International Nursing Review最新文献

{"title":"Harnessing Generative AI in Nursing Informatics: A Theoretical Critique and Policy Innovation Perspective From Japan","authors":"Kazumi Kubota,&nbsp;Miya Aishima,&nbsp;Takanori Fujita","doi":"10.1111/inr.70108","DOIUrl":"10.1111/inr.70108","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>This article provides a theoretical critique and policy innovation perspective on integrating generative artificial intelligence (AI) into nursing informatics. It draws on a 2023 nationwide survey in Japan and established models, including the technology acceptance model and risk perception frameworks, to examine AI's transformative potential and its challenges.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Rapid AI evolution is reshaping healthcare by enhancing clinical decision-making and efficiency. Generative AI shows promise in improving patient outcomes, yet its integration into nursing practice raises ethical, educational, and regulatory concerns. Nursing informatics now requires robust governance, ethical oversight, and updated educational frameworks.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Sources of Evidence</h3>\u0000 \u0000 <p>Evidence is derived from a 2023 survey by the Health and Global Policy Institute and a comprehensive literature review. Key studies (e.g., Nashwan et al. 2025; Booth et al. 2021) and foundational models (Davis 1989; Venkatesh et al. 2003) underpin the analysis.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Discussion</h3>\u0000 \u0000 <p>The findings suggest that while generative AI may enhance access to information and service quality, significant challenges—such as low digital literacy, liability issues, data accuracy, and privacy concerns—persist. A multidimensional strategy, incorporating targeted education, ethical governance, and continuous feedback from healthcare practitioners, is essential for effective integration.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Generative AI holds transformative promise for nursing informatics. However, its successful adoption depends on balancing innovation with comprehensive regulatory and educational strategies to mitigate associated risks.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Implications for Nursing Practice and Policy</h3>\u0000 \u0000 <p>Enhancing digital literacy, establishing clear guidelines for liability and data security, and fostering international collaboration are critical to the safe and effective integration of AI in nursing practice.</p>\u0000 </section>\u0000 </div>","PeriodicalId":54931,"journal":{"name":"International Nursing Review","volume":"72 3","pages":""},"PeriodicalIF":3.7,"publicationDate":"2025-09-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145088455","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":"Voices from Hiding: Assessing the Impact of the 2021 Coup on Nursing in Myanmar","authors":"Marcus Wootton,&nbsp;Moh Moh Lwin,&nbsp;San San Oo,&nbsp;Judith Ellis","doi":"10.1111/inr.70103","DOIUrl":"10.1111/inr.70103","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>This study explores the initial impact of the 2021 Military coup on Myanmar's nursing profession, clinical practice and clinical education.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Myanmar is a country historically riven by conflict; however, between 2010 and 2021, there was democratic reform and partial peace, prompting improvements in nursing practice and health outcomes. This study examines the impact of the 2021 coup, which effectively halted this progress, on Myanmar's nursing. It contributes to the limited literature exploring the effects of civil unrest and governmental coups on nursing, particularly in closed societies such as Myanmar.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>We present a qualitative synthesis of semi-structured interviews, undertaken with seventeen nurses in Myanmar via secure video link.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Nurses describe the challenges to nursing practice before the coup, the relative progress that Myanmar's nurses made in the short years of quasi-civilian government and, following the coup, the significant deterioration in working locations, conditions and personal safety for nurses who refused to work in Junta-controlled hospitals.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Discussion</h3>\u0000 \u0000 <p>The coup has damaged all aspects of nursing in Myanmar. These results document a rapid unravelling of progress, accentuated by long-standing underlying weaknesses in systems and leadership, with additional threats to personal safety. This trend has been previously reported in other conflicts but rarely directly from nurses and never from Myanmar.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Implications for nursing</h3>\u0000 \u0000 <p>The coup has been catastrophic for nursing in Myanmar. Participants describe widespread health system collapse, deliberate targeting by the junta and a need for international support.</p>\u0000 </section>\u0000 </div>","PeriodicalId":54931,"journal":{"name":"International Nursing Review","volume":"72 3","pages":""},"PeriodicalIF":3.7,"publicationDate":"2025-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12445632/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145088420","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":"Global Nursing Offices in Academia as a Strategy to Advance the United Nations Sustainable Development Goals: A Historical Case Study","authors":"Jordana Salma,&nbsp;Amber Hussain,&nbsp;Pauline Paul","doi":"10.1111/inr.70104","DOIUrl":"https://doi.org/10.1111/inr.70104","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>We present a historical case study of the Global Nursing Office (GNO) at the University of Alberta, Faculty of Nursing in Canada, documenting over five decades of global health leadership in nursing education, policy, and research.