Research in Nursing & Health最新文献

{"title":"Sleep Behaviors and Quality of Care Among Public-Sector Healthcare Workers: Cross-Sectional and Prospective Associations.","authors":"Yuan Zhang, Alicia Kurowski, Suzanne Nobrega, Mazen El Ghaziri, Rebecca Gore, Laura Punnett","doi":"10.1002/nur.70106","DOIUrl":"10.1002/nur.70106","url":null,"abstract":"<p><p>Previous research has shown the effect of healthcare workers' sleep on their safety and health outcomes. The association between healthcare workers' sleep and the quality of care (QOC) has not been systematically investigated. A large survey was collected from a prospective cohort of healthcare workers at five public-sector facilities in the northeastern U.S. in 2018 and again in 2021. Sleep characteristics assessed were short sleep duration (≤ 6 h/day), sleep disturbances, and sleep at two or more episodes. Among 1553 healthcare workers (mean age 46.4 years, 61.5% female) who completed the 2021 survey, sleep risk factors (range 0-3, sleep disturbances or short duration or at ≥ 2 episodes) were cross-sectionally associated with a linearly increasing prevalence of poor QOC on the unit and in the last shift, and deteriorated QOC over the past year. Two or more sleep risk factors were associated with all poor QOC outcomes after adjusting for covariates. Among 428 healthcare workers who completed both surveys, two or more sleep risk factors at baseline were associated with a 133%-196% increase in reported deterioration of QOC at follow-up, but not in poor QOC on the unit or in the last shift, after adjusting for covariates. Healthcare workers' sleep behaviors were significantly associated with QOC outcomes cross-sectionally and prospectively. Evidence-based interventions at individual and organizational levels to improve healthcare workers' sleep would likely benefit QOC.</p>","PeriodicalId":54492,"journal":{"name":"Research in Nursing & Health","volume":" ","pages":"735-743"},"PeriodicalIF":2.8,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13539641/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148498380","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":"Individual and Interactive Effects of Adverse Childhood Experiences and Household Income on Adolescent Depression and Anxiety Symptoms.","authors":"Chelsea R Moore, Philip T Veliz, Alison L Miller, Natasha V Pilkauskas, Todd I Herrenkohl, Sarah A Stoddard","doi":"10.1002/nur.70107","DOIUrl":"10.1002/nur.70107","url":null,"abstract":"<p><p>Cumulative Adverse Childhood Experiences (ACEs) and low household income are associated with adolescent depression and anxiety, but it is unclear whether distinct ACE subdomains - maltreatment (e.g., abuse) versus parent challenges (e.g., parental mental illness) - when experienced in distinct developmental periods exert a unique influence on adolescent mental health, or how ACEs and economic disadvantage operate together to influence outcomes. Thus, we aimed to (1) examine associations between baseline household income, early childhood ACEs (ages 0-5; sub-indexed as Maltreatment vs. Parent Challenges) and adolescent depression and anxiety symptoms (age 15), and (2) investigate whether household income moderates the associations between ACE sub-indices and each mental health outcome. We used serial linear regressions and data from the United States-based, longitudinal, racially/ethnically and socioeconomically diverse Future of Families and Child Wellbeing Study (n = 2523; 51% female; 51% non-Hispanic Black; 36% in poverty at birth). The Parent Challenges sub-index (but not the Maltreatment sub-index) was associated with depression and anxiety symptoms. Low household income was associated with depression symptoms. Income moderated the association between the Parent Challenges sub-index and anxiety symptoms; youth from the lowest and highest income strata were at greatest risk. Strategies are urgently needed for ACE prevention and to support parents of very young children (or expectant parents) who are experiencing behavioral health challenges, interpersonal violence, criminalized behavior, and/or poverty to promote healthy child development and adolescent mental health. Health professionals are well-positioned to advocate for supportive policies, promote trauma-informed environments, and identify/address significant parental challenges early in development.