Applied Nursing Research最新文献

{"title":"Mediating effects of depressive and heart failure symptoms in their associations with quality of life in patients with heart failure","authors":"Seongkum Heo ,&nbsp;Jisun Yang ,&nbsp;KyungAh Cho ,&nbsp;JinShil Kim","doi":"10.1016/j.apnr.2025.152039","DOIUrl":"10.1016/j.apnr.2025.152039","url":null,"abstract":"<div><h3>Aim</h3><div>To test the bidirectional mediating relationships among heart failure (HF) symptoms, depressive symptoms, and health-related quality of life (HRQoL) in patients with HF, controlling for age, functional status, comorbidity, self-care, and self-care self-efficacy.</div></div><div><h3>Background</h3><div>Patients with HF often have poor HRQoL. HF and depressive symptoms affect HRQoL, suggesting their potential mediating roles. However, these associations have not been investigated in patients with HF.</div></div><div><h3>Methods</h3><div>In this cross-sectional, correlational study, data on all study variables and sociodemographic and clinical characteristics were collected from 54 patients with HF (mean age = 67.5). The PROCESS macro for SPSS was used to address the purpose.</div></div><div><h3>Results</h3><div>More severe HF symptoms (<em>p</em> &lt; 0.001) were significantly associated with more severe depressive symptoms, and both symptoms (<em>p</em> = 0.007 and <em>p</em> = 0.005, respectively) were significantly associated with poorer HRQoL (F = 7.947, R² = 0.619, p &lt; 0.001), after controlling for covariates (indirect effect: effect = 0.309, bootstrap 95 % CI = 0.045–0.648). By contrast, HF symptoms did not mediate the relationship between depressive symptoms and HRQoL.</div></div><div><h3>Conclusions</h3><div>Both depressive and HF symptoms play critical roles in the HRQoL; however, their mechanisms differ. Depressive symptoms were only directly associated, whereas HF symptoms were directly and indirectly associated with HRQoL. Healthcare providers and researchers should prioritize improving HF symptoms and addressing depressive symptoms to improve HRQoL in patients with HF.</div></div>","PeriodicalId":50740,"journal":{"name":"Applied Nursing Research","volume":"87 ","pages":"Article 152039"},"PeriodicalIF":2.2,"publicationDate":"2025-11-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145693553","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Critical care nurses are interested in participating in research but more needs to be done to prepare them: a systematic review","authors":"JoAnne McIntyre ,&nbsp;Anne Mette Adams ,&nbsp;Xia Jin ,&nbsp;Frances Lin","doi":"10.1016/j.apnr.2025.152031","DOIUrl":"10.1016/j.apnr.2025.152031","url":null,"abstract":"<div><h3>Background</h3><div>Clinical research is vital in critical care settings to support evidence-based care for critically ill patients. However, critical care nurses' knowledge, attitudes, and experiences with research remain underexplored. Given that nurses' attitudes may influence the quality and rigour of research, understanding these perspectives is essential.</div></div><div><h3>Aim</h3><div>To review the literature describing critical care nurses' knowledge, attitudes, and experiences with clinical research conducted in critical care units.</div></div><div><h3>Design</h3><div>This is a narrative systematic review.</div></div><div><h3>Methods</h3><div>This mixed-methods systematic review followed the Joanna Briggs Institute methodology. Seven databases were searched. Studies were restricted to full text in English between January 2000 and March 2025. Methodological quality was assessed using the Mixed Methods Appraisal Tool version 2018. Results were synthesised narratively.</div></div><div><h3>Results</h3><div>Of 1038 records, 11 studies met inclusion criteria, covering 31 adult ICUs (<em>n</em> = 1075) and 19 paediatric/neonatal ICUs (<em>n</em> = 1428). Methodological quality varied; only three studies met all criteria, with common limitations in measurement tools and sample representativeness. Five key themes emerged: (1) positive attitudes to research, (2) inconsistent research involvement, (3) variable research education and capability, (4) insufficient research communication and dissemination, and (5) barriers and facilitators to research engagement.</div></div><div><h3>Conclusions</h3><div>Critical care nurses valued clinical research, but engagement was limited by workload, research education, communication challenges, and institutional constraints. While many critical care nurses cared for patients enrolled in trials, fewer were involved in study design or dissemination.