Predictors of Mobile Health App Acceptance Among Nurses in Kashan, Iran: Cross-Sectional Study

Factors Associated with Reduced Adoption of Evidence-Based Practice Among Nurses: an Analytical, Cross-Sectional Study

Evidence-Based Practice (EBP) is a systematic approach to healthcare that integrates the best available research evidence with clinical expertise and patient values, yet its implementation continues to face multifaceted individual and organizational barriers. Objectives: This study aimed to identify individual and organizational barriers to EBP adoption among nurses and to determine whether these barriers are associated with nurses' demographic characteristics. Methods: An analytical, cross-sectional study was conducted at Government Teaching Hospital, Shahdrah, Lahore, and Sir Ganga Ram Hospital, Lahore. Data were collected from 276 nurses using systematic random sampling and a structured, pre-tested questionnaire. Data were analyzed in SPSS version 23 using descriptive statistics (frequencies, percentages, mean, standard deviation) and, to test for associations, the Chi-square test and Spearman's correlation. Results: The most reported barriers were inadequate education/training in research skills (83.0%), insufficient time to implement EBP (81.5%), high workload (80.1%), and lack of resources (77.9%). The Chi-square test showed no significant association between any demographic characteristic (designation, qualification, experience, department, hospital, or research certification) and overall individual or organizational barriers (all p > .05). Age also showed no significant correlation with barrier scores (Spearman's correlation, all p > .05). Conclusion: Barriers to EBP adoption were highly prevalent and consistently reported across the sample, regardless of nurses' demographic characteristics, suggesting these barriers are systemic rather than concentrated in particular groups of nurses. The findings support broad, organization-wide interventions to improve access to resources, EBP education, and organizational culture.

Telehealth readiness among Saudi nurses: the critical role of innovative self-efficacy

Objectives Grounded in Bandura’s Self-Efficacy Theory and Davis’s Technology Acceptance Model, this study assessed telehealth readiness (TR) and the association with innovative self-efficacy (ISE) among nurses in Al-Madinah Al-Munawwarah, Saudi Arabia, while identifying key demographic and professional correlates. Methods We conducted a multicenter cross-sectional survey among 400 registered nurses from three Ministry of Health hospitals using the Telehealth Readiness Assessment Tool (TRAT) and the Innovative Self-Efficacy Scale (ISES). Group comparisons employed non-parametric tests, and multivariable linear regression examined independent associations after adjusting for demographic and professional covariates. Results Nurses with higher ISE demonstrated substantially greater TR. ISE emerged as the dominant independent correlate of TR in multivariable analysis, suggesting that confidence in creative problem-solving may constitute one of the cognitive resources nurses draw upon when preparing for telehealth adoption. Conclusion ISE is a key correlate of TR, independent of demographic and professional characteristics. These findings extend self-efficacy theory to a mandatory, culturally distinct telehealth adoption context and suggest that training programs should target creative problem-solving alongside technical skills to optimize nursing readiness for digital health transformation in Saudi Arabia.

Barriers to effective community health nursing: a quantitative analysis of challenges faced by nursing students in Saudi Arabia

Nursing students in Saudi Arabia perceived meaningful, though not severe, barriers to effective CHN practice, with resource limitations and skills gaps as primary concerns, which support strengthened curriculum-practice integration, expanded simulation and community-immersion experiences, improved placement resources, and targeted faculty development aligned with healthcare transformation priorities.

Performance of Safe Injection Practices by Neonatal Intensive Care Unit Nurses: Associations with Knowledge, Attitudes, and Nursing Professionalism

Purpose: This study aimed to identify factors associated with safe injection practice performance among neonatal intensive care unit (NICU) nurses, focusing on safe injection practice knowledge, attitude, and nursing professionalism. Methods: This descriptive study included 120 NICU nurses from six general hospitals in Korea. Data were collected using structured self-report questionnaires from August 1, 2023, to January 30, 2024. Analyses included descriptive statistics, independent t-tests, one-way analysis of variance, the Brown-Forsythe test, Pearson's correlation coefficients, and multiple regression analysis using IBM SPSS Statistics 26.0. Results: Multiple regression analysis showed that attitude toward safe injection practices (β=.54, p<.001) and NICU experience of more than 6 years (β=.20, p=.009) were significant predictors of safe injection practice performance. These two variables accounted for 35.2% of the total variance in performance. Conclusion: Attitude toward safe injection practices and clinical experience in the NICU were key factors associated with safe injection practice performance. Educational programs and training strategies should therefore foster positive safety attitudes and support opportunities for nurses to accumulate NICU clinical experience.

Research Paper Design and Psychometric Evaluation of a Health Literacy-based Nurse–patient Communication Questionnaire

Psychometric features of the Patient-Centered Communication Scale among Iranian clinical nurses.

BACKGROUND Measuring patient-centered communication seems essential from the perspective of nurses as the primary healthcare providers. The Patient-Centered Communication Scale (PCCS) is one of the instruments that makes it possible to achieve this goal. Therefore, since no version apart from the original version of this instrument has been psychometrically tested in other countries, including Iran, this study aimed to culturally adapt and psychometrically evaluate the PCCS in Iranian clinical nurses. METHODS The current methodological study was conducted in hospitals associated with Shahroud University of Medical Sciences. Content validity was examined through qualitative and quantitative methods by specialists in patient-centered communication and nurse-patient communication. Factor analysis, including exploratory and confirmatory approaches, was employed to determine the factor structure and model fit of the Persian version of the PCCS. The convenience sampling approach enabled the achievement of the aforementioned goal by collecting two independent samples of 150 qualified clinical nurses each, totaling 300 qualified clinical nurses. Internal consistency was evaluated using Cronbach's alpha and McDonald's omega coefficients, while external stability was quantified by the intraclass correlation coefficient (ICC). RESULTS The expert panel's comments suggested deleting item 4 due to substantial conceptual overlap with item 5. Exploratory factor analysis revealed a single factor with an eigenvalue of 8.56, explaining 77.78% of the entire variance of the Persian version of this scale. Confirmatory factor analysis also supported the single-factor structure of the Persian version of the mentioned scale. The Cronbach's alpha and McDonald's omega coefficients exceeded 0.70, indicating satisfactory internal consistency, while the ICC value exceeded 0.80, showing favorable external stability. CONCLUSION The favorable psychometric features suggest the use of the Persian version of the mentioned scale to identify factors related to this concept in clinical settings and determine the effectiveness of various interventions to promote this specific type of communication. However, the single-center data collection constrains the generalizability of the findings to clinical nurses employed in medical centers linked to other Iranian universities of medical sciences and non-university facilities, including private medical centers.