BackgroundHistorically love in nursing has been expressed as tender loving care but a move to technological thinking in nursing and the integration of healthcare systems may have changed this to one where love may be distant or avoided from the arena of care. It may now uncertain if love in nursing is an essential part of care, or supererogatory and additional to a paid duty of care.Research aimA study was conducted to investigate hospital nurses' experiences of providing end-of-life care. A core theme from the study was the nurse's expression of love. This article reports on this outcome and aims to provide clarity regarding the current nature of love in nurses' care.Research designInterpretative phenomenology was used to explore hospital nurses' experiences of providing end-of-life care.Participants and research context6 UK registered nurses with experience of hospital end-of-life care took part.Ethical considerationsEthical approval was gained before commencing the study. All participants consented to take part.FindingsThe nurses' end-of-life care actions were done willingly with goodness, selflessness, sometime courage, placing others before themselves and going beyond their duty of care. As a consequence, their love is universal and not bound by a professional care ethic but given freely of themselves as a gift.DiscussionThe nurses' action described love as both agape and eros suggesting a universal love. This was suggested a love not bound by a professional care ethic but one given freely of themselves as a gift.ConclusionsA contemporary view of love in nursing care is presented; when caring for dying vulnerable people in hospital, the value of love for another person is prevalent in the nursing care provided. It is not bound by a duty to care but is an addition to the process of care and is given freely of self.

Jean Watson's Theory of Human Caring offers a relevant and contemporary framework for holistic nursing care. By redefining traditional paradigms, Watson's model positions transpersonal care as both a theoretical and practical pathway for holistic nursing practice. Empathy, as a foundational human experience present in all care encounters, is central to the holistic development of transpersonal care. This essay explores, from classical and contemporary philosophical perspectives, the concept of empathy within Watson's framework, relating its core concepts to nurse-patient encounters in holistic care. Empathy is examined as an existential mode of being-with-the-other, articulated with concepts such as intercorporeality, comprehensive understanding of the other's experience, and becoming-other. Two of Watson's Caritas® Processes are analyzed as spaces for holistic openness and empathic presence. The discussion highlights the importance of developing practices that transcend the technical-biological model, emphasizing the appreciation of alterity and the cultivation of dignified, sensitive, ethical, and transformative bonds in holistic care. Empathy is also discussed in relation to mindfulness, understood as an intentional practice that integrates body, mind, spirit, and heart, fostering compassionate listening. The article offers new philosophical perspectives and highlights the relevance of empathy in advancing holistic nursing care.

BACKGROUND: This study emphasis on effectiveness of various non-pharmacological methods and nursing interventional care and its evaluation among post-caesarean women in selected hospitals in India and other countries. Nursing intervention basically refers to standard post-operative care delivered to women undergone lower segment caesarean section to plummet post-surgery complications, reduce negative experience of the mother, and improve outcome of C-section post operation care and speedy healing of the women. OBJECTIVE: To identify studies regarding rate and incidence of C-sections and to identify studies which had included standard nursing interventional care and their effectiveness in the maternal outcome among post caesarean women at selected hospitals. METHODS: Online database browsed from PubMed, Google scholar, Sodhganga, Medline, research gate, Scopus, WoS by using keywords rate of caesarean section, post -operative care, nursing intervention, maternal outcome after C-section. RESULT: 12 articles were included in this review study reflecting maternal recovery regarding non-pharmacological interventions delivered to post- caesarean mothers. Difference in maternal and foetal outcome between routine nursing care and planned interventional nursing care. Significant recovery has been recorded in all therapeutic studies with positive maternal and foetal outcome. CONCLUSION: To summarise the review study that unveiled the positive maternal outcome which can be attained after caesarean section, by implementing various nursing interventional approaches among post-caesarean women that includes standardized post-operative outcome evaluation. Keywords: Rate and incidence of C-section, post-operative care, caesarean mother, nursing intervention, early ambulation

