Asian Nursing Research最新文献

{"title":"Latent Class Analysis of Depression-fatigue-pain Interference Symptoms and Associated Demographic Factors by Sex in Chinese Patients With Stroke: A Cross-sectional Study","authors":"Yanjin Huang ,&nbsp;Zhiqing He ,&nbsp;Weikun Zhang ,&nbsp;Yuqian Liu ,&nbsp;Wen Zeng ,&nbsp;Rong Chen ,&nbsp;Changrong Yuan","doi":"10.1016/j.anr.2025.05.006","DOIUrl":"10.1016/j.anr.2025.05.006","url":null,"abstract":"<div><h3>Purpose</h3><div>Patients with stroke often experience a series of symptoms during treatment and rehabilitation, which may present various characteristics in different subgroups. The aims of this study were to explore the characteristics of latent class groups of depression, fatigue, and pain in patients of different sexes with stroke and to determine the influence of demographic characteristics on different latent class groups by sex.</div></div><div><h3>Methods</h3><div>The data of 501 patients with stroke were collected from two tertiary hospitals using convenience sampling between March 2022 and September 2022. The three-domain short forms of Patient-Reported Outcome Measurement Information System were measured. Two homogenous classes were identified in the men and women groups using the latent class analysis method. Multivariable logistic regression analyses were used to examine the relationships of latent classes with demographic data by sex.</div></div><div><h3>Results</h3><div>For the 501 patients studied, the latent class analysis model that fit with the two latent classes was statistically significant for both men and women. In the men group, Class 1 comprised 38.8% of the population, while Class 2 made up the remaining 61.2%. The probability of membership was 52.2% and 47.8% for Class 1 and Class 2 in the women, respectively. Women had more severe symptom characteristics and had more demographically impacted parameters than men. The factors that influenced male and female patients differed, with household monthly income having the same influence in both groups.</div></div><div><h3>Conclusion</h3><div>This study found that the latent classes of patients with stroke were highly heterogeneous, with women having more severe symptom characteristics and demographic differences.</div></div>","PeriodicalId":55450,"journal":{"name":"Asian Nursing Research","volume":"19 4","pages":"Pages 364-370"},"PeriodicalIF":2.3,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144512795","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":"Patients’ Experiences of Sexual Discomfort in South Korean Healthcare Setting: A Hermeneutic Phenomenological Study","authors":"Yegyu Lee ,&nbsp;Soo Yeon Lim ,&nbsp;Sihyun Park","doi":"10.1016/j.anr.2025.05.010","DOIUrl":"10.1016/j.anr.2025.05.010","url":null,"abstract":"<div><h3>Purpose</h3><div>Body exposure and physical touch are common components of healthcare procedures. Although they can be essential for ensuring proper care, these practices often evoke negative emotions such as shame, embarrassment, and humiliation among patients. These experiences can further lead to psychological harm, including trauma, preventing patients from seeking follow-up care. Given that these negative encounters vary by the sociocultural and clinical contexts, this study explored patients’ experiences of such “sexual discomfort” in the South Korean healthcare setting.</div></div><div><h3>Methods</h3><div>Eighteen participants who reported experiencing sexual discomfort during healthcare encounters were enrolled. In-depth interviews were conducted with each participant. All the interviews were audiorecorded, transcribed, and analyzed using van Manen's hermeneutic phenomenological approach.</div></div><div><h3>Results</h3><div>Five themes emerged, reflecting the universal themes of human existentials suggested by van Manen: suffering from nakedness and modesty violations (vulnerable bodies); navigating uncertainty and trauma (confusing times); being powerless and subordinate (power imbalance); challenging the addressing of my discomfort (isolating spaces); and ensuring control, boundaries, and respect (preserving myself). Hermeneutic phenomenological writing on patients’ experiences of sexual discomfort was provided based on these five themes to comprehensively reinterpret the phenomena.</div></div><div><h3>Conclusion</h3><div>The healthcare setting in South Korea, which prioritizes efficiency, often leads to unnecessary sexual shame and discomfort for patients. This can be exacerbated by the perceived power inequalities within the provider–patient relationship, intensifying feelings of vulnerability. Nurses’ essential roles in mitigating these negative encounters are frequently overlooked under the guise of maintaining efficiency. The findings of this study offer several implications, emphasizing the need for changes to provider education to enhance patient-centered care.