AIM: This study statistically assessed the predictive as well as outcome variables of academic procrastination among nursing students to develop an “Academic Procrastination Model for Nursing Students.” METHODS: A descriptive cross-sectional research design was used to collect data from 436 college nursing students of an institute of national importance in Northern India through total enumeration sampling from 4th April to 20th April 2025. Procrastination assessment scale, perceived stress scale, academic anxiety scale, and academic performance assessment, etc. tools were used to collect data. Informed consent was taken and confidentiality was maintained. Descriptive (mean ± SD, frequency/percentage) and inferential statistics (independent t-test, one-way analysis of variance test, chi-square/Fisher’s Exact test, Pearson’s correlation coefficient, multiple linear regression, and generalized linear regression model) were used for analysis. RESULTS: A total of 436 participants were included in the study, with a mean age of 22.19 ± 3.33 years. The majority were female (97%), 76.1% were enrolled in Basic B.Sc. Nursing, and 67.8% belonged to the middle class. The mean PASS score was 51.64 ± 12.52, indicating a moderate level of academic procrastination. High procrastination was observed in writing term papers (47.7%) and studying for examinations (46.8%). No significant association was found between socio-demographic variables and procrastination (p > .05). Multiple linear regression analysis revealed that yoga/meditation, morning self-study, screen time, peer pressure, and lack of motivation were significant predictors of academic procrastination (p < .05). Higher procrastination was significantly associated with increased perceived stress and academic anxiety (p < .05), and decreased academic performance and self-efficacy (p < .05). Participants suggested several strategies to reduce procrastination, including interdisciplinary research opportunities (88.1%), mental and physical health education (86.9%), individualized counselling and coaching (85.6%), and digital wellbeing strategies (83.5%). CONCLUSION: Based on study findings, an “Academic Procrastination Model for Nursing Students” was developed to emphasize healthy behaviors, time management, and stress reduction, as conventional strategies may be insufficient. Cite this article as: Mondal, K., Lodhi, A., Choudhary, G., Kamboj, N., Kumari, R., Singh, B., Kaur, R., Singh, A., M., Rawat, S., Panwar, Y., Kumar, S., Kumar Nagar, P., & Kumar, A. (2026). Development of academic procrastination model for nursing students at institute of national importance: expanding horizons in nursing education. Florence Nightingale Journal of Nursing, 34, 0542, doi:10.5152/FNJN.2026.25542.
AIM: This study aimed to examine the relationship between traumatic stress symptoms and care behaviors among clinical nurses who survived the Kahramanmaraş-centered earthquake, referred to as the Disaster of the Century. METHODS: This descriptive correlational study was conducted online between April 26 and June 26, 2023, with nurses working in a city affected by the earthquake (n = 300). Participants were recruited using a convenience sampling method. Data were collected using the Nurse Introductory Information Form, the Traumatic Stress Symptoms Scale, and the Care Behaviors Inventory-24 through Google Forms. Data were analyzed using descriptive statistics and Pearson correlation analysis in SPSS version 25.0. Statistical significance was set at p < .001. RESULTS: The mean score of the Care Behaviors Inventory was 4.21 ± 1.07, indicating a high level of care behaviors. The total mean score of the Traumatic Stress Symptoms Scale was 57.24 ± 13.88, reflecting high levels of traumatic stress symptoms. A strong negative correlation was found between traumatic stress symptoms and care behaviors (r = −.778, p < .001). CONCLUSION: The findings indicate that although nurses experienced high levels of traumatic stress symptoms after the earthquake, they continued to demonstrate high levels of caring behaviors and maintained patient care despite significant stress. Cite this article as: Ak.oban, S., & Yüksel, H. (2026). The relationship between traumatic stress symptoms and care behaviors among clinical nurses after the Kahramanmaraş earthquake: A descriptive correlational study. Florence Nightingale Journal of Nursing, 34, 0053, doi:10.5152/FNJN.2026.25053.
