Nursing Reports最新文献

Background: Patient participation during Nursing Bedside Handover (NBH) is a dyadic interaction between the patient and nurses that allows the patient to participate, either passively or actively, in communication activities and nursing care. Objective: This state-of-the-art (SotA) review aimed to synthesize current knowledge on patient participation during NBH and identify future directions for bedside handover research. Methods: The literature search was conducted through PubMed, CINAHL Complete, and Scopus, and was supplemented by citation searching. Search was limited to peer-reviewed scientific articles using any empirical study design that addressed patient participation during NBH published in English by August 2025. The quality of the included studies was assessed using the Mixed Methods Appraisal Tool. Results: A total of 50 primary research articles were included and examined using the method of constant comparisons. The synthesized data were categorized into three main themes: (a) Domain of distinctive nature and attributes of patient participation during NBH; (b) domain of nurses' practices and influencing factors of patient participation during NBH; and (c) domain of strategies and impacts of increasing patient participation during NBH. Within each domain, research trends were identified concerning patient participation in NBH. Future research directions are presented within each domain. Conclusions: The findings of this review may provide new insights into developing complex interventions aimed at increasing patient participation in NBH by nurses, namely with the use of co-design strategies, as well as the adoption of transfer protocols that incorporate informational and interactional components and assessment tools to measure patient participation in NBH.

Background: The transition from student to registered nurse is a vulnerable period characterised by emotional strain, role ambiguity, and transition shock. Although Graduate Nurse Transition Programs (GNTPs) aim to strengthen early practice readiness, few evaluations use longitudinal, theory-informed approaches or validated tools. Aim: To examine the professional role development of new graduate nurses (NGNs) across three transition stages within a major Australian health service. Design and Methods: A longitudinal quantitative study guided by Duchscher's Stages of Transition Theory and the Transition Shock Model. A customised 75-item questionnaire-adapted from the Professional Role Transition Risk Assessment Instrument and the Professional and Graduate Capability Framework-was administered at three transition points (March 2020-March 2021). Four domains were assessed: Responsibilities, Role Orientation, Relationships, and Knowledge and Confidence. Descriptive statistics, Principal Component Analysis (PCA), chi-square tests, and multinomial logistic regression identified developmental patterns and predictors of transition stage. Results: PCA supported a four-factor structure consistent with the theoretical domains, explaining 62% of variance. Significant stage-based improvements were found in clinical decision-making (RS6, p = 0.005), managing pressure (RS11, p = 0.003), leadership perception (RO5, p = 0.001), and emotional regulation (RL20, p < 0.001). Regression analysis identified role confusion (RS7, χ² = 18.112, p = 0.001), leadership potential (RL1, χ² = 25.590, p < 0.001), workplace support (RL16, χ² = 12.760, p = 0.013), and critical thinking confidence (KN13, χ² = 10.858, p = 0.028) as strong predictors of transition stage. By Stage 3, most NGNs demonstrated increased autonomy, confidence, and professional integration. A coordinator-to-graduate ratio of 1:12 facilitated personalised mentorship. Conclusions: Findings provide robust evidence for theoretically grounded GNTPs. Tailored interventions-such as early mentorship, mid-stage stress support, and late-stage leadership development-can enhance role clarity, confidence, and workforce sustainability.

