Clinical nurses face notable chronic stress due to work-related stressors, exacerbated by the COVID-19 pandemic, leading to somatic symptoms and low-grade inflammation. Mindfulness meditation has shown promise in reducing stress and improving health outcomes, but its effects on somatic symptoms and inflammatory biomarkers in nurses remain underexplored.
Aim
To assess the impact of mindfulness meditation on somatic symptoms and inflammatory biomarkers such as leptin, interleukin-6, and tumor necrosis factor-α among nurses. To explore the secondary effects on perceived stress and trait mindfulness because of the complex interlinked association with the primary outcomes of interest.
Methodology
A randomized controlled trial was conducted with 102 nurses randomly assigned to a meditation group (8-week mindfulness meditation program) or a non-meditation group. Data were collected using self-report questionnaires (Mindfulness Attention Awareness Scale, Perceived Stress Scale, Patient Health Questionnaire-15) and blood samples for biomarker analysis at baseline and post-intervention.
Findings
The meditation group demonstrated notable reductions in perceived stress (p < 0.001), somatic symptoms (p < 0.001), IL-6 (p < 0.001), and leptin levels (p < 0.001) compared to the non-meditation group. Trait mindfulness increased markedly in the meditation group (p = 0.003), while TNF-α levels did not show notable changes.
Concluding Remark
Mindfulness meditation efficiently reduces perceived stress, somatic symptoms, and inflammatory biomarkers in nurses, highlighting its potential as a holistic intervention to improve both psychological and physical well-being in high-stress healthcare environments.
{"title":"Impact of Mindfulness Meditation on Perceived Stress, Somatic Symptoms and Inflammatory Biomarkers Among Clinical Nurses","authors":"Hossam Alhawatmeh, Luay Abusaif, Maryam Alharrasi, Sawsan Abuhammad","doi":"10.1111/jnu.70067","DOIUrl":"10.1111/jnu.70067","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Clinical nurses face notable chronic stress due to work-related stressors, exacerbated by the COVID-19 pandemic, leading to somatic symptoms and low-grade inflammation. Mindfulness meditation has shown promise in reducing stress and improving health outcomes, but its effects on somatic symptoms and inflammatory biomarkers in nurses remain underexplored.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>To assess the impact of mindfulness meditation on somatic symptoms and inflammatory biomarkers such as leptin, interleukin-6, and tumor necrosis factor-α among nurses. To explore the secondary effects on perceived stress and trait mindfulness because of the complex interlinked association with the primary outcomes of interest.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methodology</h3>\u0000 \u0000 <p>A randomized controlled trial was conducted with 102 nurses randomly assigned to a meditation group (8-week mindfulness meditation program) or a non-meditation group. Data were collected using self-report questionnaires (Mindfulness Attention Awareness Scale, Perceived Stress Scale, Patient Health Questionnaire-15) and blood samples for biomarker analysis at baseline and post-intervention.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Findings</h3>\u0000 \u0000 <p>The meditation group demonstrated notable reductions in perceived stress (<i>p</i> < 0.001), somatic symptoms (<i>p</i> < 0.001), IL-6 (<i>p</i> < 0.001), and leptin levels (<i>p</i> < 0.001) compared to the non-meditation group. Trait mindfulness increased markedly in the meditation group (<i>p</i> = 0.003), while TNF-α levels did not show notable changes.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Concluding Remark</h3>\u0000 \u0000 <p>Mindfulness meditation efficiently reduces perceived stress, somatic symptoms, and inflammatory biomarkers in nurses, highlighting its potential as a holistic intervention to improve both psychological and physical well-being in high-stress healthcare environments.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Trial Registration</h3>\u0000 \u0000 <p>ClinicalTrail.gove, NCT06635278</p>\u0000 </section>\u0000 </div>","PeriodicalId":51091,"journal":{"name":"Journal of Nursing Scholarship","volume":"58 1","pages":""},"PeriodicalIF":2.9,"publicationDate":"2026-01-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146044493","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Siobhan O'Connor, Abeer Alharthi, Jitana Benton-Lee, Aimee Giselle Horcasitas-Tovar, Charlotte McArdle, Jerry John Ouner, Amy Staley, Jasper Erwin Tolarba, Regina Yuen
<p>This year marks the 80th anniversary of the United Nations (UN) which was established in 1945 to further international cooperation by promoting peace, championing human rights, and supporting social progress for all (United Nations <span>2025a</span>). In 2015, all UN member states adopted the 2030 Agenda for Sustainable Development which includes seventeen Sustainable Development Goals (SDGs) outlining key local, measurable, and sustainable actions for individuals and institutions to take to achieve global progress by 2030 (https://sdgs.un.org/goals). Two of the SDGs focus on good health and wellbeing (SDG3) and quality education (SDG4) which have specific targets for UN member states to work toward and are highly relevant to the nursing and midwifery professions (Fields et al. <span>2021</span>; Hawkins et al. <span>2024</span>). As liaisons and youth representatives to the UN for Sigma Nursing, we had the privilege of attending key events during this year's UN General Assembly, where we heard firsthand about the progress made on the SDGs and advocated for more investment in nursing and midwifery to accelerate their achievement.