Collegian最新文献

{"title":"Nurse practitioners in New Zealand: An integrative review of clinical practice and involvement in policy","authors":"Deborah L. Harris ,&nbsp;Eileen McKinlay","doi":"10.1016/j.colegn.2025.08.002","DOIUrl":"10.1016/j.colegn.2025.08.002","url":null,"abstract":"<div><h3>Background</h3><div>Nurse Practitioner roles have escalated internationally with the aim of improving access to healthcare and thereby enhancing health and social outcomes. In Aotearoa New Zealand, Nurse Practitioner registration began in 2001, yet questions remain about their contributions to practice and policy.</div></div><div><h3>Aim</h3><div>To critically appraise peer-reviewed research on nurse practitioners’ contributions to clinical practice and health policy in New Zealand.</div></div><div><h3>Methods</h3><div>This integrative review followed Whittemore and Knafl’s five-stage framework. A search was conducted across six databases between January 2001 and May 2025. Inclusion criteria required studies to report primary research or audits. The Mixed Methods Appraisal Tool assessed methodological quality. Data were extracted, summarised in tabular form, and synthesised narratively across key domains. Twenty-two studies were included: 8 qualitative, 11 quantitative, and 3 mixed methods.</div></div><div><h3>Findings</h3><div>Nurse practitioners deliver expert, culturally safe healthcare across diverse settings. They collaborate interprofessionally to deliver coordinated care, promote health, and provide clinical leadership that improves healthcare access and equity. Studies highlight the nurse practitioner role in supporting underserved communities through models responsive to Māori and Pacific populations. Policy engagement remains weak. Barriers include organisational constraints, limited early-career support, insufficient data on workforce, clinical activity, and patient outcomes, and a misalignment between nurse practitioner values and funding models.</div></div><div><h3>Discussion</h3><div>Strong evidence shows that nurse practitioners improve care across diverse settings. However, their involvement in policy development remains limited. Data gaps and structural barriers continue to constrain their impact. Strengthening practitioner leadership, research capacity, and policy engagement is essential to advance equity and drive health reform.</div></div>","PeriodicalId":55241,"journal":{"name":"Collegian","volume":"32 5","pages":"Pages 328-340"},"PeriodicalIF":1.7,"publicationDate":"2025-09-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144997790","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Research activity among the Australian nursing and midwifery academic workforce: A cross-sectional study","authors":"Leah East ,&nbsp;Daniel Terry ,&nbsp;Elizabeth Halcomb ,&nbsp;Debra Jackson ,&nbsp;Marie Hutchinson","doi":"10.1016/j.colegn.2025.08.006","DOIUrl":"10.1016/j.colegn.2025.08.006","url":null,"abstract":"<div><h3>Background</h3><div>Research in nursing and midwifery continues to grow and inform evidence-based practice. However, intentions to pursue an academic research pathway and heavy teaching workloads impede research outcomes in academia, with the nursing and midwifery academic workforce being at particular risk.</div></div><div><h3>Aim</h3><div>Determine research activity among the nursing and midwifery academic Australian workforce and explore how academic roles, qualifications, tenure, and workload profiles influence research engagement, productivity, and outcomes.</div></div><div><h3>Methods</h3><div>An online survey was circulated throughout Australian universities, social media platforms, and professional websites. Data were analysed using descriptive and inferential statistics.</div></div><div><h3>Results</h3><div>Of the 250 respondents, the majority (n=164) were research-active and were employed in blended teaching and research roles (n = 126). Tenured academics reported a significantly higher rate of research-active status (p ≤ 0.001). The mean number of papers published in the previous 12 months was 3.31 (Standard Deviation [SD] 2.28), with a career mean of 26.47 (SD 46.25). Respondents who were research active were engaged in Higher Degree Research (HDR) supervision, and research-active academics were more likely to apply for and be successful in grant outcomes (p&lt;.001); however, they had lower levels of satisfaction with workload.</div></div><div><h3>Discussion</h3><div>Job security through tenure is significantly associated with research activity, indicating that research productivity may be lost through non-tenured positions. Whilst research-active respondents were engaged in HDR supervision, which is essential for workforce growth and scholarship, a significant portion were not, placing the workforce pipeline at risk.</div></div><div><h3>Conclusion</h3><div>Research activity in academia is essential for tenure and to support evidence-based practice. By fostering enabling research environments, the contribution of nursing and midwifery academics to support evidence-based practice and scholarship can be enhanced.