The purpose of the study is to examine the effectiveness of educational training programs on healthcare professionals' confidence in dealing with workplace violence.
Workplace violence is a global problem with serious consequences in healthcare. While training enhances knowledge, skills, and confidence, the critical factor for translating learning into practice, remains underexplored.
A systematic review and meta-analysis. Data were retrieved from four databases searched through September 2024.
Ten studies met the inclusion criteria, and two meta-analyses were conducted. With the control group design, a pooled analysis indicated a significant improvement in healthcare professionals’ confidence following workplace violence training. With a one-group pre- and post-design, a significant improvement was also found. Although subgroup analysis based on different confidence measurement tools was conducted, heterogeneity was not substantially reduced.
Workplace violence training programs improve confidence, yet the evidence is constrained by heterogeneity and limited randomized trials. Confidence-building strategies such as simulation and repeated practice may be more effective than lectures, though standardized measures and program designs are needed to strengthen comparability and guide best practices.
Workplace violence prevention training appears effective in enhancing healthcare professionals’ confidence. Future studies should establish optimal models, frequency, and validated instruments to ensure sustainable outcomes.
According to the WHO Global Strategic Directions, workplace violence prevention training should be integrated into nursing education and practice. Simulation and team-based methods enhance confidence more effectively than lectures. Institutions must adopt standardized protocols, refreshers, and debriefings, while nursing leaders and professional bodies establish unified standards. Building confidence is central to care quality and system sustainability.
This study, based on the knowledge–attitude–practice theory, investigates the spiritual care competence of Chinese nursing assistants and its influencing factors to inform targeted training programs.
With the aging population, China's traditional family-based model of elderly care has shifted to the current trend of greater reliance on nursing homes. Spiritual care competence among nursing assistants is crucial to delivering holistic care to older people. Assessing and strengthening this competence helps meet older people's needs for high-quality elderly care services and improves the service quality of nursing homes.
This is a descriptive cross-sectional study. Nursing assistants (n = 578) from multiple nursing homes in Chengdu, China, were recruited by convenience sampling between December 2023 and May 2024 by predefined inclusion and exclusion criteria. The study used an online questionnaire to assess the nursing assistants’ sociodemographic characteristics, spiritual care perception, spiritual care attitude, and spiritual care competence.
This study found that the mean spiritual care competence score among nursing assistants was (2.63 ± 1.00), indicating a moderate level. According to stepwise multiple linear regression analysis, years of work, understanding of spiritual care, spiritual care perception, and spiritual care attitude were significant predictive factors affecting the spiritual care competence of nursing assistants, explaining 45.1% of the total variance.
To improve nursing assistants’ spiritual care competence in Chinese nursing homes, it is essential to enhance their perception and attitude toward spiritual care through targeted training strategies.
Managers should improve relevant policies, address nursing assistants’ training needs in spiritual care, and develop effective training strategies to enhance their spiritual care competence, thereby continuously improving the quality of services in nursing homes.
To investigate the prevalence and normalization of workplace violence, identify associated risk factors, and compare psychological distress levels based on experiences of workplace violence and its normalization among nurses during the COVID-19 pandemic.
Workplace violence against nurses has increased during the pandemic, exacerbating their psychological distress.
A cross-sectional analytical study was conducted using online convenience sampling to recruit 325 Korean nurses. Data were collected via an online survey assessing demographic and occupational characteristics, workplace violence, normalization of violence, and psychological distress. Descriptive statistics, independent t-tests, and multiple logistic and hierarchical logistic regression analyses were employed. The study adhered to the STROBE guidelines.
Among the 308 nurses surveyed, 30% reported experiencing workplace violence, and 29% indicated normalizing such incidents. Significant risk factors included prior victimization, normalization of violence, and perceived effectiveness of workplace COVID-19 prevention measures. Among nurses who experienced workplace violence, those who normalized it reported lower levels of psychological distress than those who did not. Conversely, among those without such experiences, individuals who normalized workplace violence reported higher levels of psychological distress than those who did not.
Workplace violence remains prevalent during infectious disease outbreaks, with a substantial proportion of nurses normalizing these experiences. This normalization is associated with distinct patterns of psychological distress, underscoring the need for increased awareness and the provision of tailored psychological support. Enhancing workplace safety measures is essential to protecting nursing well-being.
Health administrators and policymakers should prioritize the implementation of strategies that address the occurrence and normalization of workplace violence. Investing in mental health services and fostering organizational cultures that actively respond to workplace violence are crucial.
Al-Hammouri, M.M., J. Rababah, and N. A. AL-Jdeetawey. 2025. “How Shift Schedules Shape Nurses’ Sleep and Compassion: A Comparative Study.” International Nursing Review 72: e70085. https://doi.org/10.1111/inr.70085
The full name is incorrect as ‘Munther Al-Hammouri’. The correct name is Mohammed Munther Al-Hammouri; the first name ‘Mohammed’ was omitted by mistake during final editing.
We apologize for this error.
This article provides a theoretical critique and policy innovation perspective on integrating generative artificial intelligence (AI) into nursing informatics. It draws on a 2023 nationwide survey in Japan and established models, including the technology acceptance model and risk perception frameworks, to examine AI's transformative potential and its challenges.
