Public institutions play a central role in immigrants' access to rights, resources, and opportunities, yet less is known about how immigrants experience encounters across multiple institutional settings during the early years following migration. Based on qualitative interviews with 21 immigrants from the former Soviet Union to Israel, this study examines how adults who immigrated during adolescence (referred to as the 1.5 generation) retrospectively describe and interpret their early interactions with public institutions. We identify four central themes: absence of institutional guidance, institutional misfit and misrecognition, active mediation by immigrant youth within their families, and localized experiences of support within specific institutional contexts. Participants' accounts point to a recurring gap between the formal availability of institutional resources and participants' ability to identify, access, and use those resources in practice. Information, guidance, mediation, recognition, and cultural sensitivity shaped how they experienced institutional encounters, while adolescents often became central intermediaries between their families and public systems. Positive experiences were commonly associated with particular institutional actors or structured programs that provided support and opportunities. The study highlights the value of examining early institutional encounters from a broader vantage point of adulthood.

Developing competent psychiatric mental health nurse practitioner (PMHNP) psychotherapists requires supporting students' movement from a biomedical outcome-orientated toward a dynamic, process-oriented paradigm. Experiential learning methods provide a robust framework for achieving entry-level competence.

This study describes and evaluates an integrative teaching strategy combining didactic content, self-applied psychotherapy exercises, and standardized patient simulations to support the development of the nurse psychotherapist.

Using a retrospective qualitative design, thematic content analysis was conducted on written wellness reflections from 18 PMHNP students. Participants completed a cognitive behavioral therapy (CBT) learning module featuring self-applied CBT exercises and a simulated psychotherapy session.

Five themes were identified from the analysis: cognitive self-awareness, insight through personal experience, emotional growth, wellness and self-care, and barriers to integration and implementation.

The findings suggest that integrating experiential learning methods in PMHNP education can successfully promote students' emotional resilience, cognitive self-awareness, and wellness while developing critical psychotherapy competence.

Positive organizational psychology (POP) offers a strengths-based framework for fostering psychological resources, well-being, engagement, and supportive organizational climates-increasingly relevant to nursing education, where students and educators face persistent academic, emotional, and workplace pressures. The global development and knowledge structure of POP-related nursing-education research remain unmapped.

We conducted a bibliometric analysis combined with a narrative synthesis. The Web of Science Core Collection was searched on 6 August 2026 (2005-2025) using a three-tier strategy validated against a frozen seed set (verified recall 96%) and selected by a prespecified precision duel. Screening followed PRISMA 2020 with independent double-blind review and an exclusion audit; 2321 of 13,658 records were included. Analyses used bibliometrix; a narrative synthesis interpreted the resulting themes.

Publications grew from 4 in 2005 to 495 in 2025 (compound annual growth 27.2%), accelerating after 2020. China (472) and the United States (444) were the largest contributors, and China accumulated the most citations (9940). Nurse Education Today, BMC Nursing, and Nurse Education in Practice were the most productive journals. After deterministic author-name disambiguation, Tracy Levett-Jones was the most productive author (14 publications). Eight thematic communities were identified, centered on simulation-based education and self-efficacy, stress and mental health, resilience and coping, emotional intelligence, the clinical learning environment, learning approaches, well-being, and COVID-19/professional identity; professional identity and online learning were the strongest recent trend topics.

POP-related nursing-education research has expanded rapidly, particularly around stress, resilience, self-efficacy, and professional identity. Future work should move beyond descriptive designs toward theory-driven, longitudinal, intervention, and cross-cultural studies.

Nurse managers and academic leaders can use this map to embed positive organizational resources-psychological capital, supportive climates, and positive leadership-into curricula, faculty development, and clinical learning environments, with priority on strengthening professional identity and well-being.

Women experiencing intimate partner violence (IPV) and suicide frequently present to emergency departments (EDs). While IPV and suicide are known to co-occur, there is a limited understanding of the intersection in ED presentations. This systematic review, meta-analysis, and narrative synthesis aimed to quantify the association between IPV and suicidality in women presenting to EDs and examine the factors that influence women's suicide risk. Systematic searches of three databases identified 20 ED studies of 7,498 women, reporting associations between IPV and suicidal presentations (final search: 30 August 2025). Pooled prevalence and risk ratios (RRs) were estimated using five random-effects meta-analysis models, stratified by IPV type and suicide-related outcome. Narrative synthesis was used to examine factors associated with suicide risk. Study risk of bias was assessed using the Joanna Briggs Institute (JBI) checklist. On average, 22% (95% CI [0.11, 0.36]) of women with suicide presentations had experienced physical IPV, while 13% [0.08, 0.18] of women with IPV histories reported suicidality. IPV was associated with a three-fold increased risk of suicide attempt (RR 3.00 [1.39, 6.47]), and psychological IPV demonstrated a stronger association (RR 3.23 [1.68, 6.19]) than physical IPV (RR 2.00 [1.26, 3.17]). High between-study heterogeneity was observed across all models (I² > 75%), and a high risk of bias was identified in half of the studies. The robust associations detected between IPV and suicide attempt underscore the need for contextualised assessment within trauma-informed emergency care to strengthen clinical response and care pathways for women.

