Background Conflict resolution and team‐building are essential competencies in nursing management, particularly in complex healthcare environments where effective collaboration is critical for high‐quality patient care. Aim To examine the relationship between conflict resolution strategies and team‐building effectiveness among nurse leaders. Methods A descriptive correlational quantitative design was adopted. Self‐administered questionnaires were used to collect data from 280 nurse leaders who were selected using stratified sampling. Data were analyzed using descriptive and inferential statistics, including chi‐square tests, t ‐tests, ANOVA, Pearson correlation, and multiple linear regression. Results Statistically significant associations were found between conflict resolution competencies and team‐building effectiveness ( p < 0.001). Nurse leaders with higher knowledge levels, stronger mediation behaviors, and greater negotiation skills demonstrated significantly higher team‐building effectiveness scores. Multiple linear regression analyses indicated that conflict resolution variables significantly predicted team‐building effectiveness ( R 2 = 0.52, p < 0.001), with knowledge emerging as the strongest predictor ( β = 0.38), followed by mediation ( β = 0.29) and negotiation ( β = 0.22). Conclusion Conflict resolution strategies, particularly knowledge, mediation behavior, and negotiation perception, are significant determinants of team‐building effectiveness among nurse leaders. Strengthening these competencies enhances teamwork, promotes effective communication, and improves overall healthcare delivery. Future research is needed to explore the impact of conflict resolution training on team‐building effectiveness among nurse leaders.
Background Depression is highly prevalent among individuals with chronic illnesses and is associated with significant impairment in health‐related quality of life (HRQoL). Patients with diabetes mellitus and cardiac diseases are particularly vulnerable, with evidence indicating a bidirectional relationship influenced by genetic, environmental, and psychosocial factors. Aim This study aimed to compare HRQoL and depression levels between patients with diabetes mellitus and cardiovascular disease, to examine the relationship between depression and HRQoL, and to identify the independent demographic and clinical predictors of depression severity and HRQoL. Methods A comparative cross‐sectional study was conducted in accordance with the Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) Statement. A purposive sample of 200 adult patients (100 with cardiovascular disease and 100 with diabetes mellitus) was recruited from the cardiology and diabetes outpatient clinics of Al‐Thawra Modern General Hospital, Sana’a, Yemen, between January and May 2025. Data were collected through face‐to‐face structured interviews using a demographic questionnaire, the Patient Health Questionnaire‐9 (PHQ‐9), and the 36‐Item Short Form Health Survey (SF‐36). Data were analyzed using descriptive statistics, chi‐square tests, independent‐samples t ‐tests, Pearson’s correlation, Cohen’s d effect size, and multiple linear regression analyses. Results Depressive symptoms were highly prevalent in both groups. Cardiac patients had significantly higher mean depression scores than diabetic patients. After adjustment for multiple comparisons using the Holm procedure, cardiac patients continued to demonstrate significantly lower scores than diabetic patients across all eight SF‐36 domains (all Holm‐adjusted p < 0.05). Cardiac patients were significantly older ( p = 0.01) and had higher educational attainment ( p = 0.01), whereas no significant differences were found regarding gender, marital status, or residence ( p > 0.05). Multivariable linear regression analyses showed that depression severity, older age, and longer disease duration were independently associated with lower Physical and Mental Component Summary scores, whereas higher educational attainment was associated with higher scores. Conclusion Depression is highly prevalent among patients with diabetes mellitus and cardiovascular disease and is independently associated with lower HRQoL. Integrating routine psychological assessment, patient education, and multidisciplinary, nurse‐led care into chronic disease management may improve mental well‐being and HRQoL, particularly among older patients and those with longer disease duration.
Background The distribution of clinical placements is a critical aspect of nursing education, influencing competency development. In Spain, the imbalance in clinical placements across care settings remains a significant issue, especially the dominance of hospital‐based training. Objectives This study aimed to analyse the distribution and occupancy of clinical placements across primary, transitional and specialised care settings in a nursing program at a public university in Barcelona, Spain, focusing on four academic cohorts. Materials and Methods A retrospective cross‐sectional and descriptive study was conducted using institutional records from 331 nursing graduates (92.46% of the target population) who completed nine required practicum periods. Data were analysed descriptively using frequencies, percentages and means to assess placement distribution by care setting and occupancy rates to evaluate the utilisation of available training opportunities. Results Specialised care accounted for 75%–76% of total clinical placement weeks, while primary and transitional care accounted for 15%–16% and 7%–9%, respectively. Primary care placements showed consistently high occupancy (over 89%), but transitional care was underutilised despite availability. The descriptive analysis indicated a structural mismatch among care levels in terms of available training exposure across the analysed cohorts. Conclusions The findings highlight a structural imbalance in the distribution of clinical placements, with a heavy reliance on specialised care. To bridge this gap, the study highlights the importance of evaluating allocation frameworks and enhancing operational coordination between educational institutions and healthcare providers. This could potentially facilitate diverse clinical experiences that better align with population health needs and contemporary healthcare delivery.