Background: Humanitarian surgical missions play a critical role in addressing health disparities, particularly in low-resource settings where conditions such as cleft lip and palate (CL/P) are prevalent. The success of these missions relies heavily on the commitment of volunteers, including healthcare professionals and logistical personnel. While their contributions are widely acknowledged, the psychological and emotional impact of participating in such missions remains underexplored. Objective: This study protocol aims to explore the lived experience of volunteers involved in humanitarian surgical missions. Materials and Methods: A qualitative study, using Interpretative Phenomenological Analysis (IPA), will be conducted. Semi-structured interviews will be carried out with volunteers who have participated in at least one humanitarian surgical mission. Interviews will be audio-recorded, transcribed verbatim, and analyzed to identify emerging themes. Data collection will continue until saturation is reached. The reporting of this study will follow the COREQ guidelines. Expected Results: This study is expected to provide a deeper understanding of the emotional and professional experiences of volunteers in surgical missions. Expected results include identifying key themes related to motivation and preparation, on-site engagement, field experience, interpersonal relationships and group dynamics, and personal reflections. These results will inform strategies to enhance the effectiveness of missions, improve volunteer support, and ensure the sustainability of humanitarian interventions. Additionally, these findings will contribute to the broader field of international health volunteering and support future program development. Conclusions: This protocol outlines a rigorous qualitative approach to investigating the lived experience of volunteers in humanitarian surgical missions. The anticipated findings are expected to inform targeted training, psychological support, and organizational strategies, ultimately improving the effectiveness and sustainability of future missions and the well-being of volunteers.

Background/Objectives: Health literacy (HL) plays a fundamental role in maternal and neonatal outcomes by influencing women's ability to access, understand, and apply health information during pregnancy. However, evidence regarding the determinants of HL among pregnant women remains limited, particularly within the Spanish context. This study aimed to assess HL levels among pregnant women and to examine their association with personal, socioeconomic, and health-related factors. Methods: A cross-sectional study was conducted between January 2023 and February 2024 across nine primary care centres within the Vigo Health Area (Spain), including 182 pregnant women receiving prenatal care. HL was measured using the 16-item European Health Literacy Survey Questionnaire (HLS-EU-Q16). Sociodemographic, obstetric, and health-related variables were collected through structured interviews. Descriptive and inferential analyses were performed to explore associations between HL and the selected variables. Results: Limited HL was observed in 35.7% of participants. A significant association was found between HL and family income (p = 0.037), with limited HL being more frequent among women with a monthly family income below €2000. No associations were identified with other sociodemographic or health-related variables. Thirty-nine per cent of participants visited hospital emergency services on two or more occasions, mostly without admission. The main source of information was healthcare professionals, although Internet use was also relevant. Conclusions: The prevalence of limited HL was lower than that reported in other national studies, although inequalities related to family income persisted. These findings highlight the need to incorporate systematic, HL-tailored strategies into prenatal care, based on prior HL assessment, to promote informed decision-making and improve maternal and neonatal outcomes.

Background/Objectives: Eating behavior disorders (EBDs) are a public health concern among undergraduate students. Evidence suggests that certain health-related academic environments may be associated with heightened psychological vulnerability. Hence, we aimed to evaluate the association between nursing education and the risk of EBDs and to assess whether self-esteem and anxiety mediate this relationship. Methods: A cross-sectional analytical study was conducted between July and August 2023 among 433 undergraduate students from two public universities in Hidalgo, Mexico. The sample included 209 nursing students and 224 peers from non-health-related programs. Self-esteem, anxiety, and EBD risk were assessed using the Rosenberg Self-Esteem Scale, Hamilton Anxiety Rating Scale, and Eating Attitudes Test-26, respectively. Logistic regression and counterfactual mediation analyses were performed, adjusting for age, sex, family income, and year of study. Results: Nursing students showed higher odds of low self-esteem (aOR = 1.64; 95% CI: 1.06-2.53), anxiety (aOR = 2.06; 95% CI: 1.25-3.37), and EBDs risk (aOR = 2.37; 95% CI: 1.37-4.09) compared with non-health peers. Mediation analyses revealed significant indirect effects through self-esteem (aOR = 1.20; 95% CI: 1.03-1.38) and anxiety (aOR = 1.14; 95% CI: 1.01-1.29). Conclusions: Nursing education was independently associated with a higher risk of EBDs, with statistical mediation analyses indicating that differences in self-esteem and anxiety may help characterize this association. Self-esteem exerted a slightly stronger indirect effect, suggesting that negative self-evaluation may represent a more proximal psychological process rather than a causal determinant.

