The journal of nursing research : JNR最新文献

{"title":"Discrimination Against Older Adults and Related Behaviors Among Nurses: A Cross-sectional Study.","authors":"Chih-Yu Wang, Cheng-Hua Ni, Ching-Wen Chiu, Ruey Chen, I-Hui Chen, Megan F Liu, Yeu-Hui Chuang","doi":"10.1097/jnr.0000000000000743","DOIUrl":"10.1097/jnr.0000000000000743","url":null,"abstract":"<p><strong>Background: </strong>With the population of older adults growing, nurses are increasingly likely to care for older patients. Ageist attitudes and behaviors in nurses may affect care quality, patient health, and care willingness. Ageism, referring to prejudice, stereotyping, or discrimination against individuals or groups based on their age, has been widely studied in the literature, primarily in non-East Asian countries, and few studies have been designed to investigate ageism and ageist behaviors among hospital nurses in Taiwan.</p><p><strong>Purpose: </strong>This study was designed to investigate ageism and ageist behaviors among hospital nurses and identify the factors associated with ageist behaviors.</p><p><strong>Methods: </strong>A cross-sectional approach was used, and 359 nurses in Taiwan were enrolled as participants. Data were collected using a structured questionnaire comprising sociodemographic characteristics, the Fraboni Scale of Ageism (FSA), and Relating to Older People Evaluation (ROPE).</p><p><strong>Results: </strong>The mean FSA scale score was 68.77 ± 8.83 and the mean proportion of ROPE was 0.39 ± 0.13, with 0.51 ± 0.16 for positive ageist behaviors and 0.34 ± 0.15 for negative ageist behaviors. Age, working unit, having taken age-related courses at school, and aging anxiety were all shown to relate significantly to ageist behaviors. In addition, a significant association was found between ageism and ageist behaviors. Predictors of ageist behaviors include age, working unit, having taken age-related courses at school, and ageism.</p><p><strong>Conclusions: </strong>The findings of this study indicate discriminatory attitudes and behaviors toward older adults exist among hospital nurses and that nurses who are older, work in operating rooms or critical care units, have not taken age-related courses in school, or have higher levels of ageism are at higher relative risk of exhibiting ageist behaviors. The findings of this study may be used to guide nursing managers in developing tailored interventions for nurses across different age groups and work units to effectively prevent or mitigate ageist behaviors. Furthermore, nursing educators may use this information to design age-related courses to enhance student awareness of ageist behaviors.</p>","PeriodicalId":94242,"journal":{"name":"The journal of nursing research : JNR","volume":" ","pages":"e457"},"PeriodicalIF":0.0,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13200870/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147936530","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 Associated With Medication Safety Competence Among Clinical Nurses in China: A Latent Profile Analysis.","authors":"Ping Zhang, Genzhen Yu, Rong Xu, Shuai Cao, Lin Mo, Yang Liu, Yujie Wu","doi":"10.1097/jnr.0000000000000749","DOIUrl":"10.1097/jnr.0000000000000749","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Background: &lt;/strong&gt;Nurses can promote medication safety. However, the main factors affecting their ability to do so are uncertain.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Purpose: &lt;/strong&gt;In this study, a person-centered approach was employed to analyze the latent profiles of medication safety competence in clinical nurses in China and to identify the significant influencing factors.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Methods: &lt;/strong&gt;A multicenter cross-sectional online survey was conducted. From January 17 to February 18, 2024, 1,228 nurses (mean age=33.52, SD =7.55; 97.20% female) were recruited from several hospitals in the Chinese provinces of Hubei, Chongqing, and Guangzhou and enrolled as participants. The Critical Thinking Diagnostic Scale and Medication Safety Competence Scale were used in collecting study data. Mplus 8.3 software was adopted for the latent profile analysis to clarify the medication safety competence subgroups. SPSS 24.0 software was employed to perform the analysis of variance (ANOVA), Pearson's Chi-square analysis, and logistic regression analysis to examine the factors associated with medication safety competence.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Results: &lt;/strong&gt;Four profiles were derived from the latent profile analysis: Profile 1 (low medication safety competence; 9%), Profile 2 (medium low medication safety competence; 8%), Profile 3 (medium high medication safety competence; 40%), and Profile 4 (high medication safety competence; 44%). The total critical thinking score was identified as a positive predictor of profile affiliation. The results of the regression analysis found that, compared with Profile 4, being a junior nurse ( OR =2.341, 95% CI [1.005, 5.450]), having no self-perceived nursing achievement ( OR =6.205, 95% CI [2.084, 18.473]), and occasionally having self-perceived nursing achievement ( OR =7.495, 95% CI [3.419, 16.430]) increased the likelihood of being in Profile 1; that having no history of medication error ( OR =0.408, 95% CI [.177, .938]) decreased the likelihood of being in Profile 1; that having 11-15 years of work experience ( OR =2.239, 95% CI [1.166, 4.299]) and occasionally having self-perceived nursing achievement ( OR =3.102, 95% CI [1.074, 8.953]) increased the likelihood of being in Profile 3; and that being a supervisor nurse ( OR =0.404, 95% CI [.242, .728]) decreased the likelihood of being in Profile 3.