It is well known that nursing is the art and science of caring. The nurse's professional identity is defined through caring as it is one of the significant components of nursing knowledge. Nursing is a discipline-a way of knowing, being, valuing, and living. The quality of health care in the Kingdom of Saudi Arabia has advanced recently, and there are factors affecting this progress which could be classified into patients' factors as access to health care and health professional factors such as workload and job satisfaction. The aim of this study is to explore the relationship between nurses' caring behavior, missed care, and quality of nursing care. The study was a descriptive, correlational, and cross-sectional design. A total of 267 participants (170 nurses and 97 patients) were recruited through convenience sampling. Nurses with at least 1 year of clinical experience and inpatients admitted for 1 day or more were included. Caring behavior was measured using the Caring Behaviors Inventory (CBI-24), and missed nursing care was assessed using the MISSCARE Survey. The study revealed a negative relationship between caring behavior and missed care. Also, a positive relationship between caring behavior and quality of nursing care was revealed. Moreover, the study showed that there was no relationship between missed care and quality of nursing care. Addressing issues that may lead to missed nursing care such as shortage of staff is essential and needs to be solved.

Withdrawing life-sustaining treatment (WLST) in terminally ill patients' presents significant ethical and emotional challenges for health care professionals. This cross-sectional study surveyed 436 health care providers at a teaching hospital in central Taiwan to explore the conflicts and stressors they face during WLST. Key ethical conflicts included unclear definitions of terminal illness, differing family attitudes, and ambiguous responsibility for extubation. Major stressors involved performing extubation, disclosing medical conditions, providing grief support, and navigating institutional procedures. Unmarried, younger, less experienced staff, particularly those without children or working in pediatric or surgical ICUs, were more susceptible to ethical stress ( P <.01). Nurses and respiratory therapists reported more conflict over extubation responsibility, while physicians struggled more with defining terminal illness ( P <.05). The findings highlight the need for clear guidelines, structured family meetings, multidisciplinary coordination, targeted education, emotional support systems, and broader public engagement with advance medical directives to reduce the ethical burden on health care professionals involved in WLST.

Guilt in nursing is not just an individual emotion but an ethical experience rooted in the tension between care values and the conditions that constrain their practice. This systematic literature review analyzes guilt as a multidimensional phenomenon shaped by institutional, relational, and subjective factors. Eight key categories emerged: moral distress, institutional constraints, emotional and physical effects, end-of-life care, ethical conflicts with families, spirituality, informed consent, and coping strategies. The review reveals that guilt often stems not from personal error but from ethical dissonance between nurses' values and clinical realities. Hierarchies, rigid protocols, bureaucratic procedures, and lack of resources undermine nurses' moral agency and reinforce a logic of ethical isolation. This individualization of guilt obscures systemic responsibility and frames moral distress as personal failure. The findings call for a political reconceptualization of care, moving beyond resilience to foster shared ethical responsibility within teams. Recognizing guilt as a systemic indicator of ethical dysfunction is vital to rehumanize nursing, strengthen ethical subjectivity, and create more just and transformative care environments. Addressing guilt in this way empowers nurses not only to resist moral suffering but to reshape the structural conditions that perpetuate it.

This systematic review examined the sleep-enhancing effect of lavender essential oil in adults. Randomized controlled trials (RCTs) regarding the sleep-enhancing effect of lavender essential oil in adults were searched in PubMed, Embase, Cochrane Library, CINAHL, and Web of Science. The retrieval period spanned from January 1, 2014 to September 4, 2024. Literature screening and data extraction were conducted by 2 researchers, and the risk of bias in the included studies was assessed. The data were analyzed using RevMan 5.4 software. Eleven RCTs, encompassing a total of 628 adult participants, were incorporated into this analysis. The outcomes of the meta-analysis indicated that the sleep-enhancing effect of lavender essential oil intervention in adults was significant (standardized mean difference= -0.56, 95% CI [-0.96, -0.17], P =.005). Current findings indicate that the use of lavender essential oil can enhance the sleep quality of adults. However, constrained by the quantity and quality of the incorporated studies, this conclusion requires verification in more high-quality studies.

The use of cold vibration through the Buzzy device appears promising in reducing pain and anxiety levels in children and adolescents during needle-related procedures. This systematic review and meta-analysis summarizes and evaluates the evidence on this non-pharmacological treatment for pediatric patients undergoing venipuncture or injection procedures. A search was conducted across 6 databases in January 2025. Sixteen randomized controlled trials, involving a total of 1486 patients, were included. Cold vibration stimulation significantly reduced pain (Standard Mean Difference SMD –1.06, 95% confidence interval [–1.39, –0.72], P &lt; .00001) and anxiety levels (SMD –1.60, 95% confidence interval [–2.70, –0.51], P = .004) compared to the control group. The judgment for the direction of the recommendation was rated “for” the Buzzy intervention, with the strength of the recommendation rated as “weak.” The use of cold vibration through the Buzzy device may have beneficial effects in reducing anxiety and pain levels in children and adolescents undergoing needle procedures.

Cupping therapy is an ancient traditional and complementary treatment practice. Cupping therapy has recently attracted global attention in the promotion, protection, and treatment of health. Research is also being conducted on the potential benefits of cupping therapy in the treatment of conditions related to women's health. This study provides an overview of the application of cupping therapy in the field of women's health and an understanding its importance.