Intradialytic muscle cramps disrupt hemodialysis (HD), trigger rescue interventions, and reduce patient comfort. Evidence for preventive, nurse-led strategies is limited. This study evaluated whether a standardized intradialytic stretching protocol reduces cramp burden compared to usual care. A single-center, parallel-group randomized controlled trial was conducted. Adults on maintenance HD with a history of leg cramps were randomized 1:1 to nurse-led stretching (n = 30) or usual care (n = 30). The intervention included supervised lower-limb stretches, twice weekly for ~ 8 weeks, with fidelity monitoring. Outcomes were assessed using the Arabic Muscle Cramp Severity and Characteristics Questionnaire. The primary outcome was post-intervention cramp intensity category. Groups were comparable at baseline. Post-intervention, the study group showed significantly lower cramp intensity: no cramps in 83.3% vs. 30.0% of controls (p < 0.001). Cramp frequency, duration, pain, and discomfort all favored the intervention (all p < 0.01). Leg temperature perception did not differ. No serious adverse events occurred. A brief, nurse-led stretching protocol produced large reductions in cramp burden without disrupting workflow. Integrating standardized stretching into routine nursing care is a feasible, low-cost strategy for proactive symptom management, empowering nurses and enhancing patient comfort. Multicenter, longer-term evaluations are warranted. The trial is registered at ClinicalTrials.gov under identifier NCT07262879. 12/02/2025.

Abstract Rapid nurse decision-making is needed to detect patient deterioration and prevent mortality. Current approaches to support nurses’ decisions involve diagnostic data processing and providing a decision with little explanation. Our team aimed to demonstrate the utility of attention architecture to model sequential nurse–patient care actions. Experienced nurses and students completed patient care simulations. Nurse actions were systematically coded and analyzed using our model, consisting of an attention encoder to sequentially process and predict nurse behavior. Performance of our model was compared to recurrent neural networks and long-short term memory models based on accuracy, precision, recall, and F1 score. Behavioral data from 24 nurses (11 experienced nurses and 13 nursing students) were collected during patient care simulations. Nineteen unique types of actions were distilled down to 8 common actions. There were 33 episodes captured (i.e., 33 unique sequences of patient care actions), including a total of 1024 actions (i.e., an average of 31 ± 11 actions). Results showed that the attention model outperformed the other models on all metrics except for precision. Our team demonstrated that machine learning can model sequential nurse actions. These results could be leveraged to provide real-time guidance to support novice nurses’ decision-making in the simulated environment.

Intensive Care Unit (ICU) patients with nutritional risk often face both physical and psychological burden, with anxiety and depression being the most common ones, which may affect their clinical outcomes. To study the influence of psychological nursing intervention on psychological status and all-cause mortality in the ICU. A total of 100 patients at high nutritional risk, receiving nutrition support in the ICU of our hospital from June 2021 to June 2023, were retrospectively included. Based on whether patients received psychological nursing intervention, they were divided into a control group (n = 50, routine care) and a study group (n = 50, routine care plus psychological nursing intervention). The control group received routine care, and the study group received psychological nursing care, along with routine care. Outcome measures included anxiety and depression, assessed using the Self-Rating Anxiety Scale (SAS) and the Self-Rating Depression Scale (SDS); all-cause mortality was compared between the two groups, time to death was collected, and the relationship between psychological status and all-cause mortality was assessed using a Cox proportional hazards regression model. The SDS, SAS scores, and all-cause mortality were significantly lower in the study group than in the control group (P < .05). However, the study group demonstrated greater nursing satisfaction than the control group (P < .05). Psychological status and all-cause mortality were significantly related in univariate analysis. Psychological nursing intervention can effectively reduce the incidence of anxiety and depression in ICU patients at nutritional risk, improve the psychological state of patients, reduce all-cause mortality, and improve the prognosis of patients. psychological nursing intervention, nutritional risk patients in Intensive Care Unit, psychological status, all-cause mortality.

