Asian Nursing Research最新文献

{"title":"Experiences of Surgical Ward Nurses During a Healthcare Service Disruption in Korea: A Qualitative Study.","authors":"Saehyeon Im, Haeng-Mi Son","doi":"10.1016/j.anr.2026.04.005","DOIUrl":"https://doi.org/10.1016/j.anr.2026.04.005","url":null,"abstract":"<p><strong>Purpose: </strong>This study aimed to describe the experiences of surgical ward nurses in Korea during a healthcare service disruption-a period of substantial interruption in routine hospital services that occurred in February 2024-and to provide an understanding of the challenges they faced and how they adapted in order to maintain care quality in crises.</p><p><strong>Methods: </strong>A qualitative study using qualitative thematic analysis was conducted through individual in-depth interviews with 12 nurses working in surgical wards at a tertiary hospital. The data were collected between February and March 2025 and recorded interviews were transcribed verbatim. The data were analyzed based on Braun and Clarke's thematic analysis method.</p><p><strong>Results: </strong>Four major themes emerged: (1) Adapting to shifting roles in the midst of the medical service disruption; (2) Psychological pressure under the changed patient reporting system; (3) Burnout under organizational strain; and (4) Professional growth through crisis.</p><p><strong>Conclusion: </strong>This study showed that nurses faced expanded roles, communication challenges, and organizational strain during healthcare service disruption. Clear role definitions, supportive communication systems, and strengthened organizational resources were needed to reduce burden and help nurses sustain patient care quality during future healthcare crises.</p>","PeriodicalId":55450,"journal":{"name":"Asian Nursing Research","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2026-04-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147790144","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 Hybrid Transition Program Combining Face-to-Face and Digital Approaches for Patients Newly Initiated on In-Center Hemodialysis: A Multicenter Quasi-Experimental Study.","authors":"Ae Kyung Chang, Ah Young Kim","doi":"10.1016/j.anr.2026.04.003","DOIUrl":"https://doi.org/10.1016/j.anr.2026.04.003","url":null,"abstract":"<p><strong>Purpose: </strong>The global increase in end-stage renal disease has led to more patients initiating hemodialysis. The transition to hemodialysis is a critical period characterized by lifestyle disruption and multidimensional adaptation. A successful transition is essential for sustaining long-term physical and psychological well-being. It requires adapting to new routines, forming supportive relationships, and developing self-management skills. This study evaluated the effectiveness of a hybrid transition program integrating face-to-face and digital components for patients newly initiated on in-center hemodialysis.</p><p><strong>Methods: </strong>A multicenter quasi-experimental study was conducted at two dialysis centers in South Korea. Patients who had received hemodialysis for less than 36 months were recruited between December 2023 and March 2024. Of 57 participants, 30 were assigned to the intervention group and 27 to the control group. The intervention group participated in an 8-week hybrid program consisting of in-person education and mobile application support, while the control group received usual care. Data were collected at baseline (T0), post-intervention (T1), and 4-week follow-up (T2). The primary outcome was transition to hemodialysis. Secondary outcomes included dialysis symptoms, depression, quality of life, and clinical indicators (serum potassium, serum phosphorus, and interdialytic weight gain). Group-by-time effects were analyzed using repeated-measures ANOVA and generalized estimating equations.</p><p><strong>Results: </strong>Significant group-by-time interactions were found for transition(p=.013), depression(p=.001), quality of life(p=.038), and interdialytic weight gain(p=.042). The intervention group showed improved transition and quality of life, with reduced depression and interdialytic weight gain. No significant differences were observed for dialysis symptoms or serum electrolyte levels.</p><p><strong>Conclusions: </strong>The hybrid transition program improved patients' transition to hemodialysis, reduced depressive symptoms, enhanced quality of life, and decreased interdialytic weight gain. These findings suggest that hybrid approaches integrating digital and in-person support can serve as effective nursing strategies to promote successful transition in new hemodialysis patients.</p><p><strong>Trial registration: </strong>Clinical Research Information Service (CRIS), KCT0009417.