AIM:To evaluate the effectiveness of artificial intelligence (AI)-based chatbots in virtual nursing care at home, comparing them with traditional care, in terms of therapeutic adherence and improvement of clinical outcomes. METHODS:A systematic review was conducted on March 7, 2025, according to the the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. The databases consulted were PubMed (Medline) and the Cochrane Library. Studies published since 2020 in Italian or English were included. After the screening process, six studies dealing directly or indirectly with the use of AI in home nursing consultation were included. RESULTS:The analysis shows that chatbots and AI systems improve monitoring, therapeutic adherence, and access to healthcare services. Specifically, AI-based nutritional models showed improved anthropometric and biochemical indicators and a reduction in nutritional risk in patients with chronic kidney disease. Smart home systems have improved the timeliness of clinical event detection and the nurse's decision-making role; medication support robots have reduced nursing workload and improved therapeutic safety. Critical issues related to training, professional acceptance, and technological infrastructure have emerged, limiting the full integration of AI into home care. CONCLUSION:This review highlights a growing interest in integrating AI into home nursing care, with promising preliminary results. The study fills a gap in the literature by identifying current trends, benefits, and limitations and highlights the need for further clinical research to validate the effectiveness of AI-based nursing chatbots. Cite this article as: Laus, G., & Spagnuolo, G. (2026). Artificial intelligence-supported virtual nursing at home: A systematic review. Florence Nightingale Journal of Nursing, 34, 0197, doi:10.5152/FNJN.2026.25197.
AIM:The aim of this study was to examine the relationship between feelings of stigma in tuberculosis (TB) patients and the social support provided by their household contacts, who are family members. METHODS:This cross-sectional study aimed to examine the relationship between feelings of stigma in TB patients and the social support provided by their household contacts in southern Türkiye (81 patients and 81 household contacts). The data were collected between May and August 2022 using Individual Information Forms, the Tuberculosis-Related Stigma Scale, and the Provided Social Support Scale. RESULTS:Although household contacts with higher education and income provided more social support (p < .05), these characteristics did not predict stigma levels among patients (p > .05). A low level of social support provided to TB patients by their household contacts was associated with more feelings of stigma, from both patient perspective and community perspective (p < .05). CONCLUSION:Household contacts should be encouraged to develop positive behavioral changes toward TB. Awareness of household contacts should be raised about the importance of social support in TB by health professionals. Thus, by increasing the social support provided to TB patients through household contacts, patients' feelings of stigma can be reduced. Cite this article as: Doğan, U., Ayta., S., & Sungur, M. (2026). The relationship between feelings of stigma in tuberculosis patients and the social support provided by household contacts: A cross-sectional study. Florence Nightingale Journal of Nursing, 34, 0033, 10.5152/FNJN.2026.25033.
AIM: This study was conducted to examine the association between PA levels and attitudes toward eating disorders in students at Sirjan University of Medical Sciences during 2022. METHODS: Employing a descriptive correlational design, this study involved 212 students from Sirjan University of Medical Sciences located in southeastern Iran. Participants were selected using quota sampling. Data collection instruments included demographic questionnaires, the International Physical Activity Questionnaire, and the Eating Attitude Test-26 (EAT-26). RESULTS: Data analysis utilized both parametric and non-parametric methods through Statistical Package for the Social Sciences (SPSS), version 20, with statistical significance set at p < .05. The average age of participants was 22.37 ± 7.4 years. Findings indicated eating attitudes showed a statistically significant but weak association with PA (p = .04, r = .13). Linear regression revealed that a one-point rise in eating attitude scores corresponded to a 0.14 increase in PA scores. Among factors significantly predicting attitudes toward eating disorders were academic year (p = .001) and frequency of fast-food consumption per week (p = .02). Gender was identified as a significant predictor for PA levels (p = .00). CONCLUSIONS: The study results suggest that attitudes related to eating behaviors can predict PA levels among Gen Z university students. Recognizing these predictors may help healthcare professionals develop targeted strategies that promote PA and foster healthier eating attitudes within this demographic, ultimately enhancing their overall well-being and academic success. Cite this article as: Beitollahi, M., Tirgari, B., & Forouzi, M. A. (2026). Exploring the relationship between physical activity and eating disorder attitude in generation Z university students a cross-sectional study. Florence Nightingale Journal of Nursing, 34, 0058, doi: 10.5152/FNJN.2026.25058.
