Research in Nursing & Health最新文献

{"title":"Consensus-Based Safety Recommendations for Informal Home Care: A Mixed Methods Study.","authors":"Nida Abed, Vanessa Ribeiro Neves, Valerie Matarredona Perez, Daniel Monasor Ortola, Virginia Ferrer García, Bojana Knezevic, Paulo Sousa, Reinhard Strametz, Mercedes Guilabert, José Joaquín Mira","doi":"10.1002/nur.70074","DOIUrl":"10.1002/nur.70074","url":null,"abstract":"<p><p>As home-based care expands globally, informal caregivers are responsible for medical and nursing responsibilities, raising serious concerns about safety and risk management. This study proposes expert-informed, safety recommendations tailored to informal caregiving in home settings. The study used a six-phase mixed methods design combining a Consensus Development Conference (CDC) process with elements of Failure Modes and Effects Analysis (FMEA). In the first five phases, 13 healthcare professionals, hereafter referred to as \"the professionals\" (10 nurses, one physician, one occupational therapist, and one social worker), engaged in deliberations and risk assessments. The professionals agreed on 15 caregiving domains such as medication administration, mobility, and caregiver well-being, mapped them to 53 home caregiving procedures, identified 160 potential failure modes (errors), and rated the effect severity of each failure mode. This process led to the development of an initial set of 450 safety recommendations. In the final phase, a multidisciplinary expert review conducted by the research team merged overlapping items, eliminating redundancies and ensuring accuracy, confirming 53 procedures, 147 distinct failure modes (errors), refining 213 procedure failure mode effect associations, and consolidating the corpus to 288 recommendations. The resulting recommendations are intended to guide the development of safety guidance for informal caregiving in home settings. These recommendations are considered expert-derived guidance, since end users did not participate in the study.</p>","PeriodicalId":54492,"journal":{"name":"Research in Nursing & Health","volume":" ","pages":"543-552"},"PeriodicalIF":2.8,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13539635/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147693640","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":"Feeling of Guilt, Stress, and Self-Compassion Among Nursing Staff in the Workplace.","authors":"Benedikt Hackert, Anna-Lena Lumma, Jule Andreas, Ulrich Weger","doi":"10.1002/nur.70102","DOIUrl":"10.1002/nur.70102","url":null,"abstract":"<p><p>Caring for others is a core goal of nursing staff, but providing inadequate care can lead to feelings of guilt which might result in heightened levels of stress. However, self-compassion might function as a buffer, since it can help to cope with feelings of guilt. A cross-sectional survey with an exploratory approach was conducted to investigate quantitative associations between guilt and stress, as well as self-compassion as a potential moderator. Additionally, qualitative data were collected to explore triggers and coping mechanisms related to workplace guilt. A heterogeneous sample of nursing staff (N = 179) participated in the survey. Stress, guilt, and self-compassion were assessed with validated self-report questionnaires and details about workplace guilt were assessed with open-ended questions. Interpersonal guilt was linked to increased stress (r = 0.41, p < 0.01) and less self-compassion (r = -0.59, p < 0.01). Moreover, self-compassion was linked to less stress, too (r = -0.65, p < 0.01). Against expectations, self-compassion did not moderate the relationship between guilt and stress. Qualitative findings showed that workplace guilt occurred, on average, 7.26 days per month and was mainly due to shortages of time (37.5%) and staff (18.5%). Coping strategies included communication (30%) and suppression of feelings (9%). Solutions were mainly targeted at system changes (33.5%) and offers for dialog (21.5%). Overall, this study illuminates the underlying dynamics of guilt-experiences in the workplace and how these experiences are linked to stress and self-compassion.</p>","PeriodicalId":54492,"journal":{"name":"Research in Nursing & Health","volume":" ","pages":"712-723"},"PeriodicalIF":2.8,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13539685/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148431519","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":"SNRS Member Perspectives: Assessing Satisfaction, Preferences, and Needs.","authors":"Cheryl Wells, Modupe Akintomide, Rita Gengo, Lachel Story, Vanessa Pugh, Sara L Davis","doi":"10.1002/nur.70113","DOIUrl":"10.1002/nur.70113","url":null,"abstract":"","PeriodicalId":54492,"journal":{"name":"Research in Nursing & Health","volume":" ","pages":"511-512"},"PeriodicalIF":2.8,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13539649/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148674423","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":"Healthcare Professionals' Perspectives on Barriers to Reproductive Care Access in One Urban City: A Qualitative Study.","authors":"Roxanne Mirabal-Beltran, Erika Ventura Castellon, Laura Spagna, Kelly Zhang, Karyn J Roberts","doi":"10.1002/nur.70082","DOIUrl":"10.1002/nur.70082","url":null,"abstract":"<p><p>Inequities exist in reproductive care access for biological women of childbearing age