Latest ArticlesTo explore the current status and latent profiles of nurses' perception of interpersonal exchange communication in the pediatric intensive care unit(PICU),and to analyze its influencing factors.
From December 2024 to January 2025,a stratified sampling method was used to select 542 PICU nurses from 15 Grade-A tertiary hospitals in 13 regions of Hubei province as the research subjects.A general information questionnaire,the Nurses' Perception of Interpersonal Exchange Communication Questionnaire,the Information Competence Scale,and the Professional Quality of Life Scale were used for investigation.The latent profiles of nurses' perception of interpersonal exchange communication and the influencing factors of different profiles were analyzed.
The score of nurses' perception of interpersonal exchange communication in Hubei province was(76.31±12.68),which was at a moderately high level. The perceived nurse-physician interpersonal exchange of PICU nurses could be divided into 3 latent profiles:low-perception type (11.07%),medium-perception type(42.25%),and high-perception type(46.68%).Logistic regression analysis showed that compared with the low-perception type,nurses with higher information competence,no compassion fatigue,or mild compassion fatigue had a higher probability of belonging to the medium-perception type and high-perception type(P<0.05).
The PICU nurses' perception of interpersonal exchange communication in Hubei province is at a moderately high level.There is group heterogeneity.Nursing managers should identify the characteristics of nurses in each profile at an early stage and adopt targeted management strategies to improve the level of perception of interpersonal exchange communication and the quality of team interaction among PICU nurses.
To explore the relationship between social activity level and the risk of frailty among older adults in China.
This older adults aged ≥60 years without frailty were selected from the CHARLS database.A baseline survey was conducted in 2013,with follow-ups on frailty occurrence in 2015 and 2018. Poisson regression was used to analyze the impact of social activity level on frailty incidence.Subgroup analyses were further conducted based on gender,alcohol consumption, and life satisfaction.
A total of 3 287 older adults were included,with a frailty incidence of 19.17%.After controlling for variables such as age,gender,marital status,education level,and smoking status,older adults with a high level of social activity had a 34.9% lower risk of frailty compared to those with low to moderate levels[RR=0.651,95%CI(0.545,0.778)].Subgroup analysis showed that,except for older adults dissatisfied with their lives,where the association between social activity level and frailty risk was not statistically significant,the risk of frailty was significantly reduced in older adults with high social activity levels across different genders,alcohol consumption status,and those satisfied with their lives(P<0.05).
A high level of social activity is an important protective factor in delaying the onset of frailty.Additionally,we should pay attention to psychological and social changes in male older adults,those who consume alcohol,and those with high life satisfaction,so as to helping them build strong social networks and provide psychological interventions when necessary.
To clarify the conceptual connotation of plant-based diets and to provide theoretical guidance for research and practice related to plant-based diets.
Literature related to plant-based diets were systematically searched in databases including CNKI,Wanfang Data,VIP,CBM,PubMed,EMbase,Web of Science,and Scopus,with the search period ranging from the inception of each database to December 30,2024.Concept analysis of plant-based diets was performed according to the Walker and Avant method.
A total of 48 articles were included.Plant-based diets encompass three defining attributes:primary food sources being plant-based,diverse food choices,and potential restriction or exclusion of animal products.Antecedents include personal factors,social factors,and economic factors;consequences include health benefits,potential health risks,and environmental impacts.
The conceptual attributes of plant-based diets were clarified through concept analysis.Future research should focus on the positive impacts of plant-based diets to enhance public acceptance,and conduct more systematic and in-depth studies on personalized interventions for plant-based diets.
To define the conceptual connotation of social camouflaging in individuals with autism spectrum disorder using the Walker and Avant classic concept analysis method.
Keywords were used to search both Chinese and English databases,including PubMed, Web of Science,the Cochrane Library,OVID,EMbase,CNKI,VIP Chinese Journal Service Platform,Wanfang Data Knowledge Service Platform,and the Chinese Biomedical Literature Database.Manual searches of related literature were also conducted.Literature published from the inception of the databases until March 1,2025 concerning social camouflaging in autism spectrum disorder was systematically screened and analyzed using the Walker and Avant classic concept analysis method.
A total of 58 articles were included.The defining attributes of social camouflaging in individuals with autism spectrum disorder were identified as: masking characteristics,compensatory strategies,assimilation behaviors,and internalized stigma.Antecedents included socio-cultural factors, individual psychological factors, demographic factors, and social environmental factors.Consequences included both positive and negative impacts on autistic individuals, specifically facilitating social adaptation, impairing mental health,and hindering social support and interpersonal relationships.
The concept analysis of social camouflaging in autism spectrum disorder helps healthcare professionals accurately understand related symptoms in autistic patients,optimize diagnosis and treatment approaches, comprehend patients' social strategies and behaviors, and provides a basis for personalized interventions.
This paper systematically outlined the current application status of large language models in nursing academic research,analyzed the potential ethical risks they may pose to the research process,and identified influencing factors of these risks from technical,institutional,and user perspectives.Ethical countermeasures are proposed from four angles:technology developers,users,managers,and society,to promote the standardized application of large language models in nursing research.
To retrieve and to summarize the best evidence on non-pharmacological weight management for overweight or obese patients with type 2 diabetes(T2DM).
