International Journal of Nursing Practice最新文献

{"title":"Validity of the Translated Turkish Version of the Tool for Nutrition Risk Screening for Paediatric Cancer","authors":"Buket Meral,&nbsp;Melda Kangalgil,&nbsp;Erol Erduran","doi":"10.1111/ijn.70168","DOIUrl":"10.1111/ijn.70168","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Malnutrition in paediatric cancer patients increases adverse clinical outcomes; however, methods for assessing malnutrition risk remain unclear. This study aimed to assess the validity of the Nutrition Risk Screening for Pediatric Cancer (NRS-PC).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>This cross-sectional study was conducted in the paediatric oncology unit of a tertiary care university hospital. The nutritional risk and malnutrition status were assessed by the Nutrition Screening Tool for Childhood Cancer (SCAN) and Pediatric Subjective Global Nutritional Assessment (SGNA), respectively. Receiver–operator characteristic (ROC) curve method was used to evaluate the validity of NRS-PC. Sensitivity, specificity, positive and negative predictive values were calculated.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The median age of children was 8 years, and 60.2% were boys. The prevalence of malnutrition was 48.4%. NRS-PC had excellent accuracy compared with SCAN (AUC: 0.87, 95% CI: 0.827–0.944; <i>p</i> &lt; 0.001) and SGNA (AUC: 0.90, 95% CI: 0.847–0.951; <i>p</i> &lt; 0.001). Using SGNA as a reference method, the NRS-PC tool had a sensitivity of 77.4%–100% and specificity of 24.2%–86.4% according to different cut-off points.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>The Turkish version of the NRS-PC is a simple, valid and practical method for nutritional risk screening in the paediatric oncology population. Further feasibility and acceptability studies are needed to determine the most appropriate screening tools in children.</p>\u0000 </section>\u0000 </div>","PeriodicalId":14223,"journal":{"name":"International Journal of Nursing Practice","volume":"32 4","pages":""},"PeriodicalIF":2.5,"publicationDate":"2026-07-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/ijn.70168","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148396694","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Acute Deterioration in Long-Term Care: A Delphi Study of Indicators, Care Pathways and Implementation Strategies","authors":"Christina Parker,&nbsp;Deepa Sriram,&nbsp;Shirley Chambers,&nbsp;Linda Schnitker,&nbsp;Amy Spooner,&nbsp;Leanne Jack,&nbsp;Patsy Yates,&nbsp;Elizabeth Beattie,&nbsp;Margaret MacAndrew","doi":"10.1111/ijn.70166","DOIUrl":"10.1111/ijn.70166","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>This study aimed to develop recommendations for acceptable physical and psychological clinical indicators of acute deterioration and strategies to support sustained adoption of an approach to detecting and responding to acute deterioration in long-term care.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Previous studies have trialled programmes to reduce avoidable hospital transfers through early detection of acute deterioration in long-term care. However, variability in outcomes and implementation experiences highlights differences in the essential components of these approaches.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Design</h3>\u0000 \u0000 <p>Three-round Delphi process.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>The Delphi process conducted between September 2022 and January 2023 included a 22-member Australian expert panel to elicit consensus and to generate recommendations. Delphi participants were asked to rate the potential items on a 9-point scale for level of importance (Part A), level of priority of action (Part B) and level of acceptability (Part C). The mean, standard deviation (SD) and I-CVI of each item were calculated. Clinical indicators with mean ≥ 7, I-CVI ≥ 0.78 were considered to have a good degree of agreement, appropriateness and relevance and were deemed acceptable for inclusion.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Participants completed a two-part online survey in Round 1, and three-part surveys in Rounds 2 and 3. Round 1, Part A included 44 clinical indicators. On completion of Round 3, 36 items remained. Care pathways in response to acute deterioration (<i>n</i> = 20) were included in Part B. After Round 3, 17 care pathways remained. There was agreement in Part C that communication aides, education and mentor programmes were necessary as viable strategies to support sustained adoption.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Detecting the early warning signs of acute deterioration will have significant outcomes for residents, staff and health care services.