</p><p>Sigma Theta Tau International Honor Society of Nursing is a global nursing organization with more than 100,000 active members across 100 countries, representing nursing and midwifery leaders from education, research, clinical practice and policy across its 600+ chapters worldwide (Sigma Theta Tau International <span>2025a</span>). Sigma was granted a special consultative status with the UN Economic and Social Council (ECOSOC) in 2012 in recognition of its expertise in nursing and global health, enabling it to access nearly all intergovernmental processes at the UN, including participating in the General Assembly each year (Sensor et al. <span>2021</span>). As part of this affiliation and acting in our liaison and youth representative roles, we are able to provide a strong nursing presence at the UN by delivering position statements, acting as subject matter experts, and hosting side events and meetings alongside various UN proceedings throughout the year. We also undertake a range of outreach activities to help nurses everywhere understand and contribute to the SDGs. Given the discussions we heard at this year's UN General Assembly on health and education, and the fact that the UN established two new mechanisms this year to promote international cooperation on the governance of artificial intelligence (AI) (United Nations <span>2025b</span>), we felt it timely to highlight the importance of AI literacy in nursing and midwifery to achieve the SDGs.</p><p>AI is an evolving technological trend that comprises advanced computational techniques such as machine learning and natural language processing which are used to analyze and understand digital data. These AI techniques and their associated AI models and tools are enabling better decision making and more efficient delivery of services (Dwivedi et al. <span>2023</
今年是联合国成立80周年，联合国成立于1945年，旨在通过促进和平、捍卫人权和支持所有人的社会进步来促进国际合作（联合国2025a）。2015年，所有联合国成员国通过了《2030年可持续发展议程》，其中包括17项可持续发展目标（sdg），概述了个人和机构为在2030年之前实现全球进步而采取的关键、可衡量和可持续的地方行动（https://sdgs.un.org/goals）。其中两个可持续发展目标侧重于良好的健康和福祉（可持续发展目标g3）和优质教育（可持续发展目标4），这两个目标为联合国成员国制定了具体目标，并与护理和助产专业高度相关（Fields et al. 2021; Hawkins et al. 2024）。作为西格玛护理在联合国的联络员和青年代表，我们有幸参加了今年联合国大会期间的重要活动，在那里我们第一手了解了可持续发展目标取得的进展，并倡导加大对护理和助产的投资，以加速实现这些目标。西格玛Theta Tau国际护理荣誉协会是一个全球性的护理组织，在100个国家拥有超过10万名活跃会员，代表着全球600多个分会中来自教育，研究，临床实践和政策的护理和助产领导者（Sigma Theta Tau International 2025a）。2012年，西格玛因其在护理和全球卫生方面的专业知识而被授予联合国经济及社会理事会（经社理事会）特别咨商地位，使其能够参与联合国几乎所有政府间进程，包括每年参加大会（Sensor等，2021年）。作为这种联系的一部分，我们作为联络员和青年代表的角色，能够通过发表立场声明、担任主题专家、在联合国各种会议期间举办会外活动和会议，在联合国提供强有力的护理服务。我们还开展了一系列外联活动，帮助世界各地的护士了解可持续发展目标并为之做出贡献。鉴于我们在今年的联合国大会上听到的关于卫生和教育的讨论，以及联合国今年建立了两个新机制来促进人工智能（AI）治理方面的国际合作（联合国2025b），我们认为强调人工智能素养在护理和助产方面对实现可持续发展目标的重要性是及时的。人工智能是一种不断发展的技术趋势，包括先进的计算技术，如机器学习和自然语言处理，用于分析和理解数字数据。这些人工智能技术及其相关的人工智能模型和工具正在实现更好的决策和更有效的服务交付（Dwivedi等人，2023）。然而，它们并非没有限制和风险，因为人工智能可能导致与偏见、数据隐私、网络安全、可持续性和问责制等相关的问题（Ning et al. 2024；世界卫生组织2021）。尽管如此，自2023年生成式人工智能工具和大型语言模型（llm）出现以来，人工智能在护理和助产领域的发展和应用一直在加快步伐（O 'Connor et al. 2023; Woo et al. 2024）。例如，正在引入人工智能记录技术，以提高电子健康记录中捕获的临床文件的质量和速度，这可以腾出护士和助产士的时间，专注于患者护理，同时减少错误，从而提高患者安全和员工福利（Cleveland Clinic 2025; Ng et al. 2022）。人工智能护理虚拟助手也正在开发和部署，以帮助护士找到在复杂的医院系统中提供护理所需的信息和循证资源（Schanilec 2025）。然而，护理和助产教育并没有跟上人工智能的发展，大量研究表明护士、助产士和学生的人工智能素养水平较低（He et al. 2025； Özçevik suba<e:1>等人2025；Sengul和Sariköse 2025； Sumengen等人2025）。这可能会影响各行业采用和使用基于人工智能的技术，限制它们对卫生和保健的潜在变革性影响。尽管多年来一直呼吁加大对护理信息学教育的投资(McNeil et al. 2005； O’connor and LaRue 2021；Shen et al. 2024)，由于许多障碍，例如护理和助产教师的时间和专业知识有限，领导不认识信息学教育的价值和重要性，教育和专业实践标准过时的监管机构，以及缺乏资金等，进展缓慢（Harerimana et al. 2021; Lilly et al. 2015; McNeil et al. 2005）。 随着人工智能不断发展，并越来越多地融入医疗保健领域，现在是时候投资于提高各国护理和助产人员的数字和人工智能素养，这样我们就可以开发护士和助产士所需的定制人工智能工具，并利用现有的基于人工智能的技术来改善健康和护理。例如，关于良好健康和福祉的可持续发展目标3有一系列到2030年要实现的目标，从降低孕产妇死亡率到改善全球健康风险预警系统（联合国2025c）。通过让护士和助产士掌握人工智能知识，我们可以看到孕产妇健康得到改善。虽然它受到无数社会经济和地缘政治因素的影响，但使用人工智能支持的护理点超声波（提供更准确的诊断）和基于人工智能的电话信息干预（支持孕妇进行产前和产后护理）可以改善一些产妇结局。护士和助产士还可以帮助开发和部署人工智能预测模型和工具，以识别怀孕期间有并发症风险的妇女，或对其进行筛查，以识别那些有较高妇科和其他健康问题风险的妇女（Edmonds 2023），以加快转诊到适当的服务。虽然获得高质量的医疗保健仍然很复杂，但这些新方法可能对世界上孕产妇发病率和死亡率高的地区有益，有助于减轻全球疾病负担，改善妇女健康。在最近的联合国大会上，这是一个热门话题，因为它庆祝了《北京宣言和行动纲要》30周年，这是联合国通过的一项决议，旨在促进性别平等和妇女权利（联合国妇女2025）。提高护理和助产领域的人工智能素养也将从可持续发展目标4中获得连锁效益，该目标旨在确保包容和公平的高质量教育，并为所有人提供终身学习机会。其中两项关键目标是普及识字和算术，增加具有相关技术和职业技能的人数，使他们能够获得教育和就业机会，取得长期成功（联合国，2025年c）。作为医疗保健领域最大的职业群体，护士和助产士在全球拥有2900多万名（世界卫生组织2025年），对人工智能技术和应用领域的这两个专业进行培训将直接有助于提高医疗保健方面的识字率。这也将进一步促进护士和助产士的专业发展和领导机会，因为她们可以在临床实践、教育和研究的许多领域开创基于人工智能的技术，追求更高级的角色，如首席护理/助产信息官（CNIO/CMIO） （Sanchez-Pinto等人，2017），获得研究资金，以产生人工智能在护理和助产实践中的证据。制定和实施政策和战略，以支持护理和助产人员的数字化和人工智能举措（Cummins et al. 2021）。此外，鉴于护士和助产士与患者和家属的密切关系，他们还可以将自己的人工智能专业知识传授给那些获得医疗服务的人。这将间接提高全球的数字扫盲水平，随着患者采用基于人工智能的工具来支持慢性和传染病管理，进而进一步促进全球健康，帮助实现可持续发展目标g3 （Schwalbe and Wahl 2020; Wahl et al. 2018）。联合国于2025年9月25日在联合国大会举行的高级别多利益攸关方非正式会议上启动了人工智能治理全球对话，这将成为会员国和其他利益攸关方讨论人工智能关键问题的主要平台（联合国2025b）。作为联络员和青年代表，我们可以利用这一新的联合国机