</div></div>","PeriodicalId":55241,"journal":{"name":"Collegian","volume":"32 5","pages":"Pages 357-363"},"PeriodicalIF":1.7,"publicationDate":"2025-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144997793","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Development and psychometric testing of the scale for Nursing Students’ Career Intentions towards Dementia Care (NSCIDC): A methodological study","authors":"Mengting Ma,&nbsp;Yuying Gou,&nbsp;Hua Yu","doi":"10.1016/j.colegn.2025.08.005","DOIUrl":"10.1016/j.colegn.2025.08.005","url":null,"abstract":"<div><h3>Background</h3><div>The rising prevalence of dementia necessitates a larger and more skilled nursing workforce to meet the growing demand for care.</div></div><div><h3>Aim</h3><div>This study aims to develop the Nursing Students’ Career Intentions towards Dementia Care (NSCIDC) scale and validate its psychometric properties.</div></div><div><h3>Methods</h3><div>The research was conducted in five steps：(i) determining the theoretical framework, (ii) development of the item pool, (iii) preliminary item evaluation, (iv) item analysis, (5) psychometric evaluation. A total of 532 nursing students participated in the survey.</div></div><div><h3>Findings</h3><div>A 28-item scale comprising four dimensions was developed: Perceived Behavioural Control, Behavioural Attitude, Behavioural Intention, and Subjective Norm, explaining 66.013% of the total variance. The model exhibited good fit (χ²/df = 1.610, RMSEA = 0.048, CFI = 0.959, TLI = 0.955, IFI = 0.959). Criterion-related validity was satisfactory (r = 0.46, <em>p</em> &lt; 0.001). The overall scale reliability was high, with a Cronbach’s α of 0.941 and an intraclass correlation coefficient of 0.984.</div></div><div><h3>Discussion</h3><div>The study identified behavioural attitude, subjective norm, and perceived behavioural control as influences on nursing students’ career intentions towards dementia care, with recommendations to enhance professional training, promote positive professional attitudes, and reduce societal biases to encourage greater engagement in dementia care.</div></div><div><h3>Conclusion</h3><div>The scale demonstrates robust psychometric properties and can serve as a reliable and effective tool for evaluating nursing students’ career intentions towards dementia care.</div></div>","PeriodicalId":55241,"journal":{"name":"Collegian","volume":"32 5","pages":"Pages 349-356"},"PeriodicalIF":1.7,"publicationDate":"2025-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144997792","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Piloting a communication app for nurses and family/friends in residential aged care","authors":"Kirsten L. Challinor ,&nbsp;Graham Wright ,&nbsp;Adam Burston","doi":"10.1016/j.colegn.2025.08.003","DOIUrl":"10.1016/j.colegn.2025.08.003","url":null,"abstract":"<div><h3>Background</h3><div>Effective communication underpins quality therapeutic relationships and the development of trust. Nurses in residential aged care are time-poor, which negatively impacts their ability to communicate consistently with residents’ family/friends, a situation detrimental to building effective relationships. The Brenna app (<span><span>brenna.com.au</span><svg><path></path></svg></span>) aims to facilitate efficient communication and support positive relationships between nurses and aged care residents’ family/friends.</div></div><div><h3>Aim</h3><div>To evaluate nurses and family/friends’ experience of using the Brenna app.</div></div><div><h3>Methods</h3><div>A quantitative descriptive pilot study was conducted within a 168-bed residential aged care facility in a regional city in New South Wales, Australia. Bespoke online Likert scale surveys were administered between April and May 2024.</div></div><div><h3>Results</h3><div>Family/friends (n = 50) ‘agreed’ that the Brenna app updates and news announcements were useful, that Brenna was easy to use and helped with clear communication, but they were neutral on Brenna promoting trust and improving their satisfaction with care. Nursing staff (n = 11) ‘agreed’ or ‘strongly agreed’ that Brenna was helpful in reducing stress, improving communication, and saving time. Improvements to data entry from nurses would further enhance the family/friends user experience.</div></div><div><h3>Conclusion</h3><div>The study highlights that the use of technology can facilitate improved communication between aged care nurses and residents’ family/friends. Some different preferences between nurses and family/friends in the operationalisation of this technology exists.</div></div><div><h3>Implications for practice</h3><div>Nurses found app-based communication to be helpful in improving communication with family members, saving time, and reducing stress. Family/friends identified app-based communication as a useful mechanism for communication in specific situations.</div></div>","PeriodicalId":55241,"journal":{"name":"Collegian","volume":"32 5","pages":"Pages 341-348"},"PeriodicalIF":1.7,"publicationDate":"2025-08-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144997791","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The effect of nursing students’ empathic tendencies on their cultural intelligence: A cross-sectional study","authors":"Meyreme Aksoy ,&nbsp;İrem Koçak ,&nbsp;Meltem Şirin Gök","doi":"10.1016/j.colegn.2025.08.001","DOIUrl":"10.1016/j.colegn.2025.08.001","url":null,"abstract":"<div><h3>Background</h3><div>In multicultural societies, nursing students’ ability to provide holistic healthcare is significantly influenced by their level of cultural intelligence and empathic tendencies. Understanding these relationships is essential for improving healthcare practice in diverse settings.