International Nursing Review最新文献

{"title":"The Relationship Between Moral Sensitivity, Moral Distress, Perceived Organizational Support, and Self-Esteem in Iranian Nurses: A Cross-Sectional Analytical Study","authors":"Zahra Ebrahimi Rigi,&nbsp;Samaneh Behzadi Fard,&nbsp;Benyamin Saadatifar,&nbsp;Mehrnaz Miri,&nbsp;Omolbanin Akbari","doi":"10.1111/inr.70058","DOIUrl":"https://doi.org/10.1111/inr.70058","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>This study examined the relationship between moral sensitivity, moral distress, perceived organizational support, and self-esteem among nurses in teaching hospitals affiliated with Zahedan University of Medical Sciences.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>Nurses with moral sensitivity enhance patient rights, moral decision-making, and medical care quality. This fundamental attribute plays a crucial role in fostering patient trust and enhancing the treatment course.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>This cross-sectional analytical study involved 290 nurses affiliated with Zahedan University of Medical Sciences, Southeastern Iran. The participants were selected using a convenience sampling method. Data were collected from May to August 2020. The research tools included a demographic information questionnaire, Lutzen's Moral Sensitivity Questionnaire, Corley's Moral Distress Scale, Survey of Perceived Organizational Support, and Rosenberg's Self-Esteem Scale. Data analysis was done in SPSS software version 21.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Of the 290 nurses surveyed, 61.7% of the participants demonstrated moderate moral sensitivity, while 26.1% exhibited high moral sensitivity, and only 12.1% displayed low moral sensitivity. Additionally, a small positive impact and significant correlation were found between moral sensitivity and variables of self-esteem (<i>r</i> = 0.12, <i>p</i> = 0.034) and self-satisfaction (<i>r</i> = 0.18, <i>p</i> = 0.003).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion and Implications for Nursing and/or Health Policy</h3>\u0000 \u0000 <p>Health policymakers and managers of the health care system should think about effective interventions to promote moral sensitivity among nurses. It seems that enhancing moral sensitivity could potentially improve nurses’ self-esteem and job satisfaction.</p>\u0000 </section>\u0000 </div>","PeriodicalId":54931,"journal":{"name":"International Nursing Review","volume":"72 3","pages":""},"PeriodicalIF":3.7,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144758648","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Cultural Competence of Nursing Students After Their First Supervised Internships: An International Cross-Sectional Study","authors":"Laura Visiers-Jiménez,&nbsp;Maria Lara Martínez-Gimeno,&nbsp;José Ríos-Díaz,&nbsp;Sylvain Marcel Lybrecht-Llinares,&nbsp;María Isabel Baeza-Monedero,&nbsp;(On behalf of the CCA-EUnurse Consortium)","doi":"10.1111/inr.70068","DOIUrl":"https://doi.org/10.1111/inr.70068","url":null,"abstract":"&lt;div&gt;\u0000 \u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Aim&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;To assess the level of cultural competence among European nursing students after their first clinical experience.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Design&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;A descriptive, cross-sectional study was conducted in 18 countries and 66 higher institutions with a sample of 2932 nursing students.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Methods&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;The Cultural Competence Assessment (CCA) tool was used in its original version (English) and its validated versions in Spanish, Italian, Portuguese, Turkish, and Lithuanian. The CCA includes 25 items, Likert-type normalized in a 0–100-point scale with two dimensions: Cultural Awareness and Sensitivity (CAS) subscale and Cultural Competence Behavior (CCB) subscale. An online anonymized questionnaire was used to collect the variables. The influence of background and acquired factors in CCA was analyzed with multivariate regression models.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Results&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;The mean level of cultural competence of the European undergraduate nursing students after their first supervised internships is at a good level. Significant associations were found between cultural competence level and language of the questionnaire, gender, religious community, current year of education, leisure stays abroad, and international experiences at home, but having friends from other countries or cultures was the most important factor to explain CCA. The explained variance of CCA by these factors was low.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Conclusions&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;The international perspective of cultural competence among undergraduate nursing students at the starting point of their clinical experience provided by this study serves as an important preview of where European nursing education currently stands as a baseline scenario for designing, providing, and assessing adequate educational strategies for being a culturally competent nurse at the point of graduation.