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Investigating Digital Health Information Literacy Effects on Public Hospitals' Nursing Personnel Combating the COVID-19 Pandemic. 调查数字卫生信息素养对公立医院护理人员应对COVID-19大流行的影响
IF 2.5
Creative Nursing Pub Date : 2026-08-01 Epub Date: 2026-06-02 DOI: 10.1177/10784535261453095
Christina Vaina, Angeliki Flokou, Maria Elisavet Psomiadi, Petros Kostagiolas
{"title":"Investigating Digital Health Information Literacy Effects on Public Hospitals' Nursing Personnel Combating the COVID-19 Pandemic.","authors":"Christina Vaina, Angeliki Flokou, Maria Elisavet Psomiadi, Petros Kostagiolas","doi":"10.1177/10784535261453095","DOIUrl":"10.1177/10784535261453095","url":null,"abstract":"<p><p>This study investigated the relationship between health information-seeking behavior (HISB), digital health literacy, and fear of COVID-19 among Greek nursing staff during the pandemic. Utilizing a cross-sectional design grounded in Wilson's Model of Information-Seeking Behavior, a structured questionnaire was administered to 120 licensed professionals at a regional general hospital. The primary objective was to examine how informational needs and literacy levels correlated with psychological responses, specifically the fear of the virus. Results indicated that nursing staff were highly motivated to seek information regarding COVID-19 treatments and patient protocols. Younger and less experienced staff favored official sources, such as journals and formal training. While overall levels of fear of COVID-19 were generally low, significant variations emerged based on demographics; male staff and those aged over 51 reported higher anxiety. Furthermore, fear of COVID-19 was found to be negatively correlated with satisfaction with available information. These findings emphasized the necessity of empowering digital health literacy and tailoring informational resources to mitigate fear and enhance professional preparedness during public health crises.</p>","PeriodicalId":54104,"journal":{"name":"Creative Nursing","volume":" ","pages":"357-369"},"PeriodicalIF":2.5,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148145612","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Beyond Tradition: Building the Organizational Infrastructure for Nursing Innovation. 超越传统:建立护理创新的组织基础设施。
IF 2.5
Creative Nursing Pub Date : 2026-08-01 Epub Date: 2026-07-29 DOI: 10.1177/10784535261472789
Mariana Da Costa, Jamie V Da Costa
{"title":"Beyond Tradition: Building the Organizational Infrastructure for Nursing Innovation.","authors":"Mariana Da Costa, Jamie V Da Costa","doi":"10.1177/10784535261472789","DOIUrl":"10.1177/10784535261472789","url":null,"abstract":"<p><p>BackgroundInnovation is increasingly recognized as essential to addressing complex health-care challenges, including workforce shortages, rising costs, health inequities, and growing demands for high-quality care. Although nurses are uniquely positioned to identify opportunities for improvement, innovation efforts often encounter organizational barriers that limit their development and dissemination.PurposeTo synthesize evidence on the organizational conditions that support nursing innovation and propose a conceptual framework to guide innovation capacity within health-care organizations.MethodsAn integrative conceptual synthesis was conducted using literature from nursing, health-care innovation, organizational science, psychology, design, and innovation. Evidence was synthesized to identify recurring organizational conditions, processes, and structures associated with nursing innovation, and to develop the Nursing Innovation Ecosystem Model.ResultsThe literature suggests that innovation is best understood as an organizational capability rather than solely an individual attribute. Recurring organizational conditions included psychological safety, design thinking, protected time and resources, innovation structures, interdisciplinary collaboration, and organizational learning. These findings informed the proposed Nursing Innovation Ecosystem Model, which conceptualizes innovation as a dynamic organizational ecosystem in which individual nurse agency, organizational conditions, organizational processes, and organizational outcomes continuously interact to generate, sustain, and spread innovation.ConclusionsSustainable nursing innovation requires more than developing innovative individuals; it requires organizational environments that intentionally support innovation. The proposed Nursing Innovation Ecosystem Model provides a conceptual framework to guide leadership, education, organizational strategy, and future research aimed at strengthening nursing innovation capacity and supporting sustainable practice transformation.