Applied Nursing Research最新文献

{"title":"Psychological capital and organizational culture as mediators between workplace bullying type and its consequences for male nurses","authors":"Byung-Kul Lee ,&nbsp;Young Sook Roh","doi":"10.1016/j.apnr.2026.152048","DOIUrl":"10.1016/j.apnr.2026.152048","url":null,"abstract":"<div><h3>Background</h3><div>Workplace bullying among nurses has gained prominence as a crucial societal concern. Although previous studies have examined gender differences in workplace bullying and have often reported no significant differences by gender, research focusing specifically on the experiences of male nurses remains relatively limited.</div></div><div><h3>Purpose</h3><div>This study aimed to examine the impact of workplace bullying types on the consequences and to explore the mediating roles of psychological capital and nursing organizational culture among male nurses.</div></div><div><h3>Methods</h3><div>This study was a cross-sectional descriptive survey with a convenience sample of 175 male nurses. Participants completed a web-based self-administered questionnaire. A mediation analysis was conducted to examine the indirect effects of psychological capital and organizational culture on the relationships between workplace bullying types and their consequences.</div></div><div><h3>Results</h3><div>The type of workplace bullying had a significant direct effect on its consequences and a partial indirect effect via psychological capital. Nursing organizational culture did not significantly mediate this relationship. The model explained 49.7% of the variance in consequences.</div></div><div><h3>Conclusions</h3><div>These findings suggest that the type of workplace bullying directly affects the consequences, and psychological capital partially mediates this relationship. Enhancing psychological capital may help mitigate the negative outcomes of workplace bullying, whereas the nursing organizational culture showed no significant mediating effect.</div></div>","PeriodicalId":50740,"journal":{"name":"Applied Nursing Research","volume":"87 ","pages":"Article 152048"},"PeriodicalIF":2.2,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145976749","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":"Nurses' psychological impact of caring for patients with LVADs: Patients, providers, & caregivers “triangle of relationships”","authors":"John C. Mikovits ,&nbsp;Kayla Biege","doi":"10.1016/j.apnr.2025.152044","DOIUrl":"10.1016/j.apnr.2025.152044","url":null,"abstract":"<div><div>Nurses risk developing psychological distress due to the nature of their work environments and patient populations. Nurses caring for Left Ventricular Assist Device (LVAD) patients are at risk of distress related to stressful care requirements, patient relationships, and ethical dilemmas.</div></div><div><h3>Objectives</h3><div>To explore the impact of caring for patients with LVADs on nurses' psychological health and examine strategies for stress management.</div></div><div><h3>Methods</h3><div>A descriptive, qualitative study was completed using a semi-structured interview process. Interviews with registered nurses working in various roles and settings included predetermined questions to provide structure while allowing for open-ended elaboration of the topic from the participant's perspective through natural conversation.</div></div><div><h3>Findings</h3><div>Five themes were developed from interviews with nurses and include <em>Caring for the LVAD Instead of the Patient; Right Implant, Wrong Patient; Complex and Connected Care; Mental Exhaustion and Life Balance; Effective Coping and Semi-effective Resources.</em></div></div><div><h3>Conclusions</h3><div>The results of the study provide implications for nursing practice and education surrounding the use of LVADs while highlighting the importance of emotional and mental health support in the workplace to decrease the burden experienced by nurses caring for these patients.</div></div><div><h3>Implications for clinical practice</h3><div>The complexity of relationships with patients with LVADs and their multidisciplinary teams creates a workplace culture that fails to prioritize mental health support for nurses caring for these patients. Current support for nurses caring for patients with LVADs is not effective. Clinical practice settings would benefit in supporting nurses' mental health to allow them to remain mentally present, resilient, and effective clinically.