The journal of nursing research : JNR最新文献

{"title":"Emerging Technologies in Community-Based Older Adult Care: The Perception of Nurses.","authors":"Sivia Barnoy, Tal Soffer, Yoel Raban, Irit Schwartz-Attias, Mali Kusha, Hagar Wechsler, Sigalit Warshawski","doi":"10.1097/jnr.0000000000000687","DOIUrl":"10.1097/jnr.0000000000000687","url":null,"abstract":"<p><strong>Background: </strong>Concurrent with a growing shortage of nurses, the number of older adults living with chronic conditions and disabilities in the community is increasing. Emerging technologies present solutions that may impact nurses' training and patient care.</p><p><strong>Purpose: </strong>This study was designed to explore (a) the familiarity of nurses with emerging technologies, their need for additional training, and their perception of the effects of these technologies on the care of older adults in the community and (b) the relationships between the research variables and, respectively, sociodemographic and professional data.</p><p><strong>Methods: </strong>A descriptive, cross-sectional design was used, and a structured questionnaire was distributed to community nurses throughout Israel between November 2022 and February 2023.</p><p><strong>Results: </strong>Positive associations were found between nurses' familiarity with technology, the need for additional training, and the perceived general and specific effects of these technologies on older adult care. Moreover, technological familiarity and the need for training predicted the perceived impact of these technologies on older adult care.</p><p><strong>Conclusions/implications for practice: </strong>The results highlight the importance of familiarizing nurses in community settings with emerging and advanced technologies. This may promote and improve the quality of care provided to older adults in the community. Moreover, continuing training and education for nurses on emerging technologies are essential to familiarize nurses with new technologies, increase technology acceptance, and enhance the quality of care provided to older adults in the community.</p>","PeriodicalId":94242,"journal":{"name":"The journal of nursing research : JNR","volume":" ","pages":"e402"},"PeriodicalIF":0.0,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12316169/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144478414","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 Validation of an Entrustable Professional Activity-Based Assessment Scale for Nurse Practitioners in Taiwan.","authors":"Sophia Huey-Lan Hu, Shiow-Luan Tsay, Sheng-Shiung Huang, Heng-Hsin Tung, Ying-Ru Chen, Ling-Chun Lu, Chi Chang, Jia-Ying Hu, Wei-Chieh Hung","doi":"10.1097/jnr.0000000000000682","DOIUrl":"10.1097/jnr.0000000000000682","url":null,"abstract":"<p><strong>Background: </strong>Competency-based education is essential for training nurse practitioners (NPs). Although entrustable professional activities (EPAs) have been widely used to assess competency in health professionals, a valid EPA-based assessment scale is required to assess the clinical competencies of NPs in acute care settings.</p><p><strong>Purpose: </strong>The aim of this study was to develop and examine the reliability and validity of an EPA-based assessment scale for NPs.</p><p><strong>Methods: </strong>A psychometric study with a cross-sectional survey was used in this study. The participants included NP instructors as evaluators and novice NPs currently in clinical practice as test takers. Convenience sampling was used to recruit participants from among members of the Taiwan Association of Nurse Practitioners. First, five EPA focus groups were used to develop five EPAs using a template and following the suggested steps. Second, a consensus validation was conducted using the Delphi study. Third, content validity was performed through a national study involving 218 novice NPs as test takers and 57 certified clinical NP educators serving as observers to test the EPAs. The Cronbach's alpha and intraclass correlation coefficient were calculated to examine EPA-based assessment scale reliability, and exploratory factor analysis, concurrent validity, and discriminant validity were applied to assess the validity of the EPAs. Finally, the EPA-based assessment scale of NP care for patients with fever was used in data analysis.</p><p><strong>Results: </strong>The final version of the EPA-based assessment scale included a 22-item observable checklist scale designed to evaluate the clinically independent performance (1-5) of nine key NP competencies. The Cronbach's alpha coefficient for the overall scale was .95. The results revealed that the EPA-based assessment scale addressed two key factors of direct patient-centered care and communication/time management. Factor loadings for each item ranged from .58 to .83, accounting for 70.83% of the total variance in the EPA-based assessment scale. Concurrent validity indicated a high correlation between the developed EPA-based assessment scale and the Ottawa Clinic Assessment Tool ( r  = .96, p  < .001). The results of the discriminant validity analysis indicated a statistically significant difference between novice and expert NPs ( F  = 7.84, p  < .001).