International Nursing Review最新文献

{"title":"Facilitators and Barriers to Investment in the Brazilian Nursing Workforce: A Qualitative Study","authors":"Isadora Andriola,&nbsp;Marjorie Melo,&nbsp;Andrea Sonenberg,&nbsp;Victor Petreca,&nbsp;Mario Lins Galvão de Oliveira,&nbsp;Ana Luisa Brandão de Carvalho Lira,&nbsp;Brittney Van de Water","doi":"10.1111/inr.70113","DOIUrl":"10.1111/inr.70113","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>To understand the factors influencing investment in nursing from the perspective of relevant interest holders in nursing.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>Brazil's healthcare system faces significant inequities in healthcare access, leading to health disparities. There is a strong link between healthcare access and health outcomes, highlighting the importance of nursing roles and regulatory policies.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A qualitative descriptive analysis was conducted using purposive and snowball sampling to recruit and interview 15 participants from various nursing, education, and leadership roles in Brazil. Data were thematically analyzed in Dedoose, ensuring rigor via triangulation, reflexivity, and an audit trail.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Three major themes emerged. First, prioritizing health facilitates investment in nursing. Second, intrinsic challenges include barriers within the profession, such as educational issues and fragmented professional structures. Third, extrinsic barriers, including health system fractures and institutional issues, hinder investment in nursing.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Discussion</h3>\u0000 \u0000 <p>Effective policy reform requires overcoming barriers in nursing education, leadership, employment, and service delivery. In Brazil, priority areas include clarifying scopes of practice, updating regulatory frameworks, and expanding regional access to nursing education.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Investing in nursing across education, employment, leadership, and service delivery is worthwhile for a country's health and economy. Educational opportunities translate to job opportunities only if governments invest in all levels of nursing and if a country can absorb well-trained and qualified nurses into the healthcare system.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Implications for nursing and nursing policy</h3>\u0000 \u0000 <p>This study revealed obstacles and enabling factors related to an investment in nursing by Brazil, offering insights applicable to countries with similar health systems. Recommendations include removing intrinsic restraints, endeavoring to empower nurses, and eliminating extrinsic barriers, all of which could support investment in nursing, ultimately an investment in population health.</p>\u0000 </section>\u0000 </div>","PeriodicalId":54931,"journal":{"name":"International Nursing Review","volume":"72 4","pages":""},"PeriodicalIF":3.7,"publicationDate":"2025-10-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145314281","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":"A Real-World Study on the Morse Fall Scale and Clinical Judgment Method for Fall Risk in Adult Inpatients","authors":"Hong Jiang,&nbsp;Hangcheng Liu,&nbsp;Hongjin Wu,&nbsp;Yuwei Yang,&nbsp;Xixi Li","doi":"10.1111/inr.70110","DOIUrl":"10.1111/inr.70110","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 compare the predictive performance of the Morse Fall Scale and the Clinical Judgment Method for Fall Risk for assessing fall risk among hospitalized adults using real-world data.&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;Inpatient falls pose significant threats to patient safety and healthcare costs. While standardized tools like the Morse Fall Scale and the Clinical Judgment Method for Fall Risk are widely used, their comparative effectiveness in diverse clinical contexts requires further investigation.&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 retrospective study analyzed inpatient data from a tertiary hospital between January 1, 2022, and December 31, 2023. Adult inpatients (≥18 years) with hospital stays ≥24 hours and available fall risk assessment records within 24 hours of admission were included. Patients with incomplete demographic or assessment data were excluded. Covariance analysis, receiver operating characteristic (ROC) curves, sensitivity, and other metrics were used to compare the predictive efficacy of both tools across different departments, genders, and age groups.