Objectives To evaluate the effects of receptive music therapy (RMT) combined with usual nursing care on cognitive performance, quality of life (QoL), mood, and metabolic stability among elderly patients with type 2 diabetes mellitus (T2DM) and cognitive impairment. Methods A randomized controlled trial enrolled 80 participants (aged 65–80 years) with T2DM and mild cognitive impairment. They were randomly assigned (1:1) to an intervention group (RMT + usual nursing care, n = 40) or control group (usual nursing care only, n = 40) for 8 weeks. Primary outcomes were changes in Montreal Cognitive Assessment (MoCA), World Health Organization Quality of Life–BREF (WHOQOL-BREF), and Geriatric Depression Scale-15 (GDS-15) scores. Secondary outcomes included glycated hemoglobin (HbA1c) and fasting glucose. Paired and independent t-tests with ANCOVA adjustment for baseline values were used. Results Seventy-five participants completed the study (retention = 93.7%). Compared with the control group, the intervention group showed a significant improvement in MoCA scores (Cohen’s d = 0.78; 22.5 ± 2.0 → 26.1 ± 1.8, F = 9.84, p = 0.003). Total WHOQOL-BREF scores increased from 52.5 ± 5.6 to 61.4 ± 5.1 ( F = 8.73, p = 0.005), with notable gains in the psychological (+16.5%) and social (+14.2%) domains. GDS-15 scores declined markedly from 6.9 ± 1.5 to 4.1 ± 1.3 ( F = 10.46, p = 0.002), indicating a ≈ 40% reduction in depressive symptoms and a positive correlation with cognitive improvement ( r = 0.42, p &amp;lt; 0.05). Glycemic parameters remained stable (HbA1c 7.8 ± 0.9 → 7.5 ± 0.8%; p = 0.11; fasting glucose 8.4 ± 1.2 → 8.1 ± 1.0 mmol/L; p = 0.14), with no adverse events. Adherence exceeded 95%, and satisfaction was &amp;gt; 90%. Conclusion RMT integrated with standard nursing care significantly improved cognition, mood, and QoL in elderly patients with T2DM and cognitive impairment without affecting metabolic stability. These results support RMT as a safe, inexpensive, and feasible adjunct to conventional geriatric diabetes management, offering a holistic nursing approach to enhance mental and emotional well-being.

Introduction Endometrial cancer is a common gynecologic malignancy, and surgical resection remains the mainstay of treatment. Perioperative complications such as malnutrition and venous thrombosis highlight the importance of comprehensive nursing care. Stroke sequelae, including hemiplegia, dysphagia, and impaired language function, further complicate management, especially when occurring simultaneously. However, reports addressing perioperative care in such patients are scarce. This study summarizes the perioperative nursing experience of a patient with endometrial cancer complicated by post-stroke hemiplegia, dysphagia, and impaired language deficits. Case presentation A 62-year-old postmenopausal female (gravida 2, para 2) with a history of sterilization and a 7-year hemorrhagic stroke (with sequelae of hemiplegia, dysphagia, and impaired language function) presented with 3-month vaginal bleeding. Following admission, she underwent an endometrial segmented diagnostic curettage. Postoperative pathology revealed endometrioid adenocarcinoma, International Federation of Gynecology and Obstetrics (FIGO) Stage I. The patient subsequently underwent laparoscopic hysterectomy, bilateral salpingo-oophorectomy, and sentinel lymph node mapping. Postoperatively, she was transferred to the intensive care unit (ICU) for mechanical ventilation, antimicrobial therapy, and supportive care. On postoperative day (POD) 2, extubation failed, and reintubation was performed. Given the high extubation risk due to her prior tracheostomy history, a tracheostomy was conducted on POD 4. During ICU stay, enteral nutrition was administered via NG tube and discontinued due to intolerance. POD 8, she was weaned off mechanical ventilation and transferred back to the ward. Results Proactive interventions via multidisciplinary team (MDT) discussions and nursing consultations ensured postoperative airway patency for maintaining oxygenation. Key focus areas included emphasizing the importance of nutrition, addressing the patient’s needs, protecting the patient’s skin, and preventing pressure injuries. POD 17, the patient was discharged home with a tracheostomy tube, which was removed 1 week post-discharge. The patient was able to tolerate pureed food. Conclusion This case highlights that for patients with endometrial cancer and post-stroke sequelae undergoing Category IV procedures (laparoscopic hysterectomy, bilateral salpingo-oophorectomy, and sentinel lymph node mapping), MDT collaboration and specialist nursing consultations are critical to addressing complex perioperative care needs (airway, nutrition, skin) and achieving favorable outcomes.

