{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,12]],"date-time":"2026-10-12T05:46:02Z","timestamp":1791783962183,"version":"4.3.4"},"reference-count":36,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2026,10,11]],"date-time":"2026-10-11T00:00:00Z","timestamp":1791676800000},"content-version":"vor","delay-in-days":283,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Nursing Research and Practice"],"published-print":{"date-parts":[[2026,1]]},"abstract":"<jats:sec>\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>This study aimed to examine the association between an active learning\u2010based educational intervention and changes in nursing students\u2019 knowledge, attitudes, and clinical management regarding female genital mutilation\/cutting (FGM\/C).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      A quasi\u2010experimental pre\u2013post study without a control group was conducted during the 2024\u20132025 academic year at a public university in southeastern Spain. Sixty\u2010nine third\u2010year nursing students completed a validated questionnaire that assessed their general knowledge, attitudes, and clinical management of FGM\/C before and within 7\u2009days after the intervention. The program included a theoretical session and a practical case\u2010based learning session. Pre\u2013post differences were analyzed using the Wilcoxon signed\u2010rank test, with effect sizes calculated as\n                      <jats:italic>r<\/jats:italic>\n                      .\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      General knowledge significantly improved after the intervention (\n                      <jats:italic>p<\/jats:italic>\n                      &lt; 0.001,\n                      <jats:italic>r<\/jats:italic>\n                      \u2009=\u20090.42). A small statistically significant change was observed in attitudes (\n                      <jats:italic>p<\/jats:italic>\n                      = 0.020,\n                      <jats:italic>r<\/jats:italic>\n                      \u2009=\u20090.28); however, this finding should be interpreted cautiously given the low internal consistency of the attitude subscale. No significant differences were found in clinical management knowledge (\n                      <jats:italic>p<\/jats:italic>\n                      = 0.300,\n                      <jats:italic>r<\/jats:italic>\n                      \u2009=\u20090.12).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>The active learning\u2010based training was associated primarily with short\u2010term improvements in nursing students\u2019 general knowledge of FGM\/C, while changes in attitudes were limited and no improvements were observed in clinical management knowledge. Although changes were observed in the attitude domain, these findings should be interpreted cautiously due to the low internal consistency of the corresponding subscale. Further controlled longitudinal studies using reliable outcome measures are needed to confirm these findings.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1155\/nrp\/9450657","type":"journal-article","created":{"date-parts":[[2026,10,12]],"date-time":"2026-10-12T05:19:15Z","timestamp":1791782355000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Effects of Training Nursing Students on Female Genital Mutilation: A Quasi\u2010Experimental Study With Pre\u2010 and Postintervention Assessments"],"prefix":"10.1155","volume":"2026","author":[{"ORCID":"https:\/\/orcid.org\/0009-0001-0849-838X","authenticated-orcid":false,"given":"Souad","family":"Ayad-Ouchen","sequence":"first","affiliation":[{"name":"Faculty of Nursing University of Murcia  Buenavista Avenue, 32, El Palmar Murcia 30120 Spain  um.es"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4003-3491","authenticated-orcid":false,"given":"Jos\u00e9 Antonio","family":"Jim\u00e9nez-Barbero","sequence":"additional","affiliation":[{"name":"Faculty of Nursing University of Murcia Murcia Institute for Biosanitary Research Pascual Parrilla (IMIB)  Buenavista Avenue, 32, El Palmar Murcia 30120 Spain  um.es"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0007-1908-2172","authenticated-orcid":false,"given":"Yusuly Mitkany","family":"Mart\u00ednez-Jurado","sequence":"additional","affiliation":[{"name":"Faculty of Nursing and Obstetrics Autonomous University of the State of Mexico  Paseo Tollocan Avenue &amp; Jes\u00fas Carranza Street, Col\u00f3n and Col Cipr\u00e9s Neighborhoods Toluca de Lerdo 50120 Mexico  uaemex.mx"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9831-470X","authenticated-orcid":false,"given":"Mar\u00eda del Mar","family":"Pastor-Bravo","sequence":"additional","affiliation":[{"name":"Faculty of Nursing University of Murcia Murcia Institute for Biosanitary Research Pascual Parrilla (IMIB)  Buenavista Avenue, 32, El Palmar Murcia 30120 Spain  um.es"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,10,11]]},"reference":[{"key":"e_1_2_10_1_2","volume-title":"Female Genital Mutilation","author":"World Health Organization (Who)","year":"2025"},{"key":"e_1_2_10_2_2","doi-asserted-by":"publisher","DOI":"10.1371\/JOURNAL.PMED.1004061"},{"key":"e_1_2_10_3_2","doi-asserted-by":"publisher","DOI":"10.1186\/s13643-023-02428-6"},{"key":"e_1_2_10_4_2","unstructured":"United Nations (Un) Goal 5: Achieve Gender Equality and Empower all Women and Girls 2023 https:\/\/www.un.org\/sustainabledevelopment\/es\/gender-equality\/."