&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;A total of 206,846 inpatients were included, with male 48.3%(&lt;i&gt;n&lt;/i&gt; = 99,885)andfemale 51.7% (&lt;i&gt;n&lt;/i&gt; = 106,961) patients. Most were admitted to non-surgical departments (56.0%); 36.97% were evaluated using Clinical Judgment Method for Fall Risk, and 73.03% using the Morse Fall Scale. The overall fall incidence was 0.1%. For predicting inpatient falls, Clinical Judgment Method for Fall Risk demonstrated an area under the curve (AUC) of 0.602, while the Morse Fall Scale showed an AUC of 0.825. The Clinical Judgment Method for Fall Risk exhibited 100% sensitivity. Age significantly influenced fall risk and the assessment results of both tools, whereas gender showed no statistical significance across all indicators. Departmental differences were observed in fall events and Morse Fall Scale scores but did not affect Clinical Judgment Method for Fall Risk. The stratified analysis revealed that the Morse Fall Scale performed exceptionally well in surgical departments (AUC = 0.887) and among patients aged ≥75 years (AUC = 0.837).&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 tools exhibit complementary strengths: the Morse Fall Scale provides detailed risk stratification capability, while the Clinical Judgment Method for Fall Risk offers efficiency for rapid screening. A two-stage model combining both approaches shows potential for enhancing risk assessment but requires f","PeriodicalId":54931,"journal":{"name":"International Nursing Review","volume":"72 4","pages":""},"PeriodicalIF":3.7,"publicationDate":"2025-10-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145287719","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 Indispensable Role of Nurses in Disasters, War and Conflict: Clinical Excellence in the Most Challenging Environments","authors":"John Unsworth","doi":"10.1111/inr.70114","DOIUrl":"https://doi.org/10.1111/inr.70114","url":null,"abstract":"&lt;p&gt;Nurses are an integral element of the global response to healthcare emergencies, whether they are caused by natural disasters, terrorism, armed conflicts or humanitarian crises. In all of these circumstances, the fragility of many countries healthcare system is laid bare and staff are left to cope as front-line providers (Al Thobaity &lt;span&gt;2024&lt;/span&gt;). Nurses are major contributors at times of war and disaster as they work not only in the immediate emergency response, but they cope with the psychological and long-term aspects of recovery. When &lt;i&gt;International Nursing Review&lt;/i&gt; put out the call for papers for this virtual special issue in 2024, the world had faced unprecedented global disaster challenges. Hurricane Helene and Typhoon Yagi had caused widespread damage, and flooding had also claimed a number of lives in Africa, Spain, Brazil, Bangladesh and India. Other countries were impacted by extreme heat with thousands of people dying in Saudi Arabia, North America and Pakistan. Overall, natural disasters killed more than 16,753 people in 2024, with extreme weather events accounting for the majority of these fatalities (Centre for Research on the Epidemiology of Disasters &lt;span&gt;2024&lt;/span&gt;). This figure is staggering as disasters had only claimed 65,566 lives in the previous 20-year period (Centre for Research on the Epidemiology of Disasters &lt;span&gt;2024&lt;/span&gt;). It was clear to me and my fellow editors that we needed to think differently about the role of nurses in disasters as many countries were now experiencing significant mass casualty events when disaster competencies were not really embedded in nursing education.&lt;/p&gt;&lt;p&gt;During disasters, nurses act as first responders, managing triage, stabilizing patients and delivering emergency care. At the same time, colleagues from other non-emergency care areas, such as public health, are ensuring that displaced people with no access to medication are appropriately managed. Wherever care is provided, nurses need ingenuity and resourcefulness in emergency situations in order to deliver care in unusual environments with resource limitations (Veenema &lt;span&gt;2009&lt;/span&gt;).&lt;/p&gt;&lt;p&gt;Nurses have a significant role beyond physical health and immediate emergency care. They address the longer-term impact of disasters on individuals and communities. In the aftermath, nurses deliver psychological first aid and trauma-informed interventions to people impacted by disasters and conflict. The mental health toll of such events on the population is profound, as is the impact on nurses and other healthcare workers. The COVID-19 pandemic has brought into the spotlight the impact of moral insult and injury that having to work in extreme circumstances and having to make challenging ethical decisions has on individuals (Scott et al. &lt;span&gt;2023&lt;/span&gt;). Working during disasters and conflict also brings such challenges and we need to ensure the workforce is both resilient and supported to deliver such care (Xue et al. &lt;spa","PeriodicalId":54931,"journal":{"name":"International Nursing Review","volume":"72 