Research in Nursing & Health最新文献

{"title":"President's Pen-Strategies to Sustain a Resilient and Impactful Program of Research in an Evolving Funding Landscape.","authors":"Mercy Ngosa Mumba","doi":"10.1002/nur.70114","DOIUrl":"10.1002/nur.70114","url":null,"abstract":"","PeriodicalId":54492,"journal":{"name":"Research in Nursing & Health","volume":" ","pages":"513-514"},"PeriodicalIF":2.8,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13539682/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148680964","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":"Perceptions of Patients and Health Professionals Regarding the Experience of Patients With a Hybrid Cardiac Rehabilitation Program.","authors":"Pamela Tanguay, Nicole Marquis, Alexandra Ethier, Jennifer Hakim, Monique Dufour Doiron, Gaétan Thériault, Michel Leblanc, Marie-Andrée Giroux, Mathieu Bélanger","doi":"10.1002/nur.70072","DOIUrl":"10.1002/nur.70072","url":null,"abstract":"<p><p>Hybrid cardiac rehabilitation (HCR), which combines supervised center-based and monitored home-based exercise programs, gained popularity during the COVID-19 pandemic. While HCR appears to be as effective as standard cardiac rehabilitation, patients' experiences within these programs remain largely unexplored. This study aimed to explore program participants' (PP) perceptions and healthcare professionals' (HP) impressions of PP' experiences with HCR. A qualitative descriptive design was used. Audio-recorded semi-structured interviews were conducted with PP and HP, who had experience with HCR. Data were analyzed thematically. Interviews with PP (n = 16) and HP (n = 12) revealed four main themes: having fewer sessions at the center reduces accessibility barriers; going to the center provides a chance to connect with others; feeling safe in a supervised environment helps regain confidence; and going through the program supports progress through the stages of behavior change. The HCR program was perceived as convenient, primarily because it required fewer trips to the center. The program helped PP overcome feelings of social isolation, and the center was perceived as a safe environment where PP could test their physical limits. The HCR program raised awareness of their eating habits and physical activity through education. Overall, PP' experiences with HCR were positive and aligned with HP' impressions. Since PP primarily emphasized the benefits of the in-center sessions, the benefits of this component should not be overlooked.</p>","PeriodicalId":54492,"journal":{"name":"Research in Nursing & Health","volume":" ","pages":"520-528"},"PeriodicalIF":2.8,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13539701/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147678212","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":"Identifying DASH Adherence Patterns and Their Association With Dietary Behaviors Among Adults With Hypertension.","authors":"Youran Lee, Melissa C Kay, Anushka Palipana, Sandy Askew, Miriam B Berger, Hailey N Miller, Gary G Bennett, Qing Yang","doi":"10.1002/nur.70078","DOIUrl":"10.1002/nur.70078","url":null,"abstract":"<p><p>The Dietary Approaches to Stop Hypertension (DASH) diet is effective in lowering blood pressure yet adherence to DASH remains low. Intuitive eating, a behavior that emphasizes responsiveness to hunger and satiety cues, may influence DASH adherence but has not been well studied among adults with hypertension. This study examined DASH adherence subgroups and their association with dietary behaviors using data from the Nourish U.S. based randomized controlled trial. A cross-sectional secondary analysis of baseline data from 301 participants was conducted. DASH adherence was assessed using the Mellen Index. Dietary behaviors were measured with the Intuitive Eating Scale-2 (IES-2). Latent class analysis (LCA) was used to identify DASH adherence subgroups, and subgroup differences in dietary behaviors and clinical outcomes were analyzed. Overall, DASH adherence was low (mean = 3.13 ± 1.35). LCA identified three DASH adherence subgroups: low adherence (44.2%), high adherence (41.2%), and mixed-pattern adherence (14.6%). Subgroups significantly differed in IES-2 subscales, including unconditional permission to eat (p < 0.0001), reliance on hunger and satiety cues (p = 0.0487), and body-food choice congruence (p < 0.0001). The low-adherence group scored higher on hunger cues, while the high-adherence group scored higher on body-food choice congruence. These findings highlight the value of examining overall dietary patterns rather than a single DASH score, as patterns better capture interactions among foods and nutrients that influence diet quality and health. Each subgroup's distinct demographic and behavioral characteristics further emphasize tailored DASH diet guidance which could lead to better cardiovascular outcomes. PATIENT OR PUBLIC CONTRIBUTION: 301 adults with hypertension contributed to this study by providing baseline data as part of the Nourish randomized controlled trial (ClinicalTrials.gov: NCT03875).