</div></div>","PeriodicalId":55450,"journal":{"name":"Asian Nursing Research","volume":"19 4","pages":"Pages 389-396"},"PeriodicalIF":2.3,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144227712","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 Influencing Nurses' Intention to Report Adverse Nursing Events in a Tertiary Hospital Using a Random Forest Model","authors":"Yuxuan Chen ,&nbsp;Wanhong Ding ,&nbsp;Jianming Xu ,&nbsp;Qi Zhang ,&nbsp;Wei Qin","doi":"10.1016/j.anr.2025.05.005","DOIUrl":"10.1016/j.anr.2025.05.005","url":null,"abstract":"<div><h3>Purpose</h3><div>The goal of this study was to explore the current status and influencing factors of nurses' intention to report adverse nursing events, using a random forest model to rank and select these factors.</div></div><div><h3>Methods</h3><div>In August 2024, a survey was conducted among nurses at a tertiary hospital in Shanghai using a convenience sampling method. The instruments included the General Information Questionnaire, the Intention to Report Questionnaire, the Reporting of Clinical Adverse Effects Scale (RoCAES), and the Reporting Barrier Questionnaire. A random forest model and stepwise multiple linear regression were used to analyze the factors influencing nurses' intention to report nursing adverse events.</div></div><div><h3>Results</h3><div>The median total score for the intention to report adverse events among 823 nurses was 14 (range: 0 to 15). Lasso regression identified eight key factors influencing the intention to report adverse events: professional title, whether the nurse had reported adverse events, age, punitive culture, reporting process, reporting significance, reporting purpose, and reporting environment. Stepwise regression analysis revealed that younger nurses, those with no prior reporting experience, and those who perceived reporting as important had a higher intention to report adverse events. Additionally, nurses were more likely to report adverse events when the hospital's reporting process was simpler and the culture was less punitive.</div></div><div><h3>Conclusions</h3><div>Nurses' intention to report adverse events in nursing is moderate. Nursing managers should consider these influencing factors holistically and implement targeted measures to enhance nurses' intention to report, thereby improving nursing quality and patient safety.</div></div>","PeriodicalId":55450,"journal":{"name":"Asian Nursing Research","volume":"19 4","pages":"Pages 347-353"},"PeriodicalIF":2.3,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144509547","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":"Cross-cultural Adaptation and Validation of the Chinese Version of Atrial Fibrillation Information Overload Scale","authors":"Qing Wu ,&nbsp;Songyu Gao ,&nbsp;Fengwei Dong ,&nbsp;Jing Shang ,&nbsp;Lin Wang","doi":"10.1016/j.anr.2025.06.001","DOIUrl":"10.1016/j.anr.2025.06.001","url":null,"abstract":"<div><h3>Purpose</h3><div>Patients with atrial fibrillation (AF) experience information overload during self-management and engagement in health care. The Atrial Fibrillation Information Overload Scale (AFIOS) has been validated and used to assess information overload in Australian AF population. However, a validated Chinese version of AFIOS is not available. The aim of this study was to translate the 8-item and modified 5-item AFIOSs from English into Chinese and test their psychometric properties.</div></div><div><h3>Methods</h3><div>Translation and cross-cultural adaption were conducted according to international guidelines. The translated scales were administered to 362 patients with AF from May 2022 to March 2023. Psychometric evaluation included item analysis, content validity, construct validity, and reliability.</div></div><div><h3>Results</h3><div>All items had item-total correlation coefficient over .30 and were significantly different between high-scoring and low-scoring groups. Exploratory factor analysis revealed that both versions were one-factor structure, explaining 52.1% and 52.7% of the total variance. Confirmatory factor analysis indicated that the one-factor model fit the data well in both versions. The scale level-content validity index, Cronbach α, and test–retest reliability of the 8-item scale were .96, .87, and .97, respectively; those of the 5-item scale were .97, .75, and .95, respectively.</div></div><div><h3>Conclusion</h3><div>Chinese versions of both the scales exhibit good psychometric properties. Healthcare professionals could utilize the 5-item version scale to assess AF patients’ information overload and develop targeted strategies to mitigate its negative impact on self-management and engagement.