The journal of nursing research : JNR最新文献

{"title":"A Systematic Review and Meta-Analysis of the Effect of Gamified Clinical Skill Learning on Learning Outcomes in Undergraduate Nursing Education.","authors":"Wen-Ling Chen, Siriluk Winitchayothin, Chun-Hung Cheng, Santo Imanuel Tonapa, Fan-Hao Chou, Peta-Anne Zimmerman","doi":"10.1097/jnr.0000000000000772","DOIUrl":"10.1097/jnr.0000000000000772","url":null,"abstract":"<p><strong>Background: </strong>Nursing education requires innovative approaches to develop core competencies in knowledge, skills, and attitudes. Gamified learning interventions offer promising alternatives to traditional teaching methods for enhancing outcomes in undergraduate nursing education.</p><p><strong>Purpose: </strong>This systematic review and meta-analysis was conducted to evaluate the effectiveness of gamified learning interventions on knowledge acquisition, skill performance, and attitude enhancement among undergraduate nursing students and to investigate the differences in effects achieved across different gamification categories.</p><p><strong>Methods: </strong>Following PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-analyses) guidelines, a comprehensive search was conducted across six databases (A+ Education, CINAHL, Embase, ERIC, PubMed, and Web of Science) on March 18, 2025. This search targeted randomized controlled trials designed to compare gamified learning with traditional teaching methods in undergraduate nursing education. Study quality was assessed using the Cochrane Risk of Bias 2.0 tool, and evidence certainty was evaluated using the GRADE (Grading of Recommendations Assessment, Development, and Evaluation) methodology.</p><p><strong>Results: </strong>The findings of randomized controlled trials involving a total of 1,698 participants demonstrated significantly positive effects favoring gamified learning across all key domains, including knowledge acquisition (standardized mean difference [SMD]=0.81, 95% CI [0.55, 1.07]), skill performance (SMD=1.64, 95% CI [0.96, 2.32]), and attitude enhancement (SMD=0.54, 95% CI [0.07, 1.00]). The subgroup analysis revealed differential effectiveness across gamification categories, with serious games demonstrating large and consistent effects on knowledge acquisition (SMD=0.84, 95% CI [0.43, 1.25], I2=61%), while gamified web and mobile learning interventions showed moderate effects with greater variability (SMD=0.55, 95% CI [0.23, 0.87], I2=70%). Skill performance exhibited the largest overall effect sizes, although substantial heterogeneity was observed across all outcome domains (I2=82-95%). The results of the GRADE assessment support moderate-certainty evidence for all learning outcomes.</p><p><strong>Conclusions: </strong>The results of this systematic review and meta-analysis provide robust evidence that gamified learning interventions significantly enhance undergraduate nursing education across the knowledge, skills, and attitudes domains. Serious games demonstrated superior consistency for knowledge acquisition, while the strongest overall effects were identified for skill performance. The substantial heterogeneity observed underscores the critical importance of selecting appropriate gamification approaches based on specific educational objectives, institutional technological capabilities, and implementation contexts. These findings support the strategic ","PeriodicalId":94242,"journal":{"name":"The journal of nursing research : JNR","volume":"34 5","pages":"e484"},"PeriodicalIF":0.0,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13608266/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149032424","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Development and Psychometric Evaluation of the Physio-Cognitive Decline Syndrome Instrument for Community-Dwelling Middle-Aged and Older Adults.","authors":"Fang-Wen Hu, Kah Ying Yap, Pei-Lun Hsieh","doi":"10.1097/jnr.0000000000000763","DOIUrl":"https://doi.org/10.1097/jnr.0000000000000763","url":null,"abstract":"<p><strong>Background: </strong>Physio-cognitive decline syndrome, involving the simultaneous deterioration of physical and cognitive functions, poses a significant threat to healthy aging. The World Health Organization's Integrated Care for Older People (ICOPE) framework emphasizes the importance of integrated, person-centered care in maintaining intrinsic capacity, making it important to understand physio-cognitive decline syndrome. However, there is a lack of validated instruments designed to assess this multidimensional condition from the perspective of older adults.</p><p><strong>Purpose: </strong>In this study, the physio-cognitive decline syndrome instrument (PCDSI) was developed and its measurement properties were evaluated psychometrically.