Tehran University of Medical Sciences Nursing Practice Today 2383-1154 0 0 2026 09 01 5156 5156 EN Nor Nadiya Ab Ghani Department of Nursing, SEGi College Kuala Lumpur, Kuala Lumpur, Malaysia Aniawanis Makhtar Department of Special Care Nursing, Kulliyyah of Nursing, International Islamic University Malaysia, Jalan Sultan Ahmad Shah, Pahang, Malaysia Sharifah Munirah Syed Elias Department of Special Care Nursing, Kulliyyah of Nursing, International Islamic University Malaysia, Jalan Sultan Ahmad Shah, 25200, Kuantan, Pahang, Malaysia Norfadzilah Ahmad Department of Professional Nursing Studies, Kulliyyah of Nursing, International Islamic University Malaysia, Jalan Sultan Ahmad Shah, Pahang, Malaysia Norliza Suut Faculty of Medicine and Health Sciences, Universiti Malaysia Sarawak, Sarawak, Malaysia 2026 05 11 2026 07 27 Background & Aim: Family caregivers of stroke survivors often assume complex responsibilities with limited preparation, while evidence on how best to support them remains fragmented. This review aimed to map evidence on family caregiver preparedness in stroke care and use the findings to develop a conceptual framework. Methods & Materials: A scoping review was conducted using the Joanna Briggs Institute methodology and reported according to guidance for scoping reviews. MEDLINE via Ovid, PubMed, Scopus, ProQuest, and ScienceDirect were searched for peer-reviewed English-language studies published from 2014 to 2025. Quantitative, qualitative, and mixed-methods studies examining preparedness, related frameworks, tools, or interventions were included. Studies involving paid caregivers, paediatric stroke, or psychosocial outcomes without reference to preparedness were excluded. Findings were synthesised descriptively and thematically. Results: Twenty-two studies met the inclusion criteria. Four examined frameworks, assessment tools, or interventions, and 18 reported preparedness levels and associated factors. Preparedness was generally low to moderate. Three contextual domains shaped caregiving demands: stroke survivor clinical characteristics, caregiving roles and responsibilities, and family caregiver characteristics. Psychosocial and emotional factors and social and supportive resources moderated the relationship between demands and preparedness. These domains were integrated into a framework describing preparedness as a changing balance between caregiving demands and available resources across the stroke care continuum. Conclusion: Family caregiver preparedness is multidimensional and changes over time. The proposed framework may support assessment, follow-up, and intervention design, but requires empirical and stakeholder validation. https://npt.tums.ac.ir/index.php/npt/article/view/5156

Tehran University of Medical Sciences Nursing Practice Today 2383-1154 0 0 2026 09 26 5297 5297 Dwi Handayani Faculty of Public Health, Hasanuddin University, Makassar, Indonesia AND Departement of Nursing, Pelamonia Institute of Health Sciences, Makassar, Indonesia Stang Stang Faculty of Public Health, Hasanuddin University, Makassar, Indonesia Masyita Muis Faculty of Public Health, Hasanuddin University, Makassar, Indonesia Veni Hadju Faculty of Public Health, Hasanuddin University, Makassar, Indonesia Ansariadi Ansariadi Faculty of Public Health, Hasanuddin University, Makassar, Indonesia Kadek Erika Departement of Pediatric Nursing, Faculty of Nursing, Hasanuddin University, Makassar, Indonesia 2026 06 08 2026 06 29 Background & Aim: Hypertension remains a major global health challenge associated with cardiovascular morbidity and mortality. Brisk walking is widely recommended as a non-pharmacological strategy for blood pressure control; however, maintaining long-term adherence remains challenging. The integration of electronic health technologies into walking interventions may enhance motivation and behavioral engagement. This scoping review aimed to map digital behavior features and Behavior Change Techniques within eHealth-supported walking interventions for hypertension management. Methods & Materials: This scoping review followed the Arksey and O’Malley framework and adhered to PRISMA-ScR guidelines. Literature searches were conducted across PubMed, Scopus, ScienceDirect, ProQuest, and Google Scholar for studies published between 2016 and 2025. Eligible studies included adults with hypertension receiving electronic health-supported walking interventions incorporating digital behavior features and/or Behavior Change Techniques. Data were synthesized narratively. Results: A total of 21 studies were included. Frequently used eHealth technologies included mobile applications, wearable