While prevention is a longstanding cornerstone of community and primary care nursing, its renewed prominence in the NHS 10-Year Health Plan raises important questions for practice. This reflective commentary considers how nurses' preventative expertise aligns with national policy ambitions, while examining the structural and workforce barriers that threaten delivery. It highlights the need for prevention to be resourced as a core, protected element of everyday nursing care.

The study aimed to identify the determinants of patient satisfaction with nursing care in internal medicine wards, recognising patient satisfaction as an important indicator of healthcare quality. The objectives included examining the relationship between patient satisfaction and selected organisational factors, such as nurse staffing levels, work environment, supervisor support, team relations, and nurse burnout, as well as selected patient-related variables, including length of hospitalisation. A multicentre cross-sectional study was conducted between June 2019 and January 2020 in 11 hospitals located in southern Poland. The study included 209 nurses and 533 adult patients hospitalised in internal medicine wards. Data were collected using validated research instruments, including the Practice Environment Scale of the Nursing Work Index (PES-NWI), the Newcastle Nursing Care Satisfaction Scale (NSNS), and the Maslach Burnout Inventory (MBI), which were selected to ensure reliable assessment of the nursing work environment, patient satisfaction, and occupational burnout. Quantitative statistical analysis was performed using correlation measures to examine relationships between variables. The design was chosen to allow simultaneous assessment of organisational, staff-related, and patient-related factors influencing satisfaction with nursing care in real clinical settings.

This study examined the levels of and relationship between resilience, empathy, and professional competence among emergency nurses in Palestine. Emergency nurses working in conflict-affected regions such as Palestine encounter extreme stressors that may adversely impact their resilience, empathy, and professional competence. These factors are vital for sustaining high-quality nursing care, yet their interrelationships remain insufficiently understood. A cross-sectional design was employed, recruiting 236 emergency nurses from governmental hospitals across the West Bank, Palestine. Data were collected using the Connor-Davidson Resilience Scale, Toronto Empathy Questionnaire, and the short Nurse Professional Competence Scale. Data analysis involved IBM SPSS Statistics 26.0 and SmartPLS 4.0, applying structural equation modeling to assess relationships among variables. Participants had low resilience (M = 72.8, SD = 26.7), above-average empathy (M = 46.3, SD = 13.1), and high professional competence (M = 78.0, SD = 10.7). Empathy did not directly predict professional competence (β = 0.11, p = 0.13) but significantly predicted resilience (β = 0.96, p < 0.01). Resilience strongly predicted professional competence (β = 0.86, p < 0.01) and fully mediated the empathy-competence relationship (indirect effect = 0.81, p < 0.01). The mediation effect underscores resilience as a pivotal mechanism through which empathy influences professional competence in high-stress, conflict-affected settings. Enhancing resilience is essential to translate empathy into effective professional performance among emergency nurses in Palestine. Interventions focusing on resilience-building and emotional regulation can improve nurses' competence, reduce burnout, and support sustainable quality nursing care delivery. Policymakers should prioritize resilience enhancement strategies in nursing education and workplace policies, especially in conflict-affected healthcare environments.