</p><p><strong>Methods: </strong>The PCDSI, developed based on the ICOPE framework and qualitative findings, includes demographic items and a 63-item questionnaire comprising five subscales representing the key dimensions of physio-cognitive decline and adaptation. Six hundred community-dwelling adults aged older than or equal to 50 in Taiwan participated in the psychometric evaluation, which included assessments of internal consistency, construct validity, concurrent validity, and known-group validity using exploratory factor analysis (EFA) and confirmatory factor analysis (CFA). In addition, model fit was assessed using multiple indices.</p><p><strong>Results: </strong>The results of the EFA identified eight factors across five subscales, reflecting perceived physical and cognitive decline, emotional/social impact, and positive adaptation strategies. CFA supported the factor structure with acceptable fit indices, and internal consistency was high (ω=0.870-0.945). Although most subscales showed significant correlations with one another and with the ICOPE measures, the adaptive subscales demonstrated conceptual independence from decline perceptions. Known-group validity was demonstrated across sex, chronic disease status, educational level, and self-rated health, indicating the instrument is adequately sensitive to clinically relevant differences.</p><p><strong>Conclusions: </strong>The PCDSI demonstrated strong psychometric properties and effectively captures subjective and multidimensional aspects of physio-cognitive decline. It offers a practical tool for early identification and prevention, supporting healthy aging through community-based screening and personalized care planning.</p>","PeriodicalId":94242,"journal":{"name":"The journal of nursing research : JNR","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2026-08-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148703352","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":"Effects of Motivational Interview-Based Cognitive Therapy in Patients With Schizophrenia: A Multicenter Randomized Controlled Trial.","authors":"Yan-Liang Chen, Chieh-Yu Liu, Chiu-Yueh Yang","doi":"10.1097/jnr.0000000000000761","DOIUrl":"10.1097/jnr.0000000000000761","url":null,"abstract":"<p><strong>Background: </strong>Nonadherence to treatment increases relapse and rehospitalization risks and diminishes quality of life in patients with schizophrenia spectrum disorder.</p><p><strong>Purpose: </strong>This study was developed to explore the effect of motivational interview-based cognitive therapy (MIBCT) on medication adherence, insight into illness, and psychotic symptom severity in patients with schizophrenia spectrum disorder.</p><p><strong>Methods: </strong>A single-blind, multicenter randomized controlled trial was conducted on 120 participants recruited from outpatient departments and acute psychiatric wards in northern Taiwan. The participants were randomly assigned to either the experimental group (n=61), which received MIBCT consisting of eight sessions every 3-4 weeks over a period of 24-32 weeks, or the control group (n=59), which received routine care and psychoeducation. The outcomes were measured using the Medication Adherence Rating Scale (MARS), the Schedule Assessment of Insight (SAI), and the Positive and Negative Syndrome Scale (PANSS) at three time points: baseline, the fourth session of interim analysis, and postintervention. Differences in between-group outcomes over time after adjusting for 13 covariates were analyzed using generalized estimating equations.</p><p><strong>Results: </strong>The mean MARS score in the experimental group improved significantly by 2.56 points at postintervention (p<.001), with significantly lower gains reported for the control group. In addition, the SAI outcome measures for the experimental group improved more than for the control group. This was evident both during the interim analysis and postintervention, with results of B=1.85 (p=.003) and B=2.23 (p=.001), respectively. Furthermore, the mean improvements in positive symptoms were significantly greater in the intervention group than the control group at both the interim analysis (B=-2.52, p=.002) and postintervention (B=-1.85, p=.029).</p><p><strong>Conclusions/implications for practice: </strong>The results of this study indicate the application of MIBCT significantly improves medication adherence, insight into illness, and positive symptoms in patients with schizophrenia spectrum disorders by increasing intrinsic motivation and addressing treatment barriers. The implementation of this integrated therapeutic approach by psychiatric nurses may contribute to improved patient outcomes.