</p>\u0000 </section>\u0000 </div>","PeriodicalId":14223,"journal":{"name":"International Journal of Nursing Practice","volume":"32 4","pages":""},"PeriodicalIF":2.5,"publicationDate":"2026-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/ijn.70166","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148381906","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Relationships Between Health Literacy and Quality of Life in Patients With Ischaemic Stroke: The Mediating Role of Fear of Disease Progression","authors":"Hui Teng,&nbsp;Ying Kuai,&nbsp;Xiang Su,&nbsp;Yangjun Tian,&nbsp;Jiajia Chen,&nbsp;Qianqian Wu,&nbsp;Mengni Zhen,&nbsp;Qingxia Shu,&nbsp;Chunmei Li","doi":"10.1111/ijn.70162","DOIUrl":"10.1111/ijn.70162","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Health literacy and fear of disease progression can predict quality of life, yet the underlying mechanisms among these three factors remain poorly understood.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>This study aimed to investigate the hypothesis that health literacy among patients with ischemic stroke is associated with fear of disease progression and both directly and indirectly influence quality of life through the mediating role of fear of disease progression.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Between December 2023 and June 2024, questionnaires were distributed to 300 in-patients with ischemic stroke selected by convenience sampling from the neurology departments of three tertiary general hospitals in the Xiangxi region of Hunan Province. Assessments were conducted using the General Information Questionnaire, the Medical Outcomes Study Short Form 36 (SF-36), Health Literacy Management Scale (HeLMS) and Fear of Progression Questionnaire-Short Form (FoP-Q-SF). Pearson correlation analysis was employed to examine the correlations between variables; AMOS 24.0 statistical analysis software was used to explore the pathways and effect sizes of fear of disease progression and health literacy on quality of life.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Health literacy was positively correlated with quality of life (<i>r</i> = 0.412, <i>p</i> &lt; 0.01), while fear of disease progression was negatively correlated with quality of life (<i>r</i> = −0.445, <i>p</i> &lt; 0.01). Fear of disease progression partially mediated the relationship between health literacy and quality of life, accounting for 41.3% of the total effect.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Findings support the development of targeted psychosocial intervention strategies aimed at enhancing patients' health literacy to effectively alleviate disease-related fear, ultimately improving quality of life and optimizing care outcomes for stroke patients.</p>\u0000 </section>\u0000 </div>","PeriodicalId":14223,"journal":{"name":"International Journal of Nursing Practice","volume":"32 4","pages":""},"PeriodicalIF":2.5,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148368411","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effects of a Mobile Application for Patients With Type 2 Diabetes Initiating Insulin Therapy: Randomized Controlled Trial","authors":"Nedime Hazal Döner,&nbsp;Öznur Usta Yeşilbalkan,&nbsp;Şevki Çetinkalp","doi":"10.1111/ijn.70165","DOIUrl":"10.1111/ijn.70165","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>The aim of this study was to develop a mobile application for patients with Type 2 diabetes initiating insulin therapy for the first time and to evaluate its effects on insulin knowledge, insulin injection skills, self-management of insulin therapy and attitudes towards insulin use.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>This randomized controlled study included 88 participants assigned by block randomization to intervention (mobile application, <i>n</i> = 44) and control (standard care, <i>n</i> = 44) groups. The intervention group received insulin training via the mobile app, whereas the control group received standard care. Data were collected at baseline (T1), on the 14th day (T2) and on the 28th day (T3) using the Patient Information Form, Insulin Knowledge Form, Insulin Treatment Assessment Scale, Insulin Treatment Self-Management Scale and Insulin Injection Skill Observation Form.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>In the intervention group using the mobile application, a statistically significant increase over time was observed in the levels of insulin-related knowledge, self-management of insulin treatment and insulin injection skills, whereas negative attitudes and perceptions regarding insulin treatment decreased (<i>p</i> &lt; 0.05). No statistically significant change was observed in the control group (<i>p</i> &gt; 0.05).