International Journal of Nursing Studies Advances最新文献

{"title":"Development and pilot testing of an empowerment-based educational app for complementary therapies in diabetes: a Delphi study","authors":"Hsiao-Yun Chang ,&nbsp;Yu-Yao Huang","doi":"10.1016/j.ijnsa.2025.100353","DOIUrl":"10.1016/j.ijnsa.2025.100353","url":null,"abstract":"<div><h3>Background</h3><div>Diabetes management often includes complementary therapies alongside conventional treatment, yet patients may lack the knowledge to integrate both safely. Empowering the use of complementary therapies in diabetes management may enhance patients' understanding of their benefits and risks, support informed decision-making, and improve overall care of diabetes.</div></div><div><h3>Objective</h3><div>To develop and pilot test the Empowerment-based Complementary Therapies for Diabetes Management educational application (app)</div></div><div><h3>Methods</h3><div>A two-round modified Delphi method, conducted from October 2023 to April 2024, involved 23 external experts and six patients with diabetes. The app was designed using the WHO's empowerment framework, emphasizing self-control, cognitive, psychological, and behavioral strategies. Expert consensus was achieved via the content validity index and pilot testing focused on functionality and usability in patients with diabetes.</div></div><div><h3>Results</h3><div>This app demonstrated acceptable face validity, with a score of 0.88, and content validity, with item-level and scale-level content validity indices exceeding 80 percent. The pilot testing confirmed that the app's navigation, secure authentication processes, and reliable data storage systems are not only user-friendly but also feasible. Notably, participants showed a significant 9.02 % increase in their understanding of the benefits and risks of using complementary therapies in diabetes, underscoring the app's educational effectiveness.</div></div><div><h3>Conclusions</h3><div>The app is a capable educational tool for empowering patients with diabetes by providing information on complementary therapies and enhancing their ability to integrate these therapies safely with conventional medicine.</div></div><div><h3>Tweetable abstract</h3><div>The Educational App for Complementary Therapies in Diabetes empowers patients to integrate complementary therapies safely with conventional medicine</div></div>","PeriodicalId":34476,"journal":{"name":"International Journal of Nursing Studies Advances","volume":"8 ","pages":"Article 100353"},"PeriodicalIF":3.1,"publicationDate":"2025-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144124342","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Navigating family-witnessed resuscitation in hospitals: content analysis of free-text survey data","authors":"Annette Waldemar ,&nbsp;Ingela Thylén","doi":"10.1016/j.ijnsa.2025.100347","DOIUrl":"10.1016/j.ijnsa.2025.100347","url":null,"abstract":"&lt;div&gt;&lt;h3&gt;Background&lt;/h3&gt;&lt;div&gt;Although international guidelines advocate family-witnessed resuscitation, its implementation varies considerably across countries. Clinical practice is often shaped by healthcare professionals’ personal beliefs and preferences, rather than standardised practice or evidence-based protocols. While patients and families generally support family presence for its reassurance and emotional closure, healthcare professionals express concerns about its potential to cause trauma. Previous researchers have primarily examined nurses' perspectives, with limited focus on physicians’ experiences. Moreover, most studies have been conducted in emergency and intensive care settings, leaving a gap in understanding collaborative perspectives across diverse clinical settings.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Objective&lt;/h3&gt;&lt;div&gt;To describe nurses’ and physicians’ attitudes and experiences regarding family-witnessed resuscitation during adult cardiac arrest across various hospital departments and levels of care and to suggest key areas for targeted improvements and practical clinical applications.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Design&lt;/h3&gt;&lt;div&gt;A qualitative design was applied to analyse free-text responses from a questionnaire distributed to healthcare professionals participating in an educational intervention.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Setting&lt;/h3&gt;&lt;div&gt;Conducted in six Swedish hospitals, we included healthcare professionals from emergency care, internal medicine, cardiology, infectious diseases, and orthopaedic, thoracic, and abdominal surgery departments.