International Nursing Review最新文献

{"title":"Health and Well-Being of Military Nurses in High-Reliability, High-Stress Environments: A Qualitative Study in the Slovenian Armed Forces","authors":"Zlatko Kvržić, Mirko Prosen","doi":"10.1111/inr.70177","DOIUrl":"10.1111/inr.70177","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>To investigate how female military nurses experience high-reliability, high-stress environments and how these conditions shape their well-being.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Military nursing involves complex demands that extend beyond clinical care, including dual professional roles, operational unpredictability, and gendered expectations. These pressures can undermine physical, psychological, and social well-being, yet the lived experiences of military nurses, particularly women, remain underexplored.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Design</h3>\u0000 \u0000 <p>A qualitative descriptive design was used.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Ten female military nurses were recruited through purposive sampling and interviewed individually in semi-structured online interviews. Data were analysed using qualitative content analysis. Trustworthiness was ensured through reflexive coding, an audit trail, and adherence to COREQ guidelines.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Five overarching categories captured the factors shaping well-being: organisational and structural demands; high-stress operational environments; emotional and psychological burden; coping and resilience; and gendered identity and work–family balance. Participants described constrained autonomy, communication gaps, and role ambiguity within hierarchical structures. Psychological pressures were heightened by moral tensions, responsibility for colleagues, and expectations of emotional control. Coping relied mainly on informal peer support, as formal services were rarely used due to stigma. Gendered norms and family responsibilities further influenced well-being and career decisions.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Military nurse well-being is shaped less by individual resilience and more by organisational culture, operational demands, and gendered expectations. Addressing these systemic factors is essential for sustaining the military nursing workforce.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Implication for Nursing</h3>\u0000 \u0000 <p>Strengthening leadership support, communication, psychological safety, and professional autonomy may improve working conditions and support nurses’ well-being in demanding operational contexts.</p>\u0000 ","PeriodicalId":54931,"journal":{"name":"International Nursing Review","volume":"73 2","pages":""},"PeriodicalIF":3.7,"publicationDate":"2026-04-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/inr.70177","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147678884","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":"Correction to “The Role of Spirituality and Religion When Nurses Care for People Experiencing Suicidality: An Integrative Review”","authors":"","doi":"10.1111/inr.70176","DOIUrl":"10.1111/inr.70176","url":null,"abstract":"<p>Cooper, K., E. Alsharaydeh, S. Shishehghar, G. Endrawes, and G. Murphy. 2026. “The Role of Spirituality and Religion When Nurses Care for People Experiencing Suicidality: An Integrative Review.” <i>International Nursing Review</i> 73, no. 1: e70158.\u0000https://doi.org/10.1111/inr.70158.</p><p>In the originally published version of this article, “Rupali Hinge” was inadvertently omitted from the authorship list.</p><p>In addition, the surname of the co-author was incorrectly published as “Shishehghar” and should be “Shishehgar.”</p><p>The correct authorship list is as follows:</p><p>Katherine Cooper, Ethar Alsharaydeh, Sara Shishehgar, Gihane Endrawes, Rupali Hinge, and Gillian Murphy.</p><p>In the ‘Author Contributions’ section, the initials “RP” should be “RH.”</p><p>These have now been corrected in the published article.</p><p>We apologize for this error.</p>","PeriodicalId":54931,"journal":{"name":"International Nursing Review","volume":"73 2","pages":""},"PeriodicalIF":3.7,"publicationDate":"2026-04-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/inr.70176","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147610590","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":"Perceptions, Motivations and Empowerment Experiences of Nurses in Refugee Camps: Systematic Review and Meta-Synthesis","authors":"Emanuel Macías-Maroto,&nbsp;Henrique da-Silva-Domingues,&nbsp;Sara Moreno-Cámara","doi":"10.1111/inr.70175","DOIUrl":"10.1111/inr.70175","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 explore the experiences, perceptions, motivations, and empowerment experiences of nurses working in refugee camps.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Background/Introduction&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;Refugee camps are frequently marked by resource scarcity, instability, and cultural diversity, shaping how health care is delivered. Nurses are essential in providing care in these settings, yet their experiences remain understudied.&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 systematic review and meta-synthesis were conducted using Sandelowski and Barroso's approach. The protocol was registered in PROSPERO (CRD42024541434). Searches were conducted in April 2025 across PubMed, CINAHL, Scopus, LILACS, CuidenPlus, and PsycINFO.