Contemporary nurse最新文献

{"title":"Manual handling and back pain among health care professionals in neurological inpatient and outpatient settings: a mixed methods study.","authors":"Kathrin Kammerhofer, Sarah Mildner, Mathilde Sengoelge, Barbara Seebacher","doi":"10.1080/10376178.2024.2445271","DOIUrl":"10.1080/10376178.2024.2445271","url":null,"abstract":"<p><strong>Background: </strong>The number of patients with neurological disorders and severe disability is increasing globally. These patients often need help with positioning and the amount of support varies with their level of impairment. High rates of work-related musculoskeletal disorders are observed among healthcare professionals (HCP) with patient contact due to injuries during manual handling. There is insufficient research on manual handling by nurses and other HCP.</p><p><strong>Objectives: </strong>The primary aim of this study was to explore manual handling strategies by HCP in neurological inpatient and outpatient settings. A secondary aim was to explore pain during and post manual handling activities.</p><p><strong>Design: </strong>A convergent parallel mixed methods design.</p><p><strong>Methods: </strong>A quantitative survey was combined with qualitative semi-structured telephone interviews of HCP. The inclusion criteria were licensed allied HCP with at least seven years of experience with neurological patients in inpatient and/or outpatient settings and expertise in manual handling. Exclusion criteria included insufficient proficiency in German and pre-existing illness prior to start of professional education. The survey data were analysed using descriptive statistics and interviews were evaluated through inductive-reflexive thematic analysis.</p><p><strong>Results: </strong>Ten nurses, 10 occupational, 12 physiotherapists participated. Survey findings showed moderate time pressure, body strain, and low back and neck pain during patient transfers. HCPs spent an average of 7.3 (± 5.5) hours per week on personal endurance and strength training. They considered transfer aids moderately important and accessible, predominantly using the transfer board. Interdisciplinary collaboration in patient transfers was reported as crucial and usually available. We identified three themes from interviews: (1) individualised manual handling; (2) facilitating active patient participation during transfers; (3) maintaining personal physical fitness.</p><p><strong>Conclusions: </strong>Neurological symptoms, patient fears, and goal setting necessitated personalised transfer strategies. Patient characteristics, lack of space and time complicated transfers, prompting HCPs to use perception-oriented techniques, leverage, gravity, and momentum.</p>","PeriodicalId":93954,"journal":{"name":"Contemporary nurse","volume":" ","pages":"111-126"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142901231","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Reducing peripheral intravenous catheter related blood stream infections: findings from a quality improvement audit of taskforce strategies.","authors":"Monique Sammut, Reem Omarit, Maureen Canning, Chelsea Cornford, Janet Monohan, Rochelle Wynne","doi":"10.1080/10376178.2025.2504083","DOIUrl":"10.1080/10376178.2025.2504083","url":null,"abstract":"<p><p><i>Background:</i> Peripheral intravenous indwelling catheters (PIVC) are the most frequently used medical device in acute care settings. Approximately 80% of patients require the insertion of at least one PIVC at some point during their hospital stay. PIVC associated bloodstream infections are preventable and account for almost 40% of all hospital acquired bloodstream related infections.<i>Methods:</i> A taskforce was convened to plan, develop and implement hospital-wide, evidence-based practice approaches, aligned with clinical care standards, to reduce the incidence of PIVC related infection. A prospective observational audit was designed to evaluate taskforce efficacy. The primary aim of the audit was to determine the effectiveness of the taskforce in reducing the incidence of PIVC-related infection.<i>Results:</i> The PIVC-related bloodstream infection rate per 10,000 occupied bed days fell below the expected benchmark from the initial implementation of taskforce strategies. In the 12 months following taskforce strategy implementation there were 7 (58.3%) months in which there were no infections reported.<i>Conclusion:</i> Successful infection prevention programs require a multitude of initiatives and processes. Transparency in governance and leadership support for implementing prevention strategies in crucial as contextual factors impact barriers and facilitators for the uptake and implementation of behaviour change initiatives.