Background. The relationship among comfort, perceived social support, and hope should still be further explored. Clarifying the relationship between the aforementioned variables can enable clinical staff to implement tailored and effective intervention strategies for enhancing the management and quality of care of patients with ischemic stroke. Aim. This study aims to investigate the relationship between comfort, perceived social support, and hope in hospitalized patients with acute ischemic stroke and to explore the mediating effect of perceived social support on comfort and hope. Methods. A correlational cross‐sectional study was performed using an online questionnaire. The study was conducted from January to August 2023 among 572 patients with acute ischemic stroke, and finally 534 valid questionnaires were included in the analysis. The general information questionnaire, Modified Barthel Index, Shortened General Comfort Questionnaire, Perceived Social Support Scale, and Herth Hope Index were utilized for investigation. Mediation analysis was performed by structural equation modelling. Indirect effects were evaluated through bootstrapping. Data analysis was performed using the statistical program packages, namely, SPSS 29.0 and AMOS 24.0. Results. The comfort, perceived social support, and hope scores of patients with acute ischemic stroke were 94.1 (11.92), 72.74 (10.26), and 40.55 (4.99), respectively. The participants’ hope was positively related to comfort (r = 0.531, p < 0.001) and perceived social support (r = 0.589, p < 0.001). Perceived social support exerts a partial mediating role between comfort and hope, and the mediating effect was 0.159 (95% CI [0.117, 0.210]), accounting for 25.0% of the total effect. Conclusion. We reported that comfort—directly and indirectly—exerts a positive impact on hope. Particularly, perceived social support enhances the impact of comfort on hope; perceived social support mediates the relationship between comfort and hope. Clinical staff should correctly understand the relationship among the three variables; they should effects targeted strategies to enhance patient comfort and social support, thereby increasing the hope level among ischemic stroke patients and bolstering confidence in disease management. Implications for Nursing Management. This study demonstrates that comfort and perceived social support serve as protective factors for hope among ischemic stroke patients. This observation provides evidence supporting the optimization of management for ischemic stroke patients from the perspectives of the cognitive adaptation theory and comfort theory. The findings of this study contribute to a more optimal understanding among clinical caregivers regarding the mechanisms underlying the relationship between comfort, social support, and hope, and it facilitates the adoption of effective intervention strategies for promoting the psychological management of ischemic stroke patients and enhancing patient care quality.

The care model composed of a multidisciplinary team is the best model to promote stroke rehabilitation. The objective of this study was to explore the effect of nurse-led rapid rehabilitation on mechanical thrombectomy (MT) in patients with acute ischemic stroke (AIS). This study used a non-randomized, historically controlled clinical trial design to compare the efficacy of nurse-led rapid and routine rehabilitation after thrombectomy in patients with ischemic stroke. Treatment outcomes, including hospitalization duration, hospitalization costs, scores on multiple scales at discharge, and clinical outcomes 3 months post-discharge, were assessed and compared between the 2 rehabilitation approaches. Our report is based on the STROBE guidelines. The differences in length of stay in hospital (P = .018), hospitalization expense (P < .001), National Institutes of Health Stroke Scale score (NIHSS) score at discharge (P < .001), modified Rankin scale (MRS) score at discharge (P < .001), and ADL (Activities of Daily Living) score at discharge (P = .156) between the intervention group and the control group were statistically significant. There were statistically significant differences in anxiety/depression (P = .013) and overall quality of life (P = .017) 3 months after discharge. Generalized estimating equation (GEE) analysis showed that interaction effects between group and time were statistically significant for MRS (OR = 0.231, 95% confidence interval: 0.128–0.417, P < .001). The hospitalization time of patients in the intervention group was shortened, and the hospitalization cost was reduced. There were differences in psychological status, and the overall quality of life and improvement of disability status was better.

To evaluate the relationship between nursing assessment findings at discharge and acute ischaemic stroke (AIS) patient prognosis after mechanical thrombectomy (MT).We analysed the characteristics o...