Rapid AI evolution is reshaping healthcare by enhancing clinical decision-making and efficiency. Generative AI shows promise in improving patient outcomes, yet its integration into nursing practice raises ethical, educational, and regulatory concerns. Nursing informatics now requires robust governance, ethical oversight, and updated educational frameworks.
Evidence is derived from a 2023 survey by the Health and Global Policy Institute and a comprehensive literature review. Key studies (e.g., Nashwan et al. 2025; Booth et al. 2021) and foundational models (Davis 1989; Venkatesh et al. 2003) underpin the analysis.
The findings suggest that while generative AI may enhance access to information and service quality, significant challenges—such as low digital literacy, liability issues, data accuracy, and privacy concerns—persist. A multidimensional strategy, incorporating targeted education, ethical governance, and continuous feedback from healthcare practitioners, is essential for effective integration.
Generative AI holds transformative promise for nursing informatics. However, its successful adoption depends on balancing innovation with comprehensive regulatory and educational strategies to mitigate associated risks.
Enhancing digital literacy, establishing clear guidelines for liability and data security, and fostering international collaboration are critical to the safe and effective integration of AI in nursing practice.
This study explores the initial impact of the 2021 Military coup on Myanmar's nursing profession, clinical practice and clinical education.
Myanmar is a country historically riven by conflict; however, between 2010 and 2021, there was democratic reform and partial peace, prompting improvements in nursing practice and health outcomes. This study examines the impact of the 2021 coup, which effectively halted this progress, on Myanmar's nursing. It contributes to the limited literature exploring the effects of civil unrest and governmental coups on nursing, particularly in closed societies such as Myanmar.
We present a qualitative synthesis of semi-structured interviews, undertaken with seventeen nurses in Myanmar via secure video link.
Nurses describe the challenges to nursing practice before the coup, the relative progress that Myanmar's nurses made in the short years of quasi-civilian government and, following the coup, the significant deterioration in working locations, conditions and personal safety for nurses who refused to work in Junta-controlled hospitals.
The coup has damaged all aspects of nursing in Myanmar. These results document a rapid unravelling of progress, accentuated by long-standing underlying weaknesses in systems and leadership, with additional threats to personal safety. This trend has been previously reported in other conflicts but rarely directly from nurses and never from Myanmar.
The coup has been catastrophic for nursing in Myanmar. Participants describe widespread health system collapse, deliberate targeting by the junta and a need for international support.
We present a historical case study of the Global Nursing Office (GNO) at the University of Alberta, Faculty of Nursing in Canada, documenting over five decades of global health leadership in nursing education, policy, and research.
Academic institutions have a responsibility to contribute to achieving the United Nations (UN) sustainable development goals with the aim of achieving health for all. While there are examples of GNOs in universities worldwide, there remains limited documentation and analysis of how these academic structures operationalize internationalization mandates and influence advances in the nursing profession and global health.
We completed a historical case study, using document analysis of archival records, institutional reports, and internal communications from 1970 to date, supplemented by oral history interviews with key stakeholders.
The GNO's development reflects a transformative shift from individual-led initiatives in the 1970s to an academic structure with widespread faculty engagement and strategic global partnerships. Grounded in a philosophy of health equity, cultural humility, and mutual capacity-building, key milestones included the creation of the International Nursing Centre (1998), the Ghana Partnership (1999), and the Pan American Health Organization/World Health Organization Collaborating Centre (2002).
Academic nursing leadership can look to existing GNO models for achieving sustainable and impactful outcomes that advance the profession and, most importantly, progress the UN sustainable development goals. We encourage nongovernmental and governmental bodies leading global health efforts to partner with GNOs who can tap into the expertise and services of faculty and students committed to global health advancement.
To explore how nurses were represented in five Dutch newspapers between 2019 and 2022, with a focus on their visibility in policy and decision-making.
The media significantly shape public understanding of healthcare. Despite their key role, nurses are often underrepresented in media, especially in policy-related coverage. This study addresses this gap in the Dutch context.
Directed content analysis of 272 articles published between 2019 and 2022 across five high-circulation Dutch newspapers. A coding instrument was developed from existing literature and applied using Atlas.ti. ENTREQ criteria were followed throughout.
Nurses were least often cited in articles about policy, finance, and innovation. Senior leadership sources, predominantly male, were cited most frequently, especially during the COVID-19 pandemic. Nurses were more commonly cited in human-interest, nursing identity and image, strike-related, and ethical stories. In many articles, images either excluded nurses or portrayed them in ways that obscured their identity.
The findings indicate that nurses’ voices are not effectively utilized, particularly in policy discussions. This aligns with previous studies showing the underrepresentation of nurses as expert sources, with a predominance of male higher management and medical professionals being cited more frequently.
The imbalance in nurse representation, particularly in policy and decision-making, highlights the need for systemic change.
Media competency training is needed in nursing (under)graduate curricula and in nursing leadership development programs to effectively convey their expertise and work. A collaborative and systemic approach involving key stakeholders is advised to ensure that nurse voices are elevated, especially related to health policy.
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