</div></div><div><h3>Aim</h3><div>The objective of this study was to investigate the influence of empathic tendencies on cultural intelligence among nursing students.</div></div><div><h3>Methods</h3><div>This descriptive, cross-sectional, and correlational study was conducted with 571 volunteer nursing students between March and April 2024. We used three data collection tools: the Descriptive Characteristics Form, the Empathy Tendency Scale (ETS), and the Cultural Intelligence Scale (CIS). Then, we analysed the data with descriptive statistics and multiple linear regression</div></div><div><h3>Results</h3><div>The nursing students’ mean age was 21.34 ± 2.44 years, with 62.3% female and 33.6% first-year students. The mean scores for cultural intelligence and empathic tendency were 71.22 ± 10.72 and 66.39 ± 6.70, respectively. It was found that the average ETS score positively predicted the average CIS score (p &lt; 0.05). Additionally, being female had a negative effect on the CIS score. Having a foreign friend and knowing a foreign language were positive predictors of the CIS score (F = 11.262, p &lt; 0.001).</div></div><div><h3>Discussion</h3><div>The results of the research show that both cultural intelligence and empathic tendencies of nursing students are at medium levels. Additionally, promoting empathy in nursing education may improve students’ ability to effectively deal with cultural diversity, given the positive correlation between empathic tendencies and cultural intelligence.</div></div><div><h3>Conclusion</h3><div>According to the study findings, the empathic tendency level of nursing students positively predicts the level of cultural intelligence. Therefore, it is recommended that programmes that enhance these skills be included in nursing curricula to improve culturally competent care in diverse healthcare settings.</div></div>","PeriodicalId":55241,"journal":{"name":"Collegian","volume":"32 5","pages":"Pages 321-327"},"PeriodicalIF":1.7,"publicationDate":"2025-08-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144997871","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A nurse-led model of care in response to Australia’s skin cancer crisis: A discussion paper","authors":"Kim Gibson,&nbsp;Lachlan Darch,&nbsp;Greg Sharplin,&nbsp;Marion Eckert","doi":"10.1016/j.colegn.2025.07.002","DOIUrl":"10.1016/j.colegn.2025.07.002","url":null,"abstract":"<div><h3>Background</h3><div>Early detection of skin cancer is critical for improved health outcomes. Many Australians living in regional and rural areas are at an increased risk of skin cancer yet face significant barriers in accessing skin cancer screening. Australia is reforming its current system of primarily opportunistic, General Practitioner-led screening, and will be developing a funded national program to screen for melanoma in people at highest risk.</div></div><div><h3>Purpose</h3><div>To provide practical insights into the upskilling of primary care nurses working in regional Australia in skin cancer prevention and early detection.</div></div><div><h3>Discussion</h3><div>Nurses, as the largest health workforce in regional areas, are ideally positioned to bridge gaps in access to crucial preventive health care, particularly using innovative technologies such as artificial intelligence and tele-dermatology. A nurse-led model can include a comprehensive education and training program, providing convenient mobile skin check clinics at large regional community events, and working collaboratively with other health professionals for follow-up care. A nurse-led approach can reduce disparities in skin cancer outcomes, improve early detection rates, and inform the National Targeted Skin Cancer Screening Program.</div></div><div><h3>Conclusion</h3><div>Upskilling primary care nurses working in regional Australia in skin cancer prevention education and early detection provides an innovative solution to meet the screening needs of high-risk individuals.</div></div>","PeriodicalId":55241,"journal":{"name":"Collegian","volume":"32 5","pages":"Pages 296-301"},"PeriodicalIF":1.7,"publicationDate":"2025-08-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144997867","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Registered nurses’ different understandings of their role in the preoperative information to patients before acute abdominal surgery – A phenomenographic study","authors":"Oskar Wiberg ,&nbsp;Ann-Charlott Mähler ,&nbsp;Eva Jangland,&nbsp;Katarina Edfeldt","doi":"10.1016/j.colegn.2025.07.001","DOIUrl":"10.1016/j.colegn.2025.07.001","url":null,"abstract":"<div><h3>Background</h3><div>Preoperative information promotes patients’ recovery process, satisfaction, and length of stay in the hospital, making it an integral part of perioperative care. Acute abdominal surgery constitutes a significant patient category. Registered nurses play a vital role in providing preoperative information to patients undergoing acute abdominal surgery, and their understanding is essential to fulfilling patient care needs.