Journal of Nursing Scholarship最新文献

{"title":"Young Women Diagnosed With Breast Cancer: Why Is No One Telling Me to Get a Mammogram?","authors":"Bonnie Jerome-D'Emilia, Patricia Suplee, Emma Meyers, Kahyun Yoon-Flannery","doi":"10.1111/jnu.70122","DOIUrl":"10.1111/jnu.70122","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>The incidence of breast cancer (BC) is increasing in women younger than 40 years of age. In this age group, BC is the most frequent cancer-related cause of death. These women are also ineligible for regular mammogram screening programs and often present with more aggressive cancer subtypes with worse clinicopathologic features, and these women are rarely diagnosed preclinically. Yet many young women are not aware that they may be at risk for this cancer. The aim of this study was to provide an in-depth understanding of an early onset breast cancer diagnosis by interviewing women who have this lived experience.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Design</h3>\u0000 \u0000 <p>This study used a qualitative descriptive design.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Women were recruited through collaboration with a community breast cancer coalition and an urban cancer center. The eligibility criteria were women who had been diagnosed with breast cancer before the age of 40, who spoke English, and who lived within proximity to the cancer center. A semi-structured interview guide was developed by two of the researchers who have previously collaborated on qualitative studies of women diagnosed with BC. The interview guide included 25 questions beginning with a broad request for the women to describe their breast cancer journey. Content analysis was used to analyze the data.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Thirty women were interviewed for this study. The average age at diagnosis was 34.4. The themes that were found included: (1) Finding a Lump; (2) Finding Out You Have Breast Cancer; (3) Telling Your Parents and Children; and (4) Making Decisions: Fertility.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Emotional, psychological, and socio-cultural factors are different in young women diagnosed with BC, as compared to older women. Delays in diagnosis were common, as almost all were symptomatic when diagnosed. Research is needed to understand the patient, provider, and system-related factors that lead to delays in diagnosis and treatment. These young women, who will likely live a much longer portion of their lives beyond their cancer diagnosis, are asking for this research to be done.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Clinical Relevance</h3>\u0000 \u0000 <p>Screening guidelines exclude women under 40 years of age in all countries with organized screening programs; therefore, few women under the age of 40 are diagnosed preclinically. These often late dia","PeriodicalId":51091,"journal":{"name":"Journal of Nursing Scholarship","volume":"58 5","pages":""},"PeriodicalIF":3.9,"publicationDate":"2026-08-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148708385","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Patient's Voice in Advanced Practice Nursing: A Qualitative Systematic Review of Lived Experiences","authors":"Qin Hu,&nbsp;Wei Tan,&nbsp;Shanshan Liu,&nbsp;Li Tang,&nbsp;Yan Jiang","doi":"10.1111/jnu.70127","DOIUrl":"10.1111/jnu.70127","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aims</h3>\u0000 \u0000 <p>This review aims to synthesize qualitative evidence on patients' lived experiences of advanced practice nursing.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Design</h3>\u0000 \u0000 <p>Qualitative systematic review.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Data Sources</h3>\u0000 \u0000 <p>The studies included in this review were sourced from PubMed, Web of Science, The Cochrane Library, Embase, and CINAHL. Studies were limited to those published from database inception to March 5, 2026.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Review Methods</h3>\u0000 \u0000 <p>The review adhered to the Enhancing Transparency in Reporting the Synthesis of Qualitative Research (ENTREQ) guidelines. Two independent reviewers screened titles, abstracts, and full-text articles to assess eligibility for inclusion. Data were extracted and analyzed using thematic synthesis. Confidence in findings was assessed using the CERQual approach.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Thirty-seven studies were included. Five themes emerged from patients' accounts: (1) feeling seen and heard through therapeutic presence; (2) understanding illness through explanation and dialogue; (3) building trust through competence and respect; (4) gaining confidence and agency in self-management; and (5) experiencing coherent and coordinated care across services.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Patients experienced advanced practice nursing as a relational, educational, and coordinating form of care. APNs were valued not only for their advanced clinical expertise but also for the way they listened, explained, built trust, supported patient agency, and helped patients navigate fragmented healthcare systems. These findings suggest that the effectiveness of APN care is closely linked to relational continuity, individualized communication, and system-level coordination.