The journal of nursing research : JNR最新文献

{"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":"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":"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":"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}

{"title":"Effectiveness of Total Body Resistance Exercise Intervention on Sleep Quality Among Nursing Staff.","authors":"Li-Chun Yang, Ke-Hsin Chueh, Bih-O Lee, Chien-Chang Ho, Peng-Cheng Hsu","doi":"10.1097/jnr.0000000000000739","DOIUrl":"10.1097/jnr.0000000000000739","url":null,"abstract":"<p><strong>Background: </strong>The sleep quality of nursing staff is a critical issue worldwide due to the significant impact of their unique work patterns on public health and their job performance. However, research on the efficacy of exercise interventions in terms of improving sleep quality in nurses is inadequate.</p><p><strong>Purpose: </strong>This study was designed to explore the effects of a total resistance exercise (TRX) training program performed twice a week on improving the sleep quality of nursing staff.</p><p><strong>Methods: </strong>A quasi-experimental design was employed, and a total of 65 nursing staff were enrolled as participants. The experimental group (33 participants) participated in a 12-week TRX training program, conducted twice a week for 90 min per session. The control group (32 participants) received no intervention. Sleep quality was assessed using the Chinese version of the Pittsburgh Sleep Quality Index (PSQI) at baseline, week 6, and week 12. Generalized estimating equations were used to evaluate the effectiveness of the intervention.</p><p><strong>Results: </strong>The TRX training program demonstrated positive effects in terms of improving overall sleep quality, enhancing subjective sleep quality, and alleviating daytime dysfunction. These results demonstrate a positive impact of TRX on sleep quality in nurses throughout the intervention period.</p><p><strong>Conclusions: </strong>The findings of this study highlight the potential benefits of implementing a 12-week TRX exercise intervention for nursing staff. It is recommended that hospital management consider incorporating this or a similar exercise program into comprehensive health promotion strategies to enhance the sleep health of nursing personnel.</p>","PeriodicalId":94242,"journal":{"name":"The journal of nursing research : JNR","volume":"34 2","pages":"e450"},"PeriodicalIF":0.0,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13023097/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147523502","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":"Role of Sense of Coherence in Mediating the Relationship Between End-of-Life Caregiving Burden and Bereavement Depressive-Symptom Trajectory.","authors":"Fur-Hsing Wen, Wen-Chi Chou, Ming-Mo Hou, Po-Jung Su, Wen-Chi Shen, Jen-Shi Chen, Wen-Cheng Chang, Siew Tzuh Tang","doi":"10.1097/jnr.0000000000000731","DOIUrl":"10.1097/jnr.0000000000000731","url":null,"abstract":"<p><strong>Background: </strong>The results of meta-analyses indicate sense of coherence (SOC) has a positive effect in terms of reducing subjective caregiving burden and depressive symptoms in family caregivers. However, the mechanism by which SOC mediates psychological distress remains unexplored longitudinally.</p><p><strong>Purpose: </strong>This study was designed to examine how SOC mediates the impact of self-perceived caregiving burden on depressive symptoms during the first 2 years of bereavement following the care-recipient's death.</p><p><strong>Methods: </strong>For this secondary analysis, 649 individuals who had provided end-of-life caregiving to cancer patients were recruited and enrolled as participants. Their appraisal of caregiving burden over the patient's last 6 months was categorized into four (slight, mild, moderate, and severe) trajectories based on the Caregiver Reaction Assessment (CRA) score. Using multinomial logistic regression, how SOC mediates the relationship between CRA trajectories and seven depressive-symptom trajectories (minimal-impact-resilience, recovery, preloss-only, delayed-symptomatic, relief, prolonged-symptomatic, chronically persistent distressed) was examined using the three recommended steps for mediation analysis.</p><p><strong>Results: </strong>The largest percentage (27.6%) of participants endured moderate-to-severely high end-of-life (EOL) caregiving burden, and one-fourth (24.0%) experienced distressing depressive-symptom trajectories (i.e., delayed symptomatic, relief, prolonged symptomatic, and chronically persistent distressed) from EOL caregiving over the first two bereavement years. Unlike the more severe depressive-symptom trajectories, the minimal-impact-resilience and recovery trajectories were shown to be associated with having a stronger SOC. Furthermore, SOC mediation was found to eliminate or reduce the risks for the most distressing depressive-symptom trajectories (preloss-only, delayed-symptomatic, relief, prolonged-symptomatic, and chronically persistent-distressed), whereas the effects on milder trajectories (minimal-impact-resilience and recovery trajectories) were weaker. The SOC-mediating effect was more pronounced among those participants in the severe burden CRA trajectory than their peers in the slight-to-moderate caregiving burden trajectories.</p><p><strong>Conclusions/implications for practice: </strong>Based on the findings, SOC completely or partially mediates the effects of end-of-life caregiving burden on caregiver depressive symptoms during the first two bereavement years following care-recipient death. Strengthening SOC-especially in heavily burdened caregivers-through high-quality end-of-life care may ease caregiving burden and reduce the psychological distress of caregiving during the bereavement period.