International Nursing Review最新文献

{"title":"Enablers and inhibitors of nursing and midwifery leadership in Pacific Island collectivist cultures","authors":"Michele Rumsey RN, PhD, FACN, Order of Australia, Debra Thoms RN, BA, MSc, MNA, Grad Cert Bioethics, Adv Dip Arts, FACN, Wharton Fellow,  Deki Master of Human Resources, Margaret Leong RN, BHealth(Nursing), Master of Leadership in Health, PGC Infection Prevention & Control, Colleen Turaga Wilson RN, RM, BN, PGC (Nursing Admin), Mele Sii Inukihaangana Filise RN, BNSci, MAdvN, MEd, Amelia Latu Afuha'amango Tuipulotu RN PhD Knight Grand Cross of the Crown of Tonga, Chris Rossiter BA(Hons)","doi":"10.1111/inr.13092","DOIUrl":"10.1111/inr.13092","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>To identify and explore inhibitors and enablers of nursing and midwifery leadership in the Pacific; to develop context-specific recommendations for policy and practice.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Many Pacific Island countries experience poor health outcomes and are vulnerable to climate-related health emergencies. Nursing and midwifery leadership is essential to improve regional health outcomes through influencing policy decisions, strengthening health systems and ensuring optimal health workforce utilisation. Understanding factors affecting health professional leadership facilitates action to remove obstacles and stimulate professional development for emerging leaders.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>This qualitative study utilised a culturally sensitive co-designed approach and follows the COREQ criteria. The PARcific research methodology synthesised Participant Action Research with Pacific methodologies for culturally safe interviews with 136 stakeholders.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Major enablers of leadership identified were professional development, particularly skills in communication, project planning and data literacy; adequate workforce resources; effective workforce management; support from peers and managers; and personal confidence and courage. Participants identified main inhibitors: inadequate workforce resources; limited cultural sensitivity;  and poor understanding of national and regional strategies.</p>\u0000 \u0000 <p>However, perspectives varied between different participant groups. International and regional policy makers did not recognise the critical importance of workforce resources and individual agency to fostering nursing and midwifery leadership.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Discussion</h3>\u0000 \u0000 <p>Joint action to enhance health professional leadership will promote better policymaking leading to improved health outcomes.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Implications for health policy</h3>\u0000 \u0000 <p>Professional development should specifically include leadership training using culturally appropriate methods and mechanisms for management and peer support. Leadership development also requires adequate workforce resources to support training; regional standards for accreditation and professional development; improved formal and infor","PeriodicalId":54931,"journal":{"name":"International Nursing Review","volume":"72 1","pages":""},"PeriodicalIF":3.8,"publicationDate":"2025-01-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11773110/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143054379","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":"Cost burden of productivity loss due to sickness presenteeism among nurses in South Korea: A cross-sectional study","authors":"Minkyung Kang PhD, RN,&nbsp;Ari Min PhD, RN,&nbsp;Chang Park PhD,&nbsp;Inah Kim PhD, RN","doi":"10.1111/inr.13094","DOIUrl":"10.1111/inr.13094","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>This study aimed to estimate the annual cost burden of productivity loss due to sickness presenteeism among hospital nurses in South Korea.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Despite nurses being potentially more vulnerable to presenteeism, few studies have analyzed nurses’ productivity losses due to sickness presenteeism.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>This cross-sectional study employed an online survey in January 2023 with 607 nurses working in general/tertiary hospitals in South Korea. The annual cost burden of productivity loss due to sickness presenteeism was calculated based on nurse health conditions, productivity loss, the number of days worked while sick, and income. This study was reported according to the STROBE checklist.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Overall, 93.2% of participants (<i>n</i> = 566) reported at least one health condition, and musculoskeletal diseases were the most prevalent, followed by weariness or fatigue, and sleep-related problems. Approximately 63.9% of participants reported experiencing sickness presenteeism in the preceding four weeks. Those in the severe multimorbidity group exhibited the highest prevalence of sickness presenteeism and productivity loss. The average annual cost of productivity loss due to sickness presenteeism was USD 2,388.26 per nurse and USD 382.11 million at the national level.