Research in Nursing & Health最新文献

{"title":"Networking and the Three C's: Soaring Together.","authors":"Susan B Fowler","doi":"10.1002/nur.70007","DOIUrl":"10.1002/nur.70007","url":null,"abstract":"","PeriodicalId":54492,"journal":{"name":"Research in Nursing & Health","volume":" ","pages":"415-416"},"PeriodicalIF":2.1,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144531132","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":"Controlled Pilot Intervention Study on the Effects of an AI-Based Application to Support Incontinence-Associated Dermatitis and Pressure Injury Assessment, Nursing Care and Documentation: Study Protocol.","authors":"Hannah Pinnekamp, Vanessa Rentschler, Khalid Majjouti, Alexander Brehmer, Michaela Tapp-Herrenbrück, Michael Aleithe, Jens Kleesiek, Bernadette Hosters, Uli Fischer","doi":"10.1002/nur.22469","DOIUrl":"10.1002/nur.22469","url":null,"abstract":"<p><p>Artificial Intelligence (AI)-based applications have significant potential to differentiate between pressure injuries (PI) and incontinence-associated dermatitis (IAD), common challenges in nursing practice. Within the KIADEKU overall project, we are developing an AI-based application to aid in the nursing care of PI and IAD and to facilitate personalized, evidence-based nursing interventions. The KIADEKU clinical sub-study described in this study protocol is a controlled, non-randomized clinical pilot intervention study investigating the effects of the AI-based application, fully developed in the KIADEKU overall project, on the duration of wound assessment, dressing change and documentation, guideline adherence, and nurse task load. The study utilizes a pre-post design with two data collection periods. During the initial phase, we will observe and survey nurses in the control group as they provide conventional wound care without AI support to adult patients with PI or IAD in the pelvic area across eight wards at the LMU University Hospital. In the following intervention phase, the AI-based application will assist nurses in wound assessment and deliver guideline-based nursing interventions for documented wound types. Observations and surveys will be repeated. Measurements will include the duration of wound assessment, dressing changes, and documentation, adherence to wound care guidelines, and the accuracy of AI predictions in clinical settings, validated by an on-site expert assessment. The survey will assess nurses' task load and other covariates, such as professional experience, overall workload during the shift, and wound severity. Linear regression models will be used to analyze the effects of AI usage on the aforementioned aspects, taking into account these covariates. The accuracy of AI predictions regarding wound type and classification will be measured using the on-site expert's assessment as the ground truth. The usability of the AI-based application and standard clinical documentation systems will be evaluated further. The deployment of the AI application in clinical settings aims to reduce the duration of wound assessments, dressing changes, and documentation; decrease nurse task load; enhance guideline adherence in wound care; and promote AI utilization in nursing. German Clinical Trials Register (DRKS) (DRKS00031355). Registered on April 5th, 2023. TRIAL REGISTRATION: German Clinical Trials Register (DRKS) DRKS00031355. Registered on April 5^th 2023. PATIENT OR PUBLIC CONTRIBUTION: Patient representatives contributed to the development of the AI-based application through the use of Delphi methodology, as part of the KIADEKU qualitative sub-study.</p>","PeriodicalId":54492,"journal":{"name":"Research in Nursing & Health","volume":" ","pages":"419-428"},"PeriodicalIF":2.1,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12217424/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144049164","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":"The Longitudinal Effects of Low Body Mass Index on Unfavorable Physical Health Outcomes Among Older Adults Receiving Homecare Nursing: A Prospective Cohort Study.","authors":"Lisako Kato, Sameh Eltaybani, Masumi Shinohara, Ayumi Igarashi, Yuka Sumikawa, Asa Inagaki-Asano, Yoshinori Takeuchi, Noriko Yamamoto-Mitani","doi":"10.1002/nur.22471","DOIUrl":"10.1002/nur.22471","url":null,"abstract":"<p><p>Body mass index (BMI) is an inexpensive, easy-to-calculate, and noninvasive marker of malnutrition. Few studies have examined the longitudinal effects of BMI on the incidence of unfavorable physical health outcomes (UPHOs) among older adults receiving homecare nursing. Therefore, this prospective cohort study examined the longitudinal effects of low BMI on the occurrence of UPHOs at multiple time points (i.e., 1-, 3-, and 6-months) among older adults (≥ 75 years) receiving homecare nursing across Japan. Using an online questionnaire, homecare nurses reported clients' height and weight, as well as