International Journal of Nursing Studies Advances最新文献

{"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}

{"title":"Impact of operating room technology on intra-operative nurses' workload and job satisfaction: An observational study","authors":"Anne M. Schouten ,&nbsp;Rick M. Butler ,&nbsp;Carlijn E. Vrins ,&nbsp;Steven M. Flipse ,&nbsp;Frank Willem Jansen ,&nbsp;Anne C. van der Eijk ,&nbsp;John J. van den Dobbelsteen","doi":"10.1016/j.ijnsa.2025.100341","DOIUrl":"10.1016/j.ijnsa.2025.100341","url":null,"abstract":"<div><h3>Background</h3><div>The integration of medical technology in the operating room has revolutionized surgical workflows and team dynamics. However, this progress coincides with a critical global shortage of nurses and a high turnover rate within the existing nursing workforce, impacting patient care quality, nurses' well-being, and hospital finances</div></div><div><h3>Aim</h3><div>This study investigates the impact of technological complexity on the workload and job satisfaction of intra-operative nurses, focusing on open surgery, minimally invasive surgery, and robotic-assisted surgery within the gynecology department of a Dutch academic hospital.</div></div><div><h3>Method</h3><div>The study design follows a mixed-methods approach, combining qualitative and quantitative methods to assess nursing experiences across three surgical modalities. Specifically, we conducted 5 interviews, distributed 28 validated questionnaires, performed automated video analysis on 35 recorded surgeries, and analyzed hospital datasets encompassing 411 cases. Data collection took place in 2022 and 2023.</div></div><div><h3>Results</h3><div>Findings show that intra-operative nurses experience varying levels of workload and job satisfaction depending on the level of technology. Open procedures showed the highest job satisfaction, characterized by continuous engagement and manageable workloads. Minimally invasive surgery procedures, while less physically demanding, were associated with reduced involvement and lower satisfaction. Robotic-assisted procedures presented the most significant challenges, with increased workload, reduced involvement, and heightened stress stemming from surgery preparation, technological complexity, and altered team dynamics.</div></div><div><h3>Conclusions</h3><div>Advancements in medical technology improve outcomes and efficiency but often neglect their impact on intra-operative nurses. Communication issues, equipment challenges, and limited technical training contribute to burnout and turnover. This study underscores the need for supportive operating room environments that prioritize nurses’ well-being. By examining the link between technology, workload, and satisfaction, it offers strategies to retain and empower nursing staff. It also shows how automated video analysis can objectively assess nursing roles, highlighting the importance of balancing technology with human-centered care in the operating room.</div></div><div><h3>Study registration</h3><div>Not registered</div></div>","PeriodicalId":34476,"journal":{"name":"International Journal of Nursing Studies Advances","volume":"8 ","pages":"Article 100341"},"PeriodicalIF":3.1,"publicationDate":"2025-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143902062","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":"Organizational interventions and strategies for COVID-19 pandemic management in acute care setting: A qualitative interview study with nurse leaders in German hospitals","authors":"Maria Zink ,&nbsp;Johannes Wendsche ,&nbsp;Steffi G. Riedel-Heller ,&nbsp;Franziska Jung ,&nbsp;Marlen Melzer","doi":"10.1016/j.ijnsa.2025.100336","DOIUrl":"10.1016/j.ijnsa.2025.100336","url":null,"abstract":"<div><h3>Background</h3><div>The rapid spread of SARS-CoV-2 in 2020 exposed unprepared healthcare systems worldwide. In Germany, acute care hospitals faced significant challenges, particularly in organizing adequate personal protective equipment, managing high mortality rates, and accommodating extended hospitalization of patients with COVID-19.</div></div><div><h3>Objective</h3><div>This study aimed to explore the perspectives of nurse leaders on organizational interventions and strategies implemented in hospitals to address pandemic-associated challenges and derive knowledge for future crises.</div></div><div><h3>Design</h3><div>A qualitative descriptive study was conducted between July 2022 and June 2023, utilizing semi-structured interviews with nurse leaders across different management levels (strategic, middle, and operative management) in hospitals in Saxony, Germany.</div></div><div><h3>Setting</h3><div>This study was conducted in hospitals across Saxony, Germany.</div></div><div><h3>Participants</h3><div>The study included 30 nurse leaders from nine different hospitals, representing a diverse sample in terms of hospital characteristics (ownership, hospital size, regional distribution, and level of care) and participant demographics.</div></div><div><h3>Methods</h3><div>Data were collected through semi-structured interviews, transcribed, and analyzed using qualitative content analysis in MAXQDA.</div></div><div><h3>Results</h3><div>Eight strategies were identified (four core and four secondary) with various corresponding interventions that hospitals used to manage the pandemic, including infection control, adaptation of hospital capacities, human resource management, direct patient care delivery, management of the provision of non-COVID-19 care, transparent organization of the flow of information and decision-making, cooperation and teamwork, and evaluation and flexible adaptation. This study highlights the importance of flexibility, creativity, internal and external support, leadership, crisis communication, participatory decision-making, evaluation, and error management in crisis management.