Applied Nursing Research最新文献_第5页

Evaluating nurse-to-patient ratio legislation to improve patient safety and care quality: A mixed-methods policy study 评估护士与病人比例立法以提高病人安全和护理质量：一项混合方法的政策研究

IF 2.7 4区医学 Q1 NURSING

Applied Nursing Research

Pub Date : 2025-07-17 DOI: 10.1016/j.apnr.2025.151989

Abdul-Monim Batiha

Background

Insufficient nurse staffing is a global issue, especially in lower-resource settings. High workloads are linked to increased infection rates, readmissions, and adverse clinical events. Jordanian hospitals face chronic understaffing, nurse migration, and limited regulatory oversight.

Objective

This study aimed to assess the impact of implementing standardized nurse-to-patient ratios on patient outcomes and care quality in Jordanian hospitals, and to evaluate the feasibility of national legislation based on international models.

Methods

A mixed-methods design was employed. Quantitative analysis included administrative data from four acute care hospitals between 2021 and 2024, focusing on patient safety indicators such as infection rates, readmissions, and hospital stays. Semi-structured interviews were used to gather qualitative data from 22 administrative and clinical stakeholders. American Nurses Association values and the Centers for Disease Control and Prevention's Policy Analysis Framework were used in the study to direct evaluation.

Results

Units with staffing ratios of five or fewer patients per nurse had significantly better outcomes, including 55 % lower infection rates and nearly half the number of readmissions compared to poorly staffed units. Interview participants highlighted systemic barriers to safe staffing, including limited budgets, migration-driven shortages, and rigid hierarchical cultures. However, there was broad consensus in support of regulated staffing standards adapted to patient acuity and care setting.

Conclusion

The study suggests that standardizing nurse-to-patient ratios in Jordan can significantly enhance patient safety and care quality, but requires phased legislation, dynamic acuity adjustments, and workforce development investment for successful implementation.

护士人手不足是一个全球性问题，特别是在资源匮乏的地区。高工作量与增加的感染率、再入院率和不良临床事件有关。约旦医院长期面临人手不足、护士移徙和监管监督有限的问题。目的本研究旨在评估约旦医院实施标准化护士与患者比例对患者预后和护理质量的影响，并根据国际模式评估国家立法的可行性。方法采用混合方法设计。定量分析包括2021年至2024年间四家急症医院的行政数据，重点关注患者安全指标，如感染率、再入院率和住院时间。采用半结构化访谈收集22名行政和临床利益相关者的定性数据。美国护士协会的价值观和疾病控制和预防中心的政策分析框架在研究中被用来指导评估。结果与人员配备不足的单位相比，每名护士配备5名或更少患者的单位具有明显更好的结果，包括感染率降低55%，再入院人数减少近一半。访谈参与者强调了安全人员配备的系统性障碍，包括有限的预算、移民驱动的短缺和严格的等级文化。然而，在支持适应患者敏锐度和护理环境的规范人员配备标准方面存在广泛的共识。结论约旦护患比例标准化可显著提高患者安全和护理质量，但需要分阶段立法、动态调整和劳动力发展投资才能成功实施。

{"title":"Evaluating nurse-to-patient ratio legislation to improve patient safety and care quality: A mixed-methods policy study","authors":"Abdul-Monim Batiha","doi":"10.1016/j.apnr.2025.151989","DOIUrl":"10.1016/j.apnr.2025.151989","url":null,"abstract":"<div><h3>Background</h3><div>Insufficient nurse staffing is a global issue, especially in lower-resource settings. High workloads are linked to increased infection rates, readmissions, and adverse clinical events. Jordanian hospitals face chronic understaffing, nurse migration, and limited regulatory oversight.</div></div><div><h3>Objective</h3><div>This study aimed to assess the impact of implementing standardized nurse-to-patient ratios on patient outcomes and care quality in Jordanian hospitals, and to evaluate the feasibility of national legislation based on international models.</div></div><div><h3>Methods</h3><div>A mixed-methods design was employed. Quantitative analysis included administrative data from four acute care hospitals between 2021 and 2024, focusing on patient safety indicators such as infection rates, readmissions, and hospital stays. Semi-structured interviews were used to gather qualitative data from 22 administrative and clinical stakeholders. American Nurses Association values and the Centers for Disease Control and Prevention's Policy Analysis Framework were used in the study to direct evaluation.</div></div><div><h3>Results</h3><div>Units with staffing ratios of five or fewer patients per nurse had significantly better outcomes, including 55 % lower infection rates and nearly half the number of readmissions compared to poorly staffed units. Interview participants highlighted systemic barriers to safe staffing, including limited budgets, migration-driven shortages, and rigid hierarchical cultures. However, there was broad consensus in support of regulated staffing standards adapted to patient acuity and care setting.</div></div><div><h3>Conclusion</h3><div>The study suggests that standardizing nurse-to-patient ratios in Jordan can significantly enhance patient safety and care quality, but requires phased legislation, dynamic acuity adjustments, and workforce development investment for successful implementation.</div></div>","PeriodicalId":50740,"journal":{"name":"Applied Nursing Research","volume":"84 ","pages":"Article 151989"},"PeriodicalIF":2.7,"publicationDate":"2025-07-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144678818","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}

引用次数: 0

Compassionate self-care for nurses and midwives: A sequential explanatory mixed methods study 护士和助产士富有同情心的自我护理：一项顺序解释混合方法研究

IF 2.7 4区医学 Q1 NURSING

Applied Nursing Research

Pub Date : 2025-07-11 DOI: 10.1016/j.apnr.2025.151986

Mary Steen , Shwikar Othman , Jennifer Fereday , Annette Briley , Qunyan Xu , Rachael Vernon

Background

Awareness of being kind and compassionate to yourself is often overlooked despite emerging evidence that high levels of self-compassion decrease levels of anxiety and improves well-being.

Aim

To explore what being compassionate to yourself means to nurses and midwives and increase knowledge and understanding of how self-compassion may enhance well-being.

Methods

Mixed methods study design was utilised to investigate and explore the influence of self-compassion on nurses and midwives' well-being. Phase 1 involved quantitative data collection and analysis. Phase 2 qualitative data were collected to expand on quantitative results.