socio-demographic characteristics (e.g., age and gender) and health conditions (e.g., diagnosis and dependency level). The occurrence of seven UPHOs (urinary tract infection, respiratory infection, pressure ulcer or skin tear, dehydration, poor dyspnea control, poor pain control, and traumatic fall) was also reported. The longitudinal effects of low BMI on the total number of UPHOs at 1-, 3-, and 6-months follow-ups were examined using a Restricted Moment Model (RMM) with a log link function. Among 660 participants included in the analysis, 42.12% were males, 36.96% had dementia, and 44.09% had low BMI. Adjusting for client's characteristics and the number of UPHOs at the baseline, low BMI at the baseline could increase the incidence of UPHOs at 1-, 3- and 6-month follow-ups (incidence rate ratio [95% confidence interval]:1.59 [1.21, 2.07], 1.57 [1.18, 2.07], 1.35 [1.02, 1.79], respectively). Adequate management of low BMI among older adults receiving homecare nursing would have a favorable effect on reducing the occurrence of UPHOs, thereby reducing the deterioration of overall physical conditions.</p>","PeriodicalId":54492,"journal":{"name":"Research in Nursing & Health","volume":" ","pages":"478-486"},"PeriodicalIF":2.1,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12217422/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144152742","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":"Recommitting to Discovery, Rejuvenating Our Vision.","authors":"Charleen McNeill","doi":"10.1002/nur.70008","DOIUrl":"10.1002/nur.70008","url":null,"abstract":"","PeriodicalId":54492,"journal":{"name":"Research in Nursing & Health","volume":" ","pages":"417-418"},"PeriodicalIF":2.1,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144487123","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 Effect of Mother's Gentle Human Touch on Preterm Neonate's Pain and Maternal Anxiety During Venipuncture in Turkiye.","authors":"Derya Kılınç, Seda Çağlar","doi":"10.1002/nur.22472","DOIUrl":"10.1002/nur.22472","url":null,"abstract":"<p><p>Pain in neonates causes many negative effects, such as decreased oxygenation, deterioration in hemodynamics, and increased intracranial pressure. Mothers may experience anxiety while observing the infant experiencing pain. The aim of this study was to determine the effect of gentle human touch (GHT), applied by mothers, on the infant's physiological and pain responses during venipuncture, the mother's associated anxiety levels, and the correlation between infant pain and maternal anxiety. A randomized controlled study was conducted with 80 healthy preterm infants (40 GHT and 40 control) being seen in the neonatal follow-up clinic 24-48 h post discharge from the hospital in Turkiye. Infants were 32-37 weeks gestational age. Infant pain was rated with the Neonatal Infant Pain Scale (NIPS), oxygen saturation and heart rate (HR) were taken from clinic monitors, length of crying was measured in minutes with a stop watch, and maternal anxiety was assessed with the State-Trait Anxiety Inventory (STAI-I). Infants in the GHT group had higher oxygen saturation values, lower pain scores, and shorter crying duration, but higher peak heart rates. Their mothers had lower anxiety scores. Maternal anxiety was strongly correlated with infant pain levels. The GHT method applied by mothers during venipuncture was shown to be effective in reducing infant pain, regulating infant physiological parameters, and reducing maternal anxiety. Trial Registration: NCT05727631.</p>","PeriodicalId":54492,"journal":{"name":"Research in Nursing & Health","volume":" ","pages":"487-496"},"PeriodicalIF":2.1,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12217417/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144112829","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":"The Roles of Public Health Nurse in Rural Area: A Narrative Review.","authors":"Hye Jin Nam, Sujin Lee, Han Nah Park","doi":"10.1002/nur.22470","DOIUrl":"10.1002/nur.22470","url":null,"abstract":"<p><p>This narrative review aims to identify the role of public health nurses in rural areas and provide a comparative description of their roles and duties. The literature search was conducted in May 2024 using four electronic databases including PubMed, EMBASE, CINAHL, and COCHRANE. The review adhered to the Preferred Reporting System for Systematic Review and Meta-Analysis. Of the 2249 retrieved articles, 500 duplicates were removed. After title and abstract screening, 1734 were excluded, followed by two due to unavailable full text. Six more did not meet eligibility criteria, while two additional articles were identified through hand searching. Study quality was assessed using the Mixed Methods Appraisal Tool. Nine studies were selected, including four descriptive studies, one mixed-methods study, and four qualitative studies. In all nine studies, the nurse was a registered nurse; some studies also included practice nurses and advanced practice nurses. From the selected studies, eight distinct roles of rural public health nurses were identified: Assessment, Health Prevention and Promotion, Intervention, Care Coordination and Management, Communication, Community Solidarity, Education and Research, and Administration and Evaluation. Duties were matched according to these roles. This review highlights the essential roles and duties of rural public health nurses, providing foundational data for future research and practice, guiding the development of standardized role definitions, job descriptions, and training programs for rural public health nurses.