The journal of nursing research : JNR最新文献

{"title":"Dignity Among Older Persons in Long-Term Care Institutions in Taiwan and Related Factors: A Cross-Sectional Study.","authors":"Yu-Chi Li, Yi-Shin Lin, Shu-Ching Ma, Chien-Yi Wu, Hsiu-Hung Wang","doi":"10.1097/jnr.0000000000000733","DOIUrl":"10.1097/jnr.0000000000000733","url":null,"abstract":"<p><strong>Background: </strong>With a gradually aging global population, more and more older persons are receiving care in long-term care institutions during the final stages of their lives. A variety of factors, including the process of aging, dependence on assistance, and psychological problems, are known to undermine the self-perceived sense of dignity of older persons living in long-term care institutions.</p><p><strong>Purpose: </strong>The purpose of this study was to examine the factors that influence dignity and the incidence of low self-perceived dignity among older persons living in long-term care institutions.</p><p><strong>Methods: </strong>This cross-sectional descriptive study was conducted from April to December 2022 on a sample of 188 older persons living in seven long-term care institutions in southern Taiwan. A structured questionnaire, including a demographic characteristics datasheet, Barthel Index, Patient Dignity Inventory-Mandarin version, and Patient Health Questionnaire-9, was used to collect data. The independent samples t test, one-way analysis of variance (ANOVA), and Pearson's correlation coefficient were used to examine the correlation between demographic variables and dignity, while binary logistic regression was used to analyze the probability of low dignity.</p><p><strong>Results: </strong>Dignity was found to relate significantly with marital status ( t = 2.49, p = .014), number of children ( r = -.19, p = .008), educational level ( t = -2.42, p = .016), chronic condition ( r = .25, p = .001), ability to perform activities of daily living ( r = -.36, p < .001), dependency level ( F = 9.85, p < .001), mobility level ( t = 2.84, p = .005), indwelling catheter status ( t = -3.29, p = .001), and depression level ( r = .47, p < .001). The results of binary logistic regression analysis showed factors including having fewer children ( OR = 0.652, p < .001) or no children ( OR = 0.101, p = .007), a higher education level ( OR = 3.441, p = .001), or lower activities of daily living ( OR = 0.976, p = .001) as well as suffering from depression ( OR = 6.025, p = .047) or being unable to walk ( OR = 0.448, p = .045) to be significantly associated with self-perceived low dignity.</p><p><strong>Conclusions/implications for practice: </strong>The findings indicate that older persons living in long-term care institutions with fewer or no children, a higher level of education, and/or lower activities of daily living, as well as those unable to walk and/or suffering from depression, face a relatively greater risk of suffering from low dignity. In light of this, professional caregivers working in long-term care institutions should place greater emphasis on providing dignified care to older persons.</p>","PeriodicalId":94242,"journal":{"name":"The journal of nursing research : JNR","volume":" ","pages":"e446"},"PeriodicalIF":0.0,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13023104/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147438812","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 Social Support and Quality of Life on Mortality Among Patients Undergoing Hemodialysis.","authors":"Lu Zhang, Yongai Zhang, Sumei Zhang, Xuanbing Tang, Shengyan Shi, Haiying Quan, Xiu Yang","doi":"10.1097/jnr.0000000000000732","DOIUrl":"10.1097/jnr.0000000000000732","url":null,"abstract":"<p><strong>Background: </strong>Although quality of life and social support are widely recognized as positive factors promoting health, few follow-up studies analyzing the predictive significance of social support and quality of life on the prognosis of patients undergoing maintenance hemodialysis have been published.</p><p><strong>Purpose: </strong>This study was designed to investigate the predictive value of social support and quality of life on all-cause mortality in patients undergoing maintenance hemodialysis.</p><p><strong>Methods: </strong>The Social Support Rating Scale and Kidney Disease Quality of Life Short-Form 1.3 were used to evaluate social support and quality of life, respectively. Cox analysis was used to analyze the predictive value of social support and quality of life on all-cause mortality.