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Discussion</h3>\u0000 \u0000 <p>The cost of sickness presenteeism is high among hospital nurses in South Korea. Nurses with severe multimorbidity engaged in more sickness presenteeism and had higher productivity losses than nurses who were relatively healthy or exhibited moderate multimorbidity.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>These findings support the need for stakeholders to develop strategies/policies to better address nurses’ health conditions, secure better staffing, and reduce sickness presenteeism.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Implications for nursing policy</h3>\u0000 \u0000 <p>Addressing this issue will not only improve nurse well-being and patient care but also lead to substantial cost savings for healthcare facilities. Additionally, the study findings can inform future cost-effectiveness studies.</p>\u0000 </section>\u0000 </div>","PeriodicalId":54931,"journal":{"name":"International Nursing Review","volume":"72 1","pages":""},"PeriodicalIF":3.8,"publicationDate":"2025-01-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143016739","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":"Prevalence and associated factor of verbal abuse against nurses: A systematic review","authors":"Qian Wang MS,&nbsp;Yu-Pei Yang MS,&nbsp;Zhi-Ying Li MS,&nbsp;Fu-Yang Yu MS,&nbsp;Yang He MS,&nbsp;Meixian Zhang MD, PhD,&nbsp;Chengwen Luo PhD,&nbsp;Tao-Hsin Tung PhD,&nbsp;Hai-Xiao Chen MD, PhD","doi":"10.1111/inr.13095","DOIUrl":"10.1111/inr.13095","url":null,"abstract":"&lt;div&gt;\u0000 \u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Background&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;Nurses who experience verbal abuse often report negative emotions, which can affect their work status and nurse–patient relationship. However, to the best of our knowledge, no study has summarized the prevalence of verbal abuse among nurses by different perpetrators and related risk factors.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Aim&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;This review aimed to synthesize the prevalence of verbal abuse among nurses and identify the most common sources and related risk factors.&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;PubMed, Web of Science, Embase, and the Cochrane Library electronic databases were searched from inception to 15 October 2024, and observational studies reporting the prevalence of verbal abuse among nurses were selected. In this systematic review, the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines were followed. Methodological quality was appraised using a revised version of the Newcastle-Ottawa Quality Assessment Scale, and the STATA software was used for meta-analysis; PROSPERO registration number: CRD42022385401.&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 search identified 458 records, of which 45 met the inclusion criteria. The overall prevalence of verbal abuse was estimated at 67% (95% CI: 61–72). Verbally abused nurses reported patients’ relatives, friends (48%, 95% CI: 42–55), and physicians (39%, 95% CI: 20–58) as the main perpetrators of verbal abuse. Personal factors, work area, and work characteristics were the main factors related to verbal abuse among nurses.&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;The overall prevalence of verbal abuse among nurses was more than 65%, especially in the emergency department, and South or Southeast Asian countries had a significantly lower prevalence of verbal abuse than other countries. Physicians and patients’ relatives were the main sources of verbal abuse. Hospital administrators should prevent various effects of verbal abuse on nurses’ physical and mental health.&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;Developing safe workplaces and effective interventions to protect nurses is essential. Supervisors and institutions should thoroughly monitor verbal abuse. Additionally, organizations need to focus on preventive measures and provide the necessary administrative, legal, and psychological support to nurses who are exposed to verbal abuse to ensure nursing care sustainability.&lt;/p&gt;\u0000 ","PeriodicalId":54931,"journal":{"name":"International Nursing Review","volume":"72 1","pages":""},"PeriodicalIF":3.8,"publicationDate":"2025-01-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143016747","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":"Exploring health influences and the moderating role of authentic leadership in workplace bullying: A cross-sectional study among hospital nurses","authors":"Li Fang PhD, RN,&nbsp;Li-Ping Hsiao MS, RN,&nbsp;Shu-Hui Fang MSE","doi":"10.1111/inr.13100","DOIUrl":"10.1111/inr.13100","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>This study explored the relationship between workplace bullying, authentic leadership, workplace friendship and nurses’ health conditions and identified the predictors of nurses’ health. It also explored whether authentic leadership moderated the impact of workplace bullying on their health.