SAGE Open Nursing最新文献

Introduction: Through evidence-based practice (EBP) implementation, midwives are critical in maternal care. However, there remain unrecognised barriers that they frequently experienced. Such barriers within Jordan perspective include insufficient managerial support, excessive workloads and limited resources.

Objective: To gain an in-depth understanding and facilitate the implementation of maternity care improvements, this study examines the perspectives of midwives concerning the barriers to implementing EBP in northern Jordan.

Methods: This study adopted a cross-sectional, descriptive design with the BARRIERS scale to investigate the barriers during the implementation process including adopter, communication, organisation and innovation. 191 midwives participated with the scale, all works from the gynaecology and obstetrics departments within seven government and university hospitals in Northern Jordan. Analyses were performed upon the data including descriptive statistics, analysis of variance (ANOVA) and linear regression.

Results: Midwives perceptions indicated that the top three barriers to the implementation of EBP are innovation, organisation and communication. The regression analysis revealed a negative correlation between perceived barriers and education level (F (2, 188) = 8.657, p < 0.001). However, there were no correlation between age and work experience.

Conclusion: The midwives revealed that the major obstacles to EBP utilisation are organisational factors. The key facilitator is proper support from the management. Therefore, the recommendation from this study is the implementation of robust strategies that reduces organisational barriers, strengthen staff training, managerial and police support as well as active engagement with leadership.Despite the focus of this research is Jordan, the findings may not be specific to this region. As such, it is possible to assume that the recommendations can be applied to maternity care within healthcare contexts that have similar organisational attributes and challenges. However, cautious interpretation of the findings must be made due to the geographical limitations and reliance upon self-reported data within this study.

Introduction: Research shows steady growth in clinical leadership (CL); however, CL is still misunderstood in all clinical environments. Few studies have been conducted on the CL needs of nursing staff. No studies have linked CL needs (CLeeNs) in nursing to safety climate (SC) in clinical settings. Therefore, this study analyzed the differences in the perceived nurses' CL needs and SC between nurses and nurse managers.

Methods: A cross-sectional research design was implemented employing an online survey. A convenience sample of 252 registered nurses (RNs) and 139 nurse managers was employed using the Clinical Leadership Needs Analysis (CLeeNA) instrument and the Safety Climate Survey (SCS).

Results: The chi-square test showed that nurse managers differed from nurses in most of the sample demographics, except in their time commitment, area of work, and the reported decision-making style in their area of work. The mean score of the overall scale of CLeeNs was "very important" (M = 6.05, SE = 0.072). The highest mean of the subscales was for "standards of care." In contrast, the lowest mean of the subscales was "financial and service management." The T-test revealed that the total mean score of CLeeNs was higher among nurse managers as compared to that of nurses (6.52 ± 1.01 vs. 5.79 ± 1.55, p = .001), which held the same trend for all subscales and the individual mean scores of CLeeNs for the privilege of nurse managers. The mean score of the perceived SCS of the total sample was 3.41 (SE = 0.032), indicating negative perceptions of the SC. Although there were no statistically significant differences in the total and individual mean scores of SC (p = .252), nurse managers reported slightly higher scores (3.46 ± 0.64) than nurses (3.38 ± 0.62). This result indicates that there were no significant differences found between RNs and nurse managers in SC scores, and a weak negative correlation was observed between CLeeNs and SC.

Conclusions: CL and CLeeNs are essential for a safe climate; however, little is known about how nurses and nurse managers differ in their perceived CL and SC in practice. CL should be sustained in all hospital settings. The low perceived SC is worrying and mandates immediate intervention at all organizational levels. Notably, a negative correlation was observed between CLeeNs and SC, suggesting that stronger perceptions of CL do not necessarily translate into more favorable SC perceptions.

Introduction: Heart failure (HF) is a significant health problem affecting approximately 6.7 million people in the United States and 64 million people globally. It contributes to over one-third of all cardiovascular deaths and remains the number one cause of Medicare hospitalizations resulting in substantial burden on healthcare systems. Managing HF and its symptoms is essential, requiring individuals to engage in HF self-care (HFSC) behaviors to improve outcomes. However, readiness to engage in HFSC has not been extensively studied. Organizational culture is a significant factor determining an individual's readiness for change. While sociocultural factors are related to HFSC, cultural considerations in HFSC readiness are also largely unexplored.

Objective: The purpose was to explore cultural influences on HFSC readiness.

Methods: An inductive qualitative approach and applied thematic analysis were employed. After IRB approval, using purposive sampling, 11 participants from an outpatient HF clinic and 10 from the hospital during a HF readmission were interviewed. Ongoing, concurrent, and comparative data analysis was used.

Results: Participants were 71% male, 52% White, aged 47-92 years (M = 64.76), and from seven counties in Southeastern NC. Three themes emerged: cultural dietary practices, sociocultural roles and expectations, and cultural beliefs.