Results

Fifty-four participants responded to a pre-workshop questionnaire, 55 completed immediate post-questionnaire, 28 completed a follow-up questionnaire six-eight weeks later. Five participants were interviewed to gain more insights of their experiences. Quantitative results showed significant increase in self-compassion scores immediately post-workshop, with an estimated improvement of 0.26 points (95 % CI: 0.14, 0.38, P < 0.001). Participants' anxiety significantly decreased by 0.5 units (95 % CI: −0.64, −0.36, P < 0.001). Mood changes were not statistically significant. Reflexive thematic analysis of qualitative data provided further insight into these changes resulting in three key themes: (1) “Awareness of self-compassion was the first step”, (2) “Care for yourself, before caring for others” (3) “Self-compassion strategies with everyday living activities”.

Conclusions

Self-compassion education can enhance nurses' and midwives' knowledge and understanding. Education can increase self-compassion strategies and skills to reduce anxiety levels. However, qualitative data confirmed the need for sustained reinforcement of self-compassion practices. Further research is recommended to confirm these initial findings and explore long-term impacts.

尽管越来越多的证据表明，高度的自我同情可以减少焦虑，提高幸福感，但对自己友善和富有同情心的意识往往被忽视。目的探讨对自己有同情心对护士和助产士意味着什么，并增加对自我同情如何提高幸福感的认识和理解。方法采用混合方法研究设计，调查和探讨自我同情对护士和助产士幸福感的影响。第一阶段涉及定量数据收集和分析。第二阶段收集定性数据以扩展定量结果。结果54名参与者参加了研讨会前问卷调查，55名参与者立即完成了问卷调查，28名参与者在6 - 8周后完成了随访问卷调查。五名参与者接受了采访，以进一步了解他们的经历。定量结果显示，工作坊结束后，自我同情得分显著提高，估计提高了0.26分(95% CI: 0.14, 0.38, P <；0.001)。参与者的焦虑显著降低了0.5个单位(95% CI: - 0.64, - 0.36, P <；0.001)。情绪变化无统计学意义。对定性数据的反身性专题分析进一步深入了解了这些变化，得出了三个关键主题：(1)“自我同情意识是第一步”，(2)“先关心自己，再关心他人”，(3)“日常生活活动中的自我同情策略”。结论自我同情教育能提高护士和助产士的自我同情知识和理解。教育可以增加自我同情的策略和技能，以减少焦虑水平。然而，定性数据证实了持续加强自我同情实践的必要性。建议进一步研究以证实这些初步发现并探讨长期影响。

{"title":"Compassionate self-care for nurses and midwives: A sequential explanatory mixed methods study","authors":"Mary Steen , Shwikar Othman , Jennifer Fereday , Annette Briley , Qunyan Xu , Rachael Vernon","doi":"10.1016/j.apnr.2025.151986","DOIUrl":"10.1016/j.apnr.2025.151986","url":null,"abstract":"<div><h3>Background</h3><div>Awareness of being kind and compassionate to yourself is often overlooked despite emerging evidence that high levels of self-compassion decrease levels of anxiety and improves well-being.</div></div><div><h3>Aim</h3><div>To explore what being compassionate to yourself means to nurses and midwives and increase knowledge and understanding of how self-compassion may enhance well-being.</div></div><div><h3>Methods</h3><div>Mixed methods study design was utilised to investigate and explore the influence of self-compassion on nurses and midwives' well-being. Phase 1 involved quantitative data collection and analysis. Phase 2 qualitative data were collected to expand on quantitative results.</div></div><div><h3>Results</h3><div>Fifty-four participants responded to a pre-workshop questionnaire, 55 completed immediate post-questionnaire, 28 completed a follow-up questionnaire six-eight weeks later. Five participants were interviewed to gain more insights of their experiences. Quantitative results showed significant increase in self-compassion scores immediately post-workshop, with an estimated improvement of 0.26 points (95 % CI: 0.14, 0.38, P < 0.001). Participants' anxiety significantly decreased by 0.5 units (95 % CI: −0.64, −0.36, P < 0.001). Mood changes were not statistically significant. Reflexive thematic analysis of qualitative data provided further insight into these changes resulting in three key themes: (1) “Awareness of self-compassion was the first step”, (2) “Care for yourself, before caring for others” (3) “Self-compassion strategies with everyday living activities”.</div></div><div><h3>Conclusions</h3><div>Self-compassion education can enhance nurses' and midwives' knowledge and understanding. Education can increase self-compassion strategies and skills to reduce anxiety levels. However, qualitative data confirmed the need for sustained reinforcement of self-compassion practices. Further research is recommended to confirm these initial findings and explore long-term impacts.</div></div>","PeriodicalId":50740,"journal":{"name":"Applied Nursing Research","volume":"84 ","pages":"Article 151986"},"PeriodicalIF":2.7,"publicationDate":"2025-07-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144633318","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}

引用次数: 0

Reducing documentation burden to improve nurse and midwife satisfaction: A mixed-methods study 减少文件负担以提高护士和助产士满意度：一项混合方法研究

IF 2.7 4区医学 Q1 NURSING

Applied Nursing Research

Pub Date : 2025-07-10 DOI: 10.1016/j.apnr.2025.151985

Janie Brown , Matthew A. Albrecht , Suzanne Kelly , Siobhan Eccles , Alannah L. Cooper

<div><h3>Objective</h3><div>To examine midwife and nurse satisfaction pre- and post- an intervention designed to decrease documentation burden in a maternity setting.</div></div><div><h3>Background</h3><div>The burden imposed on nurses and midwives by documentation demands are a source of dissatisfaction, resulting in missed care, worsening job dissatisfaction.</div></div><div><h3>Study design and methods</h3><div>A convergent mixed-methods design (QUAN + Qual). Satisfaction was examined using a survey to collect quantitative data and focus groups to collect qualitative data. The intervention reviewed documentation for duplication, redundancy, and modification, resulting in the creation of streamlined, and user-friendly documentation. Data were collected using a validated tool developed to measure nursing and midwifery documentation burden, and via focus groups to explore satisfaction pre- and post-intervention and changes to documentation.</div></div><div><h3>Results</h3><div>Following integration of the data, feedback from the focus groups (<em>n</em> = 17) confirmed the survey results from <em>n</em> = 28 post-intervention respondents; participants were satisfied with many elements of the new documentation. The focus groups also highlighted areas where further refinements to the new documentation could be made. The intervention improved midwives' satisfaction with documentation with respect to ease, complexity, and relevance of the documentation. Issues with the time needed to complete documentation following the intervention remain.</div></div><div><h3>Conclusion</h3><div>Satisfaction with many elements of documentation was achieved, indicating that the focus on removing known sources of dissatisfaction with documentation, including duplication and unnecessary documentation, was effective in a maternity setting. Intervening to reduce duplication and redundancy, and modifying patient clinical documentation, can improve nurse and midwife satisfaction with this aspect of their job.</div></div><div><h3>Reporting method</h3><div>This article follows the Good Reporting of a Mixed Methods Study (GRAMMS) guidelines.<sup>1</sup></div></div><div><h3>No Patient or Public Contribution</h3><div>What is already known about documentation burden<ul><li><span>•</span><span><div>Clinical documentation is a medicolegal requirement.</div></span></li><li><span>•</span><span><div>There is a burden associated with clinical documentation that is a source of job dissatisfaction.</div></span></li></ul></div><div>What this paper adds<ul><li><span>•</span><span><div>Focusing on removing known sources of dissatisfaction with patient clinical documentation, including duplication and unnecessary documentation, is effective in decreasing nurse and midwife dissatisfaction with this part of their job.</div></span></li><li><span>•</span><span><div>How nurses and midwives perceive the continuity, consistency and quality of a maternity patient's care can be improved by removing