</p>","PeriodicalId":54492,"journal":{"name":"Research in Nursing & Health","volume":" ","pages":"553-563"},"PeriodicalIF":2.8,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13539673/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147823412","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":"Racial and Ethnic Differences in Nonresponse Rate to Experiences of Discrimination: A Secondary Analysis of the nuMoM2b Dataset.","authors":"Kathryn Kravetz Carr, Jordan Pelkmans, Lisa M Thompson, Melinda Higgins, Wenhui Vivian Zhang","doi":"10.1002/nur.70100","DOIUrl":"10.1002/nur.70100","url":null,"abstract":"<p><p>Discrimination drives racial and ethnic disparities in maternal mortality and morbidity, imposing both a human and economic burden. Yet, discrimination is challenging to measure accurately. Little is published in perinatal literature about nonresponse bias to experiences of discrimination and how to mitigate this effect to obtain more complete information. In this secondary analysis of the Nulliparous Pregnancy Outcomes Study: Monitoring Mothers-to-Be (nuMoM2b), we used the Experiences of Discrimination (EOD) scale to examine missing responses to a question about racial or ethnic discrimination during medical care. We categorized responses as \"yes,\" \"no,\" or \"nonresponse.\" Independent variables included racial and ethnic identification, age, body mass index (BMI), education, and poverty level. Logistic regression estimated the odds of nonresponse. Among 9289 participants, 121 (1.3%) reported discrimination, 8598 (92.6%) reported no discrimination, 570 (6.1%) did not respond. In the final adjusted model, racial and ethnic identification was the only statistically significant predictor of nonresponse (p < 0.001). Compared to the most numerous racial group, non-Hispanic white participants, Hispanic participants had 1.8 times the odds of nonresponse [95% CI: 1.3-2.3], and non-Hispanic Black participants had 1.6 times the odds [95% CI: 1.1-2.2]. When individuals most likely to experience discrimination are also the least likely to disclose it, nonresponse bias may result, leading to underestimation of prevalence and obscuring lived experiences of those most affected. Understanding the predictors of nonresponse in patient experience surveys can inform improvements in measurement of discrimination through participant recruitment, survey design, execution, and interpretation.</p>","PeriodicalId":54492,"journal":{"name":"Research in Nursing & Health","volume":" ","pages":"703-711"},"PeriodicalIF":2.8,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13539631/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148399695","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 Adherence Paradox in Uncontrolled Moderate-To-Severe Asthma: A Qualitative Study of Patient Experiences and Unmet Needs.","authors":"Yuling Hu, Hailun Huang, Meijia Chen, Zhaoqian Gong, Liyu Yang, Yisheng Lan, Wenshan Ouyang, Wenqu Zhao, Haijin Zhao, Shaoxi Cai","doi":"10.1002/nur.70099","DOIUrl":"10.1002/nur.70099","url":null,"abstract":"<p><p>In clinical practice, a significant subgroup of patients with moderate-to-severe asthma reports persistent symptoms and substantial impairment in daily functioning despite high adherence to prescribed inhaled therapy. However, their lived experiences and unmet needs remain poorly understood. This descriptive phenomenological study aimed to explore the illness experiences, related barriers, and unmet needs of adults with moderate-to-severe asthma who remained persistently uncontrolled despite objectively verified high adherence to prescribed inhaled maintenance therapy. In-depth, semi-structured interviews were conducted with 14 adult patients between June and November 2025 in a specialty asthma clinic at a tertiary-level hospital in China, and the data were analyzed using Colaizzi's seven-step phenomenological method. Four overarching themes were identified, revealing a multidimensional hidden burden: (1) physiological instability, characterized by persistent symptoms and comorbidity-driven symptom amplification; (2) life-space constriction, involving occupational vulnerability, stigma, and defensive withdrawal; (3) psychological duality, in which fear and vigilance coexisted with resigned habituation; and (4) therapeutic dilemmas, including corticosteroid anxiety and dependence, financial toxicity, and fears of therapeutic futility. These findings show that persistent poor control in highly adherent patients is experienced not simply as ongoing symptoms, but as a multidimensional burden. This adherence paradox challenges the assumption that high adherence invariably indicates satisfactory control. The findings also highlight the need for nurse-led follow-up and future intervention studies focusing on symptom interpretation, uncertainty management, and treatment-related concerns in this subgroup.