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A scoping review of empirical evidence on the nurse practitioner workforce in Thailand
IF 3.8 3区 医学
International Nursing Review Pub Date : 2025-03-19 DOI: 10.1111/inr.70016
Apiradee Nantsupawat PhD, RN, Wichit Srisuphan PhD, RN, Noppamas Sripetchwadee PhD, RN, Preyanan Nantsupawat High School Student, Suzanne E. Courtwright  , Madison D. Horton PhD Student, Kathleen Flandrick DrPH, MPH, Madeline M. Pollifrone MPH, Lusine Poghosyan PhD, MPH, RN, FAAN
{"title":"A scoping review of empirical evidence on the nurse practitioner workforce in Thailand","authors":"Apiradee Nantsupawat PhD, RN,&nbsp;Wichit Srisuphan PhD, RN,&nbsp;Noppamas Sripetchwadee PhD, RN,&nbsp;Preyanan Nantsupawat High School Student,&nbsp;Suzanne E. Courtwright  ,&nbsp;Madison D. Horton PhD Student,&nbsp;Kathleen Flandrick DrPH, MPH,&nbsp;Madeline M. Pollifrone MPH,&nbsp;Lusine Poghosyan PhD, MPH, RN, FAAN","doi":"10.1111/inr.70016","DOIUrl":"https://doi.org/10.1111/inr.70016","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>This scoping review aimed to synthesize research findings on the state of the development of the nurse practitioner (NP) workforce and its contribution to care outcomes in Thailand.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Policies assuring universal access to healthcare in Thailand have increased the demand for primary care. The Thai NP workforce is helping to meet this demand, and this workforce is growing. However, a comprehensive assessment of the existing evidence on NPs has yet to be conducted.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A comprehensive search of five electronic databases, including PubMed, Embrace, Clarivate, ProQuest, and ThaiJo (a Thai database), was conducted. The inclusion criteria were peer-reviewed research papers focused on NPs practicing in primary care in Thailand and published in English or Thai between 2002 and 2022. Studies with data not attributable to NPs in Thailand were excluded.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The search yielded 118 records, with 42 meeting the inclusion criteria. Most research studies were cross-sectional and grouped into five categories focusing on NP education, patient outcomes associated with NP care, NP performance, NP competency, and NP well-being.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Findings suggest that the NP workforce in Thailand contributes positively to patient outcomes. Future research should further explore NP contributions to patient and organizational outcomes and factors impacting NP well-being.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Implication for nursing policy</h3>\u0000 \u0000 <p>Findings suggest policymakers should establish a master's degree as the minimum requirement for NPs, aligning with international standards. Healthcare organizations should improve the work environments for NPs, while health policies should expand NPs' role in primary care, particularly in underserved areas. Expanding the scope of practice for NPs in managing chronic conditions independently is recommended.</p>\u0000 </section>\u0000 </div>","PeriodicalId":54931,"journal":{"name":"International Nursing Review","volume":"72 1","pages":""},"PeriodicalIF":3.8,"publicationDate":"2025-03-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143645858","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}
引用次数: 0
Factors associated with resilience, spiritual and mental well-being of advanced practice nurses: Implications for role integration
IF 3.8 3区 医学
International Nursing Review Pub Date : 2025-03-16 DOI: 10.1111/inr.70015
Brigitte Fong Yeong Woo PhD, MClin Res, BSc (Nursing) (Hons), RN, Wei How Darryl Ang PhD, BSc (Nursing) (Hons), RN, Melanie Rogers PhD, MSc, BSc, FHEA, RN, ANP, Queens Nurse, Wentao Zhou PhD, MN, PGDip, BSN, RN, APN
{"title":"Factors associated with resilience, spiritual and mental well-being of advanced practice nurses: Implications for role integration","authors":"Brigitte Fong Yeong Woo PhD, MClin Res, BSc (Nursing) (Hons), RN,&nbsp;Wei How Darryl Ang PhD, BSc (Nursing) (Hons), RN,&nbsp;Melanie Rogers PhD, MSc, BSc, FHEA, RN, ANP, Queens Nurse,&nbsp;Wentao Zhou PhD, MN, PGDip, BSN, RN, APN","doi":"10.1111/inr.70015","DOIUrl":"https://doi.org/10.1111/inr.70015","url":null,"abstract":"&lt;div&gt;\u0000 \u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Aim(s)&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;To examine the overall level of resilience and spiritual and mental well-being of advanced practice nurses (APN) in Singapore and to describe the associated factors of mental well-being.&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;Research shows that healthcare workers' resilience and mental well-being are positively associated with spiritual well-being, which encompasses a sense of peace and meaning. Understanding APNs’ spiritual and mental health, alongside resilience, may help maintain the sustainability and effectiveness of the APN workforce within the healthcare system, especially in the post-pandemic environment.