</p>","PeriodicalId":93954,"journal":{"name":"Contemporary nurse","volume":" ","pages":"320-328"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144081894","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Nurse performed bladder ultrasound: a clinical quality improvement initiative.","authors":"Sarah Jayne Liptrott, Anduena Saliquni, Letizia Giau, Rosario Pecora, Carmelo Cimino, Antonio Lo Piccolo, Antonio Palermo, Branislav Vidovic, Eveline Cheda, Sally Imhof, Angela Tolotti, Innocenzo Guastamacchia, Shaila Cavatorti","doi":"10.1080/10376178.2024.2406350","DOIUrl":"10.1080/10376178.2024.2406350","url":null,"abstract":"<p><p><i>Background</i>: Bladder ultrasound (BUS) provides an accurate measurement of post-void residual (PVR) volume and bladder assessment. Access to BUS is dependent on practitioner availability with delays resulting in poor symptom management, delayed discharge and dissatisfaction. Developing nursing practice to perform BUS can address these patient's needs.<i>Aims</i>: Through a quality improvement initiative the aims were (1) to develop theoretical knowledge and practical competence of nurses to perform BUS, (2) to evaluate nursing activity in relation to BUS, (3) to evaluate stakeholders perceptions of the initiative.<i>Methods</i>: Based on the Deming Plan-Do-Study-Act (PDSA) cycle, an interprofessional team was created and a theoretical/practical based education program was devised. Activity in relation to the nurse-performed BUS was collected and analysed descriptively. Stakeholder perceptions were evaluated via patient and physician questionnaires subject to descriptive analysis and a focus group with nurses analysed descriptively.<i>Results</i>: The team developed a training program to perform BUS, certifying 11 nurses. Investigation of nursing activity related to BUS (<i>n</i> = 202) showed its use for PVR evaluation, and symptom and catheter assessment. It aided decision-making and nurse-physician communication. Stakeholders were satisfied with the initiative. Patients (<i>n</i> = 30) felt nurses were competent, clearly explaining the procedure, results and inspiring confidence. Physicians (<i>n</i> = 2) saw BUS as enhancing efficiency and care quality, while nurses (<i>n</i> = 7) felt this new skill enhanced nursing care providing a more holistic approach. Team reflection on the results of the evaluation confirmed BUS utility and activity, while nurses requested continuing education and a post-certification refresher course.<i>Conclusion</i>: Through reflection on clinical practice areas for improvement to enhance patient care were identified by the nursing team. Application of the PDSA cycle provided a structured approach to guide the quality improvement initiative. Improvements in nursing care and patient care processes have been observed and this has been a positive experience for stakeholders.</p>","PeriodicalId":93954,"journal":{"name":"Contemporary nurse","volume":" ","pages":"270-286"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142334428","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Managing intravenous potassium infusion: a quality improvement study on clinician's beliefs and practice.","authors":"Jacqueline Colgan, Rebecca Balmer, Louise Allan, Claire McCormack, Sarah Kourouche","doi":"10.1080/10376178.2025.2469569","DOIUrl":"10.1080/10376178.2025.2469569","url":null,"abstract":"<p><strong>Background: </strong>Hypokalemia is a frequently occurring electrolyte disorder in hospital patients and is often treated with intravenous (IV) potassium replacement. In Australia, most hospital departments use IV potassium replacement therapies, which are known anecdotally to cause pain. To our knowledge, there have been no studies on Australian clinicians' practices in managing IV potassium replacement.</p><p><strong>Aims: </strong>To investigate the management of IV potassium infusions by clinical staff in a regional Local Health District in New South Wales, Australia.</p><p><strong>Methods: </strong>An interprofessional team of clinicians was formed and utilised the Plan-Do-Study-Act (PDSA) cycle. An online case-based survey was created to collect infusion management issues from clinicians' perspectives. The survey utilised a fictional case study with multiple-choice questions. It aimed to investigate clinicians' self-reported clinical practice behaviours when managing potassium infusions, which were analysed descriptively. Data from open-ended questions about managing potassium infusion pain were analysed using inductive content analysis.