BMC Nursing最新文献

Background: Robotic technology is transforming healthcare by delivering more precision, convenience, and efficiency, as seen in applications like blood collection robots. However, the full potential of such innovations hinges critically on patient acceptance. To systematically understand the drivers of intention to use, the concept of technological readiness-an individual's stable propensity to embrace new technologies-provides a valuable lens. Nevertheless, the demographic profile of technological readiness and its specific relationship with the intention to use nursing robots remain underexplored.

Objective: This study aimed to identify profiles of technology readiness among patients, analyze the factors influencing these profiles, and investigate the relationship between different profiles and the intention to use blood collection robots.

Methods: In this study, data on technology readiness and intention to use were collected from 331 patients between December 2024 and February 2025 through a cross-sectional survey. Latent profile analysis (LPA) was employed to assess population heterogeneity in patients' technology readiness, whereas logistic regression analysis was applied to identify factors associated with the intention to use blood collection robots.

Results: Potential profiling revealed three distinct technology readiness populations: conservative avoiders (47.7%), ambivalent adopters (18.5%), and active adopters (33.8%). The results of the three-profile classification are related to the intention to use blood collection robots. The results clearly show that the intention to use the blood collection robot by patients belonging to conservative avoiders (profile 1) was weaker and statistically significant than both active adopters (profile 3) and ambivalent adopters (profile 2). While profile 2 has a high intention to use, it also has a high level of insecurity and discomfort. Interestingly, the group of patients with low education levels is more likely to be attributed to active adopters. The results of the multiple regression analysis on patients' intention to use revealed significant differences in education level, experience with robots, and potential profiles.

Conclusions: This study reveals the complex psychological characteristics of patient groups when encountering new technologies and their potential relationship with intention to use nursing robots. This suggests that clinical practice should account for patient heterogeneity from standardized procedures to a patient-centered approach. Targeted measures should be proposed to enhance the efficiency of technology implementation and improve patient experience.

Purpose: Male nurses around the world face numerous challenges within healthcare settings. Therefore, this study aimed to explore the experiences of Somali male nurses in relation to professional identity, social acceptance, and working life.

Patients and methods: A descriptive qualitative research was employed to explore the experiences of male nurses. The study included 15 male nurses working in Mogadishu, East Africa, with nursing experience ranging from one to ten years. Data were analyzed using thematic analysis method. The study was reported in accordance with the Consolidated Criteria for Reporting Qualitative Research.

Results: The majority of the participants were ≤ 30 years of age (73.3%). The four main themes and thirteen sub-themes were identified. The four main themes were "professional identity", "cultural norms", "coping with challenges" and "increasing interest being a male nurse".

Conclusion: The findings suggest that the experiences of male nurses and societal perceptions of their roles exhibit notable similarities across different regions of the world. Nursing education administrators, healthcare policymakers, and hospital managers should implement targeted strategies to reduce and ultimately eliminate the barriers faced by male nurses.

Background: Chronic obstructive pulmonary disease (COPD) is a leading cause of morbidity and mortality worldwide. Although empowerment-based interventions delivered through telenursing are suggested to enhance patients' self-management and health outcomes, evidence regarding their effectiveness in COPD patients remains limited.

Objective: This study aimed to evaluate the effects of empowerment model-based telenursing interventions on patient empowerment and health outcomes in individuals with COPD.

Methods: This single-blind randomized controlled trial included 90 patients with COPD (45 in the intervention group and 45 in the control group) recruited from a university hospital in Turkey. Participants were randomly assigned to the intervention and control groups. The intervention group received four face-to-face empowerment sessions followed by three months of structured telephone calls and reminder text messages, while the control group received standard care. Data were collected at T₀ (baseline), T₁ (3 months/post-test), and T₂ (6 months/follow-up) using the COPD Empowerment Scale (COPD-ES), COPD Assessment Test (CAT), Modified Medical Research Council Dyspnea Scale (mMRC), Modified Barthel Index, Inhaler Device Use Skill Scale, and Pulmonary Function Test (PFT). The data obtained in the study were statistically analyzed using SPSS (Statistical Package for the Social Sciences) version 25.0 for Windows. The study adhered to the CONSORT 2010 guidelines.