</div></div><div><h3>Registration</h3><div>PROSPERO Registration Number CRD42024541761.</div></div>","PeriodicalId":50740,"journal":{"name":"Applied Nursing Research","volume":"87 ","pages":"Article 152031"},"PeriodicalIF":2.2,"publicationDate":"2025-11-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145693552","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effectiveness of an online mindfulness-based stress reduction program for nurses in high-stress occupational settings during the COVID-19 pandemic","authors":"Ching-Wen Hsieh ,&nbsp;Wan-Na Sun ,&nbsp;Hui-Ying Chiang ,&nbsp;Shih-Feng Weng ,&nbsp;Yi-Fen Hsu ,&nbsp;Erica Yu ,&nbsp;Hsin-Tien Hsu","doi":"10.1016/j.apnr.2025.152032","DOIUrl":"10.1016/j.apnr.2025.152032","url":null,"abstract":"<div><h3>Background</h3><div>Frontline nurses face heavy infection control demands, rotating shifts, and psychological stress, leading to pandemic fatigue and reduced resilience. Evidence on mindfulness-based stress reduction (MBSR) for this group remains limited.</div></div><div><h3>Aims</h3><div>To evaluate the effectiveness of an online MBSR program on pandemic-related fatigue and resilience among nurses in COVID-19–designated wards.</div></div><div><h3>Method</h3><div>A convergent parallel mixed-methods design was used. Sixty nurses were assigned to the MBSR (<em>n</em> = 30) or control (n = 30) groups. The six-week online program included weekly 90-min sessions. Data were collected at baseline (T1), week 3 (T2), and week 6 (T3). Seven MBSR participants also completed qualitative interviews.</div></div><div><h3>Results</h3><div>At baseline, both groups demonstrated moderate levels of pandemic fatigue and resilience. The MBSR group showed a significant reduction in pandemic fatigue at T3 (<em>p</em> &lt; 0.001) but not at T2 (<em>p</em> = 0.057), and significant improvements in resilience at both T2 (<em>p</em> &lt; 0.001) and T3 (<em>p</em> &lt; 0.001). Compared with the control group, the MBSR group exhibited significantly greater reductions in fatigue at T2 (<em>p</em> = 0.007) and T3 (<em>p</em> &lt; 0.001), as well as greater improvements in resilience at T2 (p &lt; 0.001) and T3 (p &lt; 0.001). Qualitative analysis further identified four themes illustrating participants' experiences of the program.</div></div><div><h3>Conclusions</h3><div>This study provides preliminary evidence that an online MBSR program may help alleviate pandemic fatigue and strengthen resilience among frontline nurses. Integrating digital mindfulness programs into occupational health initiatives could support nurses' mental well-being and compassionate care in high-stress clinical settings.</div></div><div><h3>Trial registration</h3><div><span><span>ClinicalTrials.gov</span><svg><path></path></svg></span> identifier no. <span><span>NCT06433544</span><svg><path></path></svg></span> (<span><span>https://clinicaltrials.gov/study/NCT06433544</span><svg><path></path></svg></span>).</div></div>","PeriodicalId":50740,"journal":{"name":"Applied Nursing Research","volume":"87 ","pages":"Article 152032"},"PeriodicalIF":2.2,"publicationDate":"2025-11-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145693554","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Network modeling of the relationship between intestinal symptoms and depression: A cross-sectional study using NHANES data","authors":"Qian Ye ,&nbsp;Ying Liu","doi":"10.1016/j.apnr.2025.152028","DOIUrl":"10.1016/j.apnr.2025.152028","url":null,"abstract":"<div><h3>Objective</h3><div>The “brain-gut axis” theory highlights the link between depression and gastrointestinal symptoms, garnering increasing attention. This research aims to apply a network analysis model to identify key symptoms and their relationships in both depression and gastrointestinal disorders. The goal is to aid nursing staff in implementing targeted interventions and personalized care.</div></div><div><h3>Methods</h3><div>Data were collected from the NHANES 2009–2010 cycle, involving 5196 participants. We assessed symptom scores and clinical information using the depression screening questionnaire (DPQ) and the bowel health questionnaire (BHQ). R package bootnet was used to create a regularized partial correlation network to explore the relationship between depression and gastrointestinal symptoms. To ensure stability and accuracy, we conducted Bootstrap analysis and applied a residual-based method to account for confounding factors in the symptom network.