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Implications for the profession and patient care&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;The study highlights specific factors that contribute to higher levels of cultural competence. These insights can be used to further improve nursing education by providing more opportunities for students to engage with diverse cultures, resulting in enhanced cultural competence, which can lead to better patient care and higher satisfaction in diverse environ","PeriodicalId":54931,"journal":{"name":"International Nursing Review","volume":"72 3","pages":""},"PeriodicalIF":3.7,"publicationDate":"2025-07-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/inr.70068","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144725394","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Artificial Intelligence in Nursing Research: A Systematic Review of Applications, Benefits, and Challenges","authors":"Suebsarn Ruksakulpiwat,&nbsp;Lalipat Phianhasin,&nbsp;Chitchanok Benjasirisan,&nbsp;Tingyu Su,&nbsp;Chontira Riangkam,&nbsp;Sutthinee Thorngthip,&nbsp;Heba M. Aldossary,&nbsp;Bootan Ahmed,&nbsp;Kewalin Pongsuwun,&nbsp;Nopasit Angkaew","doi":"10.1111/inr.70080","DOIUrl":"https://doi.org/10.1111/inr.70080","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Artificial intelligence (AI) is reshaping healthcare, yet its role in nursing research remains underexplored. Clarifying its applications, benefits, and challenges is essential to advancing nursing science in the digital era.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>To synthesize published evidence, including empirical studies and expert perspectives on the applications, benefits, and challenges of AI in nursing research.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>This systematic review followed PRISMA guidelines. A comprehensive search was conducted across five databases, including PubMed, Medline, Scopus, ScienceDirect, and ProQuest, for studies published between January 2015 and May 2025. Eligible articles included empirical studies that examined AI use in nursing research or were conducted by nurses. Methodological quality was assessed using the Joanna Briggs Institute (JBI) critical appraisal tools. Data were synthesized using JBI's convergent integrated approach.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Fifteen studies were included in the review. Three overarching themes emerged: (1) applications of AI in nursing research; (2) challenges of AI implementation, ethical risks, and bias; and (3) benefits of AI. The AI techniques reported were diverse and included natural language processing and classical machine learning methods. Overall, methodological quality of the studies was high.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>AI offers transformative opportunities for nursing research. However, ethical implementation requires methodological rigor, active nurse involvement, and attention to sociotechnical risks.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Implications for Nursing Policy</h3>\u0000 \u0000 <p>Policies should promote nurse engagement in AI development, support AI literacy in education, and ensure ethical, equitable integration of AI into nursing research.</p>\u0000 </section>\u0000 </div>","PeriodicalId":54931,"journal":{"name":"International Nursing Review","volume":"72 3","pages":""},"PeriodicalIF":3.8,"publicationDate":"2025-07-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144705691","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Digital Health Experiences of Primary Care Nurses: A Qualitative Meta-synthesis","authors":"Paloma Robles-Aguilar,&nbsp;María Dolores Ruiz-Fernández,&nbsp;Sara Bermudo-Fuenmayor","doi":"10.1111/inr.70069","DOIUrl":"https://doi.org/10.1111/inr.70069","url":null,"abstract":"&lt;div&gt;\u0000 \u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Aim&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;To analyze primary care nurses’ experiences of integrating and using digital health in their daily practice.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Background&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;The integration of digital health in primary care, accelerated by the COVID-19 pandemic, has transformed nursing practices with a view to provide better support and services to patients.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Introduction&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;The World Health Organization defines “digital health” as the use of electronic technologies to improve health. Its 2020–2025 strategy seeks to integrate these technologies into health systems to facilitate communication between professionals, patients, and authorities. Tools such as telehealth, electronic records, artificial intelligence, and big data are transforming the role of nurses, who must become familiar with them for their performance.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Methods&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;Qualitative studies on digital health in primary care nursing were reviewed following the Enhancing Transparency in Reporting the Synthesis of Qualitative Research (ENTREQ) guidelines and using the Joanna Briggs Institute for Qualitative Research (JBI-QARI) criteria.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Results&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;Eleven articles were analyzed using thematic coding according to Thomas and Harden's approach, identifying three main themes: adaptation to digital health, nurses’ perspective on digital health, and nurse–patient digital interaction.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Discussion&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;The integration of digital health has required nurses to adapt quickly. They have expressed both benefits and challenges, highlighting the importance of adequate training, personalization in the use of digital tools, information security, and optimization of technological infrastructure.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Conclusion and implications for nursing and/or health policy&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;It is essential to assess the current competencies of nurses in digital health in order to meet their needs. Health systems should incorporate new technologies into clinical practice guidelines and health programs to improve and update the continuity and quality of care in primary care. Health policies should support the continuing education of nurses and the effective integr","PeriodicalId":54931,"journal":{"name":"International Nursing Review","volume":"72 3","pages":""},"PeriodicalIF":3.8,"publicationDate":"2025-07-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/inr.70069","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144705419","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Driving Diplomacy in Health Care: Exploring the Association Between the Diplomatic Leadership, Organizational Health, and Workplace Happiness Among Nurses","authors":"Shaimaa Mohamed Araby Ebraheem,&nbsp;Seham Marzouk Amer,&nbsp;Rasha Mohamed Mokhtar ELShafee,&nbsp;Ahmed Abdellah Othman","doi":"10.1111/inr.70064","DOIUrl":"https://doi.org/10.1111/inr.70064","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>This study explores the association between diplomatic leadership, organizational health, and workplace happiness among nurses.