Sleep disturbances affect 47–60% of intensive care unit (ICU) patients and often persist after discharge, contributing to adverse outcomes such as prolonged recovery, increased delirium risk, and higher mortality. Sleep assessment in ICU settings is complex; although polysomnography is the gold standard, its practical limitations restrict its use. Consequently, subjective tools like the Richards–Campbell Sleep Questionnaire are widely used for bedside evaluation, while objective methods such as actigraphy and bispectral index monitoring are gaining acceptance. Interventions to improve sleep quality include nonpharmacological approaches such as eye masks, earplugs, massage, and environmental modifications, as well as pharmacological treatments, with dexmedetomidine showing potential benefits in specific ICU populations. Multicomponent sleep-hygiene bundles combining environmental, behavioral, and pharmacological strategies demonstrate the greatest effectiveness. Implementation often follows a phased approach that addresses both ventilated and non-ventilated patients, with nursing staff playing a central role. Evaluation metrics encompass subjective assessments (RCSQ), objective monitoring (BIS), and clinical outcomes, including delirium incidence, mechanical ventilation duration, and ICU length of stay. Evidence indicates that sleep-hygiene bundles can reduce delirium incidence by 30–50% and shorten ICU stays by approximately 1.2 days. Nevertheless, challenges such as staff resistance and resource limitations impede widespread adoption, underscoring the need for tailored implementation strategies to optimize sleep management in critical care environments. Cite this article as: Joseph, J. (2026). Evidence-based intervention for sleep deprivation in the intensive care unit: A clinical review. Florence Nightingale Journal of Nursing, 34, 0577, doi: 10.5152/FNJN.2026.25577.
AIM: This study was conducted to determine the smoking and vaping profiles of healthcare workers and their knowledge, attitudes, and behaviors regarding vaping. METHODS: The sample of this cross-sectional study consisted of 350 healthcare workers, including physicians, nurses, and midwives, working in public hospitals in a province between April 2024 and June 2024. Data were collected using the Personal Information Form and the Fagerstrom Test for Nicotine Dependence. RESULTS: It was determined that 4.6% of the participants both smoked and vaped. More than half of the participants thought that vaping did not have an effect on smoking cessation, and it could lead individuals who never smoked to take up smoking. The smoking rates of the participants who vaped were significantly higher than those who did not vape. CONCLUSION: It was concluded that healthcare professionals’ perceptions of the harmful effects of electronic cigarettes on health are at a good level; however, despite this good perception of harm, their smoking and vaping rates were similar to those of the general public. Cite this article as: Bulut, T., & Kocataş, S. (2026). Smoking and vaping profiles of healthcare workers and their knowledge, attitudes, and behaviors regarding vaping. Florence Nightingale Journal of Nursing, 34, 0415, doi: 10.5152/FNJN.2026.25415.