</p><p><strong>Results: </strong>The study found that clinicians (<i>n</i> = 177) manage IV replacement, with two-thirds reporting multiple weekly instances. Clinicians observed that patients report pain during infusions. Factors such as potassium concentration (<i>n</i> = 130), patient anxiety (<i>n</i> = 118), peripheral administration (<i>n</i> = 109) and cannula sites in the lower arm (<i>n</i> = 102) were reported as pain risk factors. Clinicians reported using various strategies to manage infusion pain, including slowing the infusion, simple pain relievers, and topical applications. Severe potassium deficiency was a barrier to managing pain. Clinicians felt the management of pain to be challenging both clinically and ethically. Survey comments also suggest that IV potassium may be overused, presenting an opportunity for future improvement.</p><p><strong>Conclusion: </strong>The PDSA cycle structured the quality improvement initiative. This research explores how clinicians manage IV potassium infusions. Our findings uncover how frequently clinicians manage pain caused by IV potassium infusions, an area that is not well-documented. Further research is needed for pain management strategies.</p>","PeriodicalId":93954,"journal":{"name":"Contemporary nurse","volume":" ","pages":"303-319"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143574383","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A cross-sectional survey of patient safety culture in an emergency medicine division.","authors":"Nicole Davies, Reem Omarit, Patrice Shelly, Lauren Davidson, Rochelle Wynne","doi":"10.1080/10376178.2025.2466477","DOIUrl":"https://doi.org/10.1080/10376178.2025.2466477","url":null,"abstract":"<p><strong>Background: </strong>In the emergency department (ED) a positive patient safety culture exhibits characteristics that include a shared understanding of the importance of safety, constructive communication, mutual trust and the ability to recognise and learn from adverse events.</p><p><strong>Methods: </strong>A cross-sectional survey of multidisciplinary staff from a major metropolitan emergency medicine and access (EMA) division was undertaken. The Australian Hospital Survey on Patient Safety Culture (Version 2.0) was distributed to all staff employed in the EMA Division; three emergency departments (ED), and six general medicine and specialty medicine inpatient wards.</p><p><strong>Results: </strong>There were 333 (29.3%) responses, and 61 surveys were excluded due to missing data for a final response rate of 24% (<i>n</i> = 272). The number of responses from staff in ED (<i>n</i> = 148, 54%) and in-patient wards (<i>n</i> = 124, 46%) was similar. The 'teamwork', 'communication openness' and 'supervisor/manager support for patient safety' subscales were highly scored. The lowest percentage positive scores were reported for items within the 'hospital management support for patient safety', 'handovers' and 'response to error' subscales.</p><p><strong>Conclusion: </strong>Teamwork and supervisor/manager support for patient safety were highly valued in this cohort. There is scope for improvement in how hospital level management supports patient safety culture.</p>","PeriodicalId":93954,"journal":{"name":"Contemporary nurse","volume":" ","pages":"1-10"},"PeriodicalIF":0.0,"publicationDate":"2025-03-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143631126","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Preoperative prediction models for postoperative delirium in cardiac surgery patients - a scoping review.","authors":"Mitti Blakoe, Dorte Baek Olsen, Marianne Wetendorff Noergaard","doi":"10.1080/10376178.2025.2473930","DOIUrl":"10.1080/10376178.2025.2473930","url":null,"abstract":"<p><strong>Background: </strong>Postoperative delirium is believed to be preventable in up to 40% of all cases. Researchers have proposed various preoperative risk prediction models for postoperative delirium in patients undergoing cardiac surgery, however, no consensus exists on which model is the most suitable.</p><p><strong>Aim: </strong>To identify and map existing preoperative risk prediction models, detecting cardiac surgery patients at elevated risk of developing postoperative delirium.</p><p><strong>Design: </strong>This scoping review considered cohort and case-control studies eligible if they developed or validated preoperative prediction models for postoperative delirium, in adult patients admitted for cardiac surgery via sternotomy.</p><p><strong>Data sources: </strong>The primary search was conducted on May 6th, 2022, and a secondary search was conducted on September 18th, 2024. We searched MEDLINE, CINAHL, Embase, and PsycINFO where 2126 references were identified and 15 were included for full-text analysis.</p><p><strong>Method: </strong>This scoping review was conducted in line with the Systematic Reviews and Meta-Analyses extension for Scoping Reviews (the PRISMA-ScR) guideline.