</p>","PeriodicalId":54104,"journal":{"name":"Creative Nursing","volume":" ","pages":"318-330"},"PeriodicalIF":2.5,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148622499","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Task Shifting in a Public Hospital Rhinology Clinic: A Nurse-Led Assessment Process. 公立医院鼻科诊所的任务转移:护士主导的评估过程。
IF 2.5
Creative Nursing Pub Date : 2026-08-01 Epub Date: 2026-06-02 DOI: 10.1177/10784535261453383
Ellie Shimizu, Sarah Barnett, Mohamedbaqir Rassan, Andrew J Wood
{"title":"Task Shifting in a Public Hospital Rhinology Clinic: A Nurse-Led Assessment Process.","authors":"Ellie Shimizu, Sarah Barnett, Mohamedbaqir Rassan, Andrew J Wood","doi":"10.1177/10784535261453383","DOIUrl":"10.1177/10784535261453383","url":null,"abstract":"<p><p>BackgroundPublicly funded health services face persistent challenges in meeting demand for specialty care, particularly in rhinology. Task shifting-the redistribution of clinical tasks from specialists to trained non-specialists-may offer a strategy to optimize health-care delivery. This study evaluates the outcomes of a nurse-led assessment pathway within an outpatient rhinology service in New Zealand.MethodsTo address increased demand for rhinology services, a registered nurse (RN) at Waikato Hospital was trained to perform initial assessments for patients referred for undifferentiated chronic nasal symptoms. We describe outcomes of this approach over the initial 18-month period.ResultsA total of 309 patients were assessed through the nurse-led pathway. The average wait time from referral to assessment decreased when compared to the specialist-led clinic. Most patients were discharged with a treatment plan that did not require specialist care. Patient feedback indicated high satisfaction with the nurse-led consultation.ConclusionTask shifting offers a promising solution to address resource constraints in publicly funded health-care systems. Nurse-led assessments can enhance efficiency and optimize care delivery without compromising quality. These findings suggest that task-shifting may be broadly applied to improve outcomes in other resource-constrained health-care settings.</p>","PeriodicalId":54104,"journal":{"name":"Creative Nursing","volume":" ","pages":"450-456"},"PeriodicalIF":2.5,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148145545","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Protective Effects of Perceived Social Support on Anxiety in Health-Care Environments: A Cross-Sectional Analysis of Professional Subgroups. 医疗环境中感知社会支持对焦虑的保护作用:专业亚组的横断面分析
IF 2.5
Creative Nursing Pub Date : 2026-08-01 Epub Date: 2026-06-24 DOI: 10.1177/10784535261459637
Aikaterini Toska, Ioanna Dimitriadou, Maria Oikonomopoulou, Evangelos C Fradelos, Ioanna V Papathanasiou, Pavlos Sarafis, Maria Saridi
{"title":"Protective Effects of Perceived Social Support on Anxiety in Health-Care Environments: A Cross-Sectional Analysis of Professional Subgroups.","authors":"Aikaterini Toska, Ioanna Dimitriadou, Maria Oikonomopoulou, Evangelos C Fradelos, Ioanna V Papathanasiou, Pavlos Sarafis, Maria Saridi","doi":"10.1177/10784535261459637","DOIUrl":"10.1177/10784535261459637","url":null,"abstract":"<p><p>Health-care workers are at an elevated risk of anxiety due to their high emotional and operational demands. While social support is recognized as a buffer against psychological distress, little is known about how its protective role differs according to sex, marital status, and departmental setting. A cross-sectional survey was conducted at a regional general hospital in Greece, with 162 health-care professionals. Participants completed the State-Trait Anxiety Inventory and Multidimensional Scale of Perceived Social Support. The data were analyzed using correlation, regression, and