Background Oncology nursing combines sustained clinical intensity with substantial emotional labor. In emerging health systems, structural workforce constraints and organizational gaps can shape everyday practice conditions, with consequences for nurses’ well‐being, patient safety, and the continuity of services. Understanding how frontline oncology nurses work within and respond to these pressures is therefore important for strengthening workforce stability and the sustainability of oncology care. Aims To explore oncology nurses’ lived experiences and examine how systemic barriers influence everyday practice and workforce sustainability. Methods An exploratory qualitative study using in‐depth, semistructured interviews and reflexive thematic analysis was conducted in a single multidisciplinary surgical‐oncology department at a tertiary oncology center in Kazakhstan ( n = 14). Interviews lasted 20–40 min, were conducted in Kazakh, were transcribed verbatim, and were translated through forward and backward procedures before inductive analysis. The 14 interviews generated rich and detailed accounts that were sufficient to address the study aims. As analysis progressed, later interviews largely reinforced and deepened patterns that were already emerging rather than introducing substantially different insights. Throughout the analytical process, the research team discussed interpretations, reflected on how their own perspectives could shape the findings, maintained analytic notes, and documented key decisions to support a transparent and well‐grounded interpretation of the data. Results Six major themes were developed: (1) Patient‐Centered Care and Nurse–Patient Interaction, emphasizing trust, communication, and adherence to care standards; (2) Interprofessional Collaboration and Peer Support, highlighting teamwork and mentorship; (3) Workload Intensification and Work–Life Disruption, describing fatigue, burnout, and disruption of personal life; (4) Structural Constraints in the Work Environment, focusing on staffing, communication, and remuneration concerns; (5) Adaptive and Coping Strategies, encompassing resilience, skill development, emotional regulation, and peer support; and (6) Aspirations for Systemic Reform, reflecting nurses’ expectations for organizational change and a more sustainable work–life balance. Across the themes, participants consistently emphasized better staffing, clearer communication, and workplace reform as priorities for improving both care quality and staff well‐being. Conclusion The findings suggest that oncology nurses frequently compensate for workforce and organizational deficiencies through individual resilience and collective support. These responses may help sustain care in the short term, but professional adaptability cannot substitute indefinitely for adequate structural support. More sustainable oncology nursing practice requires investment in equitable staffing, reliable communication systems, meaningful opportunities for nurses to participate in organizational decision‐making, and workplace conditions that support professional well‐being while maintaining high‐quality patient care.
Background According to the WHO, people aged 60 years and above are considered older adults or elderly persons. WHO defines healthy ageing as ‘the process of developing and maintaining the functional ability that enables wellbeing in older age’. Older adults suffer from various health problems. Many of them experience a sense of grief, social isolation and loneliness. Loneliness and self‐esteem directly influence individuals’ happiness. Older adults opt for staying in a residential facility because they wish to live in a community‐like environment to reduce loneliness. Aims The study aimed to determine the levels of loneliness, subjective wellbeing and self‐esteem among older adults and to examine the relationships among these variables. Methods The study was conducted in 12 old‐age homes located in three districts, namely, Kolkata, Hooghly and 24 Parganas (North), West Bengal, India. This is a descriptive cross‐sectional study of an ongoing quasi‐experimental study. The participants were 159 older adults, aged 60–90 years, selected through the total enumeration sampling technique. Data were collected through interviews, in which subjective wellbeing, loneliness and self‐esteem were measured using the General Well‐Being Schedule (GWBS), University of California, Los Angeles (UCLA) Version 3, and the Rosenberg Self‐Esteem Scale, respectively. Results The mean age of the participants was 74.4 ± 7.10 years; 68.6% of the respondents were women, 30.2% had higher secondary education, 62.9% were widows/widowers and 79.9% had no social connections other than their family. Calculated mean ± SD of loneliness, subjective wellbeing and self‐esteem was found to be 45.1 ± 11.2, 69.1 ± 19.6 and 29.9 ± 4.5, respectively. Loneliness among older adults had a significant negative relationship with subjective wellbeing ( r = −0.509, p < 0.001) and self‐esteem ( r = −0.441, p < 0.001), and a significant positive relationship ( r = 0.530, p < 0.001) was found between self‐esteem and subjective wellbeing. Conclusion The study found that the higher the loneliness among older adults, the lower their subjective wellbeing and self‐esteem. So urgent measures should be considered to reduce loneliness and improve the wellbeing and self‐esteem of older adults living in old age homes, ensuring their healthy lives.