{"title":"The Importance of Artificial Intelligence Literacy in Nursing and Midwifery to Achieve the Sustainable Development Goals: Perspectives From the 80th Session of the United Nations General Assembly","authors":"Siobhan O'Connor, Abeer Alharthi, Jitana Benton-Lee, Aimee Giselle Horcasitas-Tovar, Charlotte McArdle, Jerry John Ouner, Amy Staley, Jasper Erwin Tolarba, Regina Yuen","doi":"10.1111/jnu.70064","DOIUrl":"10.1111/jnu.70064","url":null,"abstract":"<p>This year marks the 80th anniversary of the United Nations (UN) which was established in 1945 to further international cooperation by promoting peace, championing human rights, and supporting social progress for all (United Nations <span>2025a</span>). In 2015, all UN member states adopted the 2030 Agenda for Sustainable Development which includes seventeen Sustainable Development Goals (SDGs) outlining key local, measurable, and sustainable actions for individuals and institutions to take to achieve global progress by 2030 (https://sdgs.un.org/goals). Two of the SDGs focus on good health and wellbeing (SDG3) and quality education (SDG4) which have specific targets for UN member states to work toward and are highly relevant to the nursing and midwifery professions (Fields et al. <span>2021</span>; Hawkins et al. <span>2024</span>). As liaisons and youth representatives to the UN for Sigma Nursing, we had the privilege of attending key events during this year's UN General Assembly, where we heard firsthand about the progress made on the SDGs and advocated for more investment in nursing and midwifery to accelerate their achievement.</p><p>Sigma Theta Tau International Honor Society of Nursing is a global nursing organization with more than 100,000 active members across 100 countries, representing nursing and midwifery leaders from education, research, clinical practice and policy across its 600+ chapters worldwide (Sigma Theta Tau International <span>2025a</span>). Sigma was granted a special consultative status with the UN Economic and Social Council (ECOSOC) in 2012 in recognition of its expertise in nursing and global health, enabling it to access nearly all intergovernmental processes at the UN, including participating in the General Assembly each year (Sensor et al. <span>2021</span>). As part of this affiliation and acting in our liaison and youth representative roles, we are able to provide a strong nursing presence at the UN by delivering position statements, acting as subject matter experts, and hosting side events and meetings alongside various UN proceedings throughout the year. We also undertake a range of outreach activities to help nurses everywhere understand and contribute to the SDGs. Given the discussions we heard at this year's UN General Assembly on health and education, and the fact that the UN established two new mechanisms this year to promote international cooperation on the governance of artificial intelligence (AI) (United Nations <span>2025b</span>), we felt it timely to highlight the importance of AI literacy in nursing and midwifery to achieve the SDGs.</p><p>AI is an evolving technological trend that comprises advanced computational techniques such as machine learning and natural language processing which are used to analyze and understand digital data. These AI techniques and their associated AI models and tools are enabling better decision making and more efficient delivery of services (Dwivedi et al. <span>2023</","PeriodicalId":51091,"journal":{"name":"Journal of Nursing Scholarship","volume":"58 1","pages":""},"PeriodicalIF":2.9,"publicationDate":"2026-01-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12808556/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145991735","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Eunjin Kim, Dahee Wi, Jiae Lee, Chang Park, Yoonjung Kim
Introduction
Falls among older adults represent a major public health challenge, yet research examining the role of social determinants of health (SDOH) in fall risk remains limited. This study aimed to identify factors associated with fall occurrence and fall frequency among community-dwelling older adults in Korea, with particular emphasis on SDOH.
Design
A cross-sectional study design.
Methods
We used a large nationwide sample (n = 9746) from the 2023 National Survey of Older Koreans. The number of falls in the past year served as the dependent variable. Independent variables included a range of socioeconomic and environmental variables as SDOH, alongside biological and behavioral variables. A zero-inflated negative binomial (ZINB) regression analysis was employed to address excess zeros and overdispersion in fall count data.
Results
Among participants, 94.8% experienced no falls, 3.2% reported a single fall, and 1.9% reported recurrent falls. In the logit model for fall occurrence, higher household income level, absence of age-friendly housing, higher access to parks, and lower access to welfare centers were associated with higher risk of fall occurrence. In the count model for fall frequency, higher education level, presence of age-friendly housing, and outdoor mobility barriers were associated with higher fall frequency within the at-risk group.
Conclusions
The findings provide empirical evidence on the critical roles of SDOH in falls among community-dwelling older adults. Specifically, a ZINB regression analysis identified distinct sets of SDOH associated with fall occurrence versus fall frequency, highlighting the complex and multifaceted nature of fall patterns among older adults.
Clinical Relevance
Healthcare providers and policymakers seeking to reduce falls should implement tailored, SDOH-integrated strategies by addressing the different mechanisms underlying fall occurrence and fall frequency.
