[ { "key": "GEKYZ8S2", "version": 19907, "library": { "type": "group", "id": 80289, "name": "SIPED", "links": { "alternate": { "href": "https://www.zotero.org/groups/siped", "type": "text/html" } } }, "links": { "self": { "href": "https://api.zotero.org/groups/80289/items/GEKYZ8S2", "type": "application/json" }, "alternate": { "href": "https://www.zotero.org/groups/siped/items/GEKYZ8S2", "type": "text/html" } }, "meta": { "createdByUser": { "id": 14022664, "username": "TeodoraCHUSJ", "name": "", "links": { "alternate": { "href": "https://www.zotero.org/teodorachusj", "type": "text/html" } } }, "creatorSummary": "Nashwan and Kunjavara", "parsedDate": "2026-04", "numChildren": 0 }, "data": { "key": "GEKYZ8S2", "version": 19907, "itemType": "journalArticle", "title": "Reimagining Nursing Theories in the Age of Artificial Intelligence: Preserving the Human Essence Amid Digital Transformation.", "creators": [ { "creatorType": "author", "firstName": "Abdulqadir", "lastName": "Nashwan" }, { "creatorType": "author", "firstName": "Jibin", "lastName": "Kunjavara" } ], "abstractNote": "The exponential growth of artificial intelligence (AI) in healthcare has sparked both enthusiasm and apprehension within the nursing discipline. While AI promises to enhance clinical efficiency, accuracy, and decision-making, it simultaneously challenges nursing's humanistic foundations, its ethical commitments, relational presence, and caring philosophy. This paper critically examines how classical nursing theories, including those of Nightingale, Peplau, Orem, Roy, and Watson, can be reinterpreted in light of AI's expanding role in clinical practice, education, and research. Building on the epistemological traditions of caring science and adaptation theory, it introduces the AI-Enhanced Caring Adaptation Theory (AI-CAT) as a conceptual framework that situates AI as a collaborative partner in care delivery. AI-CAT conceptualizes the dynamic interaction among the Human Domain (empathy, ethics, and judgment), the AI Domain (data analytics, predictive modeling), and the Adaptive Interface (trust calibration, techno-empathy, and ethical co-agency), yielding augmented caring. The framework asserts that AI can amplify human compassion and moral reasoning when guided by nursing theory and ethical reflection. It also delineates implications for education, practice, and policy, advocating for digital literacy, critical reflection, and equitable AI governance. Ultimately, this discursive theoretical paper argues that the essence of nursing must evolve not by surrendering its humanity to algorithms, but by redefining what it means to care in an intelligent, interconnected world. AI may transform how nurses think, but it must never alter why they care.", "publicationTitle": "Nursing inquiry", "publisher": "", "place": "Australia", "date": "2026 Apr", "volume": "33", "issue": "2", "section": "", "partNumber": "", "partTitle": "", "pages": "e70099", "series": "", "seriesTitle": "", "seriesText": "", "journalAbbreviation": "Nurs Inq", "DOI": "10.1111/nin.70099", "citationKey": "", "url": "", "accessDate": "", "PMID": "41911479", "PMCID": "", "ISSN": "1440-1800 1320-7881", "archive": "", "archiveLocation": "", "shortTitle": "", "language": "eng", "libraryCatalog": "", "callNumber": "", "rights": "© 2026 John Wiley & Sons Ltd.", "extra": "", "tags": [ { "tag": "*Artificial Intelligence/trends" }, { "tag": "*Nursing Theory" }, { "tag": "Empathy" }, { "tag": "Humanism" }, { "tag": "Humans" }, { "tag": "artificial intelligence" }, { "tag": "nursing education" }, { "tag": "nursing ethics" }, { "tag": "nursing technology" }, { "tag": "nursing theory" } ], "collections": [ "KHXEZIW6" ], "relations": { "owl:sameAs": "http://zotero.org/groups/2282886/items/KSKHQ5LW" }, "dateAdded": "2026-04-15T20:10:39Z", "dateModified": "2026-04-15T20:10:39Z" } }, { "key": "VM3P8G75", "version": 19906, "library": { "type": "group", "id": 80289, "name": "SIPED", "links": { "alternate": { "href": "https://www.zotero.org/groups/siped", "type": "text/html" } } }, "links": { "self": { "href": "https://api.zotero.org/groups/80289/items/VM3P8G75", "type": "application/json" }, "alternate": { "href": "https://www.zotero.org/groups/siped/items/VM3P8G75", "type": "text/html" } }, "meta": { "createdByUser": { "id": 14022664, "username": "TeodoraCHUSJ", "name": "", "links": { "alternate": { "href": "https://www.zotero.org/teodorachusj", "type": "text/html" } } }, "creatorSummary": "Cant et al.", "parsedDate": "2026-03-17", "numChildren": 0 }, "data": { "key": "VM3P8G75", "version": 19906, "itemType": "journalArticle", "title": "Artificial Intelligence Technologies in Nursing Clinical Decision-Making: An Umbrella Review.", "creators": [ { "creatorType": "author", "firstName": "Robyn", "lastName": "Cant" }, { "creatorType": "author", "firstName": "Colleen", "lastName": "Ryan" }, { "creatorType": "author", "firstName": "Ritesh", "lastName": "Chugh" } ], "abstractNote": "AIM: To describe contemporary peer-reviewed literature on artificial intelligence in nurses' clinical decision-making. METHODS: An umbrella review of literature reviews. DATA SOURCES: Four major databases were searched for reviews published between 2019 and 2024. RESULTS: Sixteen literature reviews reported on 965 nursing artificial intelligence primary studies. The studies focused on technology development and emerging performance evaluations, whilst real-world testing or implementation in nursing clinical settings was rare. Rigorous comparative analyses were lacking. While artificial intelligence demonstrates promise in decision-making, challenges such as a lack of controlled studies, algorithmic bias, limited reproducibility and insufficient clinical trials hinder its practical impact. Ethical concerns, transparency and patient data privacy issues pose barriers to AI integration in nursing practice. Ethical and legal guidelines for patient privacy are needed and should be taught along with AI literacy training for nurses. CONCLUSIONS: Artificial intelligence has the potential to enhance clinical nursing decision-making, although evidence is limited by too few examples of nurse participation during development. Underutilisation in administrative nursing functions hinders implementation. Nurses should assume a central role in the design and development of AI applications to ensure that these technologies address the realities of nursing practice. With such improvements, artificial intelligence can transform nursing practice, improve nurses' clinical decision-making and ultimately enhance consumer healthcare outcomes. PATIENT OR PUBLIC INVOLVEMENT: No Patient or Public Involvement. REPORTING METHOD: While there is no reporting checklist for umbrella reviews, the PRISMA guide for systematic reviews was followed.", "publicationTitle": "Journal of advanced nursing", "publisher": "", "place": "England", "date": "2026 Mar 17", "volume": "", "issue": "", "section": "", "partNumber": "", "partTitle": "", "pages": "", "series": "", "seriesTitle": "", "seriesText": "", "journalAbbreviation": "J Adv Nurs", "DOI": "10.1111/jan.70579", "citationKey": "", "url": "", "accessDate": "", "PMID": "41841218", "PMCID": "", "ISSN": "1365-2648 0309-2402", "archive": "", "archiveLocation": "", "shortTitle": "", "language": "eng", "libraryCatalog": "", "callNumber": "", "rights": "© 2026 The Author(s). Journal of Advanced Nursing published by John Wiley & Sons Ltd.", "extra": "", "tags": [ { "tag": "artificial intelligence" }, { "tag": "clinical decision‐making" }, { "tag": "data analytics" }, { "tag": "machine learning" }, { "tag": "nursing" } ], "collections": [ "NZIFE5VI" ], "relations": { "owl:sameAs": "http://zotero.org/groups/2282886/items/QPAAJXRE" }, "dateAdded": "2026-04-15T14:29:39Z", "dateModified": "2026-04-15T14:29:39Z" } }, { "key": "UGYIY9T3", "version": 19904, "library": { "type": "group", "id": 80289, "name": "SIPED", "links": { "alternate": { "href": "https://www.zotero.org/groups/siped", "type": "text/html" } } }, "links": { "self": { "href": "https://api.zotero.org/groups/80289/items/UGYIY9T3", "type": "application/json" }, "alternate": { "href": "https://www.zotero.org/groups/siped/items/UGYIY9T3", "type": "text/html" }, "up": { "href": "https://api.zotero.org/groups/80289/items/PLKUWS46", "type": "application/json" } }, "meta": { "createdByUser": { "id": 