</div></div>","PeriodicalId":55450,"journal":{"name":"Asian Nursing Research","volume":"19 4","pages":"Pages 397-402"},"PeriodicalIF":2.3,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144303696","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":"Identification of Symptom Trajectories in Children With Hematological Malignancies Along the Chemotherapy Cycle: A Growth Mixture Model","authors":"Zhuting Zheng ,&nbsp;Danyu Li ,&nbsp;Changrong Yuan ,&nbsp;Jingting Wang ,&nbsp;Yingwen Wang ,&nbsp;Ling Yu ,&nbsp;Haiying Huang ,&nbsp;Yanqing Wang ,&nbsp;Wen Zhang","doi":"10.1016/j.anr.2025.05.003","DOIUrl":"10.1016/j.anr.2025.05.003","url":null,"abstract":"<div><h3>Purpose</h3><div>To evaluate the longitudinal trajectories of chemotherapy-related symptoms over the first cycle of chemotherapy in a group of children with hematological malignancies at four time points and to identify the sociodemographic or disease characteristics of different trajectories.</div></div><div><h3>Methods</h3><div>The multicenter sample comprised 120 pairs of chemotherapy-treated children and their caregivers. We collected data on seven symptoms. A growth mixture model was used to identify symptom trajectories. Logistic regression analysis was used to compare the sociodemographic and clinical variables of the individuals during each trajectory.</div></div><div><h3>Results</h3><div>Three mobility trajectories, two anxiety trajectories, three depressive symptoms trajectories, three fatigue trajectories, two peer relationship trajectories, three pain interference trajectories, and three pain intensity trajectories were identified, respectively. Moreover, children's age, sex, white blood cell (WBC) index, and caregiver's educational background differentially influenced the symptom trajectories.</div></div><div><h3>Conclusion</h3><div>This study identified important symptom trajectories in children with hematological malignancies. More stable variables have been associated with trajectories, and future preventive interventions should promote adaptive coping strategies.</div></div>","PeriodicalId":55450,"journal":{"name":"Asian Nursing Research","volume":"19 4","pages":"Pages 331-338"},"PeriodicalIF":2.3,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144512794","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 Effect of Progressive Relaxation Exercises on Pain and Bowel Movements in Patients Undergoing Laparoscopic Cholecystectomy: A Randomized Controlled Trial","authors":"Şuheda Zorer Yılmaz ,&nbsp;Dilek Gürçayır PhD","doi":"10.1016/j.anr.2025.08.004","DOIUrl":"10.1016/j.anr.2025.08.004","url":null,"abstract":"<div><h3>Purpose</h3><div>Postoperative pain and decreased bowel movements are common complications following laparoscopic cholecystectomy. This study aimed to investigate the effect of progressive relaxation exercises on pain and bowel movements after this procedure.</div></div><div><h3>Methods</h3><div>The data of the randomized controlled experimental study were collected between January and April 2024 in the general surgery clinic of a university hospital. The study sample consisted of 80 patients (40 experimental and 40 control) selected by simple randomization who met the research criteria. Patients in the experimental group underwent progressive relaxation exercises at the fourth and sixth hours after surgery. The Descriptive Information Form, Visual Analog Scale Pain Form, and Bowel Movement Monitoring Form were used to collect the data. Data were analyzed using Chi-square tests, independent-samples t-tests, the Mann–Whitney U test, generalized estimating equations, and Pearson correlation analysis.</div></div><div><h3>Results</h3><div>The mean pain scores of the patients in the experimental group after the first application, before the second application, and after the second application were statistically significantly lower than those of the patients in the control group (<em>p</em> &lt; .05). The generalized estimating equations analysis revealed a statistically significant increase in the effect of progressive relaxation exercises on pain reduction over time (<em>p</em> &lt; .05). The time of the first bowel sounds, first flatus, and first defecation were statistically and significantly earlier in the experimental group than in the control group (<em>p</em> &lt; .05).</div></div><div><h3>Conclusion</h3><div>Progressive relaxation exercises decreased postoperative pain and shortened the time to the first bowel movements, the first flatus, and the first defecation in patients undergoing laparoscopic cholecystectomy.</div></div><div><h3>Clinical trial registration number</h3><div>Clinical Trials Registration Number is NCT05969509. This study was registered on 07 December 2023.</div></div>","PeriodicalId":55450,"journal":{"name":"Asian Nursing Research","volume":"19 4","pages":"Pages 410-416"},"PeriodicalIF":2.3,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145103219","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":"Categories of Characteristics of Nurses' Meaning in Life and its Relationship With Gratitude: A Cross-sectional Study","authors":"Tingting Wang ,&nbsp;Xia Chen ,&nbsp;Shanbing Hou ,&nbsp;Lixiang Zhang ,&nbsp;Fangfang Zhao ,&nbsp;Jing Chen","doi":"10.1016/j.anr.2025.03.011","DOIUrl":"10.1016/j.anr.2025.03.011","url":null,"abstract":"<div><h3>Purpose</h3><div>To explore the potential category characteristics of nurses' sense of meaning in life, and analyze the influencing factors of different categories and their relationship with gratitude.