Petros Galanis, Aglaia Katsiroumpa, Irene Vraka, Olga Siskou, Olympia Konstantakopoulou, Theodoros Katsoulas, Ioannis Moisoglou, Parisis Gallos, Daphne Kaitelidou
Aim
To investigate the impact of nurses' job burnout on their quiet quitting and the mediating effect of job satisfaction on this relationship.
Methods
A cross-sectional study was conducted in Greece. The Quiet Quitting Scale was used to measure levels of quiet quitting. Levels of job burnout were measured with the Copenhagen Burnout Inventory. The Job Satisfaction Survey was used to measure job satisfaction. Multivariable linear regression analysis was employed to control for confounders. The PROCESS macro was used to test the mediating effect of job satisfaction in the relationship between job burnout and quiet quitting.
Results
Study sample included 946 nurses. Job burnout was a positive predictor of quiet quitting, while job satisfaction was a negative predictor of quiet quitting. Job satisfaction partially mediated the positive relationship between burnout and quiet quitting.
Conclusion
Job burnout affected quiet quitting within nurses through the mediating effect of job satisfaction. Effective measures should be taken to decrease nurses' job burnout in order to improve their job satisfaction and thereby reduce their quiet quitting.
{"title":"The Influence of Job Burnout on Quiet Quitting Among Nurses: The Mediating Effect of Job Satisfaction","authors":"Petros Galanis, Aglaia Katsiroumpa, Irene Vraka, Olga Siskou, Olympia Konstantakopoulou, Theodoros Katsoulas, Ioannis Moisoglou, Parisis Gallos, Daphne Kaitelidou","doi":"10.1111/ijn.70057","DOIUrl":"https://doi.org/10.1111/ijn.70057","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>To investigate the impact of nurses' job burnout on their quiet quitting and the mediating effect of job satisfaction on this relationship.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A cross-sectional study was conducted in Greece. The Quiet Quitting Scale was used to measure levels of quiet quitting. Levels of job burnout were measured with the Copenhagen Burnout Inventory. The Job Satisfaction Survey was used to measure job satisfaction. Multivariable linear regression analysis was employed to control for confounders. The PROCESS macro was used to test the mediating effect of job satisfaction in the relationship between job burnout and quiet quitting.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Study sample included 946 nurses. Job burnout was a positive predictor of quiet quitting, while job satisfaction was a negative predictor of quiet quitting. Job satisfaction partially mediated the positive relationship between burnout and quiet quitting.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Job burnout affected quiet quitting within nurses through the mediating effect of job satisfaction. Effective measures should be taken to decrease nurses' job burnout in order to improve their job satisfaction and thereby reduce their quiet quitting.</p>\u0000 </section>\u0000 </div>","PeriodicalId":14223,"journal":{"name":"International Journal of Nursing Practice","volume":"31 5","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-09-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145037728","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
This randomised controlled experimental study examined the impact of warm showers during labour on perceived pain, parenting behaviour and birth memory.
Method
This randomised controlled experimental study (ClinicalTrials.gov Identifier: NCT05529823) was conducted with 81 primiparous pregnant women, assigned to either the experimental group (n:41) or the control group (n:40). ‘Visual Analog Scale’, ‘Postpartum Parenting Behavior Scale’ and ‘Birth Memory and Recall Questionnaire’ were used to collect the data. In the experimental group, participants received warm showers at the onset of the active phase and during the transition phase of labour, whereas the control group received standard care.
Results
The experimental and control groups were similar in terms of sociodemographic characteristics, interventions and medications administered during labour. The pain scores of both groups before the application were similar, while the pain score of the experimental group after both applications was found to be statistically lower compared to the control group (p < 0.05). Postpartum Parenting Behavior Scale scores did not differ between groups. In the Birth Memory and Recall Questionnaire, the control group had higher scores in the emotional memory and involuntary recall sub-dimensions, whereas the experimental group had higher scores in the sensory memory sub-dimension (p < 0.05).
Conclusion
Warm showers during labour reduced perceived labour pain and positively influenced birth memory but had no effect on postpartum parenting behaviour.
