Tehran University of Medical Sciences Nursing Practice Today 2383-1154 0 0 2026 04 10 4868 4868 Andi Sulfikar Department of Nursing, Pelamonia Institute of Health Sciences, Makassar, Indonesia Rini Rachmawaty Department of Nursing Management, Hasanuddin University, Makassar, Indonesia Elly Sjattar Department of Medical Surgical Nursing, Faculty of Nursing, Hasanuddin University, Makassar, Indonesia 2026 01 01 2026 02 07 Background & Aim: Undiagnosed type 2 diabetes mellitus continues to pose a major global health challenge, especially in underserved populations facing limited access to screening. Digital health technologies present scalable alternatives to improve early detection and prevent complications. This scoping review aims to map digital health approaches for detecting undiagnosed type 2 diabetes mellitus in underserved adult communities and analyze screening outcomes, feasibility, and key implementation factors. Materials & Methods: The review followed the Arksey and O’Malley scoping framework and was reported using PRISMA-ScR guidelines. Systematic searches were performed in PubMed/MEDLINE, Scopus, Web of Science, and CINAHL for studies published in English from 2015 onward. Two reviewers independently screened articles, with conflicts resolved through consensus. Data were synthesized narratively to identify digital modalities, screening strategies, effectiveness indicators, and enablers or barriers. Results: Nineteen studies were included, identifying five categories of digital interventions. Electronic health record–driven screening was reported in 5 of  19 studiesand was the most frequently reported modality, alongside mHealth applications, SMS-based detection support, telehealth platforms, and wearable tools. Digital risk-based screening integrated within community or primary care pathways demonstrated the widest reach and highest identification of undiagnosed dysglycemia. Simpler digital solutions showed greater acceptability and feasibility than complex systems, particularly in settings with limited digital literacy or connectivity. Conclusion: Digital health technologies show strong potential to expand early detection of undiagnosed type 2 diabetes mellitus in underserved populations. System-integrated, low-burden, and equity-centered screening models are most promising. Strengthening linkage to care and improving digital accessibility remainpriorities for future research. https://npt.tums.ac.ir/index.php/npt/article/view/4868

Tehran University of Medical Sciences Nursing Practice Today 2383-1154 0 0 2025 12 15 4070 4070 Ahmed Jenanah Faculty of Intermediate Studies, Israa University, Gaza, Palestine AND Faculty of Intermediate Studies, Israa University, Gaza, Palestine Faculty of Nursing Sciences, International University of Africa, Khartoum, Sudan Mohammed Abuanja Faculty of Nursing Sciences, International University of Africa, Khartoum, Sudan Yousef Fahajan Hospital Nursing Director, Ministry of Health, Gaza, Palestine 2025 05 12 2025 12 07 Background & Aim: Nurse-physician collaboration is a fundamental component of interprofessional healthcare, where nurses and physicians share responsibilities and work-related goals to improve patient outcomes. This study aims to assess nurses' perceptions of nurse-physician collaboration in the emergency departments in Gaza Governorate, Palestine. Methods & Materials: A cross-sectional study was conducted between January and April 2023, involving a census sample of 205 emergency department nurses working in Ministry of Health hospitals. Data were collected using the Jefferson Scale of Attitudes toward Physician–Nurse Collaboration, a 15-item questionnaire that quantifies these attitudes in a meaningful way. Higher scores indicate a more positive attitude toward interprofessional collaboration. Four domains (shared education and collaboration, responsibility and role expectations, nurses’ autonomy, and physicians’ authority) represent the intricate factors that influence IPC in Ministry of Health hospitals. A validated self-administered questionnaire was employed. Results: The findings revealed a high level of nurse-physician collaboration in governmental hospital emergency departments in Gaza, with an overall weighted mean of 78.4%, indicating a positive perception among nurses. Among the four dimensions of nurse-physician collaboration, nurse autonomy ranked highest (88.2%), followed by responsibility and role at 87.9%, and shared education & collaboration at 87.3%. However, physician authority ranked lowest, with a relative weight of 50.0%, suggesting a perceived imbalance in decision-making authority within emergency departments. Conclusion: The study highlights a strong positive attitude toward nurse-physician collaboration among nurses in Gaza’s governmental hospital emergency departments. However, the low perception of physician authority suggests the need for further investigation into interprofessional dynamics. https://npt.tums.ac.ir/index.php/npt/article/view/4070

