Applied Nursing Research最新文献

{"title":"Clustering vaccine hesitancy and social media use of nurses and nursing students: a cross-sectional study","authors":"Dania Comparcini ,&nbsp;Valentina Simonetti ,&nbsp;Melania Totaro ,&nbsp;Letizia Governatori ,&nbsp;Francesco Pastore ,&nbsp;Antonio Di Lorenzo ,&nbsp;Silvio Tafuri ,&nbsp;Jeremia Keisala ,&nbsp;Kristina Mikkonen ,&nbsp;John Unsworth ,&nbsp;Marco Tomietto ,&nbsp;Giancarlo Cicolini","doi":"10.1016/j.apnr.2025.151976","DOIUrl":"10.1016/j.apnr.2025.151976","url":null,"abstract":"<div><h3>Background</h3><div>Nurses and nursing students' attitudes toward COVID-19 and Influenza vaccines are crucial for protecting vulnerable patients and reducing vaccine hesitancy in the general population. Social media is key in spreading vaccine information and it has opposite effects on vaccine hesitancy, alongside several socio-demographic and professional characteristics.</div></div><div><h3>Aim</h3><div>This study aims to identify the characteristics of vaccine hesitancy among nurses and nursing students.</div></div><div><h3>Methods</h3><div>A multi-centre, cross-sectional study was conducted between March and September 2023. Data were collected through an online survey to assess: (I) sociodemographic and occupational characteristics, and social media usage; (II) vaccine hesitancy (measured with the Vaccination Attitudes Examination Scale); (III) social media addiction (using the Bergen Social Media Addiction Scale). K-means cluster analysis was performed to identify vaccine hesitancy profiles. ANOVA and Chi-square were adopted to identify the key characteristics of the profiles.</div></div><div><h3>Results</h3><div>Among 604 participants, three profiles were identified. Concerns about unforeseen future effects was the most relevant factor of vaccine hesitancy across all profiles for both COVID-19 and Influenza vaccines. The most hesitant profile included mainly older nurses. Influenza vaccination uptake was the highest in the least hesitant profile, which also reported greater use of social media platforms like YouTube, LinkedIn, and Twitter/X.</div></div><div><h3>Conclusion</h3><div>This study provides insights to develop targeted interventions appropriate to nurses and nursing students' profiles. These results will support tailored vaccination campaigns to address the most relevant factors of vaccine hesitancy and provide evidence-based information to mitigate misconceptions and enhance vaccine uptake among nurses and nursing students.</div></div>","PeriodicalId":50740,"journal":{"name":"Applied Nursing Research","volume":"84 ","pages":"Article 151976"},"PeriodicalIF":2.7,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144298132","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":"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":"2025-08-01","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}