目的探讨产妇干预前和干预后助产士和护士的满意度。文件要求给护士和助产士带来的负担是不满的一个来源，导致错过护理，加剧对工作的不满。研究设计和方法采用收敛混合方法设计（QUAN + Qual）。满意度研究采用问卷调查收集定量数据，焦点小组收集定性数据。干预审查了文档的重复、冗余和修改，从而创建了简化的、用户友好的文档。数据收集使用一种经过验证的工具来测量护理和助产文件负担，并通过焦点小组来探讨干预前后的满意度和文件的变化。数据整合后，焦点小组（n = 17）的反馈与干预后调查对象（n = 28）的调查结果一致；与会者对新文件的许多内容感到满意。焦点小组还强调了可以对新文件进行进一步改进的领域。干预措施提高了助产士对文件的满意度，包括文件的易用性、复杂性和相关性。干预后完成文件所需的时间问题仍然存在。结论对文件的许多要素都达到了满意度，这表明重点消除对文件的已知不满来源，包括重复和不必要的文件，在产妇环境中是有效的。干预以减少重复和冗余，修改患者临床文件，可以提高护士和助产士对这方面工作的满意度。报告方法本文遵循混合方法研究的良好报告（GRAMMS）指南。没有患者或公众的贡献什么是已知的文件负担•临床文件是一项医学法律要求。•与临床文件相关的负担是工作不满的一个来源。•专注于消除对患者临床文件的已知不满来源，包括重复和不必要的文件，有效地减少护士和助产士对这部分工作的不满。•通过消除护士和助产士对患者临床文件不满的已知来源，可以改善护士和助产士对产科患者护理的连续性、一致性和质量的看法。•完成文件所需的时间是工作不满的一个来源，即使在采取行动改善护士和助产士工作的这一方面，强调需要不断完善文件。

{"title":"Reducing documentation burden to improve nurse and midwife satisfaction: A mixed-methods study","authors":"Janie Brown , Matthew A. Albrecht , Suzanne Kelly , Siobhan Eccles , Alannah L. Cooper","doi":"10.1016/j.apnr.2025.151985","DOIUrl":"10.1016/j.apnr.2025.151985","url":null,"abstract":"<div><h3>Objective</h3><div>To examine midwife and nurse satisfaction pre- and post- an intervention designed to decrease documentation burden in a maternity setting.</div></div><div><h3>Background</h3><div>The burden imposed on nurses and midwives by documentation demands are a source of dissatisfaction, resulting in missed care, worsening job dissatisfaction.</div></div><div><h3>Study design and methods</h3><div>A convergent mixed-methods design (QUAN + Qual). Satisfaction was examined using a survey to collect quantitative data and focus groups to collect qualitative data. The intervention reviewed documentation for duplication, redundancy, and modification, resulting in the creation of streamlined, and user-friendly documentation. Data were collected using a validated tool developed to measure nursing and midwifery documentation burden, and via focus groups to explore satisfaction pre- and post-intervention and changes to documentation.</div></div><div><h3>Results</h3><div>Following integration of the data, feedback from the focus groups (<em>n</em> = 17) confirmed the survey results from <em>n</em> = 28 post-intervention respondents; participants were satisfied with many elements of the new documentation. The focus groups also highlighted areas where further refinements to the new documentation could be made. The intervention improved midwives' satisfaction with documentation with respect to ease, complexity, and relevance of the documentation. Issues with the time needed to complete documentation following the intervention remain.</div></div><div><h3>Conclusion</h3><div>Satisfaction with many elements of documentation was achieved, indicating that the focus on removing known sources of dissatisfaction with documentation, including duplication and unnecessary documentation, was effective in a maternity setting. Intervening to reduce duplication and redundancy, and modifying patient clinical documentation, can improve nurse and midwife satisfaction with this aspect of their job.</div></div><div><h3>Reporting method</h3><div>This article follows the Good Reporting of a Mixed Methods Study (GRAMMS) guidelines.<sup>1</sup></div></div><div><h3>No Patient or Public Contribution</h3><div>What is already known about documentation burden<ul><li><span>•</span><span><div>Clinical documentation is a medicolegal requirement.</div></span></li><li><span>•</span><span><div>There is a burden associated with clinical documentation that is a source of job dissatisfaction.</div></span></li></ul></div><div>What this paper adds<ul><li><span>•</span><span><div>Focusing on removing known sources of dissatisfaction with patient clinical documentation, including duplication and unnecessary documentation, is effective in decreasing nurse and midwife dissatisfaction with this part of their job.</div></span></li><li><span>•</span><span><div>How nurses and midwives perceive the continuity, consistency and quality of a maternity patient's care can be improved by removing ","PeriodicalId":50740,"journal":{"name":"Applied Nursing Research","volume":"84 ","pages":"Article 151985"},"PeriodicalIF":2.7,"publicationDate":"2025-07-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144596370","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}

引用次数: 0

Optimizing the quality of nursing care in public hospitals in low-and middle-income countries: an integrative literature review 优化中低收入国家公立医院护理质量：综合文献综述

IF 2.7 4区医学 Q1 NURSING

Applied Nursing Research

Pub Date : 2025-07-09 DOI: 10.1016/j.apnr.2025.151988

Ba-Etilayoo Atinga , Wilma ten Ham-Baloyi , Nolundi Radana

Background

Quality nursing care is essential for positive patient outcomes and satisfaction. Understanding quality nursing care in public hospitals in low-and middle-income countries is invaluable for developing contextualised strategies aimed at optimizing the delivery of nursing care.