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Academic institutions have a responsibility to contribute to achieving the United Nations (UN) sustainable development goals with the aim of achieving health for all. While there are examples of GNOs in universities worldwide, there remains limited documentation and analysis of how these academic structures operationalize internationalization mandates and influence advances in the nursing profession and global health.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Sources of Evidence</h3>\u0000 \u0000 <p>We completed a historical case study, using document analysis of archival records, institutional reports, and internal communications from 1970 to date, supplemented by oral history interviews with key stakeholders.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Discussion</h3>\u0000 \u0000 <p>The GNO's development reflects a transformative shift from individual-led initiatives in the 1970s to an academic structure with widespread faculty engagement and strategic global partnerships. Grounded in a philosophy of health equity, cultural humility, and mutual capacity-building, key milestones included the creation of the International Nursing Centre (1998), the Ghana Partnership (1999), and the Pan American Health Organization/World Health Organization Collaborating Centre (2002).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Implications for nursing and global health policy</h3>\u0000 \u0000 <p>Academic nursing leadership can look to existing GNO models for achieving sustainable and impactful outcomes that advance the profession and, most importantly, progress the UN sustainable development goals. We encourage nongovernmental and governmental bodies leading global health efforts to partner with GNOs who can tap into the expertise and services of faculty and students committed to global health advancement.</p>\u0000 </section>\u0000 </div>","PeriodicalId":54931,"journal":{"name":"International Nursing Review","volume":"72 3","pages":""},"PeriodicalIF":3.7,"publicationDate":"2025-09-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/inr.70104","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145038275","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":"Finding the Voices: Representation of Nurses in Dutch Newspaper Media Between 2019 and 2022","authors":"Jessica van Wijk,&nbsp;Fredericus H. J. van Loon,&nbsp;Fleur Hendrickx,&nbsp;Danielle Arets,&nbsp;Pieterbas C. B. Lalleman","doi":"10.1111/inr.70097","DOIUrl":"https://doi.org/10.1111/inr.70097","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>To explore how nurses were represented in five Dutch newspapers between 2019 and 2022, with a focus on their visibility in policy and decision-making.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>The media significantly shape public understanding of healthcare. Despite their key role, nurses are often underrepresented in media, especially in policy-related coverage. This study addresses this gap in the Dutch context.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Directed content analysis of 272 articles published between 2019 and 2022 across five high-circulation Dutch newspapers. A coding instrument was developed from existing literature and applied using Atlas.ti. ENTREQ criteria were followed throughout.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Nurses were least often cited in articles about policy, finance, and innovation. Senior leadership sources, predominantly male, were cited most frequently, especially during the COVID-19 pandemic. Nurses were more commonly cited in human-interest, nursing identity and image, strike-related, and ethical stories. In many articles, images either excluded nurses or portrayed them in ways that obscured their identity.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Discussion</h3>\u0000 \u0000 <p>The findings indicate that nurses’ voices are not effectively utilized, particularly in policy discussions. This aligns with previous studies showing the underrepresentation of nurses as expert sources, with a predominance of male higher management and medical professionals being cited more frequently.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>The imbalance in nurse representation, particularly in policy and decision-making, highlights the need for systemic change.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Implications for Nursing and Health Policy</h3>\u0000 \u0000 <p>Media competency training is needed in nursing (under)graduate curricula and in nursing leadership development programs to effectively convey their expertise and work. A collaborative and systemic approach involving key stakeholders is advised to ensure that nurse voices are elevated, especially related to health policy.</p>\u0000 </section>\u0000 </div>","PeriodicalId":54931,"journal":{"name":"International Nursing Review","volume":"72 3","pages":""},"PeriodicalIF":3.7,"publicationDate":"2025-09-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/inr.70097","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144999050","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":"Leadership Roles, Care Models, and Effectiveness of Advanced Practice Nurse–Led Multidisciplinary Teams: A Scoping Review","authors":"Jin Yang,&nbsp;Jingying Huang,&nbsp;Mengbo Han,&nbsp;Haiou Qi,&nbsp;Miaomiao Xu","doi":"10.1111/inr.70079","DOIUrl":"https://doi.org/10.1111/inr.70079","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>This review aimed to delineate the leadership roles, care models, and effectiveness of advanced practice nurse (APN)-led multidisciplinary teams in healthcare settings.