Tehran University of Medical Sciences Nursing Practice Today 2383-1154 0 0 2026 01 14 4151 4151 Maryam Shami Student Research Committee, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran AND Department of Midwifery, School of Nursing and Midwifery, Zanjan University of Medical Sciences, Zanjan, Iran Zahra Behboodi Moghadam Department of Reproductive Health and Midwifery, School of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran Alireza Ghanbaran Department of Internal Medicine, School of Medicine, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran Ali Montazeri Population Health Research Group, Health Metrics Research Center, Institute for Health Sciences Research, ACECR , Tehran, Iran AND Faculty of Humanity Sciences, University of Science and Culture, Tehran, Iran Mojgan Javadnoori Reproductive Health Promotion Research Center, Faculty of Nursing and Midwifery, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran 2025 06 07 2025 12 23 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 in 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). https://npt.tums.ac.ir/index.php/npt/article/view/4151

Tehran University of Medical Sciences Nursing Practice Today 2383-1154 0 0 2026 01 18 4580 4580 Iyus Yosep Department of Mental Health, Faculty of Nursing, Universitas Padjadjaran, Sumedang, Jawa Barat, Indonesia Iskandar Shelly Department of Psychiatry, Faculty of Medicine, Universitas Padjadjaran, Sumedang, Jawa Barat, Indonesia Ai Mardhiyah Department of Pediatric Nursing, Faculty of Nursing, Universitas Padjadjaran, Sumedang, Jawa Barat, Indonesia Muhammad Ramdhani Department of Electrical Engineering, Faculty of Mathematic and Sciences, Universitas Padjadjaran, Sumedang, Jawa Barat, Indonesia Rohman Hikmat Faculty of Nursing, Prince of Songkla University, Hat Yai District, Songkhla, Thailand 2025 10 12 2025 12 29 Background & Aim: Bullying is a significant issue affecting adolescents' mental well-being, with emotional regulation playing a key role in preventing such behavior. In Bandung, high rates of bullying among high school students indicate the need for effective prevention strategies. Nurse-led interventions, combined with soft skills training, offer a promising approach to improving emotional regulation and reducing bullying. This study examined the effect of the Nurse-Led ROOTS Program integrated with Soft Skills Training on emotion regulation among high school students in Bandung City. Materials & Methods: A class-cluster randomized pretest–posttest control-group study was conducted in July 2025 in two high schools in Bandung, Indonesia. A total of 100 students aged 13-18 years were randomly assigned at the class level to an intervention group (n= 50) or a control group (n= 50). The intervention was delivered over 8 weeks through nurse-led face-to-face sessions. Emotion regulation was measured using the Emotion Regulation Questionnaire for Children and Adolescents (ERQ-CA) at baseline and post-intervention. Statistical analyses included descriptive statistics, Mann–Whitney U tests, Wilcoxon signed-rank tests, and mixed-effects ANCOVA. Results: Baseline ERQ-CA scores did not differ significantly between groups (p> 0.05). The intervention group showed a significant improvement in total ERQ-CA scores (28.9±4.7 to 36.2±4.3; p< 0.001; r= 0.72), with the largest gains observed in the cognitive reappraisal dimension, whereas the control group showed no significant change (p= 0.218). At posttest, the intervention group had significantly higher ERQ-CA scores than the control group (p< 0.001; r=0.69). Conclusion: The Nurse-Led ROOTS Program integrated with Soft Skills Training significantly improved emotion regulation among high school students in Bandung. This nurse-facilitated, peer-leadership approach may represent a scalable strategy to strengthen adolescent mental health and support violence prevention in school settings. Trial registration: ClinicalTrials.gov Identifier: NCT07261397. https://npt.tums.ac.ir/index.php/npt/article/view/4580