14022664, "username": "TeodoraCHUSJ", "name": "", "links": { "alternate": { "href": "https://www.zotero.org/teodorachusj", "type": "text/html" } } } }, "data": { "key": "UGYIY9T3", "version": 19904, "parentItem": "PLKUWS46", "itemType": "attachment", "linkMode": "linked_url", "title": "PubMed entry", "accessDate": "2026-04-07T15:41:41Z", "url": "http://www.ncbi.nlm.nih.gov/pubmed/41855475", "note": "", "contentType": "text/html", "charset": "", "tags": [], "relations": { "owl:sameAs": "http://zotero.org/groups/282250/items/2UKZGSFQ" }, "dateAdded": "2026-04-14T19:50:45Z", "dateModified": "2026-04-14T19:50:45Z" } }, { "key": "PLKUWS46", "version": 19903, "library": { "type": "group", "id": 80289, "name": "SIPED", "links": { "alternate": { "href": "https://www.zotero.org/groups/siped", "type": "text/html" } } }, "links": { "self": { "href": "https://api.zotero.org/groups/80289/items/PLKUWS46", "type": "application/json" }, "alternate": { "href": "https://www.zotero.org/groups/siped/items/PLKUWS46", "type": "text/html" } }, "meta": { "createdByUser": { "id": 14022664, "username": "TeodoraCHUSJ", "name": "", "links": { "alternate": { "href": "https://www.zotero.org/teodorachusj", "type": "text/html" } } }, "creatorSummary": "Gorbenko et al.", "parsedDate": "2026-03-19", "numChildren": 1 }, "data": { "key": "PLKUWS46", "version": 19903, "itemType": "journalArticle", "title": "Virtual Nursing Pilot in the Inpatient Setting: Qualitative Evaluation", "creators": [ { "creatorType": "author", "firstName": "Ksenia", "lastName": "Gorbenko" }, { "creatorType": "author", "firstName": "Maria", "lastName": "Bailon" }, { "creatorType": "author", "firstName": "Jordan", "lastName": "Randall" }, { "creatorType": "author", "firstName": "James", "lastName": "Viskochil" }, { "creatorType": "author", "firstName": "Clara", "lastName": "Cualing" }, { "creatorType": "author", "firstName": "Patrick", "lastName": "Healy" }, { "creatorType": "author", "firstName": "Madhu", "lastName": "Mazumdar" }, { "creatorType": "author", "firstName": "Robert", "lastName": "Freeman" } ], "abstractNote": "BACKGROUND: Global nursing shortages require innovative care delivery models. Virtual nursing is a cutting-edge model being explored.\nOBJECTIVE: This study aimed to examine the perspectives of clinical and administrative staff involved in a virtual nursing pilot on a medical-surgical unit and to identify best practices for future adoption.\nMETHODS: We conducted a qualitative evaluation using individual semistructured interviews with virtual and bedside nurses, nurse executives, and IT project managers implementing a virtual nursing pilot program at a medical-surgical unit with 35 private and semiprivate beds at the Mount Sinai Hospital, a 1110-bed acute care hospital in New York, NY. Interviews took place in the spring of 2024 and were completed via phone or Zoom, audio recorded, and professionally transcribed. Participants were selected using purposive sampling. The authors applied an iterative thematic analysis to transcripts using Dedoose. Claude.ai was used to generate code summaries for select codes.\nRESULTS: Of 33 individuals approached, 16 (48.5%) consented to participate. Nine participants were clinical staff (virtual and bedside nurses and nurse managers), and 7 were executive leaders or managers in nursing and informatics. Our analysis identified the following themes: (1) staff attitudes toward virtual nursing shifted from resistance to acceptance over time, (2) direct communication channels between virtual and bedside nurses were critical for efficient care coordination and model adoption, (3) admission and discharge processes evolved throughout the pilot implementation, and (4) adaptable staffing allocations were necessary to accommodate fluctuating patient census and unit demands.\nCONCLUSIONS: The main beneficiaries of this intervention, bedside nurses, found their virtual counterparts helpful following a few adjustments. Participants reported a perceived reduction in administrative burden, uninterrupted completion of clinical tasks, and they felt their overtime was reduced, which all increased their buy-in for this care model. There are several opportunities for improvement, such as real-time communication, unit-specific virtual nurse training, and flexible staffing for high-volume units. Our findings suggest that virtual nursing can address staffing challenges. Calculating the true return on investment for virtual nursing programs will require comprehensive mixed methods evaluations of such outcomes as care team and patient satisfaction, length of stay, readmission prevention, completion of nursing tasks, and reduction in overtime.", "publicationTitle": "JMIR nursing", "publisher": "", "place": "", "date": "2026-03-19", "volume": "9", "issue": "", "section": "", "partNumber": "", "partTitle": "", "pages": "e76994", "series": "", "seriesTitle": "", "seriesText": "", "journalAbbreviation": "JMIR Nurs", "DOI": "10.2196/76994", "citationKey": "", "url": "", "accessDate": "", "PMID": "41855475", "PMCID": "PMC13001998", "ISSN": "2562-7600", "archive": "", "archiveLocation": "", "shortTitle": "Virtual Nursing Pilot in the Inpatient Setting", "language": "eng", "libraryCatalog": "PubMed", "callNumber": "", "rights": "", "extra": "", "tags": [ { "tag": "Adult", "type": 1 }, { "tag": "Attitude of Health Personnel", "type": 1 }, { "tag": "Female", "type": 1 }, { "tag": "Humans", "type": 1 }, { "tag": "Inpatients", "type": 1 }, { "tag": "Male", "type": 1 }, { "tag": "Middle Aged", "type": 1 }, { "tag": "Nursing Staff, Hospital", "type": 1 }, { "tag": "Pilot Projects", "type": 1 }, { "tag": "Qualitative Research", "type": 1 }, { "tag": "care coordination", "type": 1 }, { "tag": "care delivery model", "type": 1 }, { "tag": "change management", "type": 1 }, { "tag": "digital transformation", "type": 1 }, { "tag": "evaluation", "type": 1 }, { "tag": "qualitative", "type": 1 }, { "tag": "staff satisfaction", "type": 1 }, { "tag": "systems integration", "type": 1 }, { "tag": "virtual nursing", "type": 1 } ], "collections": [ "KHXEZIW6" ], "relations": { "owl:sameAs": "http://zotero.org/groups/282250/items/VPKJ89UF" }, "dateAdded": "2026-04-14T19:50:45Z", "dateModified": "2026-04-14T19:50:45Z" } }, { "key": "6KCJU9RZ", "version": 19902, "library": { "type": "group", "id": 80289, "name": "SIPED", "links": { "alternate": { "href": "https://www.zotero.org/groups/siped", "type": "text/html" } } }, "links": { "self": { "href": "https://api.zotero.org/groups/80289/items/6KCJU9RZ", "type": "application/json" }, "alternate": { "href": "https://www.zotero.org/groups/siped/items/6KCJU9RZ", "type": "text/html" }, "up": { "href": "https://api.zotero.org/groups/80289/items/BGJVRHS7", "type": "application/json" } }, "meta": { "createdByUser": { "id": 14022664, "username": "TeodoraCHUSJ", "name": "", "links": { "alternate": { "href": "https://www.zotero.org/teodorachusj", "type": "text/html" } } } }, "data": { "key": "6KCJU9RZ", "version": 19902, "parentItem": "BGJVRHS7", "itemType": "attachment", "linkMode": "linked_url", "title": "PubMed entry", "accessDate": "2026-04-07T16:00:33Z", "url": "http://www.ncbi.nlm.nih.gov/pubmed/41773070", "note": "", "contentType": "text/html", "charset": "", "tags": [], "relations": { "owl:sameAs": "http://zotero.org/groups/282250/items/K5CS3U7V" }, "dateAdded": "2026-04-13T16:33:58Z", "dateModified": "2026-04-13T16:33:58Z" } }, { "key": "BGJVRHS7", "version": 19901, "library": { "type": "group", "id": 80289, "name": "SIPED", "links": { "alternate": { "href": "https://www.zotero.org/groups/siped", "type": "text/html" } } }, "links": { "self": { "href": "https://api.zotero.org/groups/80289/items/BGJVRHS7", "type": "application/json" }, "alternate": { "href": "https://www.zotero.org/groups/siped/items/BGJVRHS7", "type": "text/html" } }, "meta": { "createdByUser": { "id": 14022664, "username": "TeodoraCHUSJ", "name": "", "links": { "alternate": { "href": "https://www.zotero.org/teodorachusj", "type": "text/html" } } }, "creatorSummary": "van Klaveren et al.", "parsedDate": "2026-03", "numChildren": 1 }, "data": { "key": "BGJVRHS7", "version": 19901, "itemType": "journalArticle", "title": "Facilitating Family-Centred Care at the Paediatric Intensive Care Unit: Implementation of a Co-Created Bedside Family Board", "creators": [ { "creatorType": "author", "firstName": "Lisa-Maria", "lastName": "van Klaveren" }, { "creatorType": "author", "firstName": "Barbara", "lastName": "Geven" }, { "creatorType": "author", "firstName": "Rien", "lastName": "de Vos" }, { "creatorType": "author", "firstName": "Job", "lastName": "van Woensel" }, { "creatorType": "author", "firstName": "Vincent", "lastName": "Geukers" } ], "abstractNote": "BACKGROUND: Bedside boards are used in various healthcare settings to support communication but their additional value in facilitating family-centred care (FCC) in the paediatric intensive care unit (PICU) has not been systematically studied.