</p><p><strong>Conclusions/implications for practice: </strong>The novel EPA-based assessment scale developed in this study demonstrated satisfactory reliability and validity, thereby supporting its application in evaluating the clinical competencies of NPs.</p>","PeriodicalId":94242,"journal":{"name":"The journal of nursing research : JNR","volume":" ","pages":"e399"},"PeriodicalIF":0.0,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12316111/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144478413","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":"Exploring Willingness: What Drives Dialysis Withdrawal Decisions in Patients With End-stage Renal Disease? A Cross-sectional Study.","authors":"Cheng-Pei Lin, Jung-Chi Lee, Chi-Feng Pan, Yu-Chi Chen","doi":"10.1097/jnr.0000000000000684","DOIUrl":"10.1097/jnr.0000000000000684","url":null,"abstract":"<p><strong>Background: </strong>Withdrawal from dialysis in patients with end-stage renal disease (ESRD) can mitigate futile treatments and facilitate early end-of-life care preparation. However, the reasons patients willingly withdraw from elective dialysis under varying disease prognoses, and the factors that influence these decisions, remain unclear.</p><p><strong>Purpose: </strong>To explore the factors influencing the willingness to electively withdraw from dialysis in patients with ESRD at different disease prognoses.</p><p><strong>Methods: </strong>This cross-sectional observational study was conducted in accordance with Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) guidelines. Using convenience sampling, patients aged ≥ 45 who had regularly undergone hemodialysis for more than 6 months were recruited from a medical center and a local clinic. We used structured questionnaires and chart reviews to collect data from February to April 2021. Descriptive analysis, Pearson's correlations, and stepwise regression were employed to assess willingness to electively withdraw from dialysis.</p><p><strong>Results: </strong>The 121 participants enrolled were of an average age of 61.09 years, had undergone dialysis for 7 years, and had a median of four comorbidities. Willingness to withdraw from dialysis increased as their disease worsened. However, more than half preferred to continue dialysis, with the number of patients decreasing from 76% to 53.7% across the disease deterioration trajectory. The participants identified nephrologists as the most influential individuals in their dialysis withdrawal discussions. Factors associated with dialysis withdrawal decisions across all hypothetical prognosis scenarios (current disease conditions, irreversible complications, and estimated survival < 6 mo) included poor quality of dialysis, lower educational level (junior high school), and better knowledge of palliative care.</p><p><strong>Conclusions/implications for future practice: </strong>Willingness to withdraw from dialysis is associated with dialysis quality, educational level, and palliative care knowledge under different hypothetical prognosis scenarios. Nephrologists play a pivotal role in initiating withdrawal discussions and influencing decision-making. Health care providers should consider these factors during routine renal nursing care and identify the appropriate time to initiate advanced care planning discussions. Regular monitoring of dialysis-related symptoms and quality (measured by Kt / V ) and evaluating patients' understanding of palliative care are both essential in ESRD care. As primary caregivers, nurses play a crucial role in integrating these assessments into routine care to identify patients considering dialysis withdrawal. Collaborative efforts between nurses and nephrologists are vital to initiate timely end-of-life care discussions and preparations, improve patient-centered care, and improve end-of-lif","PeriodicalId":94242,"journal":{"name":"The journal of nursing research : JNR","volume":" ","pages":"e401"},"PeriodicalIF":0.0,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12316145/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144478415","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":"Effects of Resistance Exercise in Older Adults With Sarcopenic Obesity: A Systematic Review and Meta-Analysis.","authors":"Su-Ru Chen, Mei-Chuan Chen, Wen-Hsuan Hou, Pi-Chu Lin","doi":"10.1097/jnr.0000000000000685","DOIUrl":"10.1097/jnr.0000000000000685","url":null,"abstract":"<p><strong>Background: </strong>In Taiwan's aging society, age-related sarcopenic obesity has gradually become an important health issue. Sarcopenic obesity is associated with functional limitations, falls, disabilities, mental health problems, and even mortality.</p><p><strong>Purpose: </strong>The aim of this meta-analysis was to examine the effects of resistance exercise on body composition and physical functioning in older adults with sarcopenic obesity.</p><p><strong>Methods: </strong>A search of randomized controlled trials was conducted in six electronic medical databases from their inception to December 2023.</p><p><strong>Results: </strong>Twelve studies were included in the systematic review and meta-analysis, with results indicating a significant increase in grip strength (effect size=1.560, 95% confidence interval [CI]=[0.178, 2.941]; p =.027) and significant reduction in body fat percentage (effect size=-1.737, 95% CI=[-2.563, -0.912], p <.001) in the experimental group versus the control group. However, gait speed and body mass index were not significantly improved by resistance exercise interventions.