</div></div><div><h3>Result</h3><div>The network analysis shows that “hopelessness” is the key node in the cluster of depressive symptoms, while among gastrointestinal symptoms, “constipation” demonstrated the highest centrality score, indicating its prominence within the symptom network. Additionally, “fatigue” is closely related to both “diarrhea” and “constipation,” and “sleep problems” are notably linked to constipation. Overall, the network model exhibits strong stability.</div></div><div><h3>Conclusion</h3><div>The study identified “fatigue” and “sleep problems” as key connections between depression and gastrointestinal symptoms. This finding suggests a potential avenue for clinical intervention: for patients experiencing diarrhea and constipation, enhancing sleep quality and reducing fatigue may help improve these intestinal issues. By addressing sleep and fatigue, we could potentially break the vicious cycle of psychosomatic symptoms that links depression with gastrointestinal problems.</div></div>","PeriodicalId":50740,"journal":{"name":"Applied Nursing Research","volume":"87 ","pages":"Article 152028"},"PeriodicalIF":2.2,"publicationDate":"2025-11-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145555165","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Facilitators and barriers affecting evidence-based practice among nurses in Saudi Arabia: A systematic review","authors":"Dr. Naif S. Alzahrani PhD, MSN, RN, CNL ,&nbsp;Dr. Abdulaziz Mofdy Almarwani PhD, RN","doi":"10.1016/j.apnr.2025.152029","DOIUrl":"10.1016/j.apnr.2025.152029","url":null,"abstract":"<div><h3>Aim</h3><div>To synthesize and analyze the literature on evidence-based practice among nurses, with a specific focus on assessing the factors influencing the application of EBP among nurses.</div></div><div><h3>Background</h3><div>Evidence-based practice has gained prominence as a cornerstone in nursing, emphasizing the integration of clinical expertise, patient values, and the most current research evidence to inform decision-making. As crucial healthcare team members, nurses play a pivotal role in implementing EBP to ensure that the latest research findings and best available evidence inform their practice.</div></div><div><h3>Design</h3><div>This was a systematic review study.</div></div><div><h3>Methods</h3><div>A comprehensive search of PubMed, Scopus, and Web of Science databases was conducted to identify quantitative studies published between 2000 and 2024. Studies were included if they focused on clinical nurses practicing in Saudi Arabia and examined factors influencing EBP. The Joanna Briggs Institute (JBI) Critical Appraisal Tools were used to assess methodological quality. Data were extracted, summarized in a standardized table, and analyzed thematically. We conducted the review on 11 eligible studies that met all inclusion criteria.</div></div><div><h3>Results</h3><div>The findings of this systematic review provide valuable insights into the facilitators and barriers to utilizing evidence-based practice (EBP) among nurses in Saudi Arabia. The review encompassed a total of 2725 participants across eleven studies, including two quantitative correlational design studies, two pre-experimental pilot studies, and seven cross-sectional design studies. Facilitators included organizational factors, including allocation of resources, increased support, and adequate time provision. On the personal factor, nurses' skills are enhanced through continuous training and promoting research utilization. Conversely, barriers included organizational barriers like time constraints, limited authority, resistance from administration, and inadequate facilities. Personal factors include a lack of education on EBP and difficulty understanding research reports. Communication barriers involve a scarcity of readily available research and insufficient physician cooperation. The innovation domain introduces uncertainties about the believability and justification of research conclusions. Additionally, lack of EBP mentors and role models.</div></div><div><h3>Conclusions</h3><div>Addressing these barriers and facilitators is crucial for fostering a supportive environment, empowering nurses, and advancing evidence-based practices. This review provides a foundational understanding, prompting targeted initiatives and ongoing research to fortify the integration of evidence-based approaches in nursing care within Saudi Arabia.