International Nursing Review最新文献

{"title":"Ambulance Nurses’ Experience of a Simulation Exercise Concerning Intimate Partner Violence","authors":"Edberg Matei Emma, Johansson Jeanette, Sjövall Katarina","doi":"10.1111/inr.70030","DOIUrl":"https://doi.org/10.1111/inr.70030","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>To qualitatively assess an intervention for ambulance nurses, including simulation training concerning intimate partner violence (IPV), and to describe the ambulance nurses’ experiences of their work after the intervention.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>IPV is a common public health issue with serious consequences from individual and societal perspectives. Previous research indicates that deficits in knowledge, preparedness, confidence, and clinical skills are barriers for nurses in detecting IPV. Ambulance nurses have a unique opportunity to identify IPV as they often encounter patients in their homes. However, there is limited research on the impact of simulation for training ambulance nurses to improve their preparedness and competence to respond to IPV.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Design</h3>\u0000 \u0000 <p>An intervention study using qualitative semi-structured interviews that were analysed using content analysis.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Method</h3>\u0000 \u0000 <p>Simulation pedagogy was used for training ambulance nurses (<i>n</i> = 7) in how to deal with women suspected of having been exposed to IPV. Qualitative interviews were conducted to collect data about the ambulance nurses’ experiences with the simulation and about their work in relation to IPV after the simulation. The interviews were analysed using content analysis.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The results are presented through four categories and eight subcategories. The categories are: Simulation provided new insights, Simulation was like encountering a real patient, Simulation changed my way of working, and Simulation increased awareness of the importance of teamwork.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>The participants experienced increased confidence in asking about exposure to violence, resulting in more patients being asked about exposure to IPV after the simulation training. Although this was a small study, the results showed the importance of training in a realistic context and the value of interaction among participating ambulance nurses. Simulation addressing IPV can open new doors by providing new knowledge and by allowing participants to observe each other.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Implications for Nursing Practice</h3>\u0000 ","PeriodicalId":54931,"journal":{"name":"International Nursing Review","volume":"72 2","pages":""},"PeriodicalIF":3.8,"publicationDate":"2025-05-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/inr.70030","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144074440","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Challenges and Strategies in Maintaining Continuity of Care for Chronic Disease Patients by Emergency Nurses During Disasters","authors":"Majed Awad Alanazi,&nbsp;Mostafa Shaban","doi":"10.1111/inr.70029","DOIUrl":"https://doi.org/10.1111/inr.70029","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>This study aimed to explore the challenges emergency nurses face in providing continuity of care for chronic disease patients during disasters in the Northern Region of Saudi Arabia and the strategies they employ to overcome these challenges.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Emergency nurses play a pivotal role in disaster response, particularly in managing care for patients with chronic diseases. Resource shortages, communication breakdowns, and patient displacement frequently disrupt care continuity during disasters, exacerbating health risks for vulnerable populations.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>Ensuring consistent care for chronic disease patients during disasters is critical for mitigating negative health outcomes. Disruptions caused by disasters highlight the need for strategies that support emergency nurses in maintaining care standards under resource-limited and high-stress conditions.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A qualitative descriptive study was conducted using semistructured interviews with 14 emergency nurses from a general hospital in the Northern Region of Saudi Arabia. Thematic analysis, adhering to COREQ guidelines, was applied to identify key challenges and solutions.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results or Findings</h3>\u0000 \u0000 <p>Three key themes were identified: resource limitations, communication barriers, and patient displacement. Nurses reported challenges such as shortages of essential medications, disruptions in communication networks, and difficulties in maintaining continuity of care for displaced patients. To mitigate these challenges, they employed strategies including improvisation, enhanced communication protocols, and resilience-building practices.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Discussion</h3>\u0000 \u0000 <p>The findings highlight the critical role of emergency nurses in disaster response and the necessity of adaptive practices. Addressing resource scarcity, fostering robust communication systems, and supporting nurse well-being are essential to maintaining care quality during disasters.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion and Implications for Nursing and/or Health Policy</h3>\u0000 \u0000 <p>Emergency nurses require robust support systems to maintain care continuity during disasters. Policymakers should integrate disaster preparedness into healthcare frameworks by enhancing resource allocation, d","PeriodicalId":54931,"journal":{"name":"International Nursing Review","volume":"72 2","pages":""},"PeriodicalIF":3.8,"publicationDate":"2025-05-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144074438","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Impacts of Second-Victim Experience and Resilience on Nurses’ Turnover Intention","authors":"Essa Hakamy,&nbsp;Adnan Innab,&nbsp;Zainab Alfar","doi":"10.1111/inr.70031","DOIUrl":"https://doi.org/10.1111/inr.70031","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>This study aimed to examine the relationships between second-victim experience, resilience, and nurses’ turnover intention.