Research in Nursing & Health最新文献_第10页

Psychosocial Factors Associated With Parental Self-Efficacy in Adolescent Suicide Prevention: A Mixed Methods Study Protocol. 青少年自杀预防中与父母自我效能感相关的社会心理因素：一项混合方法研究方案。

IF 2.8 4区医学

Research in Nursing & Health Pub Date : 2026-04-01 Epub Date: 2025-12-30 DOI: 10.1002/nur.70051

Marcus D Henderson, Holly C Wilcox, Phyllis Raynor, Ginger Hanson, Elizabeth K Reynolds, Deborah Gross

{"title":"Psychosocial Factors Associated With Parental Self-Efficacy in Adolescent Suicide Prevention: A Mixed Methods Study Protocol.","authors":"Marcus D Henderson, Holly C Wilcox, Phyllis Raynor, Ginger Hanson, Elizabeth K Reynolds, Deborah Gross","doi":"10.1002/nur.70051","DOIUrl":"10.1002/nur.70051","url":null,"abstract":"Adolescent suicide and suicidal thoughts and behaviors (STB) are an escalating public health crisis, especially among Black adolescents. Parents play a central role in suicide prevention efforts and are primarily responsible for ensuring their child's safety after a suicidal crisis. However, their needs in caring for children with STB are often overlooked. Parental self-efficacy (PSE) is a parent's belief in their ability to effectively fulfill their parenting role and is a strong predictor of parenting competence and child well-being. PSE in adolescent suicide prevention (PSE-SP) will be explored in this study and is conceptualized as a parent's perceived ability to support their child in crisis, keep them safe, and prevent future suicidal behavior. There is limited research on how parent and adolescent characteristics influence PSE-SP. This paper describes the protocol for a mixed-methods study to understand the psychosocial factors associated with PSE-SP among parents of adolescents following an emergency department visit for suicidal behavior. Data will be collected through cross-sectional surveys, medical record data extraction, and qualitative interviews. Given the disproportionate increase in STB among Black adolescents and the paucity of research that seeks to understand the experience of Black parents in this context, this study will oversample parents who identify as Black/African American. Results will address a clinical research gap on how to best equip and support parents caring for children with STB, informing the development of culturally responsive parent-centered interventions for adolescent suicide prevention.","PeriodicalId":54492,"journal":{"name":"Research in Nursing & Health","volume":" ","pages":"104-115"},"PeriodicalIF":2.8,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12870426/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145859324","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}

引用次数: 0

Effectiveness of HASMEP-Thai on CD4 Count and Health Outcomes in Thai MSM Living With HIV: A Randomized Controlled Trial. HASMEP-Thai对泰国艾滋病毒感染者MSM CD4计数和健康结果的有效性：一项随机对照试验

IF 2.4 4区医学

Research in Nursing & Health Pub Date : 2026-04-01 Epub Date: 2025-12-13 DOI: 10.1002/nur.70046

Natawan Khumsaen, Anongluk Vongtree, Oradee Choksawat, Pissamai Wongsanga, Anchalee Thitasan, Kedsaraporn Kenbubpha, Samrej Tienthong