activity trackers, telemonitoring systems, and web-based platforms. Common digital behavior features included step monitoring, reminders, motivational messaging, personalized feedback, coaching support, and gamification. Frequently identified Behavior Change Techniques based on the Behavior Change Technique Taxonomy version 1 included goal setting, self-monitoring, feedback on behavior, prompts/cues, action planning, and social support. Most studies reported improved walking adherence, increased physical activity, enhanced self-management behaviors, and reduced blood pressure. Conclusion: Electronic health-supported walking interventions demonstrate potential for improving hypertension self-management through integrated digital behavior change strategies. Future studies should emphasize theory-driven intervention design and standardized Behavior Change Technique reporting. https://npt.tums.ac.ir/index.php/npt/article/view/5297

Tehran University of Medical Sciences Nursing Practice Today 2383-1154 0 0 2026 09 01 5232 5232 Fatemeh Ghaedi-Heidari Department of Psychiatric Nursing, Nursing and Midwifery Care Research Center, Faculty of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran Samira Abbasi Department of Psychiatric Nursing, Faculty of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran Alireza Irajpour Department of Nursing and Midwifery, Social Determinants of Health Research Center, Isfahan University of Medical Sciences, Isfahan, Iran Michael Linden Department of Psychosomatic Medicine, Charité University Medicine Berlin, Berlin, Germany Zahra Taheri Department of Sociology, Faculty of Social Sciences, Imam Khomeini International University, Qazvin, Iran 2026 05 21 2026 08 11 Background & Aim: Patients with mental disorders frequently experience limitations in activity and social participation, potentially disrupting recovery and social reintegration. Accurate assessment of these limitations is essential for treatment planning and rehabilitation. This study aimed to determine the validity and reliability of the Persian version of the Mini-International Classification of Functioning and disability-rating for limitations of activities and participation in psychological disorders. Methods & Materials: This methodological study was conducted in 2025 among patients discharged from the psychiatric wards. Following forward–backward translation, face and content validity were assessed by 11 experts. Construct validity was evaluated using Exploratory Factor Analysis, followed by Confirmatory Factor Analysis in 193 patients. Reliability was assessed using Cronbach's alpha and the Intraclass Correlation Coefficient. Results: All items demonstrated satisfactory face and content validity, with no item removed. Content Validity Ratio values ranged from 0.63 to 1.00, while the overall Scale-level Content Validity Index was 0.88, indicating acceptable but slightly below-threshold content validity. Exploratory Factor Analysis identified a three-factor structure explaining 51.13% of the total variance. Confirmatory Factor Analysis showed acceptable model fit. Cronbach's alpha was 0.76 overall, and the Intraclass Correlation Coefficient for the total scale was 0.796, indicating satisfactory internal consistency and stability. Conclusion: The Persian Mini-International Classification of Function and Disability Rating for limitations of Activities and Participation in Psychological disorders demonstrates acceptable face, content, and three-factor structural validity. However, the low internal consistency of the third factor and suboptimal Tucker–Lewis Index fit warrant caution in interpreting subscale scores. https://npt.tums.ac.ir/index.php/npt/article/view/5232

Tehran University of Medical Sciences Nursing Practice Today 2383-1154 0 0 2026 09 26 5179 5179 Sheraz Khan Center of Excellence for Enhancing Well-being in Vulnerable and Chronic Illness Populations, Faculty of Nursing, Chulalongkorn University, Bangkok, Thailand Ratsiri Thato Center of Excellence for Enhancing Well-being in Vulnerable and Chronic Illness Populations, Faculty of Nursing, Chulalongkorn University, Bangkok, Thailand 2026 05 16 2026 09 03 Background & Aim: Sexual health communication is central to adolescent nursing care, but its meaning remains conceptually inconsistent across nursing settings and adjacent disciplines. This conceptual ambiguity limits assessment, education, measurement, and service design. This study aimed to clarify sexual health communication in adolescent nursing care and identify its defining attributes, antecedents, consequences, and empirical referents. Methods & Materials: Walker and Avant's eight-step method guided the analysis. CINAHL, PubMed/MEDLINE, Scopus, ERIC, and the Cochrane Library were searched for English-language literature published from January 2000 to December 2025. A focused update through June 2026 used PubMed and backward and forward citation tracking. Full texts were assessed against predefined conceptual and disciplinary eligibility criteria, and data were extracted into a structured matrix. Nursing-specific evidence was prioritized for defining the concept. Thirty substantive sources were included. Results: Six defining attributes were identified: purposeful initiation and reciprocal adolescent participation; confidentiality enactment and interactional safety; accurate, clear, and developmentally responsive information exchange; responsive relational engagement during the encounter; timely, continuous, and care-linked communication; and contextually responsive and power-aware communication. Antecedents occurred at adolescent, professional, organizational, and sociocultural levels. Potential consequences included enhanced understanding, comfort and disclosure, follow-up, help-seeking, continued communication, and informed decision-making. Broader outcomes, including service access and equitable care, were considered potential distal implications. Existing measures capture selected components but not the complete nurse-adolescent concept. Conclusion: Sexual health communication in adolescent nursing care is a purposeful, reciprocal, confidentiality-protective, developmentally responsive, and clinically integrated nurse-adolescent interaction. The clarified concept provides a nursing-specific basis for education, clinical assessment, intervention design, and measure development and future validation across diverse cultures and nursing settings. https://npt.tums.ac.ir/index.php/npt/article/view/5179

Tehran University of Medical Sciences Nursing Practice Today 2383-1154 0 0 2026 09 26 5286 5286 EN Vachira Posai Division of Nursing, Ministry of Public Health, Nonthaburi, Thailand Uraiporn Janta-Um-Mou Division of Nursing, Ministry of Public Health, Nonthaburi, Thailand Kanogporn Jamsomboon Division of Nursing, Ministry of Public Health, Nonthaburi, Thailand Chanokporn Jitpanya Faculty of Nursing, Suan Dusit University, Bangkok, Thailand Jinpitcha Sathiyamas Faculty of Nursing, Kasetsart University, Bangkok, Thailand Niphon Watada Maharat Nakhon Ratchasima Hospital, Nakhon Ratchasima, Thailand Nachaphat Jeenlakroy Boromarajonani College of Nursing, Sawanpracharak Nakhon Sawan, Faculty of Nursing, Praboromarajchanok Institute, Nakhon Sawan, Thailand 2026 06 06 2026 08 24 Background & Aim: Work-related stress can adversely affect nurses’ well-being, workforce stability, and quality of care. However, a culturally appropriate and psychometrically validated instrument for assessing psychosocial work-related stress among Thai nurses is needed. This study aimed to translate, culturally adapt, and psychometrically refine the Work-Related Stress Questionnaire (WRSQ) for Thai registered nurses. Methods & Materials: This two-phase methodological study translated and culturally adapted the WRSQ following international guidelines. The instrument was evaluated by five experts and pilot-tested with 30 nurses. Psychometric evaluation was conducted among 276 registered nurses from Ministry of Public Health hospitals, randomly allocated to exploratory and confirmatory samples. Exploratory factor analysis (EFA) examined factor structure and item performance, followed by confirmatory factor analysis (CFA) of competing models. Convergent validity, discriminant validity, and internal consistency were assessed. Results: The Thai WRSQ demonstrated excellent content validity (I-CVI and S-CVI/Ave = 1.00). EFA initially identified four factors broadly corresponding to the original WRSQ; however, the Job Demand domain lacked structural coherence. A revised 10-item, three-factor model excluding this domain showed the best CFA fit (χ²/df=1.66, CFI = 0.96, TLI= 0.94, RMSEA= 0.07, SRMR= 0.05). The retained domains demonstrated satisfactory convergent validity (CR= 0.79–0.85; AVE= 0.56–0.66), discriminant validity (AVE>MSV; HTMT= 0.09–0.79), and internal consistency (overall α = 0.82; ω = 0.85). Conclusions: The revised 10-item Thai WRSQ is a valid and reliable instrument for assessing psychosocial work-related stress among Thai registered nurses. https://npt.tums.ac.ir/index.php/npt/article/view/5286