</div></div>","PeriodicalId":50740,"journal":{"name":"Applied Nursing Research","volume":"87 ","pages":"Article 152044"},"PeriodicalIF":2.2,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145924784","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":"Effectiveness of an online mindfulness-based stress reduction program for nurses in high-stress occupational settings during the COVID-19 pandemic","authors":"Ching-Wen Hsieh ,&nbsp;Wan-Na Sun ,&nbsp;Hui-Ying Chiang ,&nbsp;Shih-Feng Weng ,&nbsp;Yi-Fen Hsu ,&nbsp;Erica Yu ,&nbsp;Hsin-Tien Hsu","doi":"10.1016/j.apnr.2025.152032","DOIUrl":"10.1016/j.apnr.2025.152032","url":null,"abstract":"<div><h3>Background</h3><div>Frontline nurses face heavy infection control demands, rotating shifts, and psychological stress, leading to pandemic fatigue and reduced resilience. Evidence on mindfulness-based stress reduction (MBSR) for this group remains limited.</div></div><div><h3>Aims</h3><div>To evaluate the effectiveness of an online MBSR program on pandemic-related fatigue and resilience among nurses in COVID-19–designated wards.</div></div><div><h3>Method</h3><div>A convergent parallel mixed-methods design was used. Sixty nurses were assigned to the MBSR (<em>n</em> = 30) or control (n = 30) groups. The six-week online program included weekly 90-min sessions. Data were collected at baseline (T1), week 3 (T2), and week 6 (T3). Seven MBSR participants also completed qualitative interviews.</div></div><div><h3>Results</h3><div>At baseline, both groups demonstrated moderate levels of pandemic fatigue and resilience. The MBSR group showed a significant reduction in pandemic fatigue at T3 (<em>p</em> &lt; 0.001) but not at T2 (<em>p</em> = 0.057), and significant improvements in resilience at both T2 (<em>p</em> &lt; 0.001) and T3 (<em>p</em> &lt; 0.001). Compared with the control group, the MBSR group exhibited significantly greater reductions in fatigue at T2 (<em>p</em> = 0.007) and T3 (<em>p</em> &lt; 0.001), as well as greater improvements in resilience at T2 (p &lt; 0.001) and T3 (p &lt; 0.001). Qualitative analysis further identified four themes illustrating participants' experiences of the program.</div></div><div><h3>Conclusions</h3><div>This study provides preliminary evidence that an online MBSR program may help alleviate pandemic fatigue and strengthen resilience among frontline nurses. Integrating digital mindfulness programs into occupational health initiatives could support nurses' mental well-being and compassionate care in high-stress clinical settings.</div></div><div><h3>Trial registration</h3><div><span><span>ClinicalTrials.gov</span><svg><path></path></svg></span> identifier no. <span><span>NCT06433544</span><svg><path></path></svg></span> (<span><span>https://clinicaltrials.gov/study/NCT06433544</span><svg><path></path></svg></span>).</div></div>","PeriodicalId":50740,"journal":{"name":"Applied Nursing Research","volume":"87 ","pages":"Article 152032"},"PeriodicalIF":2.2,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145693554","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":"Factors influencing nurses' safety voices about patient safety concerns: A cross-sectional study","authors":"Shinae Ahn","doi":"10.1016/j.apnr.2025.152046","DOIUrl":"10.1016/j.apnr.2025.152046","url":null,"abstract":"<div><h3>Aim</h3><div>This study aimed to examine the relationships among perceived concerns about patient safety, patient safety culture, systems thinking, and nurses' safety voices.</div></div><div><h3>Background</h3><div>Nurses' speaking up behavior is a crucial strategy for enhancing patient safety and preventing incidents in hospital settings. As patient advocates, nurses should be encouraged to speak up appropriately when they encounter situations that threaten patient safety.</div></div><div><h3>Methods</h3><div>A descriptive cross-sectional design was used. Questionnaires were used to collect data on socio-demographic information, perceived concerns about patient safety, patient safety culture, systems thinking, and safety voices. An online survey tool was used from May 25 to June 30, 2023. This study was conducted in South Korea, and 235 clinical nurses participated. Data were analyzed using multiple linear regression analysis and Hayes' PROCESS macro with the bootstrap method.</div></div><div><h3>Results</h3><div>Perceived concerns about patient safety, patient safety culture (‘communication openness’ and ‘handoffs and information exchange’) and job tenure were significant predictors of both types of safety voices. Patient safety culture partially mediated the relationship between perceived concerns about patient safety and speaking up (β = −0.087, 95 % confidence interval: −0.160 to −0.032), and also between perceived concerns about patient safety and withholding voice (β = 0.140, 95 % confidence interval: 0.069 to 0.222).</div></div><div><h3>Conclusions</h3><div>Creating a supportive and open communication environment that fosters information sharing is essential for encouraging nurses to voice their opinions regarding patient safety. Further research is needed to develop and implement assertive communication programs for clinical nurses.