Tehran University of Medical Sciences Nursing Practice Today 2383-1154 0 0 2026 01 18 4213 4213 EN Havva Yesildere Saglam Department of Nursing, Faculty of Health Sciences, Kutahya Health Sciences University, Kütahya, Türkiye Nurgul Simal Yavuz Lokman Hekim University, Faculty of Health Sciences, Department of Midwifery, Ankara, Türkiye 2025 07 03 2026 01 26 Background & Aim: In the nursing profession, which is in intense emotional interaction with people, spiritual orientation is thought to be an effective factor in compassion fatigue. This study aimed to identify the factors influencing nurses' spiritual orientation and compassion fatigue, and to examine the relationship between these two variables. Materials & Methods: This cross-sectional and correlational study was conducted with 346 nurses between July 2023 and October 2023. The data were collected through a web-based questionnaire created on Google Forms. The "Introductory Information Form", "Compassion Fatigue Scale", and "Spiritual Orientation Scale" were used to collect the data. Data were analyzed using SPSS 22.0 statistical software. Results: It was determined that the spiritual orientation scores of the nurses were high(93.180±20.51) and their compassion fatigue levels were moderate(66.110±22.04). Nurses’ spiritual orientation was affected by sex, educational status, working unit, attitude towards profession, and doing the profession with love. Compassion fatigue scores were affected by having children, working unit, working time in the unit, attitude towards profession, and doing the profession with love(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' occupational burnout and spiritual orientation levels. Conclusion: These results suggest that factors influencing compassion fatigue are not limited to spiritual orientation alone, but may include other factors besides it. In this context, it would be important to conduct more comprehensive follow-up studies to examine the relationship between the two concepts and to address the factors that may influence it. https://npt.tums.ac.ir/index.php/npt/article/view/4213

Tehran University of Medical Sciences Nursing Practice Today 2383-1154 0 0 2026 04 06 4707 4707 Dominika Kohanová Department of Nursing, Faculty of Social Sciences and Health Care, Constantine the Philosopher University, Nitra, Slovakia Andrea Sollárová Department of Nursing, Faculty of Social Sciences and Health Care, Constantine the Philosopher University, Nitra, Slovakia Dana Zrubcová Department of Nursing, Faculty of Social Sciences and Health Care, Constantine the Philosopher University, Nitra, Slovakia Ewelina Kolarczyk Department of Propaedeutics of Nursing, Faculty of Health Sciences in Katowice, Medical University of Silesia, Katowice, Poland Andrea Botíková Department of Nursing, Faculty of Health Care and Social Work, Trnava University, Trnava, Slovakia 2025 11 23 2026 02 26 Background & Aim: Nurses play a key role in safeguarding patients, highlighting the need to develop both technical competence and professional identity in nursing students. Although professionalism and patient safety competencies are widely studied, their association remains underexplored, particularly in Central Europe. This study examined the association between Slovak nursing students’ self-reported professionalism and patient safety competencies. Materials & Methods: A cross-sectional study was conducted among 1,017 nursing students from all nine Slovak public universities offering bachelor’s and master’s programs. Data were collected between February and December 2024 using a questionnaire comprising the Slovak versions of the H-PEPSS and the NPI. Descriptive statistics, the Wilcoxon Signed-Rank test, and Spearman’s correlations were applied. Results: Significant positive associations were found between professionalism and all patient safety competence domains in both academic and clinical settings (all p≤ 0.001), with the strongest correlations observed for Culture of safety (academic ρ= 0.347; clinical ρ = 0.400). After adjustment using partial Spearman correlations, Working in teams with other health professionals (academic ρ_partial= 0.112; clinical ρ_partial= 0.132) and Culture of safety (academic ρ_partial=0.108; clinical ρ_partial= 0.143) remained independently associated with professionalism. In the academic setting, Communicating effectively (ρ_partial = 0.068) and Understanding human and environmental factors (ρ_partial= 0.085) also showed small independent associations. Professionalism levels were high (Md= 129.0, IQR= 116.0–142.0). Conclusion: Professionalism and patient safety competencies are closely interconnected among Slovak nursing students. Students who report stronger professionalism also report higher safety competence. Integrating both more deliberately in nursing education may help support safer practice. https://npt.tums.ac.ir/index.php/npt/article/view/4707