</p>","PeriodicalId":55450,"journal":{"name":"Asian Nursing Research","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2026-04-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147790141","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 Social Value of Care Robots: Text Mining and Semantic Network Analysis.","authors":"Yong Soon Shin, Hye-Young Jang, Jung-A Kim, Min-Soo Kang","doi":"10.1016/j.anr.2026.04.002","DOIUrl":"https://doi.org/10.1016/j.anr.2026.04.002","url":null,"abstract":"<p><strong>Purpose: </strong>This study aimed to explore the public discourse surrounding care robots and identify their potential social values.</p><p><strong>Methods: </strong>Data related to care robots were collected from major Korean portal sites and social media between January 1, 2021, and December 31, 2023, using TEXTOM. Core keywords were extracted through text mining. Topic modeling and semantic network analysis using UCINET 6.0 were conducted to examine keyword associations and network structure. An analytic framework based on thematic integration was applied to synthesize the findings and derive social value domains.</p><p><strong>Results: </strong>A total of 9,724 keywords were extracted from 21,216 documents. High-frequency and central keywords included older adult, companion robot, business, service, and artificial intelligence. Topic modeling identified four major topics: (1) companion robots supporting care to bridge the care gap, (2) care robots leading new economic trends, (3) care robots supporting human care across various sectors, and (4) government-led expansion of social care through care robots. Eight clusters were identified through semantic network analysis. By applying the analytic framework, these clusters were systematically integrated with topic modeling results, and the social values associated with care robots were categorized into four domains: health, labor, economy, and innovation.</p><p><strong>Conclusion: </strong>Care robots have the potential to go beyond functional support by addressing broader social challenges and contributing to care innovation. However, current discourse remains provider-driven with limited public engagement. There is a need to enhance communication of care robots' social value and promote user-centered approaches in nursing and care practice.</p>","PeriodicalId":55450,"journal":{"name":"Asian Nursing Research","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2026-04-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147790137","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":"Structural Change of Policy Networks and Legislative Breakthrough: A 20-Year Discourse Network Analysis of Nursing Legislation in South Korea.","authors":"Young Gyu Kwon, Yu Jeong Ha, Daun Jeong, Mi Kyung Kim, Chan Woong Kim","doi":"10.1016/j.anr.2026.04.001","DOIUrl":"https://doi.org/10.1016/j.anr.2026.04.001","url":null,"abstract":"<p><strong>Purpose: </strong>The global significance of the nursing workforce is widely recognized; however, in physician-dominated healthcare systems, interprofessional boundary conflicts can limit nursing autonomy and hinder efforts to expand its scope of practice. This study examines discourse network dynamics around nursing legislation in South Korea over two decades, focusing on policy-actor interactions and issue diversification during periods of legislative deadlock and eventual breakthrough.</p><p><strong>Methods: </strong>We conducted a longitudinal discourse network analysis of 2,876 parliamentary speeches from the South Korean National Assembly across three periods: deadlock (2005-2006), transition (2019-2023), and breakthrough (2024). Latent Dirichlet allocation identified eight topics. Two network types were constructed: actor networks based on co-participation in meetings and issue networks based on topic similarity. Network-level metrics (density and centralization) and node-level centrality measures were calculated.</p><p><strong>Results: </strong>Actor network density increased from .545 (deadlock) to .663 (breakthrough), while centralization decreased from .050 to .012 (transition), indicating a shift from concentrated control to distributed connectivity. Betweenness centrality shifted from concentration among experts (deadlock: .545) to distribution among legislators (breakthrough: .024 for both progressive and conservative parties), indicating structural changes in brokerage patterns. Issue network density remained stable at approximately .50 across all periods, suggesting consistent discourse content despite substantial changes in interaction patterns.</p><p><strong>Conclusions: </strong>Policy breakthrough coincided with structural changes in the actor network, characterized by higher density, lower centralization, and distributed brokerage across ideological divides. These findings advance methodology through discourse network analysis of nursing legislation, offer theoretical insights into network restructuring during policy change, and provide practical guidance for healthcare workforce advocacy in contexts of professional boundary conflicts.