SAGE Open Nursing最新文献

As artificial intelligence (AI) becomes increasingly integrated into healthcare systems, ethical challenges surrounding patient data confidentiality and informed data sharing have intensified-particularly for nurses, who serve as key custodians of health information. This commentary examines the current state of nurses' knowledge and practices related to data confidentiality in the AI era, highlighting significant gaps in training, awareness, and institutional support. The commentary calls for urgent reforms in nursing education, policy, and global governance frameworks to ensure that technological innovation does not compromise patient trust or ethical standards.

Background: The novel coronavirus disease 2019 (COVID-19) pandemic restricted nursing practicums, which limited students' clinical experience. In many programs, hands-on training was replaced with simulations, potentially affecting new nurses' practical skills and decision-making. Consequently, preceptors guiding inexperienced nurses faced increased instructional burdens and challenges in ensuring safe and competent practice.

Objectives: This study aimed to examine how disruptions to clinical practicums due to the COVID-19 pandemic impacted the role performance of preceptors supporting newly graduated nurses in 2022 over time.

Methods: A longitudinal survey involving 426 preceptors from 39 hospitals in Hyogo Prefecture, Japan, was conducted three times in 2022 (June, September, and December). The main outcome assessed was preceptor role performance, which was measured using the 35-item Preceptor Role Self-Evaluation Scale. Secondary outcomes included participant demographics and perceived difficulties in guiding new nurses under COVID-19-related practicum restrictions, and they were assessed on a 5-point scale. Ethical and institutional approval was obtained, and the surveys were distributed online via QR codes and email. Participation was voluntary and anonymous, with responses linked over time using the participants' email addresses.

Results and conclusion: Seventy-six preceptors (six males and 70 females; 17.8% response rate) completed all three surveys. In June, those reporting higher instructional difficulty demonstrated significantly higher role performance, particularly in planning, evaluation, accident prevention, and cooperation between ward staff and patients. By September and December, their ability to cooperate was significantly better. These findings indicate that preceptors who perceived greater difficulty initially improved their performance, which highlights the heightened instructional demands caused by COVID-19 disruptions to clinical training.

Background: Chronic kidney disease (CKD) is the presence of an abnormality in kidney structure or function that persists for more than three months. The prevalence of CKD among diabetic patients in developing countries has not been well studied. Therefore, this study aimed to determine the prevalence of CKD and related factors among diabetes patients who visited particular Addis Ababa government hospitals.

Methods: An institution-based cross-sectional study was conducted from July 2023 to May 2024 among 304 people with diabetes. Data were collected using a questionnaire through face-to-face interviews. Binary logistic regression analyses were carried out to identify factors associated with CKD.

Results: The study findings showed that 35 (11.5%) had CKD. People living in urban area including cities and towns (AOR = 6.68; 95% CI (1.95-22.91), not engaged physical activity: It encompasses all movement, including exercise, sports, and even everyday activities like walking, cleaning, or working (AOR = 1.95; 95% CI (1.33-11.50)), body mass index (BMI) between 18 and 24.99 kg/m² (AOR = 2.05; 95% CI (1.38-3.05), duration of diabetes after diagnosis (10 to 14 years) and >14 years (AOR = 6.16; 95% CI (1.03-36.89)), as well as not correctly taking prescribed medication (AOR = 7.75; 95% CI(1.31-18.50), patients with co-morbidities (AOR = 3.0 (95%CI (1.0-8.6), and daily consumption of sugar and fat (AOR = 3.0 (95% CI(1.01-6.39)) were found to be significantly associated with these variables.

Conclusion: This study demonstrated that the proportion of CKD in the study participants was relatively high compared to previous studies. Multivariable logistic regression analysis showed that residence, physical activity, body mass index, duration of diabetes after diagnosis, status of taking prescribed medication, patients with co-morbidities, daily consumption of sugar and fat were significantly associated with CKD (p < .05).

Introduction: The commitment of nurses to their profession involves belief in professional values, commitment to its goals, willingness to exert effort, commitment to stay in the profession and handle its challenges. Lack of commitment hinders goal achievement and fosters indifference, leading to poor performance, turnover, and dissatisfaction. However, evidence on professional commitment and its associated factors among nurses in Ethiopia, especially in the study area, is limited.

Objective: The first objective was to determine the level of professional commitment, and the second was to identify its determinants among nurses in East Gojjam Zone, Northwest Ethiopia.

Method: A facility-based cross-sectional study was conducted in 391 nurses using a simple random sample technique from November 1 to November 30, 2024. Data were collected using a self-administered structured questionnaire. After verifying its completeness, the data were entered and cleaned using EpiData version 4.2, and then exported to Statistical Package for Social Science version 27 for statistical analysis. Simple and multivariable linear regression analyses were conducted using a 95% confidence interval (CI) to identify predictors. A p-value < .05 was considered statistically significant.

