This mixed-method study aimed to examine the relationship between mode of conception and breastfeeding self-efficacy among first-time mothers in Turkey, comparing outcomes between those who conceived spontaneously and those who conceived through assisted reproductive technologies (ART). A secondary objective was to explore the lived experiences of women with low breastfeeding self-efficacy in both groups.
Using an exploratory sequential mixed-methods design, quantitative data were collected from 100 mothers, 50 with spontaneous pregnancies and 50 with ART-conceived pregnancies, using a validated breastfeeding self-efficacy scale. In the qualitative phase, in-depth interviews were conducted with six mothers who scored low on the scale or reported breastfeeding difficulties. The qualitative component was guided by Dennis' Breastfeeding Self-Efficacy Framework.
Quantitative findings revealed significantly higher breastfeeding self-efficacy scores among mothers with spontaneous pregnancies compared to those who conceived through ART. Qualitative analysis identified key influencing factors such as emotional adjustment to motherhood, perceived social expectations and physical challenges related to breastfeeding. A critical gap in targeted breastfeeding education and postnatal support was noted across both groups.
The findings underscore the need for individualized, culturally sensitive breastfeeding interventions, particularly for mothers who have conceived through ART. Tailored support strategies addressing both psychological and physical aspects of the postpartum experience may enhance breastfeeding outcomes in this growing population.
The efficacy of postoperative nursing management in patients undergoing prostate surgery remains poorly recognized. To address this, we conducted a meta-analysis to evaluate the effectiveness of this approach.
From January 2000 to February 2024, seven randomized controlled trials were selected, involving a total of 593 patients from PubMed, EMBASE and the Cochrane Library to evaluate the efficacy of postoperative nursing management in patients undergoing prostate surgery. All data were analysed using the Review Manager 5.4 software. Outcomes assessed included nursing satisfaction, psychological scores, hospital stay, urinary frequency, residual urine volume (RUV), incidence of complications, frequency of urinary incontinence (UI), urinary tract infection (UTI), pain scores and incidence of UI.
Postoperative nursing management for prostate surgery significantly increased patients' nursing satisfaction (OR 6.46, 95% CI 3.53–11.83, p < 0.00001), improved psychological scores (MD −4.88, 95% CI −8.67 to −1.09, p = 0.01) and shortened hospital stay (MD −4.19, 95% CI −6.14 to −2.25, p < 0.0001). Regarding urinary symptoms, urinary frequency (MD −4.28, 95% CI −8.00 to −0.55, p = 0.02) was significantly reduced, although no significant difference was observed in RUV. In addition, postoperative nursing management significantly reduced the incidence of complications (OR 0.36, 95% CI 0.21–0.62, p = 0.0003), primarily reflected in a decrease in the frequency of UI (MD −2.72, 95% CI −4.70 to −0.74, p = 0.007). However, no significant differences were found in terms of UTI, pain scores or the incidence of UI.
Collectively, our findings suggest that targeted and systematic postoperative nursing management is essential for optimizing recovery and should be integrated as a standard component of perioperative care for patients undergoing prostate surgery.
CRD42024617179.
This article aimed to critically analyse three frequently used evidence-based practice models to determine similarities and differences in their process steps, terminology, tools and implementation models.
Evidence-based practice is an essential competency taught across academic nursing curriculums to prepare nurses for problem solving throughout their career in clinical practice.
A crosswalk analysis was used to compare and contrast the Advancing Research and Clinical Practice Through Close Collaboration (ARCC) Model, the Iowa Model and the Johns Hopkins Evidence-Based Practice (JHEBP) Model.
Findings suggest that although these models contain similar principles, there are differences in terminology and process steps (both alignment and emphasis), leading to a lack of congruence.
Differences in terminology may be confusing to both novice and experienced users of the evidence-based practice process. We suggest that educational and clinical settings adopt a primary evidence-based practice model to use throughout their organization, in addition to purposefully creating awareness of the variety of other models and resources available, including their similarities and differences.
Zhang, X, Liu, K, Sun, Y. Current Status and Influencing Factors of Chinese Nurses' Compassion Competence: A Cross-Sectional Study. Int J Nurs Pract. 2025 Jun; 31(3):e70031. https://doi.org/10.1111/ijn.70031.
The affiliation of YeFei Sun in the above article was incorrect. The affiliation was “Department of Gastrointestinal Surgery, The First Affiliated Hospital of China Medical University, Guangzhou China”. The correct affiliation should be “Department of Gastrointestinal Surgery, The First Affiliated Hospital of China Medical University, Shenyang, China”.
The online article has been corrected.
We apologize for this error.
To explore the influence of inclusive leadership on nurses' taking charge behaviour by examining the mediating role of psychological security and the moderating role of power distance, and to provide a reference for nursing management practice.
Nursing is facing a stage of high-quality development, where improvements in nurses' taking charge behaviour can enhance the quality of nursing care, ensuring nursing safety. Inclusive leadership has been shown to promote the maintenance and formation of a dynamic and harmonious two-channel relationship system. However, there are relatively few studies on the effects of inclusive leadership on nurses' taking charge behaviour, and it is unclear whether inclusive leadership affects nurses' taking charge behaviour and the specific pathways of its effects, which are worth exploring in depth.
A cross-sectional questionnaire survey was conducted among 532 nurses in five tertiary-level A public hospitals in Sichuan Province, China. Structural equation models and bootstrapping methods were utilized to examine the hypotheses. STROBE reporting guidelines were followed.
Inclusive leadership positively influences nurses' taking charge behaviour (β = 0.46, p < 0.001). Inclusive leadership positively affects nurses' psychological security (β = 0.63, p < 0.001). Psychological security positively affects nurses' taking charge behaviour (β = 0.36, p < 0.001). The mediating effect value of psychological security between inclusive leadership and nurses' taking charge behaviour was 0.23, p < 0.001, 95% CI[0.14, 0.32]. The interaction effect of inclusive leadership and power distance reached statistical significance (β = −0.10, p < 0.05).
Inclusive leadership has a positive effect on increasing nurses' taking charge behaviour. Strengthening nurses' psychological security and minimizing nurses' power distance can foster nurses' proactive change behaviours.
In 2016, a new role, the nursing associate, was implemented within the nursing workforce in England to support the shortfall of registered nurses and create a new pathway into nursing. This study aims to explore trainee nursing associates' lived experience to understand if the new role has been accepted and embedded in the nursing workforce.
This study used a qualitative inductive phenomenological design. The Consolidated Criteria for Reporting Qualitative Research checklist (COREQ) was adhered to in developing this paper.
Semi-structured focus groups were conducted with participants completing their nursing associate programme in one higher education institute. Four focus groups with 14 participants occurred between June and November 2021. Thematic analysis was completed as described by Braun and Clarke from an inductive phenomenological perspective.
Four themes were identified: (1) new opportunities and knowledge; (2) academic and practice support; (3) pressure within clinical placements; and (4) the need for continued education and training.
The new role has supported widening participation in higher education institutions and an affordable professional nursing pathway. However, challenges, such as a lack of understanding of the nursing associate role, remain in both clinical practice and higher education institutes. The development of the nursing associate role across specialities has commenced, which inevitably causes further confusion.
What is known about this topic?
A new role, the nursing associate, was implemented in England in 2016 to support the shortfall of registered nurses.
Nursing associates are registered with the governing nursing body in England, the Nursing and Midwifery
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