4","pages":""},"PeriodicalIF":3.7,"publicationDate":"2025-10-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/inr.70114","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145272542","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":"The Relationship Between Emotional Intelligence and Caring Behaviors Among Palestinian Nurses in Neonatal Intensive Care Units: A Cross-Sectional Study","authors":"Ahmad Ayed,&nbsp;Malakeh Z. Malak,&nbsp;Moath Abu Ejheisheh,&nbsp;Ahmad Batran,&nbsp;Mosaab Farajallah,&nbsp;Pearl Handal","doi":"10.1111/inr.70116","DOIUrl":"https://doi.org/10.1111/inr.70116","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>This study examined the relationship between emotional intelligence and caring behaviors among Palestinian Neonatal Intensive Care Unit (NICU) nurses in governmental hospitals across the West Bank.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>The NICU is a high-stress environment that presents significant challenges for nurses. Emotional intelligence has a significant role in helping nurses manage environmental stressors and influences the quality of their caring behaviors.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A cross-sectional design was employed in line with the STROBE guidelines, using a convenience sample of 208 nurses working in level II and III NICUs. Data were collected between January 5 and March 10, 2025, using paper-based surveys that included the Schutte Self-Report Emotional Intelligence Test (SSEIT) and the Caring Behaviors Assessment Tool Nursing Version–Short Form (CBAN-SF).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Participants had a relatively high emotional intelligence level, with a mean score of 117.5 (SD ± 11.4). Similarly, the mean caring behaviors score was 98.8 (SD ± 10.1), suggesting strong satisfaction with caring behaviors. A strong positive correlation was found between emotional intelligence and caring behaviors. Age, work experience, and educational level were also associated with caring behaviors. Emotional intelligence and educational level were significant predictors.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>NICU nurses are adequately equipped to deliver empathetic, high-quality care in challenging clinical environments.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Implications for Nursing and/or Health Policy</h3>\u0000 \u0000 <p>These findings underscore the need for policymakers and hospital administrators to prioritize continuous professional development and the regular assessment of emotional intelligence</p>\u0000 </section>\u0000 </div>","PeriodicalId":54931,"journal":{"name":"International Nursing Review","volume":"72 4","pages":""},"PeriodicalIF":3.7,"publicationDate":"2025-10-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145272319","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":"Ethical and Institutional Readiness for Artificial Intelligence in Nursing: An Umbrella Review","authors":"Wesam Taher Almagharbeh,&nbsp;Maryam Alharrasi,&nbsp;Moustaq Karim Khan Rony,&nbsp;Sarmin Kabir,&nbsp;Sirwan Khalid Ahmed,&nbsp;Daifallah M. Alrazeeni","doi":"10.1111/inr.70111","DOIUrl":"https://doi.org/10.1111/inr.70111","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 umbrella review aimed to synthesize the ethical and institutional considerations related to the adoption of artificial intelligence (AI) in nursing care.&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;AI is increasingly used in nursing through decision-support systems, predictive tools, and automation. While promising for efficiency and patient outcomes, it also raises concerns about autonomy, privacy, fairness, and accountability. Institutional readiness, including infrastructure, training, and governance, is vital to ensure ethical integration.&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;An umbrella review methodology was used to synthesize findings from systematic, scoping, integrative, and narrative reviews published between 2015 and 2025. Comprehensive searches were carried out in PubMed, CINAHL, Scopus, Embase, and Web of Science. Data were extracted and thematically analyzed to identify recurring ethical challenges and institutional readiness factors.&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;Thirty-three reviews were synthesized. Key ethical concerns centered on patient autonomy, informed consent, data protection, bias, and unclear clinical accountability. Institutional barriers included limited digital infrastructure, insufficient AI literacy among nurses, and fragmented regulatory oversight. Conversely, environments that invested in inclusive leadership, continuous education, and transparent governance demonstrated greater ethical alignment in AI implementation.