&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;Sixteen articles were included. Eight themes and 28 subthemes emerged, grouped into two meta-themes: (1) Motivations and empowerment experiences; and (2) Challenges faced by nurses. Motivations included prior experiences in international cooperation, inspiration from others, satisfaction from contributing, personal values, and professional and personal development. Challenges were linked to the refugee population, the context, and healthcare delivery.&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;Findings highlight the importance of addressing systemic and cultural barriers in refugee healthcare. Cross-cultural training, psychological support, and adequate resources are critical to sustaining nurses’ well-being and care quality in these challenging 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;Nurses working in refugee camps navigate a complex balance between strong professional motivation and substantial workplace challenges. Strengthening support systems and improving working conditions are crucial for promoting both nursing well-being and high-quality care in humanitarian contexts.&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;Nursing education and professional development should integrate cultural competence, communication skills for multilingual settings, and strategies for managing emotional strain in humanitarian environments.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Im","PeriodicalId":54931,"journal":{"name":"International Nursing Review","volume":"73 1","pages":""},"PeriodicalIF":3.7,"publicationDate":"2026-03-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/inr.70175","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147516826","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":"Steering the Future of Nursing in Jordan: Translating the International Council of Nurses 2025 Definitions Into Practice, Education, and Policy","authors":"Jafar A. Alshraideh,&nbsp;Shefa'a Alfraheed,&nbsp;Hani Al Nawafleh,&nbsp;Hana Abu-Snieneh,&nbsp;Aisha Dammra,&nbsp;Ashraf Alamsidin,&nbsp;Bilal Badr Naga,&nbsp;Nesreen Omar","doi":"10.1111/inr.70174","DOIUrl":"10.1111/inr.70174","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>In 2025, the International Council of Nurses renewed the definitions of “nursing” and “a nurse” and articulated core concepts that emphasize social justice, human connection, scientific knowledge, and professional accountability.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>To analyze the International Council of Nurses’ 2025 definitions and discuss practical implications and implementation recommendations for nursing practice, education, and policy in Jordan.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Sources of Evidence</h3>\u0000 \u0000 <p>An interpretive policy analysis of the International Council of Nurses’ final project report, complemented by global and Jordan-focused evidence on nursing workforce priorities, practice environments, and digital health transformation.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Discussion</h3>\u0000 \u0000 <p>The definitions offer coherent professional language aligned with global health and workforce agendas that emphasize leadership, advocacy, autonomy, and accountability. In Jordan, operationalization requires policy and regulatory alignment (including advanced practice pathways), workforce retention and wellbeing strategies, curriculum crosswalks, and minimum informatics and AI governance standards.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Implications for Nursing Practice</h3>\u0000 \u0000 <p>Nurses should strengthen autonomous clinical judgment, culturally safe and people-centered care, advocacy, quality improvement, and digital competence, while working in partnership with multidisciplinary teams and communities.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Implications for Policy and Education</h3>\u0000 \u0000 <p>The Jordanian Nursing Council and stakeholders should translate the definitions into updated scope-of-practice and licensure expectations, competency-based curricula, advanced practice education pathways, and continuing professional development linked to service needs and equity.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>A phased, nationally coordinated implementation plan with monitoring and evaluation is needed to convert definitional aspirations into measurable improvements in care quality, workforce sustainability, curricula updates, and health equity in Jordan.</p>\u0000 </section>\u0000 </div>","PeriodicalId":54931,"journal":{"name":"International Nursing Review","volume":"73 1","pages":""},"PeriodicalIF":3.7,"publicationDate":"2026-03-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/inr.70174","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147482468","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":"Impact of Subdomains of Affective and Cognitive Empathy on Burnout Syndrome in Nurses: A Meta-Analysis","authors":"Madson Alan Maximiano-Barreto,&nbsp;Adrieli Oliveira Raminelli,&nbsp;Bruna Moretti Luchesi,&nbsp;Marcos Hortes Nisihara Chagas,&nbsp;Marisa Matias,&nbsp;Flávia de Lima Osório","doi":"10.1111/inr.70173","DOIUrl":"10.1111/inr.70173","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 association between empathy and the subdomains of affective and cognitive empathy and burnout syndrome in nurses from any health field.&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;Empathy is an ability composed of affective and cognitive domains that have been widely studied in healthcare providers. Affective and cognitive empathy have subdomains, and the associations with burnout syndrome are under-investigated. Burnout syndrome is an occupational disease that often affects nurses.