</div></div>","PeriodicalId":50740,"journal":{"name":"Applied Nursing Research","volume":"87 ","pages":"Article 152046"},"PeriodicalIF":2.2,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145924785","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":"Mediating effects of depressive and heart failure symptoms in their associations with quality of life in patients with heart failure","authors":"Seongkum Heo ,&nbsp;Jisun Yang ,&nbsp;KyungAh Cho ,&nbsp;JinShil Kim","doi":"10.1016/j.apnr.2025.152039","DOIUrl":"10.1016/j.apnr.2025.152039","url":null,"abstract":"<div><h3>Aim</h3><div>To test the bidirectional mediating relationships among heart failure (HF) symptoms, depressive symptoms, and health-related quality of life (HRQoL) in patients with HF, controlling for age, functional status, comorbidity, self-care, and self-care self-efficacy.</div></div><div><h3>Background</h3><div>Patients with HF often have poor HRQoL. HF and depressive symptoms affect HRQoL, suggesting their potential mediating roles. However, these associations have not been investigated in patients with HF.</div></div><div><h3>Methods</h3><div>In this cross-sectional, correlational study, data on all study variables and sociodemographic and clinical characteristics were collected from 54 patients with HF (mean age = 67.5). The PROCESS macro for SPSS was used to address the purpose.</div></div><div><h3>Results</h3><div>More severe HF symptoms (<em>p</em> &lt; 0.001) were significantly associated with more severe depressive symptoms, and both symptoms (<em>p</em> = 0.007 and <em>p</em> = 0.005, respectively) were significantly associated with poorer HRQoL (F = 7.947, R² = 0.619, p &lt; 0.001), after controlling for covariates (indirect effect: effect = 0.309, bootstrap 95 % CI = 0.045–0.648). By contrast, HF symptoms did not mediate the relationship between depressive symptoms and HRQoL.</div></div><div><h3>Conclusions</h3><div>Both depressive and HF symptoms play critical roles in the HRQoL; however, their mechanisms differ. Depressive symptoms were only directly associated, whereas HF symptoms were directly and indirectly associated with HRQoL. Healthcare providers and researchers should prioritize improving HF symptoms and addressing depressive symptoms to improve HRQoL in patients with HF.</div></div>","PeriodicalId":50740,"journal":{"name":"Applied Nursing Research","volume":"87 ","pages":"Article 152039"},"PeriodicalIF":2.2,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145693553","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":"Nurses' decisions to recognize and respond to deterioration not meeting rapid response system activation criteria: A qualitative descriptive study","authors":"Gabrielle Burdeu ,&nbsp;Bodil Rasmussen ,&nbsp;Grainne Lowe ,&nbsp;Julie Considine","doi":"10.1016/j.apnr.2025.152040","DOIUrl":"10.1016/j.apnr.2025.152040","url":null,"abstract":"<div><div>To explore and describe nurses’ assessment and management decisions to recognize and respond to patient deterioration not meeting rapid response system (RRS) activation criteria.</div><div>Nurses’ decision-making in response to deterioration that meets RRS activation criteria is well documented. RRSs are activated when deterioration meets pre-defined criteria or from clinicians’ concern, escalating care to teams of suitably qualified clinicians. Most deterioration is expected from illness and treatment and is managed within nurses’ clinical role. Safe healthcare relies on nurses’ surveillance for patient changes to prevent deterioration progressing towards RRS activation criteria. Evidence does not examine nurses’ safety role in response to expected deterioration occurring from acute illness and treatment. Studies examining nurses’ decision making in response to patient changes have limitations in designs that rely on self-report and retrospective audits.</div><div>Informed by Tanner’s Clinical Judgment Model, a qualitative descriptive study was conducted using non-participant observations of nurse-patient interactions followed by semistructured interviews between January and May 2021. Twenty nurses participated. Verbatim transcripts were analyzed using reflexive thematic analysis. First, nurses make targeted assessment decisions based on their prediction of patients’ risk of deterioration. Second, subjective assessment was perceived by nurses as highly sensitive in identifying early signs of deterioration. Third, nurses’ concern for patients prompted further assessment to inform safety-related judgments.</div><div>This study reaffirms nurses’ essential safety role for patients who experience deterioration during their hospitalization. Further research should evaluate nurses’ concern and subjective assessment to recognize deterioration to contribute to the evidence-based approach to patient assessment.