</p>","PeriodicalId":54492,"journal":{"name":"Research in Nursing & Health","volume":" ","pages":"693-702"},"PeriodicalIF":2.8,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13539696/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148406812","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":"Efficacy and Implementation of Digital Health Interventions in Improving Cognitive, Psychological, and Quality of Life Among Stroke Survivors: A Systematic Review and Meta-Analysis.","authors":"Min Li, Yiwei Gu, Junru Liao, Shuyu Chen, Huaxin Si, Wendie Zhou, Jiaqi Yu, Xue Wang, Hejing Chen, Xuan Yang, Cuili Wang","doi":"10.1002/nur.70126","DOIUrl":"https://doi.org/10.1002/nur.70126","url":null,"abstract":"<p><p>Post-stroke cognitive impairment, depression, and anxiety significantly contribute to long-term disability, yet conventional interventions often face barriers in accessibility and personalization. Digital health interventions (DHIs) have emerged as promising adjuncts to stroke rehabilitation, and previous reviews have synthesized their effects across several rehabilitation outcomes. This systematic review and meta-analysis updated this evidence by separately evaluating global cognitive performance, depression, anxiety, quality of life (QoL), and implementation-related indicators among adult stroke survivors. We searched PubMed, Web of Science, Scopus, Embase, CINAHL, PsycINFO, and grey literature sources from inception to May 15, 2026. Twenty-six randomized controlled trials involving 1855 participants were included. Data were pooled using standardized mean differences (SMDs) with 95% confidence intervals (CIs), and risk of bias was assessed using the Cochrane tool. DHIs significantly improved global cognitive performance (SMD = 0.49, 95% CI [0.33, 0.65]) and reduced depression (SMD = -0.35, 95% CI [-0.56, -0.13]) and anxiety (SMD = -0.45, 95% CI [-0.70, -0.20]). The pooled effect on QoL was not statistically significant and showed substantial heterogeneity (SMD = 0.72, 95% CI [-0.51, 1.94]). Exploratory subgroup analyses suggested possible variation by DHI modality, stroke phase, and intervention duration, but these findings should be interpreted cautiously. Implementation outcomes indicated generally good feasibility and adherence, though reach varied and safety reporting was incomplete. No significant publication bias was detected. DHIs may serve as adjuncts to stroke rehabilitation, but further well-powered RCTs with standardized protocols and prespecified comparative designs are needed.</p>","PeriodicalId":54492,"journal":{"name":"Research in Nursing & Health","volume":" ","pages":""},"PeriodicalIF":2.8,"publicationDate":"2026-09-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148957460","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 Mediating Role of Disengaged Coping in the Relationship Between Adverse Childhood Experiences and Substance Use Among Sexual Minority Adults.","authors":"Marvin A Schilt-Solberg, Julie J A M J Kurzer","doi":"10.1002/nur.70127","DOIUrl":"https://doi.org/10.1002/nur.70127","url":null,"abstract":"<p><p>Adverse childhood experiences (ACEs) are strongly linked to negative long-term health outcomes. Sexual minority (SM) individuals face disproportionate exposure to ACEs and their consequences compared to heterosexual peers. However, the mechanisms connecting ACEs to these outcomes remain poorly understood. Emerging evidence suggests coping styles may play a critical role, yet the interplay between general ACEs, SM-specific ACEs, coping styles, and health outcomes is underexplored. To address these gaps, a cross-sectional survey of 530 SM adults (265 men, 265 women) in the United States examined the relationships among ACEs, coping styles, and substance use. Structural equation modeling revealed weak but significant positive associations between ACEs and both adaptive and support-based coping styles, alongside a stronger positive relationship between ACEs and disengaged coping. While adaptive coping showed no significant link to substance use, support coping showed a small inverse association and disengaged coping a moderately strong positive association with substance use. Mediation analysis further indicated that disengaged coping partially mediated the observed relationship between ACEs and substance use. These findings highlight disengaged coping as a potential mechanism linking ACEs to substance use among SM individuals. Interventions targeting disengaged coping may mitigate the harmful effects of ACEs on health behaviors in this population. Future research should explore the development of coping styles and design strategies to promote adaptive coping in SM individuals, addressing a critical gap in health disparity research.