</div></div><div><h3>Methods</h3><div>A total of 2023 nurses from 6 hospitals in Anhui Province of China were investigated by the Meaning in Life Scale and Gratitude Questionnaire, and analyzed statistically by potential profile analysis, univariate analysis, and multiple logistic regression analysis.</div></div><div><h3>Results</h3><div>The potential categories of nurses' meaning in life could be divided into the moderate seeking-low presence of meaning in life group (18.9 %), high seeking-moderate presence of meaning in life group (71.3 %), and low seeking-high presence of meaning in life group (9.7 %). Influencing factors included marital status, history of psychological illness, and gratitude (<em>p</em> &lt; .05).</div></div><div><h3>Conclusion</h3><div>Nurses' meaning in life is at a medium to high level, with distinct classification characteristics. Nursing managers should pay special attention to nurses in specific situations, providing more opportunities for them to seek meaning in life. Additionally, they should promote gratitude and explore strategies that integrate gratitude into clinical practice.</div></div>","PeriodicalId":55450,"journal":{"name":"Asian Nursing Research","volume":"19 4","pages":"Pages 403-409"},"PeriodicalIF":2.3,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144250995","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":"Effect of Continuous Nursing Care on Social Function and Medication Compliance of Female Patients With Schizophrenia","authors":"Min Gao ,&nbsp;Ke Xu ,&nbsp;Shiyang Wang ,&nbsp;Cuifeng Yang ,&nbsp;Guifang Ru ,&nbsp;Liying Chen ,&nbsp;Gaofeng Yao ,&nbsp;Chuanbing Li ,&nbsp;Yumei Cai","doi":"10.1016/j.anr.2025.05.002","DOIUrl":"10.1016/j.anr.2025.05.002","url":null,"abstract":"<div><h3>Purpose</h3><div>Continuity of care is considered to be a critical indicator of quality of care and a key to effective management of schizophrenia. Current studies are generally represented by data on male patients. This study examines the effects of continuity of care on social functioning, medication adherence, and readmission rates in female schizophrenic patients.</div></div><div><h3>Methods</h3><div>A total of 50 women patients with schizophrenia discharged from a ward of a psychiatric hospital in Fuyang, Anhui province were selected and randomly divided into 2 groups. This is a randomized controlled trial. Patients in the intervention group were given discharge routine care, education on medication-taking methods and precautions, monthly telephone follow-up visits and reminders for outpatient review, followed by continuous nursing. Patients in the control group were given conventional care. The registration number of this study is ChiCTR2400089061.</div></div><div><h3>Results</h3><div>When comparing the two groups at different time points, except for the preintervention score which was not statistically significant between the two groups, the total social functioning score of the intervention group was higher than that of the control group at all other time points, and the difference was statistically significant. The effect of intervention factors on medication adherence scores was statistically significant when compared at different time points, and the medication adherence scores of the intervention group were higher than those of the control group at all time points, with statistically significant differences.</div></div><div><h3>Conclusion</h3><div>We found that patients who received extended care had significantly improved social functioning and higher medication adherence than patients who received usual care at various time points.</div></div>","PeriodicalId":55450,"journal":{"name":"Asian Nursing Research","volume":"19 4","pages":"Pages 325-330"},"PeriodicalIF":2.3,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144477972","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":"Development and Evaluation of a Prenatal Education Course for Grandparents in Japan: A Quasi-experimental Study","authors":"Akemi Isoyama","doi":"10.1016/j.anr.2025.05.001","DOIUrl":"10.1016/j.anr.2025.05.001","url":null,"abstract":"<div><h3>Purpose</h3><div>To develop and evaluate a prenatal education course that encourages grandparents to fulfill their role in caring for a new grandchild in a balanced and healthy manner.