Tehran University of Medical Sciences Nursing Practice Today 2383-1154 0 0 2026 10 06 5479 5479 Said Mubarak Said Alhakmani School of Nursing, College of Health Sciences, University of Nizwa, Nizwa, Oman Maryam Rassouli School of Nursing, College of Health Sciences, University of Nizwa, Nizwa, Oman Hadis Ashrafizadeh School of Nursing, Dezful University of Medical Sciences, Dezful, Iran Oscar Maramg Turringan School of Nursing, College of Health Sciences, University of Nizwa, Nizwa, Oman Salem Said Al Touby School of Nursing, College of Health Sciences, University of Nizwa, Nizwa, Oman 2026 07 25 2026 09 21 Background & Aim: Providing comprehensive, holistic care is a fundamental goal of healthcare systems, and palliative care constitutes an essential component of such care. Nurses' and physicians' attitudes may influence the integration of palliative care into routine clinical practice. This study aimed to characterize nurses' and physicians' knowledge of and attitudes toward palliative care, assess the relationship between these variables, and identify factors independently associated with attitudes in a secondary referral hospital in Oman. Methods & Materials: A cross-sectional descriptive correlational study was conducted among 280 nurses and physicians recruited through convenience sampling from clinical departments at Nizwa Hospital, Oman. Data were collected using a demographic questionnaire and the Health Care Providers' Knowledge and Attitude of Palliative Care Questionnaire. Descriptive statistics, nonparametric tests, Spearman's rank-order correlation, and hierarchical multiple linear regression were performed using IBM SPSS Statistics version 26.0. Results: The mean attitude and knowledge scores were 140.20 ± 13.47 and 18.60 ± 4.11, respectively. Knowledge and attitude scores showed a statistically significant, positive, moderate correlation (rₛ = 0.348, p < 0.001). In the final hierarchical regression model, higher knowledge scores were independently associated with higher attitude scores (β = 0.353, p < 0.001), and the model accounted for 21.0% of the variance in attitude scores. Conclusion: Knowledge was positively and moderately associated with attitudes toward palliative care, and this association persisted after adjustment for the examined variables. These findings may inform educational planning at the study hospital; however, given the cross-sectional design, they do not establish that higher knowledge leads to more favorable attitudes or improved quality of care. The effectiveness of educational programs should be evaluated in intervention studies. https://npt.tums.ac.ir/index.php/npt/article/view/5479

Tehran University of Medical Sciences Nursing Practice Today 2383-1154 0 0 2026 10 07 5241 5241 EN Faida Annisa Faculty of Nursing, Chulalongkorn University, Bangkok, Thailand Penpaktr Uthis Center of Excellence for Enhancing Well-being in Vulnerable and Chronic Illness Populations, Faculty of Nursing, Chulalongkorn University, Bangkok, Thailand 2026 05 25 2026 09 03 Background & Aim: Help-seeking is central to youth mental health research and nursing practice, yet existing models and instruments often assume that youth recognize distress as a problem requiring support. This concept analysis aimed to clarify youth mental health help-seeking, focusing on problem recognition as an early and rarely assessed component. Methods & Materials: Walker and Avant's eight-step method was used. Searches of PubMed, EBSCO, and Google Scholar focused on literature published during 2011-2026, with earlier seminal works retained. Thirty-two core sources were analyzed to examine conceptual uses, defining attributes, cases, antecedents, consequences, and empirical referents. Results: Help-seeking was conceptualized as a progressive process involving three defining attributes: recognition of a problem, intentional decision-making, and engagement with appropriate support sources. Antecedents included psychological distress or functional difficulty, mental health literacy, beliefs and stigma, trusted relationships, service accessibility, and support pathways. Consequences included improved mental health, enhanced coping, increased self-efficacy, normalization of help-seeking, and strengthened social connection. Empirical referents were identified for each attribute, although existing measures commonly assess attitudes, intentions, or behaviors and rarely assess problem recognition directly. Conclusion: Clarifying problem recognition as a defining attribute strengthens the conceptual foundation of youth mental health help-seeking and informs nurses' early assessment, therapeutic communication, mental health education, and timely referral across school, university, community, and clinical settings. https://npt.tums.ac.ir/index.php/npt/article/view/5241