International Nursing Review最新文献

{"title":"Perspectives of physicians, nurses, and patients on the use of artificial intelligence and robotic nurses in healthcare","authors":"Emel Gumus RN, PhD, Handan Alan RN, PhD","doi":"10.1111/inr.70017","DOIUrl":"https://doi.org/10.1111/inr.70017","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>This study aims to assess the perspectives of physicians, nurses, and patients in Turkey regarding the integration of artificial intelligence (AI) and robotic nurses in healthcare settings while exploring their attitudes toward the use of robots in healthcare delivery.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>AI and robotic nurses are increasingly shaping healthcare delivery and influencing clinical decision-making processes. However, research examining the impact of AI and robotic nurses on nursing practice and patient care remains limited. The attitudes of healthcare professionals and patients are crucial factors for the successful integration and adoption of these technologies in clinical settings.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Method</h3>\u0000 \u0000 <p>This qualitative study employed in-depth individual interviews to explore participants' perspectives. The sample consisted of 13 physicians, 17 nurses, and 15 patients, all recruited from university hospitals, Ministry of Health hospitals, and private healthcare facilities across Turkey. Data were collected using two semistructured interview guides with “Healthcare Workersand Patients”. Ethical approval and informed consent were obtained prior to data collection. The collected data were analyzed with content analysis using MAXQDA Pro 2021 software.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The qualitative findings were organized into four primary themes: “Impact of AI Technologies on Healthcare,” “Use of AI and Robots,” “Receiving Care from Humanoid Robots,” and “Working with Humanoid Robots.” These themes were further explored through 12 subthemes and corresponding codes.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Discussion</h3>\u0000 \u0000 <p>Participants who had not yet interacted directly with AI technologies and relied solely on literature or had limited knowledge about the process generally believed that AI and robotic nurses could positively affect healthcare. However, they expressed concerns regarding the inability of these technologies to replicate the human touch. They specifically highlighted the limitations of robots in areas requiring empathy, emotional connection, and personalized care.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion and implications for nursing and/or health policy</h3>\u0000 \u0000 <p>This study explored the perspectives of physicians, nurses, and patients regarding AI and ","PeriodicalId":54931,"journal":{"name":"International Nursing Review","volume":"72 2","pages":""},"PeriodicalIF":3.8,"publicationDate":"2025-05-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/inr.70017","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144148288","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 of Good Death and Death Literacy Levels of Nurses Working in Palliative Care: A Cross-Sectional Study","authors":"Ahmet Seven, Ebru Sönmez Sari, Vahide Semerci","doi":"10.1111/inr.70036","DOIUrl":"https://doi.org/10.1111/inr.70036","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>To determine the perceptions of good death and death literacy levels of Turkish nurses working in palliative care services and the factors affecting their perceptions of good death.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Death literacy is defined as the acquisition of the knowledge and skills necessary to understand end-of-life care and contribute to a good death.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>For this cross-sectional study, sample consisted of 162 Turkish nurses working in palliative care services. The data were collected using the Socio-demographic Information Form, Good Death Scale (GDS), and Death Literacy Index (DLI). The data were analyzed by Pearson correlation, independent sample <i>t</i> test, and one-way ANOVA. Hierarchical regression analysis was performed to determine the predictors of good death perception. The STROBE checklist was used in the study.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Findings</h3>\u0000 \u0000 <p>The mean GDS score was 59.53 ± 4.49, and the mean DLI score was 100.70 ± 12.11. It was determined that those who are older, male, married, have worked longer in the clinic, and have knowledge about a good death have higher average scores on the GDS. The models explain 91.8% of the variance in the perception of good death.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Discussion</h3>\u0000 \u0000 <p>Our study shows that as death literacy increases, nurses’ perceptions of a good death tend to decrease. This situation suggests that as nurses’ knowledge and awareness of death increase, the inadequacies of the healthcare system and the impact of limited resources may cause them to develop a more negative perception. Death literacy in nurses is a new concept, and further studies are needed in different cultures.