</p>","PeriodicalId":55450,"journal":{"name":"Asian Nursing Research","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2026-04-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147678725","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":"Spatial Accessibility of Automated External Defibrillator Services in High-Density Older-Adult Areas: A Geographic Information System Analysis.","authors":"Dajung Ryu, Hyunsoo Kim, Eunjung Ryu","doi":"10.1016/j.anr.2026.03.002","DOIUrl":"https://doi.org/10.1016/j.anr.2026.03.002","url":null,"abstract":"<p><strong>Purpose: </strong>We aimed to evaluate the accessibility and equity of automated external defibrillators (AEDs) in areas with a high concentration of older adults and to propose evidence-based policy directions using geographic information systems (GIS).</p><p><strong>Methods: </strong>For the secondary analysis, multiple datasets were integrated from Korea's National Geographic Information Institute, Ministry of the Interior and Safety, Suwon Fire Department, and Suwon Southern Fire Station, including continuous digital topographic maps, demographic statistics, AED locations, road networks, and out-of-hospital cardiac arrest incidence data. The clustering and spatial heterogeneity of AED deployment were examined using kernel density estimation and spatial autocorrelation analysis. Service areas reflecting the walking speeds of older adults were delineated, and equity was assessed using the Gini coefficient. Two-step floating catchment area analysis provided supply-to-demand ratios and accessibility indices.</p><p><strong>Results: </strong>AEDs exhibited clustered patterns centered on public locations, and several areas were identified as potential service blind spots, revealing inequities at the neighborhood level. Several AED sites were insufficient for the local older-adult population, and only a subset of the areas demonstrated relatively high accessibility indices.</p><p><strong>Conclusion: </strong>As the population age structure shifts toward older age groups, AED policy criteria should be redesigned to reflect the mobility and accessibility of older adults. Implementing mixed relocation strategies that incorporate age-friendly criteria, conducting periodic policy performance evaluations, and enhancing AED visibility and tailored education that accounts for the cognitive characteristics of older adults will contribute to improving the health of older populations.</p>","PeriodicalId":55450,"journal":{"name":"Asian Nursing Research","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2026-04-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147678678","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":"Association between chemotherapy-related cognitive impairment and biomarkers in older patients with cancer: a systematic review.","authors":"Ji Yea Lee, Soomin Hong","doi":"10.1016/j.anr.2025.12.007","DOIUrl":"https://doi.org/10.1016/j.anr.2025.12.007","url":null,"abstract":"<p><strong>Purpose: </strong>Chemotherapy-related cognitive impairment (CRCI) is a prevalent and distressing issue among older adults with cancer, affecting quality of life and treatment adherence. While its mechanisms remain unclear, biomarkers have emerged as promising tools for understanding CRCI. This systematic review aimed to explore the relationships between cognitive impairment following chemotherapy and biomarkers in older patients with cancer.</p><p><strong>Methods: </strong>A comprehensive search was conducted through December 2024 across PubMed, CINAHL, Embase, PsycINFO, and the Cochrane Library. An additional hand search was performed through July 2025. The focus was on patients over 60 years old with chemotherapy-related cognitive impairment and associated biomarkers. The review adhered to PRISMA 2020 guidelines, and the methodological quality of included studies was assessed using the Joanna Briggs Institute checklist to ensure rigor and reliability.</p><p><strong>Results: </strong>Six of the initial 6,324 articles met the inclusion criteria, and seven additional studies were identified through manual searching. In total, 13 studies identified several biomarkers associated with CRCI in older patients with cancer. These included serum hemoglobin, brain-derived neurotrophic factor, percent cerebral oxyhemoglobin, functional network connectivity, and individual alpha peak frequency.