{"title":"The challenges and experiences of New Graduate Registered Nurses (NGRNs) during the Covid-19 pandemic: An integrative review","authors":"Pamela F. Casia,&nbsp;Fuqin Liu,&nbsp;Misty M. Richmond,&nbsp;Carin Adams","doi":"10.1016/j.apnr.2025.151977","DOIUrl":"10.1016/j.apnr.2025.151977","url":null,"abstract":"<div><h3>Aim</h3><div>This study aimed to attain a comprehensive understanding of the challenges and experiences of New Graduate Registered Nurses (NGRNs) who cared for patients with COVID-19 during the COVID-19 pandemic.</div></div><div><h3>Background</h3><div>During the COVID-19 pandemic, NGRNs quickly adapted to demanding clinical roles, showing resilience, initiative, and commitment to growth. Through mentorship and teamwork, they developed stronger professional identities. These experiences, though crisis-driven, underscore the lasting value of flexible training, emotional support, and structured transitions in all healthcare settings.</div></div><div><h3>Method</h3><div>An integrative review method by <span><span>Whittemore and Knafl (2005)</span></span>.</div></div><div><h3>Results</h3><div>An initial pool of 836 records was identified, with 22 articles meeting the criteria for review. From these, four main themes and ten subthemes emerged: <em>Pandemic-Specific Conditions Faced by NGRNs</em> – educational/training conditions, working conditions, and physical/psychological conditions; <em>Pandemic-Related Concerns Raised by NGRNs</em> –proficiency/experience concerns and safety concerns; <em>Pandemic-Related Positive Responses by NGRNs</em> – proactivity, staying positive, and advocating for nurses; <em>Pandemic-Related Growth Among NGRNs</em> –professional and personal development and pandemic-fostered commitment and advocacy.</div></div><div><h3>Conclusion</h3><div>The experiences of NGRNs during the pandemic revealed their capacity for resilience, adaptability, and leadership under pressure. Each theme—ranging from proactive learning to advocacy and professional growth—highlights both the challenges faced, and the strengths developed. These insights extend beyond crisis response, offering practical guidance for building supportive, flexible, and future-ready systems that empower NGRNs in both pandemic and non-pandemic healthcare settings.</div></div>","PeriodicalId":50740,"journal":{"name":"Applied Nursing Research","volume":"84 ","pages":"Article 151977"},"PeriodicalIF":2.7,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144490490","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":"Reducing documentation burden to improve nurse and midwife satisfaction: A mixed-methods study","authors":"Janie Brown ,&nbsp;Matthew A. Albrecht ,&nbsp;Suzanne Kelly ,&nbsp;Siobhan Eccles ,&nbsp;Alannah L. Cooper","doi":"10.1016/j.apnr.2025.151985","DOIUrl":"10.1016/j.apnr.2025.151985","url":null,"abstract":"&lt;div&gt;&lt;h3&gt;Objective&lt;/h3&gt;&lt;div&gt;To examine midwife and nurse satisfaction pre- and post- an intervention designed to decrease documentation burden in a maternity setting.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Background&lt;/h3&gt;&lt;div&gt;The burden imposed on nurses and midwives by documentation demands are a source of dissatisfaction, resulting in missed care, worsening job dissatisfaction.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Study design and methods&lt;/h3&gt;&lt;div&gt;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.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Results&lt;/h3&gt;&lt;div&gt;Following integration of the data, feedback from the focus groups (&lt;em&gt;n&lt;/em&gt; = 17) confirmed the survey results from &lt;em&gt;n&lt;/em&gt; = 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.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Conclusion&lt;/h3&gt;&lt;div&gt;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.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Reporting method&lt;/h3&gt;&lt;div&gt;This article follows the Good Reporting of a Mixed Methods Study (GRAMMS) guidelines.&lt;sup&gt;1&lt;/sup&gt;&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;No Patient or Public Contribution&lt;/h3&gt;&lt;div&gt;What is already known about documentation burden&lt;ul&gt;&lt;li&gt;&lt;span&gt;•&lt;/span&gt;&lt;span&gt;&lt;div&gt;Clinical documentation is a medicolegal requirement.&lt;/div&gt;&lt;/span&gt;&lt;/li&gt;&lt;li&gt;&lt;span&gt;•&lt;/span&gt;&lt;span&gt;&lt;div&gt;There is a burden associated with clinical documentation that is a source of job dissatisfaction.&lt;/div&gt;&lt;/span&gt;&lt;/li&gt;&lt;/ul&gt;&lt;/div&gt;&lt;div&gt;What this paper adds&lt;ul&gt;&lt;li&gt;&lt;span&gt;•&lt;/span&gt;&lt;span&gt;&lt;div&gt;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.&lt;/div&gt;&lt;/span&gt;&lt;/li&gt;&lt;li&gt;&lt;span&gt;•&lt;/span&gt;&lt;span&gt;&lt;div&gt;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":"2025-08-01","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}