{"title":"Effectiveness of HASMEP-Thai on CD4 Count and Health Outcomes in Thai MSM Living With HIV: A Randomized Controlled Trial.","authors":"Natawan Khumsaen, Anongluk Vongtree, Oradee Choksawat, Pissamai Wongsanga, Anchalee Thitasan, Kedsaraporn Kenbubpha, Samrej Tienthong","doi":"10.1002/nur.70046","DOIUrl":"10.1002/nur.70046","url":null,"abstract":"Men who have sex with men (MSM) in Thailand continue to experience a disproportionate HIV burden, with persistent challenges related to antiretroviral therapy (ART) adherence, quality of life, and self-management. Stigma and the scarcity of culturally adapted interventions further hinder sustained engagement in care. This study evaluated the effectiveness of the HIV/AIDS Self-Management Education Program-Thai (HASMEP-T), a culturally adapted, nurse-delivered, peer-supported intervention, on immunologic and patient-reported outcomes among Thai MSM living with HIV. A randomized controlled trial with a pretest-posttest design was conducted at a tertiary HIV clinic, where 64 MSM living with HIV were randomized to either the intervention or control group (n = 32 each). The intervention included four biweekly, 3 h group sessions over 7 weeks, in addition to routine services, while the control group received routine care only. Outcomes measured at baseline, immediately post-intervention, and at the 12-week follow-up included CD4 count, ART adherence, quality of life (WHOQOL-BREF), and HIV self-management. Paired and independent t-tests and repeated-measures ANOVA were employed. At 12 weeks, the intervention group showed significantly greater improvements than the controls in CD4 count (+84.5 cells/mm³), ART adherence (+8.9%), quality of life (+14.7 points), and self-management (+9.1 points) (all p < 0.05). No adverse events were observed. The findings indicate that HASMEP-T is effective in enhancing immunologic, behavioral, and psychosocial outcomes among Thai MSM living with HIV and has the potential to be integrated into routine HIV care to strengthen ART adherence, reduce stigma, and improve quality of life in resource-limited settings.","PeriodicalId":54492,"journal":{"name":"Research in Nursing & Health","volume":" ","pages":"126-136"},"PeriodicalIF":2.4,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145745778","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}

引用次数: 0

The Spiritual Experiences of Indonesian Women With Advanced Breast Cancer: A Phenomenological Study. 印度尼西亚晚期乳腺癌妇女的精神体验：现象学研究。

IF 2.8 4区医学

Research in Nursing & Health Pub Date : 2026-04-01 Epub Date: 2026-01-30 DOI: 10.1002/nur.70053

Ana Fadilah, Shu-He Huang, Shuh-Jen Sheu, Hung-Ru Lin, Shu-Yuan Liang, Kai-Wei Katherine Wang

{"title":"The Spiritual Experiences of Indonesian Women With Advanced Breast Cancer: A Phenomenological Study.","authors":"Ana Fadilah, Shu-He Huang, Shuh-Jen Sheu, Hung-Ru Lin, Shu-Yuan Liang, Kai-Wei Katherine Wang","doi":"10.1002/nur.70053","DOIUrl":"10.1002/nur.70053","url":null,"abstract":"Breast cancer is the most prevalent cancer among women and a leading cause of cancer-related mortality in Indonesia. Many Indonesian women diagnosed with advanced breast cancer experience physical, emotional, cultural, and spiritual challenges, yet limited research has examined how spirituality shapes their coping experiences. This qualitative study explored the lived spiritual experiences of Indonesian women with advanced breast cancer using a descriptive phenomenological approach. Seven women aged 30-55 receiving care at a palliative clinic participated in in-depth, semi-structured interviews conducted between September and December 2023. Most participants were Muslim and married. Thematic analysis generated five overarching themes: (1) Contend with Guilt from Physical and Social Changes and Cope Through Sunnah devotion, (2) Surrender to divine will and maintain commitment to family as spiritual fulfillment, (3) Illness as a Divine Journey Toward Spiritual Redemption, (4) Gain spiritual support from family and other prayers, and (5) Connect with spiritual power from daily worship. Participants described their spiritual practices such as prayer, dhikr, Qur'anic recitation, and religious gatherings as critical coping resources that fostered emotional resilience, peace, and meaning. These findings underscore the importance of integrating spiritual care as culturally sensitive practice when supporting Indonesian women with advanced breast cancer.","PeriodicalId":54492,"journal":{"name":"Research in Nursing & Health","volume":" ","pages":"170-179"},"PeriodicalIF":2.8,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146088011","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}

引用次数: 0

Assessment of Discriminant Validity for Measures of Hope and Hopelessness in Adults With an Acute Cardiac Event. 成人急性心脏病患者希望与绝望测量的判别效度评估。

IF 2.8 4区医学

Research in Nursing & Health Pub Date : 2026-04-01 Epub Date: 2026-01-06 DOI: 10.1002/nur.70050