&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 meta-analysis was conducted guided by the PRISMA Statement checklist and was registered in the PROSPERO database (CRD42024600740). Twenty-nine studies met the eligibility 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;A negative correlation was found between global empathy and burnout syndrome. When considering the subdomains of affective empathy, no statistically significant correlation was found with empathic concern, whereas a moderate positive correlation was found between personal distress and burnout syndrome. Considering the subdomains of cognitive empathy, a weak negative correlation was found between perspective taking and burnout syndrome, whereas a weak positive correlation with fantasy was found.&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 subdomains of empathy are distinctly related to burnout syndrome in nurses. Perspective taking served as a protective factor for the mental health of these health professionals.&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;Global empathy was negatively associated with burnout syndrome, while its subdomains showed distinct and sometimes opposing associations. When considering the subdomains of affective and cognitive empathy, distinct interactions were identified. Personal distress and fantasy were positively correlated with burnout syndrome, whereas perspective taking was negatively correlated.&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;Understanding the impact of empathy subdomains can assist in the planning of interventions aimed at optimizing empathic functioning while minimizing risks to nurses’ mental health.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 &lt;/di","PeriodicalId":54931,"journal":{"name":"International Nursing Review","volume":"73 1","pages":""},"PeriodicalIF":3.7,"publicationDate":"2026-03-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13002559/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147488578","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":"Expanded Roles and Competency Gaps of Emergency and ICU Nurses During Armed Conflict in Gaza","authors":"Mazen AbuQamar,&nbsp;Ali H. Alkhatib,&nbsp;Tinne Dilles","doi":"10.1111/inr.70165","DOIUrl":"10.1111/inr.70165","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>To explore the expanded roles, task shifting, competency gaps, and adaptive strategies of emergency and intensive care unit nurses in Gaza's government hospitals during armed conflict, and to identify barriers and lessons relevant to international nursing standards.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Armed conflicts severely disrupt healthcare systems and demand expanded nursing roles and competencies, especially for emergency and intensive care nurses.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A descriptive, qualitative design was used, employing semi-structured key informant interviews and a focus group with senior nurses, supervisors, and academic leaders from all operating governmental hospitals in Gaza. Data were thematically analyzed, following COREQ guidelines and information power principles.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Fourteen nurses and ten senior stakeholders participated, offering diverse clinical and academic perspectives. Eight key themes emerged: role expansion, psychological impact, adaptation, core competencies, training, systemic barriers, teamwork, and support systems. Nurses assumed essential and some advanced clinical duties and autonomous decisions in response to staff shortages and resource scarcity. Despite some advanced nursing skills, gaps persisted in pediatric, burn, and mental health care. Solidarity, mentoring, and nongovernmental-supported leadership helped sustain care delivery, revealing both nursing resilience and entrenched system challenges.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Discussion</h3>\u0000 \u0000 <p>These findings highlight urgent gaps and opportunities to strengthen nursing competencies, education, and policy to ensure resilient care in conflict-affected settings.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Nurses in conflict-affected ICUs and emergency departments demonstrated notable adaptability and role expansion but faced critical gaps in preparedness and institutional support. Their experiences call for enhanced training and clear policy frameworks tailored to conflict settings.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Implications for nursing</h3>\u0000 \u0000 <p>The study calls for integrating conflict-nursing skills, ethical decision-making, and psychosocial support into policy and education to build nurse autonomy and conflict-readiness in Palestine and beyond.</p>\u0000 </section>\u0000 </div>","PeriodicalId":54931,"journal":{"name":"International Nursing Review","volume":"73 1","pages":""},"PeriodicalIF":3.7,"publicationDate":"2026-03-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147437920","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":"Self-Care Strategies of Emergency Nurses in Armed Conflict Areas: Experiences From the Field","authors":"Zakaria A. Mani","doi":"10.1111/inr.70172","DOIUrl":"10.1111/inr.70172","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;Emergency nurses working in conflict zones face extraordinary psychological, physical, and ethical challenges in environments characterised by violence, resource scarcity, and moral distress. Despite increasing recognition of core competencies in emergency nursing for armed conflict contexts, self-care strategies that enable sustained professional practice remain underexplored in the literature.