</p>","PeriodicalId":94242,"journal":{"name":"The journal of nursing research : JNR","volume":"34 4","pages":"e465"},"PeriodicalIF":0.0,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13465704/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148715006","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Influence of Practice Environment and Manager Leadership Style on Interprofessional Collaboration and Quality of Care in Acute Care Nurse Practitioners.","authors":"Sheng-Shiung Huang, May-Pin Chen, Shiow-Luan Tsay","doi":"10.1097/jnr.0000000000000740","DOIUrl":"10.1097/jnr.0000000000000740","url":null,"abstract":"<p><strong>Background: </strong>Over 90% of nurse practitioners (NPs) are employed in hospitals in Taiwan. The influence of different practice environments and manager leadership styles on NP interprofessional collaboration and quality of care in acute care hospitals has been inadequately studied.</p><p><strong>Purpose: </strong>This study was designed to investigate the influence of practice environment and leadership style on NP interprofessional collaboration and the quality of care they provide in acute care settings.</p><p><strong>Methods: </strong>A cross-sectional design and a national online survey were employed to collect data from 1,198 NPs who are members of the Taiwan Association of Nurse Practitioners (TANP). The measures utilized in this study include the Nurse Practitioner Acute Care Organizational Climate Questionnaire, the Multifactor Leadership Questionnaire-Form 6S, and the Provider-Perceptions of Team Effectiveness Questionnaire (Provider-PTE). A multiple regression model was applied to identify the factors potentially associated with interprofessional collaboration and quality of care.</p><p><strong>Results: </strong>Physician relations and professional visibility were identified as the two most critical factors within the practice environment, enhancing interprofessional collaboration and quality of care, and \"management with expectation\" was identified as a key leadership strategy for improving both outcomes. These three factors accounted for 44.8% and 30.6% of the respective variances in NP interprofessional collaboration and quality of care.</p><p><strong>Conclusions/implications for practice: </strong>Improving practice-environment factors such as relationship with physicians and professional visibility, as well as managing NPs using an expectations-based leadership style, offer the potential to significantly enhance NP interprofessional collaboration and the quality of care they provide. Health care organizations may consider developing policies that focus on improving the practice environment as well as implementing transactional leadership styles to promote NP interprofessional collaboration and the quality of care they provide.</p>","PeriodicalId":94242,"journal":{"name":"The journal of nursing research : JNR","volume":" ","pages":"e470"},"PeriodicalIF":0.0,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13465683/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147936656","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Factors Influencing Nurses' Intention and Behavior in Shared Decision-Making: A Cross-Sectional Study.","authors":"Jeng-Cheng Wu, Chih-Chi Chan, Shih-Yuan Wu, Gong-Hong Lin, Yeu-Hui Chuang, Wen-Hsuan Hou","doi":"10.1097/jnr.0000000000000760","DOIUrl":"10.1097/jnr.0000000000000760","url":null,"abstract":"<p><strong>Background: </strong>Shared decision-making (SDM), a cornerstone of patient-centered care, is associated with increased patient satisfaction and improved health outcomes. Nurses, as integral members of the health care team, play a pivotal role in SDM by advocating for patients and facilitating communication. However, their involvement in SDM is often constrained by systemic and organizational factors. Identifying the factors that significantly influence nurses' engagement in SDM is essential to advancing SDM practice.</p><p><strong>Purpose: </strong>This study, guided by the theory of planned behavior (TPB), was designed to explore the factors of influence on the intentions and perceived behaviors of nurses related to SDM.</p><p><strong>Methods: </strong>A cross-sectional study was conducted on 159 nurses recruited through convenience sampling from 11 teaching hospitals in Taiwan. The data used in the analyses were collected using a self-administered questionnaire developed to measure the following TPB constructs: intention, attitude, subjective norms, perceived behavioral control, and perceived SDM behavior. Descriptive statistics, univariate analyses, and hierarchical linear regression were performed to examine the associations among TPB variables, intention, and perceived SDM behavior.