{"title":"Social Determinants of Health and Falls Among Community-Dwelling Older Adults: A Zero-Inflated Negative Binomial Regression Analysis","authors":"Eunjin Kim, Dahee Wi, Jiae Lee, Chang Park, Yoonjung Kim","doi":"10.1111/jnu.70065","DOIUrl":"10.1111/jnu.70065","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>Falls among older adults represent a major public health challenge, yet research examining the role of social determinants of health (SDOH) in fall risk remains limited. This study aimed to identify factors associated with fall occurrence and fall frequency among community-dwelling older adults in Korea, with particular emphasis on SDOH.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Design</h3>\u0000 \u0000 <p>A cross-sectional study design.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>We used a large nationwide sample (<i>n</i> = 9746) from the 2023 National Survey of Older Koreans. The number of falls in the past year served as the dependent variable. Independent variables included a range of socioeconomic and environmental variables as SDOH, alongside biological and behavioral variables. A zero-inflated negative binomial (ZINB) regression analysis was employed to address excess zeros and overdispersion in fall count data.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Among participants, 94.8% experienced no falls, 3.2% reported a single fall, and 1.9% reported recurrent falls. In the logit model for fall occurrence, higher household income level, absence of age-friendly housing, higher access to parks, and lower access to welfare centers were associated with higher risk of fall occurrence. In the count model for fall frequency, higher education level, presence of age-friendly housing, and outdoor mobility barriers were associated with higher fall frequency within the at-risk group.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>The findings provide empirical evidence on the critical roles of SDOH in falls among community-dwelling older adults. Specifically, a ZINB regression analysis identified distinct sets of SDOH associated with fall occurrence versus fall frequency, highlighting the complex and multifaceted nature of fall patterns among older adults.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Clinical Relevance</h3>\u0000 \u0000 <p>Healthcare providers and policymakers seeking to reduce falls should implement tailored, SDOH-integrated strategies by addressing the different mechanisms underlying fall occurrence and fall frequency.</p>\u0000 </section>\u0000 </div>","PeriodicalId":51091,"journal":{"name":"Journal of Nursing Scholarship","volume":"58 1","pages":""},"PeriodicalIF":2.9,"publicationDate":"2026-01-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145967580","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Hendrietta Vorster-Mbontsi, Nompumelelo Ndlovu, Marie Poggenpoel
<div> <section> <h3> Introduction</h3> <p>Parents of adolescents with a mental disorder describe having overwhelming feelings regarding the psychiatric diagnosis, which they respond to with grief. Existing research indicates that these parents face unique challenges, such as self-blame and stigma. Parents are crucial in adolescent care, and healthcare professionals should find interventions that educate parents about the disorder, treatment and symptom management. The aim of this study was to explore and describe parents' experiences in having an adolescent with a mental disorder admitted to the psychiatric unit of a public hospital in Gauteng, South Africa.</p> </section> <section> <h3> Design</h3> <p>The study used Heidegger's interpretive phenomenological design.</p> </section> <section> <h3> Methods</h3> <p>A qualitative, exploratory, descriptive and contextual method was used. Data were collected through semi-structured telephonic interviews with 10 parents who had an adolescent with a mental disorder admitted to a public hospital in Gauteng, South Africa. Tesch's thematic coding steps were used for data analysis.</p> </section> <section> <h3> Results</h3> <p>The themes arising from the findings reflected (1) parents experienced that their lives were stuck amid grief for the loss of what their adolescent child used to be, and anxiety about what the future holds, (2) parents experienced that when they reached out for professional help, the healthcare system failed them due to a lack of guidance, information and support, (3) parents experienced that they prayed for divine intervention as a coping strategy, and (4) parents experienced stigma from the community.</p> </section> <section> <h3> Conclusion</h3> <p>The findings illustrate the need for psychiatric nurses to facilitate the mental health of parents of adolescents with a mental disorder. Furthermore, positive attitudes among parents are improved once they are empowered and receive the necessary support, and stigmatization will also be reduced. It is recommended that further research be conducted to explore the effectiveness of emotional and professional support in addressing the challenges parents experience with an adolescent who has a mental disorder.</p> </section> <section> <h3> Clinical Relevance</h3> <p>This paper contributes knowledge to nursing practice by exploring the experiences
{"title":"Parents' Experiences of Having an Adolescent With a Mental Disorder Admitted to a Public Hospital's Psychiatric Unit","authors":"Hendrietta Vorster-Mbontsi, Nompumelelo Ndlovu, Marie Poggenpoel","doi":"10.1111/jnu.70061","DOIUrl":"10.1111/jnu.70061","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>Parents of adolescents with a mental disorder describe having overwhelming feelings regarding the psychiatric diagnosis, which they respond to with grief. Existing research indicates that these parents face unique challenges, such as self-blame and stigma. Parents are crucial in adolescent care, and healthcare professionals should find interventions that educate parents about the disorder, treatment and symptom management. The aim of this study was to explore and describe parents' experiences in having an adolescent with a mental disorder admitted to the psychiatric unit of a public hospital in Gauteng, South Africa.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Design</h3>\u0000 \u0000 <p>The study used Heidegger's interpretive phenomenological design.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A qualitative, exploratory, descriptive and contextual method was used. Data were collected through semi-structured telephonic interviews with 10 parents who had an adolescent with a mental disorder admitted to a public hospital in Gauteng, South Africa. Tesch's thematic coding steps were used for data analysis.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The themes arising from the findings reflected (1) parents experienced that their lives were stuck amid grief for the loss of what their adolescent child used to be, and anxiety about what the future holds, (2) parents experienced that when they reached out for professional help, the healthcare system failed them due to a lack of guidance, information and support, (3) parents experienced that they prayed for divine intervention as a coping strategy, and (4) parents experienced stigma from the community.