Introduction Recovery-oriented mental health services are being implemented in various countries; however, health workers still need to understand the concept, highlighting the need for a standardized definition of recovery to translate it into practice. To implement recovery-oriented care, it is crucial for healthcare workers to understand it first. The Recovery Knowledge Inventory (RKI) tool has been widely used to measure understanding of recovery in different countries. Therefore, the aim was to assess nurses' knowledge of a recovery-oriented mental health care approach using the RKI. Methods The study utilized a cross-sectional quantitative design. One hundred and fifty-two (152) nurses consented to participate in the study. The RKI was used to assess knowledge of a recovery-oriented mental health care approach in four mental health facilities across Botswana. Data were analyzed using the Statistical Package for the Social Sciences (SPSS) version 27. Cronbach's alpha was used to test the reliability of the variables used in the study. Some variables that would compromise the overall reliability of the questionnaire were excluded. Following the reliability test, exploratory factor analysis (EFA) was used to explore the possibility of factors describing recovery-oriented mental health care. Results The sample included 81 (53.3%) female and 71 (46.7%) male nurses. The results indicated that after validity and reliability tests were conducted, and with some adjustments, the RKI was valid and reliable for assessing nurses’ knowledge of a recovery-oriented mental health care approach in Botswana. Although its reliability was average at Cronbach's alpha 0.6, it offered insight into how respondents perceived recovery. Most respondents (97%) agreed with the nonlinearity of recovery, while 84.9% strongly agreed or agreed that recovery from mental illness could be achieved by following a set of procedures. Overall, nurses in this study lacked orientation to recovery-oriented services. Conclusion There was a clear lack of knowledge of the recovery approach among the respondents. This study underscores the need for targeted training to improve nurses' understanding of recovery-oriented practices.

Background Intensive care units are characterized by high levels of responsibility and exposure to psychological stress. This study aimed to explore the relationship between perceived stress, psychological resilience, and sociodemographic variables of intensive care unit registered nurses in Jordan, as well as the predictors of perceived stress. Methods This cross-sectional study was conducted between January 5th and February 20th, 2025, and included 200 participants (88 males and 112 females) aged 23–51, from selected public and government hospitals located in Amman and Madaba, Jordan. Nurses’ sociodemographic characteristics were obtained, and the Perceived Stress Scale-10 and Connor-Davidson Resilience Scale-10 were administered. Statistical analyses included Pearson correlation, independent t-test, one-way ANOVA, and multiple linear regression. Results A significant inverse relationship was observed between perceived stress and psychological resilience. Bivariate analysis indicated that nurses’ age and experience had a significant positive relationship with perceived stress. Nurses who were female, single, of other marital status, worked a 16-hour shift system, worked extra hours, had an uncomfortable work environment, and experienced equipment shortages reported significantly higher perceived stress. Multiple linear regression indicated that working extra hours, working in an uncomfortable work environment, shift work, and being single or of other marital status collectively explained 40.4% of the variance in perceived stress scores. The strongest predictor was working extra hours, which was associated with an average increase of 2.80 units and explained 8.35% of the variance. Furthermore, working in uncomfortable workplaces was associated with an average increase of 2.116 units in perceived stress scores, accounting for 4.28% of the variance. The multiple linear regression model accurately predicted perceived stress scores 95.0% of the time, with up to 85.0% sensitivity and 78.0% specificity. Conclusion The findings indicate an inverse relationship between perceived stress and psychological resilience. However, workload, shift length, extra working hours, and workplace environment conditions contributed significantly to ICU nurses’ levels of stress.