</p>","PeriodicalId":54492,"journal":{"name":"Research in Nursing & Health","volume":" ","pages":"744-755"},"PeriodicalIF":2.8,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13539674/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148498356","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":"Effects of Aerobic Exercise on Heart Rate Variability and C-Reactive Protein in Middle-Aged Adults With Normal Weight and Overweight/Obesity: A Pilot Study.","authors":"Yu-Hsuan Chang, Shiow-Ching Shun, Wei-Li Hsu, Kay L H Wu","doi":"10.1002/nur.70081","DOIUrl":"10.1002/nur.70081","url":null,"abstract":"<p><p>Aerobic exercise (AE) can improve heart rate variability (HRV) and reduce inflammation. Whether body mass index (BMI) affects physiological responses to AE remains unclear. This pilot study aimed to compare the effects of a 16-week AE on HRV and C-reactive protein (CRP) in normal weight (18.5 ≤ BMI < 24) and overweight/obesity (BMI ≥ 24) middle-aged adults. A quasi-experimental design with purposive sampling was employed to recruit middle-aged adults, who were categorized into normal weight (n = 26) and overweight/obesity (n = 25) groups. All participants engaged in at least moderate-intensity AE three times per week for 16 weeks. HRV parameters and CRP were evaluated at baseline and after intervention. The results demonstrated that the overweight/obesity group experienced a significant decrease in resting heart rate (Β = -4.35, p = 0.049) but a significant increase in CRP (Β = 1.22, p = 0.045) compared to the normal weight group. Both groups exhibited similar trajectories in HRV parameters during rest, warm-up, exercise, and cool-down phases over the 16-week period. However, HRV parameters associated with parasympathetic nervous system activity fluctuated more prominently from rest to exercise in the normal weight group than in the overweight/obesity group. Individuals with overweight/obesity appeared to exhibit less favorable parasympathetic adaptation during exercise. Intense physical activity was associated with inflammatory responses in these individuals. Health professionals may monitor HRV and inflammation to ensure safe exercise and guide individuals in developing customized regimens. Trial Registration: NCT05949710.</p>","PeriodicalId":54492,"journal":{"name":"Research in Nursing & Health","volume":" ","pages":"574-584"},"PeriodicalIF":2.8,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13539656/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147976154","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":"Distinct Symptom Occurrence Subgroups Among Patients With Colorectal Cancer: Differences in Social Determinants of Health and Diet Quality.","authors":"Youran Lee, Qing Yang, Melissa Kay, Donald E Bailey, Biljana Gigic, Sheetal Hardikar, Adetunji T Toriola, David Shibata, Christopher I Li, Doratha A Byrd, Jane C Figueiredo, Ildiko Strehli, Megan Mclaws, Vaia Florou, Mmadili Ilozumba, Patricia Erickson, Apurva Medhe, Cornelia M Ulrich, Rosa M Gonzalez-Guarda","doi":"10.1002/nur.70083","DOIUrl":"10.1002/nur.70083","url":null,"abstract":"<p><p>Colorectal cancer (CRC) is a leading cause of cancer mortality in the United States. Many patients with CRC experience physical and psychological symptoms that diminish quality of life and are shaped by social determinants of health (SDOH) and diet quality. This study aimed to (a) identify distinct symptom occurrence subgroups among patients with CRC, and (b) examine differences in SDOH characteristics and diet quality across these symptom occurrence subgroups. We conducted a secondary analysis of the ColoCare Study dataset from the Huntsman Cancer Institute, including CRC patients 6 months postdiagnosis. Latent class analysis identified subgroups based on the presence of symptoms. Chi-square tests and ANOVA examined subgroup differences in SDOH and diet quality, measured by the Healthy Eating Index (HEI)-2020. Logistic regression adjusted for cancer stage, comorbidity status, neoadjuvant or adjuvant therapy. Among 256 patients, three subgroups emerged: low (n = 84), moderate (n = 123), and high symptom occurrence (n = 49). Patients with high symptom occurrence were younger (F = 4.48, p = 0.01), more often Hispanic (χ² = 9.10, p = 0.01), had lower income (χ² = 12.92, p = 0.01), and more frequently received neoadjuvant therapy (χ² = 10.30, p = 0.006). They reported lower total social support (F = 5.60, p = 0.004) and poorer diet quality (F = 9.58, p = 0.0001). After adjustment, high symptom occurrence group had lower odds of adequate income (OR = 0.28, p = 0.0312), social support (OR = 0.886, p = 0.0100), and diet quality (OR = 0.94, p = 0.0156). Distinct CRC symptom profiles highlight the need for personalized dietary interventions and enhanced social support to improve symptom management. PATIENT OR PUBLIC CONTRIBUTION: Findings emphasize care strategies that address SDOH to optimize outcomes and quality of life for patients with CRC.