AIM: To conduct a Turkish validity and reliability study of the Post–Intensive Care Syndrome Questionnaire Scale. METHODS: In this methodological study, the sample included 149 patients hospitalized in the intensive care unit who were discharged at least 4 weeks and 1 year ago. In the Turkish adaptation of the questionnaire, confirmatory and exploratory factor analyses were conducted to assess language, content, and construct validity. A test–retest was used for intraclass correlation analysis, and Cronbach’s alpha was used for internal consistency analysis in the reliability analyses. RESULTS: The survey’s language validity was assessed by expert linguists. The Content Validity Index was calculated as 0.96. The item-total score correlation coefficients ranged between r = .381 and .686. Spearman’s Rho coefficients indicated significant correlations (r = .981; p < .001). The root mean square error of approximation (0.097), Adjusted Goodness of Fit Index (0.75), Goodness of Fit Index (0.81), and Comparative Fit Index (0.94) showed a good fit. The Cronbach alpha was 0.90. CONCLUSION: The Turkish version of Post–Intensive Care Syndrome Questionnaire, with 18 items, was valid and reliable. Assessing post-intensive care syndrome in intensive care patients after discharge is suggested in practice. Cite this article as: Kebap.ı, A., & Yal.ın, B. (2026). The validity and reliability of the post–intensive care syndrome questionnaire Turkish version. Florence Nightingale Journal of Nursing, 34, 0309, doi: 10.5152/FNJN.2026.25309.
AIM: This study aimed to assess nursing students’ perceptions of concept mapping, explore their learning preferences, and examine its relationship with learning styles. METHODS: A cross-sectional study was conducted. A total of 174 female nursing students were recruited using a convenience sampling method. Data collection tools included the Scale for the Effectiveness of Concept Maps in Nursing Education, a 30-item Likert-Scale Questionnaire assessing perceptions of concept mapping effectiveness; the visual, auditory, reading/writing, and kinesthetic questionnaire, measuring learning style preferences; and a single Likert-scale question assessing the perceived difficulty of creating concept maps. RESULTS: The average participant age was 21 years, with a grade point average of 4.25. Students reported high mean scores on the Scale for the Effectiveness of Concept Maps in Nursing Education (M = 85.09), indicating strong endorsement of concept mapping for integrating care plans and processing information. Significant positive correlations were found between concept map effectiveness and care planning, information processing, and perceived difficulty. Visual, auditory, reading/writing, and kinesthetic results showed high preferences across all learning styles, with a significant correlation (p = .002) between concept mapping and the visual learning style. CONCLUSION: Concept mapping is an effective strategy for enhancing nursing education, especially for visual learners. Cite this article as: Ibraheem, A., Hussein, A. S. E., & Hussein, E. S. E. (2026). The relationship between the perception of undergraduate nursing students of the nursing concept map and their learning styles. Florence Nightingale Journal of Nursing, 34, 0335, doi: 10.5152/FNJN.2026.25335.
AIM: This study aimed to review the self-care status of heart failure patients through the European Heart Failure Self-Care Behavior Scale. METHODS: Eligible studies were retrieved by searching in PubMed, Web of Science, and Embase. The studies’ title, abstract, and full text were screened and selected by two researchers independently. The data were analyzed using the Comprehensive Meta-Analysis software and a random effects model. RESULTS: A total of 7819 studies screened and 31 articles were included finally. The mean scores of selfcare in studies using the 12-item questionnaire were estimated to be 32.91 Å} 1.29 (95% CI: 30.38–35.44), in studies using the 9-item questionnaire it was 25.54 Å} 1.45 (95% CI: 22.68–28.40), in studies using the 9-item questionnaire with standardized score (0–100), it was 62.28 Å} 5.2 (95% CI: 52.08–72.47). CONCLUSION: The findings demonstrate that the level of self-care in heart failure patients is not satisfactory. Due to the high heterogeneity of the studies, the findings should be interpreted with caution. Cite this article as: Negarandeh, R., Hoseini-Esfidarjani, S.S., & Aghajanloo, A. (2025). Self-care behaviors in heart failure patients using the European Heart Failure Self- Care Behavior Scale: systematic review and meta-analysis. Florence Nightingale Journal of Nursing, 34, 0121, doi:10.5152/FNJN.2026.25121.
