Research in Nursing & Health最新文献

{"title":"Study Protocol for a Pilot Randomized Controlled Trial of a Brief, Virtual Exposure-Based Intervention for Perinatal Posttraumatic Stress Disorder.","authors":"Michelle L Miller, Samantha Addante, Sarah A Greenwell, Avelina C Padin, David M Haas","doi":"10.1002/nur.70138","DOIUrl":"https://doi.org/10.1002/nur.70138","url":null,"abstract":"<p><p>Perinatal posttraumatic stress disorder (PPTSD) is a public health concern with serious implications for maternal and infant health outcomes. However, clinical research for PPTSD treatment is minimal. Thus, we aim to help address this gap by evaluating the feasibility, acceptability, and preliminary effectiveness of a tailored PPTSD intervention through a pilot randomized controlled trial (RCT; hereafter referred to as the New Empowerment after Trauma (NEXT) study). The NEXT study also aims to engage those most likely to experience PPTSD and least likely to engage in care, including Black and rural-dwelling perinatal individuals. Enrolled perinatal individuals with PPTSD will be randomized to receive either: 1) perinatal-tailored Narrative Exposure Therapy (NET) (n = 45 completers; treatment group) or 2) enhanced usual care (n = 45 completers; comparator group). This pilot RCT protocol is a critical step towards advancing transparency and reproducibility in perinatal PTSD research, particularly for a population that has been underrepresented in clinical research and warrants further attention. Patient and Public Contributions: Perinatal individuals with PPTSD have shaped the development of this protocol through our preliminary work. Specifically, perinatal individuals with lived experiences of PPTSD contributed to NEXT study materials and the adaptation of the intervention protocol.</p>","PeriodicalId":54492,"journal":{"name":"Research in Nursing & Health","volume":" ","pages":""},"PeriodicalIF":2.8,"publicationDate":"2026-10-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149197578","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":"President's Pen: The Power of One: An Imperative for Building and Strengthening Collaboration Among Nursing Organizations.","authors":"Mercy Mumba","doi":"10.1002/nur.70134","DOIUrl":"https://doi.org/10.1002/nur.70134","url":null,"abstract":"","PeriodicalId":54492,"journal":{"name":"Research in Nursing & Health","volume":" ","pages":""},"PeriodicalIF":2.8,"publicationDate":"2026-10-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149197491","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 Leadership Impact of SNRS RIIGs on Scholarly Engagement, Collaboration, and Nursing Science.","authors":"Catherine Mbango","doi":"10.1002/nur.70135","DOIUrl":"https://doi.org/10.1002/nur.70135","url":null,"abstract":"","PeriodicalId":54492,"journal":{"name":"Research in Nursing & Health","volume":" ","pages":""},"PeriodicalIF":2.8,"publicationDate":"2026-10-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149197564","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":"Combining Content Validation and Cognitive Interviewing: A Methodological Approach for New Instrument Development.","authors":"Allison Squires, Lauren Gerchow, Kathy Sliwinski, Jason Fletcher","doi":"10.1002/nur.70132","DOIUrl":"https://doi.org/10.1002/nur.70132","url":null,"abstract":"<p><p>Critiques of traditional content validation is its limitation to a positivist approach to quantifying a question's relevance while cognitive interviewing is labor and resource-intensive. The purpose of this study is to describe a novel approach to developing a new survey instrument that combines content validity indexing and cognitive interviewing to address the limitations of both approaches. Guided by language planning theory for health services research, the a priori target constructs for instrument development included: (1) organizational language access resources and policies; (2) nursing workflow and decision-making related to interpreter use; and (3) perceived quality and outcomes of care in the presence of language barriers. Content validation with 50 expert raters was the first step, followed by four recorded qualitative cognitive interviews focused on poorly performing items. Transcripts were analyzed using a qualitative descriptive approach. Scores revealed items where raters lacked consensus. Limiting cognitive interviewing to these items enabled rich discussions of why items were potentially problematic, improved phrasing, and determined the optimal scaling. Three new survey instruments resulted from the process. The approach reduced instrument development time and proved to be highly complementary. Replication of the approach is recommended to further refine and test it.