from minoritized, racialized, and lower socioeconomic communities in the United States. While patient-reported barriers are well documented, less is known about healthcare providers' perceptions of these challenges in urban, under-resourced contexts. Providers' frontline insights are essential for understanding operational, institutional, and community-level obstacles and for designing more effective, contextually relevant interventions. This qualitative study explores providers' perspectives on the barriers clients face when accessing reproductive care in Washington, DC. We conducted in-depth interviews with 14 reproductive healthcare providers. The analysis yielded four themes: (1) limited health literacy: lack of or limited health and resources knowledge, (2) distrust and mistrust: skepticism toward health-related information and hesitancy to seek reproductive care, (3) challenges navigating care: challenges centered on engagement with available healthcare services, and (4) upstream structural barriers: policy-driven challenges that affect clinic operations and financial stability. Collectively, these findings underscore persistent barriers to reproductive care, even in contexts with broad insurance coverage, highlighting the disconnect between coverage and meaningful access. Despite high insurance coverage in DC, low-income, publicly-insured patients continue to encounter significant obstacles to reproductive care. Addressing these challenges requires policies that ensure healthcare systems provide accessible, patient-centered, and equitable care, as well as interventions that meaningfully integrate provider perspectives to enhance relevance, feasibility, promote provider engagement and buy-in, and support the long-term scalability and sustainability of efforts aimed at improving equitable access. PATIENT OR PUBLIC CONTRIBUTION: This study provides insight from reproductive healthcare providers serving patients in Wards 1, 4, 5, and 7 of the District of Columbia, Washington. All aspects of this qualitative study were informed by a community-advisory board (CAB) made up of members from these respective wards.</p>","PeriodicalId":54492,"journal":{"name":"Research in Nursing & Health","volume":" ","pages":"585-594"},"PeriodicalIF":2.8,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13404278/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147976311","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":"Evaluating Individual, Professional, and Work Environment Characteristics That Impact Intensive Care Nurses' Attitudes Toward Wasteful Behaviors.","authors":"Cennet Çi̇ri̇ş Yildiz, Seda Deği̇rmenci̇ Öz, Ece Uysal Kasap, İrem Korkmaz, Ali Mertcan Köse","doi":"10.1002/nur.70090","DOIUrl":"10.1002/nur.70090","url":null,"abstract":"<p><p>This study aims to examine the relationships between intensive care nurses' individual, professional, and work environment characteristics and their attitudes toward wasteful behaviors. The cross-sectional study was carried out with 346 intensive care nurses in a multicenter setting between August and October 2025 in two provincial centers. While attitudes toward wastefulness correlated positively with age, working hours, years of working in the institution and profession, status of loving the profession, and satisfaction with the unit, they correlated negatively with the number of patients cared for daily. The scores for staffing and resource adequacy and nursing foundations for quality of care positively affected the perception of wastefulness, individual attitude, use of resources, and organizational culture of wastefulness scores. On the other hand, the scores for collegial nurse-physician relations and nurse participation in hospital affairs negatively affected the perception of wastefulness, individual attitude, use of resources, and organizational culture of wastefulness scores. Furthermore, the scores for collegial nurse-physician relations negatively impacted the score for non-value adding processes. In conclusion, addressing all dimensions of wastefulness, improving the work environment, organizing continuous training and awareness programs, and motivating intensive care nurses are essential for developing positive attitudes toward wastefulness. It is crucial to adopt an organizational culture and provide training and motivation for intensive care nurses, who are at the center of care, in order to improve their attitudes toward wastefulness as a part of nursing services management. This study adheres to the STROBE guideline of reporting.</p>","PeriodicalId":54492,"journal":{"name":"Research in Nursing & Health","volume":" ","pages":"644-656"},"PeriodicalIF":2.8,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13539699/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148165664","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":"Missed Nursing Care in Neonatal Intensive Care Units for Infants Experiencing or at Risk of Experiencing Substance Withdrawal.","authors":"Sooyoung Kim, Adam C Carle, Rita Pickler, Jin Jun, Heather L Tubbs-Cooley","doi":"10.1002/nur.70096","DOIUrl":"10.1002/nur.70096","url":null,"abstract":"<p><p>Caring for infants experiencing or at risk of substance withdrawal often increases nursing workload and may contribute to missed nursing care (MNC). This study examined the relationship between infants' substance withdrawal status and the occurrence of MNC in