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Participants&lt;/h3&gt;&lt;div&gt;A total of 96 nurses and 48 physicians, with a mean age of 42 years and 15 years of working experience, participated, of which 51 % had prior experience with family-witnessed resuscitation.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Methods&lt;/h3&gt;&lt;div&gt;A summative content analysis was conducted. Texts were repeatedly reviewed, condensed into keywords, coded, and grouped into sub-categories and categories, which were compared for similarities and differences. Keyword frequencies were calculated to summarise attitudes and experiences within each sub-category.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Results&lt;/h3&gt;&lt;div&gt;Three categories and seven sub-categories emerged. &lt;em&gt;Taking a stand or being indecisive&lt;/em&gt; reflected the tension between balancing patient and family wishes and healthcare professionals’ preferences, with indecisiveness more common in cases involving vulnerable family members. &lt;em&gt;Working under pressure&lt;/em&gt; encompassed challenges related to operational constraints during family-witnessed resuscitation, such as limited room capacity, confidentiality risks, insufficient family support, and disruptive family behaviours that could impair focus. &lt;em&gt;Helping or harming the family&lt;/em&gt; captured the dual perception that family presence could facilitate understanding of the resuscitation process and support grieving if the patient did not survive, while also posing a risk of trauma for family members.&lt;/div&gt;&lt;/div&gt;&lt;d","PeriodicalId":34476,"journal":{"name":"International Journal of Nursing Studies Advances","volume":"8 ","pages":"Article 100347"},"PeriodicalIF":3.1,"publicationDate":"2025-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143947524","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Factors influencing self-management and health-related quality of life in low-income patients with diabetes: a predictive model","authors":"Jihyon Pahn ,&nbsp;Youngran Yang ,&nbsp;Sun Hee Kim","doi":"10.1016/j.ijnsa.2025.100349","DOIUrl":"10.1016/j.ijnsa.2025.100349","url":null,"abstract":"<div><h3>Background</h3><div>While previous researchers have explored self-management in populations with diabetes, few have focused on the unique challenges faced by low income patients.</div></div><div><h3>Purpose</h3><div>To address this gap in knowledge, we aimed to develop a predictive model based on the Information-Motivation-Behavioral skills model, identifying key factors influencing self-management and health-related quality of life among low-income patients with diabetes. While previous researchers have explored self-management in populations with diabetes, limited numbers have focused on the unique challenges faced by low-income patients.</div></div><div><h3>Methods</h3><div>Structured questionnaires were used for the survey of adult patients in South Korea. A total of 354 participants were included in the analysis, and Partial Least Squares Structural Equation Modeling was employed to analyze the data. Key predictors included diabetes knowledge, fear of hypoglycemia, family support, and self-efficacy.</div></div><div><h3>Results</h3><div>We found that self-efficacy and self-management had statistically significant direct effects on health-related quality of life, while diabetes knowledge indirectly influenced health-related quality of life through self-efficacy. Despite the hypothesized relationships, no significant effect was observed between any variables and glycated hemoglobin levels, suggesting that socio-economic barriers may impact glycemic control.</div></div><div><h3>Conclusion</h3><div>We have underscored the importance of tailored educational interventions and continuous support systems to improve self-efficacy and diabetes self-management in low-income populations, contributing to enhanced health-related quality of life. Future research should explore interventions targeting these barriers to improve both glycemic control and quality of life in disadvantaged patients with diabetes.</div></div>","PeriodicalId":34476,"journal":{"name":"International Journal of Nursing Studies Advances","volume":"8 ","pages":"Article 100349"},"PeriodicalIF":3.1,"publicationDate":"2025-05-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144084680","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Reshaping life after stroke: a grounded theory","authors":"Dagmar J.J. van Nimwegen ,&nbsp;Sigrid C.J.M. Vervoort ,&nbsp;Johanna M.A. Visser-Meily ,&nbsp;Lisette Schoonhoven ,&nbsp;Janneke M. de Man-van Ginkel","doi":"10.1016/j.ijnsa.2025.100348","DOIUrl":"10.1016/j.ijnsa.2025.100348","url":null,"abstract":"<div><h3>Background</h3><div>Stroke patients often experience different consequences, negatively impacting their psychosocial well-being. Since every patient has their individual process and their individual needs, providing personalised stroke care is difficult. Determining what is needed in stroke care is crucial to optimize well-being after stroke.