</div></div>","PeriodicalId":50740,"journal":{"name":"Applied Nursing Research","volume":"87 ","pages":"Article 152029"},"PeriodicalIF":2.2,"publicationDate":"2025-11-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145624448","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Analysis of factors influencing empathy fatigue among emergency nurses based on the Conservation of Resources theory","authors":"Min Dai ,&nbsp;Ningxiang Li ,&nbsp;Yizhu Gao ,&nbsp;Zhenfei Yuan","doi":"10.1016/j.apnr.2025.152030","DOIUrl":"10.1016/j.apnr.2025.152030","url":null,"abstract":"<div><h3>Aim</h3><div>The present study, grounded in the Conservation of Resources theory, aimed to investigate the levels of empathy fatigue among emergency department nurses.</div></div><div><h3>Background</h3><div>Empathy fatigue is prevalent among emergency department nurses and is largely attributed to external factors, such as stress. However, the underlying psychological mechanisms of these factors remain underexplored.</div></div><div><h3>Methods</h3><div>Using a cross-sectional survey design, data were collected from emergency department nurses across 22 general tertiary care hospitals. The survey included a general demographic questionnaire, the Chinese version of the Professional Quality of Life Scale, the Ruminative Thinking Scale, Pittsburgh Sleep Quality Index, and the Mental Capital Scale. Empathy fatigue was assessed using a specialized quality-of-life scale, with high scores indicating high levels of empathy fatigue.</div></div><div><h3>Results</h3><div>The overall empathy fatigue score among emergency department nurses was 86.35 ± 20.34, with an average score of 2.87 ± 0.68. The mean scores for the dimensions, ranked in descending order, were as follows: burnout (3.01 ± 0.70), empathy satisfaction (2.92 ± 0.87), and secondary traumatic stress (2.70 ± 0.74). Univariate analysis indicated that marital status, residence, education, work area, job title, position, rotating shifts, and night shifts significantly influenced empathy fatigue scores. Multiple linear regression analysis identified ruminative thinking, sleep quality, educational level, work area, and position as significant predictors of empathy fatigue.</div></div><div><h3>Conclusion</h3><div>This study confirms a high incidence of empathy fatigue among emergency department nurses. Nursing administrators should focus on high-risk individuals and develop targeted prevention strategies.</div></div>","PeriodicalId":50740,"journal":{"name":"Applied Nursing Research","volume":"86 ","pages":"Article 152030"},"PeriodicalIF":2.2,"publicationDate":"2025-11-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145571669","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Knowledge and practices of surgical nurses in perioperative hypothermia management: Implications for surgical patient safety and outcomes","authors":"Derya Gezer ,&nbsp;Hamide Şişman ,&nbsp;Şeyma Yurtseven","doi":"10.1016/j.apnr.2025.152027","DOIUrl":"10.1016/j.apnr.2025.152027","url":null,"abstract":"<div><h3>Background</h3><div>Perioperative hypothermia is a common yet preventable condition in surgical patients and is associated with serious adverse outcomes, including increased bleeding, surgical site infections, cardiac events, and prolonged hospital stays. Effective hypothermia prevention is a critical indicator of surgical patient safety. This study examines the knowledge and practices of surgical nurses in managing perioperative hypothermia, highlighting implications for evidence-based nursing care and patient safety.</div></div><div><h3>Methods</h3><div>A descriptive, cross-sectional design was used, including 108 surgical nurses from a university hospital. Data were collected through face-to-face interviews using a structured questionnaire whose content validity was confirmed by experts and pilot tested.</div></div><div><h3>Results</h3><div>Among participants, 63.8 % had not received prior training on hypothermia management. Nurses without training had a mean knowledge score of 14.1 ± 3.8, significantly lower than those with prior training. The most commonly employed active warming method was the forced-air warming system (97.4 %), while the most common passive method was the use of socks (97.4 %). Knowledge levels were positively associated with education, professional position, and years of clinical experience, whereas age and length of service in surgical units showed a slight negative association. Furthermore, the number of warming methods used correlated positively with knowledge level.