The aim of this study is to determine the attitudes of intensive care nurses towards health technologies and their attitudes’ correlation with their professional self-efficacy.
Background
As the impact of digital technology in the field of health is rapidly increasing, intensive care units have become highly technologically advanced.
Methods
A total of 90 nurses participated in this study. The data were gathered by using a Personal Information Form, the Health Personnel Health Technologies Assessment Attitude Scale (HPHTAAS) and the Nursing Profession Self-Efficacy Scale (NPSES). The data were analysed using linear regression analysis, ANOVA and t-test.
Results
The findings of the study revealed that the HPHTAAS mean score of the intensive care nurses was 97.01 ± 9.23, and their NPSES mean score was 70.40 ± 6.29. The attitudes of the intensive care nurses towards health technologies and their professional self-efficacy were significantly and positively correlated (p < 0.001). In addition, attitudes towards health technologies accounted for 24.9% of the variance of professional self-efficacy.
Conclusions
Intensive care nurses’ attitudes towards health technologies and professional self-efficacy scores were above average.
Implications for nursing and health policy
The evaluation of the effect of health technologies on nurses’ self-efficacy can offer significant information to understand the process of their adaptation to technology and the effectiveness of health technologies. However, it is recommended to identify the deficiencies that hinder nurses from integrating new technologies into their professional activities and to organise necessary training programmes in respect thereof.
{"title":"The Correlation Between Attitudes Towards Health Technologies and Professional Self-Efficacy in Intensive Care Nurses: A Cross-Sectional Study","authors":"Ayla Güllü, Keriman Aytekin Kanadli","doi":"10.1111/inr.70066","DOIUrl":"https://doi.org/10.1111/inr.70066","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>The aim of this study is to determine the attitudes of intensive care nurses towards health technologies and their attitudes’ correlation with their professional self-efficacy.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>As the impact of digital technology in the field of health is rapidly increasing, intensive care units have become highly technologically advanced.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A total of 90 nurses participated in this study. The data were gathered by using a Personal Information Form, the Health Personnel Health Technologies Assessment Attitude Scale (HPHTAAS) and the Nursing Profession Self-Efficacy Scale (NPSES). The data were analysed using linear regression analysis, ANOVA and <i>t</i>-test.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The findings of the study revealed that the HPHTAAS mean score of the intensive care nurses was 97.01 ± 9.23, and their NPSES mean score was 70.40 ± 6.29. The attitudes of the intensive care nurses towards health technologies and their professional self-efficacy were significantly and positively correlated (<i>p</i> < 0.001). In addition, attitudes towards health technologies accounted for 24.9% of the variance of professional self-efficacy.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Intensive care nurses’ attitudes towards health technologies and professional self-efficacy scores were above average.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Implications for nursing and health policy</h3>\u0000 \u0000 <p>The evaluation of the effect of health technologies on nurses’ self-efficacy can offer significant information to understand the process of their adaptation to technology and the effectiveness of health technologies. However, it is recommended to identify the deficiencies that hinder nurses from integrating new technologies into their professional activities and to organise necessary training programmes in respect thereof.</p>\u0000 </section>\u0000 </div>","PeriodicalId":54931,"journal":{"name":"International Nursing Review","volume":"72 3","pages":""},"PeriodicalIF":3.8,"publicationDate":"2025-07-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/inr.70066","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144582261","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}
{"title":"Comment on “Acceptance and Readiness of Critical Care Nurses to Use Artificial Intelligence: A Structural Equation Modeling Approach”","authors":"Rachana Mehta, Ranjana Sah","doi":"10.1111/inr.70062","DOIUrl":"https://doi.org/10.1111/inr.70062","url":null,"abstract":"","PeriodicalId":54931,"journal":{"name":"International Nursing Review","volume":"72 3","pages":""},"PeriodicalIF":3.8,"publicationDate":"2025-07-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144582259","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}
