This study aimed to explore health literacy profiles in patients with heart failure and identify heterogeneous subgroups within the chronic heart failure population. Through investigating the health literacy of heart failure patients, we analyzed the factors influencing patients' health literacy levels, aiming to provide evidence-based guidance for improving health literacy in this patient population. This study used a cross-sectional design. A total of 220 patients with chronic heart failure hospitalized at a tertiary hospital in Shanxi Province were recruited via convenience sampling between January and June 2024. Participants were assessed using a general characteristics questionnaire, the Chinese Version of the Heart Failure Health Literacy Scale, and the Heart Failure Self-Care Behavior Scale. Data analysis included multinomial ordered logistic regression to identify factors influencing health literacy and latent profile analysis to explore potential classes of health literacy among the patients. The health literacy profiles were categorized into 3 potential profiles, including the low health literacy-resource-limited group (7.7%), the medium health literacy-communication barriers group (55.5%), and the high health literacy-high decision-making ability group (36.8%). The results of multicategorical ordered regression analysis showed that occupation, literacy, per capita monthly household income, type of health insurance, and self-care ability were the influential factors in potential profile categories of health literacy in heart failure patients (p < .05). Chronic heart failure patients have variable health literacy, with better self-care behaviors associated with higher health literacy.

In order to bridge the gap between rapid technological changes and the healthcare environment, and to alleviate the burden of nursing tasks, the need for change management must be recognized. Understanding nurses' perceptions of generative artificial intelligence (AI) is essential for the successful implementation of nursing change management. However, existing studies are mostly exploratory in nature, focusing on the utility and applications of generative AI technology. There is a lack of research on its implications for the nursing environment and nursing management. The purpose of this study is to explore in depth the perceptions of nurses at cancer specialty hospitals regarding the application of generative AI, as well as the environmental and contextual factors involved. This study conducted in-depth interviews with nurses at National Cancer Center, the first cancer specialty hospital in South Korea, from July to August 2024. The semistructured questionnaire was developed based on clinical nursing practice guidelines, and participants were selected considering the various characteristics and situations of nursing tasks. First, nurses at the cancer specialty hospital recognized change management factors in the areas of 'basic nursing,' 'therapeutic intervention,' 'nursing during examinations,' 'infection control,' and 'nursing administration.' Second, limitations of change management such as 'decline in nursing proactivity,' 'difficulties in building rapport with patients,' 'difficulties in providing personalized nursing care,' 'patient information breach' and 'unclear accountability' were identified. Third, preparation strategies for change management such as 'nurse competency improvement,' 'legal protection,' 'establishing standardized processes,' and 'awareness improvement' were identified. Based on the research findings, academic and practical implications for the application of generative AI in nursing and strategies to enhance nurses' readiness for its implementation are presented.

This study aimed to interview stakeholders who participated in school mental health interprofessional collaboration (IPC) and determine the facilitators and obstacles for the development of school mental health IPC in Sichuan province, China. Semistructured interviews were conducted with 22 stakeholders, including psychiatrists, nurses, school mental health teachers, community workers, and hospital administrators. Data were analyzed using content analysis guided by the Exploration-Preparation-Implementation-Sustainment (EPIS) framework. This study adhered to the Consolidated Criteria for Reporting Qualitative Studies checklist for reporting qualitative research. The analysis yielded 248 open codes, categorized into 10 barriers and 5 facilitators. Key barriers included insufficient funding, lack of intermediary organizations, interdisciplinary differences, communication gaps, and concerns about intellectual property rights. Facilitators encompassed policy support, existing cooperative frameworks, interprofessional education, perceived value of collaboration, and adequate infrastructure. Stakeholders emphasized the need for standardized processes and sustainable resource allocation to enhance the efficacy of IPC. Systemic obstacles, such as fragmented administrative systems and limited funding, hinder the sustainable implementation of IPC in Chinese school mental health services. Strengthening policy advocacy, establishing intermediary platforms, and prioritizing interprofessional training are critical to improving collaboration. This study highlights the urgency of integrating mental health resources across education and healthcare sectors to address the growing psychological needs of adolescents.

The association between tinnitus and psychological distress aimed at nurses is often ignored. This study examined the bidirectional associations between tinnitus and psychological distress at the 1-year follow-up. Data were retrieved from the National Nurse Health Study in China from 2021 to 2022. To control for potential confounders, we used propensity score matching at a ratio of 1:3 through the nearest-neighbor method with a caliper limit of 0.2. We first explored the correlation between baseline tinnitus and subsequent psychological distress assessed by the Symptom Checklist-90-Revised (Analysis 1), and then explored the correlation between baseline psychological distress and subsequent tinnitus (Analysis 2). The logistic regression analysis and test for interaction were used. In the Analysis one, 232 nurses were analyzed, including 58 tinnitus sufferers and 174 non-tinnitus nurses as a matched comparison with similar baseline characteristics. A significant difference in the rate of psychological distress was observed between the two groups. The interaction tests showed tinnitus nurses with college or above education or working for more than 11 years were more likely to develop psychological distress. In the Analysis two, 397 nurses were analyzed, including 105 with psychological distress, and 292 nurses as a matched control group. We did not find that psychological distress could increase the risk of tinnitus at the 1-year follow-up, which was confirmed by subgroup analysis. The results suggested that nurses with tinnitus may be at an increased likelihood of developing psychological distress, especially among those with a higher education level and who have worked for 11 years. However, given the potential confounding factors (e.g., self-reported data, small sample size), future longitudinal studies with larger cohorts are needed to confirm these results. The study was registered in Clinicaltrials.gov on September 30th, 2020 (https://clinicaltrials.gov/ct2/show/NCT04572347).

The purpose of this study was to define the concept of health empowerment within the community and explore its key characteristics. In this study, the concept was formulated utilizing the hybrid model proposed by Schwartz-Barcott and Kim. In the theoretical phase, comprehensive searches were conducted on PubMed, The Cochrane Library, Web of Science, CNKI, Wanfang Data, and SinoMed to gather relevant articles. In the fieldwork stage, semi-structured interviews were conducted with ten community workers and fifteen community residents, and the collected data were thoroughly analyzed using routine content analysis techniques. During the final analysis stage, the insights gained from both the theoretical and fieldwork stages were seamlessly integrated. In the theoretical stage, the five attributes of community health empowerment include community participation, policy support, resource acquisition and utilization, cooperation and partnership, self-care, and health decision-making. Antecedents include social support, communication and cooperation, resource mobilization, health knowledge popularization and perceived control. Its consequences include improvements in personal health and life, increased awareness of self-care, and enhanced identity and belonging to the community. Attributes of community health empowerment in the field interview stage: community participation and interaction, community capacity, information exchange, and sharing. Its Antecedents include community organization services, support networks (social structures), health beliefs, policy support, and sustainability. Consequences include process outcomes, health outcomes, and community outcomes. In the final analysis stage, we concluded that community health empowerment is a multi-level process involving individuals, communities, and society as a whole. In the context of Chinese culture, community health empowerment is a two-way interactive process of health power between communities. Through community health empowerment, it is not only able to improve individual autonomy and decision-making, as well as self-health management abilities, but also able to enhance community cohesion and promote sustainable community development.