ABSTRACTAimTo systematically identify the contextual factors leading to (re)admission to psychiatry of people with dementia and behaviour that challenges living in nursing homes. Behaviour that challenges is understood as a social construct that reflects individual and environmental factors and their interaction.DesignThe 5‐step Whittemore & Knafl method was followed for this integrative review.Data SourcesThe databases MEDLINE, CINAHL, Cochrane Library, GeroLit and PsychINFO and the study registers ISRCTN, PROSPERO and DRKS were searched. Hand search and citation tracking were used.MethodsInclusion and exclusion criteria were applied. Two independent reviewers assessed the quality of the studies via the Mixed Method Appraisal Tool and Joanna Briggs Institute's instruments. Data synthesis and integration were based on The Convergent Integrated Approach for Mixed Methods Systematic Reviews and the thematic analysis of Braun and Clarke.Results1161 articles were identified, 8 articles/studies were retained. The contextual factors could be specified as ‘crisis determining factors’ (main theme). Three sub‐themes were identified: multifactoriality and ‐dimensionality of dementia and behaviour that challenges; structural and systemic barriers and lack of effective interprofessional and patient‐centred collaboration.ConclusionDementia crises often lead to hospitalisation. A key crisis‐determining factor is interprofessional collaboration. High‐quality studies on this topic are lacking. The existing results originate mainly from Europe and should be interpreted with caution in view of contextual and methodological limitations. Policymakers should promote cross‐sector care models, the deployment of psychiatric crisis teams, Advance Care Planning and digital communication tools.Reporting MethodWe based our reporting on the PRISMA 2020 statement.Patient or Public ContributionNo patient or public contribution.Trial RegistrationPROSPERO 2022 CRD42022367169; https://www.crd.york.ac.uk/prospero/display_record.php?ID=CRD42022367169

To explore the association between nurses' personality traits and their presenteeism behaviour. Cross-sectional study. Nurses from various settings in Switzerland were recruited through convenience and snowball sampling. Data was collected using an online questionnaire. A multiple linear regression was conducted for data analysis. A total of 255 questionnaires were included in the analysis. Presenteeism is moderate among nurses with a mean of 2.73 (SD = 0.93). The participants were less prone to presenteeism if a physician had advised them to stay away from work. The results indicated that consciousness, neuroticism and being a nursing assistant with formal education and working in a nursing home had a significant positive correlation with nurses' presenteeism behaviour. Conscientiousness may indicate a sense of duty among nurses. Neuroticism could be reflected in higher emotional stress and susceptibility to stress. Workload and role demands may be associated with higher presenteeism scores among nursing assistants with formal education. Increased staffing needs in nursing homes may explain elevated presenteeism scores.

To assess the current status of knowledge, attitudes, and practices (KAP) related to Low Anterior Resection Syndrome (LARS) prevention among rectal cancer patients with prophylactic stomas. A multicenter cross-sectional study was conducted. A cross-sectional survey was administered to 206 patients who underwent prophylactic stoma reversal after sphincter saving rectal cancer surgery at 20 tertiary hospitals in a specific region between January 2024 and January 2025. A validated KAP questionnaire was utilized, comprising three domains: knowledge (12 items), attitudes (10 items), and practices (10 items). Data analysis included descriptive statistics, univariate analysis, multiple linear regression, and mediation analysis. The total KAP score was 109.39 (20.29) (maximum: 160), with sub-scores of 38.46 (8.46) (knowledge), 40.02 (4.25) (attitudes), and 30.92 (10.59) (practices). Educational level, residence, and primary caregiver were identified as significant explanatory factors in multiple linear regression analysis of KAP scores (all p < 0.05). Attitudes partially mediated the relationship between knowledge and practice (mediation effect: 24.90%, p < 0.05). Despite positive attitudes, patients demonstrated moderate knowledge gaps and suboptimal behavioral compliance. Patients contributed data to this study but were not involved in its design, analysis, or reporting.