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>This study used a cross-sectional and correlational design following the STROBE guidelines. The main research tools were structured questionnaires, including sociodemographic variables, Authentic Leadership Questionnaire, Workplace Friendship Questionnaire and CHQ-12. This study recruited 244 nursing staff members from a regional teaching hospital.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The multiple linear regression analysis showed that excessive workload, high workplace bullying, low authentic leadership and low workplace friendship were predictors of nurses’ health.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Authentic leadership significantly moderated the impact of workplace bullying on nurses’ health based on hierarchical regression analysis.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Implications for nursing management and social policy</h3>\u0000 \u0000 <p>Hospital administrators should review the perpetrators’ responsibilities and assist the victims to obtain psychological counselling, regularly hold leadership training to enhance the leadership skills of nursing managers and organise social activities for nurses to foster workplace friendships.</p>\u0000 </section>\u0000 </div>","PeriodicalId":54931,"journal":{"name":"International Nursing Review","volume":"72 1","pages":""},"PeriodicalIF":3.8,"publicationDate":"2025-01-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143016741","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 approaches in home chemotherapy: A systematic review","authors":"Yasemin Özer Güçlüel RN, PhD,&nbsp;Ayşenur Çetin Üçeriz RN, PhD,&nbsp;Pınar Yel RN, PhD","doi":"10.1111/inr.13101","DOIUrl":"10.1111/inr.13101","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 systematically explore the existing literature by examining nursing approaches to home chemotherapy treatment.&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;With the rising number of patients with cancer, home chemotherapy has gained prominence. Nurses play a crucial role in this process and bear significant responsibilities.&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;Home chemotherapy is increasingly recognized as a safe and effective alternative, relieving hospitals by managing the rising number of patients with cancer, decreasing workload and costs, and reducing pressure on the healthcare system.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Methods&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;The study follows the PRISMA 2020 checklist and is registered in the International Prospective Register of Systematic Reviews (PROSPERO). Literature searches were conducted from February 15 to 16, 2024, assisted by an expert librarian, across PubMed, Cochrane Library, Scopus, CINAHL, Web of Science, and Google Scholar. Three researchers assessed the methodological quality of the included studies. EndNote version 20.1 was used to manage references and remove duplicates. Seven studies that met the inclusion criteria were reviewed in full text and included in the 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 study's distribution includes 4 observational studies, 2 cohort studies, and 1 qualitative study. By country, the distribution is Italy (&lt;i&gt;n&lt;/i&gt; = 2), England, Japan, the Netherlands, Korea, and Argentina (&lt;i&gt;n&lt;/i&gt; = 1 each). Evaluated using Joanna Briggs Institute (JBI) checklists, three studies were of good quality, and four were of medium quality.&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;Nurses' responsibilities, such as patient education, treatment monitoring, and side effect management, are essential in home care. Therefore, developing evidence-based protocols to guide these practices is necessary.&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;Nurses play a crucial role in enhancing treatment adherence by educating patients and their families about the chemotherapy process and managing side effects to prevent complications. Home care services reduce patients' reliance on hospitals, offering economic and psychological benefits. Further research is needed to emphasize the importance of specialized nursing education in this are","PeriodicalId":54931,"journal":{"name":"International Nursing Review","volume":"72 1","pages":""},"PeriodicalIF":3.8,"publicationDate":"2025-01-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142985505","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":"Nurses’ preparedness for disasters: Perceptions and levels of psychological resilience","authors":"Şeyda Batı MSc, RN,&nbsp;Ülfiye Çelikkalp PhD, RN","doi":"10.1111/inr.13093","DOIUrl":"10.1111/inr.13093","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>This study investigates the relationship between nurses’ disaster preparedness, the factors influencing it, and nurses’ psychological resilience.