</p><p><strong>Conclusions: </strong>The findings support a positive effect of resistance exercise on grip strength and body fat percentage in older adults with sarcopenic obesity.</p>","PeriodicalId":94242,"journal":{"name":"The journal of nursing research : JNR","volume":" ","pages":"e406"},"PeriodicalIF":0.0,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12316160/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144532195","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":"Effects of Auricular Acupressure on Glycemic Markers, Stress, and Sleep in Older Adult Patients With Type 2 Diabetes: A Randomized Controlled Trial.","authors":"Hyejin Lee, Bomi Kim, Hyojung Park","doi":"10.1097/jnr.0000000000000683","DOIUrl":"10.1097/jnr.0000000000000683","url":null,"abstract":"<p><strong>Background: </strong>The prevalence of diabetes is a significant concern and is particularly impactful on the older adult population. Auricular acupressure is recognized as an effective complementary treatment for Type 2 diabetes.</p><p><strong>Purpose: </strong>The purpose of this study is to examine the effect of auricular acupressure on glycemic markers, stress, and sleep quality in older adults with Type 2 diabetes in South Korea.</p><p><strong>Methods: </strong>The study involved weekly acupressure therapy sessions for 8 weeks, with 25 participants in the intervention group and 26 in the placebo group. Specific acupoints associated with diabetes, sleep, and stress were targeted in the intervention group, while unrelated acupoints were used in the control group. Subjective indicators such as stress and sleep scales, along with objective measures such as blood tests, heart rate variability, and sleep activity recorders, were employed in the analysis.</p><p><strong>Results: </strong>Significant differences were observed in blood sugar ( F =5.20, p <.001) and glycated hemoglobin ( Z =-2.345, p= .019) between the two groups after administration of the acupressure therapy. However, no significant between-group differences were found in either glycated albumin or fructosamine. Also, activity in the sympathetic and parasympathetic nerves showed significant between-group variation. Although no significant between-group differences were found for subjective sleep indicators, notable changes in the number of awakenings, duration of awakening, REM sleep, and deep sleep conditions were identified.</p><p><strong>Conclusions: </strong>Although the effects are not strong, the findings suggests auricular acupressure influences glycemic index, stress, and sleep quality in older individuals with Type 2 diabetes positively. The results of this study support the potential of using auricular therapy as a nursing intervention in diabetes management.</p>","PeriodicalId":94242,"journal":{"name":"The journal of nursing research : JNR","volume":" ","pages":"e404"},"PeriodicalIF":0.0,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12316110/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144532194","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":"Understanding the Burden: Exploring Key Factors in Dementia Caregiving in Residential Care Homes.","authors":"Yi-Heng Chen, Li-Chan Lin, Pei-Hao Chen, I-Hsuan Lu","doi":"10.1097/jnr.0000000000000690","DOIUrl":"10.1097/jnr.0000000000000690","url":null,"abstract":"<p><strong>Background: </strong>The factors of influence on caregiver burden with regard to dementia care provided in residential care homes are multifaceted. Few studies in the literature have simultaneously investigated the variables related to residential care recipients with dementia and their formal caregivers.</p><p><strong>Purpose: </strong>This study was designed to assess caregiving burden in formal caregivers of residential care recipients with dementia and to identify significant predictors of this burden associated with these care recipients and their caregivers.</p><p><strong>Methods: </strong>This prospective cross-sectional study enrolled 206 registered nurses and nursing assistants working as formal caregivers, as well as 256 residents with dementia across 6 residential care homes. Structured questionnaires were used to collect data on the sociodemographic characteristics, attitudes, dementia care knowledge, and caregiver burden of nursing staff, as well as data on the sociodemographic characteristics, daily functional ability, cognitive functioning, and neuropsychiatric symptoms of residential care recipients with dementia.</p><p><strong>Results: </strong>The formal caregivers in this study reported experiencing mild to moderate care burden. Stepwise linear regression analysis identified prior dementia care training, confidence in care provision, and attitude in the formal caregivers and number of medications and agitation/aggression levels in the residents as significant predictors of caregiving burden, explaining 32% of the variance. Unexpectedly, the basic dementia care knowledge of the caregivers and the physical dependence and other neuropsychiatric symptoms of the residents were not identified as significant predictors of caregiver burden.