Aims: To examine the pathways through which social media use and online positive feedback are associated with positive coping styles among emergency nurses. Design: This study used a cross‐sectional design and employed a convenience sampling method. The final sample consisted of emergency nurses from 12 hospitals across five provinces in China. Methods: A total of 856 emergency nurses were recruited between September and December 2023. Data were collected using the Social Media Use Intensity Scale, Proactive Social Media Use Scale, Online Positive Feedback Scale and Simplified Coping Style Scale. Data were analysed using SPSS Statistics 27.0, and path analysis was performed using AMOS 28.0. Results: Path analysis showed that social media use intensity and proactive social media use were positively associated with online positive feedback. Social media use intensity also had an indirect association with online positive feedback through proactive social media use. Online positive feedback was positively associated with positive coping styles. Conclusion: Online positive feedback may help translate social media engagement into positive coping among emergency nurses. Supportive online environments and constructive social media engagement may therefore help strengthen adaptive coping in high‐stress clinical settings. Implications for the Profession: Supportive online communication and constructive social media interactions may be considered as potential approaches to support emergency nurses in high‐stress clinical settings. Healthcare organizations and nursing managers could consider facilitating opportunities for peer communication, clinical experience sharing and constructive online feedback as part of broader strategies to support nurses' coping and well‐being. Impact: This study clarifies how social media use and online positive feedback are associated with positive coping styles among emergency nurses. The findings provide healthcare organizations with evidence to consider social media as one component of support for nurses' mental well‐being in high‐stress clinical environments. Reporting Method: Strengthening the Reporting of Observational Studies (STROBE). Patient or Public Contribution: Emergency nurses completed the questionnaires used for data collection. Trial Registration: Chinese Clinical Trials Registry: September 7, 2023; ChiCTR2300075539; https://www.chictr.org.cn/

Objective: The theoretical basis of this research is the Job Demands–Resources (JD‐R) model and the Conservation of Resources (COR) theory. This research aims to explore the mediating role of psychological capital in the relationship between occupational identity and work engagement among professional caregivers. Backgrounds: Amidst China’s evolving social landscape, driven by a rapidly aging population and the implementation of ‘unaccompanied ward’ policies, hospitals are progressively professionalizing and standardizing nursing tasks previously performed by family members. This shift has triggered a surge in demand for professional caregivers. However, the stability of this workforce is severely undermined by a confluence of systemic and occupational challenges, which collectively hinder improvements in service quality. Methods: This cross‐sectional survey was conducted in Sichuan Province, China, from January to February 2024. Data were collected via the Occupational Identity Scale (OIS), Utrecht Work Engagement Scale (UWES), and Psychological Capital Questionnaire (PCQ‐24). The study was conducted among professional caregivers, and 296 valid questionnaires were included in the analysis. Mediation analysis was performed via structural equation modeling. Indirect effects were evaluated through bootstrapping. Data analysis was performed using the statistical programs SPSS 26.0 and AMOS 24.0. Results: Professional caregivers’ occupational identity was positively related to work engagement ( r = 0.667, p < 0.001) and psychological capital ( r = 0.574, p < 0.001). Professional caregivers’ work engagement was also positively related to their level of psychological capital ( r = 0.613, p < 0.001). Psychological capital played a partial mediating role in the association between occupational identity and work engagement, and the mediating effect was 1.147 (95% CI [0.758, 1.682]), accounting for 36.42% of the total effect. Conclusion: Our findings reveal that occupational identity is positively associated with work engagement among professional caregivers, both directly and indirectly through its link with psychological capital. This suggests that psychological capital may play a meaningful role in the connection between occupational identity and work engagement. Therefore, efforts to strengthen both occupational identity and psychological resources may be relevant for supporting workforce engagement. To promote higher work engagement among professional caregivers, managers may consider developing psychological capital alongside ensuring adequate professional resources and security. Implication for Nursing Management: Given that professional caregivers’ work commitment is intrinsically linked to the quality of patient care, nursing managers are encouraged to recognize professional caregivers as pivotal stakeholders in the delivery of safe care. By integrating existing strategies that ensure adequate professional resources and job security, managers may bolster caregivers’ occupational identity and psychological capital. Such an approach holds the potential not only to fortify workforce stability but also to empower employees to engage proactively and autonomously in patient care, ultimately safeguarding patient safety. These findings offer specific suggestions for nursing management practices.