International Nursing Review最新文献

{"title":"Investing in the Advanced Practice Nursing Workforce to Improve Health System Responses to Armed Conflict","authors":"Joshua Porat-Dahlerbruch,&nbsp;Jocelyn Boyd,&nbsp;Hilla Fighel","doi":"10.1111/inr.70074","DOIUrl":"https://doi.org/10.1111/inr.70074","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>To pose an argument for health systems to improve responses to armed conflict by investing in developing the advanced practice nursing workforce.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Armed conflict catalyzes infectious disease, noncommunicable disease, and physical and psychological trauma. Health systems in countries at war face challenges in meeting the health service needs for affected populations while providing sufficient care for the rest of the public. Integrating advanced practice nurses into the workforce is one solution to address the demand for health services during war. Importantly, policies facilitating a quick, efficacious advanced practice nurse response during war must be in place before armed conflict arises.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Sources of Evidence</h3>\u0000 \u0000 <p>A critical narrative review of peer-reviewed articles was conducted. The review focused on the benefits of advanced practice nurses during crises and systemic policy setbacks preventing advanced practice nurse workforce development. A case study from the Israel–Hamas War is presented.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Discussion</h3>\u0000 \u0000 <p>Holistic, patient-centered care positions advanced practice nurses to care for the physical and psychological needs of the population arising from war. Evidence from other public health crises, such as the COVID-19 and H1N1 pandemics, reinforces this notion. However, common policy setbacks, such as an ill-defined scope of practice and a lack of interprofessional awareness of the role, prevent advanced practice nurses from providing care when conflict arises. Israel's policy efforts before and during the Israel–Hamas War exemplify advanced practice nursing workforce policy development that facilitated an effective response to crisis.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Addressing expanded advanced practice nurse authorities before conflict starts will facilitate an improved health system response.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Implications for Health Policy</h3>\u0000 \u0000 <p>Research examining the effectiveness of advanced practice nursing care quality during armed conflict will facilitate national-level investment in advanced practice nursing workforce development.</p>\u0000 </section>\u0000 </div>","PeriodicalId":54931,"journal":{"name":"International Nursing Review","volume":"72 3","pages":""},"PeriodicalIF":3.8,"publicationDate":"2025-07-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/inr.70074","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144657648","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":"Artificial Intelligence–Based Chabots’ and Nursing Students’ Academic Performance: The Mediating Role of Technophobia and Technophilia","authors":"Fatma Gomaa Mohamed Amer,&nbsp;Majed Awad Alanazi,&nbsp;Mostafa Shaban,&nbsp;Mohamed Ezzelregal Abdelgawad,&nbsp;Huda Hamdy Mohammed,&nbsp;Sahar Hassan,&nbsp;Masouda Hassan Atrous,&nbsp;Safaa Sayed Mustafa Ibrahim,&nbsp;Amal Hashem Mohamed,&nbsp;Elsayed Mahmoud Sabek","doi":"10.1111/inr.70056","DOIUrl":"https://doi.org/10.1111/inr.70056","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>This study aims to assess the relationship between artificial intelligence (AI) chatbot usage on the academic performance of nursing students, focusing on the mediating roles of technophobia and technophilia.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Design</h3>\u0000 \u0000 <p>A cross-national, correlational design was utilized to explore the relationships among AI chatbot usage, technophobia, technophilia, digital competence, and academic performance among nursing students.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>The study involved 550 nursing students from Egypt, Iraq, and Saudi Arabia. Data were collected via an online survey using the Technophobia Technophilia Questionnaire (TTQ) and the Students’ Digital Competence Scale (SDiCoS). Multiple regression and mediation analyses were conducted to examine the direct and indirect effects of AI chatbot usage on academic performance, mediated by technophobia and technophilia.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>AI chatbot usage positively correlated with academic performance (β = 0.30, <i>p</i> &lt; 0.001). Technophobia negatively affected academic performance (β = −0.12, <i>p</i> &lt; 0.001), while technophilia positively influenced it (β = 0.11, <i>p</i> = 0.001). Both technophobia and technophilia significantly mediated the relationship between AI chatbot usage and academic performance.