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>In the study, it was observed that death literacy levels and good death perceptions of nurses were above average, and as the death literacy level of nurses increased, their good death perceptions decreased. Age, gender, marital status, working time in the clinic and knowledge about good death affect the perception of good death of nurses working in palliative care.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Implications for nursing</h3>\u0000 \u0000 <p>By improving their understanding of ","PeriodicalId":54931,"journal":{"name":"International Nursing Review","volume":"72 2","pages":""},"PeriodicalIF":3.8,"publicationDate":"2025-05-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/inr.70036","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144108903","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":"Barriers and Enablers to Leadership in Advanced Practice Nursing: A Systematic Review","authors":"Rosemary Fosah, Sofia Llahana","doi":"10.1111/inr.70034","DOIUrl":"https://doi.org/10.1111/inr.70034","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>To explore the barriers and enablers influencing leadership enactment by advanced practice nurses and assess how these have evolved over the past decade.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>Nurses in advanced practice roles are well-positioned to drive healthcare change, addressing patient needs and service demands. However, their leadership contributions are often underestimated, with greater emphasis placed on clinical practice and education rather than leadership and research.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A systematic review of cross-sectional studies was conducted using CINAHL, MEDLINE, EMBASE, APA PsycINFO, and Cochrane databases for studies published between January 2015 and March 2024. Fourteen studies involving 5243 participants were narratively synthesised. Study quality was assessed using the Joanna Briggs Institute Critical Appraisal Tool, and findings are reported following Preferred Reporting Items for Systematic Review and Meta-Analyses (PRISMA) 2020 guidelines.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Findings</h3>\u0000 \u0000 <p>The review identified 24 barriers and 18 enablers to enacting leadership in advanced practice nursing roles, grouped into eight themes across four structural levels: healthcare system, organisational, team, and individual. Key themes included leadership capacity building, role clarity, development opportunities, resource allocation, and mentorship. Major barriers were unclear roles, limited leadership training, and resource constraints, while enablers included mentorship, leadership programmes, and organisational support.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Despite progress, significant barriers persist in developing leadership capabilities within advanced practice nursing roles, particularly in healthcare systems and organisational levels. Standardised education and training pathways are needed to equip nurses for leadership roles, and further research is required to address these barriers.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Implications for nursing and health policy</h3>\u0000 \u0000 <p>Strengthening leadership capacity for advanced practitioners in nursing requires sustained institutional support, standardised education, and strategic engagement with policymakers. Maximising their leadership potential can drive healthcare innovation, improve patient outcomes, and ensur","PeriodicalId":54931,"journal":{"name":"International Nursing Review","volume":"72 2","pages":""},"PeriodicalIF":3.8,"publicationDate":"2025-05-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/inr.70034","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144108902","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":"Resilience and Coping Behaviors Among Palestinian Nursing Students During an Internship in Critical Care Units During the 7th of October War","authors":"Basma Salameh,&nbsp;Malakeh Z. Malak,&nbsp;Bahaaeddin Hammad,&nbsp;Anas Shehadeh,&nbsp;Sameer A. Alkubati,&nbsp;Nourah Alsadaan","doi":"10.1111/inr.70025","DOIUrl":"https://doi.org/10.1111/inr.70025","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>This study aimed to examine perceived stress among nursing students during their training in critical care units and its relationship with resilience and coping behaviors.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Stress significantly impacts nursing students’ critical thinking and academic performance. The events of the 7th of October 2024 war in Palestine have further exacerbated these challenges, forcing students into virtual learning, limiting clinical access, and increasing academic burdens. Resilience and coping behaviors have emerged as pivotal factors in predicting students’ academic success and well-being, particularly during internship in high-pressure settings like critical care units.