Research in Nursing & Health最新文献_第5页

Comment on "Effect of Music on Pain, Anxiety, and Satisfaction During Intrauterine Device Application: A Randomized Clinical Trial". “音乐对宫内节育器使用过程中疼痛、焦虑和满意度的影响：一项随机临床试验”评论。

IF 2.8 4区医学

Research in Nursing & Health Pub Date : 2026-09-03 DOI: 10.1002/nur.70124

Yurika Saito, Yohei Kishi, Anri Inumaru

引用次数: 0

The Technology Dependence Index (TDI): Development and Validation in Neonatal and Pediatric Populations. 技术依赖指数（TDI）：在新生儿和儿科人群中的发展和验证。

IF 2.8 4区医学

Research in Nursing & Health Pub Date : 2026-08-15 DOI: 10.1002/nur.70121

Ashlee J Vance, Matthew Peterson, Hayley H Estrem, Christine A Fortney, Sharron L Docherty, Debra H Brandon

{"title":"The Technology Dependence Index (TDI): Development and Validation in Neonatal and Pediatric Populations.","authors":"Ashlee J Vance, Matthew Peterson, Hayley H Estrem, Christine A Fortney, Sharron L Docherty, Debra H Brandon","doi":"10.1002/nur.70121","DOIUrl":"10.1002/nur.70121","url":null,"abstract":"The survival of infants and children with complex medical conditions continues to increase, underscoring the need to quantify technology dependence more effectively. Existing measures emphasize mortality risk and fail to capture the burden of ongoing technological support. To address this gap, the Technology Dependence Index (TDI) was developed and initially validated as a standardized measure capturing the technology-dependence component of neonatal and pediatric caregiving complexity. Technology dependence is defined as the complexity and intensity of the skilled, health-related caregiving an infant or child needs to sustain physiological functioning, beyond the presence of any single device. Pooled data from six studies yielded 818 TDI observations across 265 infants. Inter-rater reliability was moderate (κ = 0.61), with intraclass correlations from 0.90 to 0.99 and at least 90% agreement for 10 of 12 domains, noting the medication domain had the lowest inter-rater reliability (45%-48%). Principal components analysis supported a multidimensional internal structure, with the 12 domains loading onto three retained factors. Researchers and clinicians can use the TDI retrospectively through chart review, prospectively in real time, or via parent report, making it adaptable to both research and clinical settings.","PeriodicalId":54492,"journal":{"name":"Research in Nursing & Health","volume":" ","pages":""},"PeriodicalIF":2.8,"publicationDate":"2026-08-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148763694","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

Diagnosing the Nursing Practice Environment: An Importance-Performance Analysis of Job Satisfaction Across Clinical Ladder Levels. 诊断护理实践环境：跨临床阶梯水平的工作满意度的重要性-绩效分析。

IF 2.8 4区医学

Research in Nursing & Health Pub Date : 2026-08-13 DOI: 10.1002/nur.70120

Ya-Wen Lee, Chih-Hao Lin, Shuo-Jen Chang, Ting-Yu Yao, Chien-Mi Chang, Hsiao-Fen Sun

{"title":"Diagnosing the Nursing Practice Environment: An Importance-Performance Analysis of Job Satisfaction Across Clinical Ladder Levels.","authors":"Ya-Wen Lee, Chih-Hao Lin, Shuo-Jen Chang, Ting-Yu Yao, Chien-Mi Chang, Hsiao-Fen Sun","doi":"10.1002/nur.70120","DOIUrl":"10.1002/nur.70120","url":null,"abstract":"This study aimed to diagnose priority areas within the nursing practice environment by applying importance-performance analysis to examine job satisfaction across clinical ladder levels. Using a cross-sectional secondary data analysis, 8009 valid survey responses from registered nurses at a tertiary medical center in Taiwan were analyzed across nine survey waves collected between 2020 and 2025. Sequential regression revealed that personal and job-related characteristics accounted for only 3.2% of the variance in job satisfaction. Satisfaction demonstrated a U-shaped distribution across career stages, with the lowest levels observed among competent (N2) nurses. Importance-performance analysis identified professional autonomy as the sole dimension located in the \"concentrate here\" quadrant, signifying a high-importance but low-performance area and highlighting a marked structural autonomy gap. In contrast, nursing workload, although rated lowest in performance, was not located in the immediate intervention quadrant because of its comparatively lower association with overall job satisfaction. Findings suggest that nurse retention challenges are primarily associated with structural conditions, particularly for intermediate-level nurses who face increasing clinical responsibility without commensurate decision-making authority. Healthcare organizations should shift retention strategies from individual-level selection toward environment-focused diagnosis, prioritizing structural empowerment initiatives that enhance professional autonomy and participation in decision-making.","PeriodicalId":54492,"journal":{"name":"Research in Nursing & Health","volume":" ","pages":""},"PeriodicalIF":2.8,"publicationDate":"2026-08-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148722676","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