</p><p><strong>Conclusions/implications for practice: </strong>The findings of this study underscore the critical importance of caregiver attitude, confidence, and coping skills in determining caregiving burden, noting that not all behavioral and psychological symptoms impact this burden equally. These insights emphasize the need to enhance confidence and positive attitudes in formal caregivers and to effectively manage residents' aggressive behaviors through both pharmacological and nonpharmacological approaches to ameliorate the high caregiver burden associated with dementia care.</p>","PeriodicalId":94242,"journal":{"name":"The journal of nursing research : JNR","volume":" ","pages":"e405"},"PeriodicalIF":0.0,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12316151/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144532196","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":"Experiences and Perceptions of Food Avoidance in Patients With Inflammatory Bowel Disease: A Qualitative Meta-Synthesis.","authors":"Qingyu Wang, Sha Li, Junyi Gu, Jiefeng Yang, Jiali Chen, Hantian Cheng, Zheng Lin, Yang Lei","doi":"10.1097/jnr.0000000000000686","DOIUrl":"10.1097/jnr.0000000000000686","url":null,"abstract":"<p><strong>Background: </strong>Food avoidance, common in patients with inflammatory bowel disease (IBD), impacts their recovery and psychological health. However, limited insight is provided in the literature regarding the food avoidance experiences and perceptions of patients. A systematic qualitative synthesis exploring these experiences and perceptions may be expected to enhance scholarly understanding of their implications for IBD.</p><p><strong>Purpose: </strong>This study was developed to review and characterize existing qualitative studies on food avoidance in patients with IBD and to use relevant data from previous studies to guide and optimize diet management strategies for patients.</p><p><strong>Methods: </strong>Eight databases (PubMed, Embase, Cochrane Library, Web of Science, EBSCO, and three Chinese databases) were searched to identify qualitative studies on the food avoidance experiences and perspectives of patients with IBD. Critical Appraisal Skills Program (CASP) Qualitative Checklists were applied to appraise the included studies, and a meta-synthesis approach was used to analyze the data. The findings and quotations from the studies were recharacterized into new themes and categories using inductive thematic synthesis and reciprocal interpretation.</p><p><strong>Results: </strong>Of the 1,224 studies retrieved, 19 were included in this meta-synthesis. The experiences and feelings of food avoidance in patients with IBD included the four categories of Coping Strategies, Disruption of Life and Mood, Needs and Expectations, and Social Alienation, from which the following eleven themes were derived: (a) motivations and perspectives, (b) safe recipes updated in failure, (c) positive impact, (d) reshaping life planning and increasing life stress, (e) negative emotional challenges, (f) the role of family and friends in dietary management, (g) workplace support deficiencies, (h) lack of professional dietary guidelines, (i) alienation from intimacy, (j) alienation of culinary culture, and (k) social distancing.</p><p><strong>Conclusions/implications for practice: </strong>The findings of this study highlight the complexities that underlie food avoidance behaviors in people with IBD and reveal the challenges faced by patients in managing their diet and emotions. The importance of personalized dietary guidance based on food avoidance, negative emotion de-escalation, and strong social support for disease management is highlighted.</p>","PeriodicalId":94242,"journal":{"name":"The journal of nursing research : JNR","volume":"33 4","pages":"e407"},"PeriodicalIF":0.0,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12316164/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144746628","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 Prevalence of Ethical Conflicts and Influencing Factors Among Critical Care Nurses in China: A National Cross-sectional Study: [RETRACTED].","authors":"Yuanfei Liu, Yutong Xu, Yuping Zhang, Jingfen Jin","doi":"10.1097/jnr.0000000000000696","DOIUrl":"10.1097/jnr.0000000000000696","url":null,"abstract":"","PeriodicalId":94242,"journal":{"name":"The journal of nursing research : JNR","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-07-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12424534/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144736467","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":"Reducing Fear and Anxiety in Electrocardiography Procedures Using Distraction-Enhanced Environments in Pediatric Emergency Care: A Randomized Controlled Study.","authors":"Aylin Arikan, Figen Işık Esenay","doi":"10.1097/jnr.0000000000000672","DOIUrl":"10.1097/jnr.0000000000000672","url":null,"abstract":"<p><strong>Background: </strong>Children experience fear and anxiety not only during painful procedural interventions but also during painless procedural interventions such as electrocardiography (ECG). Pediatric nurses should be aware of the emotional changes experienced by children during ECG procedures.</p><p><strong>Purpose: </strong>The aim of this single-center, single-blinded, randomized controlled intervention study was to investigate the impact of the undersea-themed examination table cover (UTETC) on the levels of fear and anxiety experienced by children during ECG procedures.