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Objective&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;The primary objective of this study was to explore the lived experiences and self-care strategies of nurses working in healthcare settings along the Saudi–Yemeni border. The secondary objectives were to identify the specific components of their self-care ecosystems and to understand how these strategies are influenced by the unique challenges of a conflict-affected 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;A qualitative descriptive design was employed using semi-structured interviews with twelve emergency nurses working in active conflict zones. Data were analysed using Braun and Clarke's six-phase thematic analysis framework, following COREQ guidelines. Roy's Adaptation Model guided interview question development across physiological, self-concept, role function, and interdependence domains.&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 major themes emerged from the analysis: (1) Holistic Self-Care Strategies encompassing physical, psychological, and spiritual dimensions; (2) Professional competency as a protective factor through skills enhancement and boundary management; (3) Collective resilience and social support systems involving peer support, leadership presence, and mentorship; and (4) Systematic approaches to chaos and risk management through safety protocols and operational systems. Participants employed multidimensional self-care approaches that were fundamentally collective rather than individual, integrating personal resilience with professional competence, mutual support, and systematic organisation to maintain well-being and effective patient care in extreme environments.&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-care represents a foundational rather than supplementary component of conflict-zone emergency nursing practice. Integration of self-care strategies into core competency frameworks and institutional policies is essential to ensure the well-being of healthcare workers and sustainable care delivery in humanitarian crises. Findings indicate a need for paradigmatic shifts from individual to collective approaches in suppor","PeriodicalId":54931,"journal":{"name":"International Nursing Review","volume":"73 1","pages":""},"PeriodicalIF":3.7,"publicationDate":"2026-03-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147370606","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":"Machine Learning in Assessing Intraoperative Blood Loss: A Systematic Review and Meta-Analysis","authors":"Wenlin Zhou,&nbsp;Linglin Pan,&nbsp;Xinmei Pan,&nbsp;Yanwen Li,&nbsp;Lin Rao,&nbsp;Hong Li","doi":"10.1111/inr.70159","DOIUrl":"10.1111/inr.70159","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>To evaluate the value of machine learning in assessing intraoperative blood loss by comparing associated outcomes with those of the gold standard.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Intraoperative bleeding is a leading cause of death in surgical patients and may be preventable through early and accurate assessment of blood loss. Machine learning models are used for measuring intraoperative hemorrhage with conventional assessment methods. However, outcome metrics vary across studies.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A systematic review and meta-analysis. Data were retrieved from Web of Science, PubMed, Embase, Cochrane Library, and CINAHL, with searches conducted through August 18, 2025.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Twelve studies were included. The pooled correlation coefficient between machine learning models and the gold standard for assessing intraoperative blood loss was high.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Discussion</h3>\u0000 \u0000 <p>Machine learning models demonstrate high accuracy and reliability in assessing intraoperative blood loss. Heterogeneity was high, likely attributable to differences in publication year, country, study subjects, sample type, and modeling method.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Models should be promoted for clinical use to improve blood loss assessment accuracy and to potentially reduce perioperative risk.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Implications for Nursing</h3>\u0000 \u0000 <p>Novel machine learning models could enhance the accuracy and applicability of existing models, providing nursing staff with a more efficient tool for assessing blood loss. This will optimize the nursing decision-making process, reduce adverse events caused by underestimating or overestimating blood loss, and improve patient safety.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Implications for Nursing Policy</h3>\u0000 \u0000 <p>We provide a reference for exploring the application of artificial intelligence in other nursing fields, promoting interdisciplinary research and driving continuous innovation and progress in nursing.