Sexuality is a crucial component of quality of life yet often remains an under-recognised and overlooked patient need within nursing care. Despite patients expressing a desire to discuss their sexuality with nurses, significant barriers hinder these conversations, leading to unmet needs and potential negative impacts on well-being. This discursive paper aims to discuss how the Fundamentals of Care (FoC) framework can support nurses in acknowledging and addressing sexuality as a fundamental aspect of patient care. A broad, structured literature search was conducted in PubMed, CINAHL and Embase (2010-2026) focusing on sexuality, fundamental care needs, nursing theories and the nurse's role in addressing sexual dysfunction. The findings were critically reflected upon using the FoC framework as a lens for understanding and improving practice. The analysis reveals that the FoC framework's emphasis on relationship, integration of care and context can facilitate a more holistic and patient-centred approach to addressing sexuality. Integrating the PLISSIT model (Permission, Limited Information, Specific Suggestions, Intensive Therapy) alongside the FoC framework provides a structured approach to initiating conversations and offering support. Organisational support, clear guidelines and adequate nurse education are also critical for overcoming barriers and fostering a culture where sexuality is openly addressed. Utilising the FoC framework, supplemented by the PLISSIT model and a supportive organisational context, can empower nurses to acknowledge and address patients' sexual needs, ultimately improving their overall well-being and breaking down the 'two-way taboo' surrounding sexuality in healthcare.

The "Call to Action: Blueprint for Change in Acute and Critical Care Nursing" emphasizes the need to recognize and measure the contributions of nurses. This department article calls for a comprehensive approach to measure quality nursing care, advocating for the development of nursing-sensitive outcomes that reflect the presence of nursing care, not the absence or the negative. Nurse leaders are urged to ensure that the value of nurses is made visible by moving beyond traditional negative measures of nursing care quality.

This descriptive study explored nurse leader interventions after workplace violence (WPV) incidents occurred in inpatient settings. WPV events against healthcare workers are common. Direct patient care staff are at the highest risk of harm. There is a gap in research focusing on how nurse leaders can best care for staff after WPV events have occurred. for staff after WPV events have occurred on behalf of the nurse leader. An exploratory, descriptive design was employed to collect national data using an open-ended survey. Nurse leader participants described experiences caring for staff after WPV events. A standardized approach with institutional policies was recommended, including physical and psychological resources and staff debrief. Internal event reporting for tracking and how the staff could care for the patient after the WPV event were areas for improvement. Clinical implications of the study include recommendations for a comprehensive and holistic approach to postincident care of the employee, encompassing both physical and emotional needs. Development of clinical practice guidelines for postincident care in the inpatient setting is needed.

This study aimed to identify the care needs of individuals with chronic liver disease, develop a standardised nursing care plan (SNCP) based on international nursing terminologies, and evaluate its effectiveness, quality, and satisfaction. A participatory action research design comprising three phases was used. In Phase 1 (December 2017), qualitative data from eight patients identified care needs and disease experiences. In Phase 2, feedback from 18 nurses guided the development of a SNCP, incorporating international nursing terminologies, which was then validated. In Phase 3 (October-December 2023), the plan's effectiveness, quality, and satisfaction were evaluated through implementation with 10 inpatients and 18 nurses. Qualitative analysis revealed two themes: disease-related symptoms and daily living challenges. Most nurses in phase 2 were familiar with the nursing process and NANDA terminology. The SNCP included 22 NANDA diagnoses, NOC outcomes, and NIC interventions, achieving 95%-100% validity. In Phase 3, a statistically significant improvement was observed in nurses' total care plan scores from pretest (5.44 ± 2.81) to posttest (16.50 ± 4.98). Additionally, patient files documented with the care plan SNCP showed a statistically significant quality improvement compared to those using traditional care plans. Nurses reported high satisfaction, citing ease of use, improved patient follow-up, support for evidence-based practice, enhanced care quality, and focus on individual patient needs. The SNCP based on international nursing terminologies was evaluated as valid in terms of scope, effective in identifying care problems compared to traditional care plans, better quality in terms of documentation, and satisfactory for nurses using it in patients with chronic liver disease. In this direction, it is recommended that the standard nursing care plan based on international nursing terminologies for chronic liver patients be widespread, and the care outcomes be evaluated with further studies.