Conclusion: Culture is an important factor in HFSC readiness. Cultural dietary practices, in some cases, contradicted current HF dietary recommendations. Sociocultural gender roles, responsibilities, and societal expectations of men contributed to feelings of grief and loss over their inability to work and fulfill their roles as financial providers and heads of household. Spiritual and religious beliefs affected one's readiness to understand, accept, and commit to performing HFSC behaviors. Culture influences commitment and capacity and must be assessed in people with HF to address their readiness to engage in HFSC.

Introduction: The increased prevalence of patients with heart failure urges the need to examine the current evidence on educational interventions conducted to foster self-care behaviors, thus, guiding best practices and identifying existing gaps in advance patient- centered care. This integrative review, guided by the Middle-Range Theory of Self-Care, aimed to synthesize the current evidence regarding the impact of educational programs on self-care behaviors among patients with heart failure.

Methods: An integrative review was conducted in accordance with the Joanna Briggs Institute (JBI) methodology. Seven electronic databases (PubMed, CINAHL, Scopus, Web of Science, PsycINFO, EMBASE, and the Cochrane Library) were searched for studies published between 2009 and 2025. Eligibility criteria were applied using the Population, Concept, Context framework. Data extraction, quality appraisal utilizing JBI critical appraisal tools, and thematic synthesis were executed systematically.

Results: Thirty-four studies that met specific criteria were included in the final analysis. The studies found that educational programs demonstrated a positive influence on self-care behaviors and quality of life among patients with heart failure, leading to reductions in hospital admissions and mortality rates. Nurse-led and technology-assisted interventions, such as telenursing and mobile-based education, further enhanced patient engagement in self-care practices.

Conclusion: Structured educational programs are crucial for improving self-care behaviors in patients with heart failure and need to be integrated into the routine clinical practice. Future research that investigates the long-term effects of these interventions on patient outcomes is recommended.

Introduction: Although African women constitute the majority of the continent's population and play a central role in economic development, their reproductive health needs remain overlooked. Infertility is often regarded as a tragedy, carrying profound psychosocial consequences. The resulting stress and societal pressure undermine women's well-being and drive many to pursue alternative treatment options in their search for motherhood. This systematic review aims to map the existing evidence on complementary approaches to the management of female infertility in Africa.

Methods: A systematic review was conducted through searching English databases, including PubMed, Scopus, CINAHL, Google Scholar, EBSCOhost, Medline, ProQuest, and ScienceDirect. The screening of titles, abstracts, and full texts was conducted using searches such as CAM/therapy, women, and infertility. All studies published in peer-reviewed journals from 2020 to 2025 which examined women's needs in the field of CAM use were included in the review. Out of the 300 records reviewed, 30 studies were included in the final review.

Results: The 30 studies reviewed revealed widespread use of complementary approaches to infertility management among African women. These practices were shaped by sociocultural beliefs, psychosocial pressures, accessibility, and perceived limitations of conventional care. Overall, the findings indicate a strong tendency toward pluralistic health-seeking behaviors in the management of female infertility across African settings.

Conclusion: Women experiencing infertility frequently seek treatments beyond conventional medicine, including herbal remedies, prayers, plant-based products, lifestyle and dietary changes, allopathic therapies, indigenous counselling, and acupuncture in their pursuit of pregnancy.

Introduction: Nurses are central to healthcare delivery, and their retention is a key factor associated with the quality of nursing care (QONC). Leadership style is considered one of the organizational factors related to nurses' work outcomes.

Objectives: This study aimed to examine the associations between perceived nurse leaders' transformational leadership style, nurses' retention, and perceived QONC, as well as their relationships with selected demographic and professional characteristics among registered nurses working in selected hospitals in Jordan.

Methods: A cross-sectional design was used in accordance with the Strengthening the Reporting of Observational Studies in Epidemiology (2014) guidelines. Data were collected using the Global Transformational Leadership Scale, the Revised Casey-Fink Nurse Retention Survey, and the QONC questionnaire.

Results: Nurses reported moderate perceived levels of transformational leadership (Mean = 3.26 ± 0.054). The perceived level of nurse retention was satisfactory (Mean = 2.90 ± 0.026), while the perceived QONV ranged from moderate (Mean = 2.10 ± 0.044) to high (Mean = 1.48 ± 0.035). A strong, positive, and statistically significant association was found between perceived transformational leadership and nurses' retention (r = 0.527, p < 0.01). Nurses with 16 years or more of experience in their current department reported significantly higher perceptions of transformational leadership than those with fewer years of experience (F = 2.46, df = 4, p = 0.045).

Conclusion: The findings demonstrate significant associations between perceived transformational leadership, nurse retention, and perceived QONC. These results suggest that transformational leadership is an important organizational factor related to nurses' work perceptions and outcomes. Healthcare administrators and policymakers may consider emphasizing transformational leadership principles within leadership development and professional training programs and fostering supportive work environments aligned with these principles.