&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 nationwide cross-sectional online survey (May–June 2023) assessed APNs’ resilience and spiritual and mental well-being. The Connor–Davidson Resilience 10 Scale, the Warwick–Edinburgh Mental Well-Being Scale, and the Functional Assessment of Chronic Illness Therapy-2-Factor Non-Illness Spiritual Well-Being Scale Version 4 were used. Sociodemographic and work-related information were collected to explore associations between participants’ characteristics and their level of resilience and spiritual and mental well-being.&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;Eighty-two APNs and APN interns participated in the study, representing 21.4% nationwide. Participants’ level of resilience, peace and meaning components of spirituality, and whether they worked in an acute care setting, were statistically significant predictors of APNs’ mental well-being. APNs working in acute care hospitals had higher levels of mental well-being than other healthcare settings.&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 significant roles of the Peace and Meaning subscales of spiritual well-being underscore the importance of fostering supportive work environments. Supportive work environments can foster peace and meaning by facilitating the integration of APN roles and nurturing a sense of purpose and connection within their professional practice.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Implications for nursing&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;Effective APN integration into the healthcare system, crucial for their mental well-being, requires addressing macro-, meso- and micro-level issues. At the macro level, clear scopes of practice and legislative support can provide stability and purpose, ","PeriodicalId":54931,"journal":{"name":"International Nursing Review","volume":"72 1","pages":""},"PeriodicalIF":3.8,"publicationDate":"2025-03-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/inr.70015","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143633033","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}
引用次数: 0
The relationship between nursing students' attitudes toward artificial intelligence and their creative personality traits
IF 3.8 3区 医学
International Nursing Review Pub Date : 2025-03-12 DOI: 10.1111/inr.70008
Kübra Gülırmak Güler PhD, Belgin Şen Atasayar PhD
{"title":"The relationship between nursing students' attitudes toward artificial intelligence and their creative personality traits","authors":"Kübra Gülırmak Güler PhD,&nbsp;Belgin Şen Atasayar PhD","doi":"10.1111/inr.70008","DOIUrl":"https://doi.org/10.1111/inr.70008","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>The relationship between nursing students' attitudes toward artificial intelligence and their creative personality traits was examined in this study.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Design</h3>\u0000 \u0000 <p>This study, conducted with 492 nursing students enrolled at a university in Turkey, was designed using a descriptive and relational methodology. The data were gathered through the “Personal Information Form,” the “General Attitude Scale toward Artificial Intelligence,” and the “Creative Personality Traits Scale.”</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>The data for the research were gathered from surveys conducted between January 2024 and May 2024.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Findings</h3>\u0000 \u0000 <p>The average score for students' attitudes toward artificial intelligence was 74.52 ± 10.29, while the score for creative personality traits was 67.20 ± 10.34. Correlation analysis results indicate a strong relationship between these two factors (<i>p</i> &lt; 0.05).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Nursing students' attitudes toward artificial intelligence and creative personality traits are above average.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Implications for nursing and health policy</h3>\u0000 \u0000 <p>The development of creativity is crucial for effectively integrating artificial intelligence technologies into nursing practice. Additionally, this research highlights the need for policy development regarding regulations and ethical practices related to using artificial intelligence in healthcare services.</p>\u0000 </section>\u0000 </div>","PeriodicalId":54931,"journal":{"name":"International Nursing Review","volume":"72 1","pages":""},"PeriodicalIF":3.8,"publicationDate":"2025-03-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/inr.70008","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143595671","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}
引用次数: 0
Ethical boundaries and data-sharing practices in AI-enhanced nursing: An Arab perspective
IF 3.8 3区 医学
International Nursing Review Pub Date : 2025-03-12 DOI: 10.1111/inr.70013
Walaa Badawy  , Mohamed M. I. Helal  , Amal Hashim  , Haithm Zinhom PhD, Mostafa Shaban PhD