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>The internal work environment of organizations plays a crucial role in addressing challenges induced by external environmental factors, requiring adaptation strategies to address global issues to cope with their widespread impact. The relationship between the internal work environment and the ability of organizations to manage external pressures has been underexplored.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>This descriptive correlational study involved 323 nurses. Data collection instruments included a demographic questionnaire, the diplomatic leadership scale, the happiness at work scale, and the organizational health scale. Statistical analyses were performed using SPSS version 26.0 (IBM Inc., Chicago, IL, USA).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>There was a statistically significant relationship between organizational health and diplomatic leadership and nurse happiness at work and also between diplomatic leadership and happiness at work. Furthermore, there was a statistically significant indirect effect of organizational health on nurse happiness at work when the diplomatic leadership acts as a mediator variable. Also, there was a statistically significant positive correlation between diplomatic leadership and nurse happiness and organizational health at work.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion and implications for nursing and/or health policy</h3>\u0000 \u0000 <p>The research findings offer valuable insights for hospital administrators and nursing managers, highlighting the importance of utilizing diplomatic strategies to address workplace challenges and contribute to policy development at both national and international levels. These results emphasize the need for policymakers to sustain focus on strategic initiatives that promote diplomatic leadership as a forward-thinking administrative approach. To support this direction, healthcare organizations should adopt and implement dedicated training programs that enhance diplomatic leadership competencies. These programs should aim to continuously develop the leadership skills of nursing managers while aligning their capabilities with the evolving demands of the healthcare environment.</p>\u0000 </section>\u0000 </div>","PeriodicalId":54931,"journal":{"name":"International Nursing Review","volume":"72 3","pages":""},"PeriodicalIF":3.8,"publicationDate":"2025-07-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144705418","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Enhancing Work Efficiency With Generative Artificial Intelligence: Experience and Training Insights From School Nurses Through Focus Groups and Surveys","authors":"Li-Chun Chang,&nbsp;Chun-Hsia Huang,&nbsp;Hsing-Yi Yu,&nbsp;Li-Ling Hung,&nbsp;Hui-Ling Lin,&nbsp;Li-Ling Liao,&nbsp;I-Ju Lai","doi":"10.1111/inr.70076","DOIUrl":"https://doi.org/10.1111/inr.70076","url":null,"abstract":"&lt;div&gt;\u0000 \u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Aim&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;This study examined the use of generative artificial intelligence (GAI), factors related to its application, and training expectations among school nurses who enrolled as seed instructors in a GAI training program.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Background&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;GAI, such as ChatGPT, is reshaping professional environments by simulating human-like interactions. Enhancing user proficiency and reducing the risk of misuse is essential for practical applications.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Methods&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;This study employed an explanatory sequential mixed-methods design using a purposive sample of 45 school nurses from primary, secondary, and higher education institutions in Taiwan. An online survey assessed attitudes and behaviors related to GAI, followed by six 90-minute focus groups that explored practical use and training needs.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Findings&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;The survey confirmed the universal adoption of ChatGPT among participants, primarily for information retrieval. Perceived usefulness emerged as a key factor affecting workplace integration. Focus group discussions, guided by quantitative insights, highlighted ChatGPT's role in enhancing work efficiency through personalized educational materials, content creation, and summarization. Concerns included accuracy, ethical risks, and privacy. Participants expected improvements in workflow automation, statistical capabilities, and prompting to optimize AI integration in nursing tasks. However, misaligned expectations regarding automation and statistical capabilities were evident. These findings underscore the need for effective prompting, reliable information retrieval, and targeted AI training to support workplace adoption and critical evaluation.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Conclusion&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;ChatGPT was mainly used as a GAI tool for health education and content creation. It was valued for its personalized support but raised concerns about accuracy. Perceived usefulness significantly influenced its use, and participants sought training to improve their prompting skills.