Background: Nurses experience the highest levels of workplace violence, which threatens staff safety and the quality of patient care. This systematic review and meta-analysis aimed to estimate the prevalence of workplace violence among Thai nurses and to examine potential factors influencing its occurrence. Methods: Four databases (PubMed, CINAHL Plus, Scopus, and MEDLINE) were searched through October 15, 2025, along with Thai Journals Online to identify relevant studies that were not indexed in international databases. Studies were included if they: (a) studied workplace violence among nurses aged ≥18 years, (b) quantitatively measured workplace violence, (c) included registered nurses working in Thailand, and (d) were published in English or Thai. Single-case reports, studies that did not distinguish registered nurses from other health care workers, and review articles, systematic reviews, or meta-analyses were excluded. Results: Ten studies were included from 284 records. The published studies ranged from 2012 to 2023. The pooled prevalence across studies was 31.6% (Knapp-Hartung-adjusted 95% confidence interval [CI], 0.19-0.48; P = .03). After removing the outlier, the sensitivity analysis showed that the pooled prevalence dropped from 31.6% to 27.3% (Knapp-Hartung-adjusted 95% CI, 0.17-0.40; P = .005). The moderator analysis indicated that neither categorical nor continuous moderators significantly influenced the effect size. Conclusion: Workplace violence against nurses remains underreported, and patients and relatives are commonly identified as perpetrators. A better understanding of contributing factors associated with workplace violence can inform health care leaders in developing and implementing strategic frameworks to reduce workplace violence. Review Registration (PROSPERO): CRD420251275109.
Background: Nursing staff in neonatal units are routinely exposed to prolonged and intense infant crying, which when combined with other hospital noises, can contribute to both physical stress and psychological stress. Objective: We sought to examine the association between exposure to infant crying and the physiological and psychological well-being of neonatal nurses and work performance. Methods: A mixed-methods questionnaire was distributed to rotating-shift neonatal nurses at 7 medical centers in Israel. Ethics approval was obtained; participants gave written informed consent. Data were collected anonymously between July and August 2024. Results: A total of 210 female nurses responded to the survey. Hierarchical regression and mediation analyses, controlling for professional seniority, showed that perceived unit resources and preparedness were significantly associated with lower immediate emotional-functional response (β = −0.38, P < .001); this immediate response, in turn, fully mediated the association between unit resources and nurses’ sustained post-shift impact (indirect effect = −0.36; 95% CI, −0.52 to −0.22), with no significant direct association between unit resources and post-shift impact once immediate response was accounted for. Qualitative analysis identified 4 themes: emotional distress and helplessness, mental and psychological strain, the need for evidence-based interventions and policies addressing environmental and structural barriers, and physical health consequences. Conclusion: Nurses working in neonatal care may experience emotional and psychological strain due to continuous exposure to infant crying. Hospital administrators must consider environmental modifications to support the mental well-being of nursing staff, ultimately improving patient care and job satisfaction.
BACKGROUND Youth with developmental disabilities (DDs) experience elevated psychosocial challenges, including difficulties with emotion regulation, self-concept, and access to timely mental health support. Pediatric nurses are well-positioned to address these needs; however, time constraints, limited training, and restricted access to specialty services often impede the provision of consistent psychosocial care. Digitally delivered psychosocial interventions enhanced by artificial intelligence (AI) offer new opportunities for individualized, accessible support, but these approaches frequently lack a clear theoretical foundation. PURPOSE This paper applied Self-Determination Theory (SDT), specifically Basic Psychological Needs Theory, to guide pediatric nurses' use of AI-enhanced, digital psychosocial interventions for DDs in practice. METHODS A theory-driven synthesis mapped SDT needs (autonomy, competence, and relatedness) to AI-enabled intervention features: conversational agents, neuro/adaptive feedback, and emotion-recognition tailoring. RESULTS The framework specifies how these features can promote volitional engagement, optimal challenge with timely feedback, and supportive interactions for youth with DDs. It also notes evidence gaps (small, heterogeneous samples; limited comparisons and follow-up) and barriers involving payment/workload, equity and access, and data protection, transparency, and bias. CONCLUSIONS/IMPLICATIONS SDT offers a coherent, testable foundation for designing, evaluating, and integrating AI-enhanced psychosocial supports for pediatric DDs. Nurses can screen for support, coach families, monitor risks, and advocate for ethical deployment and rigorous research.
BACKGROUND Implicit bias refers to unconscious attitudes and beliefs about a person that can influence decisions without awareness. Nurses may hold biases that lead to lower quality care and contribute to health care disparities, such as higher maternal mortality rates and unequal pain management for black women. Efforts to address this issue have generated interest in implicit bias training (IBT), which aims to increase awareness and reduce biased behavior. PURPOSE We aimed to explore and describe the existing research interventions related to IBT that have been used in nursing. METHODS We conducted an integrative review using Whittemore and Knafl's integrative review approach. Database searches were conducted in spring 2025. Database included Cumulative Index to Nursing and Allied Health Literature, PubMed, and PsycINFO. The Johns Hopkins Evidence-Based Practice Model was adopted to evaluate the level and quality of the studies. RESULTS Fourteen studies were included. IBT led to positive experiences among nursing professionals and an immediate improvement in implicit bias awareness and knowledge. The studies employed diverse methods of delivery and educational strategies. Limitations of the studies include a lack of long-term follow-up on awareness, knowledge, and mitigation practice behaviors. Other significant limitations involve small sample sizes and a lack of methodological rigor. CONCLUSIONS While IBT appears to positively impact nursing practice, additional research is needed. Significant gaps remain in demonstrating robust evidence, long-term effectiveness, and impact on patient outcomes.
Background: Psychological resilience is important for women coping with the physical and emotional challenges of chemotherapy for gynecological cancer. However, the associations of psychological resources with resilience during treatment remain insufficiently understood. Objective: This study aimed to examine the associations of hope, self-efficacy, and adaptive coping strategies with psychological resilience among women receiving chemotherapy for gynecological cancer. Methods: A descriptive correlational design was used. The study sample consisted of 144 women receiving outpatient chemotherapy in Turkey. Data were collected using standardized self-report measures assessing psychological resilience, hope, self-efficacy, and adaptive coping strategies. Descriptive statistics, correlation analyses, and hierarchical linear regression analyses were conducted to examine the associations between psychological resilience and hope, self-efficacy, and adaptive coping strategies. Results: The mean psychological resilience score indicated a moderate level of resilience. Psychological resilience was positively associated with hope, self-efficacy, and adaptive coping strategies. In the final regression model, self-efficacy showed the strongest independent association with psychological resilience (β = 0.524, P = .001), followed by hope (β = 0.257, P = .001) and adaptive coping (β = 0.146, P = .015). Together, these variables explained 56.2% of the variance in psychological resilience. Conclusions: Hope, self-efficacy, and adaptive coping were positively associated with psychological resilience among women undergoing chemotherapy for gynecological cancer. These findings may inform nurse-led psychosocial support approaches that address self-efficacy, hope, and adaptive coping strategies as part of resilience-related care. Longitudinal and intervention studies are needed to examine whether changes in these psychological resources are followed by changes in resilience and other psychosocial outcomes during cancer treatment.
