Research in Nursing & Health最新文献_第9页

Comment on "Factors Associated With Intent to Leave the Nursing Profession in the United States: An Integrative Review". 评论“与离开美国护理专业相关的因素：一项综合综述”。

IF 2.4 4区医学

Research in Nursing & Health Pub Date : 2026-06-01 Epub Date: 2026-03-30 DOI: 10.1002/nur.70067

Hessah M Al Melweth, Abeer Mahfouz Mohmmed Al Mdawi, Walaa Badawy

引用次数: 0

Factors Influencing Secondary Traumatic Stress in Pediatric Nurses: An Integrative Review. 影响儿科护士继发性创伤应激的因素：一项综合综述。

IF 2.4 4区医学

Research in Nursing & Health Pub Date : 2026-06-01 DOI: 10.1002/nur.70084

Heemoon Lim, Won Jin Seo, Hyejung Lee

{"title":"Factors Influencing Secondary Traumatic Stress in Pediatric Nurses: An Integrative Review.","authors":"Heemoon Lim, Won Jin Seo, Hyejung Lee","doi":"10.1002/nur.70084","DOIUrl":"https://doi.org/10.1002/nur.70084","url":null,"abstract":"Secondary traumatic stress is a significant occupational concern in pediatric nursing because frequent exposure to traumatic events can compromise nurses' emotional health, increase burnout, and reduce the quality of care. The aim of this integrative review is to synthesize the current evidence on the prevalence and contributing factors of secondary traumatic stress among pediatric nurses. A comprehensive search was conducted in CINAHL, EMBASE, PsycINFO, PubMed, and Web of Science for peer-reviewed articles published in English. A total of 24 studies met the inclusion criteria and were analyzed using Whittemore and Knafl's integrative review methodology. Reported prevalence rates of secondary traumatic stress ranged from 13% to 87%, which were higher than those of other healthcare professionals. Key contributing factors included patient deaths, parental grief, heavy workload, limited organizational support, and insufficient coping strategies. These factors encompassed the individual, work-related, and organizational domains. The review highlights the need for comprehensive strategies to support pediatric nurses' mental health and to develop interventions that address both personal and workplace contributors. Further high-quality research is warranted to deepen the understanding of this phenomenon and inform evidence-based practices that protect both nurse well-being and the quality of care provided to children and their families.","PeriodicalId":54492,"journal":{"name":"Research in Nursing & Health","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148139964","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

Weekly Walking Attenuates the Association Between Frailty and Depressive Symptoms in Patients With Rheumatoid Arthritis. 每周步行减轻类风湿关节炎患者虚弱和抑郁症状之间的关联

IF 2.8 4区医学

Research in Nursing & Health Pub Date : 2026-06-01 Epub Date: 2026-03-07 DOI: 10.1002/nur.70066

Wonhee Baek, Ji Yea Lee, Ari Min, Chang Gi Park, Minkyung Kang

{"title":"Weekly Walking Attenuates the Association Between Frailty and Depressive Symptoms in Patients With Rheumatoid Arthritis.","authors":"Wonhee Baek, Ji Yea Lee, Ari Min, Chang Gi Park, Minkyung Kang","doi":"10.1002/nur.70066","DOIUrl":"10.1002/nur.70066","url":null,"abstract":"This study aimed to examine whether engagement in weekly walking moderates the relationship between frailty and depressive symptoms among patients with rheumatoid arthritis, a population known to be vulnerable to both physical and psychological decline. This cross-sectional observational study used data from the 2016 and 2018 Korea National Health and Nutrition Examination Surveys. The sample included 206 adults aged 45 years or older who were diagnosed with rheumatoid arthritis. Survey-weighted multivariable linear regression analyses accounting for the complex sampling design were employed to examine the moderating effects of walking frequency on the frailty-depression relationship. Subsequently, the conditional effect of the moderator was examined using the Johnson-Neyman technique to identify the levels of weekly walking days at which the relationship between frailty and depressive symptoms varied. Frailty emerged as a significant predictor of depressive symptoms. A significant interaction was found between frailty and walking frequency, indicating a buffering effect of walking (β = -3.68, p = 0.010). The Johnson-Neyman analysis revealed that the positive association between frailty and depressive symptoms emerged when individuals walked less than approximately 3.5 days per week. Engagement in weekly walking attenuated the relationship between frailty and depressive symptoms among patients with rheumatoid arthritis. These findings highlight the importance of promoting even low levels of physical activity, such as short walking sessions, to support mental health and reduce the risk of depression in frail patients with rheumatoid arthritis. However, the cross-sectional design, self-reported data, and lack of control for clinical factors limit causal interpretation.","PeriodicalId":54492,"journal":{"name":"Research in Nursing & Health","volume":" ","pages":"283-292"},"PeriodicalIF":2.8,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13123629/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147373592","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