<div> <section> <h3> Aim</h3> <p>This integrative review aimed to clarify the nature of horizontal and lateral violence among nurses and assess how such violence affects patient safety.</p> </section> <section> <h3> Background</h3> <p>Bullying and violence among nurses have been examined in numerous reports, yet their impact on patient safety remains unclear. Definitions of horizontal and lateral violence vary, complicating our understanding of their distinctions.</p> </section> <section> <h3> Methods</h3> <p>The study followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) checklist. We systematically searched Web of Science for articles published between 1991 and 2023 on 27 August 2022 and 4 October 2024. We also searched PubMed and CINAHL to identify papers using the keywords ‘patient safety’, ‘nursing’, ‘horizontal violence’, and ‘lateral violence’.</p> </section> <section> <h3> Results</h3> <p>Of the initial 105 studies, 29 were ultimately extracted, with 27 indicating a link between horizontal and/or lateral violence and patient safety. We identified studies showing that nursing, horizontal violence, and lateral violence are related to patient safety. However, distinguishing between horizontal and lateral violence was challenging, and both could be considered peer violence.</p> </section> <section> <h3> Discussion</h3> <p>Horizontal and/or lateral violence encompasses repetitive physical, mental and emotional mistreatment by co-workers, including verbal and nonverbal abuse. These behaviours are characterised by sabotaging, humiliating, excluding and isolating others to alleviate the perpetrator's anxiety and insecurity. They have become systemic issues within healthcare facilities and in the nursing profession. Peer violence also occurs at the expense of the safety of others, including patients.</p> </section> <section> <h3> Conclusion</h3> <p>This review shows links between horizontal and/or lateral violence. It highlights that a culture of incivility, job stress, disruptive peer relationships and organisational silence in healthcare facilities all impact patient safety. Moreover, these problems affect nurses who care for the same patients, creating a vicious cycle of peer violence.</p> </section> <section> <h3> Implications for nursing, h
{"title":"Implications of Nursing Peer Violence on Patient Safety: An Integrative Review","authors":"Chieko Fujii, Yumi Iwasa","doi":"10.1111/inr.70042","DOIUrl":"https://doi.org/10.1111/inr.70042","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>This integrative review aimed to clarify the nature of horizontal and lateral violence among nurses and assess how such violence affects patient safety.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Bullying and violence among nurses have been examined in numerous reports, yet their impact on patient safety remains unclear. Definitions of horizontal and lateral violence vary, complicating our understanding of their distinctions.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>The study followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) checklist. We systematically searched Web of Science for articles published between 1991 and 2023 on 27 August 2022 and 4 October 2024. We also searched PubMed and CINAHL to identify papers using the keywords ‘patient safety’, ‘nursing’, ‘horizontal violence’, and ‘lateral violence’.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Of the initial 105 studies, 29 were ultimately extracted, with 27 indicating a link between horizontal and/or lateral violence and patient safety. We identified studies showing that nursing, horizontal violence, and lateral violence are related to patient safety. However, distinguishing between horizontal and lateral violence was challenging, and both could be considered peer violence.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Discussion</h3>\u0000 \u0000 <p>Horizontal and/or lateral violence encompasses repetitive physical, mental and emotional mistreatment by co-workers, including verbal and nonverbal abuse. These behaviours are characterised by sabotaging, humiliating, excluding and isolating others to alleviate the perpetrator's anxiety and insecurity. They have become systemic issues within healthcare facilities and in the nursing profession. Peer violence also occurs at the expense of the safety of others, including patients.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>This review shows links between horizontal and/or lateral violence. It highlights that a culture of incivility, job stress, disruptive peer relationships and organisational silence in healthcare facilities all impact patient safety. Moreover, these problems affect nurses who care for the same patients, creating a vicious cycle of peer violence.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Implications for nursing, h","PeriodicalId":54931,"journal":{"name":"International Nursing Review","volume":"72 3","pages":""},"PeriodicalIF":3.8,"publicationDate":"2025-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/inr.70042","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144537027","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 analyze the contributions, challenges, and strategies for improving healthcare by past and present nursing leaders in St. Kitts and Nevis.
Background
St. Kitts and Nevis has made significant progress in healthcare delivery despite limited resources and geographical isolation. Nursing leaders have performed a critical role in the establishment of a preventative-focused, community-based healthcare system. However, little is known about their contributions, as no previous studies have been conducted on the role of nursing leadership in the region's healthcare transformation.