</p>","PeriodicalId":54492,"journal":{"name":"Research in Nursing & Health","volume":" ","pages":"595-611"},"PeriodicalIF":2.8,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13539668/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148037876","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":"Correction to \"The Impact of Stress, Trauma, and Violence on Well-Being and Physical Health\".","authors":"","doi":"10.1002/nur.70112","DOIUrl":"10.1002/nur.70112","url":null,"abstract":"","PeriodicalId":54492,"journal":{"name":"Research in Nursing & Health","volume":" ","pages":"756"},"PeriodicalIF":2.8,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13539676/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148686746","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 Effectiveness of Interventions Based on Symptom Clusters for Symptom Burden and Quality of Life Among Cancer Patients: A Meta-Analysis of Randomized Controlled Trials.","authors":"Linna Li, Yunhuan Li, Qianwen Yan, Yang Chen, Xiaolin Hu","doi":"10.1002/nur.70075","DOIUrl":"10.1002/nur.70075","url":null,"abstract":"<p><p>Cancer patients suffer severe physical-psychological symptoms presenting as \"symptom clusters,\" causing heavy symptom burden and poor quality of life. Researchers have studied symptom clusters, but whether they could improve symptom burden and quality of life for cancer patients is unclear. Therefore, we aimed to evaluate the effectiveness of interventions based on symptom clusters for symptom burden of different types of clusters and quality of life among cancer patients. A systematic search was performed across six databases from inception to 17 December 2024. The revised Cochrane risk of bias tool was used to check the methodological quality. Data analysis was performed in RStudio, and the intervention effects were explored through a random or fixed effects model. Sensitivity analysis was also performed to evaluate the robustness of the results. We ultimately included nine randomized controlled trials that met the criteria, which were published from 2012 to 2024 and had 998 participants. The results suggested that interventions based on symptom clusters improved symptom burden of mixed symptom clusters (SMD = -0.25, 95% CI [-0.47, -0.04]) and quality of life (SMD = 0.38, 95% CI [0.12, 0.65]), while the relief in symptom burden of physical (SMD = -1.54, 95% CI [-3.34, 0.27]), psychological (SMD = -3.29, 95% CI [-8.09, 1.50]) and gastrointestinal (SMD = -2.24, 95% CI [-4.99, 0.52]) symptom clusters was not significant. To conclude, interventions based on symptom clusters are deemed crucial for improving symptom burden and quality of life among cancer patients. In the future, professionals could tailor interventions considering intervention components and individualized characteristics to further benefit cancer patients. Trial and Protocol Registration: Name: International Prospective Register of Systematic Reviews Number: CRD42023474527.Website link: https://www.crd.york.ac.uk/PROSPERO/#recordDetails.</p>","PeriodicalId":54492,"journal":{"name":"Research in Nursing & Health","volume":" ","pages":"529-542"},"PeriodicalIF":2.8,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13539705/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147693722","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 Psychometric Properties of the Caregiver Feeding Style Questionnaire: A Cross-Cultural Validation in Spanish Parents.","authors":"Mar Lozano-Casanova, Silvia Escribano, Antonio Oliver-Roig, Ana Gutierrez-Hervas, Miguel Richart-Martinez, Isabel Sospedra","doi":"10.1002/nur.70093","DOIUrl":"10.1002/nur.70093","url":null,"abstract":"<p><p>Parental feeding styles are a key dimension of parent-child interactions during mealtimes and have a significant influence on children's development. Through their impact on children's eating behaviours, these styles are a key focus for enhancing the well-being of both the child and the family as a whole. This study aimed to cross-culturally adapt, translate, and validate the Caregiver Feeding Style Questionnaire (CFSQ) in a Spanish sample. This is a cross-sectional study that conducted in a Spanish cohort. Data were collected at four time points, from hospital discharge