Role of Sleep Disturbances and Diabetes-Related Distress on Glycemic Control: A Path Analysis. 睡眠障碍和糖尿病相关焦虑对血糖控制的作用：一项路径分析。

IF 2.8 4区医学

Research in Nursing & Health Pub Date : 2026-04-01 Epub Date: 2025-12-16 DOI: 10.1002/nur.70047

Bomin Jeon, Faith S Luyster, Eileen R Chasens

{"title":"Role of Sleep Disturbances and Diabetes-Related Distress on Glycemic Control: A Path Analysis.","authors":"Bomin Jeon, Faith S Luyster, Eileen R Chasens","doi":"10.1002/nur.70047","DOIUrl":"10.1002/nur.70047","url":null,"abstract":"Despite advancements in diabetes management technology, many patients with type 2 diabetes (T2D) struggle to achieve optimal glycemic control. Sleep disorders such as obstructive sleep apnea (OSA) and insomnia are common in T2D and linked to poor glycemic control. Insomnia, particularly with short sleep duration, may worsen glycemic control by increasing diabetes-related distress. To improve glucose management, the association among sleep duration, insomnia severity, diabetes-related distress, and glycemic control needs to be further evaluated. A path analysis was conducted using data from 237 adults with T2D and OSA from the total of 406 participants who completed the baseline assessment in the Diabetes Sleep Treatment Trial (DSTT; N = 351) and the Diabetes Sleep Treatment Trial for Insomnia (DSTT-I; N = 55). Parent studies were conducted from July 2013 to June 2018 (DSTT) and from April 2017 to March 2020 (DSTT-I). Sleep duration was assessed using the Pittsburgh Sleep Quality Index, insomnia severity using the Insomnia Severity Index, and diabetes-related distress using the Problem Areas in Diabetes. Glycemic control was measured by hemoglobin A1c. The results showed that shorter sleep duration indirectly worsened glycemic control by increasing insomnia severity, which, in turn, elevated diabetes-related distress after controlling for obstructive sleep apnea severity, age, sex, marital status, race, education level, and financial difficulty. These findings suggest that sleep duration may be a modifiable factor for improving insomnia severity, reducing diabetes-related distress, and enhancing glycemic control in T2D. Optimizing sleep duration as part of clinical diabetes management may help improve glucose regulation.","PeriodicalId":54492,"journal":{"name":"Research in Nursing & Health","volume":" ","pages":"137-145"},"PeriodicalIF":2.8,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12954645/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145764254","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

Where Has All the Theory Gone? Thoughts as a Reviewer. 理论都到哪里去了？作为评论者的想法。

IF 2.4 4区医学

Research in Nursing & Health Pub Date : 2026-04-01 Epub Date: 2026-02-20 DOI: 10.1002/nur.70062

Ashley Rivera

引用次数: 0

Navigating Integration in Mixed-Methods: A Practical Guide for Novice Nursing Researchers. 混合方法导航整合：新手护理研究人员实用指南。

IF 2.8 4区医学

Research in Nursing & Health Pub Date : 2026-04-01 Epub Date: 2025-12-20 DOI: 10.1002/nur.70048

Natasha Hawkins, Sarah Yeun-Sim Jeong, Jenny Sim

引用次数: 0

Co-Development of a Group-Based Parenting Program for Parents of Youth in Psychiatric Residential Treatment. 为精神科住院治疗青少年的父母共同发展以团体为本的亲子教育计划。