</div></div><div><h3>Methods</h3><div>A quasi-experimental study design was used. The Analyze, Design, Develop, Implement, and Evaluate (ADDIE) model was used as the methodological framework for the prenatal education course. The course was self-paced and comprised three videos. To supplement the video materials, the same content was provided in a textual form as well. The cognitive and affective domains of the grandparents’ role performance were measured before and after the course using a self-administered questionnaire.</div></div><div><h3>Results</h3><div>One hundred soon-to-be grandparents were included in the analysis. The post-intervention mean scores in the cognitive domain were higher for all items including: “I know the current situation of grandparenting” (<em>p</em> &lt; .001), “I know the impact of grandparenting on grandparents’ health” (<em>p</em> &lt; .001), and “I know how to provide emotional support to mothers” (<em>p</em> &lt; .001). In the affective domain, postintervention mean scores were significantly higher for 11 items including, “I want to help raise my grandchildren when they are born” (<em>p</em> &lt; .003), “Grandparenting makes my own life more enjoyable” (<em>p</em> &lt; .004), “I'm looking forward to raising my grandchildren” (<em>p</em> &lt; .002), and “I would like to assist with household chores when my grandchildren are born” (<em>p</em> &lt; .002).</div></div><div><h3>Conclusions</h3><div>From a nursing perspective, there has been a lack of prenatal education that considers grandparents as participants in childcare. The prenatal education course helped soon-to-be grandparents understand how they could approach grandparenting and demonstrated the usefulness of increasing awareness about the role of grandparents in the family.</div></div>","PeriodicalId":55450,"journal":{"name":"Asian Nursing Research","volume":"19 3","pages":"Pages 256-263"},"PeriodicalIF":2.3,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144133222","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":"Serial Multiple Mediation of Depressive Symptoms, Thwarted Belongingness, and Perceived Burdensomeness in the Relationship Between Personality Traits and Suicidal Ideation Among Nursing Students: A Cross-sectional Questionnaire Survey","authors":"Liping Ren ,&nbsp;Sukhee Ahn","doi":"10.1016/j.anr.2025.03.005","DOIUrl":"10.1016/j.anr.2025.03.005","url":null,"abstract":"<div><h3>Purpose</h3><div>Suicide is a global public health concern, significantly affecting young adults across the world. Studies have shown that nursing students exhibit a higher propensity for suicidal ideation in comparison to students from other academic disciplines. Personality traits have been recognized as a significant and comparatively consistent risk factor for suicidal ideation. However, the specific pathways through which personality traits influence suicidal ideation are not yet fully understood. Based on the Interpersonal-Psychological Theory of Suicide, this study aimed to examine the serial mediation effects of depressive symptoms, thwarted belongingness, and perceived burdensomeness in the relationship between the Big Five personality traits and suicidal ideation among nursing students.</div></div><div><h3>Methods</h3><div>A descriptive cross-sectional survey was conducted. A sample of 435 nursing students participated in the online survey. Participants completed Chinese versions of questionnaires of the Suicidal Behaviors Questionnaire-Revised, Big Five Personality Inventory-15, Patient Health Questionnaire-9, and Interpersonal Needs Questionnaire. SPSS version 27.0 and the PROCESS 4.3 macro model 6 were used for statistical analyses.</div></div><div><h3>Results</h3><div>The prevalence of suicidal ideation among nursing students was 17.5%. Neuroticism (β = 0.26, <em>p</em> &lt; .001), conscientiousness (β = -0.10, <em>p</em> = .001), agreeableness (β = -0.14, <em>p</em> &lt; .001), openness (β = -0.11, <em>p</em> &lt; .001), and extraversion (β = -0.19, <em>p</em> &lt; .001) had a statistically significant total effect on suicidal ideation. Furthermore, significant indirect effects were found between Big Five personality traits and suicidal ideation, serially mediated by depressive symptoms, thwarted belongingness, and perceived burdensomeness.</div></div><div><h3>Conclusions</h3><div>The findings indicate that nursing students exhibit high levels of suicidal ideation, which are influenced by their Big Five personality traits. This relationship appears to be serially mediated by depressive symptoms, thwarted belongingness, and perceived burdensomeness, aligning with the Interpersonal-Psychological Theory of Suicide. Therefore, interventions focused on reducing depressive symptoms in nursing students with vulnerable personality traits may help mitigate feelings of thwarted belongingness and perceived burdensomeness, ultimately reducing suicidal ideation.</div></div>","PeriodicalId":55450,"journal":{"name":"Asian Nursing Research","volume":"19 3","pages":"Pages 247-255"},"PeriodicalIF":2.3,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144128407","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}