Introduction: Eating disorders (EDs) are increasingly common, and their prevalence among athletes is approximately three times higher than in the general population. In athletes, EDs can be more difficult to detect, yet they carry serious clinical consequences, particularly due to their association with Relative Energy Deficiency in Sport (REDs), characterized by impaired health and performance. Objective: This study investigated public health nurses' (PHNs) knowledge and perceived competence when working with athletes at elite sport middle and high schools in identifying and managing EDs and REDs. The effect of years with work experience and course attendance was investigated, and we also explored their preferred course format. Methods: This cross-sectional study invited PHNs from all elite sport middle and high schools in Norway to respond to a questionnaire in 2025. A total of 58 PHNs were invited, of which 22 (37.9%) consented to participate and responded to a digital survey. Results: The findings indicated that PHNs have limited knowledge of REDs and its underlying cause, low energy availability. In contrast, their understanding of EDs was generally satisfactory. Notably, prior attendance in subject-specific courses was associated with significantly greater knowledge of REDs (g = 1.1, p = 0.03), while years of professional experience showed no such effect. PHNs expressed a preference for "meet-the-expert" courses over self-directed learning materials such as books and reports. Conclusion: These results highlight the need for targeted education, and interdisciplinary collaboration between schools and PHNs, to equip PHNs with the specialized competence and position required to support adolescent athletes effectively.

Introduction: Despite the increasing global presence of male nurses, enrollment of male students in nursing programs remains low due to cultural, financial, and professional barriers. In Jordan, particularly in the southern region, male nursing student representation does not reflect national demographics or the number of registered male nurses.

Objective: This study aimed to explore male nursing students' motivations and perceived barriers to selecting nursing as a career and examine the influence of cultural norms on their decision and satisfaction.

Method: A mixed-methods study was conducted using a self-administered questionnaire and face-to-face semistructured interviews with male nursing students at South Jordan. Data were analyzed to identify common motivators, barriers, and cultural influences.

Results: The leading motivator for choosing nursing as a profession was the desire to help others. The least cited reason was uncertainty about career options. The most prominent barrier identified was concern regarding salary and economic stability, whereas the least influential factor was the belief that nursing is a profession more suited to females. Participants in the qualitative component reported choosing nursing because of social expectations, its humanitarian and caring nature, job security, and financial incentives. They also identified barriers such as limited role recognition and low social prestige; however, they placed greater value on the profession's intrinsic features than on external social pressures.

Conclusion: Economic factors and traditional gender roles continued to limit male participation in the nursing profession in South Jordan. To increase gender diversity in the profession, educational institutions and policymakers should consider financial incentives, scholarship programs, supportive academic and clinical environments, and targeted public awareness campaigns that highlight the vital role of male nurses.

Background: Achieving clinical competency at the end of nursing education is vital to the development of professional standards and the assurance of patient safety. It thus becomes important to define clinical competence. In nurse education and clinical placements, students were assessed regarding their clinical competences.

Objective: The aim of this research was to investigate how clinical knowledge was characterized in the assessment forms used in medical and surgical wards within nurse education.

Methods: The study had a qualitative, descriptive design. The data source consisted of 100 anonymized assessment forms from medical and surgical clinical placements. The analysis was based on Braun and Clarke's reflexive thematic analysis. The article used the Standards for Reporting Qualitative Research (SRQR) checklist.

Results: The analysis resulted in four nursing knowledge areas in clinical competences, related to: medical diagnoses and treatments of the patients, nursing actions, professional attributes and patient safety.

Conclusion: This study underscored the significance of medical treatments and procedures, as well as the understanding of medical diagnoses, as key elements highlighted in the written assessment forms for evaluating nursing students' clinical competence. This contrasted with previous studies of clinical competence in nursing, which had been more broadly focused on critical thinking, problem-solving and decision-making.

Background: Ergonomic hazards are a growing concern among nursing professionals due to their association with musculoskeletal disorders and occupational injuries.

Objective: This study aimed to assess the knowledge, perceptions, and practices of undergraduate nursing students regarding ergonomic hazards during clinical training.

Methods: A descriptive cross-sectional study was conducted among nursing students at the University of Bisha, Saudi Arabia. Data were collected using a structured, self-administered questionnaire and analyzed using descriptive and inferential statistics.

Results: Students demonstrated moderate knowledge about ergonomic hazards and generally positive perceptions of ergonomic importance. However, their actual ergonomic practices were inconsistent, especially during clinical procedures involving patient handling.

Conclusion: While students are aware of ergonomic risks, gaps in practice highlight the need for targeted training. Ergonomic education should be incorporated into nursing curricula to promote safe clinical behaviors and prevent injuries.