IF 2.4 4区医学

Research in Nursing & Health Pub Date : 2026-04-01 Epub Date: 2025-12-05 DOI: 10.1002/nur.70039

Kayla Herbell, Susan M Breitenstein, Sophie Berger, Charis Stanek

{"title":"Co-Development of a Group-Based Parenting Program for Parents of Youth in Psychiatric Residential Treatment.","authors":"Kayla Herbell, Susan M Breitenstein, Sophie Berger, Charis Stanek","doi":"10.1002/nur.70039","DOIUrl":"10.1002/nur.70039","url":null,"abstract":"Youth in psychiatric residential treatment (RT) are a highly vulnerable population in which parent involvement is critical to optimizing long-term outcomes. However, existing parent programs rarely address the unique challenges faced by families navigating RT. This study aimed to identify parent support needs and develop an adapted parenting program, Parenting Wisely for RT (PWRT). Using qualitative interviews with parents and input from an RT staff advisory board, we explored the informational, instructional, and emotional support needs of families with youth in RT. Findings guided the development of PWRT, a 6-week program that combines web-based modules (i.e., existing parent training program) with facilitated parent groups (i.e., adapted component). Parents expressed needs for education, skill generalization to complex RT-related situations, and reduction of social isolation. The advisory board co-developed the parent groups to include strengths-based, real-time skill practice, peer connection, and tailored psychoeducation that fosters shared learning and addresses challenges unique to the RT context. Facilitators provide coaching and help parents apply skills in diverse family situations, enhancing engagement and relevance. PWRT represents a promising adaptation of parent training for families with youth in RT, designed to enhance parent knowledge, skills, and connectedness. Future research should evaluate its feasibility, effectiveness, and implementation to support families during and after RT.","PeriodicalId":54492,"journal":{"name":"Research in Nursing & Health","volume":" ","pages":"116-125"},"PeriodicalIF":2.4,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145679467","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

Pathway to Excellence Designation, Nurse Work Environment, and Hospital Quality and Safety: A Multi-State Hospital Study. 通往卓越指定、护士工作环境和医院质量与安全之路：一项多州医院研究。

IF 2.8 4区医学

Research in Nursing & Health Pub Date : 2026-04-01 Epub Date: 2026-01-07 DOI: 10.1002/nur.70052

Hyunmin Yu, J Margo Brooks Carthon, Linda H Aiken, Kevin K McEwan, Matthew D McHugh

{"title":"Pathway to Excellence Designation, Nurse Work Environment, and Hospital Quality and Safety: A Multi-State Hospital Study.","authors":"Hyunmin Yu, J Margo Brooks Carthon, Linda H Aiken, Kevin K McEwan, Matthew D McHugh","doi":"10.1002/nur.70052","DOIUrl":"10.1002/nur.70052","url":null,"abstract":"The Pathway to Excellence (Pathway) program administered by the American Nurses Credentialing Center, recognizes organizations that foster positive nursing practice environments. However, evidence linking Pathway designation to nurse-reported outcomes remains limited. This cross-sectional study integrated data from the Penn 2024 Nurses4All Study and the American Hospital Association Annual Survey. The sample included 16,979 direct care nurses from 1672 hospitals in 10 US states (866 nurses in 63 Pathway hospitals and 16,113 nurses in 1609 non-Pathway, non-Magnet hospitals). The independent variable was Pathway status. Outcomes included nurse-reported work environment, care quality, patient safety, and hospital recommendations. Multilevel linear and logistic regression models estimated associations. Pathway hospitals showed more favorable work environments (γ, the fixed-effect coefficient from multilevel linear models = 0.08, 95% confidence interval [CI] = 0.01-0.16), driven by responsive administration (γ = 0.15, 95% CI = 0.05-0.24) and a clear philosophy of nursing (γ = 0.11, 95% CI = 0.01-0.20). Pathway hospitals also demonstrated a more favorable patient safety climate (γ = 0.51, 95% CI = 0.02-0.99), including more positive perceptions of a non-punitive response to mistakes (γ = 0.12, 95% CI: 0.02-0.23), discussions about error prevention (γ = 0.12, 95% CI: 0.03-0.21), and leadership prioritization of safety (γ = 0.14, 95% CI: 0.02-0.26). Nurses in Pathway hospitals had higher odds of rating the overall work environment as excellent/good (adjusted odds ratio [aOR] = 1.32, 95% CI: 1.06-1.63), quality of nursing care as excellent/good (aOR = 1.35, 95% CI: 1.06-1.71), and of \"definitely\" recommending their hospital (aOR = 1.32, 95% CI: 1.03-1.69). These results underscore the central role of positive practice environments in delivering high-quality, safer patient care.","PeriodicalId":54492,"journal":{"name":"Research in Nursing & Health","volume":" ","pages":"159-169"},"PeriodicalIF":2.8,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12954649/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145913765","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