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>The results obtained in the present study indicated that the mobile application developed for patients with Type 2 diabetes using insulin for the first time is effective in disease self-management, fosters positive behavioural changes and serves as a viable educational tool for individuals with Type 2 diabetes. The application can be integrated into routine nursing-led diabetes education programmes to enhance continuity of care and support patients during insulin initiation.</p>\u0000 \u0000 <p><b>Trial Registration:</b> ClinicalTrials.gov identifier: NCT06060743</p>\u0000 </section>\u0000 </div>","PeriodicalId":14223,"journal":{"name":"International Journal of Nursing Practice","volume":"32 4","pages":""},"PeriodicalIF":2.5,"publicationDate":"2026-06-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148351709","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Assessment of Nurses' Health Anxiety and Attitudes Towards Cancer Screenings: A Cross-Sectional and Analytical Study","authors":"Dilek Yıldırım,&nbsp;Zühal Bahar,&nbsp;Zeynep Coşkun,&nbsp;Halime Yılmaz,&nbsp;Işıl Ergün","doi":"10.1111/ijn.70167","DOIUrl":"https://doi.org/10.1111/ijn.70167","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>Nurses' health anxiety and their attitudes towards cancer screenings are interrelated. While high health anxiety shapes risk perception and health behaviours, negative attitudes towards screenings may create barriers to early diagnosis and treatment. This study aimed to examine nurses' health anxiety and attitudes towards cancer screenings.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A descriptive, cross-sectional and correlational study was conducted with 310 nurses working in a university hospital. Data were collected using the Personal Information Form, Health Anxiety Inventory and Attitude Scale Towards Cancer Screenings. Multiple linear regression analysis was used to determine predictors of health anxiety.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The mean score on the Attitude Scale Towards Cancer Screenings was 78.7 ± 13.6, and the Health Anxiety Inventory mean score was 15.8 ± 6.3. Subscale averages were 13.1 ± 5.1 for Excessive Sensitivity to Somatic Symptoms and Anxiety, and 2.6 ± 2.0 for Negative Consequences of Disease. Regression analysis indicated that the duration of employment in the current hospital and attitudes towards cancer screenings significantly predicted health anxiety (<i>F</i> = 8.0, <i>p</i> &lt; 0.001), explaining 15.1% of the variance.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Health anxiety and attitudes towards cancer screenings were significantly associated among nurses. The duration of employment and screening attitudes were identified as predictors of health anxiety.</p>\u0000 </section>\u0000 </div>","PeriodicalId":14223,"journal":{"name":"International Journal of Nursing Practice","volume":"32 4","pages":""},"PeriodicalIF":2.5,"publicationDate":"2026-06-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/ijn.70167","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148324848","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Incidence and Risk Factors of Gastric Retention Associated With Enteral Nutrition: A Systematic Review and Meta-Analysis","authors":"Tiantian Li,&nbsp;Nan Qu,&nbsp;Lifeng Zhang,&nbsp;Xingyu Liu,&nbsp;Liping Cui,&nbsp;Pei Gao","doi":"10.1111/ijn.70164","DOIUrl":"https://doi.org/10.1111/ijn.70164","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Gastric retention is a common complication in enteral nutrition, which may lead to interruption of nutrition, malnutrition, electrolyte imbalance and other problems. Up-to-date knowledge of its incidence and influencing factors is crucial for optimal management strategies of enteral nutrition.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>This study aimed to conduct a systematic review and meta-analysis to quantify the incidence of retention of gastric contents in patients receiving enteral feeding and to identify significant influencing factors.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Design</h3>\u0000 \u0000 <p>This study is a systematic review and meta-analysis.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Data Sources and Review Methods</h3>\u0000 \u0000 <p>Using established methods and searching from database inception to 18 May 2025, we searched CNKI, Wanfang Data, CBM, VIP, PubMed, Web of Science, EMBASE and The Cochrane Library. RevMan 5.4 software was used to perform the meta-analysis.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>A meta-analysis of 14 studies involving 2642 patients receiving enteral nutrition reported a 32.0% incidence of gastric retention. Nineteen factors associated with gastric retention were identified. Notably, descriptive analyses indicated that early initiation of enteral nutrition (OR = 0.37) and concomitant use of probiotics (OR = 0.22) were protective against the development of gastric retention.