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>AI chatbots can be significantly associated with academic outcomes in nursing education. However, the benefits are mediated by students’ attitudes toward technology, with technophobia hindering and technophilia facilitating educational success.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Implications for the profession and/or patient care</h3>\u0000 \u0000 <p>Understanding the mediating effects of technophobia and technophilia can help educators tailor AI integration strategies in nursing curricula to optimize educational outcomes and prepare students for technologically advanced healthcare environments.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Impact</h3>\u0000 \u0000 <p>This research highlights the importance of addressing psychological factors when implementing AI tools in education. While the study includes students from three different countries, they share similar regional, linguistic, and educational contexts. Thus, findings should be interpreted with caution regarding broader cultural generalizations. Further research in more diver","PeriodicalId":54931,"journal":{"name":"International Nursing Review","volume":"72 3","pages":""},"PeriodicalIF":3.8,"publicationDate":"2025-07-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144647280","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":"Relationship Between Workplace Violence and Job Burnout Among Community Nurses in China: A Chained Mediation Modeling Analysis","authors":"Chao Zeng,&nbsp;Fulan Wang,&nbsp;Weichu Liu,&nbsp;Lin Wang,&nbsp;Qian Wu,&nbsp;Qinghua Zhao,&nbsp;Mingzhao Xiao,&nbsp;Yan Hu","doi":"10.1111/inr.70071","DOIUrl":"https://doi.org/10.1111/inr.70071","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aims</h3>\u0000 \u0000 <p>This study explores how workplace violence influences community nurses’ job burnout, specifically identifying the chain-mediating role of perceived stress and job satisfaction in this relationship.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Existing research highlights the negative impacts of workplace violence on nurses’ physical health, mental well-being, and job attitudes. However, community nurses remain understudied, particularly regarding the sequential mediating roles of perceived stress and job satisfaction between workplace violence and burnout.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>This cross-sectional study followed STROBE guidelines and recruited 814 community nurses from 75 communities in southwest China. Data were collected via Questionnaire Star using five validated instruments to assess job burnout, job satisfaction, workplace violence exposure, and perceived stress. Descriptive statistics and Pearson's correlations were analyzed using SPSS 26.0, while structural equation modeling tested the chain-mediating effects of perceived stress and job satisfaction in the workplace violence–burnout relationship among community nurses.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Workplace violence was positively correlated with job burnout. Perceived stress and job satisfaction partially mediated this relationship and functioned as sequential mediators in the violence-burnout pathway.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Workplace violence exacerbates community nurses’ job burnout through a chain-mediating pathway involving elevated perceived stress and subsequent diminished job satisfaction.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Implications for nursing and nursing policy</h3>\u0000 \u0000 <p>Managers should prioritize workplace violence against community nurses by enhancing violence prevention training to improve staff's risk assessment and emergency response skills. Additionally, standardized violence reporting systems, trauma assessment protocols, workplace environment improvements, and psychological support mechanisms should be established to create a comprehensive prevention-response framework.</p>\u0000 </section>\u0000 </div>","PeriodicalId":54931,"journal":{"name":"International Nursing Review","volume":"72 3","pages":""},"PeriodicalIF":3.8,"publicationDate":"2025-07-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144647277","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 the Role and Potential of Chatbots in Learning From the Perspective of Nursing Students: A Systematic Review of Qualitative Studies","authors":"Shibo Zhang,&nbsp;Xia Yang,&nbsp;Lingyun Zhang,&nbsp;Huarong Liu,&nbsp;Xiaolin Chen,&nbsp;Xin Yang,&nbsp;Yan Hu,&nbsp;Qin Liu,&nbsp;Yang He","doi":"10.1111/inr.70060","DOIUrl":"https://doi.org/10.1111/inr.70060","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 explores nursing students’ experiences and needs regarding chatbot-assisted learning, while evaluating the opportunities and challenges they encounter.&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;As artificial intelligence (AI) advances, chatbots are increasingly integrated into nursing education, offering real-time feedback and personalized support. While chatbots show promise in enhancing theoretical knowledge and clinical skills, little is known about students’ actual experiences and expectations. Gaining insight into students’ perspectives is essential for optimizing chatbots’ implementation in nursing education.