This qualitative study examined self-care experiences and influencing factors among patients undergoing hemodialysis in Ghana using the Middle-Range Theory of Self-Care of Chronic Illness. Fourteen participants were interviewed on self-care practices. Thematic analysis revealed 12 themes reflecting the theory's components. Patients were on hemodialysis for at least 3 months. Self-care maintenance included rest and recovery, fluid and dietary practices. Monitoring included self-monitoring and reporting, and monitoring at the hospital. Management included care evaluation and modification. Influencing factors were barriers to self-care, support systems, sociodemographics, and clinical/health-related. Findings suggest nurses and health care workers should address these factors through tailored interventions.

Marginalization in nursing education is widely recognized but often measured using unidimensional indicators that limit understanding of its complexity. To examine the multidimensional structure of marginalization and differences across academic stages and identity groups using the Englund Marginality Index. Cross-sectional analysis of a national sample of undergraduate students, graduate students, and faculty (N = 10 095) using repeated-measures multivariate analysis of variance to examine domain-level differences and interactions. Marginalization varied across domains, differed by academic stage, and showed the strongest effects for race and language status. Marginalization is multidimensional and restructured across contexts, supporting domain-level approaches to understanding inequity.

This descriptive survey study examined nursing professionalism, compassion competence, and factors influencing the happiness index among shift-working nurses based on Authentic Happiness Theory. Data were collected from 208 nurses at a university hospital in Seoul and analyzed using descriptive statistics, correlation analysis, and multiple regression. The happiness index was significantly associated with nursing professionalism and compassion competence, which were also positively correlated. Nursing professionalism, compassion competence, gender, and marital status were identified as significant predictors of the happiness index, explaining 37% of the variance.

Mothers of preterm infants experience sustained stress during neonatal intensive care unit hospitalization and the transition to home. Feeding represents one of the earliest caregiving contexts in which maternal stress and infant regulatory capacity converge, yet these processes are typically examined separately. This article proposes the stress-feeding model, an integrated biopsychosocial framework linking maternal stress appraisal, feeding behavior, infant physiological and behavioral regulation, and feedback to maternal perceived competence. The model conceptualizes feeding as a recurring regulatory micro-context and delineates recursive pathways through which maternal appraisal, caregiving behavior, and infant responses shape dyadic regulation. The framework generates testable propositions to guide research and nurse-led interventions.

This study examined participant perceptions and engagement with SIMPLE HEALTH, a 12-week mobile technology-based workplace health promotion program designed for sedentary employees. Using a mixed-methods process evaluation, we examined usability, acceptability, interaction with its components, perceived benefits, and implementation fidelity. Participants reported positive experiences with the platform's design, tailored features, and supportive elements, along with suggestions for enhancement. All scheduled program elements were delivered as intended. Findings offer insights for optimizing multicomponent digital health programs in workplaces and highlight opportunities for occupational health professionals to adapt and scale such programs to promote healthier and more supportive workplace environments.

This 12-week randomized controlled trial evaluated a nurse-led mHealth intervention for patients with chronic heart failure, conceptually informed by Riegel's middle-range theory of self-care of chronic illness. The program integrated wearable activity tracking with weekly nurse-led behavioral coaching, reflecting the core self-care processes of monitoring, maintenance, and management. Compared with usual care, the intervention significantly improved daily step count, 6-minute walk distance, metabolic equivalents, and left ventricular ejection fraction. Findings highlight the effectiveness of theory-informed, nurse-delivered mHealth strategies in enhancing physical activity and cardiopulmonary function, while underscoring the critical role of advanced practice nurses in home-based chronic disease management.

Poor sleep quality impacts cognition, emotions, and immunity. This study evaluated the efficacy of auricular acupressure in improving sleep conditions. Eighty-eight women aged ≥40 years with insomnia were randomly assigned to acupoint, sham, or comparison groups. Magnetic pellets were applied to heart, liver, and shenmen acupoints for the acupoint group and were offset by 1 to 2 cm for the sham group. Participants pressed pellets thrice daily for 1 month. In the acupoint and sham groups, insomnia was reduced and sleep quality improved dramatically in the acupoint group at 4 weeks. Auricular acupressure may improve sleep and support equitable, cultural patient-centered care.

This cross-sectional study examined associations among work-related characteristics, sleep problems, and metabolic syndrome in Taiwanese workers. A total of 348 workers undergoing routine occupational health examinations were analyzed using multivariate logistic regression. The prevalence of metabolic syndrome was 26.4%, higher in men (33.3%) than in women (19.3%). Among women, shift work and body mass index were associated with metabolic syndrome, whereas among men, sleep disturbances, sleep latency, and body mass index were significant predictors. These findings suggest sex-specific pathways linking occupational conditions, sleep characteristics, and metabolic risk and highlight the importance of targeted occupational health nursing interventions.

Iitsim'kaatsita is a four-phase study grounded in Indigenous Research Methodologies that explores how nursing can mitigate perinatal health inequities experienced by Indigenous women. This paper presents findings from Phase 2: a survey of Blackfoot women's experiences with perinatal nursing care in southern Alberta, Canada. Of the participants (n = 107), 68 contributed written responses. Women reported discrimination, surveillance, and cultural exclusion, but also expressed agency, resistance, and relational strength. This study adds the voices of Blackfoot women to nursing scholarship and calls for a shift from cultural sensitivity/competency toward culturally safe, accountable, equity-oriented care rooted in Indigenous sovereignty and guided by Blackfoot values.

New infectious disease outbreaks underscore the importance of infection prevention and control (IPC) for health care safety. This study examined IPC knowledge, attitudes, practices, and motivation among 140 nursing students. Validated questionnaires assessed these variables, with data analyzed using Mann-Whitney, Kruskal-Wallis tests, Spearman correlation, and regression. Results showed limited proficiency in IPC practices and knowledge of precautions, despite positive attitudes and high motivation. Attitude predicted motivation for IPC compliance. Targeted training programs are needed to improve students' IPC skills. Simulation-based learning, reflective practices, role modeling, and peer-led activities can enhance proficiency, ensuring patient safety and professional accountability.