Current Issue : October-December Volume : 2026 Issue Number : 4 Articles : 5 Articles
Background: Research is a cornerstone of evidence-based practice and critical for advancing patient care and safety. While critical care nurses play a vital role in research, barriers such as limited resources and negative attitudes often hinder their participation. In Norway, there is limited insight into the research activities conducted by critical care nurses in intensive care units. Aim: This study aimed to identify critical care nursing research activities and explore factors that facilitate or inhibit these activities in Norwegian intensive care units. Methods: A cross-sectional, descriptive study was conducted using a self-developed questionnaire, based on the authors’ clinical experiences and research, which was distributed to 56 Norwegian intensive care units. Data were collected electronically and analysed using descriptive statistics for quantitative data and inspired by thematic analysis for qualitative data. Results: A total of 26 intensive care units participated (46% response rate). Critical care nursing research activities varied, with most units reporting master’s projects and quality improvement initiatives, while fewer engaged in PhD-level research. Nearly half of the units lacked dedicated research personnel and over half had no allocated research funding. Key barriers included insufficient resources, lack of time and negative attitudes towards research. Facilitators included leadership support, allocated research time and economic resources. Practical value in research was identified as a motivator for engagement....
Background Delirium is a multifactorial and potentially life-threatening syndrome that remains underdiagnosed and undertreated in nursing homes, despite residents’ high vulnerability due to advanced age, multimorbidity and cognitive impairment. To date, little is known how healthcare professionals perceive and manage delirium in these settings, particularly regarding prevention, diagnosis, therapy and interdisciplinary collaboration, as well as differentiation from other neurodegenerative diseases. This study explores the perspectives of nurses and general practitioners (GPs) on the quality of delirium care in German nursing homes in order to identify barriers and opportunities for improvement. Methods An exploratory qualitative design was employed. A total of 30 semi-structured interviews were conducted with 15 nurses and 15 GPs in Germany. Participants were recruited using a criterion-based purposive sampling strategy to ensure their direct involvement in nursing home care. Data were collected using collaboratively developed interview guides and analyzed using qualitative content analysis with a deductive-inductive approach. Results Both nurses and GPs reported uncertainty and variability in the understanding, recognition and management of delirium in nursing homes. While preventive and other non-pharmacological measures were applied intuitively, they were rarely identified as delirium-specific. Both professions highlighted limited knowledge and training, unclear responsibilities and the absence of standardized tools as major barriers to effective care. Diagnostic practices were largely based on clinical impression rather than structured assessments. Interprofessional and interdisciplinary cooperation was considered essential but was often hindered by organizational factors and individual attitudes. Participants also emphasized the value of involving relatives and other significant others in the care process but noted that this was inconsistent. Conclusion Delirium care in German nursing homes is non-standardized and marked by substantial variability in practice and outcomes. Although individual nurses and GPs recognize the challenges and apply some effective routines intuitively, care remains insufficiently systematic and rarely guided by standardized strategies in general. Addressing knowledge gaps, improving interprofessional communication and implementing structured care pathways are crucial steps toward enhancing the prevention, diagnosis and therapy of delirium in these settings....
Background/Objectives: While previous research has explored the effects of moral distress and the work environment separately, there is limited evidence on how these two factors are associated with nurses’ turnover intention. Therefore, in this study, we assessed the mediating role of moral distress in the correlation between nurses’ work environments and turnover intention. Methods: This study employed a multicenter cross-sectional design of emergency nurses from April to June 2025. The Measure of Moral Distress—Healthcare Professionals, Practice Environment Scale of the Nursing Work Index (PES-NWI), and Turnover Intention Scale were used to collect data. The mediating effect was analyzed using Hayes’ PROCESS macro (Model 4, Version 4.2) software with the bootstrap technique (5000 repetitions, 95% bias-corrected confidence interval). Statistical significance was set at a threshold of p < 0.05. Results: Mediation analysis revealed that work environment had a significant negative effect on moral distress (β = −0.251, B = −45.293, 95% CI [−70.376, −20.210], p < 0.001). Moral distress significantly increased nurse turnover (β = 0.202, B = 0.008, 95% CI [0.003, 0.012], p = 0.003), while the work environment had a significant negative direct effect on turnover (β = −0.391, B = −2.629, 95% CI [−3.507, −1.751], p < 0.001). The total effect of work environment on nurse turnover was also significant (β = −0.442, B = −2.970, 95% CI [−3.837, −2.102], p < 0.001). Bootstrapping confirmed a significant indirect effect of moral distress (β = −0.051, 95% CI [−0.092, −0.016]), indicating partial mediation. Conclusions: This study revealed that nurses’ work environment was significantly associated with turnover intention, both directly and indirectly, through moral distress. Moral distress acted as a statistically significant but modest partial mediator of the association between the work environment and turnover intention, suggesting that it may partially explain this relationship. Strategies by healthcare organizations should be organized to optimize proactive work environments and mitigate moral distress among nurses....