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>The International Council of Nursing considers disaster preparedness and response to be essential qualifications for nurses. Nurses’ resilience levels have a significant impact on their professional behavior under challenging circumstances, such as disasters, resulting in improved patient care and satisfaction.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>This cross-sectional study involved 400 nurses employed at secondary and tertiary healthcare institutions in a city in Turkey. Data were collected through face-to-face interviews using a descriptive questionnaire, the nurses’ perception of disaster preparedness scale (NP-DPS), and the Connor–Davidson resilience scale (CD-RISC).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Participants’ average age was 32.29 ± 7.12 years, and 75.3% were female. The average total score on the NP-DPS was 78.64 ± 9.47, with notably lower scores observed in the intervention subscale. Nurses with higher education levels, prior disaster training and experience, a sense of preparedness for disasters, and a passion for their profession had significantly higher average scores (<i>p</i> &lt; 0.05). The results indicate that the nurses’ psychological resilience was at a moderate level, and disaster preparedness was identified as the most significant predictor (<i>R</i>² = 0.214, <i>p</i> ≤ 0.001).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Nurses’ disaster preparedness is influenced by their education level, disaster training, previous volunteer experience in disasters, passion for the profession, and psychological resilience. Healthcare administrators can enhance nurses’ disaster preparedness by providing targeted support and resources.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Implications for nursing policy</h3>\u0000 \u0000 <p>The results highlight the need for national policies that integrate nurses’ professional competencies and resilience for effective disaster responses and emphasize the importance of disaster preparedness training programs for nurses. Managers play a crucial role in implementing these national and international policies.</p>\u0000 </section>\u0000 </div>","PeriodicalId":54931,"journal":{"name":"International Nursing Review","volume":"72 1","pages":""},"PeriodicalIF":3.8,"publicationDate":"2025-01-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142985483","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":"Rationing of nursing care in a developing country: A cross-sectional study","authors":"Çiğdem Torun Kılıç RN, MSN, PhD,&nbsp;Aysel Özsaban RN, MSN, PhD,&nbsp;Aysun Bayram RN, MSN, PhD,&nbsp;Emel Altuntaş","doi":"10.1111/inr.13088","DOIUrl":"10.1111/inr.13088","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>This study aimed to determine the effect of nurses’ work environment, individual and work schedule features on the rationing of nursing care.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>Rationing of nursing care is a concern in healthcare settings worldwide, as it is associated with negative outcomes for both patients and nursing staff.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Little is known about the precursors of rationing of nursing care in developing countries.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>This descriptive, correlational and cross-sectional study was conducted with 405 nurses in Türkiye. Data were collected Nurse Information Form, Basel Extent of Rationing of Nursing Care-R and Nursing Work Index–The Practice Work Environment Scale. The study was reported following the STROBE and RANCARE guideline.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Nurses’ mean rationing of nursing care score was 1.58 ± 0.59, and the mean work environment perception score was 2.58 ± 0.47, with no statistically significant relationship between the scale scores. However, working ward, working hours and working schedule significantly affected the total rationing of nursing care scores.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Discussion</h3>\u0000 \u0000 <p>In this study, contrary to the literature, no relationship was found between the rationing of nursing care and the perception of the work environment. Supporting the literature, nurses' individual/work schedule features affected the rationing of nursing care.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Improving nurses’ work schedule features and nurse staffing may help reduce the rationing of nursing care.