PROCESS-based mediation and moderation models. Perceived social support was significantly and negatively associated with both state and trait anxiety. Regression analysis showed that social support was a robust independent predictor of lower anxiety. Female participants reported higher anxiety levels, which was partially mediated by lower perceived support. Marital status moderated the support-anxiety relationship, with divorced individuals benefiting most from support. Departmental differences emerged, with psychiatric staff showing lower anxiety and a stronger protective effect of social support than administrative staff. Perceived social support reduces anxiety among health-care professionals, and the magnitude of its effect is influenced by sex, marital status, and occupational context.</p>","PeriodicalId":54104,"journal":{"name":"Creative Nursing","volume":" ","pages":"370-379"},"PeriodicalIF":2.5,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148310456","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Creative Sparks. 创造性的火花。
IF 2.5
Creative Nursing Pub Date : 2026-08-01 Epub Date: 2026-07-24 DOI: 10.1177/10784535261472514
Marty Lewis-Hunstiger
{"title":"Creative Sparks.","authors":"Marty Lewis-Hunstiger","doi":"10.1177/10784535261472514","DOIUrl":"10.1177/10784535261472514","url":null,"abstract":"<p><p>This issue of Creative Nursing has a theme of Sparking Creativity to Ignite Transformation in Nursing. Most of these 17 articles by authors from Canada, Greece, India, Italy, Japan, New Zealand, Portugal, Sweden, and the United States have already been published Online First. Some didn't fit closely with themes of recent or upcoming issues, but all are of a quality and with such compelling messages that we are proud to have them in our journal. There are many different kinds of articles. Some report modest studies or projects, others review relevant literature on a particular topic, and still others address sweeping issues in nursing. But all of them have one thing in common: the spark of creativity that led us to accept them for publication in our journal called Creative Nursing. This editorial summarizes each article to reveal that spark.</p>","PeriodicalId":54104,"journal":{"name":"Creative Nursing","volume":" ","pages":"312-317"},"PeriodicalIF":2.5,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148581126","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
A Quality Improvement Project to Enhance Health Care for Frequent Callers to an Emergency Medical Dispatch Center. 一个质量改进项目,以加强对经常打电话到紧急医疗调度中心的人的保健。
IF 2.5
Creative Nursing Pub Date : 2026-08-01 Epub Date: 2026-05-13 DOI: 10.1177/10784535261449831
Inger K Holmström, Sofia Skogevall, Hans Blomberg, Marie Pörhö, Elenor Kaminsky, Douglas Spangler, Jakob Håkansson
{"title":"A Quality Improvement Project to Enhance Health Care for Frequent Callers to an Emergency Medical Dispatch Center.","authors":"Inger K Holmström, Sofia Skogevall, Hans Blomberg, Marie Pörhö, Elenor Kaminsky, Douglas Spangler, Jakob Håkansson","doi":"10.1177/10784535261449831","DOIUrl":"10.1177/10784535261449831","url":null,"abstract":"<p><p>BackgroundFrequent callers to emergency medical dispatch centers (EMDC) often have multiple problems, have contact with several care providers, and can be perceived as difficult to help.PurposeTo describe a quality improvement project aimed at enhancing health care for frequent callers.MethodsA project registered nurse (RN) was allocated to coordinate individualized care plans based on identified frequent callers' current problem(s), life situation, and medical history. The outcome was evaluated using an interrupted time series approach and by a review of medical records. Individual interviews were carried out with the project RN and one frequent caller.ConclusionsMost callers were middle-aged or older, more often male, and often lived alone or in a residence. At the time of intervention, frequent callers contacted the EMDC once per week on average and were transported by ambulance 1.4 times per month. Following the project, EMDC contacts and ambulance responses were reduced to 46% and 33%, respectively, of their peak levels.</p>","PeriodicalId":54104,"journal":{"name":"Creative Nursing","volume":" ","pages":"443-449"},"PeriodicalIF":2.5,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147935421","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Effectiveness of Interventions Supporting Mothers in High-Risk Neonatal Care on Maternal Psychosocial and Caregiving Outcomes: A Systematic Review with Narrative Synthesis. 高危新生儿护理中支持母亲的干预措施对母亲心理社会和护理结果的有效性:一项系统综述。