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>The findings illustrate the need for psychiatric nurses to facilitate the mental health of parents of adolescents with a mental disorder. Furthermore, positive attitudes among parents are improved once they are empowered and receive the necessary support, and stigmatization will also be reduced. It is recommended that further research be conducted to explore the effectiveness of emotional and professional support in addressing the challenges parents experience with an adolescent who has a mental disorder.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Clinical Relevance</h3>\u0000 \u0000 <p>This paper contributes knowledge to nursing practice by exploring the experiences","PeriodicalId":51091,"journal":{"name":"Journal of Nursing Scholarship","volume":"58 1","pages":""},"PeriodicalIF":2.9,"publicationDate":"2026-01-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12792237/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145953753","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Hardeep Singh, Sarah Belson, Jennifer E. S. Beauchamp, Michelle L. A. Nelson
<div> <section> <h3> Background</h3> <p>Stroke is a global health concern. A timely response to a stroke can help reduce morbidity and mortality. However, barriers to timely response include poor recognition of stroke symptoms. Stroke symptom messages are designed to increase stroke recognition and encourage individuals to seek urgent medical assistance. The Face, Arm, Speech, Time (FAST) and Balance, Eyes, Face, Arm, Speech, Time (BE FAST) are commonly used stroke symptom messages shown to improve stroke symptom recognition and response. However, cultural factors and language differences may limit the effectiveness of stroke symptom messages and their acceptability in different countries and contexts. There has not been a comprehensive examination of the stroke symptom messages used worldwide and how these messages have been adapted in various settings.</p> </section> <section> <h3> Aims</h3> <p>We explored what stroke response messages are being used globally, and the contextual factors that influence the adoption of a stroke response mnemonic in different settings.</p> </section> <section> <h3> Methods</h3> <p>A 14-item survey was disseminated by the World Stroke Organization to its networks. The survey contained open- and closed-ended questions and allowed uploading relevant stroke symptom campaign materials. The survey was analyzed using descriptive statistics and a content analysis.</p> </section> <section> <h3> Results</h3> <p>All except one survey respondent used a stroke symptom message. Fifteen respondents (27%) reported they did not translate their stroke awareness messaging. Of these 15 respondents, they used the English versions of FAST (<i>n</i> = 8), BE FAST (<i>n</i> = 4), and both FAST and BE FAST (<i>n</i> = 3). Forty respondents (71%) reported that they/their organization used an acronym to raise public awareness of the signs/symptoms of stroke that was different from FAST or BE FAST (English), many of which were direct or indirect translations or influenced by FAST and BE FAST. Survey responses shared insights and recommendations related to the content, tailoring and dissemination of stroke symptom messages.</p> </section> <section> <h3> Conclusions</h3> <p>Study findings highlight the global use of stroke symptom messages and their contextual adaptations to fit diverse settings and contexts. The challenges in applying universal or commonly used stroke symptom messages to different contexts were highlighted.</p> <
背景：脑卒中是一个全球性的健康问题。及时应对中风有助于降低发病率和死亡率。然而，及时应对的障碍包括对中风症状的认识不足。中风症状信息的目的是提高中风的认识，并鼓励个人寻求紧急医疗援助。面部、手臂、言语、时间（FAST）和平衡、眼睛、面部、手臂、言语、时间（BE FAST）是常用的中风症状信息，可以改善中风症状的识别和反应。然而，文化因素和语言差异可能会限制中风症状信息的有效性及其在不同国家和背景下的可接受性。目前还没有对世界范围内使用的中风症状信息以及这些信息在不同情况下如何适应进行全面的检查。目的：我们探讨了全球范围内使用的中风反应信息，以及影响不同情况下中风反应助记符采用的背景因素。方法：由世界中风组织向其网络传播一项14项调查。该调查包含开放式和封闭式问题，并允许上传相关中风症状宣传材料。使用描述性统计和内容分析对调查进行分析。结果：除了一名调查对象外，所有人都使用了中风症状信息。15名受访者（27%）报告说，他们没有翻译卒中意识信息。在这15名受访者中，他们使用了英文版本的FAST (n = 8), BE FAST (n = 4)，以及FAST和BE FAST （n = 3）。40名受访者（71%）报告说，他们/他们的组织使用不同于FAST或BE FAST（英语）的缩写词来提高公众对中风体征/症状的认识，其中许多是直接或间接翻译或受FAST和BE FAST的影响。调查回复分享了与中风症状信息的内容、剪裁和传播相关的见解和建议。结论：研究结果强调了卒中症状信息的全球使用及其上下文适应性，以适应不同的环境和背景。强调了将普遍或常用的中风症状信息应用于不同背景的挑战。临床相关性：护士可以在提高对中风症状的认识和发展适合当地的中风症状信息方面发挥关键作用。
{"title":"Examining Stroke Symptom Messages Implemented Globally: A Need for Contextually Relevant Stroke Symptom Messaging","authors":"Hardeep Singh, Sarah Belson, Jennifer E. S. Beauchamp, Michelle L. A. Nelson","doi":"10.1111/jnu.70059","DOIUrl":"10.1111/jnu.70059","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Stroke is a global health concern. A timely response to a stroke can help reduce morbidity and mortality. However, barriers to timely response include poor recognition of stroke symptoms. Stroke symptom messages are designed to increase stroke recognition and encourage individuals to seek urgent medical assistance. The Face, Arm, Speech, Time (FAST) and Balance, Eyes, Face, Arm, Speech, Time (BE FAST) are commonly used stroke symptom messages shown to improve stroke symptom recognition and response. However, cultural factors and language differences may limit the effectiveness of stroke symptom messages and their acceptability in different countries and contexts. There has not been a comprehensive examination of the stroke symptom messages used worldwide and how these messages have been adapted in various settings.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Aims</h3>\u0000 \u0000 <p>We explored what stroke response messages are being used globally, and the contextual factors that influence the adoption of a stroke response mnemonic in different settings.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A 14-item survey was disseminated by the World Stroke Organization to its networks. The survey contained open- and closed-ended questions and allowed uploading relevant stroke symptom campaign materials. The survey was analyzed using descriptive statistics and a content analysis.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>All except one survey respondent used a stroke symptom message. Fifteen respondents (27%) reported they did not translate their stroke awareness messaging. Of these 15 respondents, they used the English versions of FAST (<i>n</i> = 8), BE FAST (<i>n</i> = 4), and both FAST and BE FAST (<i>n</i> = 3). Forty respondents (71%) reported that they/their organization used an acronym to raise public awareness of the signs/symptoms of stroke that was different from FAST or BE FAST (English), many of which were direct or indirect translations or influenced by FAST and BE FAST. Survey responses shared insights and recommendations related to the content, tailoring and dissemination of stroke symptom messages.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Study findings highlight the global use of stroke symptom messages and their contextual adaptations to fit diverse settings and contexts. The challenges in applying universal or commonly used stroke symptom messages to different contexts were highlighted.</p>\u0000 <","PeriodicalId":51091,"journal":{"name":"Journal of Nursing Scholarship","volume":"58 1","pages":""},"PeriodicalIF":2.9,"publicationDate":"2025-12-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12754037/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145769972","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