&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 study conducts a systematic search of several electronic databases, including PubMed, Web of Science, Cochrane Library, China National Knowledge Infrastructure (CNKI), and Wanfang, using search terms related to nursing students, chatbots, experiences, perceptions, and qualitative research. A thematic synthesis approach is employed to extract and analyze the relevant studies.&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;Nine studies were included in this review. Thematic synthesis revealed four major themes: perceived availability, role participation, potential challenges, and student needs. Nursing students highlighted chatbots’ technical and interactive availability—valuing timely responses, ease of use, and personalized support. Chatbots were seen as active participants in learning, facilitating bidirectional communication, clinical simulation, information retrieval, academic assistance, and decision-making. However, concerns were raised regarding information accuracy, ethical risks, over-reliance, and misalignment with nursing values. Students expressed clear expectations for chatbot updates, curriculum integration, and regulatory oversight to ensure safe and effective usage.&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;Chatbots not only offer substantial benefits for nursing education but also present notable challenges. Students prefer more specialized chatbots tailored to their diverse learning needs. They also emphasize the need for better regulation and training to improve chatbots’ effectiveness.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Implications for Practice and Policy&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;Educators should integrate chatbot training into curricula to enhance student readiness and ethical use. Policymakers must prioritize regulation that ensures data protection, conte","PeriodicalId":54931,"journal":{"name":"International Nursing Review","volume":"72 3","pages":""},"PeriodicalIF":3.8,"publicationDate":"2025-07-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144647279","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":"Empowering Nurses to Enhance Disaster Preparedness for Individuals With Sickle Cell Disease: A Cross-Sectional Study","authors":"Tara Heagele,&nbsp;Brittany McCrary","doi":"10.1111/inr.70067","DOIUrl":"https://doi.org/10.1111/inr.70067","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aims</h3>\u0000 \u0000 <p>To assess home disaster preparedness levels of individuals with sickle cell disease to determine education and resource needs and inform policy. To evaluate the association between healthcare provider discussion of preparedness and level of preparedness.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Research demonstrates that extreme weather events and public health emergencies result in increased hospital visits for people with sickle cell disease, yet little is known about home disaster preparedness knowledge and actions of these individuals.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Cross-sectional study of US adults diagnosed with sickle cell disease. The independent variable was the healthcare provider discussion of household disaster preparedness. The dependent variable was the Household Emergency Preparedness Instrument's <i>General Preparedness</i> score. Participants self-reported their preparedness actions and disaster supplies through an online survey. Descriptive statistics were analyzed, along with a Welch <i>t</i> test, to examine the associations between the study variables. This study was reported according to the STROBE checklist.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The average <i>General Preparedness</i> score of this sample (<i>N</i> = 32) indicated that the majority of participants were not considered well prepared for disasters. Higher scores were found among participants who had discussions with their healthcare providers about how to prepare for disasters.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Discussion</h3>\u0000 \u0000 <p>The sample's average <i>General Preparedness</i> score was higher than other patient populations assessed with this instrument, possibly due to routine discussions about medical emergency preparedness that individuals with sickle cell disease receive from healthcare providers.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Home disaster preparedness levels should be improved to decrease disaster-related morbidity and mortality.