Feasibility and Exploratory Outcomes of Foot-Ankle and Walking Exercises for Diabetic Neuropathy, Stress, and Quality of Life: A Pilot Randomized Controlled Trial. 足踝和步行运动对糖尿病神经病变、压力和生活质量的可行性和探索性结果：一项随机对照试验。

IF 2.8 4区医学

Research in Nursing & Health Pub Date : 2026-08-10 DOI: 10.1002/nur.70116

Siti Fadlilah, Wahyu Rochdiat Murdhiono, Ariyanto Nugroho, Yohanes Andy Rias, Shih Hsin Hsiao, Kai Ling Lee, Po Hao Feng, Hsiu Ting Tsai

{"title":"Feasibility and Exploratory Outcomes of Foot-Ankle and Walking Exercises for Diabetic Neuropathy, Stress, and Quality of Life: A Pilot Randomized Controlled Trial.","authors":"Siti Fadlilah, Wahyu Rochdiat Murdhiono, Ariyanto Nugroho, Yohanes Andy Rias, Shih Hsin Hsiao, Kai Ling Lee, Po Hao Feng, Hsiu Ting Tsai","doi":"10.1002/nur.70116","DOIUrl":"https://doi.org/10.1002/nur.70116","url":null,"abstract":"Foot-ankle and walking exercises have been proposed as potential strategies for managing symptoms in people with diabetic peripheral neuropathy (DPN), yet evidence from primary care remains limited. This pilot study assessed the feasibility and acceptability of these interventions and explored preliminary outcome patterns in DPN, stress, and quality of life (QoL). A three-arm pilot randomized controlled trial was conducted in three public health centers in Yogyakarta, Indonesia (n = 108; 36 per group). The control group received usual care and health education. The foot-ankle group received education, leaflets, demonstrations, and guided practice, while the walking group received education and leaflets supporting a structured walking routine. Participants in the intervention groups then performed the exercises independently for 12 weeks. Outcomes were assessed at baseline, week 6, and week 12. Feasibility included recruitment, retention, data completeness, adherence, and adverse events. Adherence to the ≥ 150 min/week activity target was assessed using participant-reported exercise logs. Acceptability was explored through open-ended questions. Exploratory outcomes were analyzed using generalized estimating equations under an intention-to-treat approach. Feasibility indicators were favorable, with retention > 90%, minimal adverse events, and ≥ 80% adherence. Exploratory analyses suggested possible trends toward changes in DPN indicators, diabetes-related distress, QoL barriers, fasting blood glucose, blood pressure, and ankle-brachial index in the intervention groups compared with controls. These findings suggest that the interventions are feasible and acceptable in primary care and provide preliminary estimates to inform a future fully powered randomized trial.","PeriodicalId":54492,"journal":{"name":"Research in Nursing & Health","volume":" ","pages":""},"PeriodicalIF":2.8,"publicationDate":"2026-08-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148702638","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

Effect of a Nurse Practitioner-Led Bundled Care on Postoperative Recovery in Cardiac Surgery Patients: A Randomized Controlled Trial. 执业护士主导的捆绑护理对心脏手术患者术后康复的影响：一项随机对照试验。