</div></div><div><h3>Aim</h3><div>To identify and describe registered nurses’ different ways of understanding their role in providing preoperative information to patients before acute abdominal surgery.</div></div><div><h3>Method</h3><div>A qualitative interview study was performed, and the data were analysed using a phenomenographic method. Data were collected during the spring of 2023 through individual interviews with a strategic sample of 19 registered nurses at two regional hospitals in Sweden.</div></div><div><h3>Results</h3><div>Two primary ways of understanding preoperative information to patients were identified: ‘Intervention focus’ and ‘Holistic focus’, along with five sub-understandings — ‘The Doer’, ‘The Explainer’, ‘The Educator’, ‘The Adviser’, and ‘The Pathfinder’ — structured in a hierarchical order. Nurses with an ‘Intervention focus’ were task-oriented and relied on one-way communication, while nurses with a ‘Holistic focus’ adopted a person-centred approach, emphasising patients’ participation.</div></div><div><h3>Conclusions</h3><div>Nurses’ understanding of preoperative information exists within a complex and comprehensive hierarchy. Nurses who adopt a ‘Holistic focus’ engage in relational actions and provide individualised information, thereby enhancing patient participation. These findings can inform learning and competence development in clinical settings for both nurses and nurse managers, as well as in nurse education. A more comprehensive understanding is essential for meeting patients’ care needs and achieving person-centred care.</div></div>","PeriodicalId":55241,"journal":{"name":"Collegian","volume":"32 5","pages":"Pages 288-295"},"PeriodicalIF":1.7,"publicationDate":"2025-08-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144997866","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Transition to practice programs: Expectations of Australian graduate registered nurses","authors":"Lauren C. Humphries,&nbsp;Susannah Brady,&nbsp;Peter A. Lewis","doi":"10.1016/j.colegn.2025.06.006","DOIUrl":"10.1016/j.colegn.2025.06.006","url":null,"abstract":"<div><h3>Background</h3><div>Thousands of graduate registered nurses (GRNs) enter the Australian acute hospital workforce annually, and many participate in transition to practice programs (TPPs). The benefits of these programs have been poorly evaluated.</div></div><div><h3>Aim</h3><div>This study explores the experiences of GRNs who completed a 12-month TPP at two Australian acute metropolitan hospitals and whether they believe their clinical competence increased.</div></div><div><h3>Methods</h3><div>A qualitative hermeneutic phenomenological approach was adopted to explore experiences of 14 registered nurses who completed a TPP at two Australian metropolitan hospitals during the years 2021–2023. Focus groups were used to explore the experiences of GRNs. NVivo software was used in data collation, analysis, and synthesis.</div></div><div><h3>Findings</h3><div>Three themes were identified: support — including clinical support from graduate nurse educators and clinical facilitators, as well as GRN expectations of support versus reality in practice; education — including directed and self-directed learning; and clinical competence — how it develops and how the TPP impacted views on clinical competence. Themes identified that GRNs believe they require clinical support in their first year of practice to assist in a successful transition to practice. Participants believed education should be tailored to match individual needs and adapt as their skill level progresses. Participants also identified that they had unrealistic expectations of the support that would be provided through TPPs.</div></div><div><h3>Conclusion</h3><div>While the outcomes of this study reflect existing GRN transition literature, they also identify that expectations of TPP clinical support should be explicitly outlined in detail at orientation to avoid unrealistic expectations of clinical support.</div></div>","PeriodicalId":55241,"journal":{"name":"Collegian","volume":"32 5","pages":"Pages 281-287"},"PeriodicalIF":1.7,"publicationDate":"2025-08-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144997865","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Strategies to improve communication with older adults experiencing delirium in emergency departments: A systematic review","authors":"Walaa Badawy ,&nbsp;Mostafa Shaban","doi":"10.1016/j.colegn.2025.07.003","DOIUrl":"10.1016/j.colegn.2025.07.003","url":null,"abstract":"<div><h3>Background</h3><div>Effective communication with older adults experiencing delirium in emergency departments (EDs) is crucial for optimal patient care. This systematic review aimed to identify barriers and enablers to communication with this population and synthesise evidence on effective strategies that support both communication and delirium management.</div></div><div><h3>Methods</h3><div>A comprehensive search of PubMed, MEDLINE, CINAHL, Web of Science, Cochrane Library, and Google Scholar was conducted for studies published between 2000 and 2024. Eligible studies focused on communication with older adults experiencing delirium in EDs. Data extraction and quality assessment were performed independently by two reviewers.