</p>","PeriodicalId":54492,"journal":{"name":"Research in Nursing & Health","volume":" ","pages":""},"PeriodicalIF":2.8,"publicationDate":"2026-09-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148946223","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":"Health-Related Social Needs and eHealth Literacy Among Community-Dwelling Older Adults With Chronic Diseases: Associations With Diabetes Status.","authors":"Minhwa Hwang, Ga Eun Park, Hyo Jung Han, Gahye Kim, Yeon-Hwan Park","doi":"10.1002/nur.70128","DOIUrl":"https://doi.org/10.1002/nur.70128","url":null,"abstract":"<p><p>Diabetes, a chronic condition prevalent among older adults, imposes a substantial disease burden. Effective care requires sustained self-management, and digital health technologies increasingly support this process. For older adults, engagement in digital health depends not only on individual skills but also on health-related social needs (HRSNs), which reflect unmet social and environmental conditions that hinder effective health maintenance. This study aimed to examine associations between diabetes status and HRSNs and to investigate their associations with eHealth literacy in community-dwelling older adults with chronic diseases. A cross-sectional survey was conducted with community-dwelling adults aged ≥60 years in South Korea. HRSNs were assessed using the Accountable Health Communities Screening Tool, and eHealth literacy was measured using the eHealth Literacy Scale. Multivariable logistic regression was used to examine differences in domain-specific HRSNs by diabetes status and generalized linear models were applied to assess the associations of diabetes status and HRSNs with eHealth literacy. The overall HRSN burden did not differ according to diabetes status; however, older adults with diabetes were less likely to report unmet mental health needs. Diabetes status, but not HRSNs, was associated with lower eHealth literacy. These findings suggest that digital self-management support for older adults with diabetes should consider eHealth literacy levels and diabetes-related characteristics, while HRSN screening may provide complementary information on unmet social needs relevant to digital health access and engagement.</p>","PeriodicalId":54492,"journal":{"name":"Research in Nursing & Health","volume":" ","pages":""},"PeriodicalIF":2.8,"publicationDate":"2026-09-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148946170","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":"Effects of Interprofessional Collaborative Practice in Older Adults' Hip Fractures Care: A Systematic Review and Meta-Analysis of Randomized Controlled Trials.","authors":"Santo Imanuel Tonapa, I-Chin Huang, Bih-O Lee, Wendy Chaboyer","doi":"10.1002/nur.70125","DOIUrl":"https://doi.org/10.1002/nur.70125","url":null,"abstract":"<p><p>This study aimed to evaluate the effectiveness of interprofessional collaborative practice interventions in improving activities of daily living, quality of life, length of stay, and in reducing mortality among older adults with hip fractures. Systematic review and meta-analysis of randomized controlled trials. Eight databases including AgeLine, PubMed, Embase, CINAHL Ultimate, Scopus, MEDLINE Ultimate, Web of Science, and the Cochrane Library were searched from inception to November 2025. Two reviewers independently screened studies and assessed risk of bias using Cochrane Risk-of-Bias 2.0. Random-effects meta-analyses were performed. Certainty of evidence was evaluated using GRADE. Twelve randomized controlled trials met inclusion criteria. Interventions typically involved nurses working alongside geriatricians, orthopedic surgeons, and physiotherapists within structured co-management pathways. Interprofessional collaborative practice was associated with a shorter hospital stay by a mean of 2.26 days. Activities of daily living improved by 4.86 points at 6 months and 3.92 points at 12 months on the Barthel Index. Health-related quality of life improved modestly (Hedges' G = 0.194), though this was not robust to sensitivity analysis. Mortality evidence was inconclusive at in-hospital and 6-month follow-up. Certainty of evidence ranged from very low to low across outcomes. Interprofessional collaborative practice appears to improve functional recovery and may shorten hospital stay among older adults with hip fractures, though any mortality benefit remains unproven. Clinicians should consider adopting interprofessional hip fracture pathways spanning team rounds, early mobilization, medication reconciliation, and discharge planning, while future trials clarify effects on survival. Trial Registration: PROSPERO registration number: CRD42024573834.</p>","PeriodicalId":54492,"journal":{"name":"Research in Nursing & Health","volume":" ","pages":""},"PeriodicalIF":2.8,"publicationDate":"2026-09-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148914390","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":"Comment on \"Feasibility and Exploratory Outcomes of Foot-Ankle and Walking Exercises for Diabetic Neuropathy, Stress, and Quality of Life: A Pilot Randomized Controlled Trial\".","authors":"S Saranya, Neeta Devi, Anshu Tomar, Mohammed Umar","doi":"10.1002/nur.70123","DOIUrl":"https://doi.org/10.1002/nur.70123","url":null,"abstract":"","PeriodicalId":54492,"journal":{"name":"Research in Nursing & Health","volume":" ","pages":""},"PeriodicalIF":2.8,"publicationDate":"2026-09-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148914321","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}