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  • Article
  • Open Access
2,840 Views
10 Pages

Cross-Cultural Adaptation and Validation of a Surgical Neonatal Nursing Workload Tool for an Italian Context: The Italian Winnipeg Surgical Complex Assessment of Neonatal Nursing Needs Tool

  • Emanuele Buccione,
  • Floriana Pinto,
  • Alessio Lo Cascio,
  • Viola Palumbo,
  • Kerry Hart,
  • Allison Marchuk,
  • Jessica-Lynn Walsh,
  • Alexandra Howlett,
  • The Italian Neonatal Nursing Workload Study Group and
  • Stefano Bambi
  • + 2 authors

10 January 2025

Background: Complexity of care, adequate staffing levels, and workflow are key factors affecting nurses’ workloads. There remain notable gaps in the current evidence regarding clinical complexity classification and related staffing adjustment,...

  • Article
  • Open Access
5 Citations
4,238 Views
19 Pages

Nursing Complexity and Health Literacy as Determinants of Patient Outcomes: A Prospective One-Year Multicenter Cohort Study

  • Antonello Cocchieri,
  • Elena Cristofori,
  • Mario Cesare Nurchis,
  • Nursing and Public Health Group,
  • Gianfranco Damiani and
  • Manuele Cesare

17 April 2025

Background/Objectives: Although nursing complexity and health literacy (HL) are critical determinants of patient outcomes, their combined impact on mortality, hospital re-admissions, and emergency department (ED) visits remains poorly understood. Thi...

  • Article
  • Open Access
13 Citations
2,158 Views
11 Pages

Deciphering the Link Between Diagnosis-Related Group Weight and Nursing Care Complexity in Hospitalized Children: An Observational Study

  • Manuele Cesare,
  • Fabio D’Agostino,
  • Emanuele Sebastiani,
  • Nursing and Public Health Group,
  • Gianfranco Damiani and
  • Antonello Cocchieri

17 January 2025

Background/Objectives: The increasing medical and nursing care complexity in hospitalized children represents a significant challenge for healthcare systems. However, the link between these two dimensions remains partially explored. This study aims t...

  • Article
  • Open Access
8 Citations
2,602 Views
15 Pages

Ranking Nursing Diagnoses by Predictive Relevance for Intensive Care Unit Transfer Risk in Adult and Pediatric Patients: A Machine Learning Approach with Random Forest

  • Manuele Cesare,
  • Mario Cesare Nurchis,
  • Nursing and Public Health Group,
  • Gianfranco Damiani and
  • Antonello Cocchieri

Background/Objectives: In hospital settings, the wide variability of acute and complex chronic conditions—among both adult and pediatric patients—requires advanced approaches to detect early signs of clinical deterioration and the risk of...

  • Article
  • Open Access
2 Citations
7,278 Views
23 Pages

The Frontline Nurse’s Experience of Nursing Outlier Patients

  • Jasmine Cheung,
  • Sandra West and
  • Maureen Boughton

The frontline nurses’ experience of nursing with overstretched resources in acute care setting can affect their health and well-being. Little is known about the experience of registered nurses faced with the care of a patient outside their area...

  • Article
  • Open Access
1,385 Views
12 Pages

22 August 2025

Background/Objectives: This study aimed to examine the mediating role of the team effectiveness of the nursing unit on the relationship between the nursing work environment and patient-centered nursing. Methods: This cross-sectional design enrolled 3...

  • Review
  • Open Access
12,458 Views
26 Pages

Nursing Process Related to the Nursing Focus “Airway Clearance”: A Scoping Review

  • Luís Gaspar,
  • Neuza Reis,
  • Paula Sousa,
  • Abel Paiva e Silva,
  • Alexandrina Cardoso,
  • Alice Brito,
  • Fernanda Bastos,
  • Joana Campos,
  • Paulo Parente and
  • Natália Machado
  • + 1 author

31 July 2024

Background: Airway clearance impairment has a significant impact on self-care and quality of life. Identifying clinical data, nursing diagnoses, and nursing interventions is essential to clinical reasoning and enhancing nursing care. This study aims...