Purpose

Summarize existing relevant literature on optimising quality nursing care in public hospitals of low- and middle-income countries.

Methods

An integrative literature review according to Whittemore and Knafl’s stages. An in-depth search of literature from January 1, 2014 to March 31, 2025 was conducted, including Web of Science, PubMed, Scopus, EBSCOhost (Academic Search Complete, CINAHL and MEDLINE), followed by a manual search on Google and citation search. The identified literature was critically appraised using the John Hopkins Nursing Evidence and Non-Research Evidence appraisal tools. Thematic analysis was used.

Results

Nine strategies on optimising quality nursing care under two themes were identified from 17 articles: “Daily nursing care-related strategies” and “Organizational-related strategies”. Five daily nursing care strategies relate to quality practice, interprofessional collaboration, cultural sensitivity, therapeutic communication, and family involvement. Five organizational strategies relate to culture and policy, work-life environment and technology, infrastructure and human resources, continuous education, and management support.

Conclusion

This review identifies strategies to optimize nursing care quality and provides insights for public hospital management to improve programs and interventions. Effective implementation can enhance patient outcomes and strengthen healthcare systems in LMICs, but requires systemic reforms, targeted investments, context-specific solutions, and further research to address gaps and explore innovations.

高质量的护理对患者的积极结果和满意度至关重要。了解低收入和中等收入国家公立医院的护理质量对于制定旨在优化护理服务提供的情境化战略是非常宝贵的。目的总结中低收入国家公立医院优化护理质量的相关文献。方法根据Whittemore和Knafl的分期进行文献综述。通过Web of Science、PubMed、Scopus、EBSCOhost （Academic search Complete、CINAHL和MEDLINE）对2014年1月1日至2025年3月31日的文献进行深度检索，然后在谷歌上进行人工检索和引文检索。使用约翰霍普金斯护理证据和非研究证据评估工具对已确定的文献进行批判性评估。采用专题分析。结果从“日常护理相关策略”和“组织相关策略”17篇文章中确定了两个主题下的优化护理质量策略。五种日常护理策略涉及质量实践、跨专业合作、文化敏感性、治疗沟通和家庭参与。五个组织战略涉及文化和政策、工作-生活环境和技术、基础设施和人力资源、继续教育和管理支持。结论本综述明确了优化护理质量的策略，为公立医院管理改进护理方案和干预措施提供参考。有效的实施可以提高患者的治疗效果，并加强中低收入国家的医疗保健系统，但需要系统性改革、有针对性的投资、针对具体情况的解决方案，以及进一步研究以解决差距和探索创新。

{"title":"Optimizing the quality of nursing care in public hospitals in low-and middle-income countries: an integrative literature review","authors":"Ba-Etilayoo Atinga , Wilma ten Ham-Baloyi , Nolundi Radana","doi":"10.1016/j.apnr.2025.151988","DOIUrl":"10.1016/j.apnr.2025.151988","url":null,"abstract":"<div><h3>Background</h3><div>Quality nursing care is essential for positive patient outcomes and satisfaction. Understanding quality nursing care in public hospitals in low-and middle-income countries is invaluable for developing contextualised strategies aimed at optimizing the delivery of nursing care.</div></div><div><h3>Purpose</h3><div>Summarize existing relevant literature on optimising quality nursing care in public hospitals of low- and middle-income countries.</div></div><div><h3>Methods</h3><div>An integrative literature review according to Whittemore and Knafl’s stages. An in-depth search of literature from January 1, 2014 to March 31, 2025 was conducted, including Web of Science, PubMed, Scopus, EBSCOhost (Academic Search Complete, CINAHL and MEDLINE), followed by a manual search on Google and citation search. The identified literature was critically appraised using the John Hopkins Nursing Evidence and Non-Research Evidence appraisal tools. Thematic analysis was used.</div></div><div><h3>Results</h3><div>Nine strategies on optimising quality nursing care under two themes were identified from 17 articles: “Daily nursing care-related strategies” and “Organizational-related strategies”. Five daily nursing care strategies relate to quality practice, interprofessional collaboration, cultural sensitivity, therapeutic communication, and family involvement. Five organizational strategies relate to culture and policy, work-life environment and technology, infrastructure and human resources, continuous education, and management support.</div></div><div><h3>Conclusion</h3><div>This review identifies strategies to optimize nursing care quality and provides insights for public hospital management to improve programs and interventions. Effective implementation can enhance patient outcomes and strengthen healthcare systems in LMICs, but requires systemic reforms, targeted investments, context-specific solutions, and further research to address gaps and explore innovations.</div></div>","PeriodicalId":50740,"journal":{"name":"Applied Nursing Research","volume":"84 ","pages":"Article 151988"},"PeriodicalIF":2.7,"publicationDate":"2025-07-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144632029","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}

引用次数: 0

Artificial intelligence-assisted nursing in cancer care: A meta-analysis of its impact on pain, anxiety, and quality of life 癌症护理中的人工智能辅助护理：对疼痛、焦虑和生活质量影响的荟萃分析

IF 2.7 4区医学 Q1 NURSING

Applied Nursing Research

Pub Date : 2025-07-08 DOI: 10.1016/j.apnr.2025.151987

Merve Gozde Sezgin RN, Ph.D, Lecturer, Hicran Bektas RN, Ph.D, Professor

Background

In recent years, artificial intelligence (AI) applications have been recognized as a supportive technological method for effectively managing the challenges faced by patients with cancer. AI applications are anticipated to be beneficial in improving the quality of life (QoL) of patients with cancer by enhancing the management of pain and anxiety.

Aim

The aim of this study is to examine the effects of AI-assisted nursing practices on pain, anxiety, and QoL in patients with cancer.

Design

This study has been prepared and reported in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-analyses (PRISMA) 2020 checklist.

Methods

Randomized controlled trials (RCTs) were searched in nine databases and grey literature, without any year restriction, from the inception date until January 2025. Fixed-effect and random-effect models were used in the meta-analysis process. Cochran's Q chi-squared test and I² statistics were employed to assess heterogeneity. Data analysis was performed using the CMA 3 software.

Results

Six studies (567 patients) were included in this meta-analysis. AI-assisted nursing practices were found to have medium and positive effects on anxiety (Hedge's g = 0.46, p < 0.001), pain (Hedge's g = 0.48, p < 0.001), and in patients with cancer. High and positive effects were found on the QoL of patients with cancer (Hedge's g = 1.63, p = 0.020).

Conclusion

This study reveals that AI-assisted nursing practices have significant and beneficial effects on pain, anxiety, and QoL in patients with cancer.