</div></div><div><h3>Results</h3><div>Fourteen studies met the inclusion criteria. Key barriers to effective communication included cognitive impairments, environmental factors, time constraints, and lack of staff training. Enablers included the use of standardised screening tools, multicomponent interventions, and specialised staff education. Environmental modifications and the involvement of family members were also found to enhance communication. The review highlighted the importance of early delirium detection and the effectiveness of structured communication protocols in supporting overall delirium management.</div></div><div><h3>Conclusion</h3><div>Effective communication with older adults experiencing delirium in EDs requires a multifaceted approach. Implementing routine screening, providing targeted staff training, and adopting person-centred care principles can significantly improve outcomes. Future research should focus on developing and validating ED-specific communication strategies that also support comprehensive delirium care, incorporating patient and family perspectives.</div></div><div><h3>Implications</h3><div>Findings emphasise the need for healthcare providers to prioritise delirium education, implement standardised screening protocols, and create delirium-friendly ED environments.</div></div>","PeriodicalId":55241,"journal":{"name":"Collegian","volume":"32 5","pages":"Pages 302-311"},"PeriodicalIF":1.7,"publicationDate":"2025-07-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144997869","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Mapping family nursing in undergraduate education at a national level: A cross-sectional study","authors":"Maria J. Campos ,&nbsp;Maria C. Barbieri-Figueiredo ,&nbsp;Marília Rua ,&nbsp;Cristina B. Pestana ,&nbsp;Florinda Galinha-De-Sá ,&nbsp;Maria L. Santos ,&nbsp;Maria C. Gouveia ,&nbsp;Rita Leal ,&nbsp;Sara Lemos ,&nbsp;Cláudia Augusto ,&nbsp;Carla Fernandes","doi":"10.1016/j.colegn.2025.07.004","DOIUrl":"10.1016/j.colegn.2025.07.004","url":null,"abstract":"<div><h3>Background</h3><div>Family is a vital unit of care and support, formed by interdependent individuals linked through biology, emotions, or social bonds. Its dynamics both shape and are shaped by members’ health, making it integral to nursing care. Nursing education should promote a positive attitude among nurses regarding the involvement of families in care. Knowing how family issues are valued in undergraduate nursing programmes is fundamental to consider family as a unit of care.</div></div><div><h3>Objectives</h3><div>The aim is to identify and describe the integration of family nursing knowledge within undergraduate nursing education nationally.</div></div><div><h3>Design</h3><div>Cross-sectional study.</div></div><div><h3>Participants</h3><div>Eighteen undergraduate nursing programs.</div></div><div><h3>Methods</h3><div>Phase I – National survey of undergraduate nursing programs (May–June 2020). Phase II – Content analysis of courses with a family approach (June 2020–January 2021).</div></div><div><h3>Results</h3><div>The nursing programs revealed 256 courses that fulfilled the inclusion criteria, ranging from four to thirty-five courses per program. Seven categories were identified. Four of these were defined a priori, based on theoretical foundations: Theoretical Approach of Family, Individual and Family Health Experience, Skills for Family Care, and Approaches to Family Nursing. The remaining three categories emerged a posteriori from data analysis: Education Context, Nursing Process of Family, and Ethical and Deontological Issues.</div></div><div><h3>Conclusion</h3><div>Family is taught in undergraduate nursing programs, mainly in clinical settings. The most frequent family approach depicted in the curriculum was family as context. The findings also point to a focus on different approaches to family nursing, including ‘family as a client’, ‘family as a system’, and ‘family as a component of society’, underlining the multidimensional nature of family nursing. Nursing education should emphasise the importance of exploring new strategies to teach family care, moving forward from a perspective of the family as a context to a perspective of the family as a client of care.</div></div><div><h3>Impact</h3><div>Enhancing the learning process in undergraduate nursing education through a family-centred approach requires a deep understanding of existing Curricular Plans and the integration of pedagogical strategies that emphasise clinical practice. By focusing on both family and patient-centred care, this research aims to influence the development and refinement of educational policies that support comprehensive approaches to teaching both nursing care and the broader concept of care, emphasising a family-centred perspective.</div><div>No Patient Contribution. Public data were used and results can influence the education policies and will have an impact in future undergraduate nursing students.</div></div>","PeriodicalId":55241,"journal":{"name":"Collegian","volume":"32 5","pages":"Pages 312-320"},"PeriodicalIF":1.7,"publicationDate":"2025-07-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144997870","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}