Introduction Evidence-based Practice (EBP) is crucial to improving patient outcomes and providing high-quality healthcare. This study aimed to investigate nurses’ knowledge, skills, attitudes, and barriers to EBP in Sudanese hospitals. Methods This cross-sectional study was conducted in four Sudanese hospitals, with a total of 373 nurses recruited via convenience sampling. Data were collected using the Nursing Evidence-Based Practice Survey and analyzed using SPSS (version 28). Results Of the 373 nurses who participated in this study, 265 (71.0%) were female, 26.8% were between 20 and 30 years old, 54.4% held a bachelor’s degree, 53.1% worked in a government hospital, 28.7% had from 1 to 5 years of clinical experience, 35.1% worked in an emergency department, and 83.6% lacked EBP training. Most nurses had poor knowledge skills (53.9%) and attitudes (57.9%) regarding EBP. Discussion Male nurses had a higher perception of the unit culture (M = 210.42, p = 0.007), nurses between 31 and 40 years old had a significantly higher perception of the organizational culture (M = 230.77, p = 0.001), and those working in the general ward had a higher perception of the organizational culture (M = 212.56, p = 0.009). A significantly positive weak correlation (r = .349, p = 0.000) was observed between knowledge, skills, and attitude. Conclusion The findings highlighted nurses’ low levels of knowledge, skills, attitude, and barriers to EBP in Sudanese hospitals. Health policymakers and nursing managers can use these insights to design continuous education programs for enhancing KSAs toward EBP in Sudan.

Introduction Communication skills of nurses in pediatric oncology units are considered a prominent competency that plays a vital role in the care process. Effective communication enhances information exchange, promotes the emotional well-being of caregivers, and improves the decision-making process. This study aimed to assess the competency of pediatric oncology nurses in practicing therapeutic communication skills and to examine differences in competency among nurses in the West Bank, considering demographic and personal factors. Methods A descriptive-correlational study was conducted in two pediatric oncology units in two accredited hospitals. A self-administered questionnaire, utilizing the Communication Assessment Tool (CAT), was used to collect data from 39 pediatric oncology nurses. Data collection was from April to June 2025. Results Nurses demonstrated moderately strong communication skills, with a mean total score of 3.84 (SD = 0.46) on the Communication Assessment Tool (CAT). The highest-rated behaviors were treating patients with respect, showing care and concern, and attentively listening, while the lowest-rated items involved encouraging questions, involving patients in decisions, and discussing follow-up plans. No statistically significant associations were found between communication scores and demographic or professional variables. Discussion Oncology nurses are struggling to provide quality care, despite several interfering factors related to disease and treatment processes of children with cancer. This makes using the appropriate therapeutic techniques an essential tool to improve healthcare outcomes. Conclusion Pediatric oncology nurses perceive their communication with patients and parents as moderately good. Nurses demonstrated that they treat patients with respect, show care and concern, and attend to patients’ needs to facilitate effective and compassionate communication. However, they need to develop the skills of engaging parents and children in decision-making, encouraging questions, and discussing next steps.

Introduction Early diagnosis of chronic endocrine conditions requiring injectable treatment is common, and injections may cause children to experience uncomfortable feelings ( e.g ., pain and anxiety). No recent publications have comprehensively described good nursing practices for pediatric injections. This review identifies key factors that can facilitate improved injection techniques and ideal treatment options for children, with a focus on endocrine parenteral therapies. Methods PubMed, Embase, and CINAHL were searched. MeSH search terms included “child,” “injections/methods,” “pain/prevention and control,” “pain management/methods,” “patient positioning,” and “analgesic/therapeutic use.” Literature related to interventions pediatric nurses can implement to decrease injection-related discomfort and other treatment factors that can minimize injection-related pain was included. Results Nurses should build a strong rapport with the child and/or caregiver, as this can improve the expectations for the injection experience. Nurses can assist caregivers with selecting the most appropriate treatment and provide options that may reduce out-of-pocket costs. Before administering an injection, nurses should check the “Five Rights,” assess skin to select an appropriate injection site, and prepare skin for injection. Good injection techniques include: administration of room temperature medications, comforting positioning and holding of the child by the caregiver, distraction activities, and local anesthetic agents. In addition to using good pediatric injection techniques, nurses can partner with Certified Child Life Specialists when available to help alleviate the child’s anxiousness. Discussion Pediatric nurses benefit from a broad understanding of pediatric injection techniques. Conclusion Optimal pre-, during, and post-injection techniques, along with proper education and care, can reduce pain and anxiety in children, improve caregivers’ experiences, and prevent treatment delays.