</div></div><div><h3>Conclusions</h3><div>Surgical nurses demonstrate a moderate level of knowledge regarding perioperative hypothermia management, with gaps particularly evident in thermal protection strategies for normothermic patients and the application of certain active warming methods. Findings underscore the importance of structured, continuous professional education to enhance nurses' competence and improve perioperative patient safety.</div></div>","PeriodicalId":50740,"journal":{"name":"Applied Nursing Research","volume":"87 ","pages":"Article 152027"},"PeriodicalIF":2.2,"publicationDate":"2025-11-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145693666","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Safety attitudes among general practice nurses: A cross-sectional mixed-methods study","authors":"Yeojin Kil ,&nbsp;Roisin Doogue ,&nbsp;Anna V. Chatzi","doi":"10.1016/j.apnr.2025.152026","DOIUrl":"10.1016/j.apnr.2025.152026","url":null,"abstract":"<div><h3>Background</h3><div>Safety is a critical element within general practice as it is a unique environment with limited resources, diverse patients' needs, and varied healthcare environments. Within this landscape, general practice is a complex clinical environment with General Practice Nurses making up 45 % of the clinical workforce. Understanding the factors that influence general practice nurses' safety attitudes is important to improving patient care and organisational safety culture. This study aimed to explore factors associated with general practice nurses' safety attitudes, including demographics, safety perceptions, and experiences in practice.</div></div><div><h3>Methods</h3><div>A cross-sectional mixed methods study was conducted with survey comprising Likert scale and open-ended questions. A total of 302 fully completed responses were obtained from general practice nurses. Quantitative data were analysed to examine associations between safety attitudes and demographic characteristics. Qualitative data were thematically analysed to provide contextual insights into safety-related challenges.</div></div><div><h3>Results</h3><div>The length of work as a General Practice Nurse, regular operational briefings and smaller working teams are positively associated with the General Practice Nurses' safety attitudes. Participants expressed their preference towards regular and systematic communication. High workload, time pressures, inadequate communication, and unsupportive teamwork appeared as barriers of effective functioning within general practice.</div></div><div><h3>Conclusion</h3><div>Work experience and team size significantly impact safety attitudes, with experienced nurses and smaller teams showing better understanding and accountability. Regular operational briefings enhance collaboration and preparedness, while inconsistent communication leads to frustration. Positive perceptions of teamwork and communication are strongly linked to favourable safety attitudes, while excessive workload and limited autonomy pose challenges.</div></div><div><h3>Practical applications</h3><div>To improve safety within general practice, it is essential to address these issues through organisational support, systematic communication systems, and targeted training programmes.</div></div>","PeriodicalId":50740,"journal":{"name":"Applied Nursing Research","volume":"86 ","pages":"Article 152026"},"PeriodicalIF":2.2,"publicationDate":"2025-11-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145571668","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Exploration of nurses' knowledge and perceptions regarding palliative care in the oncology context in Morocco","authors":"Mohamed Aboufaras ,&nbsp;Fahd Elkhalloufi ,&nbsp;Loubna Zarouali ,&nbsp;Chaimae Sahir ,&nbsp;Rachid Fares","doi":"10.1016/j.apnr.2025.152025","DOIUrl":"10.1016/j.apnr.2025.152025","url":null,"abstract":"<div><h3>Introduction</h3><div>Despite the growing need for palliative care, limited evidence exists on Moroccan nurses' knowledge and perceptions in this field, representing a critical gap that may affect the quality of patient care. Addressing this gap is essential to ensure effective palliative care delivery. Therefore, this study aimed to assess Moroccan nurses' knowledge and perceptions of palliative care and to identify factors influencing their competencies in this area.