</div></div><div><h3>Objective</h3><div>To gain understanding of how patients experience the process they go through, which psychosocial needs they experience, and whether the current stroke care matches this process.</div></div><div><h3>Methods</h3><div>A qualitative study according to the methodology of Grounded Theory, by conducting semi-structured interviews with ten stroke patients who were receiving stroke care in a stroke service.</div></div><div><h3>Results</h3><div>Patients after stroke go through a basic social process of reshaping life which was characterized by two perspectives – feeling lost and rediscovering yourself. These perspectives could be refined on several themes: focusing on capabilities; setting goals; experiencing emotions; feeling heard or understood; and finding meaning in life. The following themes influence this process: help and understanding from patients’ network; patients’ needs being met in stroke care; and support and motivation from other patients.</div></div><div><h3>Conclusions</h3><div>Healthcare professionals could use the found process of reshaping life to determine for each patient where they find themselves within this process. They can use this to determine which needs patients experience, and how they can match these needs to support patients in reshaping life to improve patients’ psychosocial well-being after stroke.</div></div><div><h3>Funding and registration</h3><div>This study was supported by the Taskforce for Applied Research SIA (RAAK.PUB04.010) and was registered at the Dutch Trial Register (NL7440).</div></div>","PeriodicalId":34476,"journal":{"name":"International Journal of Nursing Studies Advances","volume":"8 ","pages":"Article 100348"},"PeriodicalIF":3.1,"publicationDate":"2025-05-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144069680","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Self-neglect in older adults: an evolutionary concept analysis","authors":"Man Zhang ,&nbsp;Xiaoling Zhang","doi":"10.1016/j.ijnsa.2025.100350","DOIUrl":"10.1016/j.ijnsa.2025.100350","url":null,"abstract":"<div><h3>Background</h3><div>Self-neglect in older adults is a global public health concern, affecting millions of older adults. It is, therefore, important to define the concept of self-neglect to enable recognition and intervention.</div></div><div><h3>Objective</h3><div>The objective was to analyze the concept of older adults’ self-neglect, providing a reference to help healthcare professionals understand it.</div></div><div><h3>Methods</h3><div>A systematic search of relevant literature on older adults’ self-neglect was conducted in the Chinese National Knowledge Infrastructure, Wanfang database, Chinese Biomedical Literature Database, PubMed, Web of Science and CINAHL database. Rodgers' evolutionary method of concept analysis was used as a framework for the paper.</div></div><div><h3>Results</h3><div>A total of 68 articles were included. Older adults’ self-neglect included four defining characteristics: failure or inability to meet basic needs, risky or unsafe behaviors, diagnostic challenges in recognition, and social isolation or lack of interaction. Antecedents included physical, psychological, socio-environmental, and other related factors. Consequences included effects on the older adults themselves and effects on others and society.</div></div><div><h3>Conclusions</h3><div>A theoretical definition and conceptual model of older adults’ self-neglect was developed. The identified attributes, antecedents, and consequences can be utilized in nursing education, research, and intervention approaches.