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Implications for nursing practice and health policy&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;Future AI training should integrate ethical principles alongside practical applications to minimize misuse, particularly in nursing. Specialized GAI training for nurses should emphasize hands-on application exercises to enhance task-specific efficiency and meet the evolving demands of healthcare.&lt;/p&gt;\u0000 &lt;","PeriodicalId":54931,"journal":{"name":"International Nursing Review","volume":"72 3","pages":""},"PeriodicalIF":3.8,"publicationDate":"2025-07-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144705417","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Missed Nursing Care in Patients With Dementia: A Qualitative Study","authors":"Aysun Bayram,&nbsp;Aysel Özsaban","doi":"10.1111/inr.70082","DOIUrl":"https://doi.org/10.1111/inr.70082","url":null,"abstract":"&lt;div&gt;\u0000 \u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Background&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;Patients with dementia face challenges in participating in their care, making decisions, and expressing needs, increasing the risk of missed nursing care (MNC).&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Aim&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;To explore the MNC experiences of nurses providing care to patients with dementia.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Method&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;This phenomenological study involved 13 clinic nurses with at least one year of experience in neurology clinics and care for patients with dementia. Data were collected through semi-structured interviews in May–June 2024. Data were analyzed using reflexive thematic analysis with an inductive approach. The ethical committee approval and institutional permission were obtained to conduct this study. The Consolidated Criteria for Reporting Qualitative Research was followed in reporting this study.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Findings&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;Study findings were classified into five subthemes under the two main themes: (1) structuring the care process: (i) establishing authentic relationships with patients with dementia and caregivers and (ii) preparation of caregivers as “wild card”; and (2) MNC process: (i) key contributors of MNC, (ii) occurrence of MNC, and (iii) suggestions for prevention of MNC. The nurses identified that they constructed a trust-based relationship between themselves and patients with dementia and their caregivers by providing increased attention, demonstrating patience, and allocating sufficient time for care. Most participants reported facing numerous challenges that led to MNC in the care of patients with dementia, such as feelings of inadequacy, communication gaps, lack of cooperation between caregivers and nurses, and lack of teamwork. Moreover, all nurses reported experiencing MNC in the care of patients with dementia, including leaving the care to caregivers or physicians, ignoring the autonomy of patients with dementia, delaying care, and not maintaining authentic communication.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Conclusion&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;The challenges nurses encounter in caring for patients with dementia have led them to MNCs.Nurses strive to build trust-based relationships with both patients and caregivers, yet systemic barriers, such as insufficient teamwork, communication challenges, and feelings of professional inadequacy—often compromise care delivery. These findings underscore the urgent need to address the structural and interpersonal dynamics that perpetuate MNC in dementia care settings.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 ","PeriodicalId":54931,"journal":{"name":"International Nursing Review","volume":"72 3","pages":""},"PeriodicalIF":3.8,"publicationDate":"2025-07-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144688122","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Workplace Mobbing Among Nurses in Slovakia: The Impact of Education, Workplace Type, and Job Position","authors":"Ema Šagátová,&nbsp;Jana Rottková,&nbsp;Hana Padyšáková,&nbsp;Zuzana Slezáková,&nbsp;Dimitrios Paouris","doi":"10.1111/inr.70072","DOIUrl":"https://doi.org/10.1111/inr.70072","url":null,"abstract":"&lt;div&gt;\u0000 \u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Introduction&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;Workplace bullying, a widespread phenomenon, significantly impacts interpersonal relationships, mental health, professional performance, and organizational efficiency in healthcare. Defined as repeated behaviors intended to intimidate or degrade, bullying thrives in hierarchical, high-stress environments like hospitals, where nurses face disproportionate risk. Such behaviors harm morale, increase turnover, and jeopardize patient safety through errors and negligence. Understanding its prevalence and contributors is essential for fostering healthier work environments and improving healthcare outcomes.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Methods&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;This cross-sectional descriptive study followed the STROBE guidelines. A Slovak adaptation of the Negative Act Questionnaire-Revised, developed as part of this study, was administered to nurses, resulting in a final sample of 244 participants. Spearman's correlation and Welch's ANOVA tests analyzed variable relationships using jamovi software.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Results&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;Nearly one-third of nurses were victims of bullying (32.2%, &gt;45 points), with another third experiencing occasional bullying (32.2%, 33–44 points). The median score per responder was 38 (IQR: 23), with person-related bullying scoring highest (median 19, IQR: 13). Younger nurses with less experience reported higher mobbing levels (&lt;i&gt;p&lt;/i&gt; &lt; 0.001). Nurses in frontline roles (operating rooms, intensive care units, and surgical units) experienced significantly more bullying than those in outpatient clinics (&lt;i&gt;p&lt;/i&gt; = 0.01). Doctoral degree holders had the lowest mobbing scores (&lt;i&gt;p&lt;/i&gt; &lt; 0.001), while nurses in frontline roles reported higher mobbing levels than Ward/Charge Nurses (&lt;i&gt;p&lt;/i&gt; &lt; 0.001).