<div> <section> <h3> Introduction</h3> <p>Creating a healthy work environment requires balancing organizational goals with ethical responsibilities, where head nurses' ethical leadership can shape staff outcomes by mitigating work–family conflicts and promoting nurses' well-being, retention, and patient safety. This study aims to analyze the mediating role of work–family between head nurses' ethical leadership and nurses' reported errors, turnover intention, and physical and mental health.</p> </section> <section> <h3> Design</h3> <p>Nationwide Multicenter cross-sectional study.</p> </section> <section> <h3> Methods</h3> <p>Validated self-report scales were used to assess nurses' perceptions of head nurses' ethical leadership, work–family conflict, error, turnover intention, physical and mental health. Descriptive and inferential analyses were conducted. Structural equation modeling examined the relationships among these variables based on Della Bella's and Fiorini's framework.</p> </section> <section> <h3> Results</h3> <p>Data from 409 nurses across seven Italian hospitals was analyzed. The structural equation model showed an excellent fit. Head nurses' Ethical leadership was negatively associated with work–family conflicts, turnover intention, and errors, and positively associated with nurses' health. Work–family conflicts were significantly linked to turnover intention, errors, and nurses' health. Work–family conflicts mediate the relation between ethical leadership and turnover intention, errors, and nurses' health.</p> </section> <section> <h3> Conclusion</h3> <p>Promoting healthy work environments is crucial for nurses', patients', and organizations' well-being. Ethical leadership helps achieve this condition by reducing work–family conflicts, fostering nurses' well-being, decreasing turnover intention, and improving care quality. Disseminating ethical leadership programs and integrating with work–life balance policies can therefore strengthen both staff retention and organizational outcomes.</p> </section> <section> <h3> Clinical Relevance</h3> <p>Ethical leadership can foster patient care, reduce turnover intention and errors, and improve nurses' well-being. Therefore, maintaining employee performance and organizational results requires integrating work–life balance policies with ethical leadership development programs.</p> </section> <section> <h3> Reporting Method</h3> <p>The study
{"title":"Creating a Healthy Work Environment by Balancing Work–Family Conflict Through Ethical Leadership: A Structural Equation Modeling Approach","authors":"Valerio Della Bella, Eleonora Moraca, Rossella Roberta Basso, Noemi Carosi, Domenico Imoletti, Luana Palladino, Federica Pulcini, Edoardo Trebbi, Livia Tognaccini, Jacopo Fiorini, Alessandro Sili","doi":"10.1111/jnu.70060","DOIUrl":"10.1111/jnu.70060","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>Creating a healthy work environment requires balancing organizational goals with ethical responsibilities, where head nurses' ethical leadership can shape staff outcomes by mitigating work–family conflicts and promoting nurses' well-being, retention, and patient safety. This study aims to analyze the mediating role of work–family between head nurses' ethical leadership and nurses' reported errors, turnover intention, and physical and mental health.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Design</h3>\u0000 \u0000 <p>Nationwide Multicenter cross-sectional study.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Validated self-report scales were used to assess nurses' perceptions of head nurses' ethical leadership, work–family conflict, error, turnover intention, physical and mental health. Descriptive and inferential analyses were conducted. Structural equation modeling examined the relationships among these variables based on Della Bella's and Fiorini's framework.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Data from 409 nurses across seven Italian hospitals was analyzed. The structural equation model showed an excellent fit. Head nurses' Ethical leadership was negatively associated with work–family conflicts, turnover intention, and errors, and positively associated with nurses' health. Work–family conflicts were significantly linked to turnover intention, errors, and nurses' health. Work–family conflicts mediate the relation between ethical leadership and turnover intention, errors, and nurses' health.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Promoting healthy work environments is crucial for nurses', patients', and organizations' well-being. Ethical leadership helps achieve this condition by reducing work–family conflicts, fostering nurses' well-being, decreasing turnover intention, and improving care quality. Disseminating ethical leadership programs and integrating with work–life balance policies can therefore strengthen both staff retention and organizational outcomes.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Clinical Relevance</h3>\u0000 \u0000 <p>Ethical leadership can foster patient care, reduce turnover intention and errors, and improve nurses' well-being. Therefore, maintaining employee performance and organizational results requires integrating work–life balance policies with ethical leadership development programs.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Reporting Method</h3>\u0000 \u0000 <p>The study ","PeriodicalId":51091,"journal":{"name":"Journal of Nursing Scholarship","volume":"58 1","pages":""},"PeriodicalIF":2.9,"publicationDate":"2025-12-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145764459","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Healthcare professionals are expected to provide holistic care to their patients without discrimination based on factors such as religion, language, age, gender, and race.
Design
It is a cross-sectional descriptive study.
Aim
The study aimed to examine the discriminatory attitudes of nurses and physicians working in hospitals in Sanliurfa and to define whether the personal and professional variables predict discriminatory attitudes among them.
Methods
The STROBE reporting method, which is one of the EQUATOR guidelines, was followed. Data were collected from a total of 376 physicians and nurses through online platforms between March and June 2020 via the information form and the Discrimination Attitude Scale.
Results
The discriminatory attitudes of the nurses and physicians participating in the study were above average. The total discriminatory attitudes scores of the participants varied according to sex, income levels, profession, hospital experience, and unit (p < 0.05). In addition, sex, profession and unit variables predicted the total discriminatory attitudes of nurses and physicians (p < 0.05).
