This collection houses previously published articles published in traditional scholarly and scientific journals when allowed by the copyright holder through express written consent, policy, or license.

Once a manuscript has been published in a traditional journal, the Sigma Repository does not review or judge the quality of the individual article and relies on the scientific publishing and review process of the individual journal. The presence of an article in this repository does not reflect an endorsement of, or concurrence with, the contents of the article by Sigma or the Sigma Repository.

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Submissions from 2026

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The Relevance of Climate Change and Sustainability in Nursing Education: A Cross-Sectional Study of Students’ Perspectives, Jennie Aronsson, Marie Elf, Paul Warwick, Riccardo LoMartire, and Anna Anåker

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AI-Assisted Tailored Intervention for Nurse Burnout: A Three-Group Randomized Controlled Trial, Gumhee Baek and Chiyoung Cha

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Evidence-Based Practice Improves Patient Outcomes and Healthcare System Return on Investment: Findings From a Scoping Review, Linda Connor, Jennifer Dean, Molly McNett, Donna M. Tydings, Amanda Shrout, Penelope F. Gorsuch, Ashley Hole, Laura Moore, Roy Brown, Bernadette Mazurek Melnyk, and Lynn Gallagher-Ford

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Costs and Cost-Effectiveness of Improved Nurse Staffing Levels and Skill Mix in Acute Hospitals: A Systematic Review, Peter Griffiths, Christina Saville, Jane Ball, Chiara Dall'Ora, Paul Meredith, Lesley Turner, and Jeremy Jones

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Advanced Practice Registered Nurse Burnout in Magnet Hospitals: Opportunities for Organizational Intervention, Lori Kennedy, Heather Brom, Karen B. Lasater, Nancy M. Albert, Barbara Holmes Gobel, Christi DeLemos, Lisa M. Williams, Linda H. Williams, and Linda H. Aiken

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Mediating Role of Lifestyle Factors in the Resilience–Job Satisfaction Relationship among nurses: A descriptive correlational study, Lena I. Serafin, Katarzyna Wesołowska-Gorniak, Angeli Malewska, Karolina Kruszewska, Justyna Kujawa, and Bozena Czarkowska-Pączek

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Prevalence of and Factors Associated With Nurse Burnout in the US, Megha K. Shah, Nikhila Gandrakota, Jeannie P. Cimiotti, Neena Ghose, Miranda Moore, and Mohammed K. Ali

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Sustainability in Undergraduate Nursing Clinical Simulation: A Mixed Methods Study Exploring Attitudes, Knowledge and Practices, Bangyun Wang, Louise Sheehy, Astrid Frotjold, Tamara Power, and Gemma Saravanos

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Nursing Leadership Strategies in a New Paradigm for Nursing's Economic Value, Marianne Weiss, Sharon H. Pappas, Maureen Chadwick, Beth Oliver, and Olga Yakusheva

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Personal and Work-Related Factors Associated With Nurse Resilience: An Updated Systematic Review Using Meta-Analysis and Narrative Synthesis, Fiona Yu, Deborah Raphael, Lisa Mackay, Melody Smith, and Ritin Fernandez

Submissions from 2025

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Psychological Stress and Coping Strategies among Nursing Students during the Covid-19 Pandemic: A Cross-Sectional Study, Khin Thandar Aung and Noor Atikah Mat Ail

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Enhancing Nurse Empowerment Through Dynamic xMOOCs using the 4D Developmental Model, Khin Thandar Aung and Rafiza Abdul Razak

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Development of Comforturn: A Smart Mattress System for Automated Patient Repositioning using the 4D Development Model (A Concept Paper), Khin Thandar Aung, Nur Alya Farhana Suhaimi, Nik Nur Aisyah Nik Sukriman, Nurul Ain Zakaria, Nur Adila Zaidi, Khin Thuzar Aung, and Rafiza Abdul Razak

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Enhancing Hand Hygiene Compliance among ICU and NICU Visitor Families: The Impact of Advanced Nursing Roles, the Barriers and Challenges: A Review, Siti Azuna Abu Bakar, Khin Thandar Aung, and Sahrom Abdullah

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Clinical Nurses' Perceived Educational Value of Nursing Journal Clubs, Jennifer de Beer, Elham Alsanea, Joynalyn Barrios, Shahd Brnawi, Wejdan Barayan, Wadea Beheri, and Emily Lenore Heaphy

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Workplace Dignity Amongst Clinical Nurses, Jennifer de Beer, Hawazen Rawas, and Wadea Beheri

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Relationship Between Musculoskeletal Disorders and Productivity Loss Among Hospital Nurses: An Analytical Cross-Sectional Study With Secondary Data Analysis, Minkyung Kang, Inah Kim, Chang Park, and Ari Min

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Piloting a Simulated Electronic Health Record in Cambodia for Nursing Students in a Nursing Informatic Course, Eam Mao, Tricia Hester, Sreypeov Tun, Monirath Soun, and Cheryl D. Parker

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The Nursing Human Capital Value Model, Olga Yakusheva, Kathryn A. Lee, and Marianne Weiss

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Organizational Return on Investment in Nursing: A Systematic Review, Olga Yakusheva, Kathryn Lee, Alissa V. Fial, and Marianne E. Weiss

Submissions from 2024

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Compounding stress: A mixed methods study on the psychological experience of miscarriage amid the COVID-19 pandemic, Madeline Fernandez, Alison Swift, Christyn Dolbier, and Kaitlin Guard Banasiewicz

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Nursing students' views of using virtual reality in healthcare: A qualitative study, Mohamad M. Saab, Margaret Landers, David Murphy, Billy O'Mahony, Eoghan Cooke, Michelle O'Driscoll, and Josephine Hegarty

Submissions from 2023

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Motivating older adults through immersive virtual exercise (MOTIVE): A randomized pilot study, Brittany Drazich, Debora Anokye, Shijun Zhu, Jejomar Teleb, Elizabeth Galik, Luana Colloca, and Barbara Resnick

Submissions from 2022

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Scoping review of factors affecting Philippine nurse licensure examination outcomes, James Montegrico and Ryan Michael F. Oducado

Submissions from 2021

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Nurse motivation, engagement and well-being before an electronic medical record system implementation: A mixed methods study, Rebecca M. Jedwab, Alison M. Hutchinson, Elizabeth Manias, Rafael A. Calvo, Naomi Dobroff, Nicholas Glozier, and Bernice Redley