Background/Objectives: Nurses and nursing technicians are essential providers of patient care but remain highly vulnerable due to the demands of their profession, which can profoundly affect their professional quality of life. Understanding the risk and protective factors underlying different aspects of professional quality of life is crucial for fostering healthcare professionals' overall well-being and ensuring high-quality care for patients. The aim of this study was to explore the relationships between professional quality of life, work-related factors, PTSD symptomatology and individual resources, including resilience and coping strategies. Methods: This cross-sectional study included 119 nurses from various nursing departments. A questionnaire comprising sociodemographic and work-related variables and four validated instruments, Professional Quality of Life Scale-5 (ProQOL-5), PTSD Checklist for DSM-5 (PCL-5), Brief-COPE and Brief Resilience Scale, was used for data collection. Results: Findings revealed moderate to high compassion satisfaction among nurses and technicians, as well as low to moderate burnout and moderate levels of secondary traumatic stress. Compassion satisfaction was positively associated with problem-focused and emotion-focused coping, whereas higher levels of compassion fatigue (burnout and secondary traumatic stress) were associated with avoidant coping, greater PTSD symptom severity, and lower resilience. Resilience, problem-focused coping, and PTSD symptom severity were identified as significant predictors of professional quality of life. Conclusions: To support nurses' and technicians' well-being, healthcare organizations should encourage open conversations about the emotional demands of patient care and provide interventions that promote effective coping and address PTSD symptoms, ultimately helping to reduce compassion fatigue and enhance compassion satisfaction.

Background/Aim: The quality of care provided to patients was closely related to the nursing staff's well-being and their experience within the organization. This study aimed to evaluate the psychometric properties of the short form of the Nurses' Organizational Health Questionnaire (QISO-SF), with a focus on its relevance for assessing nurses' organizational well-being in healthcare environments. The study examined the instrument's structural validity and internal consistency. Methods: A secondary analysis was conducted using data from three cross-sectional studies, including 1279 nurses providing direct patient care across various Italian healthcare settings. Dimensionality of the QISO-SF was tested via confirmatory factor analysis (CFA), and reliability was assessed using ordinal omega coefficients (ω). Results: The QISO-SF comprises 48 items across 11 dimensions, grouped into 5 scales: Comfort, Organizational Context and Relational Processes, Workload, Positive and Negative Indicators, and Psychophysical Distress. The instrument demonstrated good structural validity (RMSEA = 0.048-0.094; CFI = 0.967-0.994) and satisfactory reliability (ω = 0.644-0.857). By maintaining the theoretical framework of the original questionnaire while reducing completion time, the short form is suitable for evaluating nurses' work-related quality of life and organizational well-being. Conclusions: The QISO-SF is a concise, reliable, and valid tool to assess work-related quality of life and Organizational health in nursing professionals. Its use can support interventions aimed at promoting well-being in healthcare settings.

Background/Objectives: Emergency healthcare professionals are continually exposed to high clinical and organizational demands that compromise their mental, physical, and occupational health. This systematic review and meta-analysis examined the prevalence and interrelations of biopsychosocial and work-related health outcomes among emergency personnel, providing an integrated synthesis of recent empirical evidence. Methods: A systematic search of PubMed, Scopus, Web of Science, and CINAHL identified 6214 records, of which 50 studies met inclusion criteria and were analyzed (total n = 278,000 emergency professionals). Eligible studies (2020-2025) evaluated biopsychosocial outcomes (burnout, depression, stress, resilience, sleep quality) and occupational indicators (workplace violence, job satisfaction, effort-reward imbalance, engagement, turnover intention). Meta-analyses were conducted using random-effects models (DerSimonian-Laird method), producing pooled prevalence estimates for each outcome based on the number of studies that reported the corresponding variable. Risk of bias was assessed using the Joanna Briggs Institute tools, with most studies rated as moderate-to-high quality. Results: Pooled estimates showed fair self-perceived health in 44.0%, severe burnout in 10.7%, depressive symptoms in 35.1%, moderate-to-severe stress in 74.6%, and poor sleep quality in 40.1% of staff. Workplace violence affected 76.9% of professionals. Job satisfaction averaged 68.1%, turnover intention 62.1%, and effort-reward imbalance 61.9%. Resilience was predominantly moderate (33.9%). Considerable heterogeneity was observed; however, patterns were consistent across regions and professional roles. Conclusions: Emergency healthcare personnel face substantial biopsychosocial strain and occupational risks, driven by persistent structural pressures. Health systems should implement integrated organizational strategies to reduce violence, enhance psychological support, ensure safe staffing, and protect rest and recovery. Improving staff well-being is essential for maintaining a resilient and effective emergency care workforce.