Methods
Qualitative interpretive phenomenological and historical methods were used to analyze historical documents and conduct 45 in-depth semi-structured interviews with nursing leaders. Colaizzi's (1978) seven-step method and the COREQ EQUATOR reporting guidelines were used to analyze and report findings.
Results
Eleven significant themes emerged from data: historical leaders, leadership characteristics, international collaboration, the need to invest in infrastructure, lack of respect and slow advancement, a severe nursing shortage, limited resources, and the need for advocacy.
Discussion
These findings demonstrate nursing leaders’ critical role in improving healthcare outcomes despite significant barriers through collaboration, policy development, and investments in nursing education
Implications for nursing policy
This study provides insight into the accomplishments and challenges of nursing leaders in St. Kitts and Nevis and provides a foundation for future research on nursing leadership in similar settings. This research highlights the need for policies and international partnerships that advance nursing leadership capacity.
{"title":"Nursing Leadership and Policy Implications: Insights From St. Kitts and Nevis","authors":"Raiden Gaul, Audrey Snyder, Matti Smith","doi":"10.1111/inr.70051","DOIUrl":"https://doi.org/10.1111/inr.70051","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>To analyze the contributions, challenges, and strategies for improving healthcare by past and present nursing leaders in St. Kitts and Nevis.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>St. Kitts and Nevis has made significant progress in healthcare delivery despite limited resources and geographical isolation. Nursing leaders have performed a critical role in the establishment of a preventative-focused, community-based healthcare system. However, little is known about their contributions, as no previous studies have been conducted on the role of nursing leadership in the region's healthcare transformation.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Qualitative interpretive phenomenological and historical methods were used to analyze historical documents and conduct 45 in-depth semi-structured interviews with nursing leaders. Colaizzi's (1978) seven-step method and the COREQ EQUATOR reporting guidelines were used to analyze and report findings.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Eleven significant themes emerged from data: historical leaders, leadership characteristics, international collaboration, the need to invest in infrastructure, lack of respect and slow advancement, a severe nursing shortage, limited resources, and the need for advocacy.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Discussion</h3>\u0000 \u0000 <p>These findings demonstrate nursing leaders’ critical role in improving healthcare outcomes despite significant barriers through collaboration, policy development, and investments in nursing education</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Implications for nursing policy</h3>\u0000 \u0000 <p>This study provides insight into the accomplishments and challenges of nursing leaders in St. Kitts and Nevis and provides a foundation for future research on nursing leadership in similar settings. This research highlights the need for policies and international partnerships that advance nursing leadership capacity.</p>\u0000 </section>\u0000 </div>","PeriodicalId":54931,"journal":{"name":"International Nursing Review","volume":"72 3","pages":""},"PeriodicalIF":3.8,"publicationDate":"2025-06-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144514720","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}
Marco Sguanci, Stefano Mancin, Viviana Carù, Niccolò Simonelli, Giovanni Cangelosi, Sara Morales Palomares, Gaetano Ferrara, Alessio Lo Cascio
Aim
To analyze the role of advanced practice nursing (APN) in the cardiology context in outpatient and inpatient settings, detailing their roles, competencies, and responsibilities. It also provides an overview of the main degrees and postgraduate training programs for specialization in cardiology management in major Western countries.
Background
The increasing complexity of the healthcare sector requires an evolution in nursing education and clinical competencies to effectively manage care in complex and interdisciplinary contexts such as cardiology settings.
Methods
This scoping review followed the Joanna Briggs Institute framework. The Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews (PRISMA-ScR) was used to ensure rigorous and transparent reporting.
Results
Among the 647 records analyzed, 15 were included in this review. In the cardiology setting, the APN plays a critical role in clinical care, education, and research, providing both direct and indirect support to patients at all stages, across outpatient and inpatient settings. Thanks to the advanced skills acquired through specific paths, it also acts as a link between the healthcare team and patients, improving the provision of care through personalized and coordinated actions and promoting continuous training and research in the field.
Conclusions
APN enhances cardiac care by offering in-depth clinical assessments, education, and support throughout the treatment process. However, the lack of standardized regulatory frameworks in some countries limits the autonomy of cardiology APNs within the healthcare system, compromising their ability to address unmet healthcare needs and collaborate internationally.