{"title":"Ethical boundaries and data-sharing practices in AI-enhanced nursing: An Arab perspective","authors":"Walaa Badawy  ,&nbsp;Mohamed M. I. Helal  ,&nbsp;Amal Hashim  ,&nbsp;Haithm Zinhom PhD,&nbsp;Mostafa Shaban PhD","doi":"10.1111/inr.70013","DOIUrl":"https://doi.org/10.1111/inr.70013","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 explored the ethical boundaries and data-sharing practices in artificial intelligence (AI)-enhanced nursing from the perspective of Arab nurses.&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;Although AI offers advancements in clinical decision-making and operational efficiency, it also presents challenges such as ethical dilemmas, data privacy concerns, and technical issues. These challenges are being addressed through continuous education, the development of robust ethical guidelines, and the implementation of transparent data-sharing practices&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;A qualitative approach was employed, adhering to the Standards for Reporting Qualitative Research (SRQR) guidelines. Fourteen registered nurses from healthcare facilities in Abha City, Saudi Arabia, were selected through purposive sampling. Data were collected through semistructured interviews, observational data and document analysis. Thematic analysis was used to analyze the data.&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;Nurses reported that AI technologies enhance clinical decision-making and efficiency by automating routine tasks. However, they also highlighted ethical challenges, including conflicts between AI recommendations and patient preferences, the need for continuous training, and resource constraints. The importance of maintaining human interaction and empathy in nursing practice was emphasized.&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 align with existing literature on the benefits and challenges of AI in nursing. Ethical dilemmas, particularly related to data privacy and informed consent, require careful management. Continuous education and adequate resources are essential for successful AI integration.&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 in nursing not only offers significant benefits but also presents ethical and practical challenges. Clear ethical guidelines, continuous education, and adequate resources are crucial for optimizing AI integration.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Implications for nursing&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;AI can enhance clinical decision-making and efficiency, allowing nurses to focus on patient interaction and critical thinking.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Implications for health policy&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;Develop robust ethical ","PeriodicalId":54931,"journal":{"name":"International Nursing Review","volume":"72 1","pages":""},"PeriodicalIF":3.8,"publicationDate":"2025-03-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143595568","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}
引用次数: 0
Difficulties and needs of new nurse managers during role transition: A perspective from role theory
IF 3.8 3区 医学
International Nursing Review Pub Date : 2025-03-07 DOI: 10.1111/inr.70011
Ran Zhang MM, Tong Wang MM, Yana Xing MSN, Xue Sun MM, Qianqian Feng MSN, Fei Wu MSN, Wenshuang Wang MSN, Weixin Cai MM
{"title":"Difficulties and needs of new nurse managers during role transition: A perspective from role theory","authors":"Ran Zhang MM,&nbsp;Tong Wang MM,&nbsp;Yana Xing MSN,&nbsp;Xue Sun MM,&nbsp;Qianqian Feng MSN,&nbsp;Fei Wu MSN,&nbsp;Wenshuang Wang MSN,&nbsp;Weixin Cai MM","doi":"10.1111/inr.70011","DOIUrl":"https://doi.org/10.1111/inr.70011","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 investigate the challenges and needs of new nurse managers transitioning from staff nurses to manager roles.&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;Nursing managers are often selected based on clinical expertise, not proven leadership skills. Their complex roles and evolving healthcare policies result in heightened expectations from society, institutions, patients, and staff. The often-overlooked transition phase from staff nurse to manager presents distinct challenges and needs. Clarifying these aspects is crucial for developing effective nursing policies and improvement initiatives.&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;A phenomenological qualitative study was conducted at a tertiary hospital in Beijing, following the COREQ guidelines from April to June 2023. Fourteen new nurse managers were interviewed using a semi-structured interview guide based on the role theory. Data were analyzed using Nvivo 12.0 and Colaizzi's thematic analysis.&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;Four themes emerged, including role ambiguity (adjustment difficulties, unclear expectations, poor handling), role conflict (inconsistencies between work and family, management, competencies), role learning (self-improvement, external support, resilience), and role behaviors (summarizing experiences, time management, promoting coworkers, research capability).