Tehran University of Medical Sciences Nursing Practice Today 2383-1154 0 0 2026 04 10 4620 4620 Michelle Calda Faculty of Nursing, Visayas State University, Pangasugan, Baybay, Philippines 2025 10 25 2026 02 16 Background & Aim: Intimate partner relationships are often idealized as sources of love and security; however, for many women, they become contexts of coercion, betrayal, and harm. In the Philippines, intimate partner violence and relational instability remain prevalent, yet the gradual and symbolic processes through which intimacy erodes remain underexplored in nursing and public health. This study explored how Filipino women experience and interpret the gradual erosion of intimacy in their intimate partner relationships. Materials & Methods: Using a constructivist grounded theory–inspired design, this study involved thirteen Filipino women aged 22-54 who had experienced the dissolution of a significant romantic relationship. In-depth semi-structured interviews were conducted across two analytic phases. Data were analyzed through iterative coding, constant comparison, and memo writing until thematic saturation was reached. Results: Intimacy erosion was identified as a cumulative, nonlinear process rather than a single rupture. Six interconnected subcategories described this process: (1) abuse and coercive control, (2) behavioral shifts and emotional distancing, (3) cheating and betrayal of trust, (4) disregard and alienation, (5) extended family interference, and (6) frightening and threats to safety. These experiences progressively undermined trust, emotional safety, and commitment, often shifting relationships from endurance to survival-driven separation.   Conclusion: Intimacy erosion among Filipino women reflects a layered process of symbolic loss and relational disempowerment. Early recognition of these patterns is essential. Nurses play a critical role in assessing relational health, validating experiences, and advocating for trauma-informed, culturally responsive interventions that address relational well-being as a public health priority. https://npt.tums.ac.ir/index.php/npt/article/view/4620

Tehran University of Medical Sciences Nursing Practice Today 2383-1154 0 0 2026 04 11 4837 4837 Ikhwan Amirudin Faculty of Nursing, Universitas Indonesia, Depok, Indonesia AND Faculty of Health, Universitas Aisyah Pringsewu, Pringsewu Indonesia Agung Waluyo Faculty of Nursing, Universitas Indonesia, Depok, Indonesia Muhammad Akbar Faculty of Nursing, Univesitas Indonesia, Depok, Indonesia Dhian Luluh Rohmawati Pembangunan Nasional Veteran Jakarta Univesity, Jakarta, Indonesia Nor Aziyan Faculty of Medicine, Universiti Malaya, Kuala Lumpur, Malaysia Riska Hediya Putri Faculty of Health, Universitas Aisyah Pringsewu, Pringsewu Indonesia 2025 12 25 2026 02 28 Background & Aim: Lesbian, gay, bisexual, and transgender (LGBT) people living with HIV in Indonesia experience double stigma related to HIV status and sexual or gender identity across family, community, and health-care settings. Sociocultural and religious norms in Indonesia reinforce moral judgment and social exclusion, and these pressures reduce psychological well-being, social safety, and continuity of HIV care. Indonesian studies mostly examine HIV-related stigma and LGBT-related stigma separately, so evidence remains limited on how both forms of stigma interact as double stigma. Materials & Methods: A qualitative study with a descriptive phenomenological design used purposive sampling to recruit 18 LGBT people living with HIV from community-based settings in Lampung, Indonesia. Data were collected using semi-structured interviews between August and October 2025. The researchers conducted in-depth face-to-face interviews and analyzed manually using Colaizzi’s method to identify core themes of lived experience. Results: The analysis identified three main themes and eight interrelated subthemes reflecting participants’ experiences of dual stigma. The themes included Identity Struggles Under HIV and LGBT Stigma, Family Responses to HIV and LGBT Identity, and Community Reactions to HIV and LGBT Identity. Conclusion: Individuals living with HIV from LGBT backgrounds experience intersecting forms of stigma that affect their identity, family dynamics, and community participation. Addressing both HIV-related and identity-based stigma is essential to reduce psychosocial distress and promote inclusive support systems. These findings underscore the urgent need for family- and community-engaged interventions to safeguard holistic well-being and sustain HIV care among LGBT people living with HIV. https://npt.tums.ac.ir/index.php/npt/article/view/4837