AIM: The aim of this study was to determine the validity and reliability of the “Cardiac Self-Efficacy Questionnaire” in Turkish. METHODS: This methodological research was conducted among 400 patients who were hospitalised at the Cardiology Clinic of Giresun University Training and Research Hospital between 25 March 2023 and 15 May 2024. The data were collected using the “Patient Introductory Form”, “Cardiac Self-Efficacy Questionnaire”, and “Chronic Diseases Self-Efficacy Scale”. RESULTS: The scale demonstrated excellent content validity, with a content validity index of 1.00. Construct validity was examined using factor analytic techniques. “The Kaiser–Meyer–Olkin measure indicated adequate sampling adequacy 0.878, and Bartlett’s test of sphericity was statistically significant (p < .001), confirming the appropriateness of the correlation matrix for factor analysis.” Exploratory factor analysis supported a two-factor solution control of symptoms and maintenance of functionality which collectively explained 53.55% of the total variance. The results indicated that the model provided a goodto- acceptable fit to the data, as evidenced by the following fit indices: χ2/df = 2.172, Goodness of Fit Index = 0.91, Adjusted Goodness Fit Index = 0.87, Comparative Fit Index = 0.95, Incremental Fit Index = 0.95, Tucker–Lewis Index = 0.93, Normed Fit İndex = 0.91, and Root Mean Square Error of Approximation = 0.07. The reliability analysis indicated acceptable internal consistency, with Cronbach’s α values of 0.88 for the overall scale, 0.86 for the symptom control subscale, and 0.76 for the functionality maintenance subscale. CONCLUSION: The Cardiac Self-Efficacy Questionnaire can be considered a valid and reliable instrument for assessing cardiac self-efficacy in the Turkish population. Cite this article as: Bayram, S., & G.k Uğur, H. (2026). Turkish validity and reliability study of the cardiac self-efficacy questionnaire. Florence Nightingale Journal of Nursing, 34, 0346, doi:10.5152/FNJN.2026.25346.
AIM: This study examined the effects of integrating project-based learning and experiential learning into a long‐term care course on student learning outcomes. The focus surrounds enhancing self-reflection and insight, willingness to serve older adults, willingness to engage in long‐term care services, and overall learning outcomes. METHODS: A convergent mixed-methods design was used to provide a comprehensive understanding of learning outcomes. Data were collected between August 2021 and December 2022 from 56 master’s students enrolled in an 18-week advanced long-term care course, followed by a 9-day experiential internship in long-term care institutions. Quantitative data were obtained using structured questionnaires administered before and after the intervention and analyzed using paired sample t-tests, while qualitative data were derived from students’ reflective journals and learning reports and analyzed through content analysis. RESULTS: The intervention significantly improved self-reflection and insight (t = 2.98, p < .01), willingness to serve older adults (t = 4.22, p < .001), and overall learning outcomes (t = 5.01, p < .001). Although an upward trend in willingness to engage in long‐term care services was observed, this change was not statistically significant (p > .05). Qualitative findings further demonstrated enhanced empathy, teamwork, and professional identity, which complemented the quantitative results. CONCLUSION: Integrating project-based learning and experiential learning effectively strengthens key competencies in long-term care education, bridging the gap between theoretical instruction and clinical practice. Future studies should further investigate the long-term effects of these strategies on professional development and workforce sustainability. Cite this article as: Yang, F.C., & Chen, H.M. (2026). Integrating project-based learning and experiential learning to enhance learning outcomes in long-term care courses. Florence Nightingale Journal of Nursing, 34, 0191, doi:10.5152/FNJN.2026.25191.