neonatal intensive care units (NICUs). We conducted a secondary analysis of data from a longitudinal observational study involving 249 nurses and 1477 infants across 10 U. S. NICUs between April 2021 and May 2023. Nurses completed shift-level surveys reporting infant conditions and MNC for assigned infants, including whether infants were actively experiencing or at risk of substance withdrawal. Missed nursing care was measured using a 16-item instrument, and a global indicator captured whether any care was missed. Nurse characteristics were collected at enrollment using a researcher-developed questionnaire, and infant demographic and clinical characteristics were obtained from the electronic health record. Cross-classified multilevel logistic regression models were used to account for the clustering of nurses and infants. Compared with infants not identified as at risk of or experiencing withdrawal, infants identified as at risk of or experiencing withdrawal had significantly higher odds of MNC in eight areas, including developmental care, hourly surveillance, airway tube position assessment, high-risk medication assessment, oxygen titration per protocol, communication during handoffs, pain assessment, and overall missed nursing care. These findings suggest that infants experiencing or at risk of substance withdrawal are particularly vulnerable to MNC, underscoring the importance of accounting for withdrawal risk in nursing workload and staffing decisions to support high-quality care in NICUs.</p>","PeriodicalId":54492,"journal":{"name":"Research in Nursing & Health","volume":" ","pages":"668-678"},"PeriodicalIF":2.8,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13383121/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148378054","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":"Effect of Music on Pain, Anxiety, and Satisfaction During Intrauterine Device Application: A Randomized Clinical Trial.","authors":"Sümeyye Köse, Handan Özcan, Merve Meşedüzü","doi":"10.1002/nur.70105","DOIUrl":"10.1002/nur.70105","url":null,"abstract":"<p><p>This randomized controlled trial aimed to determine the effect of music played during intrauterine device (IUD) insertion on perceived pain, state anxiety, and satisfaction levels. The study was conducted with 70 women who applied to a maternal and child health and family planning center and were randomly assigned to the intervention and control groups using simple randomization. Data were collected using a Demographic Information Form, the State-Trait Anxiety Inventory (STAI-I), and the Visual Analog Scale (VAS), as well as Bluetooth speakers and the musical piece Evgeny Grinko-Valse. Participants in the intervention group listened to music before and during the IUD insertion procedure, whereas the control group received routine care only. Data were analyzed using SPSS version 26 with appropriate descriptive and inferential statistical methods. Women in the music group had significantly lower perceived pain (p < 0.001) and state anxiety levels during the procedure (p = 0.022), and significantly higher satisfaction levels compared with the control group (p < 0.001). In addition, post-procedure state anxiety levels were positively correlated with pain intensity experienced during and after the procedure (r = 0.542 and r = 0.496, respectively; p < 0.001), and negatively correlated with procedural satisfaction (r = -0.652; p < 0.001). These findings suggest that listening to music during IUD insertion may help reduce pain and anxiety while potentially enhancing patient satisfaction. Trial Registration: NCT06215183.</p>","PeriodicalId":54492,"journal":{"name":"Research in Nursing & Health","volume":" ","pages":"724-734"},"PeriodicalIF":2.8,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13539672/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148474254","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":"Patient Activation and Diabetes Outcomes Among Jordanian Patients With Type 2 Diabetes: Longitudinal Evidence on Adherence and Glycemic Control With Linear Mixed Model Analysis.","authors":"Mohammad R Alosta, Huda Atiyeh, Salam Bani Hani, Ayman Hamdan-Mansour, Ala'a Ayman Al-Yyan, Tareq Afaneh, Razan Sarhan, Mu'taz Al-Momani, Elham H Othman","doi":"10.1002/nur.70080","DOIUrl":"10.1002/nur.70080","url":null,"abstract":"<p><p>Management of chronic diseases like diabetes mellitus (DM) requires patient activation. Although many studies have associated patient activation with outcomes like increased medication adherence and better blood glucose control, evidence for these outcomes is scarce in the Middle East, particularly in the Jordanian population. To address this issue, the current study examined the association between patient activation and both medication adherence and glycemic control among patients with diabetes in Jordan. A descriptive longitudinal method was used, and convenience sampling was adopted. Newly diagnosed adult patients with diabetes were assessed utilizing the Patient Activation Measure (PAM-13), Adherence to Refills and Medications Scale (ARMS), and glycemic control was evaluated by HbA1c levels. Data were collected from 140 patients at baseline, 3 months, and 6 months from hospital inpatient departments and outpatient clinics. PAM scores increased from 44.7 at baseline to 54.5 at 3 months and 60.0 at 6 months. ARMS scores dropped from 34.4 to 29.7 and 25.3, indicating progressive improvement in medication adherence, and HbA1c from 10.6% to 9.6% and 8.7%. Better activation was significantly associated with higher adherence (F(1, 335.1) = 315.43, p < 0.001) and lower HbA1c (F(1, 362.2) = 414.38, p < 0.001). Time and activation interplay were prominent for adherence (F(2, 177.1) = 3.15, p = 0.045) and HbA1c (F(2, 165.2) = 6.04, p = 0.002). These findings suggest that patient activation is associated with improved health outcomes at 6 months. This finding thus supports prioritizing structured education and support in diabetes care to enhance and maintain patient activation.