{"title":"The Effect of Showering During Labour on Perceived Labour Pain, Parenting Behaviour and Birth Memory: A Randomised Controlled Clinical Trial","authors":"Vildan Kulaç, Yasemin Hamlaci Baskaya","doi":"10.1111/ijn.70055","DOIUrl":"10.1111/ijn.70055","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>This randomised controlled experimental study examined the impact of warm showers during labour on perceived pain, parenting behaviour and birth memory.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Method</h3>\u0000 \u0000 <p>This randomised controlled experimental study (ClinicalTrials.gov Identifier: NCT05529823) was conducted with 81 primiparous pregnant women, assigned to either the experimental group (n:41) or the control group (n:40). ‘Visual Analog Scale’, ‘Postpartum Parenting Behavior Scale’ and ‘Birth Memory and Recall Questionnaire’ were used to collect the data. In the experimental group, participants received warm showers at the onset of the active phase and during the transition phase of labour, whereas the control group received standard care.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The experimental and control groups were similar in terms of sociodemographic characteristics, interventions and medications administered during labour. The pain scores of both groups before the application were similar, while the pain score of the experimental group after both applications was found to be statistically lower compared to the control group (<i>p</i> < 0.05). Postpartum Parenting Behavior Scale scores did not differ between groups. In the Birth Memory and Recall Questionnaire, the control group had higher scores in the emotional memory and involuntary recall sub-dimensions, whereas the experimental group had higher scores in the sensory memory sub-dimension (<i>p</i> < 0.05).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Warm showers during labour reduced perceived labour pain and positively influenced birth memory but had no effect on postpartum parenting behaviour.</p>\u0000 </section>\u0000 </div>","PeriodicalId":14223,"journal":{"name":"International Journal of Nursing Practice","volume":"31 5","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145033135","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Yuanli Guo, Xinyu Cao, Wenfeng Fan, Xiaofang Dong, Caixia Yang, Min Wang, Huanhuan Gao, Peihua Lv, Keke Ma
Background
Despite being efficacious for acute ischemic stroke, treatment with thrombolysis is often delayed because of the inaccessibility of informed consent from patient proxies. Decisional conflict could be an important contributor to this delay; however, its influencing factors remain unknown. This study sought to survey the decisional conflict of proxies for sufferers of acute ischaemic stroke and explore the influencing factors.
Method
This was a correlational study including proxies of patients with acute ischaemic stroke receiving intravenous thrombolysis. The questionnaire comprised general information questions about the patients and proxies, and questions about illness and onset, anxiety levels, social support, trust level in physicians, control preference and the decisional conflict level of proxies. To explore the influencing factors, Spearman's and Pearson correlation analyses as well as ridge regression were conducted using SPSS 22.0. The STROBE checklist was used in this study.
Results
In total, 343 patients and their proxies participated in this research, 55.98% of whom experienced decisional conflict in the course of making thrombolysis decisions. When the proxies were female, younger, less educated, the payer of this treatment and reported heavier burden, high social support, severe anxiety and low trust in physicians, and when the patients were older, with low financial burden (i.e., where patients' financial resources generally covered their daily needs, creating minimal burden), the proxies had higher decisional conflict. When the patients did not participate in the decision-making process, when the number of decision-makers was lower and the patients had higher stroke severity, the proxies also had higher decisional conflict.
Conclusion
Many decision makers for acute ischaemic stroke patients experience decisional conflict during thrombolysis decision-making. Nurses should consider their psychological traits and use effective communication skills and decision-making aids according to their characteristics in the decision making process.