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methodology</h3>\u0000 \u0000 <p>A cross-sectional study design was employed, involving 352 nursing students at Arab American University during their internships in critical care units. Due to logistical constraints, data were collected through online surveys using the Perceived Stress Scale, the Brief Resilience Scale, and the Coping Behavior Inventory between June and July 2024.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The mean overall perceived stress score was 1.37 (SD = 0.82), reflecting a moderate level of perceived stress. The most commonly reported source of stress was “stress from peers and daily life” with an average score of 1.50 out of 4.0 (SD = 0.96). Regarding resilience, the mean total score was 3.13 (SD = 0.74), with 59.0% of the students displaying a normal/moderate level of resilience. Problem-solving was the most frequently used coping strategy (M = 2.51, SD = 0.93). A negative correlation was found between perceived stress, resilience, and optimistic coping strategies. A positive association between perceived stress, avoidance, and transference coping strategies. Avoidance coping strategy was the main predictor of stress.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion and Implications for Nursing and/or Health Policy</h3>\u0000 \u0000 <p>These findings could assist policymakers in recognizing the critical role of resilience and coping behaviors in shaping nursing students’ perceived stress. Strategies and interventions to enhance coping strategies and boost resilience need to be developed and implemented to reduce stress among intern nursing students.</p>\u0000 </section>\u0000 </div>","PeriodicalId":54931,"journal":{"name":"International Nursing Review","volume":"72 2","pages":""},"PeriodicalIF":3.8,"publicationDate":"2025-05-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144085265","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":"Are We Stepping Back? Findings From an Italian Study on Post-Pandemic Changes in Nursing Education","authors":"Erika Bassi,&nbsp;Alberto Dal Molin,&nbsp;Stefania Chiappinotto,&nbsp;Anna Brugnolli,&nbsp;Federica Canzan,&nbsp;Marco Clari,&nbsp;Maria Grazia De Marinis,&nbsp;Valerio Dimonte,&nbsp;Paola Ferri,&nbsp;Loreto Lancia,&nbsp;Roberto Latina,&nbsp;Zeno Gabriele Poli,&nbsp;Teresa Rea,&nbsp;Luisa Saiani,&nbsp;Federico Fonda,&nbsp;Alvisa Palese","doi":"10.1111/inr.70027","DOIUrl":"https://doi.org/10.1111/inr.70027","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>To describe (a) recommended changes implemented and their perceived effectiveness at the country level, (b) changes discontinued in the post-pandemic era with reasons, and (c) research priorities in nursing education for the next five years.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Background/Introduction</h3>\u0000 \u0000 <p>The COVID-19 pandemic has pushed several nursing education transformations. However, no studies have documented changes still prevalent in the post-pandemic era.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Design</h3>\u0000 \u0000 <p>A national cross-sectional study following the STROBE guidelines.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>All Italian nursing programs (<i>n</i> = 241) were targeted. Eight major and 21 subrecommendations indicating changes expected were included in the online survey to measure their implementation, their perceived effectiveness and status at the time of the survey, discontinuation reasons, and the research priorities. Descriptive and content analyses were used.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>113 (45.5%) nursing programs participated reflecting the education received by &gt;70% of Italian nursing students. All recommended changes have been implemented from 60.2% to 100% nursing programs, resulting in a perceived effectiveness from 4.29 (confidence interval [CI] 95%, 4.07–4.51) to 6.37 (CI 95%, 6.19–6.56) out of 7. A few recommendations were still applied at the time of the survey, while several were discontinued (from 4.8% to 61.9%) because, in order, of concern regarding their effectiveness, university/law dispositions, traditional methods reimplemented, technical/logistic difficulties and students’ requests. Digital solutions’ impact on nursing education was identified as a research priority.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>After the multifaced changes triggered by the pandemic, the pace of transformation of nursing education seems to have been decelerated.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Implications for nursing</h3>\u0000 \u0000 <p>The potential regressive pattern that has emerged, wherein the previous model of nursing education is repristinated, calls for immediate action, which is also in line with the research priorities.