Conclusion
Although nurses' and physicians' discriminatory attitudes scores were generally higher, the highest mean score was in the subscale “discrimination against other nationalities.” Sex, profession, and unit variables predicted the total discriminatory attitudes of nurses and physicians. Further quantitative and qualitative research is needed to understand the reasons for the highest discriminatory attitudes towards other nationalities among healthcare professionals, to overcome this issue.
Clinical Relevance
Nursing or healthcare managers, as well as policymakers, may consider the predictive variables when staffing and training nurses and physicians working in similar regions and conditions.
{"title":"Investigating the Personal and Professional Variables That Predict Discrimination Attitudes Among Nurses and Physicians","authors":"Suat Tekin, Arzu Kader Harmanci Seren","doi":"10.1111/jnu.70051","DOIUrl":"10.1111/jnu.70051","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>Healthcare professionals are expected to provide holistic care to their patients without discrimination based on factors such as religion, language, age, gender, and race.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Design</h3>\u0000 \u0000 <p>It is a cross-sectional descriptive study.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>The study aimed to examine the discriminatory attitudes of nurses and physicians working in hospitals in Sanliurfa and to define whether the personal and professional variables predict discriminatory attitudes among them.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>The STROBE reporting method, which is one of the EQUATOR guidelines, was followed. Data were collected from a total of 376 physicians and nurses through online platforms between March and June 2020 via the information form and the Discrimination Attitude Scale.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The discriminatory attitudes of the nurses and physicians participating in the study were above average. The total discriminatory attitudes scores of the participants varied according to sex, income levels, profession, hospital experience, and unit (<i>p</i> < 0.05). In addition, sex, profession and unit variables predicted the total discriminatory attitudes of nurses and physicians (<i>p</i> < 0.05).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Although nurses' and physicians' discriminatory attitudes scores were generally higher, the highest mean score was in the subscale “discrimination against other nationalities.” Sex, profession, and unit variables predicted the total discriminatory attitudes of nurses and physicians. Further quantitative and qualitative research is needed to understand the reasons for the highest discriminatory attitudes towards other nationalities among healthcare professionals, to overcome this issue.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Clinical Relevance</h3>\u0000 \u0000 <p>Nursing or healthcare managers, as well as policymakers, may consider the predictive variables when staffing and training nurses and physicians working in similar regions and conditions.</p>\u0000 </section>\u0000 </div>","PeriodicalId":51091,"journal":{"name":"Journal of Nursing Scholarship","volume":"58 1","pages":""},"PeriodicalIF":2.9,"publicationDate":"2025-11-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145649985","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Kathleen Calzone, Liz Stokes, Cheryl Peterson, Laura M. Yee, David Liewehr, Laurie Badzek
Purpose
Assess US registered nurse genomic competency.
Design
Administered the Genetics and Genomics Nursing Practice Survey (GGNPS).
Methods
GGNPS assesses genomic knowledge, skills, attitudes, confidence, and utilization in nursing practice. Distributed by the American Nurses Association via email and online to US registered nurses. Results are analyzed using descriptive statistics and compared to 2010 data.
Results
1065 registered nurses responded. Most (41%) were Master's prepared, actively seeing patients (51%) and 66% considered it very important to learn more about genomics. Most (55%) reported their genomic knowledge was poor yet 51% reported a patient initiated a genetic discussion with them in the past 3 months. 66% completed all knowledge score items with a median score of 9/12, no change from 2010. Only 26% had heard of the Essential Competencies. Most reported no genomic curricular content (64%); had not attended a genomic course since licensure (64%); intended to learn more about genomics (70%); and would attend a course on their own time (79%).
Conclusions
Nurses felt genomics was important but have capacity deficits. Despite genomic discoveries and evidence-based practice guidelines that impact healthcare quality and safety, 20 years after the Genomic Competencies were established (2005) nursing genomic practice capacity remains low.
Clinical Relevance
Genomics is critical to the safe, quality nursing practice regardless of the level of academic training, clinical role, or specialty.
{"title":"Evaluation of the Integration of Genetics and Genomics Into Nursing Practice","authors":"Kathleen Calzone, Liz Stokes, Cheryl Peterson, Laura M. Yee, David Liewehr, Laurie Badzek","doi":"10.1111/jnu.70056","DOIUrl":"10.1111/jnu.70056","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Purpose</h3>\u0000 \u0000 <p>Assess US registered nurse genomic competency.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Design</h3>\u0000 \u0000 <p>Administered the Genetics and Genomics Nursing Practice Survey (GGNPS).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>GGNPS assesses genomic knowledge, skills, attitudes, confidence, and utilization in nursing practice. Distributed by the American Nurses Association via email and online to US registered nurses. Results are analyzed using descriptive statistics and compared to 2010 data.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>1065 registered nurses responded. Most (41%) were Master's prepared, actively seeing patients (51%) and 66% considered it very important to learn more about genomics. Most (55%) reported their genomic knowledge was poor yet 51% reported a patient initiated a genetic discussion with them in the past 3 months. 66% completed all knowledge score items with a median score of 9/12, no change from 2010. Only 26% had heard of the Essential Competencies. Most reported no genomic curricular content (64%); had not attended a genomic course since licensure (64%); intended to learn more about genomics (70%); and would attend a course on their own time (79%).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Nurses felt genomics was important but have capacity deficits. Despite genomic discoveries and evidence-based practice guidelines that impact healthcare quality and safety, 20 years after the Genomic Competencies were established (2005) nursing genomic practice capacity remains low.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Clinical Relevance</h3>\u0000 \u0000 <p>Genomics is critical to the safe, quality nursing practice regardless of the level of academic training, clinical role, or specialty.</p>\u0000 </section>\u0000 </div>","PeriodicalId":51091,"journal":{"name":"Journal of Nursing Scholarship","volume":"58 1","pages":""},"PeriodicalIF":2.9,"publicationDate":"2025-11-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12754033/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145588605","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
To examine the paradox of representation without power in nursing leadership and to highlight how gendered hierarchies persist in academic, clinical, and policy arenas despite nursing's predominantly female composition.