President's Pen-Building on Our Tradition of Inclusive Excellence. 校长笔建在我们包容卓越的传统上。

IF 2.4 4区医学

Research in Nursing & Health Pub Date : 2026-04-01 Epub Date: 2026-02-17 DOI: 10.1002/nur.70061

Mercy Ngosa Mumba

引用次数: 0

Acupuncture Therapy for Type 2 Diabetes Mellitus: A Systematic Review and Network Meta-Analysis. 针灸治疗2型糖尿病：系统综述和网络荟萃分析。

IF 2.8 4区医学

Research in Nursing & Health Pub Date : 2026-04-01 Epub Date: 2026-02-03 DOI: 10.1002/nur.70054

Ziyue Zhu, Hai Yu, Shuai Chen, Renhong Wan, Luqiang Sun, Xiaorui Zeng, Yupeng Zhang, Peng Lai, Qianhua Zheng, Wei Zhang, Ying Li

{"title":"Acupuncture Therapy for Type 2 Diabetes Mellitus: A Systematic Review and Network Meta-Analysis.","authors":"Ziyue Zhu, Hai Yu, Shuai Chen, Renhong Wan, Luqiang Sun, Xiaorui Zeng, Yupeng Zhang, Peng Lai, Qianhua Zheng, Wei Zhang, Ying Li","doi":"10.1002/nur.70054","DOIUrl":"10.1002/nur.70054","url":null,"abstract":"Type 2 diabetes mellitus (T2DM) affects the patient's quality of life. Currently, hypoglycemic drugs are mainly used for the standard care for T2DM, but they appear to cause many adverse reactions. As a traditional therapy, acupuncture has been gradually applied to the treatment of T2DM. However, the best acupuncture regimen is still uncertain. Therefore, we evaluated the clinical efficacy of various acupuncture therapies in the treatment of T2DM. Up to December 2nd, 2024, eight databases were searched. The data were analyzed using Stata 15.1 and R 4.2.1 software. The included studies were assessed for bias using the Cochrane risk of bias tool (RoB2.0). A total of 139 randomized controlled trials were included, involving 12,231 patients with T2DM. The results showed that compared with conventional treatment (CT), body acupuncture + CT had the best effect on improving fasting blood glucose (FBG) (MD = -0.84, 95% CI: -1.01, -0.67; SUCRA = 84.44%) and HbA1c (MD = -1.08, 95% CI: -1.42, -0.76; SUCRA = 87.44%); auricular acupuncture + CT had the best effect on improving 2 h postprandial blood glucose (2hBG) (MD = -1.56, 95% CI: -2.05, -1.06: SUCRA = 82.10%), and laser acupuncture + CT had the best effect on improving homeostasis model assessment for insulin resistance (HOMA-IR) (MD = -2.46, 95% CI: -5.85, 0.96; SUCRA = 83.95%), fasting insulin (FINS) (MD = -7.21, 95% CI: -19, 4.54; SUCRA = 82.00%) and overall response rate (RR = 1.45, 95% CI: 0.97, 2.31; SUCRA = 84.00%) Acupuncture can effectively improve diabetes related indicators. Body acupuncture, auricular acupuncture, and laser acupuncture appear to be the most advantageous options for managing T2DM. However, due to the low quality of the included studies, more evidence may be needed to verify the conclusions.","PeriodicalId":54492,"journal":{"name":"Research in Nursing & Health","volume":" ","pages":"180-192"},"PeriodicalIF":2.8,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146114730","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