Aim To identify the factors affecting nurses’ turnover intention. Background The shortage of nurses has been a great challenge worldwide, and nurses’ turnover may exacerbate the situation. Methods A cross-sectional study was conducted among nurses in six secondary hospitals in China. A model was constructed, and structured questionnaires were adopted to measure model variables. Structural equation modelling was used to verify the model. Results Totally, 594 valid questionnaires were collected. The final model showed an acceptable fit, and 35.0% of the total variation was explained. Nine of the ten pathways were statistically significant. The model verified the contribution of professional value, nursing practice, job stress and social support to turnover intention and their effects were mediated by job satisfaction and organisational commitment. As hypothesized, there existed a significant effect between job satisfaction and organisational commitment. Unexpectedly, job stress had a greater direct effect on turnover intention than job satisfaction and organisational commitment. Conclusions The structural model provided a feasible model that could explain nurses’ turnover intention in China. Implications for Nursing Management To prevent the turnover of nurses, administrators and managers should advisably prioritize the effect of job stress, especially in hospitals with similar medical context.

Background: The coronavirus disease 2019 (COVID-19) pandemic in China is essentially under control. Under global scrutiny, China has started reviving the social, cultural, and working lives of its inhabitants. However, localized outbreaks of COVID-19 are occurring, indicating that the country still needs to follow disease prevention and control measures. Previous studies have assessed the knowledge, attitudes, and behaviors of the general public in China regarding COVID-19 during the pandemic. However, little is known about knowledge, attitudes, and practices (KAP) of Chinese residents regarding COVID-19 after periods of lockdown. Therefore, this study was conducted to identify the KAP and other factors among the residents of Shaanxi Province during the post-lockdown period.Methods: A cross-sectional, network questionnaire survey was conducted in Shaanxi Province from October 1–30, 2020. A total of 1,175 urban residents were interviewed via Wen Juan Xing, an online questionnaire tool. A self-developed online KAP COVID-19 questionnaire was developed in this study. The questionnaire consisted of four parts: general information, knowledge, attitude, and practice. Descriptive statistics and binomial logistic regression analysis were used in the statistical analysis.Results: The majority of the participants were knowledgeable about COVID-19. They had optimistic attitudes and behaved appropriately toward COVID-19. Education was an associated factor for the knowledge of residents and the knowledge of COVID-19 was high among people with high academic qualifications. Attitudes were more positive in residents who lived with elderly people, women, and children. The score of practice was higher in residents with positive attitudes and high academic qualifications. There was a positive correlation between age and practice.Conclusion: We found that the KAP of residents in Shaanxi was at a relatively high level during the post-lockdown period. Although the lockdown was lifted, the epidemic is not over. Thus, it is necessary to develop targeted health education programs for residents with different demographic characteristics in Shaanxi.

Previous research has overlooked the formative influence of cultural beliefs in shaping postpartum postpartum challenges and psychological symptoms. This study aims to examine the challenges faced by primiparous women within the sociocultural context of China. It will enhance understanding of the specific mechanisms through which sociocultural factors impact maternal mental health during the postpartum period. A descriptive phenomenological study design was used. Semi-structured interviews were conducted with 25 primiparas within one year of delivery during July and September 2022. Each conversation lasted between 32 and 56 min. Colaizzi’s seven-step phenomenological approach was utilized for data analysis. Six themes were identified, including (a) body weakness, pain, and sleep deprivation are highly prevalent during the “zuo yuezi” period; (b) struggling with considerable effort, sacrifice, and obstacles in breastfeeding; (c) helplessness in childcare due to insufficient or unreliable social support; (d) confusion and difficulty in accessing scientific maternal and child health knowledge; (e) frustrating and increasing family conflicts centered on mother and mother-in-law relations; and (f) sticking to work or not can bring significant entanglement to primiparas. Postpartum distress among first-time mothers in China is not solely an individual psychological experience, but rather a complex phenomenon shaped by the interplay between traditional cultural customs and contemporary social transformations. Specifically, within the unique sociocultural context of China, primiparas develop distinct cultural understandings and postpartum behaviors that significantly influence their physical and mental health. This highlights the sociocultural factors contributing to postpartum emotional distress and underscores the need for culturally sensitive interventions tailored to the Chinese context. The online version contains supplementary material available at 10.1186/s40359-025-03264-0.