\nAIMS: To evaluate the implementation process of a co-created bedside family board (FB) and assess its effectivity and effectiveness to guide FCC six months following its implementation in the PICU.\nSTUDY DESIGN: Hybrid effectiveness-implementation design type 2, using validated questionnaires, structured observations and self-report surveys complemented by two focus groups and an interview.\nRESULTS: Validated questionnaires indicated high acceptability, appropriateness and feasibility of the FB. Qualitative data highlighted the need for ongoing awareness and integration into daily workflows. Effectivity measures showed that the FB accurately reflected child and family needs, although some items of the FB were used inconsistently, and their relevance varied by developmental stage. Effectiveness results demonstrated that the FB facilitated the inclusion of family perspectives in care planning and shared goal setting, thereby promoting FCC. Professionals and families valued the FB for making care more personal, aligning care with the child's preferences and family experiences, guiding family education and supporting care transitions.\nCONCLUSION: The FB demonstrated to be a practical and effective tool for enriching FCC in the PICU. It standardises the recording and sharing of child and family needs while allowing personalisation. Embedding the FB into standard workflows, sharing responsibility across the interprofessional team including families, and tailoring it to the child's developmental stage, condition and family context are essential for sustained use.\nRELEVANCE TO PRACTICE: A FB empowers families, fosters shared understanding of care goals and enriches collaboration in paediatric critical care settings. Successful implementation requires co-creation, contextual tailoring, integration with existing processes and ongoing training to maintain engagement.", "publicationTitle": "Nursing in Critical Care", "publisher": "", "place": "", "date": "2026-03", "volume": "31", "issue": "2", "section": "", "partNumber": "", "partTitle": "", "pages": "e70411", "series": "", "seriesTitle": "", "seriesText": "", "journalAbbreviation": "Nurs Crit Care", "DOI": "10.1111/nicc.70411", "citationKey": "", "url": "", "accessDate": "", "PMID": "41773070", "PMCID": "PMC12954475", "ISSN": "1478-5153", "archive": "", "archiveLocation": "", "shortTitle": "Facilitating Family-Centred Care at the Paediatric Intensive Care Unit", "language": "eng", "libraryCatalog": "PubMed", "callNumber": "", "rights": "", "extra": "", "tags": [ { "tag": "Child", "type": 1 }, { "tag": "Child, Preschool", "type": 1 }, { "tag": "Communication", "type": 1 }, { "tag": "Family", "type": 1 }, { "tag": "Female", "type": 1 }, { "tag": "Focus Groups", "type": 1 }, { "tag": "Humans", "type": 1 }, { "tag": "Intensive Care Units, Pediatric", "type": 1 }, { "tag": "Male", "type": 1 }, { "tag": "PICU", "type": 1 }, { "tag": "Patient-Centered Care", "type": 1 }, { "tag": "Professional-Family Relations", "type": 1 }, { "tag": "Qualitative Research", "type": 1 }, { "tag": "Surveys and Questionnaires", "type": 1 }, { "tag": "bedside board", "type": 1 }, { "tag": "family participation", "type": 1 }, { "tag": "family‐centred care", "type": 1 }, { "tag": "implementation research", "type": 1 } ], "collections": [ "RI9E3P6Q" ], "relations": { "owl:sameAs": "http://zotero.org/groups/282250/items/2ILIITB5" }, "dateAdded": "2026-04-13T16:33:58Z", "dateModified": "2026-04-13T16:33:58Z" } }, { "key": "94E8STSG", "version": 19900, "library": { "type": "group", "id": 80289, "name": "SIPED", "links": { "alternate": { "href": "https://www.zotero.org/groups/siped", "type": "text/html" } } }, "links": { "self": { "href": "https://api.zotero.org/groups/80289/items/94E8STSG", "type": "application/json" }, "alternate": { "href": "https://www.zotero.org/groups/siped/items/94E8STSG", "type": "text/html" }, "up": { "href": "https://api.zotero.org/groups/80289/items/BIWEJXB7", "type": "application/json" } }, "meta": { "createdByUser": { "id": 14022664, "username": "TeodoraCHUSJ", "name": "", "links": { "alternate": { "href": "https://www.zotero.org/teodorachusj", "type": "text/html" } } } }, "data": { "key": "94E8STSG", "version": 19900, "parentItem": "BIWEJXB7", "itemType": "attachment", "linkMode": "linked_url", "title": "PubMed entry", "accessDate": "2026-04-07T15:41:20Z", "url": "http://www.ncbi.nlm.nih.gov/pubmed/41873497", "note": "", "contentType": "text/html", "charset": "", "tags": [], "relations": { "owl:sameAs": "http://zotero.org/groups/282250/items/XZ5U29MV" }, "dateAdded": "2026-04-13T13:58:40Z", "dateModified": "2026-04-13T13:58:40Z" } }, { "key": "BIWEJXB7", "version": 19899, "library": { "type": "group", "id": 80289, "name": "SIPED", "links": { "alternate": { "href": "https://www.zotero.org/groups/siped", "type": "text/html" } } }, "links": { "self": { "href": "https://api.zotero.org/groups/80289/items/BIWEJXB7", "type": "application/json" }, "alternate": { "href": "https://www.zotero.org/groups/siped/items/BIWEJXB7", "type": "text/html" } }, "meta": { "createdByUser": { "id": 14022664, "username": "TeodoraCHUSJ", "name": "", "links": { "alternate": { "href": "https://www.zotero.org/teodorachusj", "type": "text/html" } } }, "creatorSummary": "Wang et al.", "parsedDate": "2026-12", "numChildren": 1 }, "data": { "key": "BIWEJXB7", "version": 19899, "itemType": "journalArticle", "title": "'Being empathetic to my patients and ourselves': a qualitative process evaluation of READ-Y psychological first aid training for healthcare workers working in routine care", "creators": [ { "creatorType": "author", "firstName": "Ling", "lastName": "Wang" }, { "creatorType": "author", "firstName": "Xizhao", "lastName": "Li" }, { "creatorType": "author", "firstName": "Cailiang", "lastName": "Qiu" }, { "creatorType": "author", "firstName": "Jianjian", "lastName": "Wang" }, { "creatorType": "author", "firstName": "Lina", "lastName": "Zeng" }, { "creatorType": "author", "firstName": "Ting", "lastName": "Liu" }, { "creatorType": "author", "firstName": "Ziqing", "lastName": "Zhong" }, { "creatorType": "author", "firstName": "Yeqing", "lastName": "Wu" }, { "creatorType": "author", "firstName": "Lin", "lastName": "Xu" }, { "creatorType": "author", "firstName": "Yuping", "lastName": "Liu" }, { "creatorType": "author", "firstName": "Mary", "lastName": "Leamy" }, { "creatorType": "author", "firstName": "Muli", "lastName": "Hu" } ], "abstractNote": "Introduction: Healthcare workers (HCWs) are routinely exposed to distressing and potentially traumatic events during frontline care, yet receive limited structure training to manage such exposure. Psychological first aid (PFA) training has been widely disseminated among emergency responders and is increasingly being adapted for HCWs; however, its acceptability, implementation, and use in routine care remain underexplored. This study aimed to explore how an adapted PFA training programme was perceived, implemented, and used by HCWs in routine care, and to identify the mechanisms and contextual factors that influenced its impact.Method: A qualitative process evaluation was conducted alongside the delivery of the READ-Y (Rapport, Evaluation, Aid, Disposition, Yourself) PFA training programme