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Implications for Nursing Practice and Policy</h3>\u0000 \u0000 <p>Nurses should develop or advocate for home disaster preparedness lessons, community interventions, and public policies to meet the unique needs of community members wi","PeriodicalId":54931,"journal":{"name":"International Nursing Review","volume":"72 3","pages":""},"PeriodicalIF":3.8,"publicationDate":"2025-07-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/inr.70067","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144647278","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":"Evolution and Future Prospects of Nurse Anaesthetists in Catalonia: Inception, Upskilling and Scope of Practice","authors":"Montserrat Sanclemente-Dalmau,&nbsp;Esther Rubinat Arnaldo,&nbsp;Joan Blanco-Blanco,&nbsp;Xavier Palomar-Aumatell,&nbsp;Guillermo Pedreira-Robles,&nbsp;Paola Galbany-Estragués","doi":"10.1111/inr.70039","DOIUrl":"https://doi.org/10.1111/inr.70039","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>To explore the current and future professional landscape of nurse anaesthetists within the healthcare system of Catalonia (Spain).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Nurse anaesthetists have played a key role in anaesthesia administration since the 19th century. In Catalonia, they are recognised as advanced practice nurses, with an evolving competency framework designed to meet contemporary healthcare demands.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A descriptive qualitative approach was employed, with data collected through a focus group conducted in June 2021. The discussion followed a structured script addressing competency differences between nurse anaesthetists and generalist nurses, the evolution of anaesthesia nursing in the Catalan healthcare system, and its future trajectory. Discourse analysis and microanalysis of interlocutors were performed.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Findings</h3>\u0000 \u0000 <p>Twenty-one codes were identified and grouped into four main categories: ‘Nurse anaesthetist profile’ (competencies, care provision, health education, experience, training, humanisation, perioperative process, patient safety), ‘Current professional situation’ (role differentiation, institutional organisation, work intrusion), ‘Factors extrinsic to the NA profession’ (increased demand for anaesthetic procedures, financial interests, shortage of anaesthetists) and ‘Future prospects’ (growth of the profession, nursing specialty, advocacy, institutional recognition).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Discussion</h3>\u0000 \u0000 <p>This study highlights the expansion of the nurse anaesthetist role in Catalonia, driven by skill enhancement and the shortage of anaesthetists. While nurse anaesthetists advocate for greater autonomy and emphasise their contribution to patient safety, concerns persist regarding limited professional recognition and the risk of role displacement.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion and Implications for Nursing and Health Policy</h3>\u0000 \u0000 <p>The growing presence of nurse anaesthetists in Catalonia, driven by increasing procedural demand, anaesthetist shortages and nursing advancements, has led to the proposal of a collaborative model that safeguards their professional autonomy. Recognising this role, establishing clear regulatory frameworks and addressing pay disparities are essential steps towards","PeriodicalId":54931,"journal":{"name":"International Nursing Review","volume":"72 3","pages":""},"PeriodicalIF":3.8,"publicationDate":"2025-07-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/inr.70039","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144635172","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":"Nursing and Midwifery's Impact on Health Policy Development: A Literature Review","authors":"David Stewart,&nbsp;Kathleen Baird,&nbsp;Jill White,&nbsp;James Buchan","doi":"10.1111/inr.70061","DOIUrl":"https://doi.org/10.1111/inr.70061","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 explores how nursing and midwifery can enhance their influence on health policy development and identifies strategies to optimize their impact on global health systems.&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;Nurses and midwives, the largest group of healthcare professionals, play vital roles in healthcare delivery but remain underrepresented in health policy development. Historical barriers, gendered power dynamics, and systemic limitations hinder their meaningful involvement, despite their critical role in care provision. Addressing these issues is crucial to unlocking their potential to improve health systems worldwide.&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 literature review was conducted, analyzing research, policy reports, editorials, and commentaries from 2013 to 2023. Key barriers, enablers, and strategies to enhance nursing and midwifery's role in health policy were identified through database searches and reference checks, with thematic analysis used to synthesize findings.