Rubab Qureshi

Objective: This review will summarize the evidence on the effectiveness of evidence-based interventions in promoting resilience among nursing students. Introduction: Nursing involves high-stress environments, substantial workloads, and emotional strain. Amid these challenges, nursing resilience is vital for ensuring the quality of patient care and protecting nurses’ well-being. Nursing students are introduced to these challenging practice environments through both their coursework and their clinical placements, preparing them for the realities they will encounter after graduation. Understanding interventions that promote nursing students’ resilience during their nursing education will help support their preparedness for today’s challenging health care systems. Eligibility criteria: This review will include research syntheses about evidence-based interventions to promote resilience among prelicensure professional nursing students. This can include those in diploma, associate, baccalaureate, or prelicensure master of science nursing programs. Comparisons will be made across evidence-based interventions. This review will consider systematic reviews that include the primary outcome of resilience and possible secondary outcomes of emotional well-being, academic satisfaction, and retention. Methods: A comprehensive search will be carried out across CINAHL (EBSCOhost), MEDLINE (Ovid), Cochrane Library (Ovid), JBI Best Practice, Embase (Ovid), and Epistemonikos. The search will have no limitations on language, geographical location, or publication date. Two independent reviewers will screen titles and abstracts against the eligibility criteria. The selected reviews will be appraised using the JBI critical appraisal instrument for systematic reviews and research syntheses. Data from each review will be extracted using the JBI data extraction tool. The review characteristics and findings will be presented in a narrative summary and tables. Review registration: PROSPERO CRD420251111264

Introduction: The COVID‐19 pandemic highlighted the important role of trust in information sources in shaping vaccine uptake behavior. This study aimed to examine the relationship between trust in various information sources and COVID‐19 vaccine uptake. Methods: Data were analyzed from the April 2021 wave of the Health Reform Monitoring Survey (HRMS). A total of 9067 US adults were included. Multivariate logistic regression models were used to assess associations between seven different information sources, trust, and vaccine uptake, adjusting for sociodemographic factors. Results: Trust in personal doctors/healthcare providers was the strongest predictor of COVID‐19 vaccine uptake (adjusted odds ratio [AOR] = 1.53, p < 0.001), followed by trust in other doctors/community healthcare providers (AOR = 1.40, p < 0.001) and pharmacists (AOR = 1.32, p < 0.001). Non‐healthcare information sources, such as social service, neighborhood, or civic organizations (ARO = 1.27, p < 0.001), and local elected officials (AOR = 1.08, p < 0.001), showed weaker associations. Trust in religious leaders and family/friends was associated with a lower likelihood of vaccine uptake (AOR = 0.81, p < 0.001, and AOR = 0.85, p < 0.001, respectively). Older age, higher education, and Hispanic ethnicity were positively linked to COVID‐19 vaccine uptake. Conclusion: Trust in healthcare professionals significantly influences COVID‐19 vaccine uptake, whereas trust in non‐healthcare sources plays a more limited role. Religious leaders’ and family/friends’ influence was minimal. Building and maintaining trust in healthcare providers is crucial for promoting vaccine acceptance, particularly amid widespread misinformation and political polarization. Public health efforts should prioritize improving healthcare provider–patient communication, utilizing trusted healthcare figures as role models, and implementing culturally tailored interventions to address hesitancy among marginalized groups.

Aims: To advocate for the systematic review as a rigorous, competency‐aligned option for the Doctor of Nursing Practice (DNP) project. Methods: A descriptive and conceptual analysis was used, drawing on existing literature, historical context, and a case study of a three‐semester curriculum integrating systematic review methodology. Data sources included peer‐reviewed research, professional guidelines, and faculty experience in teaching and mentoring DNP students. Results: Integrating systematic reviews as DNP projects equips students with competencies in evidence synthesis, critical appraisal, knowledge translation, and project management. A three‐semester scaffolded approach to conducting a systematic review has the potential to foster strong student engagement, build essential skills, and prepare graduates to lead evidence‐based practice change. Conclusions: Systematic reviews meet DNP project criteria when paired with practice‐focused implementation and evaluation components. This approach offers an alternative where site access, time, or feasibility limits primary data collection, while ensuring methodological rigor and professional relevance. Impact: Adopting systematic reviews as DNP projects can reduce clinical site burden, expand project opportunities, and strengthen evidence‐based practice capacity in nursing. Broader acceptance and standardization of this model could enhance practice‐based doctoral education globally. Patient or Public Contributions: No Patient or Public Contribution.

The fear of COVID-19 significantly impacting the health of people globally. This study translated newly developed measurement tool New Fear of the Coronavirus Questionnaire (New_FCQ) into Chinese language and evaluated the psychometric properties of the Chinese version of New_FCQ among Chinese population. A total of 522 participants were included in the study. Internal consistency, construct validity, criterion validity, and concurrent validity of the Chinese version of New_FCQ were assessed in this study. The Chinese version of New_FCQ had excellent internal consistency (α = 0.97) and exploratory factor analysis demonstrated one-dimensional structure of the Chinese version of New_FCQ. The preliminary criterion validity revealed statistically significant differences in the fear of COVID-19 scores based on age and education level (P = .002 and P = .03, respectively). The good concurrent validity also established with the Chinese version Fear of COVID-19 Scale(P < .001). Psychometric proportions of the Chinese version of New_FCQ were established, which exhibited sufficient validity and reliability among Chinese population.