&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;Identifying the difficulties and needs of new nurse managers during their role transition can help healthcare organizations develop tailored training, external support, positive psychology, and academic advancement strategies.&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;New nurse managers face significant transition obstacles, necessitating comprehensive support. This prompts healthcare organizations to adopt best practices for facilitating role adaptation and talent development.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Implications for nursing and health policy&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;To ensure the successful adaptation of new nurse managers, comprehensive and tailored strategies should be developed based on identified transition challenges and needs. This support will enhance their competencies and stress management. Nursing policymakers should encourage new nurse managers to participate in the formulation of policies and training programs.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 ","PeriodicalId":54931,"journal":{"name":"International Nursing Review","volume":"72 1","pages":""},"PeriodicalIF":3.8,"publicationDate":"2025-03-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143565022","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}
引用次数: 0
Self-leadership and why it matters to nurses: A scoping review
IF 3.8 3区 医学
International Nursing Review Pub Date : 2025-03-05 DOI: 10.1111/inr.70014
Katja Pursio RN, PhD, Tarja Kvist RN, PhD, Päivi Kankkunen RN, PhD, Docent, Laura A. Fennimore RN, DNP, FAAN
{"title":"Self-leadership and why it matters to nurses: A scoping review","authors":"Katja Pursio RN, PhD,&nbsp;Tarja Kvist RN, PhD,&nbsp;Päivi Kankkunen RN, PhD, Docent,&nbsp;Laura A. Fennimore RN, DNP, FAAN","doi":"10.1111/inr.70014","DOIUrl":"https://doi.org/10.1111/inr.70014","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 synthesize the previous findings of nurses’ self-leadership in hospital settings.&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;Self-leadership is a process of comprehensive self-influence. People direct themselves toward optimal performance with self-motivation and take responsibility for their actions. Self-leadership has been found to have a connection with the experience of meaningfulness of work, commitment, and job satisfaction.&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 scoping review was conducted by following the PRISMA-ScR reporting checklist. PubMed, CINAHL, Scopus, and PsycINFO databases were searched, and 1831 articles were identified and screened. Multiple study designs were included while specific inclusion and exclusion criteria regarding population, concept, and context were addressed. Narrative data synthesis was conducted.&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 search identified a total of 13 relevant studies published between 2013 and 2023. Four themes were found to describe nurses’ self-leadership: Self-leadership is nurses' internal skill that increases with experience (&lt;i&gt;n&lt;/i&gt; = 8); self-leadership improves nurses' work performance (&lt;i&gt;n&lt;/i&gt; = 8); self-leadership supports work well-being (&lt;i&gt;n&lt;/i&gt; = 5); and self-leadership thrives in favorable nursing work environments (&lt;i&gt;n&lt;/i&gt; = 6).&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;Self-leadership has a positive connection to nurses’ work performance and well-being. Nursing students should be introduced to self-leadership skill development in their nursing education programs, and nurses should be offered continuing education opportunities to develop self-leadership skills throughout their careers. Further studies are necessary to fill the information gap about explaining self-leadership in the context of professional nursing and offering recommendations for how to strengthen nurses’ self-leadership skills.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Implications for nursing education, practice, and policy&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;Self-leadership encourages nurses to work proactively to improve patient care and enhance work environments. Self-leadership includes behaviors that can be encouraged through each developmental stage of a nurse's career. Faculty, nurse leaders, and organizational structures play an important role in identifying self-leade","PeriodicalId":54931,"journal":{"name":"International Nursing Review","volume":"72 1","pages":""},"PeriodicalIF":3.8,"publicationDate":"2025-03-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/inr.70014","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143554737","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}
引用次数: 0
Empowering voices: Predictors and levels of nurses’ involvement in healthcare policy
IF 3.8 3区 医学
International Nursing Review Pub Date : 2025-03-05 DOI: 10.1111/inr.70012
Asma Al Yahyaei RN, PhD, Samira Al Rasbi RN, PhD, Zainab Al Kindi RN, PhD, Omar Al Omari RN, PhD, Sulaiman Al Sabei RN, PhD, Nassra Al Hashmi RN, MSN, Najeem Al Balushi RN, MSN
