Central European Journal of Nursing and Midwifery, 2026 (vol. 17), issue 1

A health and social sciences research center in a low-density region in Portugal: opportunities and impact for nursing

Raul Alberto Cordeiro

Cent Eur J Nurs Midw 2026, 17(1):2350-2351  

The effect of a leadership and teamwork experiential learning module on managing shoulder dystocia with high-fidelity simulation training: a randomized controlled study

Antonis Theofilidis, Dimitrios Papoutsis, Nikoleta Chatzipanagiotidou, Chara Tzavara

Cent Eur J Nurs Midw 2026, 17(1):2352-2364 | DOI: 10.15452/cejnm.2026.17.0001  

Aim: To explore the effect of leadership and teamwork training when managing shoulder dystocia. Design: Randomized-controlled-trial. Methods: We randomized midwifery students attending a one-day workshop into groups A (intervention) and B (controls). Shoulder dystocia training and assessment was performed with a high-fidelity computerized birthing-simulator. The intervention involved a two-hour leadership and teamwork experiential learning module. All students participated in a pre-training assessment and theoretical and practical training and completed a post-training assessment. Group A students received the intervention following their theoretical...

The Norwegian version of Patient Observation Skills in Critical Care Nursing (POS-CCN) instrument: a cross-cultural adaptation of the instrument and nurses’ self-assessed level of patient observation skills

Edmar Agustin, Toni Haapa, Mika Alastalo, Monica Evelyn Kvande

Cent Eur J Nurs Midw 2026, 17(1):2365-2375  

Aim: To translate and cross-culturally adapt the instrument “Patient Observation Skills in Critical Care Nursing” into Norwegian. Design: A cross-sectional survey was conducted to assess the psychometric properties of the instrument and Norwegian critical care nurses (CCNs’) self-assessed patient-observation skills. Methods: Ninety-five Norwegian critical care nurses completed an electronic survey, and the results were statistically analyzed. Results: Exploratory factor analysis produced a seven-factor model with Cronbach alpha values ranging from 0.62 to 0.94, and the instrument’s content validity was high (S-CVI/Ave 0.96)....

Crisis resource management competencies in Portuguese nurses

Tânia Filipa Soares Ferreira, Pedro Filipe Azevedo Moutinho, Liliana Andreia Neves da Mota, Ana Catarina Pereira Pinto

Cent Eur J Nurs Midw 2026, 17(1):2376-2384  

Aim: To assess Portuguese nurses’ crisis resource management competencies in simulated emergency scenarios. Design: Quantitative, descriptive-correlational, and cross-sectional study. Methods: Data were collected between January and June 2024 using a paper-based questionnaire that included items on socio-professional characteristics and a translated version of the Ottawa Global Rating Scale for Crisis Resource Management. The unidimensional scale demonstrated high internal consistency, with a Cronbach’s alpha of 0.92. Participants were recruited through non-probability convenience sampling. Data were analyzed using IBM SPSS Statistics,...

Clinical learning environment, role of the teacher, learning in a clinical practicum, and associated educational factors as perceived by healthcare students: a quantitative cross-sectional study

Camilla Strandell-Laine, Arja Suikkala, Eliisa Löyttyniemi, Leena Timonen, Toni Haapa

Cent Eur J Nurs Midw 2026, 17(1):2385-2397  

Aim: To explore the clinical learning environment (CLES), the role of the teacher (Tc2), and learning in a clinical practicum (LCP), and to explain the associated educational factors from healthcare students’ perspectives. Design: A quantitative cross-sectional study. Methods: An online survey comprising CLES, Tc2 and LCP scales, each of which was measured using a 10-point Likert scale, was used to collect data from 1133 healthcare students at the end of their clinical practicum in a university hospital district in Finland. The data were analyzed statistically using one-way ANOVA, Spearman correlation coefficients, and linear models. Results:...

The incidence of and risk factors for shoulder dystocia in a tertiary Greek maternity hospital: a retrospective case-control study

Nikoleta Chatzipanagiotidou, Dimitrios Papoutsis, George Valasoulis, Alexandros Daponte

Cent Eur J Nurs Midw 2026, 17(1):2398-2406  

Aim: We aimed to determine the incidence of and risk factors for shoulder dystocia in Greek tertiary maternity settings. Design: A retrospective case-control study. Methods: Study of women who gave birth at the University Hospital of Larissa in Greece between 2019 and 2024. We matched every case of women with shoulder dystocia with ten women giving birth without shoulder dystocia. We compared the maternal demographics and the perinatal outcome between cases and controls. Results: A total of 1,536 vaginal births were identified over the study period. There were 21 documented cases of shoulder dystocia (1.4% incidence rate) matched with 210 uncomplicated...

Interventions to address alarm fatigue of critical care nurses – a scoping review

Moritz Stirner, Christian Rester, Lydia Bauernfeind, Fritz Sterr

Cent Eur J Nurs Midw 2026, 17(1):2407-2415  

Aim: Nurses in intensive care units are confronted with a multitude of alarms and noises every day, which can lead to alarm fatigue. Various interventions have already been investigated to reduce or prevent this. The aim of this review is to provide an overview of empirically investigated interventions to counteract alarm fatigue in critical care nurses. Design: A scoping review. Methods: We conducted a scoping review and carried out literature searches in Medline, Cochrane Library, and CINAHL. In addition, we performed manual searches in LIVIVO and Google Scholar, as well as citation searching. We included studies on interventions aimed at reducing...