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>The second-victim experience significantly affects nurses’ psychological well-being in healthcare settings, leading to serious consequences. These psychological impacts can compromise patient care, clinical judgment, and confidence, ultimately jeopardizing patient safety and the quality of care. Support from organizations and colleagues is vital to alleviate the negative effects of these experiences. Addressing these factors can help develop targeted interventions to prevent adverse outcomes from second-victim experiences.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>This cross-sectional correlational descriptive study collected data from secondary- and tertiary-care hospitals across 13 regions of Saudi Arabia, with 117 nurses participating. The Second-Victim Experience and Support Tool, Turnover Intention Scale, and Connor–Davidson Resilience Scale 25 were utilized to assess secondary-victim experiences, resilience, and turnover intention.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Local nurses reported higher second-victim experiences (M = 2.83, SD ± .42, <i>p</i> = .004) and turnover intention (M = 2.83, SD ±  .42, <i>p</i> = .012) but lower resilience scores (M = 12.43, SD ± 4.6, <i>p</i> = .03) compared with expatriate nurses. A significant positive correlation existed between second-victim–related distress and turnover intention. Conversely, a significant negative correlation existed between most second-victim–related variables (physical and psychological distress), supervisor support, and resilience. The regression model was significant (<i>F</i> [1, 115] = 73.13, <i>p</i> &lt; .001, <i>R</i>² = .389), with second-victim experience (<i>β =</i> 1.822, <i>p</i> &lt; .001) significantly predicting turnover intention.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Discussion</h3>\u0000 \u0000 <p>This study highlights the physical and psychological distress experienced by nurses, their turnover intentions, and resilience in response to second-victim experiences.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Implications for Nursing Practice and Policy</h3>\u0000 \u0000 <p>Health organizations should implement programs that assist nurses with overcoming trauma post adverse events and enhancing resilience, which may reduce their turnover intention in the profession.</p>\u0000 </section>\u0000 </div>","PeriodicalId":54931,"journal":{"name":"International Nursing Review","volume":"72 2","pages":""},"PeriodicalIF":3.8,"publicationDate":"2025-05-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144074439","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The impact of machine learning on physical activity–related health outcomes: A systematic review and meta-analysis","authors":"Ezgi Hasret Kozan Cikirikci PhD(c),&nbsp;Melek Nihal Esin PhD","doi":"10.1111/inr.70019","DOIUrl":"https://doi.org/10.1111/inr.70019","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>To analyze randomized controlled trials evaluating the effectiveness of machine learning (ML)–based interventions in promoting physical activity.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Evidence on the effectiveness of ML-based interventions to increase physical activity from randomized controlled trials is limited. Synthesizing existing evidence is crucial for nurses to integrate such advancements into their care and implement health-promoting interventions.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Randomized controlled trials from 2013 to 2024 have been accessed by PubMed, EBSCO, Cochrane, and Turkish national databases. The study was conducted and reported in accordance with the PRISMA statement. The methodological quality was assessed using the Cochrane Risk of Bias 1 (RoB 1) tool. Ten studies with a total sample size of 2269 individuals were included.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Analysis of studies showed that ML-based lifestyle interventions are effective in detecting physical activity levels, increasing daily step count and moderate to vigorous physical activity, predicting adherence to physical activity levels goals, and tailoring recommendations and feedback. Meta-analysis revealed that ML interventions significantly increased daily step count (Hedge's g = 0.402, 95% CI: 0.231–0.573, <i>p</i>&lt;0.000).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Discussion</h3>\u0000 \u0000 <p>The studies involving ML-based physical activity promotion initiatives led by nurses were limited. The inclusion of studies published only in English and Turkish may have excluded potentially valuable data.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>ML can effectively support public health initiatives by enabling self-monitoring, personalized recommendations, adaptive interventions, and predicting future physical activity behavior.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Implications for Nursing Practice and Policy</h3>\u0000 \u0000 <p>Nurses can leverage ML algorithms to provide timely, tailored, and cost-effective care to promote physical activity. To integrate ML into public health initiatives, and develop programs aligned with care models, it is essential to create opportunities and policies that support collaboration between nurses and soft","PeriodicalId":54931,"journal":{"name":"International Nursing Review","volume":"72 2","pages":""},"PeriodicalIF":3.8,"publicationDate":"2025-05-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/inr.70019","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143939125","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Perspectives of Asian Foreign-Educated Nurses on Career Advancement in the United States: A Qualitative Descriptive Study","authors":"Joicy B. Thomas,&nbsp;Fuqin Liu,&nbsp;Chanam Shin,&nbsp;Carin Adams","doi":"10.1111/inr.70020","DOIUrl":"https://doi.org/10.1111/inr.70020","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>This study aimed to understand what influences career advancement among Asian foreign-educated nurses who have obtained an advanced degree in nursing in the United States.