Holli A DeVon, Nathan Tintle, Eleanor Rivera, Anna Davis, Susan L Dunn

{"title":"Assessment of Discriminant Validity for Measures of Hope and Hopelessness in Adults With an Acute Cardiac Event.","authors":"Holli A DeVon, Nathan Tintle, Eleanor Rivera, Anna Davis, Susan L Dunn","doi":"10.1002/nur.70050","DOIUrl":"10.1002/nur.70050","url":null,"abstract":"Hope and hopelessness are sometimes considered to be two ends of a spectrum. Hope is associated with positive health outcomes in healthy and ill populations. Conversely, hopelessness has been associated with increased adverse clinical events and death in patients with ischemic heart disease (IHD). The aim of the study was to determine the discriminant validity of the Dunn State-Trait Hopelessness Scale and the Snyder Adult State Hope and Adult Trait Hope Scales. A total of 156 participants were enrolled in a randomized controlled trial testing a motivational intervention to promote physical activity and reduce hopelessness in adults hospitalized with ischemic heart disease. Data were collected 2 weeks after hospital discharge. Participants were male (68%), white (88.2%), married (60.8%), with a mean age of 62 years. There were moderately strong negative correlations (r = -0.54 to -0.66) between total Dunn State-Trait Hopelessness Scale and Snyder Adult State and Trait Hope scales. Correlations were virtually unchanged adjusting for age, sex, diagnosis, and marital status (r = -0.5 to -0.63, p < 0.001) indicating that as hopelessness increases, hope decreases. Principal components analysis revealed four factors that explained 64.7% of the variance in scores while demonstrating conceptual distinctions between the Dunn State-Trait Hopelessness Scale and Snyder Hope scales. We found a proportion of patients with hopelessness who still expressed hope for the future. Discriminant validity was supported by inverse correlations and factor analyses indicating conceptual distinctions between the two instruments. Findings suggest important implications for assessment of both hope and hopelessness in patients recovering from an IHD event since the two are conceptually distinct yet can occur simultaneously, and state hopelessness may improve through recovery.","PeriodicalId":54492,"journal":{"name":"Research in Nursing & Health","volume":" ","pages":"146-158"},"PeriodicalIF":2.8,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12954648/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145913713","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}

引用次数: 0

From Design to Implementation: NursingUP® Board Game for Positive Nursing Practice Environments. 从设计到实施：NursingUP®棋盘游戏为积极的护理实践环境。

IF 2.4 4区医学

Research in Nursing & Health Pub Date : 2026-03-17 DOI: 10.1002/nur.70069

Soraia Cristina de Abreu Pereira, Cintia Silva Fassarella, Olga Maria Pimenta Lopes Ribeiro

{"title":"From Design to Implementation: NursingUP® Board Game for Positive Nursing Practice Environments.","authors":"Soraia Cristina de Abreu Pereira, Cintia Silva Fassarella, Olga Maria Pimenta Lopes Ribeiro","doi":"10.1002/nur.70069","DOIUrl":"10.1002/nur.70069","url":null,"abstract":"Positive nursing practice environments are fundamental to patient safety, care quality, and nurses' well-being. However, few structured and evidence-based interventions have been developed to actively strengthen these environments and foster collaboration among nursing teams. This study describes the systematic development, validation, implementation, and preliminary evaluation of NursingUP®, an innovative board game designed to stimulate reflection on positive nursing practice environments. A multi-method, multi-phase design guided the study. The development phase integrated theoretical and empirical evidence on healthy work environments to define the game's objectives and structure. Content validity was established through a structured e-Delphi process involving 17 nursing experts who evaluated clarity, relevance, and representativeness of the game's content and mechanics. Implementation was conducted with 48 primary health care nurses, followed by evaluation using standardized satisfaction and usability instruments and two open-ended qualitative questions on usefulness and improvement suggestions. Experts reached consensus regarding the clarity, relevance, and pertinence of the game's content and mechanics. Nurses reported high satisfaction, and perceived the game as useful for stimulating reflection on practice environment determinants, improving communication, and strengthening teamwork. Usability assessment demonstrated strong acceptance, with clear rules and ease of use being particularly valued. NursingUP® demonstrated content validity, high user satisfaction, and good usability, establishing feasibility as a potential educational tool for nursing teams. Future studies should test its impact on behavioral and organizational outcomes using controlled designs.","PeriodicalId":54492,"journal":{"name":"Research in Nursing & Health","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2026-03-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147469949","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}