Antimicrobial resistance (AMR) in Staphylococcus aureus (S. aureus) poses a serious global health threat, undermining treatment outcomes and necessitating the development of innovative therapeutic strategies. Methicillin-resistant Staphylococcus aureus (MRSA) is a major contributor to this burden, with increasing prevalence in hospitals, contaminated food, and environmental sources. The coronavirus disease 2019 (COVID-19) pandemic further intensified S. aureus resistance due to widespread antibiotic misuse. Biofilm formation, which facilitates the horizontal transfer of resistance genes such as mecA (methicillin resistance gene A), plays a central role in the development of resistance. To counteract antibiotic-resistant S. aureus, alternative approaches have emerged, including antimicrobial peptides (AMPs), photodynamic therapy (PDT), and drug repurposing guided by artificial intelligence (AI). Cutting-edge technologies such as clustered regularly interspaced short palindromic repeats (CRISPR)-CRISPR-associated protein 13a (Cas13a)-based gene editing and engineered bacteriophages offer promising avenues for targeting resistant strains. Natural compounds such as thymol and chlorogenic acid (CGA) have also shown potential in reducing resistance and inhibiting biofilm formation. Effective management of AMR requires strengthened antibiotic stewardship programs (ASPs), robust surveillance systems, and public health measures such as proper hand hygiene and environmental sanitation. Combining antibiotic adjuvants (AAs) with existing antibiotics and leveraging bioactive peptides (BAPs) can enhance antibiotic efficacy against multidrug-resistant (MDR), extensively drug-resistant (XDR), and pan-drug-resistant (PDR) S. aureus. This review investigates the prevalence and resistance mechanisms of S. aureus in clinical, food, and environmental contexts, explores promising alternative therapies, and emphasizes the urgent need for global antimicrobial stewardship (AMS) and sustainable intervention strategies.

Increasing research has linked mental health to reduced adherence in chronic diseases, yet this interplay remains insufficiently explored in chronic myeloid leukemia (CML).

We conducted a cross-sectional online survey to analyze the critical role of non-treatment factors among Chinese CML patients receiving tyrosine kinase inhibitor (TKI) therapy. Anxiety and depression were assessed with the GAD-7/PHQ-9, quality of life (QoL) with the SF-12. Medication adherence was assessed using the Medication Possession Ratio (MPR), calculated as the percentage of actual medication possession days relative to the theoretical medication possession days. Binary logistic regression was used to identify factors associated with psychological burden and adherence.

Of 486 patients included, 52.5% reported anxiety (mild: 45.3%; moderate-severe: 7.2%) and 40.5% reported depression (mild: 29.8%; moderate-severe: 10.7%). QoL was impaired in both physical and mental domains (mean SF-12 PCS 46.22; MCS 45.62). Employment status and higher SF-12 PCS scores were significantly associated with lower psychological burden. Compared with patients reporting medium or high adherence, those with low adherence had higher rates of anxiety (20.2% vs 3.5% and 3.3%, P < 0.001) and depression (17.4% vs 8.8% and 8.7%, P=0.007) and lower MCS scores (43.72 vs 46.45 and 45.75, P=0.021). Binary logistic regression analysis showed that therapy duration, line of treatment, and psychological burden were significantly associated with adherence, patients with elevated psychological burden had 76.0% lower adherence odds (OR=0.24; 95% CI: 0.13-0.44; P<0.001), the strongest influencing factor.

Psychological burden is the strongest determinant of impaired medication adherence in Chinese patients with CML on TKI therapy. Interventions that reduce psychological burden, particularly by promoting social-role participation and improving perceptions of physical health, may offer a new dimension for optimizing long-term outcomes in CML.

Identifying novel strategies to improve sleep quality among individuals with post-traumatic stress disorder (PTSD) is critically needed. The aim of the study was to evaluate the effects of exercise on sleep quality in older adults with PTSD participating in a 12-week pilot randomized trial of supervised exercise versus waitlist control.