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Emerging international evidence suggests leadership constitutes a core characteristic of APN roles. Despite expanding involvement of advanced practice nurses in leading advanced and sustainable care within multidisciplinary teams, the current understanding of such care models is limited.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A scoping review was performed and reported using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews Checklist.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Thirty-three studies were included. Five leadership roles of advanced practice nurses in multidisciplinary teams were identified: individual contributor, decision-maker, facilitator, trainer, and manager. The analysis revealed three care models within APN–led teams: case management, group intervention, and transitional care. These models demonstrated similar or better patient and organizational outcomes compared with physician-led models. Both caregivers and healthcare providers consistently recognized and valued advanced practice nurses’ leadership.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>The findings highlight the fluidity of advanced practice nurses’ leadership roles in addressing complex patient needs. Future research should investigate contextual determinants shaping APN-led multidisciplinary teams, with particular emphasis on role transition processes.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Implications for nursing and policy</h3>\u0000 \u0000 <p>The findings suggest that policymakers should establish standardized APN titles, clearly defined scopes of practice, and accountability frameworks in alignment with international standards. Healthcare organizations should cultivate enabling environments through structural support, policy alignment, and organizational culture transformation.</p>\u0000 </section>\u0000 </div>","PeriodicalId":54931,"journal":{"name":"International Nursing Review","volume":"72 3","pages":""},"PeriodicalIF":3.7,"publicationDate":"2025-09-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144997885","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-Assessment Organisational Readiness Tool (SORT) for Nursing Research Capacity Development: Results of a UK Delphi Study","authors":"Parveen Ali,&nbsp;Julie Mcgarry,&nbsp;Ashfaque Ahmed Talpur,&nbsp;Joanne Cooper,&nbsp;Joanne Cooke","doi":"10.1111/inr.70084","DOIUrl":"https://doi.org/10.1111/inr.70084","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>This Delphi study aimed to develop the Self-assessment Organisational Readiness Tool (SORT), a prototype designed to assess healthcare organisations’ capacity to support nursing engagement in research activities.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Nurses are pivotal to evidence-based healthcare, yet organisational barriers frequently hinder their engagement in research. Existing frameworks often lack the precision needed to evaluate organisational readiness to support nurses in research capacity building, leadership development and digital innovation. This study aims to bridge this gap through the development of the SORT framework.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A structured Delphi consensus-building process was conducted over three iterative rounds and supplemented by four expert working group workshops. Participants, identified through purposive sampling, included 43 professionals with expertise in research and development, evidence-based practice and clinical and research leadership. Quantitative data were analysed using consensus thresholds (≥70% agreement), while qualitative feedback informed the iterative refinement of the tool.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Findings</h3>\u0000 \u0000 <p>Consensus was achieved on 67 statements across five thematic areas: People-centred research, releasing potential, research systems, careers and digitally enabled research. Key items highlighted the importance of skills development, organisational leadership and collaboration with academia and patient/public involvement. Limited consensus in areas such as monitoring progress and digital research highlights the need for further refinement. SORT demonstrated strong face validity, with plans for reliability testing and factor analysis in future work.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Implications for Nursing Practice and Policy</h3>\u0000 \u0000 <p>SORT is designed to be used by nursing and R&amp;D leaders, healthcare executives, managers and policymakers to evaluate and improve organisational readiness to support research aiming nurses in healthcare settings. It can inform strategic planning, workforce development and performance benchmarking within healthcare institutions. It will also serve as a guide to individual nurse respondents by increasing their awareness of various initiatives in their organisations that they should know about. SORT provides a practical framework for embedding research within healthcare organisations to ","PeriodicalId":54931,"journal":{"name":"International Nursing Review","volume":"72 3","pages":""},"PeriodicalIF":3.7,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/inr.70084","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144923596","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":"Development of the Nurses’ Attitudes Toward Incarcerated Patients Scale: A Psychometric Study","authors":"Büşra Dağci-Günal,&nbsp;Sultan Ayaz-Alkaya,&nbsp;Neslihan Köse-Kabakcioğlu,&nbsp;Adnan Kan","doi":"10.1111/inr.70086","DOIUrl":"https://doi.org/10.1111/inr.70086","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>To develop an original scale to measure nurses’ attitudes toward incarcerated patients and assess its psychometric properties.