in a Chinese tertiary hospital. Data collection included 3 months of observations of training delivery and 19 semi-structured interviews with HCW trainees, ward managers, and trainers/facilitators. Data were analysed using framework analysis.Results: Training was logistically feasible, consistently delivered, and characterized by high engagement in simulation and debriefing. Key fidelity elements of PFA training were maintained. Five key themes emerged: (1) positive reception of the adapted, blended-format training; (2) PFA was viewed as a pragmatic, stepwise tool for strengthening basic psychosocial support in routine care; (3) reported improvement in empathy, communication, and normalization of self-care among staff; (4) targeted skills development and peer learning as key mechanisms of reported change, fostering a shared language and support; and (5) multi-level contextual enablers (e.g. leadership endorsement, protected time) were identified and structural barriers (e.g. workload, burnout) existed that may hinder uptake.Conclusion: The adapted PFA training programme was perceived as feasible, relevant, and acceptable for HCWs, facilitating the integration of psychosocial support into routine care while promoting their own well-being. System-level integration and longitudinal evaluation of PFA training are recommended to assess sustained impact on patient and staff outcomes.", "publicationTitle": "European Journal of Psychotraumatology", "publisher": "", "place": "", "date": "2026-12", "volume": "17", "issue": "1", "section": "", "partNumber": "", "partTitle": "", "pages": "2627705", "series": "", "seriesTitle": "", "seriesText": "", "journalAbbreviation": "Eur J Psychotraumatol", "DOI": "10.1080/20008066.2026.2627705", "citationKey": "", "url": "", "accessDate": "", "PMID": "41873497", "PMCID": "PMC13015031", "ISSN": "2000-8066", "archive": "", "archiveLocation": "", "shortTitle": "'Being empathetic to my patients and ourselves'", "language": "eng", "libraryCatalog": "PubMed", "callNumber": "", "rights": "", "extra": "", "tags": [ { "tag": "Adult", "type": 1 }, { "tag": "China", "type": 1 }, { "tag": "Empathy", "type": 1 }, { "tag": "Female", "type": 1 }, { "tag": "First Aid", "type": 1 }, { "tag": "Health Personnel", "type": 1 }, { "tag": "Humans", "type": 1 }, { "tag": "Male", "type": 1 }, { "tag": "Primeros auxilios psicológicos", "type": 1 }, { "tag": "Psychological first aid", "type": 1 }, { "tag": "Qualitative Research", "type": 1 }, { "tag": "apoyo psicosocial", "type": 1 }, { "tag": "bienestar del personal", "type": 1 }, { "tag": "evaluación de procesos", "type": 1 }, { "tag": "investigación cualitativa", "type": 1 }, { "tag": "process evaluation", "type": 1 }, { "tag": "psychosocial support", "type": 1 }, { "tag": "qualitative research", "type": 1 }, { "tag": "workforce well-being", "type": 1 } ], "collections": [ "RI9E3P6Q" ], "relations": { "owl:sameAs": "http://zotero.org/groups/282250/items/DIS47HLE" }, "dateAdded": "2026-04-13T13:58:40Z", "dateModified": "2026-04-13T13:58:40Z" } }, { "key": "FKF92UKQ", "version": 19898, "library": { "type": "group", "id": 80289, "name": "SIPED", "links": { "alternate": { "href": "https://www.zotero.org/groups/siped", "type": "text/html" } } }, "links": { "self": { "href": "https://api.zotero.org/groups/80289/items/FKF92UKQ", "type": "application/json" }, "alternate": { "href": "https://www.zotero.org/groups/siped/items/FKF92UKQ", "type": "text/html" }, "up": { "href": "https://api.zotero.org/groups/80289/items/AZMB2WFH", "type": "application/json" } }, "meta": { "createdByUser": { "id": 14022664, "username": "TeodoraCHUSJ", "name": "", "links": { "alternate": { "href": "https://www.zotero.org/teodorachusj", "type": "text/html" } } } }, "data": { "key": "FKF92UKQ", "version": 19898, "parentItem": "AZMB2WFH", "itemType": "attachment", "linkMode": "linked_url", "title": "PubMed entry", "accessDate": "2026-04-07T15:41:47Z", "url": "http://www.ncbi.nlm.nih.gov/pubmed/41804246", "note": "", "contentType": "text/html", "charset": "", "tags": [], "relations": { "owl:sameAs": "http://zotero.org/groups/282250/items/NGASUYAZ" }, "dateAdded": "2026-04-08T14:28:41Z", "dateModified": "2026-04-08T14:28:41Z" } }, { "key": "AZMB2WFH", "version": 19897, "library": { "type": "group", "id": 80289, "name": "SIPED", "links": { "alternate": { "href": "https://www.zotero.org/groups/siped", "type": "text/html" } } }, "links": { "self": { "href": "https://api.zotero.org/groups/80289/items/AZMB2WFH", "type": "application/json" }, "alternate": { "href": "https://www.zotero.org/groups/siped/items/AZMB2WFH", "type": "text/html" } }, "meta": { "createdByUser": { "id": 14022664, "username": "TeodoraCHUSJ", "name": "", "links": { "alternate": { "href": "https://www.zotero.org/teodorachusj", "type": "text/html" } } }, "creatorSummary": "Evans et al.", "parsedDate": "2026-03-10", "numChildren": 1 }, "data": { "key": "AZMB2WFH", "version": 19897, "itemType": "journalArticle", "title": "CPD focus: using the Model for Improvement to enhance the quality of patient care", "creators": [ { "creatorType": "author", "firstName": "Luke", "lastName": "Evans" }, { "creatorType": "author", "firstName": "Kristian", "lastName": "Rennie" }, { "creatorType": "author", "firstName": "Jill", "lastName": "Smith" }, { "creatorType": "author", "firstName": "Laura", "lastName": "Gudefin" } ], "abstractNote": "The Model for Improvement is a quality improvement (QI) method widely use in health and social care. It comprises two stages: first, the QI project team answers three questions to determine what the issue is, decide how improvement will be measured and collate ideas for change; then second, the team conducts plan, do, study, act (PDSA) cycles to test its ideas. Sufficient understanding of this methodology is essential for nurses, particularly nurse leaders and managers, whose roles include fostering QI. This article describes the Model for Improvement and how it can be applied in practice settings. The methodology is illustrated by a fictional case study on a nurse-led QI project for improving tracheostomy care.", "publicationTitle": "Nursing Management", "publisher": "", "place": "Harrow, London, England : 1994", "date": "2026-03-10", "volume": "", "issue": "", "section": "", "partNumber": "", "partTitle": "", "pages": "", "series": "", "seriesTitle": "", "seriesText": "", "journalAbbreviation": "Nurs Manag (Harrow)", "DOI": "10.7748/nm.2026.e2194", "citationKey": "", "url": "", "accessDate": "", "PMID": "41804246", "PMCID": "", "ISSN": "2047-8976", "archive": "", "archiveLocation": "", "shortTitle": "CPD focus", "language": "eng", "libraryCatalog": "PubMed", "callNumber": "", "rights": "", "extra": "", "tags": [ { "tag": "change management", "type": 1 }, { "tag": "innovation", "type": 1 }, { "tag": "management", "type": 1 }, { "tag": "methodology", "type": 1 }, { "tag": "outcome measures", "type": 1 }, { "tag": "quality assurance", "type": 1 }, { "tag": "service improvement", "type": 1 } ], "collections": [ "RI8SDJAM" ], "relations": { "owl:sameAs": "http://zotero.org/groups/282250/items/HIXI5SKI" }, "dateAdded": "2026-04-08T14:28:41Z", "dateModified": "2026-04-08T14:28:41Z" } }, { "key": "VBG8JSJ4", "version": 19880, "library": { "type": "group", "id": 80289, "name": "SIPED", "links": { "alternate": { "href": "https://www.zotero.org/groups/siped", "type": "text/html" } } }, "links": { "self": { "href": "https://api.zotero.org/groups/80289/items/VBG8JSJ4", "type": "application/json" }, "alternate": { "href": "https://www.zotero.org/groups/siped/items/VBG8JSJ4", "type": "text/html" }, "up": { "href": "https://api.zotero.org/groups/80289/items/RH4UQMZ9", "type": "application/json" } }, "meta": { "createdByUser": { "id": 14022664, "username": "TeodoraCHUSJ", "name": "", "links": { "alternate": { "href": "https://www.zotero.org/teodorachusj", "type": "text/html" } } }, "numChildren": 0 }, "data": { "key": "VBG8JSJ4", "version": 19880, "parentItem": "RH4UQMZ9", "itemType": "note", "note": "

research; tables/charts. Journal Subset: Core Nursing; Editorial Board Reviewed; Expert Peer Reviewed; Nursing; Peer Reviewed; USA. Special Interest: Nursing Education. NLM UID: 7705432.

