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31.08.2026journal-article

Nursing Philosophy

A Triptych of Care: An Anthropological Interpretation of Morning Bed‐Baths in Greek Intensive Care

Stelios Parissopoulos, Fiona Timmins, Marianna Mantzorou, George Tsakonitis, Meropi Mpouzika, Eleni Papagaroufali

ABSTRACT This paper presents a focused analysis arising from a broader ethnographic study of nursing praxis, power relations, and clinical decision‐making in a Greek ICU. The aim of this paper is to explore the morning bed‐bath as a culturally embedded ICU nursing practice and to interpret how bodily care, professional identity, organisational routines and relational attentiveness intersect within this everyday activity. Informed by critical medical anthropology and phenomenology, the study draws on participant obs …

31.08.2026journal-article

Nurse Educator

Prelicensure Nursing Student Perceptions of Replacing Traditional Clinical Hours With Simulation

Stephanie Dunn, Jill Johnson, Natalie Persson

Background: The National Council of State Boards of Nursing recommends that high-quality simulation can replace up to 50% of traditional clinical hours; yet, little is known about nursing students’ perceptions of this guideline. Purpose: This study explored student perceptions of replacing traditional clinical hours with simulation to inform curriculum planning and clinical education. Method: A descriptive cross-sectional survey examined students’ understanding and perceptions of simulation as a replacement for tra …

31.08.2026journal-article

World Journal of Advanced Research and Reviews

THE ASSOCIATION BETWEEN STRESS MANAGEMENT AND EMOTIONAL WELL-BEING AMONG NURSING STAFF IN SAUDI ARABIA'S MAKKAH HEALTH CLUSTER

Reem Hamzah Alshotiri, Hafizah Che Hassan

Stress has been among the most widespread occupational risks among nurses, especially in high-demanding healthcare environments like the Makkah Health Cluster in Saudi Arabia. Persistent stress has an adverse effect on emotional health resulting in burnout, decreased job satisfaction, and low-quality patient care. This following systematic review aimed to address the following question: What is the association between stress management interventions and emotional well-being among nursing staff in the Makkah Health …

31.08.2026journal-article

World Journal of Advanced Research and Reviews

WORK ENVIRONMENT, JOB FULFILLMENT, AND NURSE RETENTION: A REVIEW OF THE MEDIATING ROLE OF WORK-LIFE BALANCE

Alsubaie Mesfer Abdullah M, REgidor III Poblete Dioso, Datin Hafizah Che Hassan

Background: Nurse retention is a major healthcare workforce issue because staff instability can disrupt continuity of care, increase recruitment and training costs, and place additional pressure on remaining nurses. Retaining nurses is therefore essential for maintaining patient safety, organizational efficiency, and sustainable healthcare service delivery. Aim: This review aimed to examine how work environment and job fulfillment influence nurse retention and to explore how work-life balance may mediate these rela …

31.08.2026journal-article

Journal of Korean Gerontological Nursing

Factors associated with gerontological nursing practice among nurses in comprehensive nursing care service units: A cross-sectional descriptive study

Hye Bin Park, So Young Shin

Purpose: In comprehensive nursing care service units (CNCSUs), where family caregivers are rarely present, nurses are primarily responsible for both medical treatment and daily care, making professional gerontological nursing practice essential. This study investigated factors associated with gerontological nursing practice among nurses in CNCSUs. Methods: A cross-sectional descriptive study was conducted. The participants included 153 nurses at two general hospitals in Korea. A structured self-reported questionnai …

31.08.2026journal-article

Nursing Education Perspectives

Applying Metacognitive Strategies in Community Nursing Education: A BOPPPS Model Approach

Cheng Cheng

This study evaluated the use of a metacognitive-based program integrated with the BOPPS model (Bridge-in, Objective, Preassessment, Participatory Learning, Postassessment, and Summary) in a sample of 78 third-year nursing students. Metacognitive awareness (monitoring, evaluation, and regulation) was assessed using the Metacognitive Awareness Inventory before and after the course; reflective essays captured learning experiences. Paired-sample t tests and thematic analysis revealed significant gains in monitoring and …

31.08.2026journal-article

Nursing and Health Sciences Journal (NHSJ)

Prognostic value of the neutrophil-to-lymphocyte ratio for predicting hospital length of stay in pneumonia patients: A cross-sectional study

Henny Syapitri, Johansen Hutajulu, Amila Amila, Lasma Rina Efrina Sinurat, Janno Sinaga, Ivan Elisabeth Purba