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>This study employed a psychometric testing approach involving test–retest design. The sample size was determined based on the rule of selecting a sample 5 to 10 times the number of scale items. The study included 672 nurses. Data were collected using the Descriptive Information Form and the Nurses’ Attitudes Toward Incarcerated Patients Scale. Content validity was determined using the Lawshe technique. Construct validity was examined through exploratory (<i>n</i>1  =  336) and confirmatory factor analysis (<i>n</i>2  =  336). Internal consistency was assessed using Cronbach's alpha coefficient. Temporal stability was evaluated through the test–retest method conducted four weeks later (<i>n</i>  =  32).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The scale consists of 12 items and was categorized into three factors—discriminatory attitudes, emotional discomfort, and patient equality—accounting for 67.6% of the variance. Items with factor loadings between 0.69 and 0.85 supported the scale's validity. The fit indices from confirmatory factor analysis indicated an acceptable model fit. Internal consistency was confirmed with a Cronbach's alpha of 0.84. Test–retest reliability analysis showed moderate, significant correlations among subdimensions.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>The scale is valid and reliable in assessing nurses’ attitudes toward incarcerated patients. Future research should test its applicability across diverse cultural and geographical contexts to enhance generalizability.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Implications for Nursing Policy</h3>\u0000 \u0000 <p>This study underscores the need for policies addressing nurses’ attitudes toward incarcerated patients. The developed scale may support the identification of biases and emotional discomfort, guiding targeted education and institutional interventions to promote equitable, ethical, and nonjudgmental healthcare practices.</p>\u0000 </section>\u0000 </div>","PeriodicalId":54931,"journal":{"name":"International Nursing Review","volume":"72 3","pages":""},"PeriodicalIF":3.7,"publicationDate":"2025-08-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/inr.70086","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144910348","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":"Teaching Critical Thinking in the Age of AI: Safeguarding Clinical Reasoning in Healthcare Documentation","authors":"Brigitte Fong Yeong Woo,&nbsp;Jiyoun Song,&nbsp;Ed Middleton,&nbsp;Nino Fijačko,&nbsp;Kenrick Cato","doi":"10.1111/inr.70102","DOIUrl":"https://doi.org/10.1111/inr.70102","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>To examine the implications of large language models (LLMs) in clinical documentation and explore strategies to preserve critical thinking among healthcare professionals in the age of artificial intelligence (AI).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>AI-powered documentation tools, particularly those using LLMs, are being rapidly adopted in healthcare to reduce administrative burden and enhance efficiency. However, concerns are emerging about their potential to undermine clinical reasoning, individualized care, and provider well-being.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Discussion</h3>\u0000 \u0000 <p>While AI offers substantial benefits, its overuse risks promoting automation complacency, exacerbating note bloat, and diminishing clinicians’ critical thinking. Clinical documentation reflects a cognitive process central to diagnosis and care planning. Safeguarding this process requires targeted education in AI literacy, active verification of AI outputs, and deliberate training in reflective practice and clinical reasoning.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>AI must be integrated into clinical workflows with caution and transparency. Education and governance structures must prioritize critical thinking, accuracy, and ethical practice in documentation.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Implications for Nursing Practice and Health Policy</h3>\u0000 \u0000 <p>Nurses must develop AI literacy and maintain active engagement in documentation to preserve high standards of care. Policymakers should mandate AI evaluation frameworks that include clinician cognitive load and safety, and embed AI and critical thinking education into all levels of health professional training.</p>\u0000 </section>\u0000 </div>","PeriodicalId":54931,"journal":{"name":"International Nursing Review","volume":"72 3","pages":""},"PeriodicalIF":3.7,"publicationDate":"2025-08-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144891608","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":"Nursing Academic Reviewers’ Perspectives on AI-Assisted Peer Review: Ethical Challenges and Acceptance","authors":"Sayed Ibrahim Ali,&nbsp;Mostafa Shaban","doi":"10.1111/inr.70100","DOIUrl":"https://doi.org/10.1111/inr.70100","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>This study aimed to explore the perceptions, experiences, and ethical considerations of nursing academic reviewers regarding the integration of artificial intelligence (AI) into the peer review process, with a focus on acceptance dynamics and implications for nursing journal policy.