Implications for practice

AI-assisted nursing practices have the potential to improve cancer patients' symptoms and QoL, which will enhance oncology nurses' awareness.

近年来，人工智能（AI）应用已被公认为有效管理癌症患者面临的挑战的支持性技术方法。人工智能应用有望通过加强疼痛和焦虑的管理来改善癌症患者的生活质量（QoL）。目的本研究旨在探讨人工智能辅助护理实践对癌症患者疼痛、焦虑和生活质量的影响。本研究已按照系统评价和荟萃分析（PRISMA） 2020清单的首选报告项目进行准备和报告。方法检索9个数据库和灰色文献的随机对照试验（RCTs），不受年份限制，检索时间自研究成立之日起至2025年1月。meta分析过程采用固定效应和随机效应模型。采用Cochran’s Q卡方检验和I2统计量评估异质性。采用CMA 3软件进行数据分析。结果6项研究（567例患者）纳入本荟萃分析。人工智能辅助护理实践对焦虑有中等和积极的影响(Hedge’s g = 0.46, p <；0.001)，疼痛(Hedge’s g = 0.48, p <；0.001)，癌症患者也是如此。对肿瘤患者的生活质量有较高的积极影响（Hedge’s g = 1.63, p = 0.020）。结论人工智能辅助护理对癌症患者的疼痛、焦虑和生活质量有显著而有益的影响。人工智能辅助护理实践有可能改善癌症患者的症状和生活质量，这将增强肿瘤护士的意识。

{"title":"Artificial intelligence-assisted nursing in cancer care: A meta-analysis of its impact on pain, anxiety, and quality of life","authors":"Merve Gozde Sezgin RN, Ph.D, Lecturer, Hicran Bektas RN, Ph.D, Professor","doi":"10.1016/j.apnr.2025.151987","DOIUrl":"10.1016/j.apnr.2025.151987","url":null,"abstract":"<div><h3>Background</h3><div>In recent years, artificial intelligence (AI) applications have been recognized as a supportive technological method for effectively managing the challenges faced by patients with cancer. AI applications are anticipated to be beneficial in improving the quality of life (QoL) of patients with cancer by enhancing the management of pain and anxiety.</div></div><div><h3>Aim</h3><div>The aim of this study is to examine the effects of AI-assisted nursing practices on pain, anxiety, and QoL in patients with cancer.</div></div><div><h3>Design</h3><div>This study has been prepared and reported in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-analyses (PRISMA) 2020 checklist.</div></div><div><h3>Methods</h3><div>Randomized controlled trials (RCTs) were searched in nine databases and grey literature, without any year restriction, from the inception date until January 2025. Fixed-effect and random-effect models were used in the meta-analysis process. Cochran's Q chi-squared test and I<sup>2</sup> statistics were employed to assess heterogeneity. Data analysis was performed using the CMA 3 software.</div></div><div><h3>Results</h3><div>Six studies (567 patients) were included in this meta-analysis. AI-assisted nursing practices were found to have medium and positive effects on anxiety (Hedge's g = 0.46, <em>p</em> < 0.001), pain (Hedge's g = 0.48, p < 0.001), and in patients with cancer. High and positive effects were found on the QoL of patients with cancer (Hedge's g = 1.63, <em>p</em> = 0.020).</div></div><div><h3>Conclusion</h3><div>This study reveals that AI-assisted nursing practices have significant and beneficial effects on pain, anxiety, and QoL in patients with cancer.</div></div><div><h3>Implications for practice</h3><div>AI-assisted nursing practices have the potential to improve cancer patients' symptoms and QoL, which will enhance oncology nurses' awareness.</div></div>","PeriodicalId":50740,"journal":{"name":"Applied Nursing Research","volume":"84 ","pages":"Article 151987"},"PeriodicalIF":2.7,"publicationDate":"2025-07-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144596368","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}

引用次数: 0

Metaverse technology use among patients undergoing hemodialysis: A systematic review and meta-analysis of randomized controlled trials meta- verse技术在血液透析患者中的应用：随机对照试验的系统回顾和荟萃分析

IF 2.7 4区医学 Q1 NURSING

Applied Nursing Research

Pub Date : 2025-07-04 DOI: 10.1016/j.apnr.2025.151983

Hye Jin Chong , Min Jung Kim , Rebecca Raszewski , Min Keong Jang

Aim

To synthesize the effects of metaverse-related interventions on the physical and psychological outcomes of hemodialysis in adults.

Background

Owing to rapid digital healthcare development, metaverse technologies have emerged as novel approaches to patient management. Patients on hemodialysis may benefit from these technologies in terms of pain management, physical deconditioning, and psychological distress. However, evidence of their effectiveness is unclear.

Methods

The study protocol was registered with PROSPERO. Following PRISMA guidelines, we searched the CINAHL, Cochrane Library Central, Embase, PubMed, and Scopus electronic databases for randomized controlled trials investigating metaverse interventions in patients on hemodialysis from inception to November 2024. Two independent reviewers screened and extracted the data, with methodological quality assessed using the Revised Cochrane Risk of Bias tool. Data were pooled using random and fixed effects approaches.

Results

Fourteen studies (11 trials) met the inclusion criteria. The most common technology used among the studies was virtual-reality (VR) while the remainders used sensor-based exercise gamification. Meta-analytic findings indicated that VR significantly reduced arteriovenous fistula cannulation pain and moderately improved hemodynamics (oxygen saturation and heart rates), selected physical outcomes (6-min walk test, physical activity, and gait speed), and depressive symptoms.

Conclusions

VR-based interventions appear promising for pain management and some physical improvements in patients on hemodialysis. To maximize the clinical utility of metaverse interventions in hemodialysis care settings, future studies should investigate a wider variety of metaverse modalities (such as augmented and mixed realities) and establish standardized outcome measurement periods.