{"title":"Exploring the Role of Advanced Practice Nurses in Cardiology: A Scoping Review","authors":"Marco Sguanci, Stefano Mancin, Viviana Carù, Niccolò Simonelli, Giovanni Cangelosi, Sara Morales Palomares, Gaetano Ferrara, Alessio Lo Cascio","doi":"10.1111/inr.70054","DOIUrl":"https://doi.org/10.1111/inr.70054","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>To analyze the role of advanced practice nursing (APN) in the cardiology context in outpatient and inpatient settings, detailing their roles, competencies, and responsibilities. It also provides an overview of the main degrees and postgraduate training programs for specialization in cardiology management in major Western countries.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>The increasing complexity of the healthcare sector requires an evolution in nursing education and clinical competencies to effectively manage care in complex and interdisciplinary contexts such as cardiology settings.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>This scoping review followed the Joanna Briggs Institute framework. The Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews (PRISMA-ScR) was used to ensure rigorous and transparent reporting.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Among the 647 records analyzed, 15 were included in this review. In the cardiology setting, the APN plays a critical role in clinical care, education, and research, providing both direct and indirect support to patients at all stages, across outpatient and inpatient settings. Thanks to the advanced skills acquired through specific paths, it also acts as a link between the healthcare team and patients, improving the provision of care through personalized and coordinated actions and promoting continuous training and research in the field.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>APN enhances cardiac care by offering in-depth clinical assessments, education, and support throughout the treatment process. However, the lack of standardized regulatory frameworks in some countries limits the autonomy of cardiology APNs within the healthcare system, compromising their ability to address unmet healthcare needs and collaborate internationally.</p>\u0000 </section>\u0000 </div>","PeriodicalId":54931,"journal":{"name":"International Nursing Review","volume":"72 3","pages":""},"PeriodicalIF":3.8,"publicationDate":"2025-06-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/inr.70054","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144514842","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 investigate the perception of career planning and development among senior clinical nurses and identify factors that facilitate or hinder their career development in a tertiary hospital setting in China.
Background
Career planning and development are important aspects of contemporary nursing roles. However, there is limited literature that comprehensively explores the challenges and motivations nurses encounter in their career development through self-reported career planning. As career paths for nurses continue to diversify, it remains unclear whether nurses can adapt their career plans effectively to achieve greater job satisfaction and support their individual career growth.
Methods
The study was conducted in October 2023 in a tertiary hospital in China. Fifty-three senior clinical nurses were recruited using purposive sampling. Participants were asked to indicate their perceptions of career planning and development, including their career preferences, self-assessed strengths and weaknesses, and perceived facilitators and barriers. They were invited to indicate their future career preferences across four domains: clinical practice, education, management, and research. Thematic analysis was employed to analyze the qualitative data. Additionally, participants were instructed to develop personal career development road maps using a provided framework.
Results
Most participants (94.34%, n = 50) favored career development in clinical practice, aspiring to roles such as advanced practice nurse (APN) or specialist nurse, while fewer preferred education (37.74%, n = 20), research (22.64%, n = 12), or management (18.87%, n = 10). Four key themes emerged: (1) Helping others through a good job, reflecting a desire to help others through meaningful work; (2) Multifaceted drive for self-improvement, influenced by personal growth, economic incentives, and professional recognition; (3) Insufficient sense of autonomy, with restricted decision-making power acting as a barrier; and (4) Challenges in time planning and allocation, highlighting difficulties in balancing work, life, and career goals.