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Clinical Relevance</h3>\u0000 \u0000 <p>Understanding patients' lived experiences of advanced practice nursing can help nurses and healthcare organizations strengthen patient-centred care. The findings highlight the importance of protecting time for listening, supporting clear and individualized communication, building trustful partnerships, encouraging patient participation, and recognizing APNs' role in coordinating care across complex healthcare systems.</p>\u0000 </section>\u0000 </div>","PeriodicalId":51091,"journal":{"name":"Journal of Nursing Scholarship","volume":"58 5","pages":""},"PeriodicalIF":3.9,"publicationDate":"2026-08-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148708402","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Professional Nurses Engagement in Non-Nursing Work? An Examination of Reasons and Outcomes","authors":"Joyce J. Fitzpatrick","doi":"10.1111/jnu.70111","DOIUrl":"10.1111/jnu.70111","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Purpose</h3>\u0000 \u0000 <p>To critically examine the effect on professional nurses' engagement in non-nursing tasks on nurse, patient, and organizational outcomes.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Research undertaken in several countries indicates that a significant amount of nurses' time is spent in non-direct nursing care, often in non-nursing tasks. Negative outcomes of professional nurses' time spent on non-nursing tasks have been identified, including missed nursing care and burnout and turnover among nurses. Challenges for change in care delivery are addressed.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>There are multiple opportunities for workforce redesign, including extending the applications of technology in care delivery. Nurse leaders and professional nurses must seize opportunities to engage in solutions to current challenges of nursing work, particularly within hospitals, to focus professional nursing work directly on patient care that leads to optimal health outcomes.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Clinical Relevance</h3>\u0000 \u0000 <p>Reducing the non-nursing work for clinical nurses will reduce the overall workload and potentially lead to positive nurse and patient outcomes.</p>\u0000 </section>\u0000 </div>","PeriodicalId":51091,"journal":{"name":"Journal of Nursing Scholarship","volume":"58 4","pages":""},"PeriodicalIF":3.9,"publicationDate":"2026-07-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13405005/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148609854","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"From Crisis Response to Recovery: A Two-Wave Qualitative Study of Nursing Leadership Trajectories in Italy (2020–2025)","authors":"Nertila Podgorica,&nbsp;Gerhard Müller,&nbsp;Dhurata Ivziku,&nbsp;Daniela Tartaglini,&nbsp;Susanne Perkhofer","doi":"10.1111/jnu.70117","DOIUrl":"10.1111/jnu.70117","url":null,"abstract":"&lt;div&gt;\u0000 \u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Introduction&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;Nursing leadership was pivotal during the acute COVID-19 response, yet less is known about how crisis-era leadership practices persisted, changed, or were replaced by new responsibilities during recovery. This study explored nursing leadership trajectories in Italy from the first pandemic wave to 5 years later.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Design&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;Two-wave qualitative study with a longitudinal follow-up subsample and a supplementary 2025 refreshment sample, conducted within a descriptive–interpretive orientation.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Methods&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;Semi-structured interviews were conducted with nurse managers and staff nurses in Italian public healthcare settings at two time points: Phase 1 (August–December 2020; &lt;i&gt;n&lt;/i&gt; = 22) and Phase 2 (June–September 2025; &lt;i&gt;n&lt;/i&gt; = 22). Nine participants were re-interviewed and 13 were newly recruited in 2025, yielding 44 interviews with 35 unique participants. Interviews were transcribed in Italian and analyzed using team-based thematic analysis with a hybrid deductive–inductive strategy. Deductive sensitizing domains were derived from the 2020 dataset and nursing leadership literature, while inductive analysis identified issues newly prominent in 2025. For returning participants, within-case summaries supported longitudinal comparison. Reporting followed COREQ and SRQR guidance.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Results&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;Findings are reported as patterns of continuity, change, and newly prominent phenomena rather than as uniform within-person change across the full sample. Six themes described leadership trajectories: (1) sustaining emotional support and compassionate leadership; (2) adaptive leadership and system learning; (3) leading digital adoption and technology-enabled care; (4) ethical challenges and moral resilience; (5) coordinating post-COVID pathways across settings; and (6) workforce stewardship, shortages, and retention efforts. Across waves, participants described leadership as shifting from immediate crisis reassurance and improvisation toward institutionalized preparedness, digital change work, cross-sector coordination, and workforce advocacy.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Conclusion&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;Within this sample, nursing leadership was described as moving from acute crisis containment toward a broader portfolio of organizational, ethical, digital, and workforce-oriented responsibilities in the post-pandemic period.