{"title":"Decisional Conflict of Proxies in the Thrombolysis Decision-Making Process for Acute Ischaemic Stroke Patients","authors":"Yuanli Guo, Xinyu Cao, Wenfeng Fan, Xiaofang Dong, Caixia Yang, Min Wang, Huanhuan Gao, Peihua Lv, Keke Ma","doi":"10.1111/ijn.70054","DOIUrl":"https://doi.org/10.1111/ijn.70054","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Despite being efficacious for acute ischemic stroke, treatment with thrombolysis is often delayed because of the inaccessibility of informed consent from patient proxies. Decisional conflict could be an important contributor to this delay; however, its influencing factors remain unknown. This study sought to survey the decisional conflict of proxies for sufferers of acute ischaemic stroke and explore the influencing factors.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Method</h3>\u0000 \u0000 <p>This was a correlational study including proxies of patients with acute ischaemic stroke receiving intravenous thrombolysis. The questionnaire comprised general information questions about the patients and proxies, and questions about illness and onset, anxiety levels, social support, trust level in physicians, control preference and the decisional conflict level of proxies. To explore the influencing factors, Spearman's and Pearson correlation analyses as well as ridge regression were conducted using SPSS 22.0. The STROBE checklist was used in this study.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>In total, 343 patients and their proxies participated in this research, 55.98% of whom experienced decisional conflict in the course of making thrombolysis decisions. When the proxies were female, younger, less educated, the payer of this treatment and reported heavier burden, high social support, severe anxiety and low trust in physicians, and when the patients were older, with low financial burden (i.e., where patients' financial resources generally covered their daily needs, creating minimal burden), the proxies had higher decisional conflict. When the patients did not participate in the decision-making process, when the number of decision-makers was lower and the patients had higher stroke severity, the proxies also had higher decisional conflict.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Many decision makers for acute ischaemic stroke patients experience decisional conflict during thrombolysis decision-making. Nurses should consider their psychological traits and use effective communication skills and decision-making aids according to their characteristics in the decision making process.</p>\u0000 </section>\u0000 </div>","PeriodicalId":14223,"journal":{"name":"International Journal of Nursing Practice","volume":"31 5","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-09-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145007921","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Gonzalez, VA, Febras, LLT, Lima, CCD, Alves, BM, Dos Santos, DT, Souza, MA, Carvalho, SM, Rohsig, V, Pille, A, Wolf, J, Maccari, JG, Mutlaq, MP, Nasi, LA. Economic Analysis of Falls in a Private Hospital in Southern Brazil – A Case – Control Study. Int J Nurs Pract. 2024 Dec; 30(6):e13313. https://doi.org/10.1111/ijn.13313. PMID: 39431424.
The co-author name Cássia Cristina Damásio de Lima in the above article was incorrect. In the published version, the name appears as Cássia Cristina Damásio de Lima, whereas the correct name is Cássia Cristine Damasio de Lima.
The online article has been corrected.
We apologize for this error.
Gonzalez， VA, Febras， LLT, Lima， CCD, Alves， BM, Dos Santos， DT, Souza， MA, Carvalho， SM, Rohsig， V, Pille， A, Wolf， J, Maccari， JG, Mutlaq， MP, Nasi， LA。巴西南部一家私立医院跌倒的经济分析——一项病例对照研究。国际护理实践杂志。2024年12月；30 (6): e13313。https://doi.org/10.1111/ijn.13313。PMID: 39431424。上述文章中的合著者姓名Cássia Cristina Damásio de Lima不正确。在公布的版本中，她的名字显示为Cássia Cristina Damásio de Lima，而正确的名字是Cássia Cristine Damasio de Lima。网上的文章已被更正。我们为这个错误道歉。
{"title":"Correction to “Economic Analysis of Falls in a Private Hospital in Southern Brazil – A Case – Control Study”","authors":"","doi":"10.1111/ijn.70056","DOIUrl":"https://doi.org/10.1111/ijn.70056","url":null,"abstract":"<p>\u0000 <span>Gonzalez, VA</span>, <span>Febras, LLT</span>, <span>Lima, CCD</span>, <span>Alves, BM</span>, <span>Dos Santos, DT</span>, <span>Souza, MA</span>, <span>Carvalho, SM</span>, <span>Rohsig, V</span>, <span>Pille, A</span>, <span>Wolf, J</span>, <span>Maccari, JG</span>, <span>Mutlaq, MP</span>, <span>Nasi, LA</span>. <span>Economic Analysis of Falls in a Private Hospital in Southern Brazil – A Case – Control Study</span>. <i>Int J Nurs Pract</i>. <span>2024 Dec</span>; <span>30</span>(<span>6</span>):e13313. https://doi.org/10.1111/ijn.13313. PMID: 39431424.\u0000 </p><p>The co-author name Cássia Cristina Damásio de Lima in the above article was incorrect. In the published version, the name appears as Cássia Cristina Damásio de Lima, whereas the correct name is Cássia Cristine Damasio de Lima.</p><p>The online article has been corrected.</p><p>We apologize for this error.</p>","PeriodicalId":14223,"journal":{"name":"International Journal of Nursing Practice","volume":"31 5","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-09-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/ijn.70056","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144935185","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Sibel Kücükoglu, Fatma Tas Arslan, Sevinc Akkoyun, Deniz Kocoglu-Tanyer, Hanifi Soylu, Murat Konak
Aims
This study was conducted to determine the effects of Facilitated Tucking (FT) with hands or a positioning bed on cerebral oxygenation (rSO2), physiological parameters, pain and comfort of premature infants during heel blood collection.