  • Review
  • Open Access
1,110 Views
25 Pages

Nursing Informatics and Undergraduate Nursing Curricula: A Scoping Review

  • Lisa Reid,
  • Didy Button,
  • Katrina Breaden and
  • Mark Brommeyer

27 January 2026

Introduction: Nursing informatics aims to improve patient care through rapid access to patient data, systematic assessment, a reduction in clinical errors, evidence-based practice, cost-effectiveness, and improved patient outcomes and safety. Backgro...

  • Review
  • Open Access
135 Citations
30,841 Views
24 Pages

Current Stereotypes Associated with Nursing and Nursing Professionals: An Integrative Review

  • Cristina Teresa-Morales,
  • Margarita Rodríguez-Pérez,
  • Miriam Araujo-Hernández and
  • Carmen Feria-Ramírez

Nursing and nursing professionals are associated with social stereotypes, which may hinder the profession’s development and future prospects as a scientific discipline. The aim of this study was to identify and describe the stereotypes associat...

  • Article
  • Open Access
5 Citations
3,972 Views
12 Pages

Agency Nursing Staff Utilization and Turnover in Nursing Homes: A Longitudinal Analysis

  • Rohit Pradhan,
  • Ganisher Davlyatov,
  • Latarsha Chisholm,
  • Cynthia Williams,
  • Keya Sen,
  • Amelia Manning and
  • Robert Weech-Maldonado

11 February 2025

Background/Objectives: Nursing staff turnover can adversely affect nursing home (NH) performance. To address staffing shortages, NHs are increasingly turning to agency nursing staff as a solution. This study examined the relationship between the use...

  • Review
  • Open Access
26 Citations
16,856 Views
19 Pages

Effectiveness of a Standardized Nursing Process Using NANDA International, Nursing Interventions Classification and Nursing Outcome Classification Terminologies: A Systematic Review

  • Claudio-Alberto Rodríguez-Suárez,
  • Héctor González-de la Torre,
  • María-Naira Hernández-De Luis,
  • Domingo-Ángel Fernández-Gutiérrez,
  • Carlos-Enrique Martínez-Alberto and
  • Pedro-Ruymán Brito-Brito

1 September 2023

The decision-making in clinical nursing, regarding diagnoses, interventions and outcomes, can be assessed using standardized language systems such as NANDA International, the Nursing Interventions Classification and the Nursing Outcome Classification...

  • Article
  • Open Access
8 Citations
4,120 Views
16 Pages

Nursing, being a profession in health, aims to improve the quality of the response to patients’ demands, which have repercussions on the attitudes, behaviors and performance of nurses. Background. The aim of the study was to evaluate the relati...

  • Article
  • Open Access
41 Citations
10,294 Views
18 Pages

The COVID-19 pandemic has changed the orders and structures of societies, particularly in the fields of medical and nursing professions. The researcher aims to understand the experiences, sense of belonging, and decision-making processes about Japane...

  • Article
  • Open Access
11 Citations
13,457 Views
11 Pages

The Nursing Theory of Complex Adaptive Systems: A New Paradigm for Nursing

  • Ippolito Notarnicola,
  • Marzia Lommi,
  • Dhurata Ivziku,
  • Sara Carrodano,
  • Gennaro Rocco and
  • Alessandro Stievano

6 October 2024

Background/Objectives: This article explores the theoretical and practical implications of the meaning of thinking, living, and acting within the framework of nursing in Complex Adaptive Systems. The Nursing Theory of Complex Adaptive Systems is grou...

  • Article
  • Open Access
2 Citations
1,394 Views
10 Pages

Quality Assurance Systems in Nursing. A turning point in the world of nursing homes

  • Pedro Andreo,
  • Carmelo Gómez,
  • Elena Carrasco,
  • Inmaculada Martínez-Escámez,
  • Inmaculada Alguazas and
  • Francisca Andreo

Developing and trying to achieve a high quality in the service nursing personnel provide at nursing homes by means of implementing quality assurance systems is a topic of general interest nowadays. These systems have already proved to be effective in...