AIM: This study aimed to assess undergraduate nursing students’ perspectives on professional values and identify associated factors. METHODS: A cross-sectional descriptive study was conducted among 530 undergraduate nursing students enrolled at a medical university in Central Vietnam. Participants were recruited using a convenience sampling method. Data were collected between December 2024 and January 2025 through a selfadministered questionnaire, including demographic and academic characteristics, along with the 28-item Nurses Professional Values Scale-3, which assesses three domains: caring, activism, and professionalism. RESULTS: The overall professional values of nursing students showed a moderate level, with a mean score of 97.2 . 13.8 out of 140. Among the three domains, caring rated the highest mean score at 35.9 . 5.5, followed by activism at 34.8 . 5.5 and professionalism at 26.6 . 3.7. Multiple linear regression analysis showed that total professional values were independently associated with living area, nursing major satisfaction, and clinical experience. CONCLUSION: Professional values among undergraduate nursing students are influenced by a complex interaction of educational, contextual, and experiential factors. While caring was strongly endorsed, lower levels of activism and professionalism indicate areas requiring greater emphasis in undergraduate nursing education. Intentional, value-based educational strategies that strengthen professional socialization and advocacy, while enhancing the quality of clinical learning experiences and students’ satisfaction with the nursing major, may support more comprehensive professional value development. Cite this article as: Tran, T. N., Nguyen, T. N., Nguyen, T. M. D., Ton, D. N. M., & Tran, T. H. (2026). Exploring professional values of undergraduate nursing students: A crosssectional study. Florence Nightingale Journal of Nursing, 34, 0476, doi: 10.5152/FNJN.2026.25476.
AIM: The aim of this systematic review was to explore how pesticide exposure affected agricultural workers’ cognitive abilities. METHODS: A comprehensive search was conducted in the Web of Science, Scopus, PubMed, MEDLINE, and EBSCOhost/CINAHL Complete databases for relevant literature covering the period from 2014 to 2024. The Preferred Reporting Elements for Systematic Reviews and Meta-Analyses checklist was followed. Quality appraisal was conducted using the Joanna Briggs Institute Critical Appraisal Tools. The review protocol was registered in the International Register of Prospective Systematic Reviews (PROSPERO) [CRD42024498818]. RESULTS: In total, 12 studies meeting the inclusion criteria were included in the analysis. Most of the included studies showed that agricultural workers’ cognitive abilities were negatively impacted by pesticide exposure. This was particularly associated with problems in language, visual memory, complex attention, and perceptual-motor functions. On the other hand, a few included studies found that pesticide exposure had no negative effect or only a limited effect on cognitive functions. This was due to confounding factors such as age, education level, and pesticide exposure time. CONCLUSION: Agricultural workers were more at risk for health problems due to the long-term neurotoxic effects of pesticide exposure on the central and peripheral nervous systems. To protect the health and safety of agricultural workers, these effects should be investigated in more detail in future studies, protective measures should be promoted, and training programs should be planned. Moreover, the focus should be on targeting agricultural workers who are older, have lower levels of education, and have longer exposure to pesticides. Cite this article as: Karabıyık, I. H., & Ilgaz, A. (2026). Effects of pesticide exposure on cognitive functions in agricultural workers: A systematic review. Florence Nightingale Journal of Nursing, 34, 0227, doi: 10.5152/FNJN.2026.25227.
AIM: This study aims to investigate the correlation between multicultural patients with hematologic malignancies’ perceptions of nursing care and their level of satisfaction, with the objective of providing recommendations for enhancing the quality of nursing care based on the findings. METHODS: This descriptive and cross-sectional study was conducted with 140 patients aged 18 years and over who were hospitalized in the hematology and bone marrow transplantation unit between January and October 2024, who agreed to participate in the study and were able to communicate. Data were collected using the “Personal Data Collection Form” and “Newcastle Nursing Care Satisfaction Scale,” “Patient Perception of Nursing Care Scale.” Data analysis was performed using SPSS, version 20.0. RESULTS: The mean score of patients’ satisfaction with nursing care was found to be 90.45 Å} 12.29 and the mean score of perception of nursing care was found to be 72.75 Å} 5.00. A positive statistically significant relationship was found between the total score average of patients’ satisfaction with nursing care scale and the total score average of perception of nursing care scale (r = 0.637; p = .000). The difference between the patients’ comorbid disease status, diagnosis, age, country, and the mean score of satisfaction with nursing care was found to be statistically significant (p < .05). CONCLUSION: Although patients’ satisfaction with nursing care is largely positive, improvements in specific areas (such as age, diagnosis, comorbid diseases, and country-related factors) could further enhance the quality of care and patient satisfaction. Moreover, these study findings indicate that the influence of different cultures on perceptions of nursing care plays a significant role in shaping nurses’ care practices. Cite this article as: Selçuk, S., Erdal, S., Şimşek-Hanpa, E. B., Dede, Z. G., & İnanlı, E. (2026). Determining the relationship between perceptions of nursing care quality and satisfaction status in multicultural patients with hematological malignancies. Florence Nightingale Journal of Nursing, 34, 0106, doi: 10.5152/FNJN.2026.25106.
