Nursing Practice Today

Determination of the Relationship Between Nurses' Spiritual Orientation and Compassion Fatigue: A cross-sectional study in Türkiye

Havva Yesildere Saglam — 2026-01-18

Background&Aim: In the nursing profession, which is in intense emotional interaction with people, spiritual orientation is thought to be an effective factor on compassion fatigue. This study aims to examine the relationship between nurses' spiritual orientation and compassion fatigue.

Methods&Materials: The data of the study, which was designed as a cross-sectional study, were collected between July,2023-October,2023. The "Introductory Information Form", "Compassion Fatigue Scale" and "Spiritual Orientation Scale" were used to collect the data. The data were collected through a web-based questionnaire created on Google Forms.

Results: The average age of the nurses is 31.30±6.54. It was determined that the spiritual orientation scores of the nurses were high and their compassion fatigue levels were moderate. The compassion fatigue scores of the nurses differ according to the unit they work in, the length of time they work in the unit, their attitude towards the profession, and their love for the profession(p<0.05). No statistically significant relationship was found between nurses' spiritual orientation and compassion fatigue(p>0.05). A weak negative relationship (r=-0.142; p=0.008) was found between nurses' professional burnout and spiritual orientation levels.

Conclusion: Nurses' compassion fatigue and spiritual orientation are affected by various factors. Our results showed that there is no relationship between compassion fatigue and spiritual orientations. In this context, conducting more comprehensive and follow-up studies will be important in examining the relationship between the two concepts.

The Effect of the Nurse-Led ROOTS Program and Softskills Training on Emotional Regulation to Prevent Bullying in High School Students in Bandung City

Iyus Yosep — 2026-01-18

Objective: This study aims to determine the effect of the Nurse-Led ROOTS Program combined with Soft Skills Training on improving emotional regulation of high school students in Bandung City.

Method: The study used a quasi-experimental design with a pretest–posttest control group design. A total of 100 students aged 13–18 years participated (intervention group n=50; control group n=50) from High Schools Students in Bandung, selected by purposive sampling. The intervention was implemented for 8 weeks with 60–90-minute face-to-face sessions facilitated by the school nurse and a teacher. Emotion regulation was measured using the Emotion Regulation Questionnaire for Children and Adolescents (ERQ-CA). Because the data were not normally distributed, analyses were conducted using the Wilcoxon Signed Rank Test for changes within groups and the Mann–Whitney U Test for comparisons between groups. Effect sizes were calculated using the r value of the effect size.

Results: The intervention group showed a significant increase in total emotion regulation scores (ERQ-CA: 28.9 ± 4.7 to 36.2 ± 4.3; p < 0.001; r = 0.72), particularly in the cognitive reappraisal dimension. The control group showed no significant change (p = 0.218). Intergroup analysis revealed a significant difference in posttest scores (p < 0.001; r = 0.69).

Conclusion: The Nurse-Led ROOTS program, integrated with Soft Skills Training, is effective in improving high school students' emotional regulation skills. This peer-led leadership approach, facilitated by school nurses, can serve as a sustainable model for promoting adolescent mental health and preventing aggressive behavior in educational settings.

The effect of extended PLISSIT model-based counseling on sexual satisfaction in women with systemic lupus erythematosus: A randomized controlled trial