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Design</h3>\u0000 \u0000 <p>A qualitative descriptive design was employed, guided by an interpretivist approach and reported according to the COREQ checklist.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Fifteen nursing academic reviewers from four countries (Saudi Arabia, Egypt, Australia, and the United States) were recruited via snowball sampling. Semi-structured interviews were conducted between January and March 2025 using Zoom video conferencing. Interviews were held in Arabic or English, transcribed verbatim, translated as needed, and thematically analyzed using reflexive thematic analysis per Braun and Clarke's six-phase framework.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Five themes were generated: perceived benefits of AI (efficiency, fairness, and workload reduction), ethical concerns (transparency, bias, and data privacy), risks to reviewer autonomy and judgment, divergent attitudes toward AI adoption, and the need for clear guidelines and training. Participants expressed cautious optimism, emphasizing that while AI tools may enhance consistency and reduce administrative burden, they raise complex ethical questions and must not replace human judgment.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>The integration of AI into peer review processes presents both opportunities and ethical challenges. The nursing academic reviewers in this study recognize the utility of AI for supporting routine tasks but remain concerned about algorithmic bias, transparency, and its impact on scholarly independence. Ethical AI adoption requires structured policies and capacity-building initiatives.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Implications for nursing practice and policy</h3>\u0000 \u0000 <p>To uphold scholarly integrity, nursing journals and academic institutions should develop transparent AI governance frameworks, invest in reviewer education on responsible AI use, and preserve the central role of human judgment in peer review. These steps are vital to ensuring AI complements rather than compromises research quality and ethics in global nursing scholarship.</p>\u0000 </section>\u0000 </div>","PeriodicalId":54931,"journal":{"name":"International Nursing Review","volume":"72 3","pages":""},"PeriodicalIF":3.7,"publicationDate":"2025-08-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144869978","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":"Fortifying the Nursing Workforce: Nursing-Led Psychological Capital Interventions to Advance Resilience, Occupational Hardiness, and Engagement: A Randomized Controlled Trial","authors":"Maha Arafat Mahmoud,&nbsp;Samah Mohamed Abdelrahim,&nbsp;Alaa Eldin Mostafa Hamed,&nbsp;Mohamed Ali Zoromba,&nbsp;Ashgan Fathy Mohamed","doi":"10.1111/inr.70094","DOIUrl":"https://doi.org/10.1111/inr.70094","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Psychological capital, occupational hardiness, and work engagement are critical factors influencing workplace resilience and motivation. This study evaluates the impact of a nursing-led psychological capital intervention on these outcomes among nurses.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A randomized controlled trial was conducted with 174 nurses randomly assigned to the intervention group (IG, <i>n</i> = 87) or control group (CG, <i>n</i> = 87). The intervention comprised structured sessions targeting psychological capital development. Data were collected at baseline and after the intervention using validated measures of psychological capital, occupational hardiness, and work engagement. Statistical analyses included independent sample <i>t</i>-tests, paired sample <i>t</i>-tests, and effect size calculations.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>At baseline, no significant differences were observed between the IG and CG across sociodemographic variables or studied measures. Correlation analysis revealed strong positive relationships among psychological capital, occupational hardiness, and work engagement (<i>p</i> &lt; 0.001). After the intervention, the IG demonstrated significant improvements across all outcomes. Psychological capital increased significantly in the IG (<i>t</i>² = 14.463), with improvements noted in self-efficacy (<i>t</i>² = 8.693), hope (<i>t</i>² = 12.519), resilience (<i>t</i>² = 13.285), and optimism (<i>t</i>² = 7.833). Occupational hardiness subdomains also improved significantly, including control (<i>t</i>² = 6.932), commitment (<i>t</i>² = 7.261), and challenges (<i>t</i>² = 6.561). Work engagement showed significant enhancements in vigor (<i>t</i>² = 9.689), dedication (<i>t</i>² = 6.315), and absorption (<i>t</i>² = 8.174). Minimal changes were observed in the CG across all measures.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>The psychological capital intervention effectively enhanced psychological capital, occupational hardiness, and work engagement among nurses. These findings highlight the potential of targeted interventions to improve workplace resilience and motivation. Future research should explore the long-term impacts of similar interventions in diverse professional settings.</p>\u0000 </section>\u0000 </div>","PeriodicalId":54931,"journal":{"name":"International Nursing Review","volume":"72 3","pages":""},"PeriodicalIF":3.7,"publicationDate":"2025-08-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144832993","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}