</p>","PeriodicalId":54492,"journal":{"name":"Research in Nursing & Health","volume":" ","pages":""},"PeriodicalIF":2.8,"publicationDate":"2026-10-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149170527","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":"Fatal Flaw or Fixable? Common Methodological Issues in Manuscript Preparation and Review.","authors":"Alla Sikorskii, Jennifer Henderson, Eileen T Lake","doi":"10.1002/nur.70136","DOIUrl":"https://doi.org/10.1002/nur.70136","url":null,"abstract":"","PeriodicalId":54492,"journal":{"name":"Research in Nursing & Health","volume":" ","pages":""},"PeriodicalIF":2.8,"publicationDate":"2026-10-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149168084","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":"Living With Cancer-Related Stigma Among Female Breast Cancer Survivors in Indonesia: A Cross-Sectional Study.","authors":"Leni Merdawati, Made Satya Nugraha Gautama, Fillia Putri, Dr Daan Khambri, Ns Esthika Ariany Maisa, Najwa Hanifah, Gaviota Khalish, Winnie Kwok Wei So","doi":"10.1002/nur.70131","DOIUrl":"https://doi.org/10.1002/nur.70131","url":null,"abstract":"<p><p>Cancer-related stigma significantly affects breast cancer survivors' quality of life and treatment outcomes. In Indonesia, survivors often face stigmatization, yet evidence on the influence of personal and psychosocial factors remains limited. This study aimed to identify factors associated with stigma among breast cancer survivors. A cross-sectional design was used to recruit 280 female survivors from a tertiary cancer center in Padang, West Sumatra. Data were collected using validated instruments: the Breast Cancer Stigma Assessment Scale (BCSAS), the Body Image Scale (BIS), and the Multidimensional Scale of Perceived Social Support (MSPSS). Guided by a conceptual framework, sociodemographic, clinical, and psychosocial variables were simultaneously entered into a multiple linear regression model. Backward elimination was applied. The analysis revealed that body image (β = -0.593, 95% CI [-1.726, -1.280]), social support (β = -0.258, 95% CI [-0.504, -0.248]), and age (β = -0.161, 95% CI [-0.401, -0.149]) were significantly associated with stigma, together explaining 62% of the variance (Adjusted R² = 0.620, p < 0.001). These findings highlight the crucial role of psychosocial factors in shaping stigma experiences. Healthcare providers should incorporate body image enhancement, social support strengthening, and age-sensitive approaches into comprehensive care plans to reduce stigma and improve survivor outcomes.</p>","PeriodicalId":54492,"journal":{"name":"Research in Nursing & Health","volume":" ","pages":""},"PeriodicalIF":2.8,"publicationDate":"2026-10-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149171289","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":"Engaging With Interdisciplinary Organizations Outside of Health Care: A Nurse Historian's Perspective.","authors":"Julie Fairman","doi":"10.1002/nur.70137","DOIUrl":"https://doi.org/10.1002/nur.70137","url":null,"abstract":"","PeriodicalId":54492,"journal":{"name":"Research in Nursing & Health","volume":" ","pages":""},"PeriodicalIF":2.8,"publicationDate":"2026-10-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149172023","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":"Prehabilitation for Adults Undergoing Lower-Extremity Total Joint Arthroplasty: A Systematic Review and Meta-Analysis.","authors":"Yi Zhang, Na Zhou, Huilin Yu, Lijie Qiao","doi":"10.1002/nur.70130","DOIUrl":"https://doi.org/10.1002/nur.70130","url":null,"abstract":"<p><p>Prehabilitation may improve physical readiness before total hip or knee arthroplasty. Whether frail or vulnerable patients derive benefit remains uncertain. We systematically reviewed randomized controlled trials published from 2015 to August 2026 that assessed physical or multimodal prehabilitation before total hip or knee arthroplasty. Populations were classified by validated frailty, a vulnerability proxy, or no vulnerability criterion. Random-effects models used restricted maximum likelihood estimation with Hartung-Knapp confidence intervals. Risk of bias and certainty were assessed with RoB 2 and GRADE. Thirty-eight randomized trials involving 2332 participants were included. Early patient-reported physical function showed no clear benefit (six trials; 327 participants; Hedges' g = 0.33, 95% CI -0.23 to 0.89; I² = 70.2%). Early performance-based physical function favored prehabilitation on average (10 trials; 581 participants; g = 0.48, 95% CI 0.07-0.90; I² = 76.7%), although the prediction interval crossed the null, and the restricted analysis was inconclusive. Timed Up and Go performance also favored prehabilitation (six trials; 389 participants; mean difference 1.57 s faster, 95% CI 0.86-2.28; I² = 0%). Secondary findings were limited by heterogeneity, risk of bias, and imprecision. Hospital stay was not pooled because only two compatible trials were available. Only two trials used validated frailty assessments; one contributed compatible data, precluding subgroup analysis. Prehabilitation may improve functional outcomes before and soon after arthroplasty. Evidence does not establish a greater benefit among frail patients. Future trials should use validated frailty measures and report adherence and intervention fidelity.