  • Article
  • Open Access
20 Citations
7,765 Views
13 Pages

Developing an Evidence-Based Nursing Culture in Nursing Homes: An Action Research Study

  • Marleen H. Lovink,
  • Frank Verbeek,
  • Anke Persoon,
  • Getty Huisman-de Waal,
  • Marleen Smits,
  • Miranda G. H. Laurant and
  • Anneke J. van Vught

Background: Nursing homes face challenges caused by increasing numbers of older adults with multimorbidity and the demand for quality of care. Developing an evidence-based nursing (EBN) culture is a promising strategy to face these challenges. Theref...

  • Article
  • Open Access
22 Citations
3,834 Views
11 Pages

Nurses’ job engagement could help improve the quality of nursing services, and person-centered nursing is expected to play an important role in this relationship. However, little is known about the role of person-centered nursing in the association b...

  • Article
  • Open Access
23 Citations
4,163 Views
7 Pages

Occupational Precariousness of Nursing Staff in Catalonia’s Public and Private Nursing Homes

  • Ana Mari Fité-Serra,
  • Montserrat Gea-Sánchez,
  • Álvaro Alconada-Romero,
  • José Tomás Mateos,
  • Joan Blanco-Blanco,
  • Eva Barallat-Gimeno,
  • Judith Roca-Llobet and
  • Carles Muntaner

Nursing staff who provide care in the nursing homes of Catalonia have more precarious work conditions, including more demanding schedules and work overload, than those in other areas of care. This situation entails two major problems: Detrimental hea...

  • Article
  • Open Access
4 Citations
2,616 Views
10 Pages

18 December 2023

Background: The literature review on perceptions of nursing competencies shows a critical shortage of studies addressing this topic. Aim: To examine and compare perceptions of important nursing competencies of nursing graduates, and nurse managers. M...

  • Article
  • Open Access
29 Citations
5,325 Views
16 Pages

The population of nurses and nursing educators is facing significant human resource shortages. One of the pathways to combat this shortage is to recruit male individuals. However, due to social bias and social stigma, the social context may prevent m...

  • Article
  • Open Access
5 Citations
7,115 Views
15 Pages

4 November 2014

Practicing the clinical humanities requires throwing oneself into the unpredictable locus of suffering, where one is unable to infer the actual situation of the other, a process which fosters self-disclosure. By using the term “clinical humanities” w...

  • Article
  • Open Access
3 Citations
3,586 Views
13 Pages

Nursing Student Satisfaction Scale: Evaluation of Measurement Properties in Nursing Degree Programs

  • Rocco Mazzotta,
  • Giampiera Bulfone,
  • Bartolomeo Verduci,
  • Vera Gregoli,
  • Davide Bove,
  • Massimo Maurici,
  • Ercole Vellone,
  • Rosaria Alvaro,
  • Francesco Scerbo and
  • Maddalena De Maria

Background/Objectives: Satisfaction among undergraduate nursing students plays a crucial role in student retention, helping to mitigate nursing shortages in the workforce, reduce academic costs, and uphold universities’ reputations. The Nursing...

  • Article
  • Open Access
2 Citations
3,237 Views
13 Pages

8 April 2025

This descriptive cross-sectional study investigated the relationship between grit, emergency nursing competency, positive nursing organisational culture, and burnout among emergency department nurses and identified the factors influencing burnout. Th...

  • Article
  • Open Access
8 Citations
4,634 Views
12 Pages

Knowledge about the Care of People with Alzheimer’s Disease of the Nursing Staff of Nursing Homes in Spain

  • Laura Parra-Anguita,
  • Francisco P. García-Fernández,
  • Rafael del-Pino-Casado and
  • Pedro L. Pancorbo-Hidalgo

People with Alzheimer’s disease often live in nursing homes. Updated knowledge among the nursing staff has led to better quality of care. The aim of this study was to measure the knowledge about the care of people with Alzheimer’s disease...

  • Article
  • Open Access
28 Citations
13,061 Views
10 Pages

14 February 2025

Background/Objectives: Artificial intelligence (AI) is transforming nursing, with generative AI (GenAI) tools such as ChatGPT offering opportunities to enhance education through personalized learning pathways. This study aimed to explore nursing stud...