Results: In this study, a total of 381 individuals returned and completed the questionnaire, yielding a response rate of 97.4%. The mean score of professional commitment of nurses was 33.47 ± 6.10 (95% CI [32.86, 34.08]). Perceived promotional opportunity (β = 0.655; [0.213-1.097]), affective organizational commitment (β = 0.299; [0.208-0.389]), work-life balance (β = 0.125; [0.049-0.201]), and normative organizational commitment (β = 0.359; [0.186-0.532]) were significant predictors of professional commitment.

Conclusion: This study revealed that the level of professional commitment of nurses was medium. Perceived promotional opportunity, affective organizational commitment, work-life balance, and normative organizational commitment were significant predictors of professional commitment. Therefore, providing better promotion opportunities, enhancing normative commitment, and enhancing work-life balance could increase nurses' commitment.

Introduction: Spine musculoskeletal disorders (SMSDs) may interfere with breastfeeding and negatively impact maternal and infant health. Physical activity (PA) is known to reduce the risk of musculoskeletal issues.

Objective: This study aimed to assess the impact of PA levels on the occurrence of SMSDs in Lactating Women in Cameroon.

Methods: This cross-sectional study conducted from September to December 2024 included 399 nursing women in the Foumbot Health District, Cameroon using a consecutive non-probability convenience sampling. PA was assessed using the International Physical Activity Questionnaire-Short Form (IPAQ-SF), and SMSDs were evaluated using an adapted version of the Nordic Musculoskeletal Questionnaire (NMQ). Data were analyzed using SPSS version 23.0, and multivariate logistic regression was used to identify associations. The level of significance was set at p < 0.05.

Results: The mean (SD) age of participants was 24.3 (5.1) years, and that of their infants was 11.1 (8.5) weeks. The Madonna position was the most common breastfeeding position, used by 388 (97.2%) nursing women. Among participants, 236 (59.1%) reported SMSDs, with the most affected region being the upper back 98 (41.5%). PA levels were high in 149 (37.3%) participants, moderate in 208 (52.1%), and low in 42 (10.5%). No significant association was found between PA and SMSDs. However, working in the informal sector significantly increased the risk of SMSDs (aOR = 2.21, CI: 1.33-3.67, p = 0.002).

Conclusion: SMSDs are highly prevalent in nursing women. Interventions should address occupational risk factors to reduce their impact in similar settings.

Introduction: Post-anesthetic pediatric emergence delirium results in acute confusion and hallucinations during recovery from anesthesia. Early recognition and intervention by peri-operative nurses is crucial, particularly in rural areas where nurses are required to manage a diverse array of medical scenarios. The aim of this review is to enhance awareness among peri-operative nurses of the importance of recognizing and managing post-anesthetic pediatric emergence delirium.

Methods: A narrative review finalized in May 2025 identified literature reporting peri-operative nurses' experiences recognizing and managing post-anesthetic pediatric emergence delirium. This review utilized the databases PubMed, CINAHL, and Scopus, hand searching and reference list checking to identify relevant articles.

Results: Five core themes specific to post-anesthetic pediatric emergence delirium were distilled: identification, risk factors; diagnostic challenges; post-anesthetic screening tools; and nursing interventions. Commonly used anesthetic agents increase the risk of post-anesthetic pediatric delirium for children undergoing surgery. Implementation of validated screening tools to detect symptoms and initiate interventions is recommended. Nurses have a crucial role in the post-operative monitoring of children, identifying early signs of post-anesthetic pediatric emergence delirium and taking timely action to mitigate its impact to ensure optimal health outcomes. Developing, implementing, and evaluating robust educational strategies to develop nurses' competency to recognize and respond effectively to post-anesthetic pediatric emergence delirium are recommended.

Conclusion: While post-anesthetic pediatric emergence delirium is not well understood, it is essential that peri-operative nurses are familiar with this phenomenon and are able to recognize and initiate appropriate interventions. This is particularly important in rural health care environments given the generalist nursing staff profile.

Introduction: Cervical cancer (CC) remains a leading cause of morbidity and mortality among women in Sub-Saharan Africa, particularly in Tanzania, despite being preventable through screening and human papillomavirus (HPV) vaccination. Although national strategies exist, uptake remains low. This study explored awareness of CC screening, care, and vaccination among men and women in both urban and rural areas of Kilimanjaro, Tanzania.

Method: A qualitative descriptive design was conducted from April to May 2024. Four Focus Group Discussions with a total of 31 participants (including men and women) were conducted in both urban and rural communities. Simple random sampling was used to select the participants. A semistructured guide covered CC awareness, vaccination, screening, and community engagement. Transcripts were translated, coded, and categorized. Inductive content analysis was used. The study report used Consolidated Criteria for Reporting Qualitative Research guidelines.

