Applied Nursing Research最新文献

{"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":"2025-06-20","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":"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":"2025-06-19","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":"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":"2025-06-18","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}

{"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":"2025-06-13","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":"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":"2025-06-10","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":"Profiles of long COVID symptoms and self-efficacy for self-management: A cross-sectional survey","authors":"Weijiao Zhou PhD, RN ,&nbsp;Janet L. Larson PhD, RN, FAAN ,&nbsp;Philip T. Veliz PhD ,&nbsp;Kanchani Kitto PhD, RN ,&nbsp;Sheree Smith PhD, RN","doi":"10.1016/j.apnr.2025.151968","DOIUrl":"10.1016/j.apnr.2025.151968","url":null,"abstract":"<div><h3>Background</h3><div>Some patients with COVID-19 experience prolonged symptoms, known as long COVID. Self-management promises to improve symptoms, but little is known about the role of self-efficacy for long COVID symptom management.</div></div><div><h3>Objectives</h3><div>To identify distinct subgroups of patients experiencing long-term post-COVID symptom burden, and to examine the association between the identified subgroups and self-efficacy for symptom management.</div></div><div><h3>Methods</h3><div>A cross-sectional survey design with a convenience sampling approach. This study included 491 adults who reported experiencing long COVID symptoms. Symptoms (fatigue, dyspnea, sleep disturbance, anxiety), and self-efficacy for self-management (Self-Efficacy for Managing Chronic Disease (SEMCD) and PROMIS Self-Efficacy) were collected. Latent Profile Analysis (LPA) was used to identify profiles of adults with similar patterns of long COVID symptoms. Multinomial logistic regression was used to examine the association between self-efficacy for self-management and distinct profiles, controlling for socio-demographics and health-related characteristics. Participants' strategies to relieve COVID symptoms were collected via open-ended questions and analyzed using content analysis.</div></div><div><h3>Results</h3><div>The mean age was 40.6 (SD = 14.1) years of age. We identified four profiles based on the long COVID symptom burden: “low burden,” “medium burden with low depression,” “medium burden with high depression,” and “high burden.” Participants with a higher score of SEMCD were less likely to be in Group 3 (medium burden with high depression) (RRR: 0.76, 95 % CI: 0.60–0.96, <em>P</em> = 0.024) and Group 4 (high burden) (RRR: 0.71, 95 % CI: 0.50–1.00, <em>P</em> = 0.049). Participants with a higher score on PROMIS Self-Efficacy were less likely to be in Group 3 (RRR = 0.95, 95 % CI: 0.90–1.00, <em>P</em> = 0.047). Participants used a range of wellness activities and self-medication strategies to self-manage symptoms.</div></div><div><h3>Conclusion</h3><div>Patients with long COVID had four distinct symptom profiles. Greater self-efficacy was associated with the profiles of less symptom burden. Self-efficacy for self-management could be an important target to consider when developing interventions to improve symptom self-management and reduce long COVID symptom burden.</div></div>","PeriodicalId":50740,"journal":{"name":"Applied Nursing Research","volume":"84 ","pages":"Article 151968"},"PeriodicalIF":2.7,"publicationDate":"2025-05-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144167897","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":"Efficacy of enhanced stress resilience training for intensive-care unit nurses: a randomized waitlist control trial","authors":"Soo-Jeong Lee ,&nbsp;Brian Cunningham ,&nbsp;Mya Childers ,&nbsp;Maria Yefimova ,&nbsp;Haeun Kim ,&nbsp;Thomas Hoffmann ,&nbsp;Carter Lebares","doi":"10.1016/j.apnr.2025.151965","DOIUrl":"10.1016/j.apnr.2025.151965","url":null,"abstract":"<div><h3>Background</h3><div>Job stress and burnout are significant problems with negative impacts on psychological and occupational wellbeing of nurses.</div></div><div><h3>Purpose</h3><div>To examine the efficacy of 5-week Enhanced Stress Resilience Training (ESRT) among intensive-care unit (ICU) nurses.</div></div><div><h3>Method</h3><div>This randomized waitlist control trial included 48 ICU nurses in a university medical center in Northern California. The final sample for analysis included 40 nurses, including 18 nurses in the intervention group who completed all five ESRT sessions and provided post-intervention data.</div></div><div><h3>Findings</h3><div>ESRT showed significant intervention effects in improving burnout, in the domains of personal accomplishment at immediately post-ESRT and at 1-month follow-up; but the effect on emotional exhaustion was not significant. For secondary outcomes (mindfulness, resilience, stress, depression, work abilities, professional fulfillment), ESRT showed significant intervention effects at either or both time points.</div></div><div><h3>Discussion</h3><div>ESRT can be an effective intervention to improve the psychological and occupational wellbeing of ICU nurses.