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Clinical Relevance&lt;/h3&gt;\u0000 ","PeriodicalId":51091,"journal":{"name":"Journal of Nursing Scholarship","volume":"58 4","pages":""},"PeriodicalIF":3.9,"publicationDate":"2026-07-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148594170","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Growing in the Shadow of Mental Illness: Quality of Life, Health Status, Social Functioning, and Health Care Utilization Among Adults to Parents With Severe Mental Illness","authors":"Alexander Shestiperov,&nbsp;Ilya Kagan,&nbsp;Orli Grinstein-Cohen","doi":"10.1111/jnu.70118","DOIUrl":"10.1111/jnu.70118","url":null,"abstract":"&lt;div&gt;\u0000 \u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Introduction&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;Adults who grow up with a parent with severe mental illness are exposed to prolonged developmental adversity, yet little is known about how this experience shapes multidimensional outcomes in adulthood. In particular, the roles of personal adaptive resources, childhood trauma, parental bonding, and morbidity in influencing quality of life, social functioning, and healthcare utilization remain insufficiently understood. This study aimed to examine the relationships between personal adaptive resources (resilience and general self-efficacy), childhood experiences (trauma and parental bonding), and adult outcomes, including quality of life, social functioning, morbidity, and healthcare utilization, as well as to examine the moderating role of resilience.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Design&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;A cross-sectional quantitative design was employed.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Methods&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;A convenience sample of 300 adults who grew up with a parent with severe mental illness completed a self-report questionnaire which consisted of validated scales for study variables: Personal Wellbeing Index-Adult, Connor-Davidson Resilience Scale-10, New General Self-Efficacy Scale, Social Functioning Questionnaire, Parental Bonding Instrument, Childhood Trauma Questionnaire, and EUROHIS survey items for morbidity and healthcare utilization. Data were analyzed using Spearman correlations, hierarchical multiple linear regression, negative binomial regression, and moderation analysis using PROCESS.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Results&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;Resilience and self-efficacy independently predicted higher quality of life. Childhood trauma and parental overprotection independently predicted poorer social functioning, while parental care did not contribute unique variance in multivariate models. Childhood trauma significantly predicted morbidity, and morbidity was associated with increased healthcare utilization. Resilience did not moderate the relationship between childhood trauma and either morbidity or social functioning, indicating independent rather than interactive effects.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Conclusion&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;Among adults who grew up with a parent with SMI, resilience and self-efficacy function as independent contributors to subjective wellbeing, while childhood adversity and morbidity shape long-term social and health outcomes. Resilience does not appear to buffer the long-term effects of trauma on health o","PeriodicalId":51091,"journal":{"name":"Journal of Nursing Scholarship","volume":"58 4","pages":""},"PeriodicalIF":3.9,"publicationDate":"2026-07-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13402340/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148594128","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Effect of a Mindfulness-Based Stress Reduction (MBSR) Program on Quality of Life, Life Satisfaction, Sleep Quality, and Mental Well-Being in Menopausal Women: A Randomized Controlled Trial","authors":"Ebru Solmaz,&nbsp;Aslı Sis Çelik","doi":"10.1111/jnu.70116","DOIUrl":"10.1111/jnu.70116","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>Menopause affects nearly one-third of women's lives and is associated with a wide range of physical and psychological symptoms—including sleep disturbances, mood fluctuations, and reduced quality of life—that represent a significant public health concern. While pharmacological treatments carry well-documented risks, evidence-based non-pharmacological interventions such as Mindfulness-Based Stress Reduction (MBSR) remain understudied in this population, particularly with respect to multiple psychosocial outcomes.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Purpose</h3>\u0000 \u0000 <p>This study aimed to evaluate the effects of a Mindfulness-Based Stress Reduction (MBSR) program on quality of life, life satisfaction, sleep quality, and mental well-being among menopausal women.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Design</h3>\u0000 \u0000 <p>A randomized controlled trial with a pretest–posttest control group design.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>The study was conducted between February 28 and December 22, 2025, at a primary healthcare center in Türkiye. A total of 84 menopausal women were included (intervention: <i>n</i> = 43; control: <i>n</i> = 41). Data were collected using the Utian Quality of Life Scale, Riverside Life Satisfaction Scale, Pittsburgh Sleep Quality Index, and Warwick–Edinburgh Mental Well-Being Scale. The intervention group participated in an 8-week MBSR program, while the control group received no intervention. Data were analyzed using IBM SPSS Statistics (version 26.0).