</div></div>","PeriodicalId":50740,"journal":{"name":"Applied Nursing Research","volume":"87 ","pages":"Article 152040"},"PeriodicalIF":2.2,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145883886","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":"Cross-cultural adaptation and psychometric validation of an Arabic version of the 12-item Zarit burden interview","authors":"Eman Alhalal RN, MScN, PhD","doi":"10.1016/j.apnr.2025.152021","DOIUrl":"10.1016/j.apnr.2025.152021","url":null,"abstract":"<div><h3>Background</h3><div>Globally, there is a demand for long-term care, driven by an aging population and the prevalence of chronic diseases. Informal caregivers play a role in contributing to healthcare services. The Zarit Burden Interview (ZBI-12) is one of the several scales that assess caregiver burden; however, its psychometric evaluation is lacking in the Arab context.</div></div><div><h3>Aim</h3><div>To test the internal consistency, structural validity (factor structure), and convergent validity of the 12-item ZBI translated version among informal caregivers.</div></div><div><h3>Design</h3><div>A cross-sectional, multiregional study.</div></div><div><h3>Methods</h3><div>A random sample of 476 informal caregivers was recruited from 11 cities across four regions in Saudi Arabia. After translating the ZBI-12, assessing content validity, and conducting pilot testing, a structured telephone interview was conducted. For exploratory and confirmatory factor analysis, the full sample was randomly split into two subsamples. To assess its convergent validity, a correlation analysis was conducted with the psychological distress scale. Internal consistency was assessed.</div></div><div><h3>Results</h3><div>Structural validity analysis supported the three-factor model: role strain, personal strain, and guilt. A positive correlation with psychological distress (<em>r</em><span><math><mo>=</mo></math></span>0.461) supported convergent validity. Internal consistency was evidenced by the Cronbach's alpha coefficient (α<span><math><mo>=</mo></math></span>0.929) and McDonald's omega (ω <span><math><mo>=</mo></math></span>0.923).</div></div><div><h3>Conclusion</h3><div>The study demonstrates evidence that the Arabic ZBI-12 is a psychometrically robust scale. The availability of this version provides healthcare providers with a screening tool to identify caregiver burden in Arabic-speaking populations. It can be used in guiding evidence-based interventions. The scale has implications for cross-cultural research and the development of health policies related to Arab informal caregiving.</div></div>","PeriodicalId":50740,"journal":{"name":"Applied Nursing Research","volume":"86 ","pages":"Article 152021"},"PeriodicalIF":2.2,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145363497","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":"Analysis of factors influencing empathy fatigue among emergency nurses based on the Conservation of Resources theory","authors":"Min Dai ,&nbsp;Ningxiang Li ,&nbsp;Yizhu Gao ,&nbsp;Zhenfei Yuan","doi":"10.1016/j.apnr.2025.152030","DOIUrl":"10.1016/j.apnr.2025.152030","url":null,"abstract":"<div><h3>Aim</h3><div>The present study, grounded in the Conservation of Resources theory, aimed to investigate the levels of empathy fatigue among emergency department nurses.</div></div><div><h3>Background</h3><div>Empathy fatigue is prevalent among emergency department nurses and is largely attributed to external factors, such as stress. However, the underlying psychological mechanisms of these factors remain underexplored.</div></div><div><h3>Methods</h3><div>Using a cross-sectional survey design, data were collected from emergency department nurses across 22 general tertiary care hospitals. The survey included a general demographic questionnaire, the Chinese version of the Professional Quality of Life Scale, the Ruminative Thinking Scale, Pittsburgh Sleep Quality Index, and the Mental Capital Scale. Empathy fatigue was assessed using a specialized quality-of-life scale, with high scores indicating high levels of empathy fatigue.</div></div><div><h3>Results</h3><div>The overall empathy fatigue score among emergency department nurses was 86.35 ± 20.34, with an average score of 2.87 ± 0.68. The mean scores for the dimensions, ranked in descending order, were as follows: burnout (3.01 ± 0.70), empathy satisfaction (2.92 ± 0.87), and secondary traumatic stress (2.70 ± 0.74). Univariate analysis indicated that marital status, residence, education, work area, job title, position, rotating shifts, and night shifts significantly influenced empathy fatigue scores. Multiple linear regression analysis identified ruminative thinking, sleep quality, educational level, work area, and position as significant predictors of empathy fatigue.</div></div><div><h3>Conclusion</h3><div>This study confirms a high incidence of empathy fatigue among emergency department nurses. Nursing administrators should focus on high-risk individuals and develop targeted prevention strategies.