Conclusion
This study explores the career development of senior clinical nurses, highlighting their strong preference for clinical pathways such as APN and specialist nursing. Facilitators include economic incentives, moral values, family support, and organizati
{"title":"The Perception of Career Planning and Development Among Senior Clinical Nurses: A Qualitative Analysis","authors":"Yunting Luo, Yanling Chen, Mei Feng","doi":"10.1111/inr.70050","DOIUrl":"https://doi.org/10.1111/inr.70050","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>To investigate the perception of career planning and development among senior clinical nurses and identify factors that facilitate or hinder their career development in a tertiary hospital setting in China.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Career planning and development are important aspects of contemporary nursing roles. However, there is limited literature that comprehensively explores the challenges and motivations nurses encounter in their career development through self-reported career planning. As career paths for nurses continue to diversify, it remains unclear whether nurses can adapt their career plans effectively to achieve greater job satisfaction and support their individual career growth.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>The study was conducted in October 2023 in a tertiary hospital in China. Fifty-three senior clinical nurses were recruited using purposive sampling. Participants were asked to indicate their perceptions of career planning and development, including their career preferences, self-assessed strengths and weaknesses, and perceived facilitators and barriers. They were invited to indicate their future career preferences across four domains: clinical practice, education, management, and research. Thematic analysis was employed to analyze the qualitative data. Additionally, participants were instructed to develop personal career development road maps using a provided framework.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Most participants (94.34%, <i>n</i> = 50) favored career development in clinical practice, aspiring to roles such as advanced practice nurse (APN) or specialist nurse, while fewer preferred education (37.74%, <i>n</i> = 20), research (22.64%, <i>n</i> = 12), or management (18.87%, <i>n</i> = 10). Four key themes emerged: (1) Helping others through a good job, reflecting a desire to help others through meaningful work; (2) Multifaceted drive for self-improvement, influenced by personal growth, economic incentives, and professional recognition; (3) Insufficient sense of autonomy, with restricted decision-making power acting as a barrier; and (4) Challenges in time planning and allocation, highlighting difficulties in balancing work, life, and career goals.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>This study explores the career development of senior clinical nurses, highlighting their strong preference for clinical pathways such as APN and specialist nursing. Facilitators include economic incentives, moral values, family support, and organizati","PeriodicalId":54931,"journal":{"name":"International Nursing Review","volume":"72 3","pages":""},"PeriodicalIF":3.8,"publicationDate":"2025-06-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144514843","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}
Sara Shishehgar, Pauline Murray-Parahi, Ethar Alsharaydeh, Sarah Mills, Xianliang LIU
<div> <section> <h3> Background/objective</h3> <p>Artificial intelligence (AI) is embedded in healthcare education and practice. Pre-service training on AI technologies allows health professionals to identify the best use of AI. This systematic review explores health students'/academics' perception of using AI in their practice. The authors aimed to identify any gaps in the health curriculum related to AI training that may need to be addressed.</p> </section> <section> <h3> Methods</h3> <p>Medline (EBSCO), Web of Science, CINAHL (EBSCO), ERIC, Google Scholar, and Scopus were searched using key terms including health students, health academics, AI, and higher education. Quantitative and qualitative studies published in the last seven years were reviewed. JBI SUMARI was used to facilitate study selection, data extraction, and quality assessment of included articles. Thematic and descriptive data analyses were used to retrieve data. This systematic review has been registered in PROSPERO (CRD42023448005).</p> </section> <section> <h3> Results</h3> <p>Twelve studies, including seven quantitative and five mixed-method studies, provided novel insights into health students’ perceptions of using AI in health education or practice. Quantitative findings reported significant variations in attitudes and literacy levels regarding AI across different disciplines and demographics. Senior students and those with doctoral degrees exhibited more favourable outlooks compared with their less experienced counterparts (<i>p</i> < 0.001). Students intending to pursue careers in research demonstrated greater optimism towards AI adoption than those planning to work in clinical practice (<i>p</i> < 0.001). A review of qualitative data, particularly on nursing discipline, revealed four themes, including limited AI literacy, replacement of health specialties with AI vs. providing support, optimism vs. cautiousness about using AI in practice, and ethical concerns. Only one study explored health academics’ experiences with AI in education, highlighting a gap in the current literature. This is while that students consistently agreed that universities are the best setting for learning about AI technologies in healthcare highlighting the need for embedding AI training into the health curricula to prepare future healthcare professionals.