},{"key":"e_1_2_10_5_2","volume-title":"Female Genital Mutilation (FGM)","author":"Unicef","year":"2024"},{"key":"e_1_2_10_6_2","volume-title":"Female Genital Mutilation: Where is it Performed? Why? What Does it Involve? | Topics","author":"European Parliament","year":"2020"},{"key":"e_1_2_10_7_2","volume-title":"Mapa de la Mutilaci\u00f3n Genital Femenina en Espa\u00f1a 2021","author":"Kaplan Marcus\u00e1n A.","year":"2022"},{"key":"e_1_2_10_8_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12913-018-3396-z"},{"key":"e_1_2_10_9_2","doi-asserted-by":"publisher","DOI":"10.1016\/J.MIDW.2018.08.004"},{"key":"e_1_2_10_10_2","doi-asserted-by":"publisher","DOI":"10.1016\/J.APPR.2020.100070"},{"key":"e_1_2_10_11_2","volume-title":"Psychological, Social and Sexual Consequences of Female Genital Mutilation\/Cutting (FGM\/C): A Systematic Review of Quantitative Studies","author":"Berg R. C.","year":"2010"},{"key":"e_1_2_10_12_2","doi-asserted-by":"publisher","DOI":"10.1089\/HEQ.2018.0036"},{"key":"e_1_2_10_13_2","volume-title":"Home\u2014Istanbul Convention Action Against Violence Against Women and Domestic Violence","author":"Council of Europe","year":"2011"},{"key":"e_1_2_10_14_2","first-page":"33987","volume-title":"Organic Law 10\/1995, of November 23, on the Criminal Code. BOE-A-1995-25444","author":"Official State Gazette","year":"1995"},{"key":"e_1_2_10_15_2","article-title":"Mutilaci\u00f3n Genital Femenina: Conocimientos, Actitudes y Pr\u00e1cticas de los Profesionales de la Salud en la Isla de Tenerife","author":"Correa Ventura N.","journal-title":"Vivimos de Espaldas a Esta realidad? Revista Espa\u00f1ola de Salud P\u00fablica"},{"key":"e_1_2_10_16_2","doi-asserted-by":"publisher","DOI":"10.3390\/healthcare9080974"},{"key":"e_1_2_10_17_2","doi-asserted-by":"publisher","DOI":"10.62574\/208PW692"},{"key":"e_1_2_10_18_2","doi-asserted-by":"publisher","DOI":"10.1177\/1043659620962570"},{"key":"e_1_2_10_19_2","doi-asserted-by":"publisher","DOI":"10.1016\/J.MIDW.2021.103207"},{"key":"e_1_2_10_20_2","doi-asserted-by":"publisher","DOI":"10.1016\/J.NEPR.2023.103621"},{"key":"e_1_2_10_21_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12978-018-0503-x"},{"key":"e_1_2_10_22_2","doi-asserted-by":"publisher","DOI":"10.23938\/ASSN.1123"},{"key":"e_1_2_10_23_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12905-024-03119-7"},{"key":"e_1_2_10_24_2","doi-asserted-by":"publisher","DOI":"10.35667\/METASENF.2019.22.1003081429"},{"key":"e_1_2_10_25_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12912-023-01549-6"},{"key":"e_1_2_10_26_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejogrb.2013.01.004"},{"key":"e_1_2_10_27_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12913-016-1674-1"},{"key":"e_1_2_10_28_2","doi-asserted-by":"publisher","DOI":"10.1111\/J.1542-2011.2012.00262.X"},{"key":"e_1_2_10_29_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12905-024-03034-x"},{"key":"e_1_2_10_30_2","unstructured":"Department of Health Common Protocol for Healthcare Action in the Case of Female Genital Mutilation (FGM). Ministry of Health Social Services and Equality 2015 https:\/\/www.sanidad.gob.es\/gl\/organizacion\/sns\/planCalidadSNS\/pdf\/equidad\/Protocolo_MGF_vers5feb2015.pdf."},{"key":"e_1_2_10_31_2","article-title":"Protocol for Prevention and Healthcare Response to Female Genital Mutilation in the Region of Murcia","author":"General Directorate of Healthcare","year":"2017","journal-title":"Murcian Health Service"},{"key":"e_1_2_10_32_2","volume-title":"A Statistical Study to Estimate the Prevalence of Female Genital Mutilation in England and Wales","author":"Dorkenoo E.","year":"2007"},{"key":"e_1_2_10_33_2","doi-asserted-by":"publisher","DOI":"10.1371\/JOURNAL.PONE.0249998"},{"key":"e_1_2_10_34_2","doi-asserted-by":"publisher","DOI":"10.1177\/17455057231199032"},{"key":"e_1_2_10_35_2","volume-title":"Competencias de los Profesionales de la Salud en el Abordaje de la Mutilaci\u00f3n Genital Femenina (MGF)","author":"Mart\u00edn Molina Y.","year":"2019"},{"key":"e_1_2_10_36_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12905-024-03427-y"}],"container-title":["Nursing Research and Practice"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1155\/nrp\/9450657","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1155\/nrp\/9450657","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1155\/nrp\/9450657","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,10,12]],"date-time":"2026-10-12T05:19:19Z","timestamp":1791782359000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1155\/nrp\/9450657"}},"subtitle":[],"editor":[{"given":"Shweta","family":"Negi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"editor"}]}],"short-title":[],"issued":{"date-parts":[[2026,1]]},"references-count":36,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2026,1]]}},"alternative-id":["10.1155\/nrp\/9450657"],"URL":"https:\/\/doi.org\/10.1155\/nrp\/9450657","archive":["Portico"],"relation":{},"ISSN":["2090-1429","2090-1437"],"issn-type":[{"value":"2090-1429","type":"print"},{"value":"2090-1437","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,1]]},"assertion":[{"value":"2026-02-26","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-09-09","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-10-11","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"9450657"}}