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Findings</h3>\u0000 \u0000 <p>Compared with the control group, participants in the MBSR group demonstrated significant improvements in quality of life, life satisfaction, and mental well-being, along with significant reductions in sleep disturbances (<i>p</i> &lt; 0.001). Within-group analyses showed significant improvements across all outcomes in the intervention group (<i>p</i> &lt; 0.001), whereas no significant changes were observed in the control group (<i>p</i> &gt; 0.05).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>The MBSR program was associated with improvements in psychosocial well-being and sleep quality among menopausal women. These findings suggest that MBSR may be a beneficial non-pharmacological approach for managing menopausal symptoms.</p>\u0000 </section>\u0000 </div>","PeriodicalId":51091,"journal":{"name":"Journal of Nursing Scholarship","volume":"58 4","pages":""},"PeriodicalIF":3.9,"publicationDate":"2026-07-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148594193","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Longitudinal Trajectories and Determinants of Fear of Falling in Post-Stroke Patients","authors":"Xiaomeng Han,&nbsp;Mingming Zhong,&nbsp;Wenxiu Niu,&nbsp;Fei Zheng,&nbsp;Yuhan Sha,&nbsp;Xin Feng,&nbsp;Ruiyuan Yin,&nbsp;Panpan Li,&nbsp;Fangli Ma,&nbsp;Ying Ren,&nbsp;Zhigang Zhang","doi":"10.1111/jnu.70115","DOIUrl":"10.1111/jnu.70115","url":null,"abstract":"&lt;div&gt;\u0000 \u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Objective&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;Fear of falling is a common and serious psychological challenge after stroke, yet its longitudinal patterns remain poorly understood. Current evidence often fails to capture individual heterogeneity in recovery trajectories. This study aimed to identify distinct longitudinal trajectories of fear of falling and explore associated factors to inform targeted rehabilitation strategies in post-stroke patients.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Design&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;A prospective longitudinal study.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Methods&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;From August 2023 to December 2024, we enrolled 166 stroke patients from the neurology wards of two hospitals in Lanzhou, China, forming a hospital-based sample within an urban healthcare setting. Fear of falling was assessed using a single-item question and the Short Falls Efficacy Scale-International at four time points: 2 weeks, 1 month, 3 months, and 6 months post-stroke. Data were analyzed using latent class growth modeling in Mplus 8.0.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Results&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;The prevalence of fear of falling was 48.8%, 49.4%, 45.8%, and 34.3% at 2 weeks, 1 month, 3 months, and 6 months, respectively. Mean Short Falls Efficacy Scale-International scores were 11.30 (±4.74), 9.84 (±3.40), 9.61 (±3.13), and 8.00 (±1.22) at these time points. Three distinct fear of falling trajectories were identified: high-level continuous decline (20.48%), medium-level steady decline (26.51%), and low-level fear (53.01%). Age, anxiety levels, and depression levels were significant factors associated with these trajectories.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Conclusion&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;Fear of falling after stroke demonstrates heterogeneous longitudinal trajectories that are significantly influenced by age, anxiety, and depression. These findings highlight the importance of individualized assessment and targeted psychological support during stroke rehabilitation.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Clinical Relevance&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;Fear of falling is a dynamic psychological challenge during stroke recovery. Routine screening for fear of falling, anxiety, and depression may help nurses identify patients at risk for persistent fear trajectories. Tailored rehabilitation and psychological interventions may improve rehabilitation participation and recovery outcomes.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Patient or Public Contribution&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;No patient or public engagement.&lt;/p&gt;","PeriodicalId":51091,"journal":{"name":"Journal of Nursing Scholarship","volume":"58 4","pages":""},"PeriodicalIF":3.9,"publicationDate":"2026-07-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148431364","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Citizenship Fatigue as a Mediator Between Compulsory Citizenship Behavior and Work–Life Balance Among Nurses","authors":"Şehrinaz Polat,&nbsp;Hanife Tiryaki Şen,&nbsp;Dilek Özdemir Ürkmez","doi":"10.1111/jnu.70112","DOIUrl":"10.1111/jnu.70112","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>Nurses' compulsory citizenship behaviors can negatively impact work–life balance over time, both directly and through citizenship fatigue.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Design</h3>\u0000 \u0000 <p>It is a cross-sectional descriptive study.