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Findings&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;The review identified several barriers to nursing and midwifery's involvement in health policy, including power imbalances, limited policy education, and insufficient organizational support. Current literature often focuses on individual experiences but overlooks broader systemic factors, such as the roles of key policy actors, regulations, and technologies. Strategies to enhance participation include integrating health policy into nursing curricula, leadership programs, and strengthening professional associations. A more nuanced, multifaceted approach is needed to address these barriers and encourage policy engagement.&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;To empower nurses and midwives, future research should adopt frameworks like Actor Network Theory to consider the broader context of health policy development. Strategies must focus on education, tackle power imbalances, address gender dynamics, and promote collective action through professional organizations.&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 and midwives must be recognized as essential contributors to health policy. By addressing systemic barriers and implementing comprehensive strategies, nursing and midwifery can shape poli","PeriodicalId":54931,"journal":{"name":"International Nursing Review","volume":"72 3","pages":""},"PeriodicalIF":3.8,"publicationDate":"2025-07-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/inr.70061","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144635161","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":"Scenario-Based Forecasting of ChatGPT's Role as a Research Assistant in Nursing by 2030","authors":"Modi Al-Moteri","doi":"10.1111/inr.70055","DOIUrl":"https://doi.org/10.1111/inr.70055","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>To explore the future role of ChatGPT in nursing research by 2030 and provide a strategic framework for its responsible integration, addressing key opportunities and challenges.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Artificial intelligence (AI) tools, such as ChatGPT, offer significant potential to enhance productivity, foster innovation, and facilitate interdisciplinary collaboration in nursing research. However, they also pose challenges related to ethical governance, equitable access, and risks of overreliance. With AI technologies becoming more prevalent, a proactive approach is essential for ensuring responsible adoption and maximizing their potential benefits.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Method</h3>\u0000 \u0000 <p>A structured five-phase scenario planning approach was used: (1) defining the scenario field, (2) identifying key drivers, (3) generating scenarios, (4) evaluating scenarios, and (5) transferring actionable insights. Eleven experts were recruited, of whom almost 50% were from Saudi Arabia. Expert input was gathered to prioritize critical drivers based on impact and uncertainty. Two key drivers, ethical accountability and cross-disciplinary collaboration, were used to construct a 2 × 2 matrix, resulting in four distinct scenarios.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Findings</h3>\u0000 \u0000 <p>The four scenarios include: (1) Ethical innovation, where robust governance and high collaboration foster trust and innovation; (2) Fragmented progress, where weak accountability reduces credibility despite high collaboration; (3) Ethical fortress, where strong governance but low collaboration slows progress; and (4) Stagnant patchwork, where weak governance and low collaboration hinder growth. Ethical innovation was identified as the most desirable scenario. Three cross-cutting themes—ethical authorship, trust, and AI overreliance—emerged as critical for evaluating scenario implications.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Implications for nursing and/or health policy</h3>\u0000 \u0000 <p>This study provides actionable strategies for nursing researchers and policymakers, including strengthening governance, fostering collaboration, promoting AI literacy, and ensuring equitable access. Addressing concerns around authorship transparency, trust in AI, and overreliance is essential for leveraging AI's potential while safeguarding research integrity and equity.</p>\u0000 </section>\u0000 </div>","PeriodicalId":54931,"journal":{"name":"International Nursing Review","volume":"72 3","pages":""},"PeriodicalIF":3.8,"publicationDate":"2025-07-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144598722","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":"Experiences of Returning to Work Among Nurses With a Diagnosis of Cancer: A Qualitative Descriptive Study","authors":"Xiao-Chen Lyu,&nbsp;Cheng Chen,&nbsp;Thitinut Akkadechanunt,&nbsp;Li-Hung Lee,&nbsp;Lin-Lin Lee,&nbsp;Cheng-I Yang","doi":"10.1111/inr.70057","DOIUrl":"https://doi.org/10.1111/inr.70057","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Nurses spend their careers focused on caring for others. However, they may face the challenges of a serious illness and return to their professional roles, and their unique insights and experiences have not been sufficiently reported in existing research.