引用次数: 0

Workplace Incivility and Nurses' Health: The Mediating Role of Positive and Negative Affect. 工作场所不礼貌与护士健康：正、负影响的中介作用。

IF 2.4 4区医学

Research in Nursing & Health Pub Date : 2026-02-26 DOI: 10.1002/nur.70063

Ju Yeon Lee, Sujin Nam, Heejin Lim, Chang Gi Park, Seung Eun Lee

{"title":"Workplace Incivility and Nurses' Health: The Mediating Role of Positive and Negative Affect.","authors":"Ju Yeon Lee, Sujin Nam, Heejin Lim, Chang Gi Park, Seung Eun Lee","doi":"10.1002/nur.70063","DOIUrl":"10.1002/nur.70063","url":null,"abstract":"Nurses are particularly vulnerable to workplace incivility, a form of deviant behavior that can evolve into severe workplace mistreatment. Although the psychological and organizational consequences of incivility have been documented, its impact on health, particularly through emotional pathways, remains unclear. Therefore, this study investigated the association between workplace incivility and nurses' self-rated health, focusing on the mediating roles of positive and negative affect-broad emotional states reflecting energy and engagement, and distress and unpleasant emotions, respectively. This descriptive correlational study used survey data from 301 nurses in South Korea. Generalized structural equation modeling was employed to test the hypothesized relationships between workplace incivility, affective responses, and health. Workplace incivility was significantly associated with reduced positive affect (b = -0.41, p < 0.001) and increased negative affect (b = 2.78, p < 0.001). While positive affect was positively related to self-rated health (b = 1.58, p < 0.001), negative affect was negatively associated (b = -0.50, p = 0.017). Both affective responses significantly mediated the relationship between workplace incivility and health (indirect effects: -0.65, p < 0.001; -1.38, p = 0.022, respectively). Even subtle forms of incivility can adversely relate to nurses' self-rated health through emotional states, such as reduced positive affect and increased negative affect. Fostering a respectful workplace and promoting emotional well-being may support nurses' health. These findings extend affective events theory to health outcomes, an area rarely explored in nursing research. No patients or the general public were involved.","PeriodicalId":54492,"journal":{"name":"Research in Nursing & Health","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2026-02-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147312489","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}

引用次数: 0

Development and Psychometric Testing of the Inventory of Self-Care Decision-Making Styles of Older Adults. 老年人自我照顾决策风格量表的编制与心理测试。

IF 2.4 4区医学

Research in Nursing & Health Pub Date : 2026-02-01 Epub Date: 2025-11-18 DOI: 10.1002/nur.70031

Maria Matarese, Marzia Lommi, Maddalena De Maria, Barbara Riegel

{"title":"Development and Psychometric Testing of the Inventory of Self-Care Decision-Making Styles of Older Adults.","authors":"Maria Matarese, Marzia Lommi, Maddalena De Maria, Barbara Riegel","doi":"10.1002/nur.70031","DOIUrl":"10.1002/nur.70031","url":null,"abstract":"Understanding how older adults make decisions about their self-care is essential for designing tailored interventions that promote autonomy and well-being. However, no instrument currently exists to specifically measure self-care decision-making styles in this population. The study aimed to develop and test the psychometric properties of the Self-Care Decision-Making Styles of Older Adult (DECIDE) Inventory, a new instrument designed to assess styles of self-care decision-making among older adults. A three-phase process was undertaken: (i) instrument development based on theory and previous studies; (ii) content validity evaluation with 10 experts and cognitive interviews with 10 older adults; and (iii) psychometric testing, including assessment of structural and construct validity, internal consistency, and test-retest reliability. A convenience sample of 350 older adults from various Italian regions participated in the validation phase. The study followed the COnsensus-based Standards for the selection of health Measurement INstruments (COSMIN) reporting guidelines. Following content validation, an instrument was finalized, assessing four decision-making styles-independent, responsible, self-neglected, and guided-, with five items per scale. Confirmatory factor analyses supported the structural validity of the four-scale model. Construct validity was confirmed through hypothesis testing. Reliability indicators, including Omega coefficients, factor score determinacy, item-total correlations, and intraclass correlation coefficients, ranged from adequate to optimal across all scales. The Self-Care Decision-Making Styles of Older Adult Inventory demonstrated good validity and adequate reliability for assessing self-care decision-making styles in older adults. Further refinement and cross-cultural validation are recommended before its use in clinical practice.","PeriodicalId":54492,"journal":{"name":"Research in Nursing & Health","volume":" ","pages":"49-59"},"PeriodicalIF":2.4,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12779213/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145543869","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}