&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 findings show that ethical and institutional issues are closely linked. Environments lacking adequate resources or governance structures tend to amplify ethical risks, while supportive institutions strengthen ethical nursing practice.&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;AI adoption in nursing represents not only a technological innovation but also a fundamental ethical and organizational shift that demands preparedness at both system and practitioner levels.&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;Health systems should invest in infrastructure, regulatory clarity, and continuous training. Policymakers should promote equity, transparency, and inclusiveness to ensure that AI enhances patient-centered and ethically grounded nursing care.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 ","PeriodicalId":54931,"journal":{"name":"International Nursing Review","volume":"72 4","pages":""},"PeriodicalIF":3.7,"publicationDate":"2025-10-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145224277","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 Effectiveness of Workplace Violence Prevention Education Training Programs on Healthcare Professionals’ Confidence: A Systematic Review and Meta-Analysis","authors":"Yi-Fei Chung,&nbsp;Yu-Chun Chang,&nbsp;Susan Jane Fetzer,&nbsp;Lindsay Tessmer,&nbsp;Meng-Hsuan Tsai,&nbsp;Jui-Ying Feng","doi":"10.1111/inr.70107","DOIUrl":"https://doi.org/10.1111/inr.70107","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>The purpose of the study is to examine the effectiveness of educational training programs on healthcare professionals' confidence in dealing with workplace violence.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Workplace violence is a global problem with serious consequences in healthcare. While training enhances knowledge, skills, and confidence, the critical factor for translating learning into practice, remains underexplored.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A systematic review and meta-analysis. Data were retrieved from four databases searched through September 2024.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Ten studies met the inclusion criteria, and two meta-analyses were conducted. With the control group design, a pooled analysis indicated a significant improvement in healthcare professionals’ confidence following workplace violence training. With a one-group pre- and post-design, a significant improvement was also found. Although subgroup analysis based on different confidence measurement tools was conducted, heterogeneity was not substantially reduced.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Discussion</h3>\u0000 \u0000 <p>Workplace violence training programs improve confidence, yet the evidence is constrained by heterogeneity and limited randomized trials. Confidence-building strategies such as simulation and repeated practice may be more effective than lectures, though standardized measures and program designs are needed to strengthen comparability and guide best practices.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Workplace violence prevention training appears effective in enhancing healthcare professionals’ confidence. Future studies should establish optimal models, frequency, and validated instruments to ensure sustainable outcomes.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Implications for Nursing and Nursing Policy</h3>\u0000 \u0000 <p>According to the WHO Global Strategic Directions, workplace violence prevention training should be integrated into nursing education and practice. Simulation and team-based methods enhance confidence more effectively than lectures. Institutions must adopt standardized protocols, refreshers, and debriefings, while nursing leaders and professional bodies establish unified standards. Building confidence is central to care quality and system sustainability.</p>\u0000 </section>\u0000 </div>","PeriodicalId":54931,"journal":{"name":"International Nursing Review","volume":"72 4","pages":""},"PeriodicalIF":3.7,"publicationDate":"2025-10-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145224278","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":"Nurses’ Engagement in Healthcare Policy Development: An Umbrella Review","authors":"Lindsay Smith,&nbsp;Karyn J. Roberts,&nbsp;Barbara Giambra,&nbsp;Michele Polfuss,&nbsp;Cynthia Danford,&nbsp;Debbie Sheppard-Lemoine,&nbsp;Theresa Ryan Schultz,&nbsp;Natalie Winter,&nbsp;Adam Mulcaster,&nbsp;Intima Alrimawi,&nbsp;Junko Honda,&nbsp;Petra Brysiewicz,&nbsp;Susan Carr,&nbsp;Suzanne Feetham","doi":"10.1111/inr.70109","DOIUrl":"10.1111/inr.70109","url":null,"abstract":"&lt;div&gt;\u0000 \u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Background and Introduction&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;Healthcare policy establishes guidelines for delivering safe and effective healthcare, achieving and improving health-related outcomes, and mitigating public health risks. Nurses are uniquely positioned to lead healthcare policy development; however, evidence of nurses’ engagement in policymaking is limited. This umbrella review aims to examine and summarize nurses’ involvement in healthcare policy development aimed at transforming health.