Background: Individuals who identify as sexual and gender minorities often experience high rates of adverse childhood experiences and encounter discrimination and stigma in their interactions with healthcare providers, leading to low utilization of healthcare services. However, the relationship between adverse childhood experiences, preventive care utilization, and trust in nurses among sexual and gender minority individuals remains unclear. Purpose: This study explored the relationship between adverse childhood experiences and preventive care use and assessed the potential interaction effects of trust in nurses between adverse childhood experiences and preventive care use among individuals from sexual and gender minorities. Methods: A cross-sectional design was used. A sample of 160 self-reported individuals from sexual and gender minorities completed an electronic online survey. Multiple linear regression and moderation analyses were conducted to examine the association between adverse childhood experiences, preventive care utilization, and nurse trust. Results: There was a significant negative relationship between adverse childhood experiences and preventive care utilization. There was also a significant positive relationship between trust and preventive care utilization. The results also indicated that trust in nurses moderated the relationship between adverse childhood experiences and preventive care utilization among sexual and gender minority individuals. Discussion: A significant relationship was found between a high prevalence of adverse childhood experiences and low healthcare service utilization. Strengthening the trust relationship between nurses and sexual and gender minority individuals could serve as a potential intervention point, leading to improved health outcomes for this vulnerable population. Hence, enhancing trust in nurses could be a key factor in increasing healthcare service utilization and overall health outcomes.

Purpose: To assess the psychometric properties of a newly developed instrument patient-nurse trust scale (PNTS) among sexual and gender minorities (SGM). Design: Secondary data analysis. Methods: Reliability and construct validity of the PNTS were assessed. Findings: The PNTS showed high internal consistency (Cronbach’s alpha= 0.96). It also demonstrated a good fit to the data and confirmed construct validity. Conclusions: PNTS is a reliable and valid instrument to measure trust in the nurse-patient relationship with SGM youth. Clinical Evidence: PNTS is a valid and reliable tool that quantifies patient-nurse trust relationship and can predict patient satisfaction, health behaviors and health outcomes.

Historically, sexual and gender minority populations may have faced multiple Adverse Childhood Experiences (ACEs) and their utilization of preventive healthcare is low. However, sociocultural changes in attitudes and policies affecting sexual and gender minority populations signal their broader societal acceptance. We examined the prevalence of ACEs among sexual and gender minority populations belonging to Generation Z (those born between 1990-early 2000s) and their utilization of preventive healthcare to identify areas for health promotion. We used the Philadelphia Expanded ACEs questionnaire as well as questions about demographics and preventive healthcare use in a cross-sectional online survey design. The participants (n = 160) were chiefly female (n = 105, 65.6%) and bisexual (n = 51, 31.9%), while gender non-binary comprised 10.6% (n = 17). Most (93.75%, n = 150) participants reported three or more ACEs. ACEs were significantly associated with preventive healthcare use (p = 0.02). Higher prevalence of ACEs was associated with a 0.05 reduction in preventive healthcare utilization. Despite protective factors such as a comparatively advantaged background (based on their annual household income), health insurance, and college education, high ACEs, sexual orientation, and gender identity remained significantly associated with low utilization of preventive healthcare.

Purpose: To assess graduate nursing students’ lesbian, gay, bisexual, and transgender (LGBT)-specific health competencies. Method: Using a cross-sectional design, a 13-item multiple response survey, derived from The Joint Commission guidelines and LGBT health competencies proposed by the Association of American Medical Colleges, was administered online to 116 registered nurses enrolled in graduate study. Survey items assessed nurses’ knowledge of LGBT health, professionalism, provision of patient care, communication skills, care environment, gaps in learning, and systems-based practice. Descriptive analyses were used to summarize frequencies and proportions of study variables. Results: Respondent nurses’ knowledge about health, prevalent conditions, and social factors that influence LGBT health was somewhat limited. Respondents did not rate their knowledge about LGBT health high (µ = 3.11 [1.1], median = 3) and did not feel qualified to educate other colleagues about LGBT health issues (µ = 2.43 [1.26], median = 2). But 58% (n = 65) indicated that they felt comfortable performing prostate exams on transgender female patients (born with male genitalia); 62% (n = 70) felt comfortable doing pap smears for transgender male patients (born with female genitalia). Sixty nurses (52%) stated that they would advocate reforms within existing health care institutions to improve the care of LGBT patients. Cultural competency training was offered in some health care settings and environmental indications of inclusivity were inconsistent. Conclusions: LGBT health competence among graduate nursing students was limited. There is a need to reevaluate LGBT health–related content in nursing curricula as well as robust assessment of competence in LGBT health.

This study developed and evaluated an instrument to measure the patient-nurse trust relationship in a medically underserved community. An exploratory sequential design was employed. In-depth interviews with 20 patients and 15 nurses were conducted to elicit their experiences regarding trust. Interview results were coded, analyzed and formatted into a Likert scale instrument. The instrument was administered to 120 patients. 19 items were retained for the final instrument with item-to-total correlational coefficients greater than 0.5, and a Cronbach’s alpha of 0.95. Both construct validity and preliminary criterion validity were confirmed. Psychometric proportions of the instrument were established.

This 6-month pilot randomized controlled trial examined the effectiveness of a Mobile Health (mHealth) intervention for hypertension self-monitoring and management in an underserved urban community. The four health outcomes measured included changes in systolic and diastolic blood pressure (BP), BP monitoring adherence, perceived medication adherence self-efficacy, and health-related quality of life. Thirty participants were randomly assigned to the mHealth group or a standard follow-up group; 25 participants completed the study. The mHealth group had statistically significant improvement in systolic BP decrease (p = .01). The mHealth group had better adherence to BP monitoring and improved perceived medication adherence self-efficacy at 6 months, compared with the standard follow-up group. The results suggest that an mHealth intervention has the potential to facilitate hypertension management in underserved urban communities.