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Findings support clinicians and nurses in more accurately identifying high-risk patients and formulating targeted intervention strategies based on the identified risk factors.</p>\u0000 </section>\u0000 </div>","PeriodicalId":14223,"journal":{"name":"International Journal of Nursing Practice","volume":"32 4","pages":""},"PeriodicalIF":2.5,"publicationDate":"2026-06-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148306112","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Information and Communication Technology Interventions to Enhance Mental Health Literacy Among Young Adults and Adolescents: A Meta-Analysis","authors":"Jing Ling Tay,&nbsp;Yong Shian Shawn Goh,&nbsp;Yi Fen Tay,&nbsp;Piyanee Klainin-Yobas","doi":"10.1111/ijn.70160","DOIUrl":"https://doi.org/10.1111/ijn.70160","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>The study aimed to evaluate the effectiveness of information and communication technology interventions on mental health literacy among young adults and adolescents.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>The systematic review and meta–analysis methods were guided by the Cochrane guidelines for systematic reviews of interventions and the PRISMA guidelines. Included articles were evaluated with appraisal tools from the Joanna Briggs Institute. The authors searched nine databases to January 2026: PubMed, CINAHL, ERIC, EMBASE, ScienceDirect, Web of Science, Sociological Abstracts, PsycInfo and Scopus for relevant articles.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>A total of 55 articles were included in this review. The interventions were successful in enhancing mental health literacy (<i>p</i> &lt; 0.001), recognition of mental health disorders (<i>p</i> &lt; 0.001), stigma (<i>p</i> &lt; 0.001), help-seeking attitudes/beliefs (<i>p</i> &lt; 0.001) and intentions (<i>p</i> &lt; 0.01). They were useful for improving personal stigma, social distance, self-stigmatisation of seeking help and stigmatising attitudes but not self-stigma, perceived stigma, stigmatisation by others for seeking-help, explicit attitudes and perception of dangerousness.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>The interventions were generally useful for improving mental health literacy. Interactive approaches such as websites, videos, and discussions were generally more effective than campaigns, games, applications, mere information or lectures.</p>\u0000 </section>\u0000 </div>","PeriodicalId":14223,"journal":{"name":"International Journal of Nursing Practice","volume":"32 4","pages":""},"PeriodicalIF":2.5,"publicationDate":"2026-06-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148306110","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A Three-Pillar Framework for Nurse Well-Being: An Integrative Review of Multilevel Strategies","authors":"Rachell Nguyen","doi":"10.1111/ijn.70163","DOIUrl":"10.1111/ijn.70163","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>This study aimed to synthesize evidence on multilevel strategies that promote nurse well-being and resilience to support workforce sustainability.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Design</h3>\u0000 \u0000 <p>Integrative review was guided by Whittemore and Knafl's methodology.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Systematic searches of CINAHL, PubMed, Web of Science and MEDLINE identified 2485 records published between January 2002 and December 2025. After removing duplicates and screening titles and abstracts, 161 articles underwent full-text review. Sources addressing nurse well-being, burnout, resilience and mental health were assessed for eligibility. Study quality was appraised using the Johns Hopkins Evidence-Based Practice tool. Fifty-two primary research studies were retained for the results synthesis.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Analysis revealed evidence organized within a three-pillar framework that integrates mental health promotion, burnout prevention and resilience building across individual, organizational and system levels. Unlike previous reviews focusing on single interventions, this framework shows that sustainable nurse well-being requires simultaneous, coordinated action across all three pillars. Evidence consistently identified adequate staffing, supportive leadership, and psychological safety as foundational enablers, with staffing adequacy showing the strongest associations with burnout reduction.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Nurse well-being requires integrated, multilevel solutions that combine individual skill development with organizational reform and supportive policy environments to ensure workforce sustainability.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Impact</h3>\u0000 \u0000 <p>This study provides actionable, evidence-based strategies for nursing leaders, educators and policymakers to foster healthy work environments that support nurse well-being, retention and quality patient care.