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Implications for nursing and health policy</h3>\u0000 \u0000 <p>This study emphasised the importance of nurses’ work schedule features and nurse staffing in the rationing of nursing care. The data from this study can guide nurse managers in identifying factors related to work schedules that may affect the rationing of nursing care and strategies to follow to make the necessary improvements.</p>\u0000 </section>\u0000 </div>","PeriodicalId":54931,"journal":{"name":"International Nursing Review","volume":"72 1","pages":""},"PeriodicalIF":3.8,"publicationDate":"2025-01-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/inr.13088","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142985508","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 evolving role of nursing informatics in the era of artificial intelligence","authors":"Abdulqadir J. Nashwan RN, MSc, PhD(c),&nbsp;JC A. Cabrega RN, MAN,&nbsp;Mutaz I. Othman RN, MSc,&nbsp;Mahmoud Abdelwahab Khedr RN, PhD,&nbsp;Yasmine M. Osman RN, MSc, PhD(c),&nbsp;Ayman Mohamed El-Ashry RN, MSc, PhD,&nbsp;Rami Naif RN, MSc,&nbsp;Ahmad A. Mousa RN, PhD","doi":"10.1111/inr.13084","DOIUrl":"10.1111/inr.13084","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>This narrative review explores the integration of artificial intelligence (AI) into nursing informatics and examines its impact on nursing practice, healthcare delivery, education, and policy.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Nursing informatics, which merges nursing science with information management and communication technologies, is crucial in modern healthcare. The emergence of AI presents opportunities to improve diagnostics, treatment, and healthcare resource management. However, integrating AI into nursing practice also brings challenges, including ethical concerns and the need for specialized training.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Sources of evidence</h3>\u0000 \u0000 <p>A comprehensive literature search was conducted from January 2013 to December 2023 using databases like PubMed, Google Scholar, and Scopus. Articles were selected based on their relevance to AI's role in nursing informatics, particularly in enhancing patient care and healthcare efficiency.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Discussion</h3>\u0000 \u0000 <p>AI significantly enhances nursing practice by improving diagnostic accuracy, optimizing care plans, and supporting resource allocation. However, its adoption raises ethical issues, such as data privacy concerns and biases within AI algorithms. Ensuring that nurses are adequately trained in AI technologies is essential for safe and effective integration.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Implications for nursing practice and policy</h3>\u0000 \u0000 <p>Policymakers should promote AI literacy programs for healthcare professionals and develop ethical guidelines to govern the use of AI in healthcare. This will ensure that AI tools are implemented responsibly, protecting patient rights and enhancing healthcare outcomes.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>AI offers promising advancements in nursing informatics, leading to more efficient patient care and improved decision-making. Nonetheless, overcoming ethical challenges and ensuring AI literacy among nurses are critical steps for successful implementation.</p>\u0000 </section>\u0000 </div>","PeriodicalId":54931,"journal":{"name":"International Nursing Review","volume":"72 1","pages":""},"PeriodicalIF":3.8,"publicationDate":"2025-01-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11723855/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142967395","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 reasons for missed nursing care: a systematic review and meta-analysis","authors":"Fengxiang Gong PhD,&nbsp;YuChen Mei BSc,&nbsp;Mengying Wu BSc,&nbsp;Chao Tang PhD","doi":"10.1111/inr.13096","DOIUrl":"10.1111/inr.13096","url":null,"abstract":"&lt;div&gt;\u0000 \u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Background&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;While numerous studies have quantified the prevalence of reasons for missed care, a comprehensive synthesis of evidence across various health systems remains lacking.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Aim&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;To estimate the pooled prevalence of the reasons reported by nurses for missed care, using data from the MISSCARE surveys.&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;Missed nursing care, which refers to any aspect of essential patient care that is omitted or delayed, presents substantial risks to patient safety and the quality of care.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Methodology&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;Four databases (PubMed, Web of Science, Embase, and Scopus) were searched, without language restrictions. Study quality was assessed using Joanna Briggs Institute's critical appraisal tool. A random-effects meta-analysis was used to calculate prevalence estimates and evaluate heterogeneity via prediction intervals. Subgroup analyses were conducted to assess potential sources of heterogeneities. Time trends were estimated using linear regression modeling.