IF 2.8 4区医学

Research in Nursing & Health Pub Date : 2026-08-07 DOI: 10.1002/nur.70117

Debajyoti Paul, Puvaneswari Kanagaraj, Padmapriya Pappaiya

{"title":"Effect of a Nurse Practitioner-Led Bundled Care on Postoperative Recovery in Cardiac Surgery Patients: A Randomized Controlled Trial.","authors":"Debajyoti Paul, Puvaneswari Kanagaraj, Padmapriya Pappaiya","doi":"10.1002/nur.70117","DOIUrl":"https://doi.org/10.1002/nur.70117","url":null,"abstract":"Postoperative delirium, pain, and sleep disturbances prolong recovery after cardiac surgery. Evidence for multicomponent, nurse practitioner-led interventions is limited, especially in resource-constrained settings. This study evaluated their effect on delirium, pain, sleep quality, and hospital stay. In a single-blinded, post-test only RCT at a tertiary cardiac hospital in India, 100 adults undergoing elective coronary artery bypass graft, mitral valve replacement, or aortic valve replacement were randomized to nurse practitioner-led bundled care (n = 50) or routine care (n = 50). The intervention included preoperative orientation, early mobilization, cognitive reorientation, family engagement, relaxation, and sleep promotion. Outcomes-delirium (CAM-ICU), pain (VAS), and sleep quality (RCSQ) and length of stay were analyzed using chi-square/Fisher's exact tests, repeated-measures ANOVA, GLM, and Mann-Whitney U tests. All 100 participants completed the study (n = 50 per group) with comparable baseline demographics and clinical profiles. The intervention group showed significantly lower postoperative delirium (Day 2: 6% vs. 32%, p = 0.001; GLM group × time interaction p = 0.009), reduced pain scores across Days 1-3 (F1,98 = 72.18, p < 0.001), and improved sleep quality across Days 2-4 (F1,98 = 233.35, p < 0.001; group × time interaction p < 0.001) compared with controls. Recovery was faster, with shorter ICU stay (median 3 vs. 3-4 days, p = 0.006), ward stay (5 vs. 6 days, p = 0.002), and total hospital stay (8 vs. 10 days, p < 0.001). Nurse practitioner-led bundled care reduces delirium, improves pain and sleep, and shortens recovery, providing a feasible, low-cost approach for cardiac surgery patients. Trial Registration: CTRI/2023/06/054180 Dated 6/19/2023.","PeriodicalId":54492,"journal":{"name":"Research in Nursing & Health","volume":" ","pages":""},"PeriodicalIF":2.8,"publicationDate":"2026-08-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148686823","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

Interventions to Prepare and Support New Graduate Nurses for Responding to Workplace Violence: A Scoping Review. 准备和支持新毕业护士应对工作场所暴力的干预措施：范围审查。

IF 2.8 4区医学

Research in Nursing & Health Pub Date : 2026-08-06 DOI: 10.1002/nur.70119

Mengting Zhang, Min He, Yifan Wu, Renting Xie, Zhiping Liu, Fiona Timmins, Junjie Shi, Yongchao Hou

{"title":"Interventions to Prepare and Support New Graduate Nurses for Responding to Workplace Violence: A Scoping Review.","authors":"Mengting Zhang, Min He, Yifan Wu, Renting Xie, Zhiping Liu, Fiona Timmins, Junjie Shi, Yongchao Hou","doi":"10.1002/nur.70119","DOIUrl":"https://doi.org/10.1002/nur.70119","url":null,"abstract":"Workplace violence remains a pervasive occupational hazard in nursing, with new graduate nurses being particularly at risk during their transition to professional practice. Limited authority, inadequate coping resources, and low confidence in managing aggression contribute to their vulnerability. This scoping review maps interventions designed to prepare and support new graduate nurses in responding to Type II (patient/visitor-initiated) and Type III (colleague-initiated) workplace violence. Following the Arksey and O'Malley framework and guided by the Joanna Briggs Institute methodology, five electronic databases (PubMed, Embase, CINAHL, Scopus, and Web of Science) were searched. Thirteen studies met the inclusion criteria, comprising two focused exclusively on Type II violence, nine on Type III violence, and two addressing both types. The identified interventions primarily encompassed educational strategies (e.g., cognitive rehearsal training and transition programs) and organizational strategies (e.g., mentorship, reporting systems, and institutional safety policies). Quantitative measures showed limited reductions in violence incidence, while qualitative data consistently demonstrated improved confidence, recognition skills, and self-efficacy. Marked heterogeneity in outcome measurement precludes direct comparison across studies. Existing interventions effectively enhance new graduate nurses' self-efficacy and confidence in responding to workplace violence, yet have shown limited impact on violence occurrence itself. This suggests that while educational interventions can strengthen individual preparedness, meaningful reductions in workplace violence require broader organizational and perpetrator-focused strategies, alongside standardized measurement approaches capable of capturing change across different outcome domains.","PeriodicalId":54492,"journal":{"name":"Research in Nursing & Health","volume":" ","pages":""},"PeriodicalIF":2.8,"publicationDate":"2026-08-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148681010","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