</div></div>","PeriodicalId":34476,"journal":{"name":"International Journal of Nursing Studies Advances","volume":"8 ","pages":"Article 100350"},"PeriodicalIF":3.1,"publicationDate":"2025-05-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144084748","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Nursing practice in relation to older people’s fundamentals of care in nursing homes: An exploratory design","authors":"O.M. Nordaunet ,&nbsp;E.R. Gjevjon ,&nbsp;H. Aagaard ,&nbsp;C. Olsson ,&nbsp;G. Borglin","doi":"10.1016/j.ijnsa.2025.100346","DOIUrl":"10.1016/j.ijnsa.2025.100346","url":null,"abstract":"&lt;div&gt;&lt;h3&gt;Background&lt;/h3&gt;&lt;div&gt;Nursing practice addressing the physical, psychosocial, and relational needs of older people – the three core dimensions of the fundamentals of care framework along with its overarching dimension, commitment to care – is a complex yet vital aspect of nurses’ scope of practice. However, it is underrepresented in the clinical context of facility-based care, such as nursing homes. Consequently, there is limited understanding of to what extent nurses engage in activities targeting older people’s fundamentals of care needs, the applicability of the framework in practice, and what acts as contextual modulators. Furthermore, contextual modulators of practice require greater attention, especially within increasingly complex healthcare systems, where nursing practice should be studied as a part of a larger system.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Objective&lt;/h3&gt;&lt;div&gt;To explore nursing practice, its contextual modulators, and the clinical decision-making processes, as aligned with the nursing process of nurses targeting older people’s fundamentals of care needs in nursing homes.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Design&lt;/h3&gt;&lt;div&gt;An exploratory study.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Setting&lt;/h3&gt;&lt;div&gt;Four nursing homes across three Norwegian municipalities.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Methods&lt;/h3&gt;&lt;div&gt;Structured direct observations were conducted. Thus, observations was supported by a protocol developed from established theoretical frameworks and concepts identified in the nursing literature as relevant to practice or as modulators of practice. Data analysis incorporated both textual and numerical analyses in a multimethod approach.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Results&lt;/h3&gt;&lt;div&gt;A total of 4351 framework activities were observed during 411 sessions (189 hours). On average, nurses engaged in 10.58 activities per observation, often addressing multiple dimensions of the framework simultaneously. Activities related to the dimension &lt;em&gt;commitment to care&lt;/em&gt; were less frequently observed than those in the other three dimensions. We found that most observations showed nurses initiating care with activities targeting &lt;em&gt;physical needs&lt;/em&gt;, which often expanded to include psychosocial and relational dimensions&lt;em&gt;.&lt;/em&gt; Registered nurses primarily focused on the assessment phase of the nursing process. Nursing practice was found to be influenced by a lack of risk management, an unsupportive working environment, and unclear leadership and management of care.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Conclusion and implications&lt;/h3&gt;&lt;div&gt;This is one of the first studies exploring nursing practice targeting the fundamentals of care framework in this context. We have highlighted the intricate nature of nursing practice, its relationship with clinical decision-making processes, and the functional and performance levels of nursing activities. Contextual modulators were found to negatively influence nursing practice, suggesting the need for improved risk management, a supportive work environment, and clear nursing leader","PeriodicalId":34476,"journal":{"name":"International Journal of Nursing Studies Advances","volume":"8 ","pages":"Article 100346"},"PeriodicalIF":3.1,"publicationDate":"2025-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144099061","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Using Presence Circles to identify strategies to enhance nurse presence at discharge: a focus group study with nursing students","authors":"Marie C. Haverfield ,&nbsp;Sara Nayeem ,&nbsp;Meaghan Sterk ,&nbsp;Stacy Demertzis ,&nbsp;Deborah Szeto ,&nbsp;Robin Whitney","doi":"10.1016/j.ijnsa.2025.100338","DOIUrl":"10.1016/j.ijnsa.2025.100338","url":null,"abstract":"<div><h3>Background</h3><div>Nurse communication of patient needs at discharge is critical to ongoing care, but system-level demands often prohibit comprehensive discharge conversations. Caregivers of discharged patients frequently report feeling underprepared to meet patient needs. Meaningful interpersonal encounters, or <em>presence</em>, are known to enhance clinical interactions amidst system-level demands, which could help improve caregiver preparedness and patient care.</div></div><div><h3>Purpose</h3><div>To explore and synthesize examples of nurse presence during discharge conversations through Presence Circles (structured focus groups) to provide recommendations for enhancing high-quality information at discharge.