目的综合meta相关干预措施对成人血液透析患者生理和心理结局的影响。随着数字医疗保健的快速发展，虚拟现实技术已经成为患者管理的新方法。血液透析患者可以从这些技术中受益，包括疼痛管理、身体状况改善和心理困扰。然而，其有效性的证据尚不清楚。方法研究方案在PROSPERO注册。根据PRISMA指南，我们检索了CINAHL、Cochrane图书馆中心、Embase、PubMed和Scopus电子数据库，从开始到2024年11月，研究血液透析患者的元干预的随机对照试验。两名独立审稿人筛选和提取数据，并使用修订Cochrane偏倚风险工具评估方法学质量。采用随机和固定效应方法汇总数据。结果14项研究（11项试验）符合纳入标准。这些研究中最常用的技术是虚拟现实（VR），其余的则是基于传感器的运动游戏化。荟萃分析结果表明，VR可显著减少动静脉瘘插管疼痛，中度改善血流动力学（血氧饱和度和心率）、选定的身体结果（6分钟步行测试、身体活动和步态速度）和抑郁症状。结论基于vr的干预措施有望缓解血液透析患者的疼痛并改善其身体状况。为了最大限度地发挥虚拟现实干预在血液透析护理环境中的临床效用，未来的研究应该调查更广泛的虚拟现实模式（如增强现实和混合现实），并建立标准化的结果测量期。

{"title":"Metaverse technology use among patients undergoing hemodialysis: A systematic review and meta-analysis of randomized controlled trials","authors":"Hye Jin Chong , Min Jung Kim , Rebecca Raszewski , Min Keong Jang","doi":"10.1016/j.apnr.2025.151983","DOIUrl":"10.1016/j.apnr.2025.151983","url":null,"abstract":"<div><h3>Aim</h3><div>To synthesize the effects of metaverse-related interventions on the physical and psychological outcomes of hemodialysis in adults.</div></div><div><h3>Background</h3><div>Owing to rapid digital healthcare development, metaverse technologies have emerged as novel approaches to patient management. Patients on hemodialysis may benefit from these technologies in terms of pain management, physical deconditioning, and psychological distress. However, evidence of their effectiveness is unclear.</div></div><div><h3>Methods</h3><div>The study protocol was registered with PROSPERO. Following PRISMA guidelines, we searched the CINAHL, Cochrane Library Central, Embase, PubMed, and Scopus electronic databases for randomized controlled trials investigating metaverse interventions in patients on hemodialysis from inception to November 2024. Two independent reviewers screened and extracted the data, with methodological quality assessed using the Revised Cochrane Risk of Bias tool. Data were pooled using random and fixed effects approaches.</div></div><div><h3>Results</h3><div>Fourteen studies (11 trials) met the inclusion criteria. The most common technology used among the studies was virtual-reality (VR) while the remainders used sensor-based exercise gamification. Meta-analytic findings indicated that VR significantly reduced arteriovenous fistula cannulation pain and moderately improved hemodynamics (oxygen saturation and heart rates), selected physical outcomes (6-min walk test, physical activity, and gait speed), and depressive symptoms.</div></div><div><h3>Conclusions</h3><div>VR-based interventions appear promising for pain management and some physical improvements in patients on hemodialysis. To maximize the clinical utility of metaverse interventions in hemodialysis care settings, future studies should investigate a wider variety of metaverse modalities (such as augmented and mixed realities) and establish standardized outcome measurement periods.</div></div>","PeriodicalId":50740,"journal":{"name":"Applied Nursing Research","volume":"84 ","pages":"Article 151983"},"PeriodicalIF":2.7,"publicationDate":"2025-07-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144589124","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}

引用次数: 0

Bridging language barriers in nursing scholarship 弥合护理奖学金中的语言障碍

IF 2.7 4区医学 Q1 NURSING

Applied Nursing Research

Pub Date : 2025-07-03 DOI: 10.1016/j.apnr.2025.151984

Lu-Yen Anny Chen , Stephen McGhee

引用次数: 0

Prevalence and types of fall-risk-increasing drugs identified by STOPPFall in hospitalized older adults: A retrospective observational study STOPPFall在住院老年人中识别的跌倒风险增加药物的患病率和类型：一项回顾性观察性研究

IF 2.7 4区医学 Q1 NURSING

Applied Nursing Research

Pub Date : 2025-07-02 DOI: 10.1016/j.apnr.2025.151982

Sanjana Jeevanji , Marie Mean , Carole E. Aubert , Roger Hilfiker , Jenny Gentizon

Background

Falls are a major public health concern, with fall-risk-increasing drugs (FRIDs) recognized as modifiable risk factors. The STOPPFALL— Screening Tool of Older Persons Prescriptions in older adults with high fall risk was recently developed to provide a comprehensive list of FRIDs, but few studies have assessed FRID prevalence using this tool.

Aim

This study aimed to describe the prevalence of FRIDs in a Swiss hospital, investigate changes in FRID prescription among patients identified by nurses at high risk of fall, and explore the association between FRID exposure and in-hospital falls.

Methods

This retrospective study analyzed health records of hospitalized patients over a one-year period. FRID prevalence at admission and discharge was assessed using the STOPPFall. Patients at risk of fall were identified based on the STRATIFY score. In-hospital falls were identified through incident reports.

Results

Of 741 participants, 44% (n = 332) were identified at high risk of fall, of whom 75% (n = 250) were prescribed at least one FRID at admission. The most frequently prescribed FRID classes were benzodiazepines, diuretics, and opioids. A significant reduction in FRID prescriptions was observed during hospitalization (p < 0.001). When high fall risk was documented by nurses, patients were less likely to be discharged with a FRID (p = 0.032). No significant association was found between FRID exposure and in-hospital falls.

Conclusion

Incorporating the STOPPFall into clinical practice could provide a structured framework to identify FRIDs, support the prioritization of patients for medication review, and improve medication safety in older adults.

跌倒是一个主要的公共卫生问题，增加跌倒风险的药物（frid）被认为是可改变的危险因素。STOPPFALL -老年人筛查工具最近开发了用于高跌倒风险老年人的处方，以提供FRID的综合清单，但很少有研究使用该工具评估FRID的患病率。目的本研究旨在描述瑞士一家医院FRID的流行情况，调查护士确定的跌倒高风险患者中FRID处方的变化，并探讨FRID暴露与院内跌倒之间的关系。方法回顾性分析住院患者一年以上的健康记录。使用STOPPFall评估入院和出院时的FRID患病率。根据STRATIFY评分确定有跌倒风险的患者。通过事故报告确定了院内跌倒。在741名参与者中，44% （n = 332）被确定为有跌倒的高风险，其中75% （n = 250）在入院时至少服用了一种FRID。最常见的FRID处方是苯二氮卓类药物、利尿剂和阿片类药物。住院期间观察到FRID处方显著减少(p <；0.001)。当护士记录有高跌倒风险时，患者出院时发生FRID的可能性较小（p = 0.032）。在FRID暴露和院内跌倒之间没有发现显著的关联。结论将STOPPFall纳入临床实践，可以为识别frid提供一个结构化的框架，支持患者用药审查的优先级，提高老年人的用药安全性。