Results: The intervention group demonstrated significant improvements across multiple outcomes compared with the control group. At T₁ and T₂, notable gains were observed in COPD-ES total scores (p < 0.001, η² = 0.704), CAT scores (p < 0.01, η² = 0.501), mMRC scores (p < 0.01, η² = 0.072), inhaler device use skills (p < 0.001, η² = 0.531), and pulmonary function test values (p < 0.05, η² = 0.176). In addition, hospital admissions and visits related to COPD exacerbations significantly decreased (p < 0.05, η² = 0.412 and η² = 0.384, respectively). No significant changes were found in Modified Barthel Index scores (p > 0.05, η² = 0.004), indicating stable functional independence throughout the study period.

Conclusion: Empowerment model-based telenursing interventions were effective in enhancing patient empowerment, improving symptom control, optimizing pulmonary function, and reducing hospital utilization among COPD patients. These findings support the integration of empowerment-focused telenursing strategies into routine COPD management.

Clinical trial registration: HYPERLINK "http://ClinicalTrials.gov" ClinicalTrials.gov Identifier: NCT06217718 [Registration date 2024/02/15].

Background: Chemotherapy-induced peripheral neuropathy (CIPN) and cancer-related fatigue (CRF) are prevalent and debilitating side effects in breast cancer patients, adversely affecting treatment adherence and quality of life. Although exercise is beneficial, a standardized, practical protocol for integrating nurse-led exercise interventions into clinical pathways during chemotherapy is not yet established.

Methods: A three-round modified Delphi study was conducted between February and May 2025 among a multidisciplinary panel of 22 experts, including oncology nurses, breast oncologists, rehabilitation therapists, and patient advocates. Anonymized, structured questionnaires were administered electronically. Consensus was predefined as a mean score ≥ 4.0 (on a 5-point Likert scale), agreement by ≥ 75% of respondents, and standard deviation ≤ 1.0. Kendall's coefficient of concordance (W) was used to assess stability of rankings across rounds.

Results: High response rates were maintained across all rounds (100%, 95%, 100%). A strong consensus was achieved regarding 42 discrete items. Key agreements included: (1) initiating assessment and exercise prescription at the first chemotherapy cycle; (2) implementing a multi-component regimen combining aerobic, resistance, and balance training; (3) clearly defining nurses' roles in assessment, education, and monitoring; (4) personalizing exercise intensity based on daily patient-reported symptoms (e.g., fatigue); and (5) integrating digital tools for adherence support and documentation.

Conclusions: This study establishes a robust expert consensus on a structured, nurse-led, personalized exercise intervention package for integration into the clinical pathway of breast cancer patients undergoing chemotherapy. The framework offers practical guidance for mitigating treatment-related side effects and improving patient outcomes. Future research should focus on evaluating its feasibility and effectiveness in diverse clinical settings.

Trial registration: Not applicable.

Objective: This present study aimed to evaluate the reliability, validity, and measurement invariance of the Cognitive and Affective Mindfulness Scale-Revised (CAMS-R) among nursing postgraduates, nursing interns, and registered nurses.

Method: A sample of 165 nursing postgraduates, 394 nursing interns, and 540 registered nurses completed the survey, using CAMS-R, Workplace Well-Being Scale (WWB), Occupational Disidentification Scale (QDS), Stigma Consciousness Questionnaire (SCQ) and Intent to Leave Scale (ILS). The collected data were used for item analysis, exploratory factor analysis (EFA), confirmatory factor analysis (CFA), correlation analysis, and measurement invariance testing and Cronbach's α and McDonald's ω coefficients were calculated.

Results: The Chinese version of the CAMS-R consisted of 10 items across three dimensions: acceptance, attention, and awareness. CFA results indicated that the fit indices of the bi-factor model were superior to those of other models. Additionally, the Cronbach's α and McDonald's ω coefficients of the overall CAMS-R scale and each dimension ranged from 0.73 to 0.84. Results of criterion validity testing showed that CAMS-R was significantly positively correlated with WWB and significantly negatively correlated with QDS, SCQ, and ILS. Meanwhile, the measurement invariance of CAMS-R in nursing postgraduates, nursing interns, and registered nurses was not established.

Conclusions: The Chinese version of the CAMS-R is a reliable and effective tool for assessing mindfulness among nursing postgraduates, nursing interns, and registered nurses; however, potential group differences should be interpreted with cautious clarification. The results of this study suggest that nursing educators can use the CAMS-R to examine the relationship between mindfulness and nurses' occupational behavior and well-being, and evaluate the intervention effects of mindfulness.