</p> </section> <section> <h3> Conclusion and implications for nursing/health policy</h3> <p>This systematic review recommends embedding AI training in health curriculum, offering direction for health education providers and curriculum develop
背景/目标人工智能（AI）被嵌入到医疗保健教育和实践中。关于人工智能技术的职前培训使卫生专业人员能够确定人工智能的最佳用途。本系统综述探讨了卫生专业学生/学者对在实践中使用人工智能的看法。作者旨在确定与人工智能培训相关的卫生课程中可能需要解决的任何差距。方法采用卫生学生、卫生学者、人工智能、高等教育等关键词对Medline （EBSCO）、Web of Science、CINAHL （EBSCO）、ERIC、谷歌Scholar和Scopus进行检索。回顾了近七年来发表的定量和定性研究。使用JBI SUMARI进行研究选择、数据提取和纳入文章的质量评估。使用专题和描述性数据分析来检索数据。该系统评价已在PROSPERO注册（CRD42023448005）。结果12项研究，包括7项定量研究和5项混合方法研究，对健康学生在健康教育或实践中使用人工智能的看法提供了新的见解。定量调查结果显示，不同学科和人口统计数据对人工智能的态度和读写水平存在显著差异。与经验不足的学生相比，高年级学生和拥有博士学位的学生表现出更乐观的前景(p <；0.001)。打算从事研究工作的学生比计划从事临床实践的学生对采用人工智能表现出更大的乐观态度(p <；0.001)。对定性数据（特别是关于护理学科的数据）的回顾揭示了四个主题，包括有限的人工智能素养、用人工智能取代卫生专业与提供支持、在实践中使用人工智能的乐观与谨慎，以及伦理问题。只有一项研究探讨了卫生学者在教育中使用人工智能的经验，突出了当前文献中的空白。与此同时，学生们一致认为，大学是学习医疗领域人工智能技术的最佳场所，这凸显了将人工智能培训纳入医疗课程的必要性，以培养未来的医疗专业人员。本系统综述建议将人工智能培训纳入卫生课程，为负责培养下一代卫生保健专业人员（特别是护士）的卫生教育提供者和课程开发人员提供指导。伦理考虑和人工智能在医疗保健实践中的未来作用仍然是课程开发和未来研究中需要解决的核心问题。需要进一步研究将人工智能培训纳入卫生课程的影响和成本效益。
{"title":"Artificial Intelligence in Health Education and Practice: A Systematic Review of Health Students’ and Academics’ Knowledge, Perceptions and Experiences","authors":"Sara Shishehgar, Pauline Murray-Parahi, Ethar Alsharaydeh, Sarah Mills, Xianliang LIU","doi":"10.1111/inr.70045","DOIUrl":"https://doi.org/10.1111/inr.70045","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background/objective</h3>\u0000 \u0000 <p>Artificial intelligence (AI) is embedded in healthcare education and practice. Pre-service training on AI technologies allows health professionals to identify the best use of AI. This systematic review explores health students'/academics' perception of using AI in their practice. The authors aimed to identify any gaps in the health curriculum related to AI training that may need to be addressed.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Medline (EBSCO), Web of Science, CINAHL (EBSCO), ERIC, Google Scholar, and Scopus were searched using key terms including health students, health academics, AI, and higher education. Quantitative and qualitative studies published in the last seven years were reviewed. JBI SUMARI was used to facilitate study selection, data extraction, and quality assessment of included articles. Thematic and descriptive data analyses were used to retrieve data. This systematic review has been registered in PROSPERO (CRD42023448005).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Twelve studies, including seven quantitative and five mixed-method studies, provided novel insights into health students’ perceptions of using AI in health education or practice. Quantitative findings reported significant variations in attitudes and literacy levels regarding AI across different disciplines and demographics. Senior students and those with doctoral degrees exhibited more favourable outlooks compared with their less experienced counterparts (<i>p</i> < 0.001). Students intending to pursue careers in research demonstrated greater optimism towards AI adoption than those planning to work in clinical practice (<i>p</i> < 0.001). A review of qualitative data, particularly on nursing discipline, revealed four themes, including limited AI literacy, replacement of health specialties with AI vs. providing support, optimism vs. cautiousness about using AI in practice, and ethical concerns. Only one study explored health academics’ experiences with AI in education, highlighting a gap in the current literature. This is while that students consistently agreed that universities are the best setting for learning about AI technologies in healthcare highlighting the need for embedding AI training into the health curricula to prepare future healthcare professionals.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion and implications for nursing/health policy</h3>\u0000 \u0000 <p>This systematic review recommends embedding AI training in health curriculum, offering direction for health education providers and curriculum develop","PeriodicalId":54931,"journal":{"name":"International Nursing Review","volume":"72 2","pages":""},"PeriodicalIF":3.8,"publicationDate":"2025-06-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/inr.70045","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144339261","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}
Maria Victoria Brunelli, Maria Maluenda Martinez, Valentina Sarco, Mariano Garcia, Camila Varas Lantaño, Hildegart Gonzalez Luis
Aim
To describe public perceptions of nurses in Argentina.