", "tags": [], "relations": {}, "dateAdded": "2026-04-07T19:25:13Z", "dateModified": "2026-04-07T19:30:32Z" } }, { "key": "RH4UQMZ9", "version": 19879, "library": { "type": "group", "id": 80289, "name": "SIPED", "links": { "alternate": { "href": "https://www.zotero.org/groups/siped", "type": "text/html" } } }, "links": { "self": { "href": "https://api.zotero.org/groups/80289/items/RH4UQMZ9", "type": "application/json" }, "alternate": { "href": "https://www.zotero.org/groups/siped/items/RH4UQMZ9", "type": "text/html" } }, "meta": { "createdByUser": { "id": 14022664, "username": "TeodoraCHUSJ", "name": "", "links": { "alternate": { "href": "https://www.zotero.org/teodorachusj", "type": "text/html" } } }, "creatorSummary": "Funk et al.", "parsedDate": "2026", "numChildren": 1 }, "data": { "key": "RH4UQMZ9", "version": 19879, "itemType": "journalArticle", "title": "A Review of Doctor of Nursing Practice Scholarly Projects With International Implementation: Lessons Learned", "creators": [ { "creatorType": "author", "firstName": "Emily M.", "lastName": "Funk" }, { "creatorType": "author", "firstName": "Betsy", "lastName": "Smith" }, { "creatorType": "author", "firstName": "Eleanor", "lastName": "Stevenson" }, { "creatorType": "author", "firstName": "AnnMarie L.", "lastName": "Walton" } ], "abstractNote": "BACKGROUND: Nurses pursuing a Doctor of Nursing Practice (DNP) degree must complete a scholarly project that competently applies evidence-based practice. This review analyzed 31 international DNP projects conducted in a United States school of nursing between 2013 and 2024., METHOD: Extracted data included project title, country, completion year, student involvement (solo or group project), and available publication citations. Informal interviews with project mentors informed identification of key themes and lessons learned., RESULTS: Projects were implemented across 13 countries and submitted for publication. Mentor interviews and project records highlighted the importance of bidirectional partnerships, ethical engagement, sustainability, and institutional support. Barriers included logistical challenges, costs, and navigating ethical approvals., CONCLUSION: Global health offices within academic nursing institutions can facilitate international DNP projects by navigating challenges and fostering bidirectional learning and partnerships. Broader data collection and formal qualitative analysis are needed to strengthen recommendations for international DNP project implementation.", "publicationTitle": "Journal of Nursing Education", "publisher": "", "place": "", "date": "2026", "volume": "65", "issue": "3", "section": "Funk, Emily M. Duke University School of Nursing, Durham, North Carolina. Smith, Betsy. Loudes University, Sylvania, Ohio. Stevenson, Eleanor. Duke University School of Nursing, Durham, North Carolina. Walton, AnnMarie L. Duke University School of Nursing, Durham, North Carolina.", "partNumber": "", "partTitle": "", "pages": "143–148", "series": "", "seriesTitle": "", "seriesText": "", "journalAbbreviation": "", "DOI": "10.3928/01484834-20251031-02", "citationKey": "", "url": "https://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=medl&NEWS=N&AN=41789904", "accessDate": "", "PMID": "", "PMCID": "", "ISSN": "1938-2421 0148-4834", "archive": "Ovid MEDLINE(R)", "archiveLocation": "", "shortTitle": "", "language": "", "libraryCatalog": "", "callNumber": "", "rights": "", "extra": "", "tags": [ { "tag": "*Education, Nursing, Graduate/og [Organization & Administration]" }, { "tag": "Antimicrobial Stewardship" }, { "tag": "Chronic Disease -- Prevention and Control" }, { "tag": "Collaboration" }, { "tag": "Descriptive Research" }, { "tag": "Education, Nursing, Doctoral -- Southeastern United States" }, { "tag": "Health Promotion" }, { "tag": "Human" }, { "tag": "Humans" }, { "tag": "Infection Control" }, { "tag": "International Agencies" }, { "tag": "Interviews" }, { "tag": "Leadership" }, { "tag": "Maternal-Child Health" }, { "tag": "Mental Health" }, { "tag": "Nursing Education Research" }, { "tag": "Patient Safety" }, { "tag": "Program Implementation" }, { "tag": "Quality Improvement" }, { "tag": "Reproductive Health" }, { "tag": "Scholarship" }, { "tag": "Schools, Nursing" }, { "tag": "Southeastern United States" }, { "tag": "Support, Psychosocial" }, { "tag": "Thematic Analysis" }, { "tag": "United States" }, { "tag": "World Health" } ], "collections": [], "relations": { "dc:replaces": "http://zotero.org/groups/80289/items/RDU3BM5I" }, "dateAdded": "2026-04-07T19:18:22Z", "dateModified": "2026-04-07T19:30:32Z" } }, { "key": "LDURBLSB", "version": 19868, "library": { "type": "group", "id": 80289, "name": "SIPED", "links": { "alternate": { "href": "https://www.zotero.org/groups/siped", "type": "text/html" } } }, "links": { "self": { "href": "https://api.zotero.org/groups/80289/items/LDURBLSB", "type": "application/json" }, "alternate": { "href": "https://www.zotero.org/groups/siped/items/LDURBLSB", "type": "text/html" }, "up": { "href": "https://api.zotero.org/groups/80289/items/BAP4B77D", "type": "application/json" } }, "meta": { "createdByUser": { "id": 14022664, "username": "TeodoraCHUSJ", "name": "", "links": { "alternate": { "href": "https://www.zotero.org/teodorachusj", "type": "text/html" } } } }, "data": { "key": "LDURBLSB", "version": 19868, "parentItem": "BAP4B77D", "itemType": "attachment", "linkMode": "linked_url", "title": "PubMed entry", "accessDate": "2026-04-07T19:14:38Z", "url": "http://www.ncbi.nlm.nih.gov/pubmed/41881923", "note": "", "contentType": "text/html", "charset": "", "tags": [], "relations": { "dc:replaces": "http://zotero.org/groups/80289/items/NX7TC9L5" }, "dateAdded": "2026-04-07T19:14:38Z", "dateModified": "2026-04-07T19:30:28Z" } }, { "key": "BAP4B77D", "version": 19867, "library": { "type": "group", "id": 80289, "name": "SIPED", "links": { "alternate": { "href": "https://www.zotero.org/groups/siped", "type": "text/html" } } }, "links": { "self": { "href": "https://api.zotero.org/groups/80289/items/BAP4B77D", "type": "application/json" }, "alternate": { "href": "https://www.zotero.org/groups/siped/items/BAP4B77D", "type": "text/html" } }, "meta": { "createdByUser": { "id": 14022664, "username": "TeodoraCHUSJ", "name": "", "links": { "alternate": { "href": "https://www.zotero.org/teodorachusj", "type": "text/html" } } }, "creatorSummary": "Roush", "parsedDate": "2026-04-01", "numChildren": 1 }, "data": { "key": "BAP4B77D", "version": 19867, "itemType": "journalArticle", "title": "Immigration Crackdown Undermines Immigrants' Health and Well-Being", "creators": [ { "creatorType": "author", "firstName": "Karen", "lastName": "Roush" } ], "abstractNote": "Children are especially harmed by fear of separation from parents.", "publicationTitle": "The American Journal of Nursing", "publisher": "", "place": "", "date": "2026-04-01", "volume": "126", "issue": "4", "section": "", "partNumber": "", "partTitle": "", "pages": "16-17", "series": "", "seriesTitle": "", "seriesText": "", "journalAbbreviation": "Am J Nurs", "DOI": "10.1097/AJN.0000000000000283", "citationKey": "", "url": "", "accessDate": "", "PMID": "41881923", "PMCID": "", "ISSN": "1538-7488", "archive": "", "archiveLocation": "", "shortTitle": "", "language": "eng", "libraryCatalog": "PubMed", "callNumber": "", "rights": "", "extra": "", "tags": [ { "tag": "Child", "type": 1 }, { "tag": "Emigrants and Immigrants", "type": 1 }, { "tag": "Emigration and Immigration", "type": 1 }, { "tag": "Humans", "type": 1 }, { "tag": "United States", "type": 1 } ], "collections": [], "relations": { "dc:replaces": "http://zotero.org/groups/80289/items/5HJPJXGF" }, "dateAdded": "2026-04-07T19:14:37Z", "dateModified": "2026-04-07T19:30:28Z" } }, { "key": "NBLU5P3Q", "version": 19876, "library": { "type": "group", "id": 80289, "name": "SIPED", "links": { "alternate": { "href": "https://www.zotero.org/groups/siped", "type": "text/html" } } }, "links": { "self": { "href": "https://api.zotero.org/groups/80289/items/NBLU5P3Q", "type": "application/json" }, "alternate": { "href": "https://www.zotero.org/groups/siped/items/NBLU5P3Q", "type": "text/html" }, "up": { "href": "https://api.zotero.org/groups/80289/items/U72D5D3N", "type": "application/json" } }, "meta": { "createdByUser": { "id": 14022664, "username": "TeodoraCHUSJ", "name": "", "links": { "alternate": { "href": "https://www.zotero.org/teodorachusj", "type": "text/html" } } } }, "data": { "key": "NBLU5P3Q", "version": 19876, "parentItem": "U72D5D3N", "itemType": "attachment", "linkMode": "linked_url", "title": "PubMed entry", "accessDate": "2026-04-07T19:14:40Z", "url": "http://www.ncbi.nlm.nih.gov/pubmed/41772899", "note": "", "contentType": "text/html", "charset": "", "tags": [], "relations": { "dc:replaces": "http://zotero.org/groups/80289/items/VDMMCF4K" }, "dateAdded": "2026-04-07T19:14:40Z", "dateModified": "2026-04-07T19:30:27Z" } }, { "key": "U72D5D3N", "version": 19875, "library": { "type": "group", "id": 80289, "name": "SIPED", "links": { "alternate": { "href": "https://www.zotero.org/groups/siped", "type": "text/html" } } }, "links": { "self": { "href": "https://api.zotero.org/groups/80289/items/U72D5D3N", "type": "application/json" }, "alternate": { "href": "https://www.zotero.org/groups/siped/items/U72D5D3N", "type": "text/html" } }, "meta": { "createdByUser": { "id": 