To investigate the mediating role of psychological capital in the relationship between nurses' caring behaviour and work engagement. A cross-sectional study. From February to March 2022, an online survey was conducted to 698 nurses from eight hospitals in Anhui Province, China. The survey included the Psychological Capital Questionnaire, Caring Behaviour Inventory and Utrecht Work Engagement Scale. The mediating effect of psychological capital on the relationship between caring behaviours and work engagement was examined using structural equation modelling with bootstrap testing. Nurses' caring behaviour, psychological capital and work engagement were statistically significantly and positively associated with each other (r = 0.589-0.661, p < 0.01). Psychological capital showed a significant indirect effect in the association between nurses' caring behaviours and work engagement (β = 0.205, p < 0.001), accounting for 50.25% of the total effect. Results suggest that nursing managers can enhance nurses' work engagement by improving their psychological capital and caring behaviour. As a result, clinical nursing managers should implement effective strategies, such as providing training in psychological capital and caring behaviour, to enhance nurses' work engagement and improve the quality of care for patients. This study explores the mechanism of the role of psychological capital between caring behaviour and nurses' work engagement, providing a theoretical basis for nursing managers to improve nurses' work engagement from the perspective of positive psychology. It is conducive to improving the quality of nursing care. No patient or public contribution.

The clinical research nurse (CRN) workforce in the United Kingdom (UK) is considerable and has a level of expertise when it comes to delivering research in a healthcare setting. Yet these same individuals are often overlooked when it comes to developing future academic nursing research leaders within the UK. A group of current or former clinical research nurses (the authors), held a reflective discussion and asked themselves: "Are CRN's a potential untapped resource who could plug the gap in the academic researcher workforce?" This brief report presents our reflections from personal experiences, augmented by published evidence, to open a dialogue on the potential role of CRNs as academic nurse researchers. We concluded that while CRNs have the necessary aspirations, skills and attributes, there remain key barriers which require this group of nurses to rely on personal determination and persistence to become academic nurse researchers.

This study explored nursing students' perceptions of the instructional approaches to teaching nursing diagnosis. An exploratory, descriptive qualitative study design was utilized. A total of 29 fourth-year nursing students from eight public universities in Turkey were recruited through social media and snowball sampling. Data were collected via face-to-face interviews conducted on Zoom between May and June 2023 and transcribed verbatim. Thematic analysis and constant comparison were used for data analysis. The study adhered to COREQ guidelines. Thematic analysis identified four main themes with subthemes reflecting students' perspectives: (1) Teaching methods, including (i) inadequate practical training in clinical settings and (ii) ineffective feedback in clinical practice; (2) Utilization of NANDA-I diagnoses in practice, encompassing (i) challenges in applying NANDA-I diagnoses and (ii) perceptions of suboptimal implementation by professionals; (3) Recommendations for improving nursing diagnosis education; and (4) Students' perceptions of NANDA-I diagnoses. Nursing students perceived current instructional approaches to nursing diagnosis as insufficient, particularly regarding practical training and feedback. Addressing these gaps is crucial for improving the quality of nursing education and practice. The findings provide valuable insights for revising nursing curricula to enhance the teaching of nursing diagnosis. Supporting students in mastering nursing diagnoses before graduation is essential for standardizing nursing terminology and improving the quality of care in future practice. The COREQ guidelines have been followed. No patients or public contribution.

ABSTRACTBackgroundInternationally qualified nurses (IQNs) form a critical part of the global health workforce, yet persistent structural inequities continue to limit their recognition and career mobility. Health systems in developed countries rely on IQNs to address shortages, but structural bias, credential hierarchies, and historically embedded knowledge valuation systems impede the full utilisation of their specialty skills. While regulatory standards are designed to protect patient safety, misalignment between global education systems and local recognition frameworks can inadvertently produce inequitable outcomes.AimTo explore how IQNs transfer and apply their specialty skills within the Australian health system and to identify the equity‐oriented facilitators and barriers that shape this process.DesignA meta‐synthesis of a sequential explanatory mixed‐methods research program, underpinned by a pragmatic and explicit equity framework informed by principles of fairness, transparency, and recognition of global competence.MethodsFour interconnected studies (online surveys, interviews, and focus groups) were conducted with IQNs and recruiting managers across Australia. Phase 3 involved a meta‐synthesis of findings from Phases 1 and 2, which were previously published, using joint display analysis and meta‐inference generation to examine structural, organisational, and individual determinants of specialty skill utilisation.ResultsFindings across four primary empirical studies reported in six peer‐reviewed publications reveal that IQNs bring advanced specialty expertise that can enhance care quality and equity. However, system‐level constraints, including recruitment bias, fragmented transition pathways, and inconsistent recognition of international qualifications, restrict their impact. Equity‐focused transition programs and inclusive leadership development for both IQNs and recruiting managers emerged as critical mechanisms for change.ConclusionHarnessing IQNs' specialised skills is not only a workforce imperative but a matter of justice. Balancing regulatory standards for patient safety with equitable recognition practices will enable nurses to act as agents of transformative change.Patient or Public ContributionThe study involved 115 participants (n = 71 IQNs; n = 44 recruiting managers) whose lived experiences illuminate the urgent need for inclusive policy reform and equity‐driven workforce transformation.