</p>\u0000 </section>\u0000 </div>","PeriodicalId":54931,"journal":{"name":"International Nursing Review","volume":"73 1","pages":""},"PeriodicalIF":3.7,"publicationDate":"2026-02-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12949346/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147318924","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 Role and Mandate of Nurses in Disasters: A Delphi Study in German-Speaking Countries","authors":"Michael Köhler,&nbsp;Julia Ballmann,&nbsp;Laura Glorius,&nbsp;Michael Ewers","doi":"10.1111/inr.70167","DOIUrl":"10.1111/inr.70167","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Given the global increase in disasters, nurses play a critical role in ensuring the protection of individual and public health even under adverse circumstances. However, in Germany, Austria, and Switzerland, the role and mandate of nurses in disasters are unclear, which can lead to uncertainty among disaster responders, decision-makers, and nurses themselves.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>The RAP^KAT study (The Role and Mandate of Nurses in Emergencies, Crises, and Disasters) aimed to examine the role and mandate of nurses in disasters from the perspective of experts across three German-speaking countries.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A modified multi-stage Delphi design was conducted, using the DELPHISTAR checklist to report on this study. Following an initial round-table symposium with experts from the field of nursing, three increasingly standardized online surveys were conducted. The panel of participants was gradually expanded to include experts from related fields and professions.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Participants from German-speaking countries strongly agreed on the need to clearly define and codify the role and mandate of nurses in disaster situations. Experts, particularly nurses, called for the inclusion of disaster nurses in leadership and decision-making bodies. However, participants also noted that disaster nursing competencies in these countries are not yet sufficiently developed to meet the expected standards.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>To ensure that nurses can respond appropriately to disasters, their role and mandate must be defined, codified, and systematically implemented. Additionally, disaster nursing competencies should be systematically developed through education.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Implications for nursing and nursing policy</h3>\u0000 \u0000 <p>The responsibility for defining the role and mandate of nurses lies with the profession itself. Nurses must reach a consensus with policymakers on these definitions and ensure that they are codified, allowing healthcare systems to implement them effectively.</p>\u0000 </section>\u0000 </div>","PeriodicalId":54931,"journal":{"name":"International Nursing Review","volume":"73 1","pages":""},"PeriodicalIF":3.7,"publicationDate":"2026-02-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12939241/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147291837","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 How Nurse Innovators Define and Measure Impact: A Qualitative Study","authors":"Olivia Lemberger,&nbsp;Jeanette Rossetti,&nbsp;Siobhán Smyth","doi":"10.1111/inr.70170","DOIUrl":"10.1111/inr.70170","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 impact of nurse innovators and how they measure success across academic, industry, and government sectors to enhance understanding of their contributions and outcomes.&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;While nurses have been driving innovation for centuries, the measurement of nurse-led advancements remains limited. Too often, the innovative work of nurses fades into the background of international workplace environments.&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;A qualitative descriptive study involving 31 nurse innovators across academic, industry, and government sectors across the United States was conducted. Using NVivo, data were inductively analyzed following Ritchie and Spencer's framework, providing a systematic and rigorous approach to theme identification.&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;Nurse innovators in academic, industry, and government settings used research, financial, and scalability methods to measure the use, efficiency, impact, and satisfaction of their innovations. These measures may provide evidence to demonstrate the value and impact of innovation practice for patients, providers, and healthcare systems.&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;These findings support global efforts to strategically design, evaluate, and strengthen innovation initiatives. When healthcare leaders and organizations invest in quantifying nurse-led innovation, they foster transparency, highlighting its value and impact, while advancing recognition of nursing contributions across diverse innovation ecosystems.&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;Nurse innovators who broadly disseminate their innovative endeavors will provide strategies for other nurses to emulate and incorporate into their nursing practice. The use of quantitative language related to nurse-led innovation may garner leadership support and funding for the global advancement of innovative practices.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Implications for Nursing and/or Health Policy&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;Outcome measures used by nurse innovators can provide organizations, leaders, policy makers, government officials, academics, and innovation experts in cross-industry settings with the ability to u","PeriodicalId":54931,"journal":{"name":"International Nursing Review","volume":"73 1","pages":""},"PeriodicalIF":3.7,"publicationDate":"2026-02-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12927682/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147272950","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}