Background The number of older people in Germany has risen steadily in recent decades. One in four people is now aged 65 or over. As people age, their health problems tend to increase, as do their fundamental care needs. Nurses play a key role in addressing these needs through a holistic approach. To fulfil this responsibility effectively, it is necessary to examine existing nursing research on the fundamentals of care for older people and to identify gaps in the current evidence base. Therefore, we plan to conduct a mapping review with the aim of mapping the extent, range and nature of nursing research activities on the fundamentals of care, as defined in the physical, psychosocial and relational components of the Integration of Care dimension of the Fundamentals of Care Framework for older people in Germany. Methods We will search the electronic databases PubMed/MEDLINE, CINAHL, CareLit and GeroLit, the catalogue of the German Federal Ministry of Research, Technology and Space and the German National Library for publications on nursing research based on the Integration of Care dimension of the Fundamentals of Care Framework among older people (≥ 65 years). There will be no time limit. We will include studies published in English and German. Initial screening of the first ten per cent of titles and abstracts and other stages will be carried out by two independent researchers. This process will be repeated until full agreement between the researchers. Any discrepancies will be resolved with consultation of a third reviewer. Results will be reported in a narrative synthesis and complemented by tabular and numerical presentations. Discussion To the best of our knowledge, this mapping review will be the first to provide an overview of current nursing research on the fundamentals of care for older people in Germany. The inclusion of German-language texts and the absence of time limits in this review are intended to complement previous reviews. The planned mapping review will also identify the evidence gap in research in this area and contribute to the determination of future scientific research in Germany. Consequently, the findings of the mapping review could be of great interest to nurses and other health professionals for evidence-based practice, research and educational programmes. In addition, the data can be used to develop a programme for the provision of age-friendly and caring living conditions for older people in the future....
Background: The relationship between nursing teamwork and patient falls is a crucial area of study in healthcare, as effective teamwork has been consistently linked to improved patient outcomes and safety. Objective: To examine the relationship between nursing teamwork and patient falls in Jordanian hospitals. Methods: A descriptive correlational research design was conducted, involving 375 registered nurses from four hospitals representing three health sectors in Jordan. The participants completed the “Nursing Teamwork Survey,” which contains 33 questions divided into five subscales, measured on a five-point Likert scale. Additionally, there is one question regarding the nurses’ experiences with patient falls in their units, which is measured on a seven-point Likert scale. The data collection process took place from September to October 2024. Results: The total mean nursing teamwork score was 116.36 (SD = 35.2), while the frequency of patient falls mean reported by nurses was 0.54 (SD = 0.67). The shared mental model subscale received the highest score (M = 3.58, SD = 1.0) among all nursing teamwork subscales, while the team orientation subscale received the lowest (M = 3.45, SD = 1.0). A weak negative significant relationship was found between nursing teamwork and patient falls (rs = −0.248, p < 0.001). Although the correlation is weak, it suggests that improving nursing teamwork may positively impact patient safety by potentially reducing the incidence of patient falls. Also, weak negative significant correlation was showed between patient falls and the following teamwork subscales: Shared mental model (rs = −0.260, p < 0.001), Backup (rs = −0.242, p < 0.001), Team leadership (rs = −0.267, p < 0.001), Mutual trust (rs = −0.223, p < 0.001), and Team orientation (rs = −0.223, p < 0.001). Conclusion: Enhancing nursing teamwork is vital for improving patient outcomes and ensuring safety within healthcare settings. The moderate level of teamwork identified highlights the need for targeted interventions, such as training programs focused on communication and collaboration, to foster a more cohesive nursing staff. The observed correlation between teamwork and patient falls suggests that a stronger emphasis on teamwork can directly impact patient safety, emphasizing the importance of creating an environment that encourages collaboration. Additionally, the development and implementation of policies that address specific areas of teamwork, along with ongoing assessments of teamwork dynamics, are essential for sustained improvement. By prioritizing these efforts, healthcare organizations can create a culture of safety and teamwork that ultimately benefits both patients and healthcare providers....
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