  • Review
  • Open Access
5 Citations
5,831 Views
21 Pages

Electronic Nursing Records: Importance for Nursing and Benefits of Implementation in Health Information Systems—A Scoping Review

  • Daniela Ivova Taneva,
  • Vasilka Todorova Gyurova-Kancheva,
  • Angelina Georgieva Kirkova-Bogdanova,
  • Diana Angelova Paskaleva and
  • Yovka Tinkova Zlatanova

18 November 2024

Introduction: The advancement of nursing science and practice necessitates the documentation of information, which is increasingly being recorded in electronic mediums due to the progress of information technology. Various countries around the world...

  • Article
  • Open Access
28 Citations
7,065 Views
18 Pages

From the East Asian social and cultural perspectives and contexts, this study aimed to understand the relationships and behaviors between nursing students’ sense of filial piety and their decision-making behind selecting nursing education as th...

  • Article
  • Open Access
12 Citations
4,511 Views
11 Pages

Nursing students have a more negative attitude toward psychiatric practice than other practices. In particular, Korean nursing students experience increased pressure during clinical practice in psychiatric nursing due to sociocultural and institution...

  • Article
  • Open Access
7 Citations
11,708 Views
10 Pages

14 October 2021

In recent times, as the healthcare system becomes more informational, the importance of patient privacy protection increases, making it necessary to identify factors that affect the perception of patient privacy protection. This study aimed to evalua...

  • Article
  • Open Access
15 Citations
5,436 Views
9 Pages

Scope of Nursing Practice as Perceived by Nurses Working in Saudi Arabia

  • Khalid A. Aljohani,
  • Majed S. Alamri,
  • Reem AL-Dossary,
  • Hamdan Albaqawi,
  • Khaled Al Hosis,
  • Mohammed S. Aljohani,
  • Noura Almadani,
  • Bader Alrasheadi,
  • Rawaih Falatah and
  • Jalal Alharbi
  • + 1 author

The absence of scope of practice guidelines may lead to role ambiguity and legal consequences in nursing practice. This study measures the scope of practice of nurses in Saudi Arabia. The study utilized a descriptive cross-sectional design using an e...

  • Article
  • Open Access
3 Citations
3,969 Views
14 Pages

Enhancing Nursing Excellence: Exploring the Relationship between Nurse Deployment and Performance

  • Reni Asmara Ariga,
  • Rebecca Aurelia,
  • Paskah Thio Dora Anak Ampun,
  • Cindy Patresia Hutabarat and
  • Ferdinand Batiscta Panjaitan

Proper nurse placement is crucial for enhancing the performance and quality of health services. This study aims to explore in-depth the relationship between nurse placement and performance in order to promote nursing excellence. A quantitative analys...

  • Article
  • Open Access
6 Citations
4,387 Views
19 Pages

Perspectives on AI-Driven Nursing Science Among Nursing Professionals from China: A Qualitative Study

  • Yi Chen,
  • Fulei Wu,
  • Wen Zhang,
  • Weijie Xing,
  • Zheng Zhu,
  • Qingmei Huang and
  • Changrong Yuan

Background: As artificial intelligence (AI) continues to advance in healthcare, limited research has explored how nursing professionals perceive its integration into clinical practice and education—particularly among those directly involved in...

  • Article
  • Open Access
2 Citations
2,843 Views
9 Pages

In the past five years, nursing practice has changed drastically in Poland. Nurses have received many new competencies in response to the need to provide services to patients. The purpose of the study was to analyze nurses’ opinions on the new...

  • Article
  • Open Access
54 Citations
13,667 Views
13 Pages

This study examined the effects of nurse–parent partnership, nurses’ attitude to families’ importance in nursing care, and nursing professional self-efficacy on the quality of pediatric nursing care. Background: The quality of pedia...

  • Article
  • Open Access
38 Citations
6,876 Views
13 Pages

Nursing curriculum usually focuses on vocational development to train students to become nursing professionals after graduation. However, due to the packed major schedule and curriculum, many students are not required to take additional foreign langu...

  • Article
  • Open Access
13 Citations
5,127 Views
7 Pages

18 November 2021

(1) Background. In caretaking professions, attachment style and mentalization capacities are essential factors for establishing an effective caretaker–patient relationship and for buffering burnout. While attachment avoidance and dependency are...