{"title":"Empowering voices: Predictors and levels of nurses’ involvement in healthcare policy","authors":"Asma Al Yahyaei RN, PhD,&nbsp;Samira Al Rasbi RN, PhD,&nbsp;Zainab Al Kindi RN, PhD,&nbsp;Omar Al Omari RN, PhD,&nbsp;Sulaiman Al Sabei RN, PhD,&nbsp;Nassra Al Hashmi RN, MSN,&nbsp;Najeem Al Balushi RN, MSN","doi":"10.1111/inr.70012","DOIUrl":"https://doi.org/10.1111/inr.70012","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>This study examines the level of nurses' involvement in healthcare policy activities in Oman and explores demographic and work-related predictors to identify actionable strategies for enhancing their engagement.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Nurses' involvement in healthcare policy is crucial for effective healthcare strategies, yet participation remains low, especially in developing countries like Oman. Understanding what influences nurses' engagement is vital for enhancing their role in policy-making.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A cross-sectional study was conducted with 1017 nurses from five hospitals across Oman. Data were collected using the Involvement in Health Policy Questionnaire, and multiple linear regression analysis that identified predictors of involvement.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The study found a generally low level of policy involvement among nurses. Significant positive predictors included interest in policy-making, competency from basic education, confidence, and received training. Negative predictors were being married and working in daycare units.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Discussion</h3>\u0000 \u0000 <p>These results suggest that increasing interest, competency, and confidence through targeted educational programs and training is essential to enhance nurses' involvement in policy-making. Addressing barriers faced by married nurses and those in specific units is also important.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion and implications for nursing and health policy</h3>\u0000 \u0000 <p>Targeted strategies that improve education, training, and support systems are necessary to enhance nurses' involvement in healthcare policy. Addressing these factors can lead to more effective nurse participation, ultimately contributing to better healthcare policy and patient outcomes.</p>\u0000 </section>\u0000 </div>","PeriodicalId":54931,"journal":{"name":"International Nursing Review","volume":"72 1","pages":""},"PeriodicalIF":3.8,"publicationDate":"2025-03-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143554738","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}
引用次数: 0
Ethical and regulatory considerations in the use of AI and machine learning in nursing: A systematic review
IF 3.8 3区 医学
International Nursing Review Pub Date : 2025-03-05 DOI: 10.1111/inr.70010
Sobhia Ahmed Abdel Qader Mohammed  , Yasmine Mahmoud Moussa Osman PhD, Ateya Megahed Ibrahim PhD, Mostafa Shaban PhD
{"title":"Ethical and regulatory considerations in the use of AI and machine learning in nursing: A systematic review","authors":"Sobhia Ahmed Abdel Qader Mohammed  ,&nbsp;Yasmine Mahmoud Moussa Osman PhD,&nbsp;Ateya Megahed Ibrahim PhD,&nbsp;Mostafa Shaban PhD","doi":"10.1111/inr.70010","DOIUrl":"https://doi.org/10.1111/inr.70010","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>This study systematically explores the ethical and regulatory considerations surrounding the integration of artificial intelligence (AI) and machine learning (ML) in nursing practice, with a focus on patient autonomy, data privacy, algorithmic bias, and accountability.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>AI and ML are transforming nursing practice by enhancing clinical decision-making and operational efficiency. However, these technologies present significant ethical challenges related to ensuring patient autonomy, safeguarding data privacy, mitigating algorithmic bias, and ensuring transparency in decision-making processes. Current frameworks are not sufficiently tailored to nursing-specific contexts.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A systematic review was conducted, adhering to PRISMA guidelines. Six major databases were searched for studies published between 2000 and 2024. Seventeen studies met the inclusion criteria and were included in the final analysis.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Five key themes emerged from the review: enhancement of clinical decision-making, promotion of ethical awareness, support for routine nursing tasks, challenges in algorithmic bias, and the importance of public engagement in regulatory frameworks. The review identified critical gaps in nursing-specific ethical guidelines and regulatory oversight for AI integration in practice.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Discussion</h3>\u0000 \u0000 <p>AI technologies offer substantial benefits for nursing, particularly in decision-making and task efficiency. However, these advantages must be balanced against ethical concerns, including the protection of patient rights, algorithmic transparency, and bias mitigation. Current regulatory frameworks require adaptation to meet the ethical needs of nursing.