Pneumonia remains a leading cause of hospitalization and mortality globally, imposing a substantial burden on healthcare systems in developing countries. The Neutrophil-Lymphocyte Ratio (NLR) has emerged as a readily accessible, cost-effective prognostic biomarker for predicting hospital length of stay (LOS). This study aimed to examine the association between NLR and LOS in patients with pneumonia at Melati Perbaungan General Hospital. A cross-sectional study was conducted using medical records of patients with pn …

31.08.2026journal-article

Borneo Nursing Journal (BNJ)

Evaluasi Edukasi Kesehatan terhadap Peningkatan Pengetahuan Pemenuhan Kebutuhan Dasar pada Lansia dengan Diabetes Melitus dan Hipertensi di Puskesmas Cijagra Kota Bandung

Ade Herawati, Ricka Yuliassyahadah

Diabetes Melitus (DM) dan hipertensi merupakan penyakit kronis yang banyak ditemukan pada kelompok lanjut usia dan membutuhkan kemampuan perawatan diri secara berkelanjutan. Proses penuaan dapat disertai penurunan fungsi fisik, sensorik, kognitif, dan kemampuan melakukan aktivitas sehari-hari sehingga kebutuhan edukasi kesehatan pada lansia perlu disesuaikan dengan kondisi fungsional dan kemampuan Self-Management. Edukasi mengenai pemenuhan kebutuhan dasar menjadi salah satu pendekatan promotif dan preventif yang d …

31.08.2026journal-article

European Geriatric Medicine

Feasibility, acceptability, and preliminary effects of the Join4Joy approach for older adults living in nursing homes: a multicentre mixed-methods feasibility study

Erika Karkauskiene, Laura Coll-Planas, Andrea Fuente-Vidal, Damaso Sanchez, Nadine Barth, Dhayana Dallmeier, José Luis Socorro-Cumplido, Maria Giné-Garriga, Paolo Caserotti, Guillaume Lefebvre, Javier Jerez-Roig

Abstract Purpose Nursing home residents increasingly enter care with advanced frailty, multimorbidity, and functional dependence, underscoring the need for engaging, adaptable physical activity (PA) programmes. Join4Joy is a co-created approach designed to promote movement and social connection among older adults through enjoyable activities. This study examined its feasibility, acceptability, and preliminary effects across five nursing homes in Spain, France, and Germany. Methods This multicentre mixed-method stud …

31.08.2026journal-article

Journal of Fundamental Nursing Science

Relationships of Nurses' Perceptions of Antimicrobial Stewardship, Interprofessional Collaborative Competence, Speaking Up Climate for Patient Safety, and Participation in Antimicrobial Stewardship

Ji Hye Lee, Eun Jung Kim

Purpose: This study aimed to examine the relationships among registered nurses' perception of antimicrobial stewardship (AMS), interprofessional collaborative competence, speaking-up climate for patient safety, and their participation in AMS programs. Methods: A cross-sectional survey was conducted with 144 nurses working in general wards and intensive care units at a general hospital in Seoul. Participants completed self-administered questionnaires, and the data were analyzed using the independent t-test, one-way …

31.08.2026journal-article

International Journal Of Community Medicine And Public Health

The interplay of digital fatigue and sleep deprivation in adolescent mental health: a post-pandemic imperative for school nursing

Hoshiar Singh, Ayushi Rana, Kanchan Sharma

The risk of high pre-sleep screen use, delayed sleep onset time, and increased insomnia among adolescents has increased significantly following and during the COVID-19 pandemic, which has also significantly increased their digital technology use. Sleep loss also exacerbates mental health concerns including depression, anxiety, emotional dys-regulation and suicidality, disproportionately affecting female adolescents, youth with attention-deficit/hyperactivity disorder (ADHD) and/or autism spectrum disorders, and soc …

31.08.2026journal-article

Nurse Educator

Implementing Telehealth Clinical Make-Up Experiences in Prelicensure Nursing Education

Kimberly Cardaci Macario, Fran Cherkis, Virginia Peterson-Graziose

Background: Telehealth has become an increasingly important component of health care delivery, creating a need for nursing programs to prepare students for technology-enabled practice environments. Problem: Identifying meaningful clinical make-up experiences for students who miss scheduled clinical days can be challenging. Traditional alternatives may lack authentic patient interaction and specialty-specific learning opportunities. Approach: A provider-precepted telehealth clinical make-up experience was implemente …

31.08.2026journal-article

Journal of Korean Biological Nursing Science

Predictive performance of an extended NEWS model for acute deterioration in general ward inpatients: a retrospective observational study