</div></div><div><h3>Methods</h3><div>In a secondary analysis of data from a larger study based on the Nurse Presence Framework, nursing students (<em>N</em> = 14) from a Northern California school were asked to participate in two Nurse Presence Circles. Audio recordings from 10 Presence Circles were transcribed and analysis was conducted according to the five practices of the Nurse Presence framework: Prepare with Intention, Listen Intently and Completely, Agree on What Matters Most, Connect with the Story, and Evolve System-Level Change.</div></div><div><h3>Results</h3><div>Within each of the five nurse presence practices, strategies and challenges were collapsed into broader themes that served as recommendations for enhancing the exchange of high-quality information at discharge.</div></div><div><h3>Conclusions</h3><div>Presence Circles offered a useful space to share strategies and identify system changes that could advance the exchange of high-quality information at discharge. We have provided a synthesis of recommendations for nurses, particularly those new to discharge conversations or early in their nursing career, demonstrating the need to engage nursing students about discharge conversations and introduce considerations related to health care systems and policy to better support the discharge conversation experience.</div></div>","PeriodicalId":34476,"journal":{"name":"International Journal of Nursing Studies Advances","volume":"8 ","pages":"Article 100338"},"PeriodicalIF":3.1,"publicationDate":"2025-05-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143936711","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Use of clinical care classification terminology in the nursing field: A scoping review","authors":"Xin Xie ,&nbsp;Yifei Li ,&nbsp;Shuyu Han ,&nbsp;Jingxian Hu ,&nbsp;Lili Zhang ,&nbsp;Lina Jia ,&nbsp;Yuan Gao ,&nbsp;Huimin Guo ,&nbsp;Xiaolan Wang ,&nbsp;Jianing Han","doi":"10.1016/j.ijnsa.2025.100340","DOIUrl":"10.1016/j.ijnsa.2025.100340","url":null,"abstract":"<div><h3>Background</h3><div>Clinical Care Classification terminology, a category of standardized nursing terminologies, has a clear hierarchical structure, well-defined processes, and a scientifically grounded coding system. In the era of information technology, reviewing the progress of Clinical Care Classification terminology in the field of nursing is crucial for the future selection and standardization of nursing terminology.</div></div><div><h3>Objective</h3><div>This review aims to examine the application and impact of Clinical Care Classification terminology in the nursing field.</div></div><div><h3>Methods</h3><div>This study was reported by the preferred reporting items for systematic reviews and meta-analyses extension for scoping reviews checklist.</div></div><div><h3>Results</h3><div>We searched six databases and ultimately included 60 studies in our review. We assessed the use of Clinical Care Classification terminology across eight aspects: nursing practice, nursing management, nursing education, nursing research, electronic health records documentation, terminology mapping, cross-cultural translation, and systematic integration.</div></div><div><h3>Conclusions</h3><div>The value of Clinical Care Classification terminology in the nursing field has been demonstrated. However, due to the specialties of different departments, timely updates and additions to the coding are necessary. Meanwhile, it is important to emphasize the significance of nursing students and nurses learning the theory of terminology and its coding. The cross-cultural translation of Clinical Care Classification terminology and its mapping to other terminologies also play a crucial role in the continuity and comparability of nursing care.</div></div><div><h3>Registration</h3><div><span><span>https://doi.org/10.17605/OSF.IO/637SW</span><svg><path></path></svg></span></div></div>","PeriodicalId":34476,"journal":{"name":"International Journal of Nursing Studies Advances","volume":"8 ","pages":"Article 100340"},"PeriodicalIF":3.1,"publicationDate":"2025-05-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144134583","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Rehabilitation needs, preferences, barriers, and facilitators of individuals with sepsis: a qualitative study","authors":"Jenna Smith-Turchyn ,&nbsp;Melina Alborzi ,&nbsp;Julianne Hong ,&nbsp;Jordon L. Hvizd ,&nbsp;Shannon McKenney ,&nbsp;Anastasia N.L. Newman ,&nbsp;Bram Rochwerg ,&nbsp;Michelle E. Kho","doi":"10.1016/j.ijnsa.2025.100339","DOIUrl":"10.1016/j.ijnsa.2025.100339","url":null,"abstract":"<div><h3>Purpose</h3><div>To explore the rehabilitation needs, preferences, barriers, and facilitators of sepsis survivors.