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Conclusions: &lt;/strong&gt;Based on the results, the medication safety competence of nurses in China may be divided into four subgroups. Having a higher critical thinking score, a professional title (supervisor nurse or above), self-perceived nursing achievement (often/always), and no history of medication error all increase the likelihood of being in Profile 4. The findings provide a reference for nursing managers when formulating continuing education to promote medication safety competence. The factors associated with the various profiles identified in this study may facilitate the development of better-tailored inte","PeriodicalId":94242,"journal":{"name":"The journal of nursing research : JNR","volume":" ","pages":"e458"},"PeriodicalIF":0.0,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13200906/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147990669","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 Influence of Decent Work on Sustainability Behavior in Nurses and the Mediating Role of Professionalism.","authors":"Mohamed Ali Zoromba, Heba Emad El-Gazar","doi":"10.1097/jnr.0000000000000744","DOIUrl":"10.1097/jnr.0000000000000744","url":null,"abstract":"<p><strong>Background: </strong>With the increasing emphasis on sustainability in health care, it is essential to clarify how work conditions and professional identity influence sustainable behavior in nurses. Decent work environments may contribute to professionalism, which is known to foster sustainable practices.</p><p><strong>Purpose: </strong>This study was designed to investigate the relationship between decent work practices and self-reported sustainable behavior in nurses, with a focus on the mediating role of professionalism.</p><p><strong>Methods: </strong>This cross-sectional study was conducted on a sample of 206 clinical nurses. Data were collected using validated Arabic versions of the Decent Work Scale, Nurses' Professionalism Inventory, and Self-Reported Sustainable Behavior Scale. Statistical analyses included Pearson correlation, t -tests, analysis of variance (ANOVA), and mediation analysis.</p><p><strong>Results: </strong>The results revealed significantly positive associations between all of the study variables. Decent work practices were shown to correlate strongly with both professionalism ( r =.870) and sustainable behavior ( r =.897). Also, professionalism was found to correlate positively with sustainable behavior ( r =.823). The results of the mediation analysis confirmed professionalism to significantly mediate the relationship between decent work and sustainable behavior (indirect effect β=0.332, 95% CI [0.194, 0.447]).</p><p><strong>Conclusions/implications for practice: </strong>Decent work conditions enhance professionalism and, as a result, promote sustainable behavior in nurses. These findings underscore the importance of fostering supportive work environments and professionalism to achieve sustainable health care practices. Interventions that enhance decent work and professionalism may play a critical role in advancing sustainability in health care.</p>","PeriodicalId":94242,"journal":{"name":"The journal of nursing research : JNR","volume":" ","pages":"e460"},"PeriodicalIF":0.0,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13200869/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147936728","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 Overwhelming Challenge of Losing One's Sense of Wholeness: A Grounded Theory Study on Women's Experiential Process of Birth Trauma.","authors":"Li-Li Chen, Wan-Lin Pan, Chin-Hsing Tsai, Yu-Chan Li","doi":"10.1097/jnr.0000000000000741","DOIUrl":"10.1097/jnr.0000000000000741","url":null,"abstract":"<p><strong>Background: </strong>The physical and emotional experiences women undergo during childbirth influence not only the formation of their maternal role but also their willingness to have additional children. Birth trauma can lead to a depressed mental state in the postpartum period, which further complicates breastfeeding and the development of the mother-infant bond.</p><p><strong>Purpose: </strong>In this study, the experiential process of women with the experience of birth trauma during labor and delivery is explored.</p><p><strong>Methods: </strong>Strauss and Corbin's grounded theory and purposive sampling were employed. Fifteen postpartum women were recruited, and face-to-face interviews were conducted from August 1 to November 30, 2024. A semistructured interview guide was used, and data analysis was performed using the constant comparative method from grounded theory.</p><p><strong>Results: </strong>Grounded theory was used to explore the experiential process of women who underwent birth trauma. The core category \"overwhelming challenge of losing one's sense of wholeness\" that emerged from the narratives of the participants encompassed five subcategories, including unimaginable pain, loss of dignity, ignored emotions, unease from invasion of bodily privacy, and endless waiting. The outcome category was \"I do not want to experience another childbirth.\"</p><p><strong>Conclusions/implications for practice: </strong>The results of the exploration in this study of the process underlying the trauma experience of women during labor and delivery highlight the urgent need to improve the quality of care provided during labor. Obstetric clinicians and health care administrators may apply the theoretical model developed in this study to design appropriate continuing education programs and intervention strategies that, for example, implement shared decision-making, provide individualized care, and offer diverse methods for pain relief. It is hoped these findings will contribute to enhancing clinical practices, improving the quality of labor and delivery, and fostering more positive childbirth experiences for women.</p>","PeriodicalId":94242,"journal":{"name":"The journal of nursing research : JNR","volume":"34 3","pages":"e462"},"PeriodicalIF":0.0,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13200880/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148039107","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":"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}