Background: Patients with Rheumatic and Musculoskeletal Diseases (RMDs) who are treated with Disease-Modifying Anti-Rheumatic Drugs (DMARDs) face an increased risk of infections. Therapeutic education is often considered a valuable strategy to support preventive behaviors, but its actual impact remains uncertain. Objectives: This scoping review aims to examine how therapeutic education contributes to infection prevention in patients with RMDs receiving DMARDs, with attention to its potential benefits, limitations, and relevance in clinical practice. Methods: Following the PRISMA-ScR framework, we searched PubMed, CINAHL, EMBASE, and Web of Science for primary studies published between January 1990 and December 2024 in English or Italian language. Eligible studies involved adult patients with rheumatic diseases treated with DMARDs who had received some form of therapeutic education. Results: Among 1591 records, only 4 studies met the inclusion criteria. These studies emphasized the value of promoting preventive behaviors to minimize treatment-related infections. Therapeutic education was associated with increased patient awareness and adherence, especially when supported by multidisciplinary healthcare teams. However, several barriers-such as limited health literacy and socioeconomic challenges-affected access and effectiveness. Discussion and Conclusions: While existing studies support the potential of therapeutic education and patient education in general, the small number of relevant studies and the variation in approaches limit strong conclusions on the impact of patient education on reducing or preventing risk infection in the field of rheumatology in DMARD-treated patients. Moreover, several papers pointed out how digital tools and telemedicine are promising ways to expand access and improve adherence, particularly for underserved populations. Thus, further research should explore standardized, inclusive and interdisciplinary strategies-potentially incorporating digital tools-to improve prevention and ensure equitable access to educational interventions.

Background: Comprehensive care is increasingly being recognised as a critical component of healthcare, with several countries endorsing it as a national standard. This study aims to explore care professionals' perspectives on the barriers, enablers, and impacts of implementing the Comprehensive Care Standard (CCS) in acute care hospitals across Australia. Methods: This is a qualitative descriptive study. Participants included 28 care professionals (20 nurses, 2 doctors, and 6 allied health professionals) recruited from a broad range of Australian acute care hospitals. Data were collected using semi-structured interviews from March to August 2023. The interviews were audio-recorded, transcribed and thematically analysed. Data collection and analysis were guided by the Consolidated Framework for Implementation Research (CFIR), and implementation strategies were mapped to the Expert Recommendations for Implementing Change (ERIC). Results: CFIR-informed analysis identified 12 barriers and 13 enablers to CCS implementation, most prominently within the Inner Setting and Implementation Process domains. Sixteen implementation strategies were also mapped using the CFIR-ERIC Mapping Tool. The perceived impacts of the CCS implementation were multifaceted. While CCS implementation brought about changes to hospitals and improvements in patient care, it also resulted in increased workload and fatigue among staff. Conclusions: Enhancing CCS implementation will involve addressing the barriers and building on the enablers identified in this study. Supporting more effective implementation may help maximise the benefits of the CCS for patient care while also mitigating the increased workload and fatigue reported by staff. These findings highlight the importance of approaches that balance quality improvements with staff wellbeing.