{"title":"Prevalence and types of fall-risk-increasing drugs identified by STOPPFall in hospitalized older adults: A retrospective observational study","authors":"Sanjana Jeevanji , Marie Mean , Carole E. Aubert , Roger Hilfiker , Jenny Gentizon","doi":"10.1016/j.apnr.2025.151982","DOIUrl":"10.1016/j.apnr.2025.151982","url":null,"abstract":"<div><h3>Background</h3><div>Falls are a major public health concern, with fall-risk-increasing drugs (FRIDs) recognized as modifiable risk factors. The STOPPFALL— Screening Tool of Older Persons Prescriptions in older adults with high fall risk was recently developed to provide a comprehensive list of FRIDs, but few studies have assessed FRID prevalence using this tool.</div></div><div><h3>Aim</h3><div>This study aimed to describe the prevalence of FRIDs in a Swiss hospital, investigate changes in FRID prescription among patients identified by nurses at high risk of fall, and explore the association between FRID exposure and in-hospital falls.</div></div><div><h3>Methods</h3><div>This retrospective study analyzed health records of hospitalized patients over a one-year period. FRID prevalence at admission and discharge was assessed using the STOPPFall. Patients at risk of fall were identified based on the STRATIFY score. In-hospital falls were identified through incident reports.</div></div><div><h3>Results</h3><div>Of 741 participants, 44% (n = 332) were identified at high risk of fall, of whom 75% (n = 250) were prescribed at least one FRID at admission. The most frequently prescribed FRID classes were benzodiazepines, diuretics, and opioids. A significant reduction in FRID prescriptions was observed during hospitalization (p < 0.001). When high fall risk was documented by nurses, patients were less likely to be discharged with a FRID (p = 0.032). No significant association was found between FRID exposure and in-hospital falls.</div></div><div><h3>Conclusion</h3><div>Incorporating the STOPPFall into clinical practice could provide a structured framework to identify FRIDs, support the prioritization of patients for medication review, and improve medication safety in older adults.</div></div>","PeriodicalId":50740,"journal":{"name":"Applied Nursing Research","volume":"84 ","pages":"Article 151982"},"PeriodicalIF":2.7,"publicationDate":"2025-07-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144556784","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}

引用次数: 0

Caregiver Self-Efficacy in Contributing to patient Self-Care (CSE-CSC) scale: Psychometric testing in a population of caregivers of Parkinson's disease in the Republic of Korea 护理者自我效能对患者自我护理的贡献（CSE-CSC）量表：韩国帕金森病护理者人群的心理测量测试

IF 2.7 4区医学 Q1 NURSING

Applied Nursing Research

Pub Date : 2025-06-27 DOI: 10.1016/j.apnr.2025.151981

JuHee Lee PhD, APRN, RN, FAAN , Kiyeon Kim BSN, RN , Ercole Vellone PhD, RN, FAAN, FESC , Sooyoung Park PhD, RN

Aim

This study aimed to evaluate the psychometric properties of the Korean version of the Caregiver Self-Efficacy in Contributing to patient Self-Care (CSE-CSC) scale among caregivers of people with Parkinson's disease (PwP).

Background

Caregivers' contributions to patients' self-care can improve PwP health outcomes, and caregiver self-efficacy is associated with caregiver contributions. The CSE-CSC scale was developed to measure caregiver self-efficacy in multiple chronic conditions. The scale was translated into Korean, but its psychometric properties have not been validated.

Methods

This is a secondary analysis using two existing cross-sectional datasets from caregivers of PwP in Korea. Exploratory and confirmatory factor analyses were conducted to examine the construct validity of the Korean version of the CSE-CSC scale. Reliability was assessed using Cronbach's alpha and the global reliability index for multidimensional scale.

Results

The scale tested in the population of PwP caregivers showed satisfactory validity and reliability with a three-factor model. The factors were labeled as ‘self-efficacy in self-care maintenance,’ ‘self-efficacy in self-care monitoring,’ and ‘self-efficacy in self-care management’. Fit indices were χ² = 111.432 (df = 31, p < .001), CFI = 0.951, TLI = 0.929, SRMR = 0.037, and RMSEA = 0.109. The Cronbach's alpha coefficient of the overall scale was 0.938, and the global reliability index for the multidimensional scale was 0.953.

Conclusions

The scale was demonstrated to be a valid and reliable instrument for measuring caregiver self-efficacy in caregivers of PwP. Its availability as a culturally appropriate caregiver self-efficacy measure is expected to have an impact on both research and clinical settings by facilitating the development of tailored interventions and evidence-based policy-making.

目的本研究旨在评估帕金森病患者（PwP）照顾者自我效能感（CSE-CSC）量表的心理测量特征。护理人员对患者自我护理的贡献可以改善PwP患者的健康结果，护理人员自我效能感与护理人员的贡献相关。CSE-CSC量表用于测量多种慢性疾病的护理者自我效能感。该量表被翻译成韩国语，但其心理测量特性尚未得到验证。方法：这是一个二次分析，使用两个现有的横截面数据集，从韩国的护理人员的PwP。采用探索性和验证性因素分析来检验韩国版CSE-CSC量表的构念效度。信度评估采用Cronbach's alpha和多维尺度的全局信度指数。结果采用三因素模型对护理人员进行了问卷调查，结果表明量表具有良好的效度和信度。这些因素分别为“自我护理维持自我效能”、“自我护理监测自我效能”和“自我护理管理自我效能”。拟合指数χ2 = 111.432 (df = 31, p <；措施),CFI = 0.951, = 0.929, TLI SRMR = 0.037, RMSEA = 0.109。整体量表的Cronbach’s alpha系数为0.938，多维量表的整体信度指数为0.953。结论该量表是一种有效、可靠的测量护理人员自我效能感的工具。通过促进量身定制的干预措施和循证决策的发展，它作为一种文化上适当的照顾者自我效能测量的可用性有望对研究和临床环境产生影响。