This study aimed to identify facilitators and barriers to parent-child communication in pediatric palliative care, providing insights for medical professionals developing targeted interventions to enhance parent-child communication and improve its effectiveness. Whittemore and Knafl’s integrative review method was employed to guide a systematic search for literature in six databases (Medline, Embase, CINAHL Complete, PsycINFO, Web of Science, and Cochrane Library). Peer-reviewer articles published in the English language from inception to December 2023. All of the identified studies were screened, extracted, and analyzed independently by two researchers. Twenty-four articles were included. The findings of the relevant studies were analyzed using thematic analysis. Four themes were identified as facilitators: legacy-making, resilience training programs, guidance from the healthcare team, and positive communication. Seven themes were identified as barriers: denial, being unprepared and evasive, mutual protection, being overwhelmed by painful emotions and overloaded with information, incorrect views of medical professionals and parents, negative communication, and cultural context. Parents and professionals should avoid myths about protecting the child and encourage open communication that respects the child’s wishes. The specialized pediatric palliative care team should carefully monitor parent-child communication, determine if any obstacles exist, and design more interventions to enhance it.

Objective. To assess the factors influencing the self-care behavior among nursing students with dysmenorrhea. Background. The practice of self-care behavior for dysmenorrhea has gradually attracted immense attention from society; however, thus far, only a few studies have been conducted to predict this behavior and analyze the associated factors by creating a structural equation model. Methods. A cross-sectional multistage cluster sampling study was conducted among nursing students within six universities in Shaanxi province, China. A model was constructed, and structured questionnaires were adopted to measure model variables, including e-health literacy, negative emotion, self-efficacy, self-care agency, degree of dysmenorrhea, and self-care behavior for dysmenorrhea. Descriptive data analysis was performed using SPSS 23.0 software, and AMOS 23.0 was used to verify and analyze the structural model. Results. In total, 1851 valid questionnaires were collected; the effective recovery rate was 93.15%, and the prevalence of dysmenorrhea was 64.51%. e-Health literacy (B = 0.171, < 0.001), self-efficacy (B = 0.416, < 0.001), self-care agency (B = 1.177, < 0.001), and degree of dysmenorrhea (B = 0.310, < 0.001) significantly influenced self-care behavior for dysmenorrhea. The total, direct, and indirect effects of e-health literacy and self-efficacy on self-care behavior for dysmenorrhea were 0.158 and 0.492, 0.128 and 0.248, and 0.030 and 0.244, respectively. Conclusion. The self-care behavior for dysmenorrhea is affected by several factors and self-efficacy has the greatest effect on it. To promote girls to actively implement self-care behavior for dysmenorrhea, educators should strengthen the training of self-efficacy and self-care agency of the nursing students to alleviate the uncomfortable experience brought by dysmenorrhea and decrease the harm of dysmenorrhea. Implications for Nursing Management. Nursing managers should work with constant efforts to explore and optimize the management model for dysmenorrhea, encouraging young women to actively engage in self-care behavior for dysmenorrhea, to alleviate the discomfort experienced by individuals and improve women’s overall health.

Objective: This study aimed to investigate the physicochemical properties, cytocompatibility, and tissue repair effects of novel crosslinked recombinant human collagen (rCOL) scaffolds. Methods: Novel rCOL scaffolds were prepared using EDC/NHS crosslinking and lyophilization. The physicochemical properties of the scaffolds, including the porosity, pore size, crosslinking degree, tensile strength, endotoxin levels, and genotoxicity, were determined. Their cytocompatibility was investigated in vitro, and their tissue repair effects were evaluated in a full-thickness skin wound rat model. Results: The crosslinked rCOL scaffolds exhibited a three-dimensional structure with a porosity exceeding 90% and a pore size ranging from 50 to 400 μm. The crosslinking degree of scaffolds prepared from 4% and 8% rCOL exceeded 20%, and all scaffolds withstood a tensile load of 2.5 N. Endotoxin levels were <0.5 EU per mL, below the regulatory limit for implantable medical products. No genotoxicity was detected. In vitro, the scaffolds exhibited remarkable cell adhesion and proliferation capabilities, with the 4% rCOL scaffold showing the highest capacity. In a full-thickness skin wound rat model, the scaffolds showed superior efficacy in promoting wound healing compared to animal-derived collagen. Conclusions: The biocompatibility and tissue repair of crosslinked rCOL scaffolds have excellent biological performance, providing a new material for wound healing applications.