{"title":"Protocol for a randomized controlled trial evaluating a digital behavioral self-management intervention for adolescent migraine","authors":"Kevin A. Hommel Ph.D. ,&nbsp;Abigail Robbertz Ph.D. ,&nbsp;Marielle Kabbouche M.D. ,&nbsp;Susan LeCates MSN, FNP ,&nbsp;Lee M. Ritterband Ph.D. ,&nbsp;James Peugh Ph.D. ,&nbsp;Andrew D. Hershey M.D., Ph.D. ,&nbsp;Scott W. Powers Ph.D.","doi":"10.1016/j.apnr.2025.151979","DOIUrl":"10.1016/j.apnr.2025.151979","url":null,"abstract":"<div><div>Poor disease self-management is a significant issue in migraine in children and adolescents. Comprehensive treatment for migraine may include pharmacological, non-pharmacological, and biobehavioral interventions as well as engagement in healthy habits. With the annual cost of nonadherence in US health care exceeding $300 billion, self-management of chronic conditions is critical to reducing morbidity. Although barriers to self-management are amenable to behavioral intervention/CBT, many adolescents lack the self-management skills to overcome them on their own, and clinic-based self-management efforts have proven inadequate. Additionally, the reach of this treatment is restricted due to limited access (e.g., lack of available trained providers, distance between patient homes and treatment facility). We have addressed these accessibility issues by iteratively developing the first migraine-specific digital therapeutic self-management tool, Migraine Manager. We describe a randomized controlled clinical trial of Migraine Manager on headache frequency, health-related quality of life (HRQOL), and migraine-related disability in 160 adolescents with migraine compared to an attention control arm. We anticipate that participants in the Migraine Manager arm will demonstrate a statistically significant improvement in headache frequency, HRQOL, and migraine-related disability at post-treatment and 3-, 6-, 9-, and 12-month follow-up compared to participants in the attention control arm. If efficacious, Migraine Manager could have a significant impact on public health by providing greater access to evidence-based care in a large proportion of patients who otherwise would not receive treatment, thereby reducing health care disparities for families that have limited access to services and serving as a model for self-management intervention across pediatric populations.</div></div>","PeriodicalId":50740,"journal":{"name":"Applied Nursing Research","volume":"84 ","pages":"Article 151979"},"PeriodicalIF":2.7,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144502676","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":"Corrigendum to “Cross-cultural adaptation and psychometric validation of the Indonesian questionnaire for evaluating nurses' adherence to pressure ulcer prevention guidelines” [Applied Nursing Research (2025) 1–8/151962]","authors":"Defi Efendi ,&nbsp;Amil Tan ,&nbsp;Bejo Utomo ,&nbsp;Chiyar Edison ,&nbsp;Min-Huey Chung ,&nbsp;Muhammad Muslih ,&nbsp;Rini Wahyuni Mohamad ,&nbsp;Nyimas Sri Wahyuni ,&nbsp;Habibah Muchtar ,&nbsp;Aip Rukmana ,&nbsp;Wong Cho Lee ,&nbsp;Dessie Wanda","doi":"10.1016/j.apnr.2025.151975","DOIUrl":"10.1016/j.apnr.2025.151975","url":null,"abstract":"","PeriodicalId":50740,"journal":{"name":"Applied Nursing Research","volume":"84 ","pages":"Article 151975"},"PeriodicalIF":2.7,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144242842","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":"Prevalence and types of fall-risk-increasing drugs identified by STOPPFall in hospitalized older adults: A retrospective observational study","authors":"Sanjana Jeevanji ,&nbsp;Marie Mean ,&nbsp;Carole E. Aubert ,&nbsp;Roger Hilfiker ,&nbsp;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 &lt; 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":"2025-08-01","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}

{"title":"Metaverse technology use among patients undergoing hemodialysis: A systematic review and meta-analysis of randomized controlled trials","authors":"Hye Jin Chong ,&nbsp;Min Jung Kim ,&nbsp;Rebecca Raszewski ,&nbsp;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":"2025-08-01","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}

{"title":"Bridging language barriers in nursing scholarship","authors":"Lu-Yen Anny Chen ,&nbsp;Stephen McGhee","doi":"10.1016/j.apnr.2025.151984","DOIUrl":"10.1016/j.apnr.2025.151984","url":null,"abstract":"","PeriodicalId":50740,"journal":{"name":"Applied Nursing Research","volume":"84 ","pages":"Article 151984"},"PeriodicalIF":2.7,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144596369","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":"Predictors and clinical implications of emotional distress on the day of discharge in hospitalized patients","authors":"Tzu-Ching Hung ,&nbsp;Li-Ying Lin","doi":"10.1016/j.apnr.2025.151978","DOIUrl":"10.1016/j.apnr.2025.151978","url":null,"abstract":"<div><h3>Objective</h3><div>Emotional distress significantly affects the quality of life and mental health of hospitalized patients after discharge. This study aimed to identify key predictors of emotional distress on discharge day to inform clinical interventions.</div></div><div><h3>Methods</h3><div>A descriptive correlational design was employed, retrospectively analyzing the medical records of 73,814 inpatients from a medical center in southern Taiwan over two years and four months, encompassing 471,339 person-days of emotional distress assessments.</div></div><div><h3>Results</h3><div>The prevalence of emotional distress on discharge day was 73.1 %. Emotional distress on discharge day was positively correlated with age, hospital stay length, pain levels, and emotional distress on admission and during hospitalization. Women reported significantly higher emotional distress levels than men. Internal medicine patients exhibited significantly higher emotional distress levels compared to surgical and gynecological patients, while gynecological patients reported higher levels than surgical patients. Multivariate regression analysis identified seven significant predictors of emotional distress on the day of discharge: emotional distress on the day of admission (B = 0.470), internal medicine vs. surgery (B = 0.260), pain levels on the day of discharge (B = 0.110), age (B = 0.002), gynecology vs. surgery (B = 0.125), male vs. female gender (B = −0.038), and emotional distress during hospitalization (B = 0.012), all of which were statistically significant (p &lt; .001).</div></div><div><h3>Conclusion</h3><div>Addressing emotional distress during hospitalization is essential to mitigating its persistence at discharge. Interventions should prioritize effective pain management, gender-sensitive care, and disease-specific strategies to enhance post-discharge quality of life and reduce the risk of readmission.</div></div>","PeriodicalId":50740,"journal":{"name":"Applied Nursing Research","volume":"84 ","pages":"Article 151978"},"PeriodicalIF":2.7,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144338553","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}