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion and implications for nursing and health policy</h3>\u0000 \u0000 <p>The findings emphasize the need for the development of nursing-specific ethical guidelines and robust regulatory frameworks to ensure the responsible integration of AI technologies into nursing practice. AI integration must uphold ethical principles while enhancing the quality of care.</p>\u0000 </section>\u0000 </div>","PeriodicalId":54931,"journal":{"name":"International Nursing Review","volume":"72 1","pages":""},"PeriodicalIF":3.8,"publicationDate":"2025-03-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143554736","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}
引用次数: 0
Maternal health challenges in the Gaza conflict and its impact on nursing
IF 3.8 3区 医学
International Nursing Review Pub Date : 2025-03-05 DOI: 10.1111/inr.70009
Mohammed Qutishat MSN RN
{"title":"Maternal health challenges in the Gaza conflict and its impact on nursing","authors":"Mohammed Qutishat MSN RN","doi":"10.1111/inr.70009","DOIUrl":"https://doi.org/10.1111/inr.70009","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>The Gaza conflict, characterized by ongoing violence and restricted access to healthcare, poses significant challenges to maternal healthcare. Studies indicate that the conflict exacerbates malnutrition, trauma, and healthcare worker burnout, compromising the physical and psychological well-being of pregnant women and hindering nursing practice.The aim of this paper is to critically examine maternal healthcare challenges in the Gaza conflict and their implications on nursing functions, highlighting the need for evidence-based interventions to improve health outcomes for patients.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>The evidence for this paper has come from observations and experience, discussion with colleagues and reveiw of avialable emperical and non emperical literature.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Discussion</h3>\u0000 \u0000 <p>The conflict has undermined the quality and availability of maternal healthcare services, exposing pregnant women to increased health risks while burdening nurses with unsustainable workloads and emotional strain. The current response is inadequate, highlighting the need for a comprehensive and coordinated approach to address the systemic challenges faced by mothers and healthcare providers.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>To mitigate the impact of the conflict on maternal health, a concerted effort is required from healthcare professionals, policymakers, and international organizations to restore healthcare infrastructure, secure essential supplies, and provide mental health support for nurses.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Implications for nursing and health policy</h3>\u0000 \u0000 <p>The Gaza conflict underscores the need for policy interventions to prioritize trauma-informed care, enhance nurses' training in resource management, and ensure access to essential supplies and equipment. By addressing these challenges, it is possible to improve maternal health outcomes and support the critical nursing role in this conflict-affected setting.</p>\u0000 </section>\u0000 </div>","PeriodicalId":54931,"journal":{"name":"International Nursing Review","volume":"72 1","pages":""},"PeriodicalIF":3.8,"publicationDate":"2025-03-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/inr.70009","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143554741","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}
引用次数: 0
Correction to Exploring the competencies of nephrology nurses: A comprehensive scoping review
IF 3.8 3区 医学
International Nursing Review Pub Date : 2025-02-27 DOI: 10.1111/inr.70006
{"title":"Correction to Exploring the competencies of nephrology nurses: A comprehensive scoping review","authors":"","doi":"10.1111/inr.70006","DOIUrl":"https://doi.org/10.1111/inr.70006","url":null,"abstract":"<p>Andreoli, D., Morales Palomares, S., Mancin, S., Parozzi, M., Gazineo, D., Palmisano, A., Angileri, S., Ricco,  M., Anastasi, G., Savini, S., Cangelosi, G., Godino, L., &amp; Sguanci, M., (2025) Exploring the Competencies of Nephrology Nurses: A Comprehensive Scoping Review. <i>International Nursing Review</i>, 72, e13085. https://doi.org/10.1111/inr.13085</p><p>The name Salvatore Alessio Angileri has been removed and replaced with Salvatore Angileri as it does not match the author's name.</p><p>We apologise for the error.</p>","PeriodicalId":54931,"journal":{"name":"International Nursing Review","volume":"72 1","pages":""},"PeriodicalIF":3.8,"publicationDate":"2025-02-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/inr.70006","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143513738","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}
引用次数: 0
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