This collection features Open Access* (OA) articles previously published in peer-reviewed journals, included with the copyright holder's permission or by means of a Creative Commons (CC) License. The Sigma Repository does not independently review or endorse this content, relying instead on the original publisher's vetting process.

*An open access article is a scholarly research paper that is freely available online to read, download, and share without subscription fees or paywalls.

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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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International Nurse Leaders' Journeys of Engagement, Belonging, and Growth in Professional Nursing Organizations: A Qualitative Study, Jihane Frangieh, Edmund J. Walsh, Kay Kennedy, Kim Crawford, Cindy Zellefrow, Beverly Hancock, and Mary A. Dolansky

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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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Development and Psychometric Evaluation of a Medical Device-Related Pressure Injury Risk Assessment Scale, Ayise Karadag, Aleyna Uçanbelen, and Öznur Erbay Dalli

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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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A Pilot Study of an 8-Week, Group-Based, Chakra-Informed Kundalini Yoga Intervention for Adolescents and Young Adults with Diabetes: Feasibility, Youth Outcomes, and Caregiver Distress, Ashley M. Lekach, Debra Guss, Jason Chua, and Ray B. Gannon

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The Role of Nurses in Interprofessional Pharmaceutical Care: A Qualitative Descriptive Study of International Expert Perspectives, Marko Petrovic and Mirko Prosen

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Feeding the Baby Breast Milk Shouldn't Be a Problem" Breastfeeding Confidence and Intention in Pregnant Persons with Type 2 Diabetes Mellitus from Thailand, Ratchanok Phonyiam, Chiao-Hsin Teng, Yamnia I. Cortés, Catherine S. Sullivan, Aunchalee E. L. Palmquist, Eric A. Hodges, and Marianne Baernholdt

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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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Growing in the Shadow of Mental Illness: Quality of Life, Health Status, Social Functioning, and Health Care Utilization Among Adults to Parents with Severe Mental Illness, Alexander Shestiperov, Ilya Kagan, and Orli Grinstein-Cohen

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Development of an Ecological Momentary Assessment Study to Identify Real-Time Predictors of Physical Activity Among Older People With HIV: Protocol for a 2-Phase Mixed Methods Study, Dan Song, Lisa Hightow-Weidman, Tuzhen Xu, Yijiong Yang, and Jing Wang

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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