Methods
This prospective, single-blinded, randomized controlled trial was conducted in the tertiary neonatal intensive care unit of the Faculty of Medicine Hospital in Türkiye between December 2020 and October 2021. Heel blood collection was performed in the facilitated tucking with hands group (n = 22), facilitated tucking with positioning bed group (n = 22) and routine procedure control group (n = 22); rSO2, physiological parameters, pain and (dis)comfort were assessed.
Results
In the facilitated tucking with positioning bed group, rSO2 and oxygen saturation (SpO2) were significantly higher during and after the procedure compared with the other two groups, while respiratory rate and pain score were significantly lower and (dis)comfort level was significantly higher. In addition, heart rate during the procedure was significantly lower in the facilitated tucking with positioning bed group than in the other two groups (p < 0.001). According to the results of the analysis, the effect size was moderate for rSO2, body temperature, heart rate and SpO2 and large for respiratory rate, comfort and pain.
Conclusions
Positioning bed can help stabilize rSO2 and physiologic parameters, increase comfort and reduce pain in premature infants.
{"title":"Effect of Facilitated Tucking on Cerebral Oxygenation, Physiological Parameters, Comfort and Pain in Premature Infants During Heel Blood Collection: A Randomized Controlled Trial","authors":"Sibel Kücükoglu, Fatma Tas Arslan, Sevinc Akkoyun, Deniz Kocoglu-Tanyer, Hanifi Soylu, Murat Konak","doi":"10.1111/ijn.70051","DOIUrl":"https://doi.org/10.1111/ijn.70051","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aims</h3>\u0000 \u0000 <p>This study was conducted to determine the effects of Facilitated Tucking (FT) with hands or a positioning bed on cerebral oxygenation (rSO<sub>2</sub>), physiological parameters, pain and comfort of premature infants during heel blood collection.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>This prospective, single-blinded, randomized controlled trial was conducted in the tertiary neonatal intensive care unit of the Faculty of Medicine Hospital in Türkiye between December 2020 and October 2021. Heel blood collection was performed in the facilitated tucking with hands group (<i>n</i> = 22), facilitated tucking with positioning bed group (<i>n</i> = 22) and routine procedure control group (<i>n</i> = 22); rSO<sub>2</sub>, physiological parameters, pain and (dis)comfort were assessed.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>In the facilitated tucking with positioning bed group, rSO<sub>2</sub> and oxygen saturation (SpO<sub>2</sub>) were significantly higher during and after the procedure compared with the other two groups, while respiratory rate and pain score were significantly lower and (dis)comfort level was significantly higher. In addition, heart rate during the procedure was significantly lower in the facilitated tucking with positioning bed group than in the other two groups (<i>p</i> < 0.001). According to the results of the analysis, the effect size was moderate for rSO<sub>2</sub>, body temperature, heart rate and SpO<sub>2</sub> and large for respiratory rate, comfort and pain.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Positioning bed can help stabilize rSO<sub>2</sub> and physiologic parameters, increase comfort and reduce pain in premature infants.</p>\u0000 </section>\u0000 </div>","PeriodicalId":14223,"journal":{"name":"International Journal of Nursing Practice","volume":"31 5","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-09-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144929805","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
To investigate the effects of integrating standardized patients with the situational simulation teaching method (SSTM) on nursing interns' learning outcomes, work capabilities and engagement in the respiratory department.