</p><p><strong>Results: </strong>Over the course of this 3-year follow-up study, all-cause mortality was 30.93%. In terms of quality of life, significant between-group differences were found for two indices in the physical component summary (physical functioning and role-physical), three indices in the mental component summary (social functioning, mental health, and vitality), and two indices in the kidney disease domain (effect of kidney disease and patient satisfaction). Moreover, the surviving patient group reported higher scores on the physical component summary, mental component summary, and 36-item short-form health survey than the deceased patient group. In terms of social support, the surviving patient group earned significantly higher scores for utilization of social support and the social support rating scale total score than the deceased patient group. Based on Cox proportional hazards model results, 36-item short-form health survey and social support rating scale scores were significantly predictive of all-cause mortality.</p><p><strong>Conclusions/implications for practice: </strong>The findings of this study demonstrate the predictive value of social support and quality of life for all-cause mortality in patients undergoing hemodialysis. Healthcare providers should consider addressing social support and quality of life in the care of patients on hemodialysis to improve outcomes and enhance overall well-being in these individuals.</p>","PeriodicalId":94242,"journal":{"name":"The journal of nursing research : JNR","volume":" ","pages":"e443"},"PeriodicalIF":0.0,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13023094/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147438806","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":"Health Needs and Challenges in Preventing Secondhand Smoke Exposure Among Rural Adolescents: Implications for Innovative Health Education.","authors":"Yu-Shuan Wan, Tung-Jung Huang, Chia-Hao Chang, Mei-Yen Chen","doi":"10.1097/jnr.0000000000000724","DOIUrl":"10.1097/jnr.0000000000000724","url":null,"abstract":"<p><strong>Background: </strong>Adolescents exposed to secondhand smoke (SHS) and those living with parents who smoke are at higher risk for tobacco use and adverse health outcomes. School nurses are expected to support smoke-free policies on campuses and play a prominent role in health promotion. However, few nursing studies on SHS exposure prevention have included recommended strategies for advising family smokers (AFS).</p><p><strong>Purpose: </strong>This study was developed to examine the prevalence of SHS exposure among adolescents in rural areas and assess the impact of implementing a pilot program that incorporates innovative strategies for AFS.</p><p><strong>Methods: </strong>A school-based, educational intervention study was conducted in four middle schools in western coastal Yunlin County between March and September 2023. Innovative strategies for AFS were integrated into the school's health education curricula using a 6-hour secondhand smoke prevention program. Data were collected using self-administered, anonymous questionnaires. Descriptive and inferential statistical analyses were employed to examine the factors and barriers associated with AFS.</p><p><strong>Results: </strong>Of the 1,202 adolescents who participated at baseline, 806 (51.4% boys; mean age=13.5 years) reported living with a smoker at home (67%). Among these 806, 91.4% reported family members smoked indoors, and, after completing the AFS program, 46.9% reported having attempted to advise their family members to quit smoking or smoke outdoors. The factors identified as significantly associated with AFS included being female, practicing avoidance behaviors, and witnessing smoking on campus. Only 8.1% felt their advice was successful, with common challenges including parental refusal, being scolded, and feelings of hopelessness. Also, many of the participants reported experiencing moral dilemmas, particularly with regard to cultural values such as filial piety, when advising parents.</p><p><strong>Conclusions/implications for practice: </strong>Exposure to secondhand smoke among adolescents living in rural areas is a serious issue. Teaching them strategies on how to advise family smokers may help reduce home exposure, particularly among boys. However, in Eastern cultures, advising parents about smoking presents moral challenges due to cultural values. Regulatory changes are needed to protect youths from secondhand smoke at home.</p>","PeriodicalId":94242,"journal":{"name":"The journal of nursing research : JNR","volume":" ","pages":"e449"},"PeriodicalIF":0.0,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13023088/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146032276","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":"Perceived Stress and Compassion Satisfaction Among Nurses: A Mediation Model of Perceived Disaster Preparedness.","authors":"Kai-Jo Chiang, Li-Fang Chang, Lin-Ju Chou, Li-Chun Huang, Yu-Ling Kao, Chin Lin, Ya-Hung Chen, Ai-Hsiu Hung, Hsueh-Hsing Pan","doi":"10.1097/jnr.0000000000000729","DOIUrl":"10.1097/jnr.0000000000000729","url":null,"abstract":"<p><strong>Background: </strong>The tremendous stress that nurses experience during disaster events can affect their compassion satisfaction (CS) at work. Despite the recognized negative effects of perceived stress (PS) on perceived disaster preparedness (PDP) and CS, little is known regarding the mediating role of PDP on the PS-CS relationship.