</p>\u0000 </section>\u0000 </div>","PeriodicalId":54931,"journal":{"name":"International Nursing Review","volume":"72 2","pages":""},"PeriodicalIF":3.8,"publicationDate":"2025-05-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/inr.70027","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144085494","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":"Preparedness of Emergency Room Nurses for Bioterrorism Based on the Health Belief Model: A Multicenter Qualitative Study","authors":"Mi-Kyeong Jeon,&nbsp;Yujeong Kim","doi":"10.1111/inr.70028","DOIUrl":"https://doi.org/10.1111/inr.70028","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>To explore emergency room nurses’ perceptions of preparedness for bioterrorism.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>In the context of evolving global security threats, including wars, terrorism, and emerging infectious diseases, it is critical to evaluate the bioterrorism response competencies of emergency room nurses and identify strategies to enhance their preparedness.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Qualitative data were gathered through focus group interviews with 13 emergency room nurses employed at six regional emergency centers across the country. Data were analyzed using qualitative content analysis, and findings were reported in accordance with the COREQ guidelines.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Analysis of 537 meaningful statements yielded 38 codes, which were organized into two themes and eight subthemes. The first theme, barriers to bioterrorism preparedness, included subthemes such as “insufficient knowledge and experience related to bioterrorism” and “contrasting thoughts on the possibility of bioterrorism occurring in South Korea.” The second theme, facilitators to bioterrorism preparedness, encompassed subthemes such as “programs to improve one's competencies in dealing with bioterrorism” and “unavoidable sense of responsibility as a nurse.”</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Despite a lack of established guidelines, knowledge, training, and response systems specific to bioterrorism, emergency room nurses demonstrate a strong sense of professional duty to provide care even in the event of a bioterrorist attack.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Implications for Nursing and Health Policy</h3>\u0000 \u0000 <p>To strengthen bioterrorism preparedness, there is an urgent need to develop human resources, enhance infrastructure, and implement targeted education and training programs for healthcare professionals. Education and training are essential to enhance the competency of emergency room nurses in responding effectively to bioterrorism at all times. The inadequate bioterrorism response systems in emergency centers and the low competency levels of nurses highlight the need for policies aimed at improving bioterrorism response capabilities within the national emergency medical system.</p>\u0000 </section>\u0000 </div>","PeriodicalId":54931,"journal":{"name":"International Nursing Review","volume":"72 2","pages":""},"PeriodicalIF":3.8,"publicationDate":"2025-05-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/inr.70028","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144085493","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 Association Between Self-Esteem, Assertiveness, and Professional Competence Among Palestinian Newly Graduated Emergency and Critical Care Nurses","authors":"Malakeh Z. Malak,&nbsp;Ahamd Ayed,&nbsp;Anas Shehadeh,&nbsp;Moath Abu Ejheisheh,&nbsp;Ahmad Batran","doi":"10.1111/inr.70033","DOIUrl":"https://doi.org/10.1111/inr.70033","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>This study aimed to assess the levels of self-esteem, assertiveness, and professional competence among Palestinian newly graduated emergency and critical care nurses and the association between these constructs.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Nurse shortage is a global issue, leading to the employment of newly graduated nurses in high-stress areas like emergency and critical care units. Self-esteem and assertiveness are essential for high-quality nursing care. There is a lack of studies examining the relationships between self-esteem, assertiveness, and professional competence, particularly among newly graduated nurses in Palestine, where unique challenges exist due to political conflicts and resource shortages.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A cross-sectional design with a convenience sampling method was used to recruit 170 newly graduated emergency and critical care nurses. Data were collected using Rosenberg's Self-Esteem Scale, the Assertiveness Questionnaire, and the Nurse Professional Competence (NPC) Scale during the period from July to September 2024.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The participants had moderate self-esteem (M = 21.05, SD = 2.36), moderate assertiveness (M = 77.73, SD = 3.06), and high professional competence (M = 67.28, SD = 14.62) levels. Associations were found between professional competence and self-esteem (<i>r</i> = 0.406, <i>p</i> &lt; 0.01), assertiveness (<i>r</i> = 0.353, <i>p</i> &lt; 0.01), age (<i>r</i> = 0.360, <i>p</i> &lt; 0.01), workplace (p.b.r = −0.225, <i>p</i> &lt; 0.01), and intention to leave the profession (p.b.r = 0.152, <i>p</i> &lt; 0.05). The main predictors of professional competence were self-esteem and assertiveness. Emergency newly graduated nurses had higher professional competence, while critical care newly graduated nurses had higher assertiveness.