</div></div>","PeriodicalId":50740,"journal":{"name":"Applied Nursing Research","volume":"83 ","pages":"Article 151965"},"PeriodicalIF":2.7,"publicationDate":"2025-05-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144089160","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":"Developing and testing of patient decision aids for the use of healthcare providers in facilitating advance care planning for patients with dementia","authors":"Hsiu-Ching Lin ,&nbsp;Yu-Tai Lo ,&nbsp;Yi-Ching Yang ,&nbsp;Hua-Tsen Hsiao ,&nbsp;Hui-Chen Su ,&nbsp;Hui-Chen Chao ,&nbsp;Jing-Jy Wang ,&nbsp;Ya-Ping Yang","doi":"10.1016/j.apnr.2025.151967","DOIUrl":"10.1016/j.apnr.2025.151967","url":null,"abstract":"<div><div>Promoting advance care planning (ACP) in long-term care facilities presents significant challenges, particularly for people with dementia (PWD) and their families in making informed decisions. To address this, patient decision aids (PDAs) specifically tailored to end-of-life medical decisions for this population is needed. This study aimed to develop PDAs to aid healthcare providers in discussing ACP for end-of-life care decisions with PWD and their families. A mixed-method design was used to develop the PDAs through three sequential steps. First, design of the PDAs: This involved creating a brochure, a checklist, and six videos informed by existing ACP regulations and literature evidence. The initial design was evaluated for content validity by experts. Second, re-validation: The PDAs underwent re-validation using the Patient Education Materials Assessment Tool. This included alpha testing to assess the prototype and beta testing to evaluate understandability and actionability. Third, field testing: The Preparation for Decision Making Scale was used to measure readiness for making end-of-life care decision in a field test setting. Alpha testing of the PDAs demonstrated a high reliability score ranging from 0.85 to 1. In beta testing for understandability and actionability, the reliability scores were 0.91–0.97 and 0.96–1, respectively. In a clinical setting where the PDAs was tested, all participants reported being well-prepared for decision-making and found the PDAs beneficial in facilitating ACP. The developed PDAs exhibits strong understandability, actionability, and effectiveness in preparing service users for decision-making. They are valuable tools for healthcare providers to support end-of-life care decisions for PWD and their families.</div></div>","PeriodicalId":50740,"journal":{"name":"Applied Nursing Research","volume":"83 ","pages":"Article 151967"},"PeriodicalIF":2.7,"publicationDate":"2025-05-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144108007","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":"Scenario-based simulation training as a strategy to improve infection prevention and control adherence: A quasi-experimental study","authors":"Soon-Hee Lee ,&nbsp;In-Suk Yang","doi":"10.1016/j.apnr.2025.151966","DOIUrl":"10.1016/j.apnr.2025.151966","url":null,"abstract":"<div><h3>Background</h3><div>Healthcare-associated infections remain a critical global health concern, adversely affecting patient outcomes and increasing healthcare costs. Effective infection prevention and control measures are essential to mitigating healthcare-associated infections, yet traditional educational methods often fail to ensure their practical application.</div></div><div><h3>Objective</h3><div>This study evaluates the effectiveness of scenario-based simulation training in improving infection control knowledge, self-efficacy, and adherence to standard precautions among clinical nurses.</div></div><div><h3>Methods</h3><div>A quasi-experimental pre-test/post-test design with a nonequivalent control group was employed. Sixty-eight clinical nurses were randomly assigned to an experimental or control group. The intervention included four scenario-based simulation sessions on standard and transmission-based precautions. Outcomes were assessed at baseline and two months post-intervention using validated instruments. Data were analyzed using paired <em>t</em>-tests and independent t-tests.</div></div><div><h3>Results</h3><div>Nurses in the experimental group demonstrated significant improvements in infection control knowledge (<em>t</em> = 7.111, <em>p</em> &lt; .001, Cohen's d = 1.725, 95 % CI [1.086, 2.348]), self-efficacy (<em>t</em> = 2.194, <em>p</em> = .032, Cohen's d = 0.532, 95 % CI [0.036, 1.021]), and adherence to standard precautions (<em>t</em> = 4.191, <em>p</em> &lt; .001, Cohen's d = 1.017, 95 % CI [0.476, 1.545]) compared to the control group. These findings underscore the efficacy of simulation training in enhancing infection prevention and control competencies among clinical nurses.</div></div><div><h3>Conclusion</h3><div>Scenario-based simulation training is a valuable educational strategy for improving infection prevention and control practices among clinical nurses. Integrating this approach into infection prevention and control training programs can strengthen infection prevention efforts, enhance healthcare worker preparedness, and improve patient safety.</div></div>","PeriodicalId":50740,"journal":{"name":"Applied Nursing Research","volume":"83 ","pages":"Article 151966"},"PeriodicalIF":2.7,"publicationDate":"2025-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144089161","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":"Cross-cultural adaptation and psychometric validation of the Indonesian questionnaire for evaluating nurses' adherence to pressure ulcer prevention guidelines","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.2025.151962","DOIUrl":"10.1016/j.apnr.2025.151962","url":null,"abstract":"","PeriodicalId":50740,"journal":{"name":"Applied Nursing Research","volume":"83 ","pages":"Article 151962"},"PeriodicalIF":2.7,"publicationDate":"2025-05-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144083868","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}