</p><p><strong>Purpose: </strong>This study was conducted to explore the significance of the PS effect on CS through PDP in hospital nurses.</p><p><strong>Methods: </strong>A cross-sectional study design was used. Nine hundred and seventy-three nurses from hospitals in Taiwan participated in this study, which was implemented between July and October 2020. Data were collected using a basic characteristics datasheet, the Perceived Stress Scale (PSS-14), and the Compassion Satisfaction Scale (CSS). A mediation model was used to test the mediating effect of PDP on the relationship between PS and CS after adjusting for covariates, and stratified analysis was conducted to explore the degree of this indirect effect within the subgroups defined by each variable.</p><p><strong>Results: </strong>PDP was found to significantly mediate the relationship between PS and CS in the sample (indirect effect: -0.104, 95% confidence interval: [-0.12, -0.08]). Using stratified analysis, a significant indirect effect in >30% of participants was found in the following three subgroups: >40 years old (indirect effect=-0.168, p =.016), working at hospitals in southern Taiwan (indirect effect=-0.138, p =.018), and working day and night shifts (indirect effect=-0.126, p =.023).</p><p><strong>Conclusions/implications for practice: </strong>The findings support PDP as a resilience factor that mitigates the impact of PS on CS in hospital nurses. To enhance CS, targeted interventions such as training programs should be implemented to reduce PS and strengthen PDP, particularly in higher-risk subgroups of nurses.</p>","PeriodicalId":94242,"journal":{"name":"The journal of nursing research : JNR","volume":" ","pages":"e448"},"PeriodicalIF":0.0,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13023093/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146159858","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":"Effect of Substance Abuse on Suicidal Behaviors Among People Living With HIV: 11-Year Cohort Study.","authors":"Yi-Tseng Tsai, Sriyani Padmalatha Konara Mudiyanselage, Tzu-Jung Chuang, Chung-Yi Li, Shu-Sen Chang, Mu-Hong Chen, Nai-Ying Ko","doi":"10.1097/jnr.0000000000000730","DOIUrl":"10.1097/jnr.0000000000000730","url":null,"abstract":"<p><strong>Background: </strong>The suicide rate among individuals with substance abuse disorders is three times higher than in the general population, with nearly half of people living with human immunodeficiency virus (PLHIV) experiencing substance abuse.</p><p><strong>Purpose: </strong>This study was implemented using 11 years of official data to identify the risk factors of suicide and their association with substance abuse among PLHIV.</p><p><strong>Methods: </strong>A nationwide cohort study was conducted in Taiwan using statistics from the national HIV database dating from January 1, 2005, to December 31, 2016. PLHIV aged 15 and older were identified using recorded diagnoses; medical treatments were identified using unique identification codes (ICD). Cox proportional hazard models and mediation analysis were used to estimate the association between substance abuse and suicide risk.</p><p><strong>Results: </strong>Fifty-nine suicide events were reported among the 4,016 PLHIV tracked in the study data, correlating with a suicide incidence rate of 743.91 per 100,000 person-years among substance abusers ( n =1,287). Two factors, including substance abuse and low income, were found to significantly increase the hazard ratio (HR) of suicide (HR=1.93, 95% CI=[1.12, 3.33], p =.0174 and HR=5.15, 95% CI=[1.58, 16.86], p =.0067, respectively). Also, sleep disturbances were shown to mediate 19.1% of the effect between substance abuse and suicide. Conversely, depression did not exhibit a significant mediating role.</p><p><strong>Conclusions: </strong>The findings indicate that substance abusers face a nearly twofold higher risk of suicide than nonusers, with significant socioeconomic disparities evident. Moreover, sleep disturbances was identified as a critical mediator in the relationship between substance abuse and suicide. These findings provide valuable insights to help improve clinical practices and policy development efforts aimed at preventing suicidal behaviors and improving the well-being of PLHIV struggling with substance abuse globally.