{"title":"Caregiver Self-Efficacy in Contributing to patient Self-Care (CSE-CSC) scale: Psychometric testing in a population of caregivers of Parkinson's disease in the Republic of Korea","authors":"JuHee Lee PhD, APRN, RN, FAAN , Kiyeon Kim BSN, RN , Ercole Vellone PhD, RN, FAAN, FESC , Sooyoung Park PhD, RN","doi":"10.1016/j.apnr.2025.151981","DOIUrl":"10.1016/j.apnr.2025.151981","url":null,"abstract":"<div><h3>Aim</h3><div>This study aimed to evaluate the psychometric properties of the Korean version of the Caregiver Self-Efficacy in Contributing to patient Self-Care (CSE-CSC) scale among caregivers of people with Parkinson's disease (PwP).</div></div><div><h3>Background</h3><div>Caregivers' contributions to patients' self-care can improve PwP health outcomes, and caregiver self-efficacy is associated with caregiver contributions. The CSE-CSC scale was developed to measure caregiver self-efficacy in multiple chronic conditions. The scale was translated into Korean, but its psychometric properties have not been validated.</div></div><div><h3>Methods</h3><div>This is a secondary analysis using two existing cross-sectional datasets from caregivers of PwP in Korea. Exploratory and confirmatory factor analyses were conducted to examine the construct validity of the Korean version of the CSE-CSC scale. Reliability was assessed using Cronbach's alpha and the global reliability index for multidimensional scale.</div></div><div><h3>Results</h3><div>The scale tested in the population of PwP caregivers showed satisfactory validity and reliability with a three-factor model. The factors were labeled as ‘self-efficacy in self-care maintenance,’ ‘self-efficacy in self-care monitoring,’ and ‘self-efficacy in self-care management’. Fit indices were χ<sup>2</sup> = 111.432 (df = 31, <em>p</em> < .001), CFI = 0.951, TLI = 0.929, SRMR = 0.037, and RMSEA = 0.109. The Cronbach's alpha coefficient of the overall scale was 0.938, and the global reliability index for the multidimensional scale was 0.953.</div></div><div><h3>Conclusions</h3><div>The scale was demonstrated to be a valid and reliable instrument for measuring caregiver self-efficacy in caregivers of PwP. Its availability as a culturally appropriate caregiver self-efficacy measure is expected to have an impact on both research and clinical settings by facilitating the development of tailored interventions and evidence-based policy-making.</div></div>","PeriodicalId":50740,"journal":{"name":"Applied Nursing Research","volume":"84 ","pages":"Article 151981"},"PeriodicalIF":2.7,"publicationDate":"2025-06-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144517018","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}

引用次数: 0

Professional quality of life influences sleep and well-being in nurses: A cross-sectional study 职业生活质量对护士睡眠和健康的影响：一项横断面研究

IF 2.7 4区医学 Q1 NURSING

Applied Nursing Research

Pub Date : 2025-06-23 DOI: 10.1016/j.apnr.2025.151980

Jie Zhang RN, PhD , Xiao Wang RN, MD , Ouying Chen RN, PhD, Professor , Jingping Zhang PhD, Professor

Background

Nurses' quality of life (QoL) significantly influences their physical and mental health. However, limited research has examined the relationship between professional QoL, sleep disturbance, and well-being in this population.

Methods

This descriptive, cross-sectional study investigated the associations among professional QoL (compassion satisfaction and compassion fatigue), sleep quality, and subjective well-being in nurses. A total of 978 registered nurses completed the Professional Quality of Life Scale (Version 5), the Athens Insomnia Scale, and the Index of Well-Being. Data were analyzed using descriptive statistics, Pearson correlation coefficients, and multiple linear regression.

Results

Higher levels of compassion satisfaction were associated with lower levels of sleep disturbance and higher well-being. In contrast, burnout and secondary traumatic stress were negatively associated with well-being and positively associated with sleep disturbance. Regression analyses identified physical condition, burnout, and compassion satisfaction as significant predictors of well-being. Physical condition, burnout, and secondary traumatic stress significantly predicted sleep disturbance.

Conclusions

Interventions aimed at reducing compassion fatigue, enhancing physical fitness, and promoting compassion satisfaction – both individually and organizationally may improve sleep quality and well-being among nurses.

背景护士的生活质量对其身心健康有显著影响。然而，有限的研究调查了这一人群的职业生活质量、睡眠障碍和幸福感之间的关系。方法采用描述性横断面研究，调查护士职业生活质量（同情满意度和同情疲劳）、睡眠质量和主观幸福感之间的关系。共有978名注册护士完成了职业生活质量量表（第5版）、雅典失眠症量表和幸福感指数。数据分析采用描述性统计、Pearson相关系数和多元线性回归。结果高水平的同情满意度与低水平的睡眠障碍和高水平的幸福感相关。相反，倦怠和继发性创伤应激与幸福感呈负相关，与睡眠障碍呈正相关。回归分析确定了身体状况、倦怠和同情满意度是幸福的重要预测因素。身体状况、倦怠和继发性创伤应激显著预测睡眠障碍。结论以减轻同情疲劳、增强身体素质和促进同情满意度为目标的干预措施，无论是个人还是组织，都可以改善护士的睡眠质量和幸福感。

{"title":"Professional quality of life influences sleep and well-being in nurses: A cross-sectional study","authors":"Jie Zhang RN, PhD , Xiao Wang RN, MD , Ouying Chen RN, PhD, Professor , Jingping Zhang PhD, Professor","doi":"10.1016/j.apnr.2025.151980","DOIUrl":"10.1016/j.apnr.2025.151980","url":null,"abstract":"<div><h3>Background</h3><div>Nurses' quality of life (QoL) significantly influences their physical and mental health. However, limited research has examined the relationship between professional QoL, sleep disturbance, and well-being in this population.</div></div><div><h3>Methods</h3><div>This descriptive, cross-sectional study investigated the associations among professional QoL (compassion satisfaction and compassion fatigue), sleep quality, and subjective well-being in nurses. A total of 978 registered nurses completed the Professional Quality of Life Scale (Version 5), the Athens Insomnia Scale, and the Index of Well-Being. Data were analyzed using descriptive statistics, Pearson correlation coefficients, and multiple linear regression.</div></div><div><h3>Results</h3><div>Higher levels of compassion satisfaction were associated with lower levels of sleep disturbance and higher well-being. In contrast, burnout and secondary traumatic stress were negatively associated with well-being and positively associated with sleep disturbance. Regression analyses identified physical condition, burnout, and compassion satisfaction as significant predictors of well-being. Physical condition, burnout, and secondary traumatic stress significantly predicted sleep disturbance.</div></div><div><h3>Conclusions</h3><div>Interventions aimed at reducing compassion fatigue, enhancing physical fitness, and promoting compassion satisfaction – both individually and organizationally may improve sleep quality and well-being among nurses.</div></div>","PeriodicalId":50740,"journal":{"name":"Applied Nursing Research","volume":"84 ","pages":"Article 151980"},"PeriodicalIF":2.7,"publicationDate":"2025-06-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144481509","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}

引用次数: 0