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion and Implications for Nursing and/or Health Policy</h3>\u0000 \u0000 <p>Policymakers and hospital administrators should prioritize specific strategies and interventions aimed at boosting self-esteem and assertiveness among newly graduated nurses. This focus will directly enhance their professional competence, capability, and retention, enabling them to better maintain a patient safety culture and deliver high-quality care. Furthermore, correlating factors should be considered when developing and implementing these strategies and interventions to ensure maximum effectiveness.</p>\u0000 </section>\u0000 </div>","PeriodicalId":54931,"journal":{"name":"International Nursing Review","volume":"72 2","pages":""},"PeriodicalIF":3.8,"publicationDate":"2025-05-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144074437","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":"Ambulance Nurses’ Experience of a Simulation Exercise Concerning Intimate Partner Violence","authors":"Edberg Matei Emma,&nbsp;Johansson Jeanette,&nbsp;Sjövall Katarina","doi":"10.1111/inr.70030","DOIUrl":"https://doi.org/10.1111/inr.70030","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 qualitatively assess an intervention for ambulance nurses, including simulation training concerning intimate partner violence (IPV), and to describe the ambulance nurses’ experiences of their work after the intervention.&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;IPV is a common public health issue with serious consequences from individual and societal perspectives. Previous research indicates that deficits in knowledge, preparedness, confidence, and clinical skills are barriers for nurses in detecting IPV. Ambulance nurses have a unique opportunity to identify IPV as they often encounter patients in their homes. However, there is limited research on the impact of simulation for training ambulance nurses to improve their preparedness and competence to respond to IPV.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Design&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;An intervention study using qualitative semi-structured interviews that were analysed using content analysis.&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;Simulation pedagogy was used for training ambulance nurses (&lt;i&gt;n&lt;/i&gt; = 7) in how to deal with women suspected of having been exposed to IPV. Qualitative interviews were conducted to collect data about the ambulance nurses’ experiences with the simulation and about their work in relation to IPV after the simulation. The interviews were analysed using content 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;The results are presented through four categories and eight subcategories. The categories are: Simulation provided new insights, Simulation was like encountering a real patient, Simulation changed my way of working, and Simulation increased awareness of the importance of teamwork.&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 participants experienced increased confidence in asking about exposure to violence, resulting in more patients being asked about exposure to IPV after the simulation training. Although this was a small study, the results showed the importance of training in a realistic context and the value of interaction among participating ambulance nurses. Simulation addressing IPV can open new doors by providing new knowledge and by allowing participants to observe each other.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Implications for Nursing Practice&lt;/h3&gt;\u0000 ","PeriodicalId":54931,"journal":{"name":"International Nursing Review","volume":"72 2","pages":""},"PeriodicalIF":3.8,"publicationDate":"2025-05-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/inr.70030","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144074440","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":"Challenges and Strategies in Maintaining Continuity of Care for Chronic Disease Patients by Emergency Nurses During Disasters","authors":"Majed Awad Alanazi,&nbsp;Mostafa Shaban","doi":"10.1111/inr.70029","DOIUrl":"https://doi.org/10.1111/inr.70029","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 aimed to explore the challenges emergency nurses face in providing continuity of care for chronic disease patients during disasters in the Northern Region of Saudi Arabia and the strategies they employ to overcome these challenges.&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;Emergency nurses play a pivotal role in disaster response, particularly in managing care for patients with chronic diseases. Resource shortages, communication breakdowns, and patient displacement frequently disrupt care continuity during disasters, exacerbating health risks for vulnerable populations.