AIM: The current study aimed to explore the practice of pediatric nurses in family-centered care (FCC) in pediatric settings. METHODS: A qualitative phenomenological descriptive design was used to explore the practice of FCC among pediatric nurses. Pediatric nurses worked in medical, surgical, and intensive care units of a tertiary care public hospital in Eastern India. An in-depth face-to-face individual interview was conducted using a semi-structured interview guide among 15 nurses. Content analysis was done, and data were managed using NVIVO software. RESULTS: The two main themes that emerged from the data on the practice of FCC were “Enablers of FCC” and “Disablers of FCC.” The subthemes under “Enablers of FCC” were “participation, cooperation, connectivity, decision making, orientation/awareness,” and the subthemes under “Disablers of FCC” were “parental resistance, undermining, language barrier, dysfunctional parental behavior, and policy deficit.” CONCLUSION: Nurses reported barriers that hindered their ability to practice those FCC components. Nurses acknowledged the willingness of parents in childcare, their participation in decision-making, and cooperation from parents in childcare. As the FCC has been considered a trend in child care, and when applied in the Indian scenario, identifying the primary obstacles, orienting the FCC concept, and addressing cultural differences is highly essential. Before implementing the policy, it can be modified to fit the settings that contribute to better healthcare. Cite this article as: Alfianoora, K.N., Joseph, H. B., & Shetty, A. P. (2026). How do pediatric nurses practice family-centered care in pediatric units? A phenomenological inquiry from eastern India. Florence Nightingale Journal of Nursing, 34, 0170, doi:10.5152/FNJN.2026.24170.
AIM: This study aimed to determine the level of knowledge and self-care behaviors related to hypertensive disorders in pregnant women in Tunja, Colombia, and to analyze the association of these variables with sociodemographic and obstetric characteristics. METHODS: A cross-sectional study was conducted during the first half of 2025 with 114 pregnant women enrolled in a prenatal care program. The Knowledge and Self-Care Behaviors Regarding Hypertensive Disorders in Pregnancy “CoNOCiTHE” questionnaire was administered. Descriptive statistics were followed by advanced multivariate analyses. Principal component analysis, multiple correspondence analysis, and K-means clustering were applied to characterize variability patterns, categorical associations, and maternal profiles. RESULTS: The mean knowledge and self-care score was 71.49 points, with 36.84% of participants at a low level, 29.82% at a medium level, and 33.33% at a high level. Principal component analysis revealed a strong correlation between gestational age and the number of prenatal visits (r = .814), and moderate correlations between maternal age and obstetric history, while knowledge and self-care scores were independent of these variables. K-means clustering explained 52.2% of the variance and identified two distinct groups: one composed of older women with greater obstetric experience (11.92%), and another of younger women (40.34%). Multiple correspondence analysis indicated that a low level of knowledge and self-care was related to younger age, lower educational level, and lower socioeconomic status. CONCLUSION: A significant proportion of pregnant women showed low levels of knowledge and self-care regarding hypertensive disorders, especially among young women with low education and unfavorable socio-economic conditions. The frequency of prenatal visits was related to gestational age, but had little association with knowledge and self-care. Nursing professionals play a key role in implementing educational strategies that promote self-care and contribute to improved maternal and perinatal outcomes. Cite this article as: Ulloa Sabogal, I.M & Arias Rojas, M. (2026). Knowledge and self-care behaviors regarding hypertensive disorders in pregnant women in Colombia: A cluster analysis. Florence Nightingale Journal of Nursing, 34, 0418, doi:10.5152/FNJN.2026.25418.