&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;Following the Joanna Briggs Institute umbrella review methodology, a systematic search was conducted across seven databases for peer-reviewed literature. Quality and risk of bias were assessed using the ROBIS tool. Data were analyzed using qualitative content analysis and meta-synthesis. This review is registered in PROSPERO (ID: CRD42023458475).&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 search yielded 591 records, which were evaluated using PRISMA guidelines. Articles (&lt;i&gt;N&lt;/i&gt; = 7) were included if they were written in English, Japanese, or Arabic, reported a literature review study, and participants were registered or licensed nurses. Four master themes were identified: (1) diminished support and preconceived expectations of nurses’ roles in policy development contributed to individual, organizational, and system-level barriers; (2) hierarchical marginalization of nurses’ voices, interprofessional and gender dynamics, and limited leadership roles of nurses impact meaningful participation; (3) nurses’ internal perceptions, knowledge, and beliefs regarding power, role expectations, and interest, limit involvement in policy development; and (4) the development of skills and understanding of policy through education, training, modeling, and mentorship is foundational for informed and authentic engagement.&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;None of the included reviews identified nurses’ engagement in healthcare policy development. Lack of engagement was due to multilevel barriers, hierarchical marginalization, and limited skills.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Implications for Nursing and Healthcare Policy&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;Nurses are the voice of patient, family, and community health and well-being. This responsibility requires our engagement in healthcare policy development at all levels. Including nurses in healthcare policy development is crucial in creating healthcare that is fit for purpose and ","PeriodicalId":54931,"journal":{"name":"International Nursing Review","volume":"72 4","pages":""},"PeriodicalIF":3.7,"publicationDate":"2025-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/inr.70109","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145193873","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":"Exploring Spiritual Care Competence Among Nursing Assistants in Chinese Nursing Homes: A Cross-Sectional Study Based on the Knowledge–Attitude–Practice Theory","authors":"Qian Li,&nbsp;Jinlian Wu,&nbsp;Ting Fang,&nbsp;Yanxiang Wu,&nbsp;Ping Yuan,&nbsp;Xiaoying Zhong,&nbsp;Meng Wang,&nbsp;Yiying Zhang,&nbsp;Jiling Ye,&nbsp;Limei Zhang","doi":"10.1111/inr.70105","DOIUrl":"10.1111/inr.70105","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>This study, based on the knowledge–attitude–practice theory, investigates the spiritual care competence of Chinese nursing assistants and its influencing factors to inform targeted training programs.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>With the aging population, China's traditional family-based model of elderly care has shifted to the current trend of greater reliance on nursing homes. Spiritual care competence among nursing assistants is crucial to delivering holistic care to older people. Assessing and strengthening this competence helps meet older people's needs for high-quality elderly care services and improves the service quality of nursing homes.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>This is a descriptive cross-sectional study. Nursing assistants (<i>n</i> = 578) from multiple nursing homes in Chengdu, China, were recruited by convenience sampling between December 2023 and May 2024 by predefined inclusion and exclusion criteria. The study used an online questionnaire to assess the nursing assistants’ sociodemographic characteristics, spiritual care perception, spiritual care attitude, and spiritual care competence.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>This study found that the mean spiritual care competence score among nursing assistants was (2.63 ± 1.00), indicating a moderate level. According to stepwise multiple linear regression analysis, years of work, understanding of spiritual care, spiritual care perception, and spiritual care attitude were significant predictive factors affecting the spiritual care competence of nursing assistants, explaining 45.1% of the total variance.