14022664, "username": "TeodoraCHUSJ", "name": "", "links": { "alternate": { "href": "https://www.zotero.org/teodorachusj", "type": "text/html" } } }, "creatorSummary": "Norberg Wieslander et al.", "parsedDate": "2026-03-02", "numChildren": 1 }, "data": { "key": "U72D5D3N", "version": 19875, "itemType": "journalArticle", "title": "Why children's research assent matters: Exploring three dimensions of autonomy", "creators": [ { "creatorType": "author", "firstName": "Kajsa", "lastName": "Norberg Wieslander" }, { "creatorType": "author", "firstName": "Tove", "lastName": "Godskesen" }, { "creatorType": "author", "firstName": "Anna T.", "lastName": "Höglund" }, { "creatorType": "author", "firstName": "Sara", "lastName": "Frygner-Holm" }, { "creatorType": "author", "firstName": "Niklas", "lastName": "Juth" } ], "abstractNote": "Children's assent is an ethical and legal requirement for research that involves them. Nevertheless, studies suggest that children with cancer are not always involved in research decisions. This raises important ethical questions about how children's participation in assent should be supported and on what ethical grounds. In this paper, we explore three dimensions of autonomy in research with children: autonomy as a right, as a value, and as relational. We argue that it is important not only to respect children's autonomy but to also promote it as a value, by actively supporting children's autonomy. Central to this approach is an understanding of how relationships and trust can both enable and constrain children's autonomy. We suggest that children's autonomy may be supported in practice through capacity-sensitive participation, child-adapted and iterative information provision. This requires ongoing dialogue that is responsive to children's emotional, cognitive, and relational contexts, with particular attention to fears, decision-making challenges, and voluntariness. While concern for the well-being of children with cancer is essential, it should not be used as a justification to exclude them from the assent process. Respect for children as persons should guide recruitment to paediatric oncology research.", "publicationTitle": "Nursing Ethics", "publisher": "", "place": "", "date": "2026-03-02", "volume": "", "issue": "", "section": "", "partNumber": "", "partTitle": "", "pages": "9697330261424347", "series": "", "seriesTitle": "", "seriesText": "", "journalAbbreviation": "Nurs Ethics", "DOI": "10.1177/09697330261424347", "citationKey": "", "url": "", "accessDate": "", "PMID": "41772899", "PMCID": "", "ISSN": "1477-0989", "archive": "", "archiveLocation": "", "shortTitle": "Why children's research assent matters", "language": "eng", "libraryCatalog": "PubMed", "callNumber": "", "rights": "", "extra": "", "tags": [ { "tag": "assent", "type": 1 }, { "tag": "children", "type": 1 }, { "tag": "clinical trials", "type": 1 }, { "tag": "healthcare professionals", "type": 1 }, { "tag": "informed consent", "type": 1 }, { "tag": "paediatric oncology", "type": 1 } ], "collections": [], "relations": { "dc:replaces": "http://zotero.org/groups/80289/items/7ZMWX7TE" }, "dateAdded": "2026-04-07T19:14:37Z", "dateModified": "2026-04-07T19:30:27Z" } }, { "key": "ASINZV32", "version": 19878, "library": { "type": "group", "id": 80289, "name": "SIPED", "links": { "alternate": { "href": "https://www.zotero.org/groups/siped", "type": "text/html" } } }, "links": { "self": { "href": "https://api.zotero.org/groups/80289/items/ASINZV32", "type": "application/json" }, "alternate": { "href": "https://www.zotero.org/groups/siped/items/ASINZV32", "type": "text/html" }, "up": { "href": "https://api.zotero.org/groups/80289/items/FL8PPH8L", "type": "application/json" } }, "meta": { "createdByUser": { "id": 14022664, "username": "TeodoraCHUSJ", "name": "", "links": { "alternate": { "href": "https://www.zotero.org/teodorachusj", "type": "text/html" } } } }, "data": { "key": "ASINZV32", "version": 19878, "parentItem": "FL8PPH8L", "itemType": "attachment", "linkMode": "linked_url", "title": "PubMed entry", "accessDate": "2026-04-07T19:14:41Z", "url": "http://www.ncbi.nlm.nih.gov/pubmed/41639700", "note": "", "contentType": "text/html", "charset": "", "tags": [], "relations": { "dc:replaces": "http://zotero.org/groups/80289/items/4DJUF6GE" }, "dateAdded": "2026-04-07T19:14:41Z", "dateModified": "2026-04-07T19:30:26Z" } }, { "key": "FL8PPH8L", "version": 19877, "library": { "type": "group", "id": 80289, "name": "SIPED", "links": { "alternate": { "href": "https://www.zotero.org/groups/siped", "type": "text/html" } } }, "links": { "self": { "href": "https://api.zotero.org/groups/80289/items/FL8PPH8L", "type": "application/json" }, "alternate": { "href": "https://www.zotero.org/groups/siped/items/FL8PPH8L", "type": "text/html" } }, "meta": { "createdByUser": { "id": 14022664, "username": "TeodoraCHUSJ", "name": "", "links": { "alternate": { "href": "https://www.zotero.org/teodorachusj", "type": "text/html" } } }, "creatorSummary": "Karakoç and Ozkan", "parsedDate": "2026-02-05", "numChildren": 1 }, "data": { "key": "FL8PPH8L", "version": 19877, "itemType": "journalArticle", "title": "The effect of wearable simulated birth model on students' empathy and privacy protection levels: a randomised controlled trial", "creators": [ { "creatorType": "author", "firstName": "Hediye", "lastName": "Karakoç" }, { "creatorType": "author", "firstName": "Hava", "lastName": "Ozkan" } ], "abstractNote": "BACKGROUND: Simulation-based education is widely used to enhance clinical competence and communication skills in health professions. However, limited evidence exists on combined educational models that integrate simulation with structured counseling to strengthen empathy and privacy protection among midwifery students.\nMETHODS: This randomized controlled trial examined the effects of a two-component educational intervention-wearable birth simulation followed by seven weeks of structured counseling-on students' empathic tendency and privacy protection competencies. A total of 105 final-year midwifery students were randomly assigned to three groups: normal birth simulation (n = 35), breech birth simulation (n = 35), and control (n = 35). Data were collected at four time points using the Empathic Tendency Scale and the Privacy Protection in Obstetrics and Gynecology Scale. Mixed-model analyses were applied.\nRESULTS: Students in the breech birth simulation group demonstrated significantly higher empathy scores compared with the control group (p = 0.025). Across all groups, empathy and privacy awareness increased significantly over time (p < 0.001). However, the intervention did not produce significant improvements in the frequency of applying privacy-protective behaviors (p > 0.05).\nCONCLUSIONS: The combined intervention-simulation followed by structured counseling-enhanced students' empathy and awareness regarding privacy protection, although behavioral change did not occur to the same extent. Integrating multi-component educational strategies into midwifery curricula may strengthen both emotional and cognitive dimensions of respectful maternity care.\nTRIAL REGISTRATION: ClinicalTrials.gov, NCT05864859. Registered on 05 May 2023.", "publicationTitle": "BMC medical education", "publisher": "", "place": "", "date": "2026-02-05", "volume": "26", "issue": "1", "section": "", "partNumber": "", "partTitle": "", "pages": "383", "series": "", "seriesTitle": "", "seriesText": "", "journalAbbreviation": "BMC Med Educ", "DOI": "10.1186/s12909-025-08441-8", "citationKey": "", "url": "", "accessDate": "", "PMID": "41639700", "PMCID": "PMC12964823", "ISSN": "1472-6920", "archive": "", "archiveLocation": "", "shortTitle": "The effect of wearable simulated birth model on students' empathy and privacy protection levels", "language": "eng", "libraryCatalog": "PubMed", "callNumber": "", "rights": "", "extra": "", "tags": [ { "tag": "Adult", "type": 1 }, { "tag": "Clinical Competence", "type": 1 }, { "tag": "Empathy", "type": 1 }, { "tag": "Female", "type": 1 }, { "tag": "Humans", "type": 1 }, { "tag": "Midwifery", "type": 1 }, { "tag": "Midwifery education", "type": 1 }, { "tag": "Nursing", "type": 1 }, { "tag": "Obstetrics", "type": 1 }, { "tag": "Pregnancy", "type": 1 }, { "tag": "Privacy", "type": 1 }, { "tag": "Simulation Training", "type": 1 }, { "tag": "Simulation training", "type": 1 }, { "tag": "Students", "type": 1 }, { "tag": "Students, Nursing", "type": 1 }, { "tag": "Young Adult", "type": 1 } ], "collections": [], "relations": { "dc:replaces": "http://zotero.org/groups/80289/items/N7MABKM9" }, "dateAdded": "2026-04-07T19:14:37Z", "dateModified": "2026-04-07T19:30:26Z" } }, { "key": "Q54STZ4E", "version": 19872, "library": { "type": "group", "id": 80289, "name": "SIPED", "links": { "alternate": { "href": "https://www.zotero.org/groups/siped", "type": "text/html" } } }, "links": { "self": { "href": "https://api.zotero.org/groups/80289/items/Q54STZ4E", "type": "application/json" }, "alternate": { "href": "https://www.zotero.org/groups/siped/items/Q54STZ4E", "type": "text/html" }, "up": { "href": "https://api.zotero.org/groups/80289/items/3LDVCWBP", "type": "application/json" } }, "meta": { "createdByUser": { "id": 