IF 2.5
Creative Nursing Pub Date : 2026-08-01 Epub Date: 2026-07-06 DOI: 10.1177/10784535261464216
N Siva, Baby S Nayak, Binil Velayudhan, Leslie Edward S Lewis, Anice George
{"title":"Effectiveness of Interventions Supporting Mothers in High-Risk Neonatal Care on Maternal Psychosocial and Caregiving Outcomes: A Systematic Review with Narrative Synthesis.","authors":"N Siva, Baby S Nayak, Binil Velayudhan, Leslie Edward S Lewis, Anice George","doi":"10.1177/10784535261464216","DOIUrl":"10.1177/10784535261464216","url":null,"abstract":"<p><p>BackgroundMothers of high-risk neonates often experience reduced confidence, challenges in role adaptation, and lower satisfaction with neonatal care, which may influence maternal well-being and caregiving practices.Review QuestionWhat is the effectiveness of interventions in improving maternal psychosocial and caregiving outcomes?MethodsA systematic search was conducted across five electronic databases for articles published from January 2020 through December 2024. Studies eligible for inclusion were randomised controlled trials (RCTs) and quasi-experimental designs focusing on maternal psychosocial and caregiving outcomes. Methodological quality was assessed using the Cochrane Risk of Bias (RoB-2) tool for RCTs and the Joanna Briggs Institute (JBI) checklist for non-RCTs. Due to heterogeneity in intervention types and outcome measures, a narrative synthesis approach was adopted.ResultsA total of 22 studies were included. Interventions were categorized into family-centered care, educational programs, digital health strategies, and home-based or follow-up interventions. Commonly assessed outcomes included maternal self-efficacy, role adaptation, readiness for discharge, resilience, and satisfaction in care. Although many studies reported improvements in maternal outcomes, there was considerable variability in intervention components, duration, delivery methods, and measurement tools. Methodological quality also varied across studies, and the evidence was geographically concentrated, which may limit generalizability.ConclusionInterventions showed potential to support maternal outcomes in high-risk neonatal care; however, inconsistencies in design and measurement limit definitive conclusions.</p>","PeriodicalId":54104,"journal":{"name":"Creative Nursing","volume":" ","pages":"431-442"},"PeriodicalIF":2.5,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148392509","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
SUPERVISE: A Prototype Gamified Mentorship Program for Nursing. 监督:护理的原型游戏化指导计划。
IF 2.5
Creative Nursing Pub Date : 2026-08-01 Epub Date: 2026-07-03 DOI: 10.1177/10784535261463309
Rafael Camelo, Raquel Silva, Cristina Pinto, Maria Joana Campos, Marta Campos Ferreira, Carla Sílvia Fernandes
{"title":"SUPERVISE: A Prototype Gamified Mentorship Program for Nursing.","authors":"Rafael Camelo, Raquel Silva, Cristina Pinto, Maria Joana Campos, Marta Campos Ferreira, Carla Sílvia Fernandes","doi":"10.1177/10784535261463309","DOIUrl":"10.1177/10784535261463309","url":null,"abstract":"<p><p>ObjectiveClinical mentorship in nursing education is often constrained by insufficient communication, engagement, and structured interaction between students and mentors. This study aims to describe the development and evaluation of a gamified technological prototype, Support, Understanding, Professional Growth, Enhancing Skills, Reflective Practice, Validation, Improvement, Supportive Environment, and Evaluation (SUPERVISE), designed to enhance the mentorship process for nursing students.MethodsA user-centered design approach was employed, involving phases of user requirements identification, iterative prototyping, and usability testing. Gamification elements were integrated to support engagement and interaction. Usability testing included 43 participants, comprising nursing students and professionals, who evaluated the prototype using