</p><p><strong>Results: </strong>Twelve unique risk prediction models and three validation studies were included in this review, comprising between 77 and 45,744 participants. In total, 157 candidate prognostic variables were investigated of which 40 had a predictive value and thus, were included in the prediction models. The included models revealed an AUC from 0.68-0.93 in the derivation cohorts and 0.61-0.89 in the validation cohorts.</p><p><strong>Conclusions: </strong>Twelve unique prediction models and 3 validation studies were identified and mapped. Collectively, the models demonstrated an AUC ranging from 0.61-0.93, indicating a fair to good discrimination performance.</p><p><strong>Protocol registration: </strong>A protocol is registered at Open Science Framework (OSF) https://osf.io/wr93y/?view_only=d129c3bb6be04357bac35c2c41ba2a40.</p>","PeriodicalId":93954,"journal":{"name":"Contemporary nurse","volume":" ","pages":"1-19"},"PeriodicalIF":0.0,"publicationDate":"2025-03-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143588575","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A descriptive cross-sectional online survey of nursing and midwifery students and graduates' readiness to provide unplanned pregnancy and abortion care.","authors":"Jemma King, Joyce Cappiello, Lydia Mainey, Judith Dean, Mary-Claire Balnaves, Lisa Peberdy, Ann Peacock, Sandra Downing","doi":"10.1080/10376178.2024.2432626","DOIUrl":"10.1080/10376178.2024.2432626","url":null,"abstract":"<p><strong>Background: </strong>Our understanding of how nursing and midwifery students in Australia are prepared to support people in unintended pregnancy prevention and care is currently limited.</p><p><strong>Objective: </strong>This study examined Australian nursing and midwifery students and recent graduates' perspectives on their preparation and confidence in providing unintended pregnancy prevention and care.</p><p><strong>Methods: </strong>A descriptive, cross-sectional online survey of nursing and midwifery students and graduates was undertaken. An invitation email with information sheet and link to the survey was sent to heads of departments at Australian universities for distribution to nursing and midwifery students. Social media platforms of professional organisations were used to promote the study to nurses and midwives within two years of graduation. The survey instrument was based on US educational competencies for unintended pregnancy prevention and care, adapted for the Australian context.</p><p><strong>Results: </strong>Participants (<i>N</i> = 109) from 14 institutions completed the survey. The majority of (92%) expressed that nursing and midwifery graduates should possess unintended pregnancy prevention and care knowledge and skills. Five competencies, out of 29, were identified as taught as core curriculum by 50% or more of participants; reproductive anatomy and physiology (72%); effective communication skills encompassing culture, sexual orientation, and gender identity (58%), understanding how contraceptives work (54%), obtaining a sexual/reproductive history (53%), and identifying preconception health risks (50%). Students felt well prepared to provide independent care related to pregnancy testing (44%), pregnancy prevention (26%), sexual history taking (23%), ethical/legal considerations around abortion (9%), options counseling/referral (5%), and pre/post-abortion care (5%).</p><p><strong>Conclusion: </strong>With the decriminalization of abortion care, the Australian nursing and midwifery workforce must prepare students to care for people in all aspects of pregnancy prevention, early pregnancy decision-making, and abortion services. Our data show students are interested in this preparation but the entry-to-practice curricula has not yet been standardized to enable this.</p>","PeriodicalId":93954,"journal":{"name":"Contemporary nurse","volume":" ","pages":"33-47"},"PeriodicalIF":0.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142735336","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Cultivating cultural empathy among diabetes educators: A pre-post evaluation of a digital story intervention.","authors":"Shanshan Lin, Wenbo Peng, Grace Ward, Ashley H Ng, Tracy Levett-Jones","doi":"10.1080/10376178.2024.2448167","DOIUrl":"10.1080/10376178.2024.2448167","url":null,"abstract":"<p><p><i>Background:</i> Indigenous Australians are disproportionately affected by diabetes, with a diagnosis rate nearly four times higher than people from a non-Indigenous background. This health disparity highlights the urgent need for healthcare providers to develop cultural empathy - a critical competency for delivering culturally safe and person-centered care. Cultural empathy is essential for building trust and effective communication in diabetes education and management within Indigenous people. However, there is a significant gap in targeted interventions to enhance this skill among healthcare providers.