</div></div>","PeriodicalId":50740,"journal":{"name":"Applied Nursing Research","volume":"86 ","pages":"Article 152030"},"PeriodicalIF":2.2,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145571669","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":"Sleep quality and predicting factors among patients undergoing hemodialysis: A descriptive cross sectional study","authors":"Eman A. Badr ,&nbsp;Fahad M. Alhowaymel ,&nbsp;Abdulaziz F. Abaoud","doi":"10.1016/j.apnr.2025.152016","DOIUrl":"10.1016/j.apnr.2025.152016","url":null,"abstract":"<div><h3>Background</h3><div>Many patients with end-stage renal disease (ESRD) undergoing hemodialysis encounter sleep disturbances. This study aimed to assess the quality of sleep and identify the factors predicting it among patients undergoing hemodialysis.</div></div><div><h3>Methods</h3><div>A descriptive, cross-sectional design was used. The study was carried out in the hemodialysis unit at Zagazig University Hospitals. A convenient sample of 81 patients who were receiving hemodialysis was selected. Data collected by using Patient Interview Questionnaire, Factors Affecting Sleep Pattern Questionnaire, and Pittsburgh Sleep Quality Index (PSQI). ANOVA test was utilized for data analysis.</div></div><div><h3>Results</h3><div>93.8 % of patients exhibited poor sleep quality (PSQI &gt;5). The mostly reported factors that could affect patients' sleep pattern were daytime napping (67.9 %), sharing a room with others (79 %), pruritus (79 %), muscle cramps (79 %), chronic pain (79 %), and feel of weakness (86.4 %). There was a statistical significant relation between sleep quality and comorbidity (<em>P</em> = 0.004), skin problems (<em>P</em> = 0.001). A strong positive statistical significant correlation was found between sleep quality and age, dialysis duration, schedule/week, session/h, health problems, and factors affecting sleep pattern with (P = 0.001). Health problems, education, age, and occupation were statistically significant predictors affecting sleep quality detected by the step wise multiple linear regression.</div></div><div><h3>Conclusion</h3><div>Sleep quality is poor among the majority of patients. The reported factors that may affect their sleep pattern were daytime napping, sharing a room with others, skin itching, muscle cramps, persistent pain, and feel of weakness. The predicting factors affecting sleep quality were health problems, education, age, and occupation.</div></div>","PeriodicalId":50740,"journal":{"name":"Applied Nursing Research","volume":"86 ","pages":"Article 152016"},"PeriodicalIF":2.2,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145061093","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":"Exploration of nurses' knowledge and perceptions regarding palliative care in the oncology context in Morocco","authors":"Mohamed Aboufaras ,&nbsp;Fahd Elkhalloufi ,&nbsp;Loubna Zarouali ,&nbsp;Chaimae Sahir ,&nbsp;Rachid Fares","doi":"10.1016/j.apnr.2025.152025","DOIUrl":"10.1016/j.apnr.2025.152025","url":null,"abstract":"<div><h3>Introduction</h3><div>Despite the growing need for palliative care, limited evidence exists on Moroccan nurses' knowledge and perceptions in this field, representing a critical gap that may affect the quality of patient care. Addressing this gap is essential to ensure effective palliative care delivery. Therefore, this study aimed to assess Moroccan nurses' knowledge and perceptions of palliative care and to identify factors influencing their competencies in this area.</div></div><div><h3>Methods</h3><div>A cross-sectional analytical study was conducted among Moroccan nurses between April 2023 and April 2024. An anonymized online questionnaire (Palliative Care Quiz for Nursing) was distributed. Data were analyzed using descriptive and inferential statistics with R/RStudio and Excel software.</div></div><div><h3>Results</h3><div>A total of 480 nurses participated in the study. Overall, nurses demonstrated limited knowledge of palliative care, with a mean score of 5.6/20, corresponding to a 28.53 % correct response rate, particularly low in the psychological and spiritual dimensions. Independent predictors of a higher level of knowledge included male gender (OR = 5.46, <em>p</em> &lt; 0.001), professional experience exceeding 16 years (OR = 2.12, <em>p</em> = 0.001), and training in oncology or palliative care (OR = 3.53, <em>p</em> = 0.006).</div></div><div><h3>Conclusion</h3><div>The study reveals a low level of palliative care knowledge among nurses in Morocco, despite institutional efforts. It recommends the early integration of palliative care into health systems, the development of multidisciplinary teams, access to essential medications, and the creation of educational programs tailored to low-resource settings.</div></div>","PeriodicalId":50740,"journal":{"name":"Applied Nursing Research","volume":"86 ","pages":"Article 152025"},"PeriodicalIF":2.2,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145519893","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}