Introduction/Objective Providing optimal nutrition to critically ill ICU patients is crucial yet complex. Enteral feeding is preferred, but food intolerance, often indicated by elevated gastric residual volume, remains a major challenge, highlighting the importance of prevention and effective management as essential nursing responsibilities in critical care settings. Abdominal massage is a potential technique to enhance gastric motility, though evidence from ICU settings remains limited and inconsistent. This study aims to assess the effect of abdominal massage on gastric residual volume in adult ICU patients receiving nasogastric feeding. Methods A randomized controlled trial was conducted from January to June 2024 in the ICU of a tertiary care hospital in Lahore, Pakistan. Thirty-four eligible patients were allocated into intervention and control groups (n=17 each). The intervention group received 20-minute abdominal massage sessions twice daily, with an interval of two hours between each abdominal massage session, for three consecutive days. GRV was measured before the first and one hour after the second massage each day. Results GRV decreased in the intervention group compared to the control group across all three days. On day one, mean GRV post-intervention was 96.17 ± 30.33 ml vs. 126.47 ± 39.83 ml (p=0.026); on day three, it was 85.00 ± 23.91 ml vs. 127.05 ± 38.97 ml (p <0.001). Within-group comparisons showed statistically significant reductions on day two (p=0.010) and day three (p=0.003), but not on day one (p=0.174). However, ANOVA revealed that day-to-day reductions within the intervention group were not statistically significant (p=0.516). Discussion The study demonstrated consistent GRV reduction with abdominal massage, supporting previous positive findings, though discrepancies with some studies may relate to differences in technique, duration, and patient profiles. Conclusion Abdominal massage may be an effective adjunct for reducing GRV in critically ill patients. Further large-scale studies are needed to validate its routine integration into ICU care. RCT Registration Registered at clinicaltrials.gov with ID NCT06062381.

Background The integration of Artificial Intelligence (AI) in healthcare is revolutionizing patient care and clinical practice, enhancing efficiency, accuracy, and accessibility. However, it has also sparked concerns among nursing students about job displacement, reliance on technology, and the potential loss of human qualities like empathy and compassion, to this date, there is no established scale measuring the level of fear, especially among nursing students. Aim To develop and validate a scale to assess nursing students' fear of artificial intelligence. Methods The current study employed a cross-sectional design, involving a total of 225 Saudi nursing students enrolled in a nursing college. The scale's construct, convergent, and discriminant validity were evaluated using exploratory factor analysis (EFA) and confirmatory factor analysis (CFA). Results A comprehensive review of the literature addressing fear of AI guided the development of the Fear Towards Artificial Intelligence Scale (FtAIS). An initial pool of items was subjected to a content validity assessment by an expert panel, which refined the scale to 10 items categorized into two dimensions: job issues and humanity. The two-factor structure was responsible for 73.52% of the total variance. The scale items' reliability was evaluated using Cronbach's alpha coefficient, yielding a value of 0.803. The reliability coefficients for the two subscales, job issues, and humanity, are 0.804 and 0.801, respectively. The confirmatory factor model demonstrated a good model fit. The scale's convergent and discriminant validity were both confirmed. Conclusion The FtAIS is a rigorously developed and validated tool for measuring nursing students' fears toward AI. These findings emphasize the need for targeted educational interventions and training programs that could mitigate AI-related fears and prepare nursing students for its integration into healthcare. The scale offers practical applications for educators and policymakers in addressing AI fear and fostering its confident adoption to enhance patient care and healthcare outcomes.