</p><p><strong>Conclusions: </strong>This review highlights several biomarkers potentially associated with CRCI in older patients with cancer, though consistent and definitive biomarkers remain elusive. Further research is needed to clarify the biological mechanisms underlying CRCI and inform the development of interventions aimed at preventing cognitive decline in this vulnerable population. The identification of validated biomarkers will be critical for advancing personalized nursing and improving clinical outcomes in older adults with cancer.</p>","PeriodicalId":55450,"journal":{"name":"Asian Nursing Research","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2026-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147617151","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":"Validation and Reliability of the Korean Version of the Gaslighting at Work Questionnaire.","authors":"Heejeong Kim, Minji Gil, Daeun Kim, Yookyung Choi, Hyegyeong Seo, Suk-Sun Kim","doi":"10.1016/j.anr.2026.03.001","DOIUrl":"https://doi.org/10.1016/j.anr.2026.03.001","url":null,"abstract":"<p><strong>Purpose: </strong>This study aimed to translate the Gaslighting at Work Questionnaire (GWQ) into Korean and to evaluate the psychometric properties of the Korean version (K-GWQ) among Korean employees working under supervisors.</p><p><strong>Methods: </strong>The GWQ was translated and culturally adapted into Korean following World Health Organization's translation guidelines. Face validity was examined through pretesting with 10 employees. A convenience sample of 440 employees working under supervisors participated in this study. Construct validity was tested using exploratory factor analysis (EFA) and confirmatory factor analysis (CFA), with convergent validity assessed. Internal consistency reliability was evaluated.</p><p><strong>Results: </strong>EFA revealed a single-factor structure for the 12-item K-GWQ, representing \"workplace gaslighting\" and accounting for 67.2% of the total variance. CFA demonstrated acceptable model fit (χ²/df = 2.32, comparative fit index = .93, Tucker-Lewis index = .92, root mean square error of approximation = .08, standardized root mean square residuals = .04). Convergent validity was supported by significant positive correlations with workplace bullying, role conflict and ambiguity, and depression. The K-GWQ showed excellent internal consistency, with a Cronbach's alpha of .97, and a McDonald's omega of .95.</p><p><strong>Conclusion: </strong>The K-GWQ was verified as a valid and reliable instrument for assessing workplace gaslighting among Korean employees working under supervisors. This instrument can be used as an assessment and research tool to identify potential gaslighting behaviors and to provide empirical evidence linking emotional manipulation to employee outcomes such as mental health, burnout, and turnover intention.</p>","PeriodicalId":55450,"journal":{"name":"Asian Nursing Research","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2026-03-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147461071","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 prediction model of the prolonged length of stay in chronic acalculous cholecystitis patients after cholecystectomy and nursing recommendations.","authors":"Ke Xu, Xiaoxia Fang, Yuhou Shen, Huimin Wang, Bingru Yang","doi":"10.1016/j.anr.2025.12.008","DOIUrl":"https://doi.org/10.1016/j.anr.2025.12.008","url":null,"abstract":"<p><strong>Purpose: </strong>This study aimed to inform a basis for nursing intervention through investigating the clinical risk factors for prolonged length of stay (PLOS) in patients with chronic acalculous cholecystitis (CAC) after cholecystectomy and constructing a predictive model.</p><p><strong>Methods: </strong>The prediction model for the PLOS in CAC patients after cholecystectomy was developed using a retrospective research design. Data were extracted from Medical Information Mart for Intensive Care IV (MIMIC-IV). Logistic regression was used to explore the influencing factors of PLOS using the interpolated data. A variety of statistical methods, such as receiver operating characteristic (ROC) analysis, decision curve analysis (DCA) analysis, 5-fold cross-validation method, and SHapley Additive exPlanations (SHAP), were conducted to assess, validate, and interpret the nomogram model.</p><p><strong>Results: </strong>The study included 204 CAC patients who underwent cholecystectomy. The average age was 60.23 ± 14.30 years, with 65.2% experiencing a PLOS. Multivariable logistic regression analysis showed that age (OR=1.04, 95%CI: 1.01-1.08), calcium (OR= 0.48, 95%CI: 0.24-0.93), ciprofloxacin (OR= 3.08, 95%CI: 1.14-9.91), fentanyl (OR= 4.08, 95%CI: 1.36-14.53), and mild liver disease (MLD) (OR= 0.30, 95%CI: 0.11-0.76) may be the influencing factors for PLOS. The nomogram model based on the five variables demonstrated moderate discrimination capacity according to ROC and DCA analyses. The ROC results based on the 5-fold cross-validation method revealed that the average AUC was .75 (.67-.83) in the training set, .71 (.54-.88) in the validation set, and .72 (.53-.90) in the test set. SHAP analysis identified age as the most influential factor, followed by calcium, fentanyl, ciprofloxacin, and MLD.