until the children were aged 7-10 years old. As part of the CFSQ validation study, the original English version underwent linguistic validation, which included 20 cognitive interviews with parents. Confirmatory factor analysis (CFA) of the CFSQ was then conducted using the cohort sample. A total of 194 Spanish parents of children aged 7-10 years old completed the CFSQ. Some items were slightly modified to improve cultural adaptation. Two CFA models were tested: a bidimensional and a unidimensional model. Both showed acceptable fit indices: bidimensional model -X² = 3,385.28 (df = 171; p < 0.001), CFI = 0.902, TLI = 0.889, RMSEA = 0.104 (90%CI 0.094-0.115), and SRMR = 0.09; unidimensional model- X² = 2,714.22 (df = 78; p < 0.001), CFI = 0.880, TLI = 0.900, RMSEA = 0.145 (90%CI 0.130-0.161), and SRMR = 0.094-. Both models demonstrated adequate internal consistency. In conclusion, the Spanish version of the CFSQ showed adequate structural validity and psychometric properties. While both models were acceptable, the shorter unidimensional version is preferable due to its parsimony and performance.</p>","PeriodicalId":54492,"journal":{"name":"Research in Nursing & Health","volume":" ","pages":"657-667"},"PeriodicalIF":2.8,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13539630/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148304109","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 Second Victim Experiences and Outcomes Among Clinical Nurses in South Korea: A Cross-Sectional Study.","authors":"Hyejin Heo, Kihye Han, Hyeonmi Cho","doi":"10.1002/nur.70089","DOIUrl":"10.1002/nur.70089","url":null,"abstract":"<p><p>This study aimed to examine the associations of incident-related factors (severity, reporting, disclosure), individual factors (grit), and organizational factors (speaking-up climate) with second victim experiences and outcomes among clinical nurses. A cross-sectional online survey was conducted as part of the SAFETY project. Data were analyzed from 518 clinical nurses who had directly experienced patient safety incidents within the preceding 6 months. Linear regression analyses were performed to identify factors associated with second victim experiences and outcomes. Second victim experiences and outcomes were associated with incident-related, individual, and organizational factors. Second victim distress increased with greater incident severity and higher patient-oriented intrinsic motivation, and decreased with higher levels of psychological safety. Negative job-related outcomes increased with resignation toward speaking up and decreased with sustained professional interest and psychological safety. Incident disclosure was associated with reduced psychological distress, whereas the effects of incident reporting varied across outcome groups. To mitigate second victim distress and negative job-related outcomes, the findings underscore the importance of establishing structured institutional frameworks that promote supportive organizational cultures and system-level interventions, alongside strategies to strengthen individual self-care capacity.</p>","PeriodicalId":54492,"journal":{"name":"Research in Nursing & Health","volume":" ","pages":"631-643"},"PeriodicalIF":2.8,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13539659/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148145519","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 After New Diabetes Diagnosis: Interpreting Early Adaptation in Diabetes Care.","authors":"Guoping Deng, Jie Zhang, Qun Li","doi":"10.1002/nur.70103","DOIUrl":"10.1002/nur.70103","url":null,"abstract":"","PeriodicalId":54492,"journal":{"name":"Research in Nursing & Health","volume":" ","pages":"515-517"},"PeriodicalIF":2.8,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13539650/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148439055","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":"Comment on \"The Psychometric Properties of the Caregiver Feeding Style Questionnaire: A Cross-Cultural Validation in Spanish Parents\".","authors":"Sachin Kumar, Nirupma Gupta, Sujeet Kumar Singh, Hariharan Srinivasan, Varshini Vadhithala","doi":"10.1002/nur.70104","DOIUrl":"10.1002/nur.70104","url":null,"abstract":"","PeriodicalId":54492,"journal":{"name":"Research in Nursing & Health","volume":" ","pages":"518-519"},"PeriodicalIF":2.8,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13539679/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148474284","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}