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Asian nurses represent one of the largest racial minority groups within the U.S. registered nurse workforce. The perspectives of Asian nurses regarding career advancement have been less explored.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>The participants were recruited using purposive and snowball sampling techniques. A semistructured interview was conducted with 11 Asian foreign-educated nurses. NVivo software was used for interview transcription and data management. Data analysis followed the steps of the conventional content analysis method. The Consolidated Criteria for Reporting Qualitative Research checklist was used to ensure quality.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Five main themes were developed from the data: opportunities to advance in position and education, career advancement indicating personal and professional growth, a strong inner drive and motivation for career advancement, the influences of family and culture, and the need for time and other resources.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Discussion</h3>\u0000 \u0000 <p>The main themes described perspectives, such as opportunities for advancement in position and education. The challenges with time, financial need, communication, and discrimination were discussed. Understanding the perspectives is crucial to ensure a supportive work environment and improve career advancement opportunities.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Implications for nursing practice and policy</h3>\u0000 \u0000 <p>Financial support and flexible work schedules are crucial for Asian foreign-educated nurses seeking career advancement. Policies and procedures related to paperwork processing and mandatory prerequisites for enrollment to advance nursing education need to be revisited. Nursing leaders and administrators should consider improving policies to facilitate equal opportunities for career advancement.</p>\u0000 </section>\u0000 </div>","PeriodicalId":54931,"journal":{"name":"International Nursing Review","volume":"72 2","pages":""},"PeriodicalIF":3.8,"publicationDate":"2025-04-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143856779","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Discrimination and Quality of Life During the COVID-19 Pandemic: Experiences of Racial/Ethnic Minority Nursing Staff in the United States","authors":"Angela Chia-Chen Chen,&nbsp;Lihong Ou,&nbsp;Sudaba Mansuri,&nbsp;Alli Walsh,&nbsp;Chung Jung Mun","doi":"10.1111/inr.70021","DOIUrl":"https://doi.org/10.1111/inr.70021","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>This study aimed to investigate U.S. minority nursing staff's discrimination experiences and the association of such experiences and other critical factors with their quality of life (QoL) during the COVID-19 pandemic.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Racial/ethnic minority nursing staff are at a higher risk of developing unfavorable health outcomes associated with race-based and related discrimination.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Minority nursing staff were recruited through a professional network. An online survey, consisting of validated measures, was used to assess perceived discrimination, fear of COVID-19, perceived risk of contracting COVID-19, resilience, social support, and QoL. We used the chi-square test, ANOVA, and path analysis to compare racial/ethnic group differences and variables associated with QoL among minority nursing staff.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Our sample consisted of 514 minority nursing staff (31.4% Black, 25.5% Hispanic/Latinx, 17.0% Asian, 13.5% American Indian/Alaska Native, and 12.7% Native Hawaiian/Pacific Islander). The sample reported a high prevalence of discrimination experiences (60% witnessed, 28.3% experienced). Greater exposure to witnessed discrimination, higher levels of perceived risk of contracting COVID-19, and fear of COVID-19 were associated with worse QoL, whereas higher levels of resilience and social support were associated with better QoL. Multiple group analysis revealed no significant differences in these outcomes across the racial/ethnic groups.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Our findings revealed that while discrimination, fear, and perceived risk were negatively related to minority nursing staff's QoL, resilience and social support were crucial in promoting their QoL, with no significant differences observed across racial/ethnic groups.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Implications for nursing and health policy</h3>\u0000 \u0000 <p>The findings highlight the importance of individual-, organizational-, and policy-level awareness of vulnerability related to racial/ethnic discrimination and areas that should be addressed to promote minority nursing staff's QoL.</p>\u0000 </section>\u0000 </div>","PeriodicalId":54931,"journal":{"name":"International Nursing Review","volume":"72 2","pages":""},"PeriodicalIF":3.8,"publicationDate":"2025-04-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/inr.70021","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143840909","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A systematic review and sequential explanatory synthesis: Artificial intelligence in healthcare education, a case of nursing","authors":"S. Aslı Bozkurt PhD, RN, CHSE,&nbsp;Sinan Aydoğan PhD, RN,&nbsp;Fatma Dursun Ergezen PhD, RN,&nbsp;Aykut Türkoğlu PhD","doi":"10.1111/inr.70018","DOIUrl":"https://doi.org/10.1111/inr.70018","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>This review aims to explore the impact of artificial intelligence (AI) on knowledge acquisition, skills development, and attitudes among nursing students.