Aim: This study was to synthesize qualitative evidence to identify the core competencies essential for nursing practice in earthquake settings. Methods: A meta-synthesis was conducted to integrate findings from qualitative studies exploring nurses’ competencies during earthquake responses. Peer-reviewed English-language articles were identified through searches in four electronic databases. Studies employing qualitative methodologies were included, and thematic synthesis was used to analyze the data. Results: Seven core competency-related domains emerged from 35 included reports: (1) psychological resilience and emotional regulation, (2) adaptability and problem-solving, (3) clinical expertise under resource-constrained conditions, (4) effective communication and teamwork, (5) leadership and coordination, (6) knowledge of disaster-specific protocols and practices, and (7) cultural competence and language proficiency. These competencies were illustrated through first-hand accounts of nurses engaged in earthquake response. Conclusion: This meta-synthesis highlights the critical role of nurses in disasters, emphasizing the importance of preparedness, adaptability, and resilience. Findings inform targeted education, training, and policies to strengthen nursing responses to earthquake emergencies. Cite this article as: Cheng, C., & Bai, J. (2026). Essential competencies for nurses in earthquake emergencies: A meta-synthesis of experience-based evidence. Florence Nightingale Journal of Nursing, 34, 0393, doi: 10.5152/FNJN.2026.25393.
AIM: This study was conducted to determine and compare stress levels, parental role beliefs, and their associated factors among the parents of preterm infants hospitalized in a neonatal intensive care unit in İstanbul, Türkiye. METHODS: This descriptive, cross-sectional, comparative study was carried out between April 2023 and April 2024 with both parents of 120 preterm infants hospitalized in the level-3 neonatal intensive care unit of a university hospital in İstanbul, Türkiye. Data were collected using sociodemographic information forms, the Parental Stressor Scale:neonatal intensive care unit, and the neonatal intensive care unit Parental Beliefs Scale. RESULTS: Both mothers and fathers of preterm infants hospitalized in the neonatal intensive care unit reported moderate levels of stress and parental role beliefs. On the Parental Stressor Scale:neonatal intensive care unit scale, Parental Role Alterations subscale scores were significantly higher among mothers compared to fathers (p = .001). In contrast, Parental Role Confidence subscale and total neonatal intensive care unit-Parental Beliefs Scale scores were higher among fathers (p = .001). Parental Stressor Scale:neonatal intensive care unit and neonatal intensive care unit-Parental Beliefs Scale scores were not correlated (p > .05). Neonatal intensive care unit-Parental Beliefs Scale scores were positively associated with maternal age ≥35 years among mothers and with lower birth weight (p = .021), lower gestational age at birth (p = .026), and greater subjective financial well-being (p = .004) among fathers. CONCLUSION: No significant relationship between parental stress and role belief scores was observed in this study. Maternal age, subjective financial well-being, and infant birth weight and gestational age were factors affecting parental belief scores in the neonatal intensive care unit setting. Family-centered care practices are needed to reduce parents’ stress and strengthen their caregiving role beliefs. Cite this article as: Demir, E., Aykanat-Girgin, B., & .arık.ı, F. (2026). Parental role beliefs and neonatal intensive care unit–related stress among Turkish parents: A comparative cross-sectional study. Florence Nightingale Journal of Nursing, 34, 0414, doi:10.5152/FNJN.2026.25414.