<i>Aims:</i> The aim of this study was to evaluate the effectiveness of a digital storytelling intervention for enhancing cultural empathy levels of postgraduate diabetes education students.<i>Design:</i> This study has a pre-post survey design to measure changes in participants' cultural empathy levels after exposure to a digital story.<i>Methods:</i> Students enrolled in a postgraduate diabetes education course at an Australian university were eligible to participate. The intervention included a first-person digital story about an Indigenous man with type 2 diabetes, accompanied by group-based discussions and self-reflection. The Comprehensive State Empathy Scale was utilised to assess empathy levels.<i>Results:</i> A total of 98 students completed both pre- and post-intervention surveys. There was a statistically significant increase in mean Comprehensive State Empathy Scale scores post-intervention (<i>p</i> < 0.001), indicating higher empathy levels. Improvements were observed across all six Comprehensive State Empathy Scale subscales, suggesting a multidimensional impact of the intervention.<i>Conclusions:</i> The digital story intervention significantly enhanced the cultural empathy levels of postgraduate diabetes education students. This study contributes to the evidence base for narrative-based pedagogies in cultivating empathy among healthcare providers. The findings highlight the potential of digital storytelling as a tool for improving cultural competency in healthcare education and practice, ultimately contributing to more empathic care for Indigenous people with diabetes.</p>","PeriodicalId":93954,"journal":{"name":"Contemporary nurse","volume":" ","pages":"48-57"},"PeriodicalIF":0.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142960278","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Special Issue: Digital Health: Enhancing Quality & Safety of Patient Care.","authors":"","doi":"10.1080/10376178.2025.2454065","DOIUrl":"https://doi.org/10.1080/10376178.2025.2454065","url":null,"abstract":"","PeriodicalId":93954,"journal":{"name":"Contemporary nurse","volume":"61 1","pages":"9"},"PeriodicalIF":0.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143054601","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The professional quality of life of flight nurses: a cross-sectional study.","authors":"Charmaine le Roux, Anuradha Perera, Julia Anne Myers","doi":"10.1080/10376178.2024.2424786","DOIUrl":"10.1080/10376178.2024.2424786","url":null,"abstract":"<p><p><i>Background</i>: The role of a Flight Nurse is specialised; they must have both education and experience to fulfil the requirements of the role. Mastering these skills takes time, thus long-term retention is essential. When nurses experience their work as more fulfilling, they are more inclined to remain within a role for an extended period. One of the ways to determine the lived experience of nurses is to measure their Professional Quality of Life. This is the first study to look at the Professional Quality of Life of Flight Nurses who work in public sector Aeromedical Retrieval Services in New Zealand.<i>Aims</i>: The aim of this study was to determine the Professional Quality of Life of Flight Nurses working in the public sector in New Zealand.<i>Design</i>: A survey based cross-sectional design was employed, using the Professional Quality of Life (ProQOL) V Health survey tool.<i>Methods</i>: Online survey data was collected from a convenience sample of 169 Flight Nurses working in public sector Aeromedical Retrieval services in New Zealand.<i>Results</i>: Of the 88 respondents, all reported either high or average levels of Compassion Satisfaction (High 48.86%, Average 51.13%) and Perceived support (High 44.31%, Average 55.68%). The majority reported Low to Average scores for Secondary Traumatic Stress (Low 30.68%, Average 67.04% and High 2.27%), Burnout (Low 4.54%, Average 89.77% and High 5.68%) and Moral Distress (Low 23.86% and Average 76.13%).<i>Conclusion</i>: This study highlights that Flight Nurses in New Zealand's public sector generally experience a positive Professional Quality of Life, but that there are also instances of Burnout and Secondary Traumatic stress.</p>","PeriodicalId":93954,"journal":{"name":"Contemporary nurse","volume":" ","pages":"10-20"},"PeriodicalIF":0.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142633519","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}