</p>","PeriodicalId":54492,"journal":{"name":"Research in Nursing & Health","volume":" ","pages":"564-573"},"PeriodicalIF":2.8,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13539640/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147935499","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":"Feasibility of an Online Resilience Program for Mothers With Adverse Childhood Experiences.","authors":"Hyeseon Yun, Eun Kyoung Choi","doi":"10.1002/nur.70085","DOIUrl":"10.1002/nur.70085","url":null,"abstract":"<p><p>Enhancing maternal resilience through targeted interventions has emerged as a promising strategy for preventing the intergenerational transmission of adverse childhood experiences (ACEs). This study aimed to develop and evaluate the feasibility of an online resilience program tailored for mothers with ACEs. The study followed the development and feasibility phases of the Medical Research Council (MRC) framework for developing and evaluating complex interventions. The development phase involved a literature review, application of a theoretical framework, and expert content validation. The program was grounded in Roy's Adaptation Model and structured as an eight-session, interactive, group-based online intervention. During the feasibility phase, a pilot study was conducted to assess feasibility, acceptability, and preliminary effectiveness. The pilot study included five mothers with two or more ACEs who were raising preschool-aged children in South Korea. The study demonstrated high retention (83.3%) and session attendance (97.5%) rates, and participants reported high satisfaction (M ± SD = 9.80 ± 0.45 out of 10). Preliminary findings suggested improvements in resilience and parenting behaviors (both Z = -2.02, p = 0.043). Other outcomes, including self-rated health, self-esteem, parenting sense of competence, and mother-child interaction, showed favorable trends. Based on participant feedback, the program was refined accordingly. This study demonstrates a theory-driven, evidence-based intervention approach for mothers with ACEs that may inform practices to prevent intergenerational transmission of adversity.</p>","PeriodicalId":54492,"journal":{"name":"Research in Nursing & Health","volume":" ","pages":"612-630"},"PeriodicalIF":2.8,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13539677/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148273712","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":"Associations of Nurses' Career Attitudes, Career Management Behaviors, and Understanding and Expected Outcomes of The Career Ladder System With Intention to Stay and Career Satisfaction: A Cross-Sectional Study.","authors":"Ae Ran Kim, Yun Hee Ham, Jeong Hee Hong, Mikyong Kwak, Hye Jin Baek, GeumMoon Lee","doi":"10.1002/nur.70098","DOIUrl":"10.1002/nur.70098","url":null,"abstract":"<p><p>Nurses often encounter career plateaus due to limited promotion opportunities and insufficient support for career development, which can decrease career satisfaction and lower their intention to remain. This study explored nurses' career attitudes and management behaviors, and their understanding and expectations of the Career Ladder System (CLS), to examine how these factors are associated with intention to stay and career satisfaction. This study used a descriptive cross-sectional design with a convenience sample of 394 ward nurses with at least 1 year of clinical experience from a tertiary hospital in Seoul, South Korea. Data were collected from May to June 2024, before the CLS was expanded to general ward nurses. The mean score for protean career attitude was 3.60 out of 5; career plateau averaged 2.33 out of 5, with structural career plateau significantly higher than content career plateau (p < 0.001). Career management behavior averaged 3.22 out of 5, understanding of the CLS was 2.86 out of 4, expected CLS outcomes were 2.83 out of 4, intention to stay was 35.57 out of 48, and career satisfaction was 3.25 out of 5. Differences in age and clinical experience were found in value-driven career attitudes and structural career plateaus. Hierarchical multiple regression analysis showed that content career plateau was significantly associated with both intention to stay and career satisfaction. Positive career attitudes were also significantly associated with higher intention to stay and greater career satisfaction. Hospitals may need to strengthen organizational support to create a content-driven career development environment.</p>","PeriodicalId":54492,"journal":{"name":"Research in Nursing & Health","volume":" ","pages":"679-692"},"PeriodicalIF":2.8,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13539683/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148392120","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}