</p><p><strong>Results: </strong>A significant correlation was identified between age and intention to engage in SDM (Pearson's r = .250, p = .001). Participants with a master's degree or higher qualification reported significantly stronger intention to participate in SDM than those holding either an associate or bachelor's degree (3.58 vs. 1.29, p < .001). The mean perceived SDM behavior score was 12.86 (SD = 4.25). A hierarchical regression analysis found attitude (β = 0.40, p < .001) and perceived behavioral control (β = 0.35, p < .001) to significantly predict intention to engage in SDM (adjusted R2 = .436, p < .001). In addition, all of the TPB variables were identified as significant predictors of perceived SDM behavior. The final regression model explained 48.8% of the variance (p < .001). Exhibiting a more positive attitude, greater perceived control, and stronger intention were each associated with having a higher level of perceived SDM behavior.</p><p><strong>Conclusions/implications for practice: </strong>The findings of this study underscore the importance of intention and behavior in the participation in SDM by nurses, with attitude and perceived behavioral control identified as key determining factors. Thus, these factors, together with intention to engage in SDM, significantly influence perceived SDM behavior. Hospital managers and educators should implement comprehensive strategies, including related initiatives, skill training, organizational support, and incentives, to increase participation by nurses in SDM.</p>","PeriodicalId":94242,"journal":{"name":"The journal of nursing research : JNR","volume":"34 4","pages":"e467"},"PeriodicalIF":0.0,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13465690/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148715000","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Impact of a Mandatory Two-Year Job Rotation System on Turnover Intention Among Registered Nurses: A Case Study at a Medical Center in Taiwan.","authors":"Hsin-Ling Tai, Seng-Su Tsang, Shu-Fen Chen, Jiu-Yun Tian","doi":"10.1097/jnr.0000000000000758","DOIUrl":"10.1097/jnr.0000000000000758","url":null,"abstract":"<p><strong>Background: </strong>Taipei Veterans General Hospital in Taiwan experiences significantly high turnover rates among its workforce of approximately 3,300 nurses.</p><p><strong>Purpose: </strong>This study, conducted as a component of a talent revitalization strategy, was designed to investigate the impact of a mandatory two-year job rotation system on turnover intention, job stress, and emotional well-being among nurses at a major medical center in Taiwan.</p><p><strong>Methods: </strong>A cross-sectional design was used on a convenience sample of 246 nurses. Factors measured included job stress, job satisfaction, stress levels, emotional resilience, and turnover intention. Partial least squares structural equation modeling (PLS-SEM) and affect valuation theory (AVT) were employed to assess the relationships between variables.</p><p><strong>Results: </strong>The findings showed that, while job rotation promoted professional versatility, it also introduced significant psychological stressors that may increase turnover risk. In detail, a gap was identified between the actual emotional responses of nurses and their ideal affective states that highlights a need for better emotional support systems and flexible rotation policies.</p><p><strong>Conclusions: </strong>The results of this research indicate a need to enhance career development opportunities, introduce voluntary rotation options, and implement comprehensive training and mentorship programs to better align the current rotation system with individual career goals.</p>","PeriodicalId":94242,"journal":{"name":"The journal of nursing research : JNR","volume":" ","pages":"e469"},"PeriodicalIF":0.0,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13465687/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148341550","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Relationships Among Type D Personality, Symptoms, Depression and Anxiety, and Quality of Life in Patients With Gastroesophageal Reflux Disease.","authors":"Yusun Park, Boram Cha, Hye Young Kim, Sung Reul Kim","doi":"10.1097/jnr.0000000000000752","DOIUrl":"10.1097/jnr.0000000000000752","url":null,"abstract":"<p><strong>Background: </strong>Patients with gastroesophageal reflux disease (GERD) often experience typical or atypical symptoms accompanied by depression, anxiety, and low quality of life (QoL). In patients with various diseases, having a Type D personality has been linked to an elevated risk of developing symptoms such as depression and anxiety, as well as reduced QoL.</p><p><strong>Purpose: </strong>The objectives of this study were to examine the influence of Type D personality on GERD symptoms, depression and anxiety, and QoL and to identify the causal relationships among the variables influencing QoL in patients with GERD.</p><p><strong>Methods: </strong>A cross-sectional correlational design and convenience sampling were used, and 149 patients with GERD were enrolled as study participants from the gastroenterology outpatient clinic of a university hospital in the Republic of Korea. Data were collected using structured questionnaires and tested using SPSS 28.0 and Amos 23.0.