Background
Traditional simulation methods may lack realism and interactivity. Combining standardized patients with SSTM may provide a more immersive and effective teaching strategy.
Design
A randomized controlled trial.
Methods
This randomized controlled trial compared the outcomes of traditional SSTM versus a combined standardized patient and SSTM approach. From April 2022 to April 2023, 108 nursing interns were randomly assigned to either a control group (traditional SSTM) or a research group (combined SSTM and standardized patients). Outcomes measured included theoretical and practical knowledge, self-directed learning, work engagement, caregiving skills, self-efficacy, stress levels and teaching evaluations.
Results
Nursing interns in the research group showed significant improvements in theoretical and practical knowledge, autonomous learning, work engagement, caregiving skills and self-efficacy, with a reduction in stress levels. Teaching evaluations rated the research group higher across multiple aspects.
Conclusion
The integration of standardized patients with SSTM is an effective educational strategy that enhances learning outcomes, practical capabilities and motivation among nursing interns, offering a valuable approach for better preparing students for clinical practice.
{"title":"Effect of Standardized Patients Combined With Situational Simulation Teaching Method on Learning Effect, Working Ability and Enthusiasm of Nursing Interns in a Respiratory Department: A Randomized Controlled Trial","authors":"Jie Zhang, Jinfang Jia","doi":"10.1111/ijn.70050","DOIUrl":"https://doi.org/10.1111/ijn.70050","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>To investigate the effects of integrating standardized patients with the situational simulation teaching method (SSTM) on nursing interns' learning outcomes, work capabilities and engagement in the respiratory department.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Traditional simulation methods may lack realism and interactivity. Combining standardized patients with SSTM may provide a more immersive and effective teaching strategy.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Design</h3>\u0000 \u0000 <p>A randomized controlled trial.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>This randomized controlled trial compared the outcomes of traditional SSTM versus a combined standardized patient and SSTM approach. From April 2022 to April 2023, 108 nursing interns were randomly assigned to either a control group (traditional SSTM) or a research group (combined SSTM and standardized patients). Outcomes measured included theoretical and practical knowledge, self-directed learning, work engagement, caregiving skills, self-efficacy, stress levels and teaching evaluations.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Nursing interns in the research group showed significant improvements in theoretical and practical knowledge, autonomous learning, work engagement, caregiving skills and self-efficacy, with a reduction in stress levels. Teaching evaluations rated the research group higher across multiple aspects.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>The integration of standardized patients with SSTM is an effective educational strategy that enhances learning outcomes, practical capabilities and motivation among nursing interns, offering a valuable approach for better preparing students for clinical practice.</p>\u0000 </section>\u0000 </div>","PeriodicalId":14223,"journal":{"name":"International Journal of Nursing Practice","volume":"31 5","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-09-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144935119","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
This study assessed the balance between the benefits and risks associated with artificial intelligence (AI) adoption in nursing practice across multiple healthcare centres, focusing on innovative potential and ethical considerations.
Background
AI integration into healthcare presents various ethical challenges, particularly for nurses. Thus, it is important to ensure that AI adoption optimises patient care without compromising ethical norms.
Methods
This cross-sectional study assessed 246 nurses from three hospitals in Al-Kharj, Saudi Arabia, through stratified random sampling. Data were collected on 6 December 2024 in person using five validated surveys: the Healthcare Technology Adoption Survey, Ethical Issues in Technology Usage Survey, Nursing Practice Perception Survey, Technology Acceptance Model Survey, and Data Privacy and Security Assessment. Correlation and regression analyses examined the relationships between factors and provided insights into technological integration in nursing practice.
Results
Nurses reported a moderate level of AI use, noting its benefits for patient care and workflow efficiency. However, primary concerns include data privacy and the potential for job displacement. The perceived usefulness of AI and ethical awareness were predictors of fewer ethical concerns.
Conclusion
This study emphasises balancing AI adoption in nursing by integrating ethics with technology for optimal patient care. Healthcare institutions must enhance their ethical training to help nurses address AI challenges. Policymakers should improve AI adoption regulations.