</p><p><strong>Conclusion: </strong>The nomogram model, based on age, calcium, fentanyl, ciprofloxacin, and MLD, demonstrated moderate discrimination capacity in predictive PLOS in CAC patients after cholecystectomy. These findings may support the identification of at-risk patients and inform early nursing interventions.</p>","PeriodicalId":55450,"journal":{"name":"Asian Nursing Research","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2026-02-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146144347","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 SCALE DEVELOPMENT STUDY: THE HUMAN PAPİLLOMA VIRUS (HPV) LİTERACY CALE.","authors":"Nihan Türkoğlu, Suna Akpinar Ay","doi":"10.1016/j.anr.2025.12.003","DOIUrl":"https://doi.org/10.1016/j.anr.2025.12.003","url":null,"abstract":"<p><strong>Purpose: </strong>This study aims to develop and validate a reliable and comprehensive scale to measure human papillomavirus (HPV) literacy, addressing its contribution to public health education and intervention strategies.</p><p><strong>Methods: </strong>This methodological and cross-sectional design research sample consisted of 407 individuals. The study data were collected via the HPV literacy scale and personal information form. In the scale's validity and reliability phase, content validity, item analyses, and exploratory and confirmatory factor analyses were performed.</p><p><strong>Results: </strong>In this study, the internal consistency reliability of the scale was found to be .97. The item-total score correlation values of the scale were between .557 and .788. The factor loading between the items varied between .544 and .798, and the total variance explained was 66.7%. As a result of EFA, a three-factor structure with an eigenvalue exceeding 1 was obtained. In the confirmatory factor analysis, it was determined that the fit indices were at an acceptable level (CMIN/DF=4.40, RMSEA= 0.072, CFI= 0.94, NFI=0.92, AGFI=0.87 and GFI=0.89).</p><p><strong>Conclusion: </strong>According to the analysis, the scale is a valid and reliable tool that can be applied to Turkish society.</p>","PeriodicalId":55450,"journal":{"name":"Asian Nursing Research","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2026-02-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146144003","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":"Early Warning Model for Gallbladder Polyps in a Nurse Population: A Retrospective Cohort Study.","authors":"Tong-Tong Fu, Shi-Qi Xiao, Chun-Ling Xia, Ling Fan","doi":"10.1016/j.anr.2026.01.003","DOIUrl":"https://doi.org/10.1016/j.anr.2026.01.003","url":null,"abstract":"<p><strong>Purpose: </strong>Gallbladder polyps pose a health concern among nurses, and early identification is essential for timely intervention and risk management. This study aimed to identify key risk factors and validate an early warning model for GBP specifically tailored to nurses using a retrospective cohort design.</p><p><strong>Methods: </strong>A cohort of 3,507 nurses was recruited from a tertiary care hospital in northern China, with 3,181 participants after exclusions. The cohort was divided into training (2,407 cases) and validation (774 cases) subsets. Logistic regression analysis of demographic, lifestyle, and biochemical factors was used to develop a prediction model for GBP. Model performance was assessed using sensitivity, specificity, ROC curves, calibration curves, and the Hosmer-Lemeshow test.</p><p><strong>Results: </strong>The prevalence of GBP increased from 1.45% in 2013 to 12.7% in 2022. Key predictors included age, gender, walking time, fried food consumption, and total bilirubin levels. The model demonstrated moderate accuracy with an area under the curve of 0.64 in the training cohort and 0.65 in the validation cohort. Sensitivity reached 60%, specificity was 64-65%, and the negative predictive rate was 92%. Internal validation using bootstrap resampling confirmed model stability.</p><p><strong>Conclusions: </strong>The early warning model for GBP among nurses demonstrated fair discriminative performance and reliable calibration, indicating potential clinical utility. The model can facilitate early intervention and strengthen occupational health management. Further research should aim to refine the model and validate it across diverse populations to enhance generalizability and accuracy.</p>","PeriodicalId":55450,"journal":{"name":"Asian Nursing Research","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2026-02-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146133612","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}