Background
Nurses comprise more than 50% of the health workforce. Although the coronavirus 2019 pandemic has improved the visibility of nurses, stereotypes and misinformation persist, affecting professional valuations and public perceptions of nurses.
Methods
A cross-sectional, analytical study of the Argentinean population aged over 18 years was conducted using snowball sampling. Questionnaires were distributed digitally and anonymously through social networks; participation was voluntary. The STROBE guidelines were followed.
Results
A total of 959 responses were obtained. In all, 75.5% of the participants had negative perceptions of nurses; 44.3% were not able to identify the expanded roles of nurses. Further, 80.8% of the respondents who knew a nurse would recommend a nursing career to a family member or a friend. Gender (p = 0.01), age (p = 0.01), and advised to pursue nursing (p = 0.005) were associated with a positive perception of the profession, whereas having a family member or acquaintance who was a nurse (p = 0.08) and history of hospitalization were not associated with a positive image (p = 0.20).
Conclusion:
Perceptions of the nurswes image in Argentina are predominantly negative. More than one-third of the population hads difficulty identifying the roles of nurses. The perceptions of nurses are more favorable among older adults, women, and individuals who have been advised to pursue nursing as a career.
Implications for nursing and nursing policies
This study highlights the public's negative perceptions of nurses in Argentina. There is an urgent need for nursing organizations, academic institutions, politicians, and healthcare providers to develop strategies to improve the public image of nurses.
{"title":"Public Perceptions of Nurses in Argentina. A Cross-Sectional Study","authors":"Maria Victoria Brunelli, Maria Maluenda Martinez, Valentina Sarco, Mariano Garcia, Camila Varas Lantaño, Hildegart Gonzalez Luis","doi":"10.1111/inr.70041","DOIUrl":"https://doi.org/10.1111/inr.70041","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>To describe public perceptions of nurses in Argentina.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Nurses comprise more than 50% of the health workforce. Although the coronavirus 2019 pandemic has improved the visibility of nurses, stereotypes and misinformation persist, affecting professional valuations and public perceptions of nurses.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A cross-sectional, analytical study of the Argentinean population aged over 18 years was conducted using snowball sampling. Questionnaires were distributed digitally and anonymously through social networks; participation was voluntary. The STROBE guidelines were followed.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>A total of 959 responses were obtained. In all, 75.5% of the participants had negative perceptions of nurses; 44.3% were not able to identify the expanded roles of nurses. Further, 80.8% of the respondents who knew a nurse would recommend a nursing career to a family member or a friend. Gender (<i>p</i> = 0.01), age (<i>p</i> = 0.01), and advised to pursue nursing (<i>p</i> = 0.005) were associated with a positive perception of the profession, whereas having a family member or acquaintance who was a nurse (<i>p</i> = 0.08) and history of hospitalization were not associated with a positive image (<i>p</i> = 0.20).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion:</h3>\u0000 \u0000 <p>Perceptions of the nurswes image in Argentina are predominantly negative. More than one-third of the population hads difficulty identifying the roles of nurses. The perceptions of nurses are more favorable among older adults, women, and individuals who have been advised to pursue nursing as a career.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Implications for nursing and nursing policies</h3>\u0000 \u0000 <p>This study highlights the public's negative perceptions of nurses in Argentina. There is an urgent need for nursing organizations, academic institutions, politicians, and healthcare providers to develop strategies to improve the public image of nurses.</p>\u0000 </section>\u0000 </div>","PeriodicalId":54931,"journal":{"name":"International Nursing Review","volume":"72 2","pages":""},"PeriodicalIF":3.8,"publicationDate":"2025-06-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/inr.70041","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144331927","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}
Marta Del Moral-Pairada, Cristina Laserna Jiménez, Núria Fabrellas, Mireia Lopez-Poyato