{"title":"Balancing Benefits and Risks of AI Adoption in Nursing Practice in Saudi Arabia","authors":"Ateya Megahed Ibrahim","doi":"10.1111/ijn.70053","DOIUrl":"https://doi.org/10.1111/ijn.70053","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>This study assessed the balance between the benefits and risks associated with artificial intelligence (AI) adoption in nursing practice across multiple healthcare centres, focusing on innovative potential and ethical considerations.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>AI integration into healthcare presents various ethical challenges, particularly for nurses. Thus, it is important to ensure that AI adoption optimises patient care without compromising ethical norms.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>This cross-sectional study assessed 246 nurses from three hospitals in Al-Kharj, Saudi Arabia, through stratified random sampling. Data were collected on 6 December 2024 in person using five validated surveys: the Healthcare Technology Adoption Survey, Ethical Issues in Technology Usage Survey, Nursing Practice Perception Survey, Technology Acceptance Model Survey, and Data Privacy and Security Assessment. Correlation and regression analyses examined the relationships between factors and provided insights into technological integration in nursing practice.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Nurses reported a moderate level of AI use, noting its benefits for patient care and workflow efficiency. However, primary concerns include data privacy and the potential for job displacement. The perceived usefulness of AI and ethical awareness were predictors of fewer ethical concerns.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>This study emphasises balancing AI adoption in nursing by integrating ethics with technology for optimal patient care. Healthcare institutions must enhance their ethical training to help nurses address AI challenges. Policymakers should improve AI adoption regulations.</p>\u0000 </section>\u0000 </div>","PeriodicalId":14223,"journal":{"name":"International Journal of Nursing Practice","volume":"31 5","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-09-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144935120","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
This study examines the impact of sleep quality in patients during the first week after transfer from the intensive care unit on post-intensive care syndrome, as well as the mediating role of fatigue levels.
Design
A cross-sectional design was employed in a hospital in southern Taiwan.
Methods
One hundred twenty-six intensive care unit survivors were included in the analysis. The outcome measures included a post-intensive care syndrome scale, the Brief Fatigue Inventory-Taiwan, and a 10-point analogue scale for sleep quality. Statistical and hierarchical linear regression methods were used.
Results
The mean score for post-intensive care syndrome was 19.9 (SD = 7.6). The mean score for fatigue levels was 40.4 (SD = 15.5), with 93.7% of participants reporting severe fatigue and significant life interference. The mean score for sleep quality was 5.1 (SD = 3.3). The findings indicated that fatigue was a significant predictor of post-intensive care syndrome, accounting for 78.4% of the variances. Furthermore, fatigue served as a complete mediator in the primary relationship examined in this study.
Conclusion
Study results demonstrate that intensive care survivors experience post-intensive care syndrome, which is negatively correlated with sleep quality and positively correlated with fatigue.
{"title":"The Mediating Effects of Sleep Quality and Fatigue on Post-Intensive Care Syndrome Among Intensive Care Unit Survivors","authors":"Hui-Fang Yeh, Tzu-Yu Tseng, Ling-Hua Wang, Chia-Lun Lo, Jun-Yih Chen, Hui-Ju Cheng, Yu-Hua Lin","doi":"10.1111/ijn.70047","DOIUrl":"https://doi.org/10.1111/ijn.70047","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aims</h3>\u0000 \u0000 <p>This study examines the impact of sleep quality in patients during the first week after transfer from the intensive care unit on post-intensive care syndrome, as well as the mediating role of fatigue levels.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Design</h3>\u0000 \u0000 <p>A cross-sectional design was employed in a hospital in southern Taiwan.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>One hundred twenty-six intensive care unit survivors were included in the analysis. The outcome measures included a post-intensive care syndrome scale, the Brief Fatigue Inventory-Taiwan, and a 10-point analogue scale for sleep quality. Statistical and hierarchical linear regression methods were used.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The mean score for post-intensive care syndrome was 19.9 (SD = 7.6). The mean score for fatigue levels was 40.4 (SD = 15.5), with 93.7% of participants reporting severe fatigue and significant life interference. The mean score for sleep quality was 5.1 (SD = 3.3). The findings indicated that fatigue was a significant predictor of post-intensive care syndrome, accounting for 78.4% of the variances. Furthermore, fatigue served as a complete mediator in the primary relationship examined in this study.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Study results demonstrate that intensive care survivors experience post-intensive care syndrome, which is negatively correlated with sleep quality and positively correlated with fatigue.</p>\u0000 </section>\u0000 </div>","PeriodicalId":14223,"journal":{"name":"International Journal of Nursing Practice","volume":"31 5","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144929674","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
To identify patterns and predictors of nurse turnover intentions based on years of nursing experience using a cluster analysis approach.