</div></div><div><h3>Methods</h3><div>A cross-sectional analytical study was conducted among Moroccan nurses between April 2023 and April 2024. An anonymized online questionnaire (Palliative Care Quiz for Nursing) was distributed. Data were analyzed using descriptive and inferential statistics with R/RStudio and Excel software.</div></div><div><h3>Results</h3><div>A total of 480 nurses participated in the study. Overall, nurses demonstrated limited knowledge of palliative care, with a mean score of 5.6/20, corresponding to a 28.53 % correct response rate, particularly low in the psychological and spiritual dimensions. Independent predictors of a higher level of knowledge included male gender (OR = 5.46, <em>p</em> &lt; 0.001), professional experience exceeding 16 years (OR = 2.12, <em>p</em> = 0.001), and training in oncology or palliative care (OR = 3.53, <em>p</em> = 0.006).</div></div><div><h3>Conclusion</h3><div>The study reveals a low level of palliative care knowledge among nurses in Morocco, despite institutional efforts. It recommends the early integration of palliative care into health systems, the development of multidisciplinary teams, access to essential medications, and the creation of educational programs tailored to low-resource settings.</div></div>","PeriodicalId":50740,"journal":{"name":"Applied Nursing Research","volume":"86 ","pages":"Article 152025"},"PeriodicalIF":2.2,"publicationDate":"2025-11-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145519893","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The role of artificial intelligence in enhancing triage decisions in healthcare settings: A systematic review","authors":"Hasan Abualruz ,&nbsp;Islam Yasin ,&nbsp;Mohammad A. Abu Sabra ,&nbsp;Hamzeh Yousef Abunab ,&nbsp;Rania Azayzeh ,&nbsp;Yara Zubidi ,&nbsp;Saja Emad ,&nbsp;Baraah alriyati","doi":"10.1016/j.apnr.2025.152024","DOIUrl":"10.1016/j.apnr.2025.152024","url":null,"abstract":"<div><h3>Background</h3><div>Triage is an essential function of healthcare providers in various healthcare settings, such as physicians and nurses, allowing the prioritization of patients based on severity of presenting problem. Artificial intelligence (AI) provides a promising solution by enhancing the accuracy, efficiency, and consistency of triage decisions process. Although AI shows potential in supporting healthcare providers and improving patient outcomes, its role in triage is still developing and requires more research into its effectiveness, challenges, and ethical considerations.</div></div><div><h3>Objectives</h3><div>This systematic review aims to explore the role of AI in enhancing healthcare providers triage decisions process in the various healthcare settings.</div></div><div><h3>Methods</h3><div>We conducted JBI Systematic Reviews and reported results following PRISMA guidelines to screen 211 studies published between January 2020 and May 2025 from databases including Google Scholar, Wiley Online Library, PsycINFO, CINAHL Plus, and Medline.</div></div><div><h3>Results</h3><div>Twenty-two studies met inclusion criteria. Results indicated that AI-based triage systems outperformed traditional methods in diagnostic accuracy, efficiency, and decision support, especially for critical conditions. Additionally, the studies demonstrated statistically significant improvements over clinician-assigned Emergency Severity Index (ESI) scores. AI models used included machine learning, deep learning, natural language processing, and hybrid approaches.</div></div><div><h3>Conclusion</h3><div>AI-based triage systems present a transformative opportunity for enhancing emergency care delivery, with evidence supporting improvements in diagnostic accuracy, triage efficiency, and decision support. Successful implementation depends not only on technical performance but also on trust, usability, ethical governance, and contextual adaptation. A multidisciplinary approach will be required to fully utilize AI in numerous healthcare settings, including triage.</div></div>","PeriodicalId":50740,"journal":{"name":"Applied Nursing Research","volume":"86 ","pages":"Article 152024"},"PeriodicalIF":2.2,"publicationDate":"2025-11-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145465526","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}