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>AI offers hopeful opportunities to enhance learning experiences and prepare future healthcare professionals.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>This was a sequential explanatory mixed-method systematic review. This review was conducted in line with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. A comprehensive electronic database was searched to identify relevant studies. Eligibility criteria were studies examining the impacts of AI interventions on nursing students’ knowledge, skills, or attitudes. The methodological quality of the studies was assessed using the mixed-method appraisal tool.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Nine research articles were included in the review. These studies utilized both quantitative and qualitative methodologies to examine the impact of AI on nursing students. Quantitative studies found positive relations between AI interventions and knowledge acquisition, skills development, and attitudes toward AI among nursing students. Qualitative findings revealed the positive outcomes of AI in fostering learning engagement, self-efficacy, and confidence.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>AI shows potential for supporting knowledge acquisition, skills development, and fostering positive attitudes among nursing students.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Implications for nursing practice and nursing policy</h3>\u0000 \u0000 <p>AI-driven interventions enhance nursing education by improving clinical decision-making, confidence, and knowledge acquisition. By integrating AI, nurse educators can develop more interactive, personalized, and impactful learning environments that may help students with the complexities of contemporary healthcare. Policies, standardized guidelines, and faculty development programs may be developed that can promote ethical AI integration, equitable access, and faculty training. These changes can be considered essential to maximize AI's benefits.</p>\u0000 </section>\u0000 </div>","PeriodicalId":54931,"journal":{"name":"International Nursing Review","volume":"72 2","pages":""},"PeriodicalIF":3.8,"publicationDate":"2025-04-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/inr.70018","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143840610","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Interventions to Reduce Compassion Fatigue in Nursing: A Systematic Review and Meta-Analysis of Controlled Studies","authors":"Marta Manzanedo-Moreno,&nbsp;Concepción Salcedo-Sampedro,&nbsp;Rebeca Abajas-Bustillo,&nbsp;Roberto Martin-Melón,&nbsp;Rosario Fernández Peña,&nbsp;Carmen Ortego-Maté","doi":"10.1111/inr.70023","DOIUrl":"https://doi.org/10.1111/inr.70023","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Compassion fatigue is the emotional response generated by continuous exposure to human suffering and is especially common among nursing professionals. This phenomenon can lead to decreased empathy and increased emotional exhaustion while affecting the quality of care.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>To synthesize information from primary studies that have used and evaluated interventions aimed at managing compassion fatigue in nursing professionals.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Design</h3>\u0000 \u0000 <p>A systematic review with meta-analysis of studies with randomized and nonrandomized control groups.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Medline, CINAHL, Scopus, and Web of Science databases were searched for studies published between 2013 and 2023. The search was conducted in January 2024 to identify control group studies that provided quantitative pre–post data on both groups of compassion fatigue assessed with the Professional Quality of Life Scale (ProQol). Quality was assessed using the RoB2 and ROBINS-I scales. The protocol was registered in the International Prospective Register of Systematic Reviews (CRD42024537935).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The search strategy yielded a total of 1006 records, of which 11 studies were selected; these provided a total of 763 participants. Most of the interventions consisted of providing knowledge and skills to increase resilience, emotional well-being, and stress coping. The interventions had an average duration of 6 weeks distributed in 9 sessions with an average of 90 minutes. After the intervention, a statistically significant increase in satisfaction was obtained and a statistically significant reduction in fatigue and burnout.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion and Implications for Nursing and/or Health Policy</h3>\u0000 \u0000 <p>Interventions aimed at reducing compassion fatigue are effective among nursing professionals. In the future, further high-quality research with prospective follow-up designs is required.</p>\u0000 </section>\u0000 </div>","PeriodicalId":54931,"journal":{"name":"International Nursing Review","volume":"72 2","pages":""},"PeriodicalIF":3.8,"publicationDate":"2025-04-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143840612","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A scoping review of empirical evidence on the nurse practitioner workforce in Thailand","authors":"Apiradee Nantsupawat PhD, RN,&nbsp;Wichit Srisuphan PhD, RN,&nbsp;Noppamas Sripetchwadee PhD, RN,&nbsp;Preyanan Nantsupawat High School Student,&nbsp;Suzanne E. Courtwright  ,&nbsp;Madison D. Horton PhD Student,&nbsp;Kathleen Flandrick DrPH, MPH,&nbsp;Madeline M. Pollifrone MPH,&nbsp;Lusine Poghosyan PhD, MPH, RN, FAAN","doi":"10.1111/inr.70016","DOIUrl":"https://doi.org/10.1111/inr.70016","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>This scoping review aimed to synthesize research findings on the state of the development of the nurse practitioner (NP) workforce and its contribution to care outcomes in Thailand.