Evidence was retrieved from databases and websites including BMJ Best Practice, UpToDate,JBI Centre for Evidence-Based Healthcare,National Institute for Health and Care Excellence(NICE),Guidelines International Network(GIN),Agency for Healthcare Research and Quality(AHRQ),World Health Organization(WHO) guidelines,Registered Nurses' Association of Ontario(RNAO),International Diabetes Federation(IDF),American Diabetes Association(ADA),MedLive,Cochrane Library,EMbase,CINAHL,Scopus,PubMed,Chinese Medical Association database,Wanfang Data,CNKI,CBM,and VIP databases,from inception to February 5,2025.After quality appraisal by two researchers,the best evidence for non-pharmacological weight management in overweight or obese T2DM patients was extracted and summarized.
A total of 20 articles were included,comprising 1 clinical practice article,1 clinical decision article,5 guidelines,5 expert consensuses,and 8 systematic reviews.Finally,23 best evidence items were summarized across four aspects: benefits of weight management,weight management goals,assessment and monitoring,and lifestyle interventions.
The summarized best evidence on non-pharmacological weight management for overweight or obese patients with T2DM is scientific and practical.It could provide a reference for healthcare professionals in managing the weight of this patient population.
To explore the differences in the application of interview method among grounded theory research, phenomenological research,and Q methodology in nursing qualitative research,so as to improve nursing researchers' ability to distinguish these three methods and provide references for method selection.
From the perspective of the interview method,a systematic collation and comparative analysis were conducted on the differences among grounded theory research,phenomenological research,and Q methodology in five aspects:application scope,interview sample selection,data collection,content analysis,and result presentation.
There were significant differences in interview strategies among the three methods.Grounded theory emphasizes theory generation and adopts theoretical sampling and constant comparative analysis;phenomenology focuses on the essence of life experience,with an emphasis on in-depth description and theme extraction;Q methodology integrates qualitative and quantitative methods to reveal subjective structures through statement sorting and factor analysis.Each method has its own focus in sample selection,data processing,and result expression,and should be selected reasonably according to the research question.
Nursing researchers should accurately grasp the methodological differences in the application of interview method among grounded theory,phenomenological research,and Q methodology,and select appropriate methods according to the research purpose.This will help improve the scientificity and rigor of research and promote the standardized application of qualitative research in the field of nursing.
To establish norms for the Professional Identity Scale of nursing undergraduates in China.
Using the Professional Identity Scale for nursing students as the assessment tool,a stratified cluster sampling method was adopted to survey 26 108 full-time nursing undergraduates from 46 universities across 23 provinces in China in May 2024.The mean norm,percentile norm,demarcation norm,and classification norm for the scale were developed.
The overall mean score of professional identity among nursing undergraduates was(3.709±0.618),with dimension scores as follows:professional value(3.516±0.680),professional cognition (4.030±0.639),and professional status(3.583±0.870).A mean norm combining gender and grade was constructed.Percentile norms were established at 5% intervals.Using the normal distribution method,cutoff standards for professional identity levels were determined and categorized into three grades:"low" "medium" and "high". Classification norms were also developed based on school type,whether students were admitted via program adjustment,place of origin,and whether they were only children.
The established norms for the Professional Identity Scale of nursing undergraduates in China can serve as reference for evaluating the professional identity levels of nursing undergraduates.
To translate the Metaverse Perception Scale for Nursing Students(MPSNS) into Chinese and to evaluate its reliability and validity among nursing students.
Following the Brislin translation-back-translation model,the MPSNS underwent forward translation,back-translation,and cultural adaptation.A preliminary survey was conducted to form the Chinese version of the MPSNS.Using convenience sampling,516 nursing students from two medical colleges in Qingdao city,Shandong Province,and two medical colleges in Zhenjiang city,Jiangsu province,were selected as participants for reliability and validity testing.
The Chinese version of the MPSNS consists of 24 items,including four dimensions:education(9 items),technology(5 items),challenges(5 items),and lifestyle(5 items).Confirmatory factor analysis indicated a good model fit.The overall Cronbach's α coefficient of the scale was 0.958.The test-retest reliability was 0.949.
The Chinese version of the MPSNS demonstrates good reliability and validity.It is a reliable tool for assessing nursing students' perceptions of the metaverse.It could provide reference for future research aimed at improving teaching quality.
To develop and validate the Sexual Health Needs Scale for Patients with Gynecologic Malignancies.
Under the guidance of the sexual health model for cancer patients,the initial scale was developed through literature review,qualitative research,expert consultation,and cognitive interviews.A total of 426 patients with gynecologic malignancies from a tertiary hospital in Hubei Province were surveyed between September and December 2024 to assess the reliability and validity of the scale.
Exploratory factor analysis extracted four common factors with eigenvalues>1,with a cumulative variance contribution rate of 67.546%. The formed Sexual Health Needs Scale for Patients with Gynecologic Malignancies included four dimensions:psychosexual health needs, partner-relational health needs,physical sexual health needs,and sociocultural support needs,comprising a total of 16 items.Confirmatory factor analysis indicated good model fit.The content validity index(CVI) of the scale was 0.989,with item-level CVIs ranging from 0.882 to 1.000.The overall Cronbach's α coefficient was 0.889,split-half reliability was 0.813,and test-retest reliability was 0.807.
The scale demonstrates good reliability and validity,making it an effective tool for assessing sexual health needs in patients with gynecologic malignancies.