&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;Ensuring consistent care for chronic disease patients during disasters is critical for mitigating negative health outcomes. Disruptions caused by disasters highlight the need for strategies that support emergency nurses in maintaining care standards under resource-limited and high-stress conditions.&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 study was conducted using semistructured interviews with 14 emergency nurses from a general hospital in the Northern Region of Saudi Arabia. Thematic analysis, adhering to COREQ guidelines, was applied to identify key challenges and solutions.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Results or Findings&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;Three key themes were identified: resource limitations, communication barriers, and patient displacement. Nurses reported challenges such as shortages of essential medications, disruptions in communication networks, and difficulties in maintaining continuity of care for displaced patients. To mitigate these challenges, they employed strategies including improvisation, enhanced communication protocols, and resilience-building practices.&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 highlight the critical role of emergency nurses in disaster response and the necessity of adaptive practices. Addressing resource scarcity, fostering robust communication systems, and supporting nurse well-being are essential to maintaining care quality during disasters.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Conclusion and Implications for Nursing and/or Health Policy&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;Emergency nurses require robust support systems to maintain care continuity during disasters. Policymakers should integrate disaster preparedness into healthcare frameworks by enhancing resource allocation, d","PeriodicalId":54931,"journal":{"name":"International Nursing Review","volume":"72 2","pages":""},"PeriodicalIF":3.8,"publicationDate":"2025-05-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144074438","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":"Impacts of Second-Victim Experience and Resilience on Nurses’ Turnover Intention","authors":"Essa Hakamy,&nbsp;Adnan Innab,&nbsp;Zainab Alfar","doi":"10.1111/inr.70031","DOIUrl":"https://doi.org/10.1111/inr.70031","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>This study aimed to examine the relationships between second-victim experience, resilience, and nurses’ turnover intention.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>The second-victim experience significantly affects nurses’ psychological well-being in healthcare settings, leading to serious consequences. These psychological impacts can compromise patient care, clinical judgment, and confidence, ultimately jeopardizing patient safety and the quality of care. Support from organizations and colleagues is vital to alleviate the negative effects of these experiences. Addressing these factors can help develop targeted interventions to prevent adverse outcomes from second-victim experiences.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>This cross-sectional correlational descriptive study collected data from secondary- and tertiary-care hospitals across 13 regions of Saudi Arabia, with 117 nurses participating. The Second-Victim Experience and Support Tool, Turnover Intention Scale, and Connor–Davidson Resilience Scale 25 were utilized to assess secondary-victim experiences, resilience, and turnover intention.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Local nurses reported higher second-victim experiences (M = 2.83, SD ± .42, <i>p</i> = .004) and turnover intention (M = 2.83, SD ±  .42, <i>p</i> = .012) but lower resilience scores (M = 12.43, SD ± 4.6, <i>p</i> = .03) compared with expatriate nurses. A significant positive correlation existed between second-victim–related distress and turnover intention. Conversely, a significant negative correlation existed between most second-victim–related variables (physical and psychological distress), supervisor support, and resilience. The regression model was significant (<i>F</i> [1, 115] = 73.13, <i>p</i> &lt; .001, <i>R</i>² = .389), with second-victim experience (<i>β =</i> 1.822, <i>p</i> &lt; .001) significantly predicting turnover intention.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Discussion</h3>\u0000 \u0000 <p>This study highlights the physical and psychological distress experienced by nurses, their turnover intentions, and resilience in response to second-victim experiences.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Implications for Nursing Practice and Policy</h3>\u0000 \u0000 <p>Health organizations should implement programs that assist nurses with overcoming trauma post adverse events and enhancing resilience, which may reduce their turnover intention in the profession.</p>\u0000 </section>\u0000 </div>","PeriodicalId":54931,"journal":{"name":"International Nursing Review","volume":"72 2","pages":""},"PeriodicalIF":3.8,"publicationDate":"2025-05-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144074439","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}