ABSTRACTAimThis systematic review and synthesis qualitatively explores the home life experiences of patients with a permanent urostomy following radical cystectomy. It aims to inform the development of tailored health management plans and facilitate effective intervention strategies based on patient needs.DesignThe quality of the included studies was appraised using the Joanna Briggs Institute Critical Appraisal Checklist for Qualitative Research, and the findings were synthesised using the meta‐synthesis method.MethodsWe conducted a systematic literature review of qualitative studies published in both Chinese and English from the database's inception to July 2023. The databases searched for qualitative research on the home care experiences of patients with permanent urostomies after bladder cancer surgery included Web of Science, EMBASE, PubMed, PsycINFO, CINAHL, CNKI, Wanfang Database and VIP Database. Two trained researchers independently used qualitative assessment and review tools for quality assessment and thematic synthesis tools for data analysis and integration.ResultsSeven studies were included, and four themes were summarised: physiological change; love and belonging; lack of knowledge and reinventing a new life.Patient or Public ContributionThis systematic review and meta‐synthesis enables us to better understand and give necessary help and guidance to patients according to their actual situation, to solve the problems they face in daily life, to provide emotional, social and other support, to promote their self‐adaptation, to enhance their self‐management ability and ultimately to improve their quality of life.

ABSTRACTAimTo explore what is known about the intersection of mental health and rare diseases.DesignNarrative review with peer‐reviewed literature from 2009 onwards.MethodsThe study searched for literature on these databases in September 2024: CINAHL, Scopus, Pubmed, Medline, Embase, and PsycInfo, as well as citation chaining and supplementary searches on Google Scholar. A combination of MeSH headings, keywords, truncations, and proximity searches with Boolean operators was used.ResultsRelevant literature highlighted four themes that underpinned the intersection of mental health and rare diseases: (1) hope and hopelessness, (2) identity formation and conflicts, (3) connection and disconnection, and (4) access, advocacy, and a lack of service integration.ConclusionThe narrative review highlighted the complex intersection and poor integration of mental health and rare diseases, where distress and uncertainty are core aspects of the living experience. Despite challenges, hope and resilience persevere.ImplicationsBetter understanding of the connection between mental health and rare diseases allows for holistic patient care. It raises awareness for the need for increased proactive mental health services and highlights shared experiences of a broad community. This allows systemic changes to be more feasible and help improve patient outcomes.ImpactThis narrative review deepens knowledge of the complex connections between mental health and rare diseases through a lived experience lens, opening pathways for further research into the unique but shared struggles of the community. Emphasising the need for holistic disease management of physical and psychosocial impacts, nurses and healthcare workers alike are then better equipped to provide tailored care.Patient or Public ContributionThere was no patient or public contribution to this paper as the review utilised existing studies and research in the academic field.

ABSTRACTAimThis study aimed to develop and evaluate a hypothetical model based on Lazarus and Folkman's stress and coping framework to identify the factors and pathways influencing Generation Z new graduate nurses' intention to stay in the job.DesignThis model validation study employed a cross‐sectional path analysis approach using structural equation modelling.MethodsThe participants were 215 nurses born after 1995 who had < 1 year of nursing experience and were working at three general hospitals located in Seoul, Korea. Structural equation modelling was used to analyse the collected data, and the model was validated through confirmatory factor analysis. Key variables included character strengths and job resources (exogenous) and reality shock, work–life balance and intention to stay (endogenous). Path analysis with phantom variables was conducted to explore mediating effects.ResultsThe model showed proper fit indices: χ2/df = 2.34, TLI = 0.90, CFI = 0.91, RMSEA = 0.08, SRMR = 0.06. Character strengths (ß = 0.41, p < 0.001) and reality shock (ß = −0.75, p = 0.002) had significant direct effects, explaining 53.5% of the variance in intention to stay. Reality shock also mediated the relationships between character strengths, job resources and intention to stay, emphasising its pivotal role in retention strategies for Generation‐Z nurses. The findings indicate that character strengths and reality shock are important factors in the intention to stay of new graduate nurses in Generation‐Z.Patient or Public ContributionNo patient or public contribution.