Background
Nurses with varying years of experience have different characteristics. These differences can also lead to distinct patterns and predictors of turnover intentions.
Methods
For this descriptive study, 785 nurses from hospitals across different regions of Türkiye participated in a survey. Data was collected through online questionnaires between April and May 2022. The K-means unsupervised machine learning algorithm was employed to classify nurses into distinct clusters based on their experience. Multiple linear regression analyses were conducted to identify the predictors of turnover intention specific to each cluster. The STROBE guideline was followed for reporting.
Results
Cluster analysis grouped nurses into three categories by experience level: low, medium and high. The medium-experience group had the highest turnover intention, whereas the high-experience group had the lowest. Work stress was the only common predictor across all groups. Low income predicted turnover only for the low-experience group, and gender was significant only for the medium-experience group.
Conclusion
This study revealed that turnover intention and its predictors vary by experience level, indicating a need for retention strategies tailored to nurses' years of experience. By considering subgroup characteristics, policymakers can develop targeted interventions to enhance nurse retention.
{"title":"Patterns and Predictors of Nurse Turnover Intentions Based on Years of Nursing Experience: A Cluster Analysis Approach","authors":"Veysel Karani Baris, Akgun Yesiltepe, Gulbahar Celik","doi":"10.1111/ijn.70049","DOIUrl":"https://doi.org/10.1111/ijn.70049","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>To identify patterns and predictors of nurse turnover intentions based on years of nursing experience using a cluster analysis approach.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Nurses with varying years of experience have different characteristics. These differences can also lead to distinct patterns and predictors of turnover intentions.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>For this descriptive study, 785 nurses from hospitals across different regions of Türkiye participated in a survey. Data was collected through online questionnaires between April and May 2022. The <i>K</i>-means unsupervised machine learning algorithm was employed to classify nurses into distinct clusters based on their experience. Multiple linear regression analyses were conducted to identify the predictors of turnover intention specific to each cluster. The STROBE guideline was followed for reporting.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Cluster analysis grouped nurses into three categories by experience level: low, medium and high. The medium-experience group had the highest turnover intention, whereas the high-experience group had the lowest. Work stress was the only common predictor across all groups. Low income predicted turnover only for the low-experience group, and gender was significant only for the medium-experience group.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>This study revealed that turnover intention and its predictors vary by experience level, indicating a need for retention strategies tailored to nurses' years of experience. By considering subgroup characteristics, policymakers can develop targeted interventions to enhance nurse retention.</p>\u0000 </section>\u0000 </div>","PeriodicalId":14223,"journal":{"name":"International Journal of Nursing Practice","volume":"31 5","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144923597","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
The psychometric properties of the 10-item Self-Care Self-Efficacy scale have not yet been established in the Korean language. This study aimed to evaluate its validity and reliability among Korean patients with heart failure (HF).
Methods
A total of 159 patients with HF participated (mean age: 65.40 ± 9.62 years; 60.1% male). Construct validity was assessed using confirmatory factor analysis. Criterion validity was examined by assessing the correlation of self-efficacy with HF symptom status and physical function and by comparing self-efficacy levels across the New York Heart Association classes. Reliability was evaluated using Cronbach's alpha, McDonald's omega and factor determinacy.