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Objectives</h3>\u0000 \u0000 <p>The purpose of this study was to explore nurses’ experiences of returning to work following a cancer diagnosis and treatments.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Design</h3>\u0000 \u0000 <p>A qualitative descriptive method was used in this study.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>This study involved participants from various hospitals across four provinces in China. A total of 25 qualified staff nurses diagnosed with cancer and currently working in hospitals were recruited through purposive and snowball sampling methods. Data was collected through semi-structured interviews. Analysis was completed using qualitative content analysis.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Experiences of returning to work among nurses with a diagnosis of cancer can be grouped under three themes: (1) holistically adjusting to work, (2) controlling cancer-related disclosure, and (3) transformation in attitudes toward caregiving.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>The experiences of nurses diagnosed with cancer who return to work, highlighting the need for timely physical and psychological support, workload adjustments, and job transition assistance.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Implications for Nursing and Health Policy</h3>\u0000 \u0000 <p>The research findings highlight the importance of providing timely support for nurses diagnosed with cancer as they return to their positions. Additionally, we recommend integrating interventions to help nurses prepare the proper mindset, enabling them to comfortably share their personal cancer-related experiences with patients when they are willing to assist patients.</p>\u0000 </section>\u0000 </div>","PeriodicalId":54931,"journal":{"name":"International Nursing Review","volume":"72 3","pages":""},"PeriodicalIF":3.8,"publicationDate":"2025-07-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144582257","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":"Chinese Nurses’ Perspectives on Robotic Health Education: A Qualitative Study","authors":"ZiQi Mei,&nbsp;SuJu Zhang,&nbsp;XiRong Cheng,&nbsp;ShengJi Jin,&nbsp;YiTing Li,&nbsp;WeiTong Li,&nbsp;WenJing Tu,&nbsp;HaiYan Yin,&nbsp;YaMei Bai,&nbsp;GuiHua Xu","doi":"10.1111/inr.70059","DOIUrl":"https://doi.org/10.1111/inr.70059","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>To explore the attitudes and perceptions of Chinese nurses toward robotic health education.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Nurse shortages have driven the adoption of robotics in clinical health education. However, limited evidence exists on nurses’ attitudes and perceptions regarding robotic health education, highlighting the need for further exploration to understand their perspectives on this technology.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A qualitative interpretive descriptive study using inductive thematic analysis. A total of 28 clinical nurses from tertiary general hospitals in China were interviewed.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Findings</h3>\u0000 \u0000 <p>Nurses expressed both high expectations and concerns regarding the integration of robotic health education into clinical practice. Three significant themes emerged: (1) Affirming the Future of Robotic Health Education: Coexistence of Expectations and Doubts; (2) Expectations for Robotic Empowerment in Health Education: A Gap Between Technological Aspirations and Practical Realities; and (3) Expectation for Diverse Support in Robotic Health Education: Concerns about the Technology Integration Gap.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>The results indicate that while nurses acknowledge the value of robotic health education, they are also concerned about the technological limitations that may compromise patient safety. Consequently, there is a strong desire for future robotic health education to be more user friendly, intelligent, humanized, and secure. Nurses are particularly eager for robotic health education, under optimal environmental support, to effectively reduce their workload rather than merely serve as a display of technology.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Implications for nursing and nursing policy</h3>\u0000 \u0000 <p>These insights reveal both the benefits and challenges of using robotic health education in clinical nursing. The findings guide the optimization of workflows for integrating robots into clinical nursing and inform future technological advancements. Further research is needed to understand the attitudes of a broader range of stakeholders.</p>\u0000 </section>\u0000 </div>","PeriodicalId":54931,"journal":{"name":"International Nursing Review","volume":"72 3","pages":""},"PeriodicalIF":3.8,"publicationDate":"2025-07-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144582256","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}