</p><p><strong>Results: </strong>Approximately 46% of the participants met the criteria for inclusion in the Type D personality group. This group exhibited higher levels of depression and anxiety and diminished QoL than the non-Type D personality group. In the multiple regression model, GERD symptoms, depression and Type D personality were found to have a significant influence on QoL. In the structural equation model, GERD symptoms, depression, and Type D personality were shown to affect QoL, explaining 51.7% of the total variance in QoL. Two factors, namely depression and GERD symptoms, were identified as mediators of the association between Type D personality and QoL.</p><p><strong>Conclusions: </strong>The results of this study indicate a relatively high frequency of Type D personality among patients with GERD. When assessing QoL in patients with GERD, it is essential to consider the influence of Type D personality in conjunction with symptom experience and the presence of depression and anxiety. In particular, managing depression and symptoms in patients with GERD and a Type D personality may offer an effective approach to improving QoL in this patient group.</p>","PeriodicalId":94242,"journal":{"name":"The journal of nursing research : JNR","volume":" ","pages":"e471"},"PeriodicalIF":0.0,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13465697/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148267669","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Policy and Perception: Comparing Attitudes Toward LGBTQ and Gender Equality Between Long-Term Care Staff in Taiwan and Indonesia.","authors":"Fika Lilik Indrawati, Chia-Jung Hsieh","doi":"10.1097/jnr.0000000000000759","DOIUrl":"10.1097/jnr.0000000000000759","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Background: &lt;/strong&gt;Integrating lesbian, gay, bisexual, transgender, and queer (LGBTQ) policies within health care is critical to ensuring equitable treatment and improved health outcomes for LGBTQ individuals. However, significant disparities remain in the implementation of these policies, with substantial challenges persisting in culturally and legally diverse settings such as Indonesia and Taiwan. This study explores these issues from the perspectives of long-term care staff in these two countries, focusing on their attitudes towards LGBTQ individuals and the effectiveness of existing policies.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Purpose: &lt;/strong&gt;The primary objective of this study was to compare the implementation of LGBTQ policies with attitudes towards gender equality among long-term care staff in Indonesia and Taiwan. The secondary objective was to develop effective strategies for creating inclusive and equitable health care environments in diverse cultural contexts.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Methods: &lt;/strong&gt;A mixed-methods approach using both qualitative and quantitative research methods was employed, and a convenience sampling method was used to select long-term care facilities in both countries. The targeted facilities included small-to-medium-sized centres located in urban and semi-urban regions. One hundred and ninety-seven long-term care staff (Taiwan = 135 and Indonesia = 62) completed the questionnaire. Data were collected using a structured survey designed to measure attitudes toward LGBTQ policies and gender equality using Likert-scale items. Descriptive and inferential statistics, including percentages, means, and independent t test, were used to analyse the quantitative data. For the qualitative component, the policy formation process was analysed based on the policy concept of Longest (2006) to provide further context to the findings.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Results: &lt;/strong&gt;The analysis revealed significant differences in attitudes toward homosexuality (t = 19.81, p = .001) and transgender individuals (t = 7.12, p = .001) between the Taiwanese and Indonesian participants, with the Taiwanese participants demonstrating higher acceptance of homosexuality (M = 18.26, SD = 4.90) and transgender individuals (M = 21.90, SD = 4.07) than their Indonesian peers (M = 9.03, SD = 1.55 and M = 18.42, SD = 2.67, respectively). The results also indicate the supportive legal environment in Taiwan facilitates more progressive policies, while the conservative cultural norms and lack of legal protections in Indonesia create substantial barriers to LGBTQ inclusivity in long-term care settings.