</div></div><div><h3>Methods</h3><div>We performed a qualitative descriptive study. We included English-speaking adults over 18 years old with a past diagnosis of sepsis <em>or</em> a caregiver of an individual with a past diagnosis of sepsis. We conducted semi-structured interviews on Zoom, guided by the COM-B Framework and transcribed interviews verbatim. Two reviewers conducted qualitative content analysis.</div></div><div><h3>Results</h3><div>We included 22 participants. Participants identified the need for early and continued rehabilitation, including support for physical and cognitive health. They described barriers related to social isolation, finances, and lack of information on and accessibility to rehabilitation services. Participants reported that they preferred to participate in rehabilitation that included peer support, education for themselves and caregivers, and personalized services. Interview findings underscore the need to increase the accessibility of rehabilitation resources and the knowledge of sepsis survivors and their caregivers on the condition and the benefits of rehabilitation.</div></div><div><h3>Conclusion</h3><div>We identified rehabilitation needs, preferences, barriers, and facilitators necessary to better support sepsis survivors in their recovery process. Future research should focus on tailoring strategies to improve the opportunity for rehabilitation for sepsis survivors and increasing the knowledge of sepsis in survivors and their caregivers to maximize participation in rehabilitation for individuals with sepsis.</div></div>","PeriodicalId":34476,"journal":{"name":"International Journal of Nursing Studies Advances","volume":"8 ","pages":"Article 100339"},"PeriodicalIF":3.1,"publicationDate":"2025-05-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143922289","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The impact of a risk assessment tool on hospital pressure injury prevalence and prevention: a quantitative pre-post evaluation","authors":"Ragnar Seton ,&nbsp;Elisabeth Wetzer ,&nbsp;Lisa Hultin","doi":"10.1016/j.ijnsa.2025.100342","DOIUrl":"10.1016/j.ijnsa.2025.100342","url":null,"abstract":"<div><h3>Background</h3><div>Pressure injuries are preventable adverse events, and their prevalence is established as a quality indicator in healthcare. They are a notable healthcare problem worldwide, as they have a significant impact on the quality of life of affected individuals and are associated with high costs for healthcare systems. The use of an evidence-based risk assessment instrument is, therefore, crucial to enable efficient, effective, and reliable assessments.</div></div><div><h3>Objective</h3><div>The evidence-based pressure injury risk assessment instrument PURPOSE T was widely introduced at a university hospital in 2021, replacing another commonly used assessment tool, the Modified Norton Scale. In this study, we quantified the prevalence of pressure injuries before and after the introduction of PURPOSE T to measure the tool’s impact.</div></div><div><h3>Settings</h3><div>At a university hospital in Sweden with about 900 beds.</div></div><div><h3>Methods</h3><div>We adopted a cross-sectional research design and analysed records from point prevalence measurements carried out between September 2018 and 2023. The number of patients included in each point prevalence measurement varied between 474 and 633. Prevalence of all pressure injuries and prescribed prevention interventions over a 5-year period was calculated, compared, and analysed.</div></div><div><h3>Results</h3><div>We observed notable increases in the use of preventive interventions, particularly pressure-reducing chair cushions (+28.6 %) and position adjustments in chairs (+24.2 %). Additionally, we found an average increase of +23.0 % in the prevalence of category I pressure injuries after the introduction of PURPOSE T while observing a decrease in most severe pressure injury categories:35.5 % in category III and -35.3 % in category IV.</div></div><div><h3>Conclusions</h3><div>We found that the introduction of PURPOSE T contributed to the increased use of preventive interventions. This, in turn, was associated with a decrease or modification in the prevalence of pressure injuries, suggesting a positive impact on pressure injury within this facility.</div></div>","PeriodicalId":34476,"journal":{"name":"International Journal of Nursing Studies Advances","volume":"8 ","pages":"Article 100342"},"PeriodicalIF":3.1,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143903678","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}