Aging population and growing shortage of specialists present increasing challenges to anesthetic care. In Switzerland, advanced practice nurses in anesthesia are not yet integrated, despite their potential to contribute to innovative care models. This qualitative study explored current gaps in anesthetic care and assessed the potential role of advanced practice nursing in anesthesia. Semi-structured interviews were held with 46 participants, including patients, nurse anesthetists, and anesthesiologists. Data were analyzed using Mayring's summarizing content analysis. Patients emphasized "Information and Preparation Needs," "pain," and "recurrent hospital stays." Nurse anesthetists highlighted gaps in "making nursing care visible," "(interprofessional) practice development," and "pain therapy." Anesthesiologists identified challenges in "changes in anesthesia," the "treatment process," and "pain management." The results reveal relevant deficits in perioperative care, underscoring the need for sustainable solutions. Integrating advanced practice nurses into anesthesia could address these gaps by providing patient-centered preoperative support, fostering interprofessional practice development in the operating room, and providing clinical leadership in the postoperative recovery room and pain management. Advanced practice nursing in anesthesia is a promising strategy to sustainably improve the quality of perioperative health care.

Think–pair–share as an active learning strategy for prioritizing nursing care plans

Forced displacement has reached unprecedented levels, with over 120 million people uprooted globally and more than 100,000 refugees resettled in the United States in 2024. Refugees arrive with diverse cultural identities, prior professional roles, and experiences of trauma, yet often face systemic barriers, clinician bias, and unmet health needs. This article offers a practical framework grounded in holistic, person-centered values for delivering palliative nursing care to refugee communities. It outlines the complex resettlement journey and highlights how structural inequities, institutional racism, and communication barriers can undermine trust and care delivery. Cultural humility is defined and proposed as a guiding principle. Through real-world examples, communication strategies, and evidence-based insights, the authors demonstrate how care grounded in this principle can promote dignity, build trust, and improve outcomes. Special attention is given to interpreter use, social integration, and the importance of recognizing both cultural differences and individual strengths. When combined with the interdisciplinary, person-centered principles of palliative care-such as symptom management, effective communication, and cultural and spiritual respect-a strengths-based approach can enhance how care is delivered to displaced populations. By understanding the sociocultural and systemic factors that shape the refugee experience, nurses can better meet the complex needs of these patients and their families.

This study aimed to substantiate the effectiveness of family-centred care (FFC) combined with psychological intervention on improving sleep quality and psychological state among children diagnosed with bronchopneumonia. The experimental design employed central randomization and double-blind methodology. A computer-generated sequence was used to randomly allocate 120 paediatric bronchopneumonia patients into intervention and control groups, with allocation details stored in a central system. The control group received routine nursing care, while the intervention group received FCC and psychological intervention. Nursing staff remained blinded to group assignment during care implementation, while subjects, outcome assessors and data analysts maintained blinding throughout the study period. Group assignment was verified through the central data system following allocation. Family satisfaction with nursing services and the incidence of nursing-related safety events during hospitalisation were compared between groups. Children's psychological status before and after the intervention was assessed using the Multidimensional Anxiety Scale for Children (MASC) and the Children's Depression Inventory (CDI). Additionally, treatment compliance was evaluated, and sleep quality was assessed using the modified Epworth Sleepiness Scale (ESS). The overall family satisfaction rate was significantly higher in the intervention group compared with the control group (83.33% vs. 41.67%, p < 0.001). Postintervention, both MASC and CDI scores declined in the two groups, with lower values observed in the intervention group (MASC: 41.75 ± 6.80 vs. 73.47 ± 6.90; CDI: 14.13 ± 2.91 vs. 28.73 ± 3.48; both p < 0.05). The full compliance rate was also greater in the intervention group than in the control group (58.33% vs. 25.00%, p < 0.001). Furthermore, the improvement in ESS scores was more pronounced in the intervention group (8.42 ± 1.92 vs. 11.52 ± 1.84, p < 0.001), while the incidence of safety events showed a decreasing trend (0.00% vs. 5.00%, p = 0.079). FCC combined with psychological intervention effectively enhances sleep quality, mitigates anxiety, promotes treatment adherence and improves family satisfaction among children with bronchopneumonia. This provides practical evidence for the application of this comprehensive nursing model in paediatric clinical practice and research in the field of family-centred comprehensive interventions.

Synergizing resilience theory and satir model in nursing: A holistic intervention for adolescent depression.