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Policies assuring universal access to healthcare in Thailand have increased the demand for primary care. The Thai NP workforce is helping to meet this demand, and this workforce is growing. However, a comprehensive assessment of the existing evidence on NPs has yet to be conducted.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A comprehensive search of five electronic databases, including PubMed, Embrace, Clarivate, ProQuest, and ThaiJo (a Thai database), was conducted. The inclusion criteria were peer-reviewed research papers focused on NPs practicing in primary care in Thailand and published in English or Thai between 2002 and 2022. Studies with data not attributable to NPs in Thailand were excluded.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The search yielded 118 records, with 42 meeting the inclusion criteria. Most research studies were cross-sectional and grouped into five categories focusing on NP education, patient outcomes associated with NP care, NP performance, NP competency, and NP well-being.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Findings suggest that the NP workforce in Thailand contributes positively to patient outcomes. Future research should further explore NP contributions to patient and organizational outcomes and factors impacting NP well-being.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Implication for nursing policy</h3>\u0000 \u0000 <p>Findings suggest policymakers should establish a master's degree as the minimum requirement for NPs, aligning with international standards. Healthcare organizations should improve the work environments for NPs, while health policies should expand NPs' role in primary care, particularly in underserved areas. Expanding the scope of practice for NPs in managing chronic conditions independently is recommended.</p>\u0000 </section>\u0000 </div>","PeriodicalId":54931,"journal":{"name":"International Nursing Review","volume":"72 1","pages":""},"PeriodicalIF":3.8,"publicationDate":"2025-03-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143645858","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Factors associated with resilience, spiritual and mental well-being of advanced practice nurses: Implications for role integration","authors":"Brigitte Fong Yeong Woo PhD, MClin Res, BSc (Nursing) (Hons), RN,&nbsp;Wei How Darryl Ang PhD, BSc (Nursing) (Hons), RN,&nbsp;Melanie Rogers PhD, MSc, BSc, FHEA, RN, ANP, Queens Nurse,&nbsp;Wentao Zhou PhD, MN, PGDip, BSN, RN, APN","doi":"10.1111/inr.70015","DOIUrl":"https://doi.org/10.1111/inr.70015","url":null,"abstract":"&lt;div&gt;\u0000 \u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Aim(s)&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;To examine the overall level of resilience and spiritual and mental well-being of advanced practice nurses (APN) in Singapore and to describe the associated factors of mental well-being.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Background&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;Research shows that healthcare workers' resilience and mental well-being are positively associated with spiritual well-being, which encompasses a sense of peace and meaning. Understanding APNs’ spiritual and mental health, alongside resilience, may help maintain the sustainability and effectiveness of the APN workforce within the healthcare system, especially in the post-pandemic environment.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Methods&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;This nationwide cross-sectional online survey (May–June 2023) assessed APNs’ resilience and spiritual and mental well-being. The Connor–Davidson Resilience 10 Scale, the Warwick–Edinburgh Mental Well-Being Scale, and the Functional Assessment of Chronic Illness Therapy-2-Factor Non-Illness Spiritual Well-Being Scale Version 4 were used. Sociodemographic and work-related information were collected to explore associations between participants’ characteristics and their level of resilience and spiritual and mental well-being.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Results&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;Eighty-two APNs and APN interns participated in the study, representing 21.4% nationwide. Participants’ level of resilience, peace and meaning components of spirituality, and whether they worked in an acute care setting, were statistically significant predictors of APNs’ mental well-being. APNs working in acute care hospitals had higher levels of mental well-being than other healthcare settings.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Conclusion&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;The significant roles of the Peace and Meaning subscales of spiritual well-being underscore the importance of fostering supportive work environments. Supportive work environments can foster peace and meaning by facilitating the integration of APN roles and nurturing a sense of purpose and connection within their professional practice.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Implications for nursing&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;Effective APN integration into the healthcare system, crucial for their mental well-being, requires addressing macro-, meso- and micro-level issues. At the macro level, clear scopes of practice and legislative support can provide stability and purpose, ","PeriodicalId":54931,"journal":{"name":"International Nursing Review","volume":"72 1","pages":""},"PeriodicalIF":3.8,"publicationDate":"2025-03-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/inr.70015","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143633033","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}