</p>","PeriodicalId":54492,"journal":{"name":"Research in Nursing & Health","volume":" ","pages":""},"PeriodicalIF":2.8,"publicationDate":"2026-10-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149167540","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":"Perceived Organizational Support and Nurses' Job Performance: The Indirect Roles of Burnout and Quiet Quitting.","authors":"Nagihan Koroglu Kaba, Gülcan Taskiran Eskici, Hanife Tiryaki Sen","doi":"10.1002/nur.70133","DOIUrl":"https://doi.org/10.1002/nur.70133","url":null,"abstract":"<p><p>Perceived organizational support is an important organizational resource that may shape nurses' psychological well-being, workplace engagement, and performance-related outcomes. This study examined the relationship between perceived organizational support and nurses' job performance and explored whether burnout and quiet quitting showed indirect associations consistent with mediation. A cross-sectional correlational study was conducted in a tertiary university hospital in the Black Sea Region of Türkiye. Of 980 eligible nurses, 439 responded (response rate: 44.8%); after excluding 14 questionnaires, 425 nurses were included in the final analysis, representing 43.4% of the eligible population. Data were collected using standardized instruments measuring perceived organizational support, burnout, quiet quitting, and individual work performance. Descriptive statistics, Pearson correlation analysis, and multiple mediation analysis using Hayes' PROCESS macro were performed. Perceived organizational support was positively correlated with job performance (r = 0.27, p < 0.001) and negatively correlated with burnout (r = -0.47, p < 0.001) and quiet quitting (r = -0.37, p < 0.001). Burnout (r = -0.31, p < 0.001) and quiet quitting (r = -0.31, p < 0.001) were negatively correlated with job performance. The total effect of perceived organizational support on job performance was significant (b = 0.23, β = 0.27, p < 0.001). The direct association between perceived organizational support and job performance remained significant even after accounting for burnout and quiet quitting (b = 0.10, β = 0.12, p = 0.025). Significant indirect associations were observed through burnout (b = 0.07, β = 0.08, 95% CI = 0.03-0.12) and quiet quitting (b = 0.06, β = 0.07, 95% CI = 0.03-0.09). These findings suggest that supportive organizational environments may be associated with higher job performance among nurses by reducing burnout and quiet quitting. Given the cross-sectional design, these findings should be interpreted as associations consistent with mediation rather than causal evidence. The study was conducted in a single tertiary university hospital in the Black Sea Region of Türkiye, which may limit generalizability to other settings.</p>","PeriodicalId":54492,"journal":{"name":"Research in Nursing & Health","volume":" ","pages":""},"PeriodicalIF":2.8,"publicationDate":"2026-10-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149148829","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":"Co-Discovery of Workforce Wellness: Flourishing Through Aesthetic Engagement in a Canadian Healthcare Organization.","authors":"Jessica Burford, Sue Bookey-Bassett","doi":"10.1002/nur.70129","DOIUrl":"https://doi.org/10.1002/nur.70129","url":null,"abstract":"<p><p>Healthcare systems continue to face significant workforce challenges that threaten staff well-being, retention, and quality of care. Workforce wellness is increasingly recognized as essential to sustaining a stable and engaged healthcare workforce, yet it is frequently addressed as an individual concern rather than as an organizational, relational, and system-level phenomenon. A qualitative descriptive design with complementary arts-informed engagement examined how staff experience workforce wellness and how organizational environments shape well-being within a Canadian healthcare organization. The final analytic sample included 13 staff members representing diverse organizational roles. Participants submitted a written narrative and a self-chosen aesthetic expression representing what wellness at work meant to them. Written narratives were analyzed using reflexive thematic analysis, while aesthetic expressions functioned as reflective prompts and knowledge-sharing outputs rather than formal analytic data. Six interconnected themes were identified: psychological safety in a connected community, empowerment through creative expression, culturally inclusive wellness, holistic work-life balance, flexible and supportive environments, and active growth. Together, the themes position workforce wellness as a relational, emotional, and collective phenomenon shaped by leadership practices, organizational culture, and enabling systems, conceptualized as an integrated workforce wellness ecosystem. Findings translate staff experiences into system-level opportunities, including psychological safety practices, flexible work design, culturally inclusive supports, creative engagement, protected recovery, and growth-oriented leadership. Co-design with the organization's Wellness Committee and EDI Council ensured the research asked and addressed questions meaningful to knowledge users.</p>","PeriodicalId":54492,"journal":{"name":"Research in Nursing & Health","volume":" ","pages":""},"PeriodicalIF":2.8,"publicationDate":"2026-10-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149118681","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}