14022664, "username": "TeodoraCHUSJ", "name": "", "links": { "alternate": { "href": "https://www.zotero.org/teodorachusj", "type": "text/html" } } } }, "data": { "key": "Q54STZ4E", "version": 19872, "parentItem": "3LDVCWBP", "itemType": "attachment", "linkMode": "linked_url", "title": "PubMed entry", "accessDate": "2026-04-07T19:14:39Z", "url": "http://www.ncbi.nlm.nih.gov/pubmed/41789680", "note": "", "contentType": "text/html", "charset": "", "tags": [], "relations": { "dc:replaces": "http://zotero.org/groups/80289/items/JZD6TYG9" }, "dateAdded": "2026-04-07T19:14:39Z", "dateModified": "2026-04-07T19:30:25Z" } }, { "key": "3LDVCWBP", "version": 19871, "library": { "type": "group", "id": 80289, "name": "SIPED", "links": { "alternate": { "href": "https://www.zotero.org/groups/siped", "type": "text/html" } } }, "links": { "self": { "href": "https://api.zotero.org/groups/80289/items/3LDVCWBP", "type": "application/json" }, "alternate": { "href": "https://www.zotero.org/groups/siped/items/3LDVCWBP", "type": "text/html" } }, "meta": { "createdByUser": { "id": 14022664, "username": "TeodoraCHUSJ", "name": "", "links": { "alternate": { "href": "https://www.zotero.org/teodorachusj", "type": "text/html" } } }, "creatorSummary": "Huang et al.", "parsedDate": "2026-03-06", "numChildren": 1 }, "data": { "key": "3LDVCWBP", "version": 19871, "itemType": "journalArticle", "title": "Narrative therapy group intervention for nurses' moral resilience: A feasibility study", "creators": [ { "creatorType": "author", "firstName": "Qiufeng", "lastName": "Huang" }, { "creatorType": "author", "firstName": "Shiyi", "lastName": "Li" }, { "creatorType": "author", "firstName": "Chengfeng", "lastName": "Lin" }, { "creatorType": "author", "firstName": "Ting", "lastName": "Du" }, { "creatorType": "author", "firstName": "Zhe", "lastName": "Shen" }, { "creatorType": "author", "firstName": "Zhihui", "lastName": "Zheng" } ], "abstractNote": "BackgroundEthically complex care exposes nurses to persistent moral distress, harming well-being, integrity, and care quality. Moral resilience offers a targeted response, but intervention evidence is scarce. Because narrative therapy enables meaning-making and identity re-authoring, it may cultivate moral agency and integrity.AimTo develop and refine a narrative therapy-based group intervention for nurses' moral resilience and to examine its feasibility and acceptability in a pilot study, with exploratory assessment of outcome trends.DesignA preliminary group intervention program aimed at supporting nurses' moral resilience was initially developed through a literature review based on evidence-based principles. The Delphi method and a pilot study were subsequently employed to refine and finalize the intervention program.Participants and research contextEleven experts from seven provinces in China participated in the Delphi process, bringing diverse disciplinary and regional perspectives. Feasibility was examined with five clinical orthopaedic nurses, who completed outcome assessments at baseline, immediately post-intervention, and 1 month later, alongside evaluations of intervention acceptability.Ethical considerationsThis study was approved by the ethical board of Quanzhou Orthopedic - Traumatological Hospital (Approval No. IRB-2023-047).FindingsNine studies informed the development of the initial intervention draft, which was refined through two rounds of Delphi consultation with eleven experts. The finalized Nurse-MRNT (Moral Resilience Narrative Therapy for Nurses) comprised four thematic modules: Professional Journey, Journey Obstacles I & II, Journey Strategies, and Journey Reflections. In the pilot study, descriptive trends suggested short-term improvements in mental health and occupational burnout and reductions in moral distress. Moral resilience scores increased from pre- to post-intervention; however, the overall change across the three assessment time points was not statistically significant in this small pilot sample.ConclusionThe narrative group intervention (Nurse-MRNT) was developed through a rigorous, theory-informed process and showed good feasibility and acceptability in this pilot study. Larger controlled studies are warranted to evaluate its effectiveness and sustainability.", "publicationTitle": "Nursing Ethics", "publisher": "", "place": "", "date": "2026-03-06", "volume": "", "issue": "", "section": "", "partNumber": "", "partTitle": "", "pages": "9697330261428609", "series": "", "seriesTitle": "", "seriesText": "", "journalAbbreviation": "Nurs Ethics", "DOI": "10.1177/09697330261428609", "citationKey": "", "url": "", "accessDate": "", "PMID": "41789680", "PMCID": "", "ISSN": "1477-0989", "archive": "", "archiveLocation": "", "shortTitle": "Narrative therapy group intervention for nurses' moral resilience", "language": "eng", "libraryCatalog": "PubMed", "callNumber": "", "rights": "", "extra": "", "tags": [ { "tag": "group narrative therapy", "type": 1 }, { "tag": "intervention development", "type": 1 }, { "tag": "moral distress", "type": 1 }, { "tag": "moral resilience", "type": 1 }, { "tag": "narrative therapy", "type": 1 } ], "collections": [], "relations": { "dc:replaces": "http://zotero.org/groups/80289/items/ZZWQA663" }, "dateAdded": "2026-04-07T19:14:37Z", "dateModified": "2026-04-07T19:30:25Z" } }, { "key": "ZEDQ9SLF", "version": 19874, "library": { "type": "group", "id": 80289, "name": "SIPED", "links": { "alternate": { "href": "https://www.zotero.org/groups/siped", "type": "text/html" } } }, "links": { "self": { "href": "https://api.zotero.org/groups/80289/items/ZEDQ9SLF", "type": "application/json" }, "alternate": { "href": "https://www.zotero.org/groups/siped/items/ZEDQ9SLF", "type": "text/html" }, "up": { "href": "https://api.zotero.org/groups/80289/items/YQ4NQUXG", "type": "application/json" } }, "meta": { "createdByUser": { "id": 14022664, "username": "TeodoraCHUSJ", "name": "", "links": { "alternate": { "href": "https://www.zotero.org/teodorachusj", "type": "text/html" } } } }, "data": { "key": "ZEDQ9SLF", "version": 19874, "parentItem": "YQ4NQUXG", "itemType": "attachment", "linkMode": "linked_url", "title": "PubMed entry", "accessDate": "2026-04-07T19:14:40Z", "url": "http://www.ncbi.nlm.nih.gov/pubmed/41784622", "note": "", "contentType": "text/html", "charset": "", "tags": [], "relations": { "dc:replaces": "http://zotero.org/groups/80289/items/DP64EIHB" }, "dateAdded": "2026-04-07T19:14:40Z", "dateModified": "2026-04-07T19:30:24Z" } }, { "key": "YQ4NQUXG", "version": 19873, "library": { "type": "group", "id": 80289, "name": "SIPED", "links": { "alternate": { "href": "https://www.zotero.org/groups/siped", "type": "text/html" } } }, "links": { "self": { "href": "https://api.zotero.org/groups/80289/items/YQ4NQUXG", "type": "application/json" }, "alternate": { "href": "https://www.zotero.org/groups/siped/items/YQ4NQUXG", "type": "text/html" } }, "meta": { "createdByUser": { "id": 14022664, "username": "TeodoraCHUSJ", "name": "", "links": { "alternate": { "href": "https://www.zotero.org/teodorachusj", "type": "text/html" } } }, "creatorSummary": "Hernández-Martínez et al.", "parsedDate": "2026-03-05", "numChildren": 1 }, "data": { "key": "YQ4NQUXG", "version": 19873, "itemType": "journalArticle", "title": "Informed consent and obstetric violence: Women's experiences of childbirth", "creators": [ { "creatorType": "author", "firstName": "Antonio", "lastName": "Hernández-Martínez" }, { "creatorType": "author", "firstName": "Victoriano", "lastName": "González-Trujillo" }, { "creatorType": "author", "firstName": "Miriam", "lastName": "Donate-Manzanares" }, { "creatorType": "author", "firstName": "Nuria", "lastName": "Infante-Torres" }, { "creatorType": "author", "firstName": "Julian", "lastName": "Rodríguez-Almagro" }, { "creatorType": "author", "firstName": "Juan Miguel", "lastName": "Martínez-Galiano" } ], "abstractNote": "BackgroundObstetric violence is a widespread form of institutional abuse that violates women's sexual and reproductive rights during childbirth. Although informed consent is a fundamental ethical, legal, and human right requiring adequate information and active participation, it is frequently absent or incomplete, even in non-emergency obstetric care.AimTo identify which clinical practices, according to their context (emergency or routine) and the presence or absence of informed consent, are associated with higher perceptions of obstetric violence. Additionally, it is to assess the influence of professional treatment on these perceptions.Research designCross-sectional observational study.Participantsand research context: 2,367 women who gave birth in Spanish public hospitals. Perceptions of obstetric violence and quality of care were measured using the Childbirth Abuse and Respect Evaluation-Maternal Questionnaire (CARE-MQ) and the Quality from the Patient's Perspective-Intrapartal Questionnaire (QPP-I).Ethical ConsiderationsThe study was approved by the