<div> <section> <h3> Aim</h3> <p>To report nursing interventions addressing frailty in older adults within primary care settings.</p> </section> <section> <h3> Background</h3> <p>There is a very limited literature corpus on nursing interventions in primary care directed to elderly and frail individuals.</p> </section> <section> <h3> Introduction</h3> <p>Primary care nurses play a key role in providing better care to frail older adults.</p> </section> <section> <h3> Methods</h3> <p>A systematic review was conducted in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines, studying the PubMed, Cochrane, Scopus, and JBI databases from September 2013 to August 2023. Two reviewers screened the studies, and three reviewers independently assessed the risk of bias.</p> </section> <section> <h3> Results</h3> <p>Fourteen studies made the final cut. Three categories of interventions were identified: (i) assessments derived from Comprehensive Geriatric Assessments (CGA), such as fall prevention programmes, pain diagnostic evaluations, and assessments of social problems and sociodemographic characteristics, like gender and age; (ii) frailty diagnoses using NANDA terminology; and (iii) nursing care interventions at home and the relationship of trust.</p> </section> <section> <h3> Discussion</h3> <p>Despite the fact that primary care is mainly reactive to the needs of frail elderly individuals, it is also important to be willing to collaborate with them on implementing preventive plans. In the same spirit, establishing a relationship of trust between the health professional and the older adults is a key factor when nursing interventions are carried out in the home of a frail individual. Frailty is a multidimensional concept that is not necessarily linked to age, as studies address frailty starting from the age of 60 and continuing up to 80. But, although frailty is not determined by age, it may be influenced by it.</p> </section> <section> <h3> Conclusion and Implications for Nursing and Health Policies</h3> <p>There is no consensus on the starting age for frailty screening or on a single diagnostic tool to identify frailty. Nurses use standardised nursing language related to frailty, both to diagnose it and to implemen
{"title":"Exploring Nursing Interventions for Frail Individuals in Primary Care: A Systematic Review","authors":"Marta Del Moral-Pairada, Cristina Laserna Jiménez, Núria Fabrellas, Mireia Lopez-Poyato","doi":"10.1111/inr.70048","DOIUrl":"https://doi.org/10.1111/inr.70048","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>To report nursing interventions addressing frailty in older adults within primary care settings.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>There is a very limited literature corpus on nursing interventions in primary care directed to elderly and frail individuals.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>Primary care nurses play a key role in providing better care to frail older adults.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A systematic review was conducted in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines, studying the PubMed, Cochrane, Scopus, and JBI databases from September 2013 to August 2023. Two reviewers screened the studies, and three reviewers independently assessed the risk of bias.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Fourteen studies made the final cut. Three categories of interventions were identified: (i) assessments derived from Comprehensive Geriatric Assessments (CGA), such as fall prevention programmes, pain diagnostic evaluations, and assessments of social problems and sociodemographic characteristics, like gender and age; (ii) frailty diagnoses using NANDA terminology; and (iii) nursing care interventions at home and the relationship of trust.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Discussion</h3>\u0000 \u0000 <p>Despite the fact that primary care is mainly reactive to the needs of frail elderly individuals, it is also important to be willing to collaborate with them on implementing preventive plans. In the same spirit, establishing a relationship of trust between the health professional and the older adults is a key factor when nursing interventions are carried out in the home of a frail individual. Frailty is a multidimensional concept that is not necessarily linked to age, as studies address frailty starting from the age of 60 and continuing up to 80. But, although frailty is not determined by age, it may be influenced by it.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion and Implications for Nursing and Health Policies</h3>\u0000 \u0000 <p>There is no consensus on the starting age for frailty screening or on a single diagnostic tool to identify frailty. Nurses use standardised nursing language related to frailty, both to diagnose it and to implemen","PeriodicalId":54931,"journal":{"name":"International Nursing Review","volume":"72 2","pages":""},"PeriodicalIF":3.8,"publicationDate":"2025-06-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/inr.70048","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144315363","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}
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