the System Usability Scale (SUS) and open-ended feedback.ResultsThe SUPERVISE application incorporates features such as quizzes, reflective logs, achievement systems, and role-based access to support communication and interaction among stakeholders. The prototype achieved a mean SUS score of 80.8, indicating excellent usability, although some areas for improvement were identified and subsequently refined in later stages.ConclusionThe integration of gamification elements enhances the structure and dynamics of the mentorship process, promoting user engagement, feedback, and interaction. SUPERVISE demonstrates strong acceptability and potential as a supportive tool for mentorship in nursing education. Further research is needed to assess its long-term impact and scalability.</p>","PeriodicalId":54104,"journal":{"name":"Creative Nursing","volume":" ","pages":"397-406"},"PeriodicalIF":2.5,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148377964","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Critical Approaches for Nursing Research: Critical Mixed Methods Research. 护理研究的关键途径:关键混合方法研究。
IF 2.5
Creative Nursing Pub Date : 2026-08-01 Epub Date: 2026-07-07 DOI: 10.1177/10784535261467379
Ahtisham Younas
{"title":"Critical Approaches for Nursing Research: Critical Mixed Methods Research.","authors":"Ahtisham Younas","doi":"10.1177/10784535261467379","DOIUrl":"10.1177/10784535261467379","url":null,"abstract":"<p><p><i>Creative Nursing</i> Volume 32 Issue 2 introduced critical qualitative research as part of the series on Critical Approaches for Nursing Research. This third article continues the series by offering an overview of critical mixed methods research (cMMR). As nurse researchers increasingly recognize the limitations of single-method inquiry for addressing complex equity issues, cMMR offers a powerful approach that integrates qualitative and quantitative methodologies through a critical lens. Drawing on two recently proposed frameworks (Hernandez-Johnson and Bendixen's 11-phase process and Younas, Kvist, and Stolt's conceptual framework), this article outlines the philosophical foundations, core features, and practical considerations for designing and conducting cMMR in nursing. The next editorial in the series will address queer research methods.</p>","PeriodicalId":54104,"journal":{"name":"Creative Nursing","volume":" ","pages":"457-461"},"PeriodicalIF":2.5,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148400091","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Exploring Lateral Violence Among Nurses. 探讨护士的横向暴力。
IF 2.5
Creative Nursing Pub Date : 2026-08-01 Epub Date: 2026-07-14 DOI: 10.1177/10784535261470016
Kristen P Treinen
{"title":"Exploring Lateral Violence Among Nurses.","authors":"Kristen P Treinen","doi":"10.1177/10784535261470016","DOIUrl":"10.1177/10784535261470016","url":null,"abstract":"<p><p>This qualitative descriptive study explored how 26 nurses practicing in diverse settings across the United States experienced, understood, and made meaning of nurse-to-nurse bullying, and how these experiences shaped their workplace culture. Analysis of the results of semi-structured interviews revealed three themes: the normalization of bullying through professional language and early socialization, the acceptance of bullying as a rite of passage tied to power and hierarchy, and the need to intentionally disrupt these patterns through nursing education. Participants described how bullying began in nursing school and continued into their clinical practice, contributing to stress, disengagement, and intent to leave the profession. They also emphasized the responsibility of nursing educators to address workplace climates and to prepare students to respond to bullying through the curriculum. Creating learning environments that emphasize communication, reflection, and relational accountability may help challenge the normalization of bullying and foster more supportive and collaborative nursing cultures.</p>","PeriodicalId":54104,"journal":{"name":"Creative Nursing","volume":" ","pages":"380-387"},"PeriodicalIF":2.5,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148438864","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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