Maryam Shami — 2026-01-14

Background & Aim: Systemic Lupus Erythematosus has physiological, cognitive, and mental effects on sexual satisfaction in afflicted women. This study aimed to investigate the effect of sexual counseling based on the EX-PLISSIT model on sexual satisfaction in this group of patients.
Materials & Methods: A randomized controlled trial was conducted on 120 married women with SLE in Ahvaz, Iran. Eligible women were randomly assigned to the intervention group (four weeks of psychosexual counseling sessions based on EX-PLISSIT) and the control group, using block randomization with a 1:1 allocation ratio. Before the intervention and eight and twelve weeks after the completion of counseling sessions, the Larson Sexual Satisfaction Questionnaire was administered. Data was analyzed using independent t-tests, paired t-tests, Chi-square test, and repeated measures ANOVA.
Results: There was no significant difference in sexual satisfaction scores between the two groups before the intervention (p₌0.718). Following the intervention, the mean sexual satisfaction score in the intervention group significantly increased (from 93.8±15.59 to 104.5±13.32 after 12 weeks), while a significant decrease was observed in the control group. At the 12-week follow-up, the mean satisfaction in the intervention group was significantly higher than the control group (p<0.0001). Repeated Measures ANOVA confirmed a significant difference in the trend of changes between the two groups over time (p<0.0001).
Conclusion: The results demonstrated that sexual counseling based on the EX-PLISSIT model significantly enhanced sexual satisfaction in married women with SLE compared to the control group. Therefore, this type of counseling is recommended as an effective and simple adjunctive therapeutic service for enhancing sexual satisfaction in women with SLE.

Trial registration: This study has been registered with the Iranian Registry for Clinical Trials (IRCT20230626058592N2).

Nurses’ experience of work interruption during the medication administration: A qualitative study

Won Lee — 2026-01-01

Background & Aim: Work interruptions during medication administration increase the risk of errors, compromising patient safety and underscoring the need to examine the complex challenges nurses face in ensuring medication safety. The purpose of this study was to examine nurses’ experiences with interruptions during medication administration, their sources, impacts, and how nurses responded to and managed these situations.
Methods & Materials: A qualitative design was used, and in-depth interviews were conducted with sixteen nurses from tertiary hospitals in Korea using a semi-structured interview guide. Data were analyzed using directed content analysis based on an initial coding scheme.
Results: Three main themes and 10 sub-themes emerged from the analysis. Nurses reported interruptions from various sources, including healthcare colleagues, external departments, patients and caregivers, and environmental factors. These interruptions resulted in workflow fragmentation, elevated medication error risk, and significant emotional burden. In response, nurses employed various individual coping mechanisms while also identifying the need for organizational support.
Conclusion: Interruptions during medication administration stem from multiple sources and impose significant risks for errors, workflow disruption, and emotional burden on nurses. This study suggests that context-sensitive strategies, such as standardizing communication, delegating non-urgent requests, and enhancing education for healthcare providers, patients, and caregivers, are essential to reduce avoidable interruptions while supporting safe medication practices.

Postnatal mothers’ perceptions and experiences of kangaroo care: A qualitative study in a low-resource setting

Ganga Sanjeewani de Silva — 2026-01-01

Background & Aim: Prematurity is the leading cause of death among children under five years of age globally. Alarmingly, in low-income countries, more than 90% of extremely preterm-born babies die within the first few days of life. Kangaroo care is an effective method in the management of preterm babies. The study aimed to explore perceptions and experiences of postnatal mothers on Kangaroo care at a selected hospital in Sri Lanka.
Methods & Materials: This exploratory descriptive qualitative study was carried out with seventeen purposively selected postnatal mothers who were practicing Kangaroo care in the Neonatal Care Unit at District General Hospital in Kalutara, Sri Lanka. Data collection was done through in-depth interviews using an interview guide between the period of July 2021 and November 2021. The interviews were recorded and transcribed verbatim. The inductive content analysis method described by Graneheim and Lundman was employed for data analysis.
Results: Participants were mainly Sinhalese, married, and aged between 20-40 years. The analysis revealed one overarching theme: ‘Despite the obstacles, Kangaroo care is a blessing,’ which was further characterized by two main categories: positive perceptions and experiences, and negative perceptions and experiences. Positive perceptions and experiences are described under good practice, supportive role, and benefits. Negative perceptions and experiences are described under separation and obstacles.
Conclusion: The participating mothers’ perceptions and experiences of Kangaroo care blended with both positive and negative dimensions, which were shaped by contextual factors; hence, addressing these factors is imperative for the successful implementation of Kangaroo care.