Jae-kyeong Jo, Jinhwa Lee

Background: This study evaluated whether an extended model combining the National Early Warning Score (NEWS) with blood lactate and serum total CO2 improves prediction of acute deterioration in adult general ward inpatients.Methods: The study analyzed electronic medical records from 437 patients admitted to a tertiary general hospital in Ulsan Metropolitan City from January 1 to December 31, 2024. Data were extracted from electronic medical records using a literature-informed data collection form. Analyses included …

31.08.2026journal-article

Journal of Korean Academy of Nursing

The actor-partner interdependence mediation model of infertility-related stress and subjective happiness in infertile couples: the mediating role of dyadic coping

Eun Jin Kim, Ju-Hee Nho

Purpose: This study aimed to identify the mediating effect of dyadic coping and the actor–partner effects of infertility-related stress, dyadic coping, and subjective happiness among infertile couples by applying the actor–partner interdependence mediation model.Methods: A total of 115 infertile couples, comprising women diagnosed with primary infertility and their spouses, participated in an online survey. Data were collected between November 17, 2022 and January 9, 2023, and analyzed using IBM SPSS Statistics ver …

31.08.2026journal-article

Journal of Fundamental Nursing Science

Development and Effects of a Chatbot to Support Health Assessment Practicum

Soo Jung Choi, Geunhee Lee, Yun Hee Shin

Purpose: This study aimed to develop a question-and-answer chatbot that enables nursing students to obtain immediate information during self-directed practice and to evaluate its effects. Methods: The chatbot was developed through analysis, design, implementation, and evaluation. Its effects were evaluated using a nonequivalent control group post-test design. Fifty-five students were assigned to the experimental group, and 56 students were assigned to the control group. The experimental group used the developed cha …

31.08.2026journal-article

Korean Journal of Adult Nursing

Mapping Health Literacy Research in Korea: A Keyword Network and Topic Modeling Analysis

Eunok Park, Kyeongsug Kim

Purpose: This study examined the knowledge structure and thematic characteristics of health literacy research in Korea through keyword network analysis and topic modeling. Methods: Keyword frequency and co-occurrence network analyses included 637 articles. For latent Dirichlet allocation, English abstracts were combined with standardized author keywords. After preprocessing and document-frequency filtering, 636 articles remained in the effective latent Dirichlet allocation corpus. Models with 3–10 topics were evalu …

31.08.2026journal-article

Journal of Korean Gerontological Nursing

Regional differences in health status and its associations with health behaviors and healthcare utilization among older adults in the context of the COVID-19 pandemic: A cross-sectional study using the 2019~2020 Korean Community Health Survey

Jieun Lee

Purpose: The financial independence rate (FIR) is an important regional factor that may be associated with older adults’ health status in the context of the COVID-19 pandemic. However, a comprehensive examination of older adults’ health status, healthcare utilization, and health behaviors by residential area is lacking. This study aimed to analyze regional differences in health status (including physical and mental health) among older adults across two survey years (2019 and 2020), and to examine its associations w …

31.08.2026journal-article

Korean Journal of Adult Nursing

Development and Validation of BE-ALERT as an Early Stroke Detection Application

Luh Titi Handayani, Nursalam, Tang Li Yoong, Tan Woei Ling, Silvia Dewi Mayasari Riu, Mariyam, Pawestri, Sri Rusmini, Christine Aden

Purpose: Stroke is a leading cause of morbidity and mortality worldwide, and rapid early detection is essential. Although screening tools such as FAST (face, arm, speech, and time) are widely used, they may miss posterior strokes, whereas BE-FAST (balance-eyes, face, arm, speech, and time) demonstrates greater sensitivity. However, its implementation in digital formats remains limited. This study aimed to develop, validate, and implement BE-ALERT (balance-eyes-arm weakness-language difficulties-extreme headache-rea …

31.08.2026journal-article

Korean Journal of Adult Nursing

Nursing Competence in Recognizing and Responding to Clinical Deterioration: A Scoping Review of Components and Associated Factors

Ui Rim Song, Yeonsoo Jang

Purpose: This scoping review identified the core components of nursing competence required for general ward nurses to recognize and manage clinical deterioration and examined how this competence has been conceptualized in previous studies. It also synthesized individual- and system-level factors associated with competence and identified research gaps relevant to nursing education, future research, and patient safety initiatives. Methods: This scoping review was conducted using Arksey and O’Malley’s framework and re …