Simulated Targets in Antenatal Depression Need Clinical Safety Overrides. 产前抑郁的模拟靶点需要临床安全优先考虑。

IF 2.8 4区医学

Research in Nursing & Health Pub Date : 2026-08-04 DOI: 10.1002/nur.70115

An-Chih Cheng, Lien-Chung Wei

引用次数: 0

The Effects of an Emotional Freedom Technique-Based Intervention During Mammography on Perceived Pain, Situational Anxiety, and Satisfaction: A Randomized Clinical Trial. 一项随机临床试验：乳房x线摄影中基于情绪自由技术的干预对感知疼痛、情境焦虑和满意度的影响。

IF 2.8 4区医学

Research in Nursing & Health Pub Date : 2026-08-03 DOI: 10.1002/nur.70111

Sümeyye Köse, Handan Özcan, Türkinaz Aştı

{"title":"The Effects of an Emotional Freedom Technique-Based Intervention During Mammography on Perceived Pain, Situational Anxiety, and Satisfaction: A Randomized Clinical Trial.","authors":"Sümeyye Köse, Handan Özcan, Türkinaz Aştı","doi":"10.1002/nur.70111","DOIUrl":"https://doi.org/10.1002/nur.70111","url":null,"abstract":"This study aimed to examine the impact of an Emotional Freedom Technique (EFT)-based supportive intervention applied prior to mammography screening on women's perceived pain, situational anxiety, and satisfaction levels. It was hypothesized that women receiving EFT would report lower pain and anxiety levels and higher satisfaction compared to the control group. This research was designed as a randomized controlled trial. Data were collected at the Cancer Early Diagnosis, Screening, and Education Center between November 2024 and May 2025. The sample consisted of 94 women, with 47 in the EFT-based supportive intervention group and 47 in the control group. Participants were randomly assigned to groups using a computer-generated randomization sequence. Data were collected using the Pre- and Post-Procedure Information Form, the State Anxiety Inventory (STAI-I), and the Visual Analog Scale (VAS). The intervention group received a standardized single EFT session before mammography, with all procedural steps applied consistently, while the control group received only routine care. Between-group comparisons were done using the t-test or Mann-Whitney U test, and within-group changes with the Wilcoxon test. The intervention group had significantly lower post-procedure STAI-I scores (d = 2.18), lower pain levels during (d = 1.61) and after the procedure (d = 0.84), and higher satisfaction scores (d = 2.08) compared to the control group (all p < 0.001). The findings suggest that an EFT-based intervention appears effective in reducing pain and anxiety and enhancing satisfaction in women undergoing mammography, supporting its complementary use despite the study's modest sample size and some variability in intervention duration. Trial Registration: NCT06296927 (https://clinicaltrials.gov/).","PeriodicalId":54492,"journal":{"name":"Research in Nursing & Health","volume":" ","pages":""},"PeriodicalIF":2.8,"publicationDate":"2026-08-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148665310","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 Evaluation of the Behavioral Risk Assessment Scale for Work-Related Musculoskeletal Risk in Nurses (BRASM-N). 护士工作相关肌肉骨骼风险行为风险评估量表（BRASM-N）的编制与心理测量学评价。