Clinical Research Ethics Committee of Reina Sofía University Hospital of Córdoba and by the ethics committees of Ciudad Real University Hospital and Mancha-Centro Hospital.FindingsClinical practices performed without informed consent or adequate information were significantly associated with higher CARE-MQ scores (p < .001). Procedures such as episiotomy and oxytocin administration, when carried out outside emergency situations, had a particularly strong impact on perceptions of abuse. Negative evaluations of professional treatment were also significantly associated with higher CARE-MQ scores (p < .001). Midwives received the highest ratings among healthcare professionals.ConclusionThe absence of informed consent is a key determinant of women's perceptions of obstetric violence, regardless of clinical context. Identifying procedures with low consent rates and highlighting the protective role of respectful professional behavior, particularly midwife-led care, provides actionable targets to improve maternity services. Strengthening communication, ethical training, and midwife-led models is essential to promote respectful maternity care and safeguard women's rights during childbirth.", "publicationTitle": "Nursing Ethics", "publisher": "", "place": "", "date": "2026-03-05", "volume": "", "issue": "", "section": "", "partNumber": "", "partTitle": "", "pages": "9697330261418159", "series": "", "seriesTitle": "", "seriesText": "", "journalAbbreviation": "Nurs Ethics", "DOI": "10.1177/09697330261418159", "citationKey": "", "url": "", "accessDate": "", "PMID": "41784622", "PMCID": "", "ISSN": "1477-0989", "archive": "", "archiveLocation": "", "shortTitle": "Informed consent and obstetric violence", "language": "eng", "libraryCatalog": "PubMed", "callNumber": "", "rights": "", "extra": "", "tags": [ { "tag": "humanized childbirth", "type": 1 }, { "tag": "informed consent", "type": 1 }, { "tag": "obstetric care", "type": 1 }, { "tag": "obstetric violence", "type": 1 }, { "tag": "professional-patient relationships", "type": 1 }, { "tag": "women’s perceptions", "type": 1 } ], "collections": [], "relations": { "dc:replaces": "http://zotero.org/groups/80289/items/GS43NBZR" }, "dateAdded": "2026-04-07T19:14:37Z", "dateModified": "2026-04-07T19:30:24Z" } }, { "key": "TH9M9H3D", "version": 19870, "library": { "type": "group", "id": 80289, "name": "SIPED", "links": { "alternate": { "href": "https://www.zotero.org/groups/siped", "type": "text/html" } } }, "links": { "self": { "href": "https://api.zotero.org/groups/80289/items/TH9M9H3D", "type": "application/json" }, "alternate": { "href": "https://www.zotero.org/groups/siped/items/TH9M9H3D", "type": "text/html" }, "up": { "href": "https://api.zotero.org/groups/80289/items/SJJTRXGB", "type": "application/json" } }, "meta": { "createdByUser": { "id": 14022664, "username": "TeodoraCHUSJ", "name": "", "links": { "alternate": { "href": "https://www.zotero.org/teodorachusj", "type": "text/html" } } } }, "data": { "key": "TH9M9H3D", "version": 19870, "parentItem": "SJJTRXGB", "itemType": "attachment", "linkMode": "linked_url", "title": "PubMed entry", "accessDate": "2026-04-07T19:14:39Z", "url": "http://www.ncbi.nlm.nih.gov/pubmed/41816986", "note": "", "contentType": "text/html", "charset": "", "tags": [], "relations": { "dc:replaces": "http://zotero.org/groups/80289/items/HLICFKFS" }, "dateAdded": "2026-04-07T19:14:39Z", "dateModified": "2026-04-07T19:30:23Z" } }, { "key": "SJJTRXGB", "version": 19869, "library": { "type": "group", "id": 80289, "name": "SIPED", "links": { "alternate": { "href": "https://www.zotero.org/groups/siped", "type": "text/html" } } }, "links": { "self": { "href": "https://api.zotero.org/groups/80289/items/SJJTRXGB", "type": "application/json" }, "alternate": { "href": "https://www.zotero.org/groups/siped/items/SJJTRXGB", "type": "text/html" } }, "meta": { "createdByUser": { "id": 14022664, "username": "TeodoraCHUSJ", "name": "", "links": { "alternate": { "href": "https://www.zotero.org/teodorachusj", "type": "text/html" } } }, "creatorSummary": "El-Monshed et al.", "parsedDate": "2026-03-12", "numChildren": 1 }, "data": { "key": "SJJTRXGB", "version": 19869, "itemType": "journalArticle", "title": "Shielding Against Academic Burnout: How Empathy and Emotion Regulation Safeguard Nursing Students in the Middle East", "creators": [ { "creatorType": "author", "firstName": "Ahmed Hashem", "lastName": "El-Monshed" }, { "creatorType": "author", "firstName": "Marwan", "lastName": "Altheeb" }, { "creatorType": "author", "firstName": "Ahmed", "lastName": "Loutfy" }, { "creatorType": "author", "firstName": "Sameer A.", "lastName": "Alkubati" }, { "creatorType": "author", "firstName": "Leena Mohamed", "lastName": "Khonji" }, { "creatorType": "author", "firstName": "Magda Mohamed", "lastName": "Bayoumi" }, { "creatorType": "author", "firstName": "Hala Mohamed", "lastName": "Sanad" }, { "creatorType": "author", "firstName": "Rasha Salah", "lastName": "Eweida" }, { "creatorType": "author", "firstName": "Ahmed Salah", "lastName": "Ali" }, { "creatorType": "author", "firstName": "Moustafa Tag El-Melook", "lastName": "Saad" }, { "creatorType": "author", "firstName": "Heba Emad", "lastName": "El-Gazar" }, { "creatorType": "author", "firstName": "Sara Mohamed", "lastName": "Fayed" }, { "creatorType": "author", "firstName": "Hasan", "lastName": "Abualruz" }, { "creatorType": "author", "firstName": "Bander", "lastName": "Albagawi" }, { "creatorType": "author", "firstName": "Awatif M.", "lastName": "Alrasheeday" }, { "creatorType": "author", "firstName": "Fatma Refaat", "lastName": "Ahmed" }, { "creatorType": "author", "firstName": "Saddam Ahmed", "lastName": "Al-Ahdal" }, { "creatorType": "author", "firstName": "Ali D.", "lastName": "Abousoliman" }, { "creatorType": "author", "firstName": "Basma", "lastName": "Salameh" }, { "creatorType": "author", "firstName": "Amina", "lastName": "Elzeiny" }, { "creatorType": "author", "firstName": "Mohamed Ali", "lastName": "Zoromba" } ], "abstractNote": "BACKGROUND: Academic burnout is a critical issue in nursing education. Empathy and emotion regulation (ER) are potential protective factors, but their interplay is poorly understood in Middle Eastern contexts.\nPURPOSE: The aim was to examine the relationships between academic burnout, empathy, and ER among nursing students in the Middle East, testing ER as a mediator and moderator.\nMETHODS: A cross-sectional survey of 1562 nursing students from 6 Middle Eastern countries was conducted.\nRESULTS: Higher empathy predicted lower academic fatigue (β = -.152) and disengagement (β = -.180) and higher perceived academic performance (β =.207). ER mediated the effects of empathy on disengagement and performance and significantly moderated the empathy-fatigue relationship.\nCONCLUSIONS: Empathy protects against burnout, but its efficacy depends on ER skills and cultural context. Integrating ER training into nursing curricula is essential to cultivate student resilience and sustainable practice.", "publicationTitle": "Nurse Educator", "publisher": "", "place": "", "date": "2026-03-12", "volume": "", "issue": "", "section": "", "partNumber": "", "partTitle": "", "pages": "", "series": "", "seriesTitle": "", "seriesText": "", "journalAbbreviation": "Nurse Educ", "DOI": "10.1097/NNE.0000000000002143", "citationKey": "", "url": "", "accessDate": "", "PMID": "41816986", "PMCID": "", "ISSN": "1538-9855", "archive": "", "archiveLocation": "", "shortTitle": "Shielding Against Academic Burnout", "language": "eng", "libraryCatalog": "PubMed", "callNumber": "", "rights": "", "extra": "", "tags": [ { "tag": "cross-cultural", "type": 1 }, { "tag": "psychological stress", "type": 1 }, { "tag": "resilience", "type": 1 }, { "tag": "undergraduate nursing education", "type": 1 } ], "collections": [], "relations": { "dc:replaces": "http://zotero.org/groups/80289/items/YJRZHYH2" }, "dateAdded": "2026-04-07T19:14:37Z", "dateModified": "2026-04-07T19:30:23Z" } }, { "key": "C7XW6VFB", "version": 19866, "library": { "type": "group", "id": 80289, "name": "SIPED", "links": { "alternate": { "href": "https://www.zotero.org/groups/siped", "type": "text/html" } } }, "links": { "self": { "href": "https://api.zotero.org/groups/80289/items/C7XW6VFB", "type": "application/json" }, "alternate": { "href": "https://www.zotero.org/groups/siped/items/C7XW6VFB", "type": "text/html" }, "up": { "href": "https://api.zotero.org/groups/80289/items/5BQRPLTZ", "type": "application/json" } }, "meta": { "createdByUser": { "id": 14022664, "username": "TeodoraCHUSJ", "name": "", "links": { "alternate": { "href": "https://www.zotero.org/teodorachusj", "type": "text/html" } } }, "numChildren": 0 }, "data": { "key": "C7XW6VFB", "version": 19866, "parentItem": "5BQRPLTZ", "itemType": "note", "note": "

research; systematic review. Journal Subset: Core Nursing; Double Blind Peer Reviewed; Editorial Board Reviewed; Expert Peer Reviewed; Nursing; Peer Reviewed; USA. Special Interest: Evidence-Based Practice; Pediatric Care. Instrumentation: AMSTAR 2. NLM UID: 8607529.

", "tags": [], "relations": {}, "dateAdded": "2026-04-07T19:25:13Z", "dateModified": "2026-04-07T19:30:19Z" } } ]