Introduction/Objectives In Japan, novice nurses are assigned to intensive care units immediately after graduation and are expected to become independent within about a year. Therefore, in addition to long-term, comprehensive educational programs, establishing an educational system that allows novice nurses to learn intensive care unit nursing while working is necessary. This study explored senior nurses’ expectations for novice nurses working independently in the intensive care unit after one year and identified the foundational skills needed for novice nurses to achieve this independence. Methods The research collaborators were eight senior nurses working in the intensive care unit of an acute care hospital. They were recruited from four facilities and had five or more years of clinical experience. The study used semi-structured interviews to generate data about the reports, contacts, and consultations they would expect from novice nurses to determine their readiness to become independent. Results This study clarified the circumstances under which novice nurses with no practical experience should voluntarily seek support to work as independent nurses one year after being assigned to an intensive care unit. It reflects the characteristics of patients who require intensive management, such as “assistance with central line insertion and removal” and “evaluation of vital signs,” as well as other advanced procedures. Conclusion This study clarified the basic skills required for novice nurses and identified the areas in which they should seek support. In the future, this method may be utilized in the early stages of novice nurse education.

Background Nursing managers are well-positioned to enhance holistic care for patients in psychiatric settings. Managers need to use evidence-based data available to them when making nurse staffing decisions. Patient classification systems can be an excellent source of patients’ priority care needs. Objective To understand the meaning of using patient classification systems as a management tool for psychiatric nursing managers. Methods Qualitative study with a content analysis methodological framework. Ten nursing managers from psychiatric institutions in the state of São Paulo participated. Data were collected between August 2016 and May 2017 using a semi-structured interview with recorded audio. Results The sample consisted of nine women and one man with an average of 14 years’ experience in mental health and seven years of management experience. The psychiatric care setting emerged as a general theme surrounded by four subthemes: current model of decision making, ideal model of decision making, nursing staff dimensioning/staffing, and professional and mental health legislation. Only half of the managers used a patient classification system as a management tool, and there were difficulties associated with their use of the tool. Conclusion A conceptual model was developed based on the themes, subthemes, categories, and sub-categories in this study. The model demonstrates major differences between psychiatric settings with biomedical models versus psychosocial models. Managers with knowledge of PCS data can better advocate for patients’ holistic needs and adequate nursing resource allocation. Managers may lack the knowledge and skills required for model transformation, and continuing management/leadership education is recommended.

Background Intubated conscious patients often experience communication difficulties. The present narrative review outlines the current evidence on communication methods adopted and the experience of conscious intubated patients in critical care areas. Objectives To our knowledge, studies have attempted to examine communication with conscious intubated patients. The present review had two objectives: (1) to identify the methods adopted by nurses and conscious intubated patients to ease the communication difficulties faced due to intubation and (2) to identify the experience of nurses and conscious intubated patients with the adopted communication methods. Methods The Preferred Reporting Items for Systematic Reviews and Meta-Analyses Extension for Scoping Reviews (PRISMA-ScR) checklist was followed throughout this review. PubMed and ProQuest databases were searched with the terms “intubated conscious patients,” “communication,” and “nurse”, including original research articles published between January 2019 and May 2024 on conscious patients needing intubation. Dissertations, review papers, non-interventional research, and articles written in languages other than English were excluded. Only eight of the original 2,041 studies, which included 137 intubated patients and for 545 nurses, met the inclusion criteria. The authors used the Mixed Method Appraisal tool (MMAT) and the Critical Appraisal Skills Program (CASP) to collect data and assess quality. Results After the first search of generated 2041 papers, only eight articles—representing various studies—were able to meet the inclusion requirements. The included studies were six (6) quantitative, one (1) qualitative study and one (1) mixed-method study. Four communication intervention types were identified, namely: (1) Communication boards/charts (two studies), which improved communication and increased patient satisfaction. (2) Gestures and facial expressions (four studies) were reported to be frequently initiated for communication by the nurses with the patients. (3) Multiple methods (three studies) used were found to be insufficient to communicate with the patients. (4) Digital technology program, including Communicative Digital Technology Program was found to be effective means of communication in three such studies. Conclusion Results imply that communication techniques may be useful in enhancing patient–nursing professional communication with conscious intubated patients. However, in developing countries with fewer resources, a low-cost communication tool addressing both physical and emotional needs may be developed to aid in communication among patients and nurses.