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>To improve nursing assistants’ spiritual care competence in Chinese nursing homes, it is essential to enhance their perception and attitude toward spiritual care through targeted training strategies.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Implications for nursing policy</h3>\u0000 \u0000 <p>Managers should improve relevant policies, address nursing assistants’ training needs in spiritual care, and develop effective training strategies to enhance their spiritual care competence, thereby continuously improving the quality of services in nursing homes.</p>\u0000 </section>\u0000 </div>","PeriodicalId":54931,"journal":{"name":"International Nursing Review","volume":"72 4","pages":""},"PeriodicalIF":3.7,"publicationDate":"2025-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145193858","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 Violence, Normalization of Violence, and Psychological Distress Among Korean Nurses: A Cross-Sectional Analytic Study","authors":"Sujin Nam,&nbsp;Janet Yuen Ha Wong,&nbsp;Bomi An,&nbsp;Daniel Yee Tak Fong","doi":"10.1111/inr.70112","DOIUrl":"10.1111/inr.70112","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>To investigate the prevalence and normalization of workplace violence, identify associated risk factors, and compare psychological distress levels based on experiences of workplace violence and its normalization among nurses during the COVID-19 pandemic.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Workplace violence against nurses has increased during the pandemic, exacerbating their psychological distress.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A cross-sectional analytical study was conducted using online convenience sampling to recruit 325 Korean nurses. Data were collected via an online survey assessing demographic and occupational characteristics, workplace violence, normalization of violence, and psychological distress. Descriptive statistics, independent <i>t</i>-tests, and multiple logistic and hierarchical logistic regression analyses were employed. The study adhered to the STROBE guidelines.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Among the 308 nurses surveyed, 30% reported experiencing workplace violence, and 29% indicated normalizing such incidents. Significant risk factors included prior victimization, normalization of violence, and perceived effectiveness of workplace COVID-19 prevention measures. Among nurses who experienced workplace violence, those who normalized it reported lower levels of psychological distress than those who did not. Conversely, among those without such experiences, individuals who normalized workplace violence reported higher levels of psychological distress than those who did not.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Workplace violence remains prevalent during infectious disease outbreaks, with a substantial proportion of nurses normalizing these experiences. This normalization is associated with distinct patterns of psychological distress, underscoring the need for increased awareness and the provision of tailored psychological support. Enhancing workplace safety measures is essential to protecting nursing well-being.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Implications for nursing and health policy</h3>\u0000 \u0000 <p>Health administrators and policymakers should prioritize the implementation of strategies that address the occurrence and normalization of workplace violence. Investing in mental health services and fostering organizational cultures that actively respond to workplace violence are crucial.</p>\u0000 </section>\u0000 </div>","PeriodicalId":54931,"journal":{"name":"International Nursing Review","volume":"72 4","pages":""},"PeriodicalIF":3.7,"publicationDate":"2025-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145193783","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":"Correction to “How Shift Schedules Shape Nurses’ Sleep and Compassion: A Comparative Study”","authors":"","doi":"10.1111/inr.70106","DOIUrl":"10.1111/inr.70106","url":null,"abstract":"<p>Al-Hammouri, M.M., J. Rababah, and N. A. AL-Jdeetawey. 2025. “How Shift Schedules Shape Nurses’ Sleep and Compassion: A Comparative Study.” <i>International Nursing Review</i> 72: e70085. https://doi.org/10.1111/inr.70085</p><p>The full name is incorrect as ‘Munther Al-Hammouri’. The correct name is Mohammed Munther Al-Hammouri; the first name ‘Mohammed’ was omitted by mistake during final editing.</p><p>We apologize for this error.</p>","PeriodicalId":54931,"journal":{"name":"International Nursing Review","volume":"72 3","pages":""},"PeriodicalIF":3.7,"publicationDate":"2025-09-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/inr.70106","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145088450","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}