&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Conclusions&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;The study highlights a significant correlation between nurses’ experiences of mobbing and factors such as age, experience, education, position, and workplace type. The high incidence of bullying among Slovak nurses requires immediate attention from healthcare leaders.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Implications&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;To address workplace bullying, healthcare institutions should implement zero-tolerance policies, provide ongoing education in professional conduct, emotional intelligence, and conflict resolution and integrate these topics into nursing curricula. Leadership should model respectful behavior, while mentorship frameworks and resilience training support novice nurses. Finally, accessible reporting systems must ensure a","PeriodicalId":54931,"journal":{"name":"International Nursing Review","volume":"72 3","pages":""},"PeriodicalIF":3.8,"publicationDate":"2025-07-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144666553","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Navigating Challenges in the Integration of Artificial Intelligence in Nursing Practice: An Integrative Literature Review","authors":"Mohammed Qutishat,&nbsp;Lina Shakman","doi":"10.1111/inr.70077","DOIUrl":"https://doi.org/10.1111/inr.70077","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>The integration of artificial intelligence (AI) in nursing practice holds promise for enhancing patient care but is hindered by significant challenges.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Method</h3>\u0000 \u0000 <p>This literature reviews synthesized research from 2015 to 2024, examining barriers nurses face in adopting AI technologies. A comprehensive search across multiple databases identified relevant articles, leading to the inclusion of 19 studies for thematic analysis.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The analysis revealed nine key challenges: a lack of training and education, resistance to change, data privacy and security concerns, integration issues with existing systems, high costs, limited access to technology, and regulatory and ethical dilemmas. These interconnected obstacles collectively impact the effective integration of AI in nursing practice.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Discussion</h3>\u0000 \u0000 <p>Addressing these challenges is crucial for leveraging AI's full potential to improve patient outcomes. As organizations implement AI solutions, they must prioritize targeted training, infrastructure upgrades, and ethical guidelines to foster an adaptive and compliant nursing workforce.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Proactively navigating these barriers is essential for optimizing AI integration in nursing, ultimately enhancing the quality of care and operational efficiency.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Implications for Nursing and Health Policy</h3>\u0000 \u0000 <p>The integration of AI in nursing practice necessitates enhanced training and education to equip nurses with the skills needed for effective use, fostering a culture of adaptability to technological advancements. Additionally, healthcare policies must prioritize investments in robust cybersecurity and clear regulatory frameworks to ensure ethical AI implementation while safeguarding patient data and enhancing care delivery.</p>\u0000 </section>\u0000 </div>","PeriodicalId":54931,"journal":{"name":"International Nursing Review","volume":"72 3","pages":""},"PeriodicalIF":3.8,"publicationDate":"2025-07-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144666552","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Role of Social Media in Rebranding the Nursing Profession","authors":"Faustino Jerome Babate,&nbsp;Siti Fatimah Sa'at","doi":"10.1111/inr.70073","DOIUrl":"https://doi.org/10.1111/inr.70073","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <p>This article examines the critical role of social media in reshaping the public perception of the nursing profession, building on recent research that highlights the need for strategic branding in nursing. Despite being ranked as the most trusted profession in annual Gallup polls, nursing's full scope—including its leadership and intellectual contributions—often remains underrepresented. This article argues that social media, particularly platforms like LinkedIn, offers a unique opportunity to bridge this gap by allowing nurses to present themselves as leaders, innovators, and intellectuals who are shaping the future of healthcare. Social media's ability to enhance visibility, engage with global audiences, and promote the diverse contributions of nursing is essential for rebranding the profession. Additionally, the article emphasizes the importance of digital literacy and the strategic use of social media for students and young professionals whose careers will span deep into the digital age. A well-crafted social media policy within healthcare institutions is also discussed, ensuring professionalism, protecting staff from online harassment, and promoting the nursing profession's values. This article highlights how effective use of social media can redefine nursing's image, showcasing it as a dynamic, science-driven, leadership-focused profession vital to global healthcare systems.</p>\u0000 </section>\u0000 </div>","PeriodicalId":54931,"journal":{"name":"International Nursing Review","volume":"72 3","pages":""},"PeriodicalIF":3.8,"publicationDate":"2025-07-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144657647","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}