31.08.2026journal-article

Evaluation & the Health Professions

Application of Nurse-Led Graded Diaphragmatic Functional Training in Mechanically Ventilated Patients in the Intensive Care Unit: A Randomized Controlled Study

Xufeng Wu, Jianjian Zhang, Yuqing Wang, Yang Yang, Xin Meng, Yuyan Wu, Aihong Pan

Prolonged mechanical ventilation can impair diaphragmatic function and hinder weaning. This study evaluated the effect of nurse-led graded diaphragmatic functional training in mechanically ventilated ICU patients. In this single-center randomized controlled trial, 120 adult patients receiving mechanical ventilation in the intensive care unit of a tertiary hospital in Hefei from February to December 2024 were randomly assigned to either the intervention group (n = 60) or the control group (n = 60). The control group …

31.08.2026journal-article

Thai Red Cross Nursing Journal

ความชุกและปัจจัยทำนายภาวะเบาหวานขึ้นจอประสาทตา ในผู้ป่วยเบาหวานชนิดที่ 2 อำเภออู่ทอง จังหวัดสุพรรณบุรี

สุรีวรรณ แสวงหา, สุพรรณี เปี้ยวนาลาว, เรวดี โพธิ์รัง

ความเป็นมา: ภาวะเบาหวานขึ้นจอประสาทตาเป็นภาวะแทรกซ้อนที่สำคัญของโรคเบาหวานชนิดที่ 2 และเป็นสาเหตุสำคัญที่นำไปสู่การสูญเสียการมองเห็นอย่างถาวร การศึกษาความชุกและปัจจัยทำนายภาวะเบาหวานขึ้นจอประสาทตาจึงมีความสำคัญต่อการพัฒนาระบบคัดกรองและการดูแลโรคเบาหวานชนิดที่ 2 วัตถุประสงค์: เพื่อศึกษาความชุกและปัจจัยทำนายภาวะเบาหวานขึ้นจอประสาทตาในผู้ป่วยเบาหวานชนิดที่ 2 ในอำเภออู่ทอง จังหวัดสุพรรณบุรี วิธีการศึกษา: การศึกษาย้อนหลังในผู้ป่วยเบาหวานชนิดที่ 2 จำนวน 1,140 ราย ซึ่งได้รับบริการตรวจคัดกรองภาวะเบาหวานขึ้นจอประสาทตา ณ โรง …

31.08.2026journal-article

Nursing and Health Sciences Journal (NHSJ)

Financial toxicity and quality of life among hospitalized cervical cancer patients in Indonesia: A cross-sectional study

Ida Maryati, Wilan Fitriana, Hesti Platini, Yanti Hermayanti, Ikeu Nurhidayah, Ai Mardhiyah, Mira Trisyani Koeryaman, Syiffa Salsabila Rausanfikra

Cervical cancer significantly impairs patient well-being, particularly in low- and middle-income countries where financial toxicity exacerbates the disease burden. Evidence regarding income-related quality of life (QoL) disparities among Indonesian cervical cancer patients remains limited. This study examined the association between demographic characteristics, specifically income, and QoL among hospitalized cervical cancer patients. A quantitative cross-sectional study was conducted among 60 consecutive patients r …

31.08.2026journal-article

Journal of Fundamental Nursing Science

Effects of Multicomponent Fall-Prevention Interventions among Inpatients in General Wards: A Systematic Review and Meta-Analysis of Randomized Controlled Trials

Yun-Hee Kim, Nam Young Kim, Seang Ryu

Purpose: This study aimed to evaluate the effectiveness of multicomponent fall-prevention interventions, defined as interventions comprising two or more distinct components, in reducing falls among patients admitted to general wards. Methods: Cochrane CENTRAL, MEDLINE, EMBASE, and CINAHL were systematically searched from inception to November 20, 2025. Randomized controlled trials (RCTs) that evaluated multicomponent fall-prevention interventions in adults aged ≥19 years admitted to general wards were included. The …

31.08.2026journal-article

Journal of Fundamental Nursing Science

Effects of Health Literacy, Self-Efficacy, and Depression on Self Care Adherence in Patients with Ischemic Stroke

Min-Jin Jo, Eun-Mi Kim

Purpose: This study aimed to assess health literacy, self-efficacy, depression, and self-care adherence among patients with ischemic stroke and to identify factors associated with self-care adherence. Methods: This crosssectional survey included 192 patients with ischemic stroke who were receiving outpatient care after hospitalization at P University Hospital in B City. Data were collected from April 22 to September 3, 2024, using structured questionnaires. The data were analyzed using SPSS/WIN 28.0 with descriptiv …