</p>","PeriodicalId":54492,"journal":{"name":"Research in Nursing & Health","volume":" ","pages":"466-477"},"PeriodicalIF":2.1,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144112832","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":"A Practical Example of How to Apply Constructivist Grounded Theory Methodology: Exploring Patient Experiences During Paramedic Led Healthcare.","authors":"Robbie King, Terri Downer, Bill Lord, Belinda Flanagan, Florin Oprescu","doi":"10.1002/nur.22468","DOIUrl":"10.1002/nur.22468","url":null,"abstract":"<p><p>Application of qualitative enquiry is necessary to improve the understanding of patient experience during paramedic-led healthcare. Grounded Theory (GT) is acknowledged as a rigorous qualitative methodology useful for exploring social processes present during healthcare, particularly when little existing knowledge or theory exists. Despite wide use of GT in other health disciplines there are few studies that have used this methodology to guide research in paramedicine. This may be due to GT methods appearing complex and disorientating for both novice and experienced researchers. This methodological article provides a practical example of how Kathy Charmaz's \"constructivist\" approach to grounded theory (GTc) was applied during research that explored how patients experience paramedic-led healthcare during non-conveyance situations. It explains the fundamental tenets required of GTc research and describes how they were employed during the example research. The article aims to demystify the GTc process and improve the rigour of qualitative GTc research in paramedicine and health disciplines. How to apply Constructivist Grounded Theory methodology is described by providing a practical example of research into patient experience. This article informs researchers how to maintain trustworthiness and credibility when applying GTc methodology. This article describes research that explored how patients experience paramedic-led healthcare. The data was generated through individual interviews between the researcher and patients who had recent experiences of ambulance service healthcare that resulted in not being transported to a hospital ED. Patients or the public were not involved in the conceptualisation or research design of this article or the practical example provided.</p>","PeriodicalId":54492,"journal":{"name":"Research in Nursing & Health","volume":" ","pages":"508-521"},"PeriodicalIF":2.1,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12217405/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144052059","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":"The Incidence and Risk Factors for Medical Adhesive-Related Skin Injury in Cancer Patients in China: A Systematic Review and Meta-Analysis.","authors":"Wenting Shi, Yingjie Leng, Tao Li, Qinglu Li, Nan Wang, Guorong Wang","doi":"10.1002/nur.22473","DOIUrl":"10.1002/nur.22473","url":null,"abstract":"<p><p>To explore the incidence and risk factors for medical adhesive-related skin injury (MARSI) in cancer patients in China, and to provide a basic framework for approaches designed to reduce the occurrence of MARSI and improve the management of its risk factors. PubMed, Web of Science, The Cochrane Library, EmBase, CNKI, VIP, Wanfang, and CBM were searched from database inception to October 2024. The Agency for Healthcare Research and Quality and the Newcastle-Ottawa Scale were used to assess the quality of the included studies, and a random-effects model with Stata 15.0 software was utilized for calculating the pooled incidence and risk factor for MARSI in cancer patients. A total of 18 studies were included, with 11,393 patients. Meta-analysis showed that the pooled incidence of MARSI in Chinese cancer patients was 24%. In subgroup analyses, dermatitis demonstrated the highest incidence rate (10%). MARSI history, allergy history, dressing type (3M), puncture site (upper arm), gender (female), BMI > 25 kg/m², moist skin, and age (≥ 50 years) were risk factors for MARSI in cancer patients. The incidence of MARSI in Chinese cancer patients is high, and MARSI history, allergy history, dressing type (3M), puncture site, gender (female), BMI > 25 kg/m², moist skin, and age (≥ 50 years) were risk factors for the occurrence of MARSI in Chinese cancer patients, suggesting that early identification and protection of high-risk patients, and timely targeted preventive measures are important to reduce the incidence of MARSI in cancer patients.