</p><p><strong>Methods: </strong>This study was conducted between April 1 and July 31, 2022, in the pediatric emergency department of a training and research hospital in Turkey. The participants included 80 children (experimental group = 40, control group = 40) aged 3-12 years. The experimental group underwent the procedure in the ECG room using the UTETC, while the control group underwent the routine procedure in the examination room. The entire process was video-recorded. Video recordings were watched by two nurses who were not otherwise involved in this study, and the data were collected using the Descriptive Data Form, the Children's Fear Scale, and the Children Emotional Manifestation Scale.</p><p><strong>Results: </strong>No statistically significant difference was found in the descriptive characteristics of the two groups ( p > .05). The experimental group completed the procedure more successfully than the control group with significantly lower levels of procedure-related fear and anxiety ( p < .05).</p><p><strong>Conclusions/implications for practice: </strong>The UTETC was found to be effective in reducing fear and anxiety in children aged 3-12 years during ECG procedures in a pediatric emergency department.</p>","PeriodicalId":94242,"journal":{"name":"The journal of nursing research : JNR","volume":" ","pages":"e392"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144056538","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":"Nurses' Knowledge of Cancer-Related Fatigue and the Coverage of This Subject in Nursing Training: A Cross-Sectional Study.","authors":"Anna S Wagner, Marlena Milzer, Martina E Schmidt, Senta Kiermeier, Imad Maatouk, Karen Steindorf","doi":"10.1097/jnr.0000000000000666","DOIUrl":"10.1097/jnr.0000000000000666","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Background: &lt;/strong&gt;Although cancer-related fatigue has a major impact on daily functioning and quality of life of patients, it remains underestimated in cancer care. Nurses play a significant role in multidisciplinary approaches to fatigue care.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Purpose: &lt;/strong&gt;This study was designed to investigate knowledge and attitudes among nurses regarding cancer-related fatigue and its management in daily clinical practice and training to suggest future actions for improvement.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Methods: &lt;/strong&gt;A cross-sectional design and an online questionnaire were used to assess nurses' perceived knowledge and self-efficacy, knowledge of guidelines and treatment options, and related coverage in education and training and to suggest how to improve training. The link to the study survey was distributed to cancer nurses working in Germany via mailing lists of randomly selected hospitals and rehabilitation centers, professional nursing associations, and social media. Data were analyzed descriptively as well as using the Mann-Whitney U test. Logistic regression analyses were conducted to identify variables linked to fatigue-related knowledge.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Results: &lt;/strong&gt;Nurses participating in the study were mainly working in certified cancer care institutions (70.1%). More than one-third of the 184 participants felt rather poorly or very poorly informed and reported low self-efficacy in counseling. Although working in certified institutions was found to increase the likelihood of accurately recalling the fatigue-related guidelines (OR = 6.24, 95% CI = [1.71, 22.74], p &lt; .01), few of the participants in this study knew any. Despite this, the majority was aware of the empirical evidence supporting physical activity (92.4%), yoga (79.9%), psychotherapeutic interventions (76.7%), mindfulness-based interventions (69%), and exercise (60.3%). Recommendation rates were heterogeneous. Those participants working in certified institutions were more likely to know about the empirical evidence related to exercise (OR = 3.03, 95% CI = [1.49, 6.18], p &lt; .01), which was positively associated with both recommending exercise and self-assessing one's subjective knowledge as high. Cancer-related fatigue is addressed minimally in basic nursing training and moderately (30.4%) to comprehensively (29.9%) in advanced nursing training. The participants suggested various strategies to improve related training.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Conclusions/implications for practice: &lt;/strong&gt;Most of the participants work in certified institutions but lack guidelines-related knowledge. Nevertheless, the participants had a fairly good awareness of interventions effective in reducing fatigue. However, awareness of the empirical evidence for exercise as one of the most promising treatment options was relatively low. Based on these findings, guidelines-oriented training is needed to strengthen related knowledge, particularly regarding self-efficacy in counseling in nurses. Awar","PeriodicalId":94242,"journal":{"name":"The journal of nursing research : JNR","volume":"33 2","pages":"e379"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143757087","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}