.apnr.2025.151929","DOIUrl":"10.1016/j.apnr.2025.151929","url":null,"abstract":"<div><h3>Background</h3><div>Self-care is essential for patient with chronic conditions such as heart failure. Self-care facilitates adaptation in patients with a Left Ventricular Assist Device (LVAD), improving their outcomes and preventing complications. Currently, no studies provide an overview of self-care in people with LVADs.</div></div><div><h3>Objective</h3><div>The present literature review aims to summarize the current scientific evidence relating to self-care behaviors in this population.</div></div><div><h3>Methods</h3><div>A systematic review with narrative synthesis was conducted. The databases consulted were Medline, Scopus, and CHINAL, and free research was performed on Google Scholar. The review included all the articles whose titles, abstracts, and text were considered relevant to the research purpose. The PRISMA flowchart was used to choose all the appropriate studies, and the final sample was deemed pertinent to the SPIDER methodology. Finally, the studies were subjected to a critical assessment of the methodological quality.</div></div><div><h3>Results</h3><div>Of the 487 studies initially identified, 15 met the inclusion criteria. This review provides a comprehensive overview of self-care behaviors in LVAD patients across all dimensions of self-care: self-care maintenance, self-care monitoring, self-care management, and self-care Confidence. Findings indicate that self-care positively influences LVAD patients by facilitating adaptation to the device and enhancing quality of life.</div></div><div><h3>Conclusions</h3><div>Self-care is crucial in LVAD patients, facilitating their adaptation and improving their outcomes. Health education focused on self-care appears particularly relevant in this population, but a more in-depth investigation is needed.</div></div>","PeriodicalId":50740,"journal":{"name":"Applied Nursing Research","volume":"82 ","pages":"Article 151929"},"PeriodicalIF":2.7,"publicationDate":"2025-02-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143510958","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":"Turnover intention, collaboration and competences of intensive care unit nurses: A descriptive correlational study","authors":"Miyase Avcı PhD ,&nbsp;Ahmet Avcı PhD","doi":"10.1016/j.apnr.2025.151930","DOIUrl":"10.1016/j.apnr.2025.151930","url":null,"abstract":"","PeriodicalId":50740,"journal":{"name":"Applied Nursing Research","volume":"82 ","pages":"Article 151930"},"PeriodicalIF":2.7,"publicationDate":"2025-02-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143509141","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":"Use of multimedia shared decision-making aids (EATING program) for improving advance care planning engagement among community-dwelling older adults with chronic diseases: A cluster randomized controlled trial","authors":"Lu-Yen Anny Chen PhD ,&nbsp;Chu-Ying Huang RN, MSc ,&nbsp;Yueh-Hsin Wang MD ,&nbsp;Po-Chin Yang MD ,&nbsp;Hsiao-Ting Chang MD, PhD ,&nbsp;Ming-Hwai Lin MD, PhD ,&nbsp;Tzu-Ting Huang PhD ,&nbsp;Cheng-Pei Lin PhD","doi":"10.1016/j.apnr.2025.151931","DOIUrl":"10.1016/j.apnr.2025.151931","url":null,"abstract":"<div><h3>Background</h3><div>Discussing advance care planning (ACP) preferences for nasogastric tube (NG) insertion remains challenging among older adults. Multimedia decision-making aids have demonstrated potential to enhance understanding and support informed decision-making.</div></div><div><h3>Aim</h3><div>To evaluate the effectiveness of the EATING program (multimedia decision-making aids + traditional educational module) compared to usual care (traditional educational module alone) in improving ACP readiness on NG insertion for community older adults with chronic illness.</div></div><div><h3>Methods</h3><div>A single blind, two-arm parallel cluster randomized controlled trial was conducted across four community villages in Northern Taiwan. Participants from two villages received the EATING program, while the other two villages received the usual care. Eligible criteria included community older adults aged ≥65 with at least one chronic disease who were able to provide informed consent. Exclusion criteria included hearing or visual impairments or a history of mental illness. Pre- and post-intervention outcomes, along with one-month follow-up data, were analyzed using descriptive statistics and generalized estimating equations.</div></div><div><h3>Results</h3><div>Both groups showed significant immediate improvements in knowledge (<em>p</em> &lt; 0.001), belief/behavior (p &lt; 0.001), decision confidence (<em>p</em> &lt; 0.001), and readiness for ACP (p &lt; 0.001). The experimental group showed greater improvement, particularly in emotional response and preferences (Z = -5.51, <em>p</em> &lt; 0.001), observed only in this group. Sustained effect on knowledge (B = 35.029, p &lt; 0.001), emotional response and preferences (B = 9.342, p &lt; 0.001), refusal NG tube insertion (Z = -2.770, <em>p</em> = 0.006), and likelihood of signing official documents (<em>p</em> = 0.035) were observed after one month.</div></div><div><h3>Conclusion</h3><div>The study highlights the potential of multimedia program to enhance NG insertion discussions among community older adults. Further qualitative investigations and cultural adaptation are recommended.</div></div>","PeriodicalId":50740,"journal":{"name":"Applied Nursing Research","volume":"82 ","pages":"Article 151931"},"PeriodicalIF":2.7,"publicationDate":"2025-02-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143453243","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}