This study is a secondary analysis of a randomized, two-group design comparing multicomponent exercise to a waitlist control.

Participants included 48 older Veterans with PTSD. The sample was, on average, 67.5 years old (SD = 3.6), primarily male (92%), and African American or Black (85%). At baseline, more than 90% of participants reported poor sleep quality. Linear models indicated medium effect size differences favoring the intervention group for PSQI global and daytime dysfunction (β's -0.31 to -0.40) and small effect size differences favoring the intervention group for PSQI sleep disturbance, sleep efficiency, sleep latency, sleep quality, and addendum for PTSD (βs -0.13 to -0.24). Within-group changes indicated small improvements in sleep quality in the exercise group (PSQI global, sleep disturbance, sleep duration, latency, quality; d's -0.11 to -0.26). In the control group, small deteriorations (PSQI global, sleep disturbance, daytime of dysfunction, use of sleep medications, sleep efficiency, sleep latency, PTSD sleep addendum) were found. There was no evidence of mediation in the exploratory mediation analysis evaluating the effect of PTSD symptom severity on the relationship between intervention condition (supervised exercise or control) and sleep quality.

Findings provide preliminary evidence for exercise as a complementary intervention to maintain or improve sleep quality in this population.

Up to 30% of adults presenting to emergency departments develop persisting post-concussion symptoms (PPCS). Get going After concussIoN (GAIN), has previously shown promising effects in reducing PPCS in adolescents and young adults.

This stepped wedge cluster randomised trial tested the effect of GAIN in reducing high levels of PPCS (i.e. a score ≥20 on the Rivermead Post-concussion Symptoms Questionnaire (RPQ)) 2-4 months post-injury in adults (18-60 years). GAIN was delivered in five clusters of municipalities in the Central Denmark Region sequentially allocated to implement the intervention, with one cluster transitioning to deliver GAIN every 3 months over six recruitment periods in the order of a computer-generated randomisation schedule. Participants were allocated to enhanced usual care (EUC) or GAIN + EUC depending on time and their place of residence. Masking of participants and therapists was not feasible. Primary outcome was change in RPQ total score from baseline to 3-month follow-up. Analyses were based on intention to treat using linear-mixed models. The trial is registered with ClinicalTrials.gov, NCT04798885.

Between May 1, 2021 and November 1, 2022, 310 participants were included. The average difference in change in RPQ score between GAIN + EUC (n = 170) and EUC (n = 140) from baseline to 3-month follow-up was -2.4 points (95% CI -5.4 to 0.4, p = 0.09) in the adjusted model. GAIN reduced maladaptive, symptom-related perceptions and behaviours and patient satisfaction was high. GAIN + EUC was not associated with a greater improvement in psychological distress or physical and mental health than EUC. No serious adverse events were reported.

This study could not confirm the hypothesis that GAIN added to EUC led to a larger long-term reduction in PPCS than EUC alone in adults. However, GAIN may improve long-term prognosis by reducing maladaptive, symptom-related perceptions and behaviours.

The foundation Sygeforsikringen "danmark" and Central Denmark Region.

Postpartum women constitute a vulnerable population in whom insomnia comorbid with emotional disorders such as anxiety and depression is disproportionately prevalent, attributable to hormonal fluctuations, environmental changes, and social role transitions. This comorbidity significantly increases their long-term risk of mental health disorders. Given the safety concerns of sedative-hypnotic medications, non-pharmacological therapies are the first-line treatment for this population. We report the case of a 34-year-old woman with chronic postpartum insomnia comorbid with emotional disorders, who provided written informed consent for the publication of her de-identified clinical data and received 4 weeks of combined acupuncture and transcutaneous auricular vagus nerve stimulation (taVNS) treatment. Clinical assessments were performed at baseline, week 2, week 4 (end of treatment), and week 8 (4-week post-treatment follow-up) using validated scales including the PSQI, ISI, and HAMA, among others. After 4 weeks of treatment, the patient demonstrated significant improvements in objective sleep quality and anxiety symptoms, while subjective insomnia perception and depressive symptoms remained partially unresolved. Notably, all clinical outcomes continued to improve to near-normal levels during the follow-up period without any additional intervention, and no adverse events were recorded. This case demonstrates that combined acupuncture and taVNS is a safe and effective intervention for chronic postpartum insomnia comorbid with emotional disorders, with a favorable sustained therapeutic effect after treatment cessation, offering a valuable alternative for non-pharmacological management in this population.