International Nursing Review最新文献

{"title":"The impact of machine learning on physical activity–related health outcomes: A systematic review and meta-analysis","authors":"Ezgi Hasret Kozan Cikirikci PhD(c), Melek Nihal Esin PhD","doi":"10.1111/inr.70019","DOIUrl":"https://doi.org/10.1111/inr.70019","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>To analyze randomized controlled trials evaluating the effectiveness of machine learning (ML)–based interventions in promoting physical activity.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Evidence on the effectiveness of ML-based interventions to increase physical activity from randomized controlled trials is limited. Synthesizing existing evidence is crucial for nurses to integrate such advancements into their care and implement health-promoting interventions.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Randomized controlled trials from 2013 to 2024 have been accessed by PubMed, EBSCO, Cochrane, and Turkish national databases. The study was conducted and reported in accordance with the PRISMA statement. The methodological quality was assessed using the Cochrane Risk of Bias 1 (RoB 1) tool. Ten studies with a total sample size of 2269 individuals were included.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Analysis of studies showed that ML-based lifestyle interventions are effective in detecting physical activity levels, increasing daily step count and moderate to vigorous physical activity, predicting adherence to physical activity levels goals, and tailoring recommendations and feedback. Meta-analysis revealed that ML interventions significantly increased daily step count (Hedge's g = 0.402, 95% CI: 0.231–0.573, <i>p</i><0.000).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Discussion</h3>\u0000 \u0000 <p>The studies involving ML-based physical activity promotion initiatives led by nurses were limited. The inclusion of studies published only in English and Turkish may have excluded potentially valuable data.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>ML can effectively support public health initiatives by enabling self-monitoring, personalized recommendations, adaptive interventions, and predicting future physical activity behavior.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Implications for Nursing Practice and Policy</h3>\u0000 \u0000 <p>Nurses can leverage ML algorithms to provide timely, tailored, and cost-effective care to promote physical activity. To integrate ML into public health initiatives, and develop programs aligned with care models, it is essential to create opportunities and policies that support collaboration between nurses and soft","PeriodicalId":54931,"journal":{"name":"International Nursing Review","volume":"72 2","pages":""},"PeriodicalIF":3.8,"publicationDate":"2025-05-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/inr.70019","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143939125","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":"Perspectives of Asian Foreign-Educated Nurses on Career Advancement in the United States: A Qualitative Descriptive Study","authors":"Joicy B. Thomas,&nbsp;Fuqin Liu,&nbsp;Chanam Shin,&nbsp;Carin Adams","doi":"10.1111/inr.70020","DOIUrl":"https://doi.org/10.1111/inr.70020","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>This study aimed to understand what influences career advancement among Asian foreign-educated nurses who have obtained an advanced degree in nursing in the United States.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Asian nurses represent one of the largest racial minority groups within the U.S. registered nurse workforce. The perspectives of Asian nurses regarding career advancement have been less explored.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>The participants were recruited using purposive and snowball sampling techniques. A semistructured interview was conducted with 11 Asian foreign-educated nurses. NVivo software was used for interview transcription and data management. Data analysis followed the steps of the conventional content analysis method. The Consolidated Criteria for Reporting Qualitative Research checklist was used to ensure quality.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Five main themes were developed from the data: opportunities to advance in position and education, career advancement indicating personal and professional growth, a strong inner drive and motivation for career advancement, the influences of family and culture, and the need for time and other resources.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Discussion</h3>\u0000 \u0000 <p>The main themes described perspectives, such as opportunities for advancement in position and education. The challenges with time, financial need, communication, and discrimination were discussed. Understanding the perspectives is crucial to ensure a supportive work environment and improve career advancement opportunities.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Implications for nursing practice and policy</h3>\u0000 \u0000 <p>Financial support and flexible work schedules are crucial for Asian foreign-educated nurses seeking career advancement. Policies and procedures related to paperwork processing and mandatory prerequisites for enrollment to advance nursing education need to be revisited. Nursing leaders and administrators should consider improving policies to facilitate equal opportunities for career advancement.</p>\u0000 </section>\u0000 </div>","PeriodicalId":54931,"journal":{"name":"International Nursing Review","volume":"72 2","pages":""},"PeriodicalIF":3.8,"publicationDate":"2025-04-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143856779","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":"Discrimination and Quality of Life During the COVID-19 Pandemic: Experiences of Racial/Ethnic Minority Nursing Staff in the United States","authors":"Angela Chia-Chen Chen,&nbsp;Lihong Ou,&nbsp;Sudaba Mansuri,&nbsp;Alli Walsh,&nbsp;Chung Jung Mun","doi":"10.1111/inr.70021","DOIUrl":"https://doi.org/10.1111/inr.70021","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>This study aimed to investigate U.S. minority nursing staff's discrimination experiences and the association of such experiences and other critical factors with their quality of life (QoL) during the COVID-19 pandemic.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Racial/ethnic minority nursing staff are at a higher risk of developing unfavorable health outcomes associated with race-based and related discrimination.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Minority nursing staff were recruited through a professional network. An online survey, consisting of validated measures, was used to assess perceived discrimination, fear of COVID-19, perceived risk of contracting COVID-19, resilience, social support, and QoL. We used the chi-square test, ANOVA, and path analysis to compare racial/ethnic group differences and variables associated with QoL among minority nursing staff.