Organizing Construct or Argument
Existing systems of evaluation and promotion often reproduce inequities by undervaluing relational and collaborative leadership styles—forms of leadership intrinsic to nursing practice. This commentary draws on global and contextual perspectives to advocate for accreditation and institutional metrics that integrate equity indicators and recognize inclusive leadership as a marker of excellence.
Conclusions
Advancing gender equity in leadership is both an ethical and strategic imperative. Embedding equity education and inclusive leadership development within nursing curricula from the earliest stages of professional formation is essential to reshape the future of nursing leadership.
Clinical Relevance
Promoting gender equity in leadership will strengthen nursing's contribution to health systems, enhance organizational resilience, and advance equitable patient care.
{"title":"Invisible Inequities: Gender in Nursing and the Leadership Paradox","authors":"Lilian Ferrer, Margarita Bernales, Caroline Bradbury","doi":"10.1111/jnu.70057","DOIUrl":"10.1111/jnu.70057","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Purpose</h3>\u0000 \u0000 <p>To examine the paradox of representation without power in nursing leadership and to highlight how gendered hierarchies persist in academic, clinical, and policy arenas despite nursing's predominantly female composition.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Organizing Construct or Argument</h3>\u0000 \u0000 <p>Existing systems of evaluation and promotion often reproduce inequities by undervaluing relational and collaborative leadership styles—forms of leadership intrinsic to nursing practice. This commentary draws on global and contextual perspectives to advocate for accreditation and institutional metrics that integrate equity indicators and recognize inclusive leadership as a marker of excellence.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Advancing gender equity in leadership is both an ethical and strategic imperative. Embedding equity education and inclusive leadership development within nursing curricula from the earliest stages of professional formation is essential to reshape the future of nursing leadership.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Clinical Relevance</h3>\u0000 \u0000 <p>Promoting gender equity in leadership will strengthen nursing's contribution to health systems, enhance organizational resilience, and advance equitable patient care.</p>\u0000 </section>\u0000 </div>","PeriodicalId":51091,"journal":{"name":"Journal of Nursing Scholarship","volume":"58 1","pages":""},"PeriodicalIF":2.9,"publicationDate":"2025-11-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145588822","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Katie E. Nelson, Ginger C. Hanson, Sarah S. Giordano, Cynda H. Rushton
Introduction
Burnout, a form of moral suffering, has become more commonplace among health care workers in recent years. Measures of general resilience have been widely used to capture improvement in burnout but lack the ability to capture the anguish that comes with burnout from a moral standpoint. The purpose of this analysis was to understand whether moral resilience is uniquely related to burnout beyond a measure of general resilience in a sample of interprofessional health care workers.
Design
Secondary analysis of cross-sectional survey data.
Methods
In total, 702 interprofessional health care workers participated in a cross-sectional survey. Key measures included the Rushton Moral Resilience Scale (RMRS), the Connor-Davidson Resilience Scale (CD-RISC-10), and the Maslach Burnout Inventory-Human Services Survey (MBI-HSS). Hierarchical multiple regression modeling was used to examine the effect of moral resilience (RMRS) in predicting the three dimensions of burnout (MBI-HSS) over and above general resilience (CD-RISC-10).
Results
Moral resilience explained five, six, and 4% of variance for personal accomplishment, depersonalization, and emotional exhaustion, respectively, after accounting for general resilience (CD-RISC-10) and all covariates.
Conclusions
Findings highlight the clear conceptual differences between general and moral resilience and their unique relationship to burnout. Accounting for moral resilience will facilitate an improved multi-level response to moral suffering among health care workers.
Clinical Relevance
Measuring and understanding the differences between general resilience and moral resilience is vital for us to better facilitate the necessary support(s) for health care workers experiencing moral suffering. This will contribute to more sustainable clinical environments, reduced burnout and suffering, and improved patient outcomes.
{"title":"Moral Resilience Is Distinct From General Resilience When Predicting Burnout Among Interprofessional Health Care Workers: Secondary Analysis","authors":"Katie E. Nelson, Ginger C. Hanson, Sarah S. Giordano, Cynda H. Rushton","doi":"10.1111/jnu.70058","DOIUrl":"10.1111/jnu.70058","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>Burnout, a form of moral suffering, has become more commonplace among health care workers in recent years. Measures of general resilience have been widely used to capture improvement in burnout but lack the ability to capture the anguish that comes with burnout from a moral standpoint. The purpose of this analysis was to understand whether moral resilience is uniquely related to burnout beyond a measure of general resilience in a sample of interprofessional health care workers.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Design</h3>\u0000 \u0000 <p>Secondary analysis of cross-sectional survey data.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>In total, 702 interprofessional health care workers participated in a cross-sectional survey. Key measures included the Rushton Moral Resilience Scale (RMRS), the Connor-Davidson Resilience Scale (CD-RISC-10), and the Maslach Burnout Inventory-Human Services Survey (MBI-HSS). Hierarchical multiple regression modeling was used to examine the effect of moral resilience (RMRS) in predicting the three dimensions of burnout (MBI-HSS) over and above general resilience (CD-RISC-10).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Moral resilience explained five, six, and 4% of variance for personal accomplishment, depersonalization, and emotional exhaustion, respectively, after accounting for general resilience (CD-RISC-10) and all covariates.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Findings highlight the clear conceptual differences between general and moral resilience and their unique relationship to burnout. Accounting for moral resilience will facilitate an improved multi-level response to moral suffering among health care workers.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Clinical Relevance</h3>\u0000 \u0000 <p>Measuring and understanding the differences between general resilience and moral resilience is vital for us to better facilitate the necessary support(s) for health care workers experiencing moral suffering. This will contribute to more sustainable clinical environments, reduced burnout and suffering, and improved patient outcomes.</p>\u0000 </section>\u0000 </div>","PeriodicalId":51091,"journal":{"name":"Journal of Nursing Scholarship","volume":"58 1","pages":""},"PeriodicalIF":2.9,"publicationDate":"2025-11-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145566202","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
扫码关注我们
求助内容：
应助结果提醒方式：
京公网安备 11010802042870号