引用次数: 0

President's Pen-Tending the Flame: Caring for Ourselves While Caring for Others. 总统的笔——照料火焰：在关心他人的同时关心自己。

IF 2.4 4区医学

Research in Nursing & Health Pub Date : 2026-02-01 Epub Date: 2025-12-26 DOI: 10.1002/nur.70036

Charleen McNeill

引用次数: 0

Navigating the Decline in PhD Nursing Enrollment and Graduation Rates in the United States. 美国护理博士入学率和毕业率的下降。

IF 2.4 4区医学

Research in Nursing & Health Pub Date : 2026-02-01 Epub Date: 2025-11-28 DOI: 10.1002/nur.70035

Victoria K Marshall, Usha Menon

引用次数: 0

Psychometric Properties of the Traditional Chinese Version of the Interprofessional Collaborative Competency Attainment Survey. 跨专业协作能力素养调查繁体中文版的心理测量特征。

IF 2.4 4区医学

Research in Nursing & Health Pub Date : 2026-02-01 Epub Date: 2025-12-08 DOI: 10.1002/nur.70037

Yawen Lee, Chihlung Chiang, Yungsung Wen, Chinyi Huang, Hsintzu Li, Chihhao Lin

{"title":"Psychometric Properties of the Traditional Chinese Version of the Interprofessional Collaborative Competency Attainment Survey.","authors":"Yawen Lee, Chihlung Chiang, Yungsung Wen, Chinyi Huang, Hsintzu Li, Chihhao Lin","doi":"10.1002/nur.70037","DOIUrl":"10.1002/nur.70037","url":null,"abstract":"This study aimed to develop and validate the Traditional Chinese version of the Interprofessional Collaborative Competency Attainment Survey (TC-ICCAS), a culturally sensitive tool for assessing interprofessional education (IPE) competencies in Taiwan's hierarchical healthcare system. Conducted from 2022 to 2023 at a tertiary medical center and guided by the COSMIN framework, this psychometric validation study involved 324 early-career healthcare professionals. A three-phase process was employed: (1) translation and cultural adaptation with expert review; (2) pilot testing with 30 professionals to ensure cultural relevance; and (3) field testing using post-IPE program surveys. Confirmatory factor analysis (CFA) of the field test data confirmed the instrument's six-domain structure (communication, collaboration, roles and responsibilities, patient-centered care, conflict management, and team functioning) and established its construct validity. All subscales demonstrated high internal consistency (Cronbach's α = 0.86-0.93). Notably, the limited discriminant validity of the \"roles and responsibilities\" domain was interpreted not as a flaw, but as evidence of the tool's cultural sensitivity, reflecting the authentic role overlap common in Confucian-influenced contexts. The TC-ICCAS provides a reliable and valid tool for evaluating IPE outcomes, filling a critical gap in culturally appropriate instruments for hierarchical settings. Its use can enhance interprofessional training and holds the potential to improve teamwork and patient safety in Taiwan and similar Asian healthcare contexts. No patient or public contribution was included as the study focused on professional competencies.","PeriodicalId":54492,"journal":{"name":"Research in Nursing & Health","volume":" ","pages":"87-96"},"PeriodicalIF":2.4,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12779214/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145702605","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}

引用次数: 0