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>This study aimed to examine the relationships between compulsory citizenship behavior, citizenship fatigue, and work–life balance among nurses.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Data were collected from 499 nurses working in a public hospital in a provincial setting in İstanbul (Türkiye) between August 1, 2025, and September 20, 2025. Data were collected using the Citizenship Fatigue Scale, the Compulsory Citizenship Behavior Scale, and the Work–Life Balance Scale. Analyses included descriptive statistics, Pearson correlations, and mediation analyses using the PROCESS macro for SPSS. The STROBE reporting method, which is one of the EQUATOR guidelines, was followed.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Nurses reported moderate levels of compulsory citizenship behavior, citizenship fatigue, and work–life balance. Compulsory citizenship behavior was positively associated with citizenship fatigue and negatively associated with work–life balance, while citizenship fatigue was negatively associated with work–life balance (<i>p</i> &lt; 0.05). Mediation analysis indicated that citizenship fatigue partially mediated the relationship between compulsory citizenship behavior and work–life balance (<i>p</i> &lt; 0.05).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Compulsory citizenship behavior and citizenship fatigue are key organizational factors that undermine nurses' ability to maintain a healthy work–life balance by accelerating resource loss processes.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Clinical Relevance</h3>\u0000 \u0000 <p>This study aims to guide the development of strategies that reduce citizenship fatigue and improve work–life balance by examining the relationship between nurses' workloads and their voluntary behaviors in the clinic.</p>\u0000 </section>\u0000 </div>","PeriodicalId":51091,"journal":{"name":"Journal of Nursing Scholarship","volume":"58 4","pages":""},"PeriodicalIF":3.9,"publicationDate":"2026-07-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/jnu.70112","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148431340","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Workplace Incivility and Suicidal Ideation in Nurses: A Cross-Sectional Study Assessing Independent, Cumulative, and Latent Risk Profiles","authors":"Fangming Cui,&nbsp;Yaqi Wang,&nbsp;Shuang Nie,&nbsp;Naixue Cui,&nbsp;Xuan Zhang,&nbsp;Fenglin Cao","doi":"10.1111/jnu.70113","DOIUrl":"10.1111/jnu.70113","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>Nurses face significantly higher rates of workplace incivility and suicide risk than the general population. However, the magnitude of this association remains unquantified empirically. This study aims to determine the association between nurses' experiences of workplace incivility and suicidal ideation, and to explore the independent, cumulative, and pattern-specific associations between incivility from various sources and suicidal ideation.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Design</h3>\u0000 \u0000 <p>Cross-sectional study.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>This cross-sectional study employed convenience sampling to enroll 2337 eligible nurses, who provided valid responses during July–August 2024. Suicidal ideation was assessed using two items from the National Comorbidity Survey, and the workplace incivility was assessed by the Nursing Incivility Scale. Logistic regression analysis was used to examine overall, independent, cumulative, and latent-profile-analysis-derived associations between workplace incivility experiences and suicidal ideation.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Workplace incivility experience significantly elevated risk of suicidal ideation after adjustment for confounders. Nurse-initiated workplace incivility demonstrated the strongest association with elevated suicidal ideation risk, surpassing workplace incivility from other sources including physicians and patients. A dose–response relationship was also observed between cumulative workplace incivility experience among nurses and increased risk of suicidal ideation. Nurses in the “high incivility” pattern and “patient and physician incivility” pattern exhibited a higher risk of suicidal ideation compared to nurses in the “low incivility” pattern.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Nurses experiencing workplace incivility demonstrate a heightened risk of suicidal ideation.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Clinical Relevance</h3>\u0000 \u0000 <p>Workplace incivility experienced by nurses was associated with an increased risk of suicidal ideation. Medical institutions and nursing managers are encouraged to consider workplace incivility in routine screening and intervention efforts for suicide prevention.</p>\u0000 </section>\u0000 </div>","PeriodicalId":51091,"journal":{"name":"Journal of Nursing Scholarship","volume":"58 4","pages":""},"PeriodicalIF":3.9,"publicationDate":"2026-07-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148400088","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Member Benefits","authors":"Susan Gennaro","doi":"10.1111/jnu.70114","DOIUrl":"10.1111/jnu.70114","url":null,"abstract":"","PeriodicalId":51091,"journal":{"name":"Journal of Nursing Scholarship","volume":"58 4","pages":""},"PeriodicalIF":3.9,"publicationDate":"2026-07-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148400080","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}