</p>","PeriodicalId":94242,"journal":{"name":"The journal of nursing research : JNR","volume":" ","pages":"e447"},"PeriodicalIF":0.0,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13023098/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147438751","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":"Closing the Implementation Gap in Precision Nursing Care.","authors":"Hsiao-Yean Chiu","doi":"10.1097/jnr.0000000000000737","DOIUrl":"10.1097/jnr.0000000000000737","url":null,"abstract":"","PeriodicalId":94242,"journal":{"name":"The journal of nursing research : JNR","volume":"34 2","pages":"e441"},"PeriodicalIF":0.0,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13023090/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147523337","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 Effect of Reflexology on Anxiety in Patients Undergoing Open Heart Surgery: Systematic Review and Meta-Analysis of Randomized Controlled Trials.","authors":"Necibe Dağcan Şahin, Selçuk Görücü","doi":"10.1097/jnr.0000000000000725","DOIUrl":"10.1097/jnr.0000000000000725","url":null,"abstract":"<p><strong>Background: </strong>Open-heart surgery is effective but may involve significant postoperative complications and long recovery times that can be exacerbated by patient anxiety. Nonpharmacological approaches such as reflexology have gained attention in the field of medicine for their ability to alleviate anxiety without significant side effects.</p><p><strong>Purpose: </strong>This systematic review and meta-analysis were designed to determine the effect of reflexology on anxiety in patients undergoing open-heart surgery.</p><p><strong>Methods: </strong>The PubMed, EBSCO (including MEDLINE and CINAHL), OVID, Web of Science, and Cochrane databases were searched from May 15 to July 15, 2024. Randomized controlled trials that evaluated patients who had open-heart surgery were included in the analysis. Studies were appraised using the Critical Appraisal Checklists for Randomized Controlled Trials developed by the Joanna Briggs Institute (JBI). The meta-analysis was conducted using the Comprehensive Meta-Analysis Version 2, and heterogeneity between studies was assessed using the χ 2 test and I2 statistic. The results were reported in line with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses statement.</p><p><strong>Results: </strong>Eight studies encompassing 485 patients were included in the meta-analysis. All of the included studies used common measurement times for anxiety and compared intervention groups with either standard care or a placebo. In the meta-analysis performed using a random-effects model, reflexology was found to significantly reduce anxiety ( g =-1.49, 95% confidence interval (CI)=[-2.35, -0.63], with a statistically significant difference observed between the intervention and control groups ( z =-3.41, p =.001). However, the findings of the meta-analysis should be interpreted with caution.</p><p><strong>Conclusions: </strong>Reflexology may be effective in reducing anxiety in patients undergoing open-heart surgery. However, the significant heterogeneity identified among the included studies indicates variability among study conditions. Therefore, their outcomes should be evaluated carefully. Reflexology may be used as an adjunct to standard patient care. Additional studies with more homogeneous methodologies are required to strengthen the evidence base for the efficacy of reflexology in reducing anxiety in this vulnerable patient population.</p>","PeriodicalId":94242,"journal":{"name":"The journal of nursing research : JNR","volume":" ","pages":"e451"},"PeriodicalIF":0.0,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13023089/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146032257","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":"Prognostic Factors of 30-Day In-Hospital Mortality in Critically Ill Patients Receiving Continuous Renal Replacement Therapy.","authors":"Hyeon-Ju Lee, Taehee Kim, Heeyoung Lee, Youngeon Lee, Jinseon Heo, Youn-Jung Son","doi":"10.1097/jnr.0000000000000734","DOIUrl":"10.1097/jnr.0000000000000734","url":null,"abstract":"<p><strong>Background: </strong>Continuous renal replacement therapy (CRRT) is a form of dialysis that effectively replicates the excretory function of the kidneys in critically ill patients suffering from acute kidney injury. The number of patients receiving CRRT in critical care settings is increasing globally. Although these patients are at greater risk of mortality after commencing CRRT, the comprehensive risk factors for in-hospital mortality in this population remain uncertain.</p><p><strong>Purpose: </strong>The prognostic factors for 30-day in-hospital mortality in patients receiving CRRT are investigated in this study.</p><p><strong>Methods: </strong>This retrospective observational study was performed at a tertiary care university hospital between January 2018 and December 2020. Data from a total of 613 patients requiring CRRT were included. Pre-, intra-, and post-CRRT data were extracted from electronic medical records, and patients were grouped based on 30-day in-hospital mortality into survivor ( n = 300) and nonsurvivor ( n = 313) groups.