IF 2.8 4区医学

Research in Nursing & Health Pub Date : 2026-08-03 DOI: 10.1002/nur.70118

Hariharasudhan Ravichandran, Amrutha Arumugam, Kshama Susheel Shetty

{"title":"Development and Psychometric Evaluation of the Behavioral Risk Assessment Scale for Work-Related Musculoskeletal Risk in Nurses (BRASM-N).","authors":"Hariharasudhan Ravichandran, Amrutha Arumugam, Kshama Susheel Shetty","doi":"10.1002/nur.70118","DOIUrl":"https://doi.org/10.1002/nur.70118","url":null,"abstract":"Work-related musculoskeletal disorders among nurses arise from a complex interaction of physical, organizational, and psychosocial factors. Existing assessment tools often focus on isolated risk domains, limiting their applicability in comprehensive ergonomic risk evaluation. This study aimed to develop and evaluate the psychometric properties of the Behavioral Risk Assessment Scale for Work-Related Musculoskeletal Risk in Nurses (BRASM-N). Instrument development followed a multistage process including item generation, expert content validation, pilot testing, and field testing. The scale was administered to 382 hospital nurses, with exploratory and confirmatory factor analyses conducted on independent subsamples. Reliability was examined using internal consistency and test-retest methods, and construct validity was assessed through convergent and discriminant validity. Content validation produced a 22-item scale with acceptable to excellent item relevance (I-CVI = 0.78-1.0). In 382 nurses, exploratory and confirmatory factor analyses supported a stable four-factor structure with good model fit (CFI = 0.94, TLI = 0.93, RMSEA = 0.049). Internal consistency was acceptable to excellent across subscales (Cronbach's α = 0.72-0.85; total α = 0.90). Test-retest reliability was strong (ICC = 0.76-0.91). Floor and ceiling effects were minimal. Convergent and discriminant validity were supported through correlations with work ability, job control, stress, and coping measures. The BRASM-N is a psychometrically robust, multidimensional instrument for assessing behavioral risk factors associated with work-related musculoskeletal risk in nurses and may support ergonomic screening and preventive interventions in occupational health settings.","PeriodicalId":54492,"journal":{"name":"Research in Nursing & Health","volume":" ","pages":""},"PeriodicalIF":2.8,"publicationDate":"2026-08-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148665293","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

Stories of Childhood Trauma Experienced by Women Living Houseless: Deconstructing the Concept of Protection. 无家可归的女性经历童年创伤的故事：解构保护的概念。

IF 2.8 4区医学

Research in Nursing & Health Pub Date : 2026-08-01 Epub Date: 2026-06-16 DOI: 10.1002/nur.70091

Jean Croce Hemphill, Holly Berry-Price, Katherine Christine Hall, Kristen Montgomery

{"title":"Stories of Childhood Trauma Experienced by Women Living Houseless: Deconstructing the Concept of Protection.","authors":"Jean Croce Hemphill, Holly Berry-Price, Katherine Christine Hall, Kristen Montgomery","doi":"10.1002/nur.70091","DOIUrl":"10.1002/nur.70091","url":null,"abstract":"People living houseless have disproportionately more experiences of adverse childhood events (ACEs) when compared to those living in stable housing. Women living houseless (WLH), defined as those living without a permanent structured home, experience high rates of childhood trauma. Prior research revealed strategies that women use to protect themselves and maintain emotional and physical safety in the context of violence and houselessness. The purpose of this study was to identify stories of ACEs in qualitative interviews conducted with WLH and to examine how protection functioned in the context of those experiences. A secondary qualitative content analysis was conducted using transcripts from a prior study of WLH with a history of trauma. The research team reviewed 15 transcripts to identify those containing narratives relevant to the research question. Eight transcripts included stories of ACEs. Analysis identified two central themes: key relationships, and revictimization. The analysis revealed the severity of violent experiences described by participants and highlighted the importance of high-quality relationships as a protective resource. Quality of relationships in WLH extends the definition of protective social support. Future research should focus on the intricacies of personal relationships that support protection in WLH and minimize revictimization.","PeriodicalId":54492,"journal":{"name":"Research in Nursing & Health","volume":" ","pages":"446-454"},"PeriodicalIF":2.8,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13369823/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148260706","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