Results
Confirmatory factor analysis fit indices were as follows: comparative fit index = 0.977, Tucker–Lewis index = 0.966, standardised root mean square residual = 0.041 and root mean square error of approximation = 0.065 (90% CI = 0.038–0.090). Criterion validity was supported by significant correlations between self-efficacy and symptom status (r = −0.331, p < 0.001) and physical function (r = 0.299, p < 0.001). Self-efficacy scores were significantly higher in patients with lower New York Heart Association class (I/II) than higher class (III or IV) (F = 4.68, p = 0.011). Reliability estimates were robust: Cronbach's α = 0.913, McDonald's omega = 0.902 and factor determinacy = 0.941.
Conclusion
This study supports the validity and reliability of the Self-Care Self-Efficacy scale in Korean for assessing self-care self-efficacy among patients with HF. Clinicians should consider evaluating and enhancing patients' self-care self-efficacy to effectively manage HF symptoms, especially considering functional severity.
目的10项自我照顾自我效能感量表的心理测量性质尚未建立。本研究旨在评估其在韩国心力衰竭（HF）患者中的效度和可靠性。方法159例HF患者（平均年龄65.40±9.62岁，男性占60.1%）参与研究。建构效度评估采用验证性因子分析。通过评估自我效能与心衰症状状态和身体功能的相关性，并通过比较纽约心脏协会各班级的自我效能水平来检验标准效度。采用Cronbach's alpha、McDonald's omega和因子确定性评估信度。结果验证性因子分析拟合指标为：比较拟合指数= 0.977，Tucker-Lewis指数= 0.966，标准化均方根残差= 0.041，近似均方根误差= 0.065 （90% CI = 0.038 ~ 0.090）。自我效能感与症状状态（r = - 0.331, p < 0.001）和身体机能（r = 0.299, p < 0.001）之间存在显著相关性，支持了标准效度。纽约心脏协会分级（I/II）较低的患者自我效能评分明显高于分级（III或IV）的患者（F = 4.68, p = 0.011）。信度估计是稳健的：Cronbach's α = 0.913, McDonald's ω = 0.902，因子确定性= 0.941。结论韩文自我保健效能量表用于评估心衰患者自我保健效能的信度和效度。临床医生应考虑评估和提高患者的自我保健自我效能感，以有效地管理心衰症状，特别是考虑功能严重程度。
{"title":"Validity and Reliability of the Korean Version of the Self-Care Self-Efficacy Scale for Patients With Heart Failure: A Psychometric Evaluation","authors":"JinShil Kim, Minjeong An","doi":"10.1111/ijn.70045","DOIUrl":"https://doi.org/10.1111/ijn.70045","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>The psychometric properties of the 10-item Self-Care Self-Efficacy scale have not yet been established in the Korean language. This study aimed to evaluate its validity and reliability among Korean patients with heart failure (HF).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A total of 159 patients with HF participated (mean age: 65.40 ± 9.62 years; 60.1% male). Construct validity was assessed using confirmatory factor analysis. Criterion validity was examined by assessing the correlation of self-efficacy with HF symptom status and physical function and by comparing self-efficacy levels across the New York Heart Association classes. Reliability was evaluated using Cronbach's alpha, McDonald's omega and factor determinacy.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Confirmatory factor analysis fit indices were as follows: comparative fit index = 0.977, Tucker–Lewis index = 0.966, standardised root mean square residual = 0.041 and root mean square error of approximation = 0.065 (90% CI = 0.038–0.090). Criterion validity was supported by significant correlations between self-efficacy and symptom status (<i>r</i> = −0.331, <i>p</i> < 0.001) and physical function (<i>r</i> = 0.299, <i>p</i> < 0.001). Self-efficacy scores were significantly higher in patients with lower New York Heart Association class (I/II) than higher class (III or IV) (<i>F</i> = 4.68, <i>p</i> = 0.011). Reliability estimates were robust: Cronbach's <i>α</i> = 0.913, McDonald's omega = 0.902 and factor determinacy = 0.941.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>This study supports the validity and reliability of the Self-Care Self-Efficacy scale in Korean for assessing self-care self-efficacy among patients with HF. Clinicians should consider evaluating and enhancing patients' self-care self-efficacy to effectively manage HF symptoms, especially considering functional severity.</p>\u0000 </section>\u0000 </div>","PeriodicalId":14223,"journal":{"name":"International Journal of Nursing Practice","volume":"31 5","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/ijn.70045","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144923749","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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