</p><p><strong>Results: </strong>The mortality rate within 30 days of hospitalization was 51.1%. The median survival time calculated using the Kaplan-Meier method was 9 days. The results of multivariate Cox regression analysis revealed hepatic failure as a comorbidity (adjusted hazard ratio [HR] = 2.75, 95% confidence interval [CI] = [1.15, 6.58]), post-continuous renal replacement therapy data including Glasgow Coma Score (adjusted HR = 0.82, 95% CI = [0.72, 0.94]), Sequential Organ Failure Assessment Score (adjusted HR = 1.16, 95% CI = [1.02, 1.32]), and sodium level (adjusted HR = 1.05, 95% CI =[1.01, 1.10]) to be linked to higher in 30-day in-hospital mortality for patients receiving CRRT.</p><p><strong>Conclusions/implications for practice: </strong>Based on the findings, early detection and management of changes in illness severity, consciousness levels, and sodium levels during CRRT should be emphasized in ICU care settings. The authors hope the findings contribute to the design and application of transitional care plans for patients undergoing CRRT.</p>","PeriodicalId":94242,"journal":{"name":"The journal of nursing research : JNR","volume":" ","pages":"e442"},"PeriodicalIF":0.0,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13023100/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147438832","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":"Application of Affective Touch in Patients With Advanced Cancer: Effects on Existential Distress, Pain, and Quality of Life.","authors":"Hong-Tao Zheng, Wei Wang, Ju-Ling Xu, Hua-Fang Li, Jing Zhang, Ying Wu","doi":"10.1097/jnr.0000000000000735","DOIUrl":"10.1097/jnr.0000000000000735","url":null,"abstract":"<p><strong>Background: </strong>Patients with advanced cancer generally experience adverse physical and mental burdens. As a nondrug approach, affective touch provides support for oncology nurses in helping patients with advanced cancer overcome these burdens.</p><p><strong>Purpose: </strong>This study was designed to implement an affective touch intervention for patients with advanced cancer to explore its effects on existential distress, pain, and quality of life in this vulnerable patient population.</p><p><strong>Methods: </strong>In this randomized controlled trial, 83 patients with advanced cancer were allocated randomly to either the experimental or control group. The experimental group received the affective touch intervention once a day for 2 weeks. General data were collected from all of the participants before the intervention. Existential Distress Scale and Functional Assessment of Cancer Therapy-General scores were collected both before and 2 weeks after the intervention. Average pain levels on the Brief Pain Inventory were collected before and at weeks 1 and 2 of the intervention. Current pain levels were collected daily after the intervention.</p><p><strong>Results: </strong>After completing the 2-week intervention, the total scores for the control and experimental groups were, respectively, 8.15 ± 2.23 and 6.60 ± 2.75 (p < .05) for existential distress and 50.24 ± 12.35 and 57.24 ± 14.26 (<.001) for quality of life, showing a significant improvement effect for the intervention. Affective touch was shown to have an immediate ameliorative effect on pain after the daily intervention but was not shown to be significantly effective in providing long-term pain relief at either 1 or 2 weeks after the intervention.</p><p><strong>Conclusions/implications for practice: </strong>Affective touch, as a simple, noninvasive, and cost-effective approach implemented alongside routine nursing care, may improve existential distress, immediate pain, and quality of life in patients with advanced cancer. The affective touch intervention is worth promoting and applying in clinical settings. Further efforts by senior practice nurses are needed to incorporate this intervention into medical oncology practice.</p>","PeriodicalId":94242,"journal":{"name":"The journal of nursing research : JNR","volume":"34 2","pages":"e444"},"PeriodicalIF":0.0,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13023092/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147523313","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":"Retraction: The Prevalence of Ethical Conflicts and Influencing Factors Among Critical Care Nurses in China: A National Cross-sectional Study.","authors":"","doi":"10.1097/jnr.0000000000000708","DOIUrl":"10.1097/jnr.0000000000000708","url":null,"abstract":"","PeriodicalId":94242,"journal":{"name":"The journal of nursing research : JNR","volume":" ","pages":"e452"},"PeriodicalIF":0.0,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13023091/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145380544","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}