</p>","PeriodicalId":54492,"journal":{"name":"Research in Nursing & Health","volume":" ","pages":"497-507"},"PeriodicalIF":2.1,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144152736","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 Effect of Work Environment and Work-Related Characteristics on Perceived Individual Work Performance of Front-Line Nurse Managers: A Cross-Sectional Study.","authors":"Tuğba Yeşilyurt Sevim, Emine Türkmen, Nilgün Göktepe, Nuray Erdemir Çakmak, Eda Özlem Ünal, Esra Adigüzel, Ramiz İşçi","doi":"10.1002/nur.22466","DOIUrl":"10.1002/nur.22466","url":null,"abstract":"<p><p>This study aimed to examine the effect of work environment and work-related characteristics of front-line nurse managers on their perceived individual work performance. It was conducted between March and May of 2022 with 219 front-line nurse managers working in a private chain hospital group in Türkiye. The Nurse Manager Practice Environment Scale and the Individual Work Performance Questionnaire were used for data collection. Descriptive statistics, Spearman correlation analysis, and generalized linear model regression analysis were used in data analysis. A positive correlation was found between the scores obtained from the two scales (r = 0.453; p < 0.001). Regression analysis revealed that two independent variables-nurse manager's work environment and duration of managerial experience-predicted nurse managers' perceived individual work performance level, with these variables explaining 28.1% of the total variance. Results showed that a favorable work environment and four or more years of managerial experience enhanced the perceived individual performance of front-line nurse managers. These findings suggest that to improve the individual work performance of front-line nurse managers, their work environment must also be improved. In addition, retention strategies that target experienced front-line nurse managers are critical to maintaining high levels of performance.</p>","PeriodicalId":54492,"journal":{"name":"Research in Nursing & Health","volume":" ","pages":"441-453"},"PeriodicalIF":2.1,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12217412/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144058549","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":"Factors Associated With Intent to Leave the Nursing Profession in the United States: An Integrative Review.","authors":"Kathryn Leep-Lazar, Chenjuan Ma, Amy Witkoski Stimpfel","doi":"10.1002/nur.22465","DOIUrl":"10.1002/nur.22465","url":null,"abstract":"<p><p>The ongoing regional nursing shortages in the United States, exacerbated by the COVID-19 pandemic, compromise patient safety and quality. Additionally, an aging workforce coupled with an aging population requiring more nursing care services limits organizations' ability to adequately staff their facilities. Nurses' turnover from the profession has been studied less than organizational turnover, thus, the purpose of this integrative review is to identify factors associated with intention to leave the nursing profession in the United States. Using Whittemore and Knafl's (2005) guidelines for integrative review methods, we conducted systematic searches in CINAHL, PubMed, and Web of Science in July 2024. There were 39 peer-reviewed studies that met inclusion criteria. Synthesis of findings resulted in four individual and four work-level themes associated with intent to leave the nursing profession. Individual themes included individual beliefs, health and wellbeing, individual work experiences, and career stability. Work-level themes included job characteristics, job demands/workload, resources and support, and work environment. Notably, job-level factors (i.e., workload, work environment, and support) were associated with professional turnover intention, which suggests that nurses do not believe their experiences will improve at another nursing job. Gaps in the literature include studies with nationally representative samples, studies using validated measures of health, and qualitative studies conducted with the aim of understanding why nurses want to leave the profession. To promote retention of nurses at the professional and organizational level, organizations should measure and modify relevant job-level factors, and the protection of nurses' wellness should be a top organizational priority.</p>","PeriodicalId":54492,"journal":{"name":"Research in Nursing & Health","volume":" ","pages":"429-440"},"PeriodicalIF":2.1,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144052345","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}