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Conclusions: &lt;/strong&gt;The findings highlight the critical role of supportive political climates and comprehensive policy frameworks in advancing LGBTQ rights within health care settings. While Taiwan has made significant progress, ongoing efforts are needed to bridge the gap between policy and practice. In Indonesia, substantial changes in the political and cultural land","PeriodicalId":94242,"journal":{"name":"The journal of nursing research : JNR","volume":"34 4","pages":"e468"},"PeriodicalIF":0.0,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13465688/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148715120","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Evolution of Patient-Centered Nursing Care: From Passive Recipients to Active Partners in the Era of Generative AI.","authors":"Fei-Hsiu Hisao","doi":"10.1097/jnr.0000000000000765","DOIUrl":"10.1097/jnr.0000000000000765","url":null,"abstract":"","PeriodicalId":94242,"journal":{"name":"The journal of nursing research : JNR","volume":"34 4","pages":"e464"},"PeriodicalIF":0.0,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13465686/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148715069","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Challenges and Prospects for Preventing the COVID-19 Pandemic in Nursing Homes in Taiwan: A Mixed-Methods Study.","authors":"Po-Jen Kung, Kuei-Min Chen, Ying-Ying Chang, Li-Yin Chang, Ching-Min Chen, Jing-Jy Wang","doi":"10.1097/jnr.0000000000000757","DOIUrl":"10.1097/jnr.0000000000000757","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Background: &lt;/strong&gt;During the COVID-19 pandemic, residents of Taiwanese nursing homes, many of whom suffered from chronic illnesses and lived in relatively enclosed environments, were particularly vulnerable to infection. The absence of clear and effective pandemic prevention strategies hindered the development of related risk-reduction policies and planning within these institutions.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Purpose: &lt;/strong&gt;The aim of this study was to: (1) explore the challenges and prospects related to COVID-19 pandemic prevention in nursing homes in Taiwan and offer recommendations for the future, (2) evaluate the effectiveness of the prevention strategies implemented across nursing homes of various types and scales, and (3) assess the need for pandemic-related institutional training.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Methods: &lt;/strong&gt;In this exploratory sequential mixed-methods study, a focus group discussion was first conducted to identify key challenges and recommendations, which were then used to inform the development of a quantitative survey. The survey was administered using stratified random sampling based on institution type and scale. Thematic analysis was used for qualitative data, and descriptive statistics, t-tests, analysis of variance, and multiple linear regression were applied to analyze the quantitative findings.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Results: &lt;/strong&gt;Ten pandemic-prevention leaders participated in the focus group discussion, which revealed the four key themes of \"Adapting to evolving and unfamiliar roles,\" \"Being overwhelmed by exhaustion during the sudden pandemic,\" \"Lack of competence in nonroutine care,\" and \"Comprehensive and systematic approach at all levels.\" The quantitative survey yielded 253 valid responses. The average score for Strategies for Prevention Effectiveness was 28.1 (scale range=9-36), indicating a generally positive self-assessment. However, 6.8% of pandemic prevention supervisors (17 of the 253 participants) had not received COVID-19-related training. The analysis highlighted the importance of incorporating successful prevention experiences from other institutions and providing frontline health care workers with education on pandemic-related regulations. The average score for Educational Training was 16.2 (scale range=5-20), reflecting strong agreement with the listed training items. No significant differences were found in pandemic strategy effectiveness by either institution type (t=1.664, p=.097) or scale (F=0.571, p=.566).&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Conclusions/implications for practice: &lt;/strong&gt;The results show generally positive self-assessments of prevention strategies but revealed key challenges, including role confusion, frontline exhaustion, and training gaps. Although the World Health Organization has declared COVID-19 to no longer be a public health emergency of international concern, these issues remain critical to institutional preparedness. The findings offer transferable insights that may inform future pandemic respons","PeriodicalId":94242,"journal":{"name":"The journal of nursing research : JNR","volume":"34 4","pages":"e473"},"PeriodicalIF":0.0,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13465702/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148714608","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}