{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,13]],"date-time":"2026-10-13T17:04:36Z","timestamp":1791911076596,"version":"4.3.4"},"reference-count":42,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2025,9,19]],"date-time":"2025-09-19T00:00:00Z","timestamp":1758240000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/501100001809","name":"National Natural Science Foundation of China","doi-asserted-by":"publisher","award":["82301129"],"award-info":[{"award-number":["82301129"]}],"id":[{"id":"10.13039\/501100001809","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J of Oral Rehabilitation"],"published-print":{"date-parts":[[2026,1]]},"abstract":"ABSTRACT<\/jats:title>\n \n Background<\/jats:title>\n Temporomandibular disorders (TMDs) are the second most prevalent diseases related to musculoskeletal pain that impact patients' quality of life, with nursing staff playing a crucial role in multidisciplinary management. However, TMDs\u2010related knowledge and preparedness among nurses remain underexplored.<\/jats:p>\n <\/jats:sec>\n \n Objective<\/jats:title>\n This study examines how education and personal symptom experience influence nursing competency in TMDs care.<\/jats:p>\n <\/jats:sec>\n \n Methods<\/jats:title>\n A cross\u2010sectional survey of 345 nursing practitioners (including trainees) assessed TMDs knowledge (25\u2010item scale), clinical preparedness (5\u2010item scale), and self\u2010reported symptom history. Multiple linear regression analyses examined the effects of (1) educational background, (2) exposure to TMDs\u2010specific curricula and (3) personal symptom severity on competency development.<\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n \n While 50% of participants reported TMDs symptoms, only 12.8% had formal TMDs training. Knowledge scores were suboptimal (mean\u2009=\u200912\/25), and preparedness was moderate (mean\u2009=\u200917\/25). Exposure to TMDs curricula significantly predicted preparedness (\n b<\/jats:italic>\n \u2009=\u20092.83,\n p<\/jats:italic>\n \u2009<\u20090.001); as did registered nurse status (\n b<\/jats:italic>\n \u2009=\u20091.50,\n p<\/jats:italic>\n \u2009<\u20090.01) and holding an associate degree (\n b<\/jats:italic>\n \u2009=\u20091.93,\n p<\/jats:italic>\n \u2009<\u20090.001). Knowledge positively correlated with preparedness (\n b<\/jats:italic>\n \u2009=\u20090.27,\n p<\/jats:italic>\n \u2009<\u20090.001), but this relationship weakened with greater symptom severity (interaction\n b<\/jats:italic>\n \u2009=\u2009\u22120.043,\n p<\/jats:italic>\n \u2009<\u20090.05).\n <\/jats:p>\n <\/jats:sec>\n \n Conclusion<\/jats:title>\n Significant gaps in nurses\u2019\u00a0TMDs competencies come from disparities in educational resources. Although knowledge enhances preparedness, personal symptom experiences may undermine this enhancement. Strengthening TMDs education and supporting nurses' symptom management are essential to improving confidence and competency in TMDs care.<\/jats:p>\n <\/jats:sec>","DOI":"10.1111\/joor.70045","type":"journal-article","created":{"date-parts":[[2025,9,19]],"date-time":"2025-09-19T10:48:09Z","timestamp":1758278889000},"page":"50-58","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Bridging Knowledge and Preparedness: The Role of Education and Symptoms in Nurses' Competency for Temporomandibular Disorder Care"],"prefix":"10.1111","volume":"53","author":[{"given":"Wenjing","family":"Yang","sequence":"first","affiliation":[{"name":"Department of Orthodontics West China Hospital of Stomatology, Sichuan University Chengdu China"},{"name":"West China School of Nursing Sichuan University Chengdu Sichuan China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zejin","family":"Liu","sequence":"additional","affiliation":[{"name":"Department of Orthodontics West China Hospital of Stomatology, Sichuan University Chengdu China"},{"name":"State Key Laboratory of Oral Diseases & National Center for Stomatology & National Clinical Research Center for Oral Diseases West China Hospital of Stomatology, Sichuan University Chengdu Sichuan China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yi","family":"Liu","sequence":"additional","affiliation":[{"name":"Department of Orthodontics West China Hospital of Stomatology, Sichuan University Chengdu China"},{"name":"State Key Laboratory of Oral Diseases & National Center for Stomatology & National Clinical Research Center for Oral Diseases West China Hospital of Stomatology, Sichuan University Chengdu Sichuan China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yanyu","family":"Sun","sequence":"additional","affiliation":[{"name":"State Key Laboratory of Oral Diseases & National Center for Stomatology & National Clinical Research Center for Oral Diseases West China Hospital of Stomatology, Sichuan University Chengdu Sichuan China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2175-0970","authenticated-orcid":false,"given":"Xin","family":"Xiong","sequence":"additional","affiliation":[{"name":"Department of Orthodontics West China Hospital of Stomatology, Sichuan University Chengdu China"},{"name":"State Key Laboratory of Oral Diseases & National Center for Stomatology & National Clinical Research Center for Oral Diseases West China Hospital of Stomatology, Sichuan University Chengdu Sichuan China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shufang","family":"Du","sequence":"additional","affiliation":[{"name":"Department of Orthodontics West China Hospital of Stomatology, Sichuan University Chengdu China"},{"name":"West China School of Nursing Sichuan University Chengdu Sichuan China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,9,19]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1186\/s10194\u2010025\u201001985\u20106"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00784\u2010020\u201003710\u2010w"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12903\u2010023\u201003478\u2010x"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.11607\/jop.1151"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1097\/j.pain.0000000000003277"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1111\/joor.13786"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.1080\/13548506.2021.1908571"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.oooo.2021.02.012"},{"key":"e_1_2_9_10_1","doi-asserted-by":"publisher","DOI":"10.1177\/0333102416686302"},{"key":"e_1_2_9_11_1","doi-asserted-by":"publisher","DOI":"10.1177\/107845352202900112"},{"key":"e_1_2_9_12_1","doi-asserted-by":"publisher","DOI":"10.1590\/fst.05621"},{"issue":"6","key":"e_1_2_9_13_1","first-page":"378","article-title":"Diagnosis and Treatment of Temporomandibular Disorders","volume":"91","author":"Gauer R. 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