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Our sample consisted of 514 minority nursing staff (31.4% Black, 25.5% Hispanic/Latinx, 17.0% Asian, 13.5% American Indian/Alaska Native, and 12.7% Native Hawaiian/Pacific Islander). The sample reported a high prevalence of discrimination experiences (60% witnessed, 28.3% experienced). Greater exposure to witnessed discrimination, higher levels of perceived risk of contracting COVID-19, and fear of COVID-19 were associated with worse QoL, whereas higher levels of resilience and social support were associated with better QoL. Multiple group analysis revealed no significant differences in these outcomes across the racial/ethnic groups.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Our findings revealed that while discrimination, fear, and perceived risk were negatively related to minority nursing staff's QoL, resilience and social support were crucial in promoting their QoL, with no significant differences observed across racial/ethnic groups.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Implications for nursing and health policy</h3>\u0000 \u0000 <p>The findings highlight the importance of individual-, organizational-, and policy-level awareness of vulnerability related to racial/ethnic discrimination and areas that should be addressed to promote minority nursing staff's QoL.</p>\u0000 </section>\u0000 </div>","PeriodicalId":54931,"journal":{"name":"International Nursing Review","volume":"72 2","pages":""},"PeriodicalIF":3.8,"publicationDate":"2025-04-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/inr.70021","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143840909","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":"A systematic review and sequential explanatory synthesis: Artificial intelligence in healthcare education, a case of nursing","authors":"S. Aslı Bozkurt PhD, RN, CHSE,&nbsp;Sinan Aydoğan PhD, RN,&nbsp;Fatma Dursun Ergezen PhD, RN,&nbsp;Aykut Türkoğlu PhD","doi":"10.1111/inr.70018","DOIUrl":"https://doi.org/10.1111/inr.70018","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>This review aims to explore the impact of artificial intelligence (AI) on knowledge acquisition, skills development, and attitudes among nursing students.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>AI offers hopeful opportunities to enhance learning experiences and prepare future healthcare professionals.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>This was a sequential explanatory mixed-method systematic review. This review was conducted in line with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. A comprehensive electronic database was searched to identify relevant studies. Eligibility criteria were studies examining the impacts of AI interventions on nursing students’ knowledge, skills, or attitudes. The methodological quality of the studies was assessed using the mixed-method appraisal tool.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Nine research articles were included in the review. These studies utilized both quantitative and qualitative methodologies to examine the impact of AI on nursing students. Quantitative studies found positive relations between AI interventions and knowledge acquisition, skills development, and attitudes toward AI among nursing students. Qualitative findings revealed the positive outcomes of AI in fostering learning engagement, self-efficacy, and confidence.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>AI shows potential for supporting knowledge acquisition, skills development, and fostering positive attitudes among nursing students.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Implications for nursing practice and nursing policy</h3>\u0000 \u0000 <p>AI-driven interventions enhance nursing education by improving clinical decision-making, confidence, and knowledge acquisition. By integrating AI, nurse educators can develop more interactive, personalized, and impactful learning environments that may help students with the complexities of contemporary healthcare. Policies, standardized guidelines, and faculty development programs may be developed that can promote ethical AI integration, equitable access, and faculty training. These changes can be considered essential to maximize AI's benefits.</p>\u0000 </section>\u0000 </div>","PeriodicalId":54931,"journal":{"name":"International Nursing Review","volume":"72 2","pages":""},"PeriodicalIF":3.8,"publicationDate":"2025-04-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/inr.70018","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143840610","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":"Interventions to Reduce Compassion Fatigue in Nursing: A Systematic Review and Meta-Analysis of Controlled Studies","authors":"Marta Manzanedo-Moreno,&nbsp;Concepción Salcedo-Sampedro,&nbsp;Rebeca Abajas-Bustillo,&nbsp;Roberto Martin-Melón,&nbsp;Rosario Fernández Peña,&nbsp;Carmen Ortego-Maté","doi":"10.1111/inr.70023","DOIUrl":"https://doi.org/10.1111/inr.70023","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Compassion fatigue is the emotional response generated by continuous exposure to human suffering and is especially common among nursing professionals. This phenomenon can lead to decreased empathy and increased emotional exhaustion while affecting the quality of care.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>To synthesize information from primary studies that have used and evaluated interventions aimed at managing compassion fatigue in nursing professionals.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Design</h3>\u0000 \u0000 <p>A systematic review with meta-analysis of studies with randomized and nonrandomized control groups.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Medline, CINAHL, Scopus, and Web of Science databases were searched for studies published between 2013 and 2023. The search was conducted in January 2024 to identify control group studies that provided quantitative pre–post data on both groups of compassion fatigue assessed with the Professional Quality of Life Scale (ProQol). Quality was assessed using the RoB2 and ROBINS-I scales. The protocol was registered in the International Prospective Register of Systematic Reviews (CRD42024537935).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The search strategy yielded a total of 1006 records, of which 11 studies were selected; these provided a total of 763 participants. Most of the interventions consisted of providing knowledge and skills to increase resilience, emotional well-being, and stress coping. The interventions had an average duration of 6 weeks distributed in 9 sessions with an average of 90 minutes. After the intervention, a statistically significant increase in satisfaction was obtained and a statistically significant reduction in fatigue and burnout.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion and Implications for Nursing and/or Health Policy</h3>\u0000 \u0000 <p>Interventions aimed at reducing compassion fatigue are effective among nursing professionals. In the future, further high-quality research with prospective follow-up designs is required.</p>\u0000 </section>\u0000 </div>","PeriodicalId":54931,"journal":{"name":"International Nursing Review","volume":"72 2","pages":""},"PeriodicalIF":3.8,"publicationDate":"2025-04-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143840612","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A 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}

{"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}

{"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}

{"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}

{"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}