  • Study Protocol
  • Open Access
2,252 Views
10 Pages

Enlightening Nursing Care: A Protocol for a Multicenter Observational Study Measuring Nursing Work in Hospital Settings

  • Annamaria Bagnasco,
  • Marco Di Nitto,
  • Ilaria Marcomini,
  • Rosaria Alvaro,
  • Loreto Lancia,
  • Duilio Fiorenzo Manara,
  • Laura Rasero,
  • Gennaro Rocco,
  • Valeria Caponnetto and
  • Loredana Sasso
  • + 13 authors

16 January 2025

Background: Rising costs and demands for improved quality of care present complex challenges for existing healthcare systems. The strain on healthcare resources is exacerbated by the increasing complexity of patient conditions. The Diagnosis-Related...

  • Feature Paper
  • Article
  • Open Access
3 Citations
2,834 Views
14 Pages

The purpose of this study was to develop and evaluate the effectiveness of the course on Global Health Nursing for Indian nursing students, intended to introduce the course as a selective course in the nursing curriculum. Methods: A quasi-experimenta...

  • Article
  • Open Access
5 Citations
3,517 Views
12 Pages

This study aims to explore Korean Hospital nurses’ intent to stay or leave their working environment, and to identify the difference between the intent to stay and the intent to leave by identifying the relationship between external employment...

  • Article
  • Open Access
33 Citations
10,605 Views
14 Pages

This study examined the structural relationship among clinical nurses’ communication ability, self-leadership, self-efficacy, and nursing performance. A structural model analysis was applied to identify factors influencing nursing performance a...

  • Article
  • Open Access
455 Views
13 Pages

13 December 2025

The task of repackaging resident’s medication into medication organizers is increasingly outsourced from nursing homes to pharmacies, presenting an opportunity to redefine the interaction between nursing and pharmaceutical staff. This study inv...

  • Article
  • Open Access
1 Citations
4,569 Views
13 Pages

This study aimed to evaluate the effects of community nursing simulation education on the nursing core competencies, clinical performance, and clinical judgment in home-visit nursing of nursing college students. A nonequivalent control group pretest&...

  • Article
  • Open Access
10 Citations
8,097 Views
23 Pages

18 March 2022

For nursing students in the vocational education system in Taiwan, English-language writing skills, whether for general or specific purposes, have long been ignored, which may jeopardize their success in medical-oriented courses and their future care...

  • Article
  • Open Access
4 Citations
2,681 Views
9 Pages

The aim of this study was to identify the influence of nursing unit team effectiveness on nursing care left undone and nurse-reported quality of care. This was a cross-sectional study with a sample of 230 nurses working at general hospitals in South...

  • Abstract
  • Open Access
173 Views
2 Pages

Background: This study explored the views of male student nurses regarding the profession of nursing, highlighting that opinions are influenced by both their personal experiences and behavioral observations of nurses [...]

  • Article
  • Open Access
9 Citations
6,760 Views
18 Pages

Validation of a Nursing Workload Measurement Scale, Based on the Classification of Nursing Interventions, for Adult Hospitalization Units

  • María Fuensanta Hellín Gil,
  • María Dolores Roldán Valcárcel,
  • Ana Myriam Seva Llor,
  • Francisco Javier Ibáñez-López,
  • Marzena Mikla and
  • María José López Montesinos

We conducted validation of a scale to measure nursing workloads, previously designed using NIC interventions within the four nursing functions (patient care, teaching, management, and research). Methods: This is an analytical, descriptive, prospectiv...

  • Article
  • Open Access
21 Citations
4,598 Views
15 Pages

Social and cultural backgrounds, as well as understanding, play key roles in workforce development and human resource shortages, which are associated with the transition to nursing education and teaching from frontline nursing practices. A qualitativ...

  • Article
  • Open Access
20 Citations
7,783 Views
12 Pages

4 July 2023

Practice readiness continues to be a challenge in healthcare. This was especially evident during the COVID-19 pandemic. This focused descriptive–correlational study examined nurses’ perceived preparedness for practice during the pandemic....

  • Systematic Review
  • Open Access
24 Citations
18,142 Views
19 Pages

Background: The delivery of quality, safe, and patient-centered care is foundational for professional practice. The primary nursing model allows nurses to have excellent knowledge about patients and families and to plan and coordinate care from admis...

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