Results: Participants showed limited knowledge of CC, its causes, and the benefits of HPV vaccination and screening. Three main categories with eight subcategories emerged: (1) Low health literacy, (2) Challenges in accessing CC prevention, and (3) Community involvement. Myths (e.g., vaccination causing infertility), healthcare system barriers, financial constraints, and stigma contributed to poor uptake. Male and opinion leader involvement was identified as crucial, but both groups lacked accurate information and were not actively promoting CC prevention.

Conclusion: This study highlights limited knowledge and persistent misconceptions about CC and its prevention among men and women in both urban and rural areas of Tanzania. Structural and sociocultural barriers, including low health literacy, financial constraints, gender norms, and misinformation, hinder access to screening and HPV vaccination. Engaging male partners, opinion leaders, and communities through targeted education and improved health communication is essential. These findings provide foundational knowledge to inform policy and design context-sensitive interventions to reduce the CC burden in Tanzania and similar low-resource settings.

Introduction: Understanding the experiences of nurses involved in moral disengagement is essential for ensuring high-quality care and maintaining a skilled healthcare workforce.

Objectives: The purpose of this study is to examine how nurses experience moral disengagement as a cognitive strategy used to defy moral standards.

Methods: A phenomenological perspective was taken, with nine nurses from three different teaching hospitals participating in semi-structured interviews with the researchers.

Results: The transcripts were analyzed using Van Manen's phenomenological approach to thematic analysis. The research identified four overarching themes: subjective appraisals of the usefulness of tasks engaged in, justification, the difference between "how I appear to be" and "what I actually am," and the "contagion" of moral disengagement.

Conclusions: These findings highlight the complexity of moral disengagement and the potential impact it can have on nursing and perceptions in health care. This study calls for a re-evaluation of nursing policies and increasing the professional awareness of ethics to strive for best practices in the profession.

Introduction: Certain cultural practices after childbirth can significantly harm the health of both mothers and their babies. The impact of these practices can differ from one region to another.

Objective: This study explored the harmful cultural customs that occur during the postpartum period, as well as the reasons behind them, among women with infants younger than 12 months.

Methods: This study employed a phenomenological qualitative approach to explore instances of cultural malpractice during the postpartum period. Data were collected through in-depth interviews conducted between July 1 and 7, 2024. Nine postpartum individuals were purposefully selected to participate, ensuring representation of a range of experiences and perspectives relevant to the research question. The sample size was determined by the point of data saturation. An interview guide was used to structure the interviews.

Results: The study highlighted important postpartum practices and beliefs that shape care for newborns and mothers. Postpartum women usually shower for the first time three or four days after delivery. Sexual activity typically resumes around the same time. Cultural beliefs influence showering practices, and spicy chillies are avoided. The study highlighted the impact of cultural beliefs, traditional rituals, and the significance of community support.

Conclusions: Actively engaging families and communities to enhance health education and support is strongly recommended to prevent the adverse effects of risky postpartum malpractices.

Introduction: Nursing students, as a vital reserve force for the nursing team, often encounter patient pain in clinical practice, and their empathy for this pain holds significant importance for fostering prosocial behavior and delivering high-quality care; however, the quantitative relationships among empathy for pain, meaning in life, and prosocial behavior remain unclear.

Objectives: To explore the mediating effect of meaning in life between empathy for pain and prosocial behavior among nursing students.

Methods: A multi-center cross-sectional study was conducted from September to October 2024, employing a convenience sampling method. The Empathy for Pain Scale, Meaning in Life Questionnaire and Prosocial Tendencies Measure were used to investigate 432 nursing students in 4 hospitals. Pearson correlation was used to analyze the relationship between variables. Structural equation model was used to construct and evaluate the mediation model. Data analysis was performed using SPSS 26.0 and Amos 24.0.

Results: The empathy for pain score was (3.02 ± 0.68), indicating a high level. The meaning in life score was (43.55 ± 9.42), reflecting a moderately high level. The prosocial behavior score was (93.09 ± 16.41), indicating a moderate level. Empathy for pain, sense of life meaning and prosocial behavior were positively correlated (all p < 0.01). The meaning in life plays a partial mediating effect between empathy for pain and prosocial behavior. The indirect effect value was 0.073 (95%CI, 0.015∼0.136), accounting for 15.90% of the total effect.

Conclusion: The meaning in life plays a partial mediating role between empathy for pain and prosocial behavior of nursing students. Cultivating nursing students' sense of meaning in life can effectively translate their empathy for patient suffering into tangible prosocial actions, thereby enhancing their clinical practice quality and patient care outcomes. This insight is particularly valuable for understanding how to support the professional development and psychological well-being of nursing interns during their critical transition from education to practice.