</p>\u0000 </section>\u0000 </div>","PeriodicalId":14223,"journal":{"name":"International Journal of Nursing Practice","volume":"32 3","pages":""},"PeriodicalIF":2.5,"publicationDate":"2026-06-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148301796","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Uncovering Hidden Patterns of Stigma Amongst Older Men With Urinary Incontinence: A Latent Profile Analysis","authors":"ShiTing Wang,&nbsp;YuXuan Chen,&nbsp;HaoChong He,&nbsp;JianYou Lu","doi":"10.1111/ijn.70156","DOIUrl":"10.1111/ijn.70156","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Urinary incontinence (UI) stigma significantly impacts older men's mental well-being, yet individual experiences vary. Current research frequently overlooks the heterogeneity of these stigma experiences. Addressing this gap, this study identifies stigma-influencing factors and uncovers distinct subgroups to inform targeted psychological strategies.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A cross-sectional study conducted from November 2023 to February 2024 included a convenience sample of 243 older men with urinary incontinence from two hospitals in Guangdong, China. Data were collected via a demographic questionnaire and the Stigma Scale for Chronic Illness. Latent profile analysis identified distinct stigma subgroups. Furthermore, Pearson correlation and multiple linear regression were utilized to evaluate demographic and clinical differences across subgroups and identify influencing factors.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Education, UI severity and type and water/tea intake significantly influenced stigma (<i>p</i> &lt; 0.05). LPA revealed the following four subgroups: (1) ‘High Self-Stigma &amp; High Perceived Stigma’ (34.4%); (2) ‘Internal-Sensitive &amp; External-Resilient’ (40.2%); (3) ‘Moderate Stigma’ (15.0%); and (4) ‘Low Stigma’ (10.4%). Demographic and clinical characteristics differed significantly across these profiles.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Our findings suggest that older men with UI may exhibit four distinct stigma profiles. Recognizing these patterns could inform customized psychological support, potentially advancing a precision health approach aimed at improving care efficacy and quality of life.</p>\u0000 </section>\u0000 </div>","PeriodicalId":14223,"journal":{"name":"International Journal of Nursing Practice","volume":"32 3","pages":""},"PeriodicalIF":2.5,"publicationDate":"2026-06-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148271384","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Wondaleaf Adhesive Pouch Barrier Method for Umbilical Cord Care Among Term Neonates: A Randomized Controlled Study","authors":"Yu Chye Wah,&nbsp;Chew Heng Hai,&nbsp;Koh Kim Hua,&nbsp;Veni Chandrakasan,&nbsp;Zurina Ariffin,&nbsp;Sharmiza Samsuddin,&nbsp;Lim Hui Ling","doi":"10.1111/ijn.70161","DOIUrl":"10.1111/ijn.70161","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>This study aimed to compare the effect of using the Wondaleaf adhesive pouch (WLAP) barrier method on umbilical cord care to conventional antiseptic cord care.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>The study was a parallel randomized controlled study that involved a total of 234 term neonates, of which 117 were randomly assigned to both the test and control groups. The WLAP barrier method was used in the test group to protect the umbilical stump of the neonates after delivery. The control group received conventional antiseptic cord care. The cord was monitored daily until the stump detached in both groups and in the test group through the transparent pouch without dressing.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The study found no incidence of omphalitis in either the test or control group. There was no statistically significant difference in cord separation time between the groups. However, male neonates in the test group but not the control group demonstrated a statistically significant but marginal delay in cord separation time compared with female neonates.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>The WLAP barrier method of umbilical cord care could successfully replace conventional antiseptic cord care with daily dressings without causing any infection or significant delay in cord separation time. More importantly, it provides a safe, protective and convenient approach to umbilical cord care.</p>\u0000 </section>\u0000 </div>","PeriodicalId":14223,"journal":{"name":"International Journal of Nursing Practice","volume":"32 3","pages":""},"PeriodicalIF":2.0,"publicationDate":"2026-06-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148225156","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}