&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;Twenty-eight studies (2011–2024) totaling 20768 nurses from 121 hospitals from 14 countries were included. The raw prevalence of missed care ranged from 6.8% to 98.1%, with a median of 56.4% (IQR: 41.0–75.4). The most frequently reported reasons were “unexpected rise in patient volume and/or acuity on the unit” (78.1%; 95% confidence intervals (CI) 71.5–54.1), “inadequate number of staff” (76.5%; 95% CI, 68.7–83.5), and “urgent patient situation” (73.5%; 95% CI, 66.6–79.9). Most of the investigated reasons for missed nursing care showed no significant changes over time.&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;This meta-analysis provides valuable insights that can inform interventions and policies aimed at mitigating missed nursing care, ultimately improving patient safety and healthcare outcomes.&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;This study underscores the global prevalence reasons for missed nursing care. The findings call for comprehensive strategies to address this crucial challenge, regardless of geographic region and economic status of countries. However, special attention should be given to non-university hospitals and hospitals with specific demographic characteristics of nurses.&lt;/p&gt;\u0000 &lt;/secti","PeriodicalId":54931,"journal":{"name":"International Nursing Review","volume":"72 1","pages":""},"PeriodicalIF":3.8,"publicationDate":"2025-01-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142959154","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":"Associations between nurse-to-patient ratio, nurse educational level, and nurse-sensitive patient outcomes: A 12-month prospective observational study","authors":"Janita Pak Chun Chau RN, PhD, FAAN,&nbsp;Suzanne Hoi Shan Lo RN, PhD,&nbsp;Kai Chow Choi BSc, PhD,&nbsp;Danny Wah Kun Tong RN, PhD,&nbsp;Angela Mei Ling Kwok RN, MSc,&nbsp;Laveeza Butt MA,&nbsp;Eric Lu Shek Chan RN, DMgt, FACN,&nbsp;Iris Fung Kam Lee RN, PhD,&nbsp;Diana Tze Fan Lee RN, PhD, FAAN Emeritus,&nbsp;Matthew D. Mchugh RN, PhD, FAAN,&nbsp;David R. Thompson RN, PhD, FAAN","doi":"10.1111/inr.13091","DOIUrl":"10.1111/inr.13091","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>To investigate the associations between nurse staffing levels, nurse educational level, and nurse-sensitive patient outcomes among patients in medical and surgical wards.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Patient outcomes are affected by a variety of factors, including nurse staffing and registered nurse (RN) educational levels. An examination of the associations between these factors and patient outcomes will help identify the impact that nurses make on patient care, including health and safety.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A 12-month prospective observational study was conducted in four major hospitals in Hong Kong. Data on nurse staffing were collected daily, while data on nurse-sensitive patient outcomes were retrieved from patient records and nursing documentation. Multiple regression was used to examine the association between each of the outcomes and the explanatory variables including nurse-to-patient ratio and educational qualifications at the ward level. The STROBE guidelines were followed in this study.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The average monthly nurse-to-patient ratio per ward was 1:9.2 (1:7.4 for day (morning and afternoon) and 1:19.1 for night shifts). The percentage of RNs with a bachelor's or higher degree was 83.6%. A higher nurse-to-patient ratio was significantly associated with a larger number of patients with physical restraints and catheter-associated urinary tract infections. A significant association was also found between a higher percentage of RNs with a bachelor's or higher degree and a smaller number of physical restraints used.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Nurse staffing and educational levels were associated with key patient outcomes such as physical restraint use and incidence of catheter-associated urinary tract infections.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Implications for nursing and health policy</h3>\u0000 \u0000 <p>Current nurse staffing strategies should be refined in light of these findings in order to enhance patient health and safety outcomes.</p>\u0000 </section>\u0000 </div>","PeriodicalId":54931,"journal":{"name":"International Nursing Review","volume":"72 1","pages":""},"PeriodicalIF":3.8,"publicationDate":"2025-01-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11714340/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142959152","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}