</p>","PeriodicalId":94242,"journal":{"name":"The journal of nursing research : JNR","volume":" ","pages":"e445"},"PeriodicalIF":0.0,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13023101/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147438801","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":"Scale for Assessing Understanding of Benefits and Risks of Using Complementary Therapies in Diabetes Management: Psychometric Evaluation.","authors":"Hsiao-Yun Chang, Yu-Yao Huang, Chia-Lun Lo","doi":"10.1097/jnr.0000000000000717","DOIUrl":"10.1097/jnr.0000000000000717","url":null,"abstract":"<p><strong>Background: </strong>The lack of a comprehensive assessment tool to evaluate patient understanding of the benefits and risks of complementary therapies (CTs) in diabetes management may lead to the unsafe use of CTs alongside conventional treatments, increased risk of misinformed decision-making, potential adverse interactions, and compromised health outcomes.</p><p><strong>Purpose: </strong>In this study, an instrument was developed to assess patient understanding of the benefits and risks of using CTs in diabetes management and its psychometric properties were evaluated.</p><p><strong>Methods: </strong>A two-phase design, including scale development and psychometric validation, was used. In Phase 1, the initial scale items were revised and confirmed by a panel of experts for content validity. In Phase 2, a cross-sectional survey was conducted to assess the scale's psychometric properties, including reliability and validity analyses. A sample of 307 outpatients with diabetes who had used CTs all completed a sociodemographic, clinical characteristics, and CT usage data sheet, as well as the Understanding the Benefits-Risks of CT Use in Diabetes Scale and the Diabetes Empowerment Scale. The developed scale was validated using exploratory and confirmatory factor analyses that used structural equation modeling to confirm construct validity, Person correlation to confirm criterion-related validity, and Cronbach's α coefficient to confirm reliability.</p><p><strong>Results: </strong>The initial 16-item Understanding the Benefits-Risks of CT Use in Diabetes Scale was assessed as having a content validity index of .88. Factor analyses reduced the scale to 15 items in four dimensions, including the patient's medical condition for CT use (four items), the benefit-risk assessment of CTs use (four items), the suitability of CT use (five items), and the support from health care professionals (two items). The model met all goodness-of-fit indices (GFI=.90, AGFI=.90, CFI=.94, NFI=.926, RMSEA=.08, and χ 2 / df =3.14). The reliability analysis indicated good internal consistency (α=.912) and correlation with the Diabetes Empowerment Scale ( r =.425).</p><p><strong>Conclusions/implications for practice: </strong>The Understanding the Benefits-Risks of CT Use in Diabetes Scale offers valuable insights for both patients and health care professionals. By providing a comprehensive assessment of patient knowledge and awareness of their CT use, this tool helps health care professionals identify gaps in patient understanding, tailor patient education, and ensure safe and effective integration of CTs into diabetes management programs.</p>","PeriodicalId":94242,"journal":{"name":"The journal of nursing research : JNR","volume":" ","pages":"e432"},"PeriodicalIF":0.0,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12863621/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145936896","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":"Using the Objective Structured Teaching Examination to Improve the Clinical Teaching Efficacy of Clinical Preceptors: A Quasi-Experimental Study.","authors":"Ya-Wen Lee, Wan-Ru Huang, Tsen-En Chao, Yung-Sung Wen, Yu-Jun Chang, Chih-Hao Lin","doi":"10.1097/jnr.0000000000000726","DOIUrl":"10.1097/jnr.0000000000000726","url":null,"abstract":"<p><strong>Background: </strong>Although clinical preceptors (CPs) are vital to the retention of new nurses, evaluations of post-training changes in their teaching behavior are limited. The Objective Structured Teaching Examination (OSTE), designed to assess and enhance the instructional skills of CPs, is underutilized in nursing education.</p><p><strong>Purpose: </strong>This study was developed to evaluate the effectiveness of the OSTE in improving teaching competencies in CPs, with effectiveness tracked longitudinally at 3 and 6 months postintervention.</p><p><strong>Methods: </strong>A nonrandomized allocation, longitudinal, parallel design was used in this quasi-experimental study. One hundred twenty-two CPs working at one Taiwanese medical center were enrolled as participants and assigned to experimental (n=63) and control (n=59) groups. The experimental group completed seven OSTE sessions based on core competencies. Teaching competencies were measured using the Clinical Teaching Behavior Inventory (CTBI) at four time points: pre-OSTE, post-OSTE, and 3 and 6 months post-OSTE. Data were analyzed using generalized estimation equations.</p><p><strong>Results: </strong>The experimental group showed significant improvements in all CTBI domains immediately after the intervention (all p ≤ .003), with the CTBI total score remaining significantly elevated at 3 months (p=.026) and 6 months (p=.004) postintervention. The improvements in the control group were shown to be uneven and not significant until 6 months post-test. In all participants, clinical ladder level was found to relate positively to CTBI total score.</p><p><strong>Conclusions: </strong>OSTE effectively enhances teaching competencies in CPs in the short term, with these effects declining but remaining significant through at least 6 months postintervention. Ongoing training and integrated assessment tools are necessary to realize and sustain improvements in CP clinical teaching efficacy over the long term.</p>","PeriodicalId":94242,"journal":{"name":"The journal of nursing research : JNR","volume":"34 1","pages":"e436"},"PeriodicalIF":0.0,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12863619/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146109528","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}