</div></div><div><h3>Conclusion</h3><div>This study provides a comprehensive documentation of hospital pandemic management from the perspective of nurse leaders, offering a basis for future research and practice. Effective hospital pandemic management requires a flexible, context-specific approach supported by strong leadership, internal and external support, and participatory processes. These findings emphasize the need for ongoing evaluation during crises and for a culture that encourages reflection and learning from crises to improve future responses.</div></div>","PeriodicalId":34476,"journal":{"name":"International Journal of Nursing Studies Advances","volume":"8 ","pages":"Article 100336"},"PeriodicalIF":3.1,"publicationDate":"2025-04-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143898412","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":"Enhancing nurses’ communication about psychosocial needs and changes in intimacy and sexuality in patients with advanced cancer: a mixed-method study","authors":"Susanne A.M. Arends ,&nbsp;Corien M. Eeltink ,&nbsp;Floortje K. Ploos van Amstel ,&nbsp;Astrid W. Oosten ,&nbsp;Donna C. Ruijter ,&nbsp;Nelleke van der Loo ,&nbsp;Barbara Harterink-Poker ,&nbsp;Anneke L. Francke ,&nbsp;Irene P. Jongerden","doi":"10.1016/j.ijnsa.2025.100335","DOIUrl":"10.1016/j.ijnsa.2025.100335","url":null,"abstract":"<div><h3>Introduction</h3><div>Patients with advanced cancer often experience psychosocial needs due to the diagnosis or treatment. Despite the importance of these needs, nurses often feel reluctant to address them, especially with regard to changes in intimacy and sexuality.</div></div><div><h3>Aim</h3><div>To evaluate whether hospital nurses’ competences and practices regarding communication about psychosocial needs, including changes in intimacy and sexuality, with patients with advanced cancer, improved after training.</div></div><div><h3>Methods</h3><div>Between 2022 and 2023, we conducted a mixed methods study in six hospitals in The Netherlands. Data were collected three months before and three months after the training course. Perceived competences and documentation regarding communication about psychosocial needs were determined using a survey questionnaire, patient record screening, and semi-structured interviews with nurses.</div></div><div><h3>Results</h3><div>In total 53 hospital nurses participated in the training. Of these participants, 50 nurses completed the survey before the training and 33 after the training. More nurses reported feeling competent in addressing psychosocial needs three months after the training as compared to before (78.8 % and 46.0 %, respectively; <em>p</em> &lt; 0.01), as well as in addressing intimacy (90.9 % and 64.0 %, respectively, <em>p</em> &lt; 0.02) and sexuality (84.8 % and 50.0 %, respectively, <em>p</em> &lt; 0.01). In addition, 83 electronic patient records were screened before the training and 102 after the training. This revealed that only limited notes were made regarding psychosocial needs, and especially regarding changes in intimacy or sexuality. In interviews, nurses mentioned that they felt reluctant to make notes about sensitive topics. Furthermore, they added that they still perceived a lack of time to discuss psychosocial needs, and felt discomfort in addressing intimacy and sexuality.</div></div><div><h3>Conclusion</h3><div>After the programme, more nurses felt competent in discussing psychosocial needs in patients with advanced cancer, especially with regard to changes in intimacy and sexual functioning. The training had little effect on nurses’ notes about psychosocial needs in patient records; the focus remained on physical aspects. Even when they discussed changes in intimacy or sexuality, nurses felt reluctant to document discussions about such sensitive topics.</div></div>","PeriodicalId":34476,"journal":{"name":"International Journal of Nursing Studies Advances","volume":"8 ","pages":"Article 100335"},"PeriodicalIF":3.1,"publicationDate":"2025-04-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143890670","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":"Changing practices due to a shortage of nurses: A qualitative exploratory study","authors":"Mia Ingerslev Loft ,&nbsp;Stina Marlo Posborg ,&nbsp;Lone Lundbak Mathiesen ,&nbsp;Sidsel Goor Pedersen ,&nbsp;Maria Brudsø ,&nbsp;Rie Forsberg ,&nbsp;Thomas Sellberg Nielsen ,&nbsp;Christian Gybel Jensen","doi":"10.1016/j.ijnsa.2025.100334","DOIUrl":"10.1016/j.ijnsa.2025.100334","url":null,"abstract":"&lt;div&gt;&lt;h3&gt;Background&lt;/h3&gt;&lt;div&gt;Nurses have a vital role in the care and treatment of patients. According to the World Health Organization, there is a shortage of nurses. Low nurse recruitment has led to new forms of task shifting, where other professionals are hired to take over specific tasks traditionally performed by nurses, their purpose being to relieve nurses to deal with other essential tasks.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Objective&lt;/h3&gt;&lt;div&gt;The aim of this study was to explore the experiences and attitudes of nurses towards other professionals taking over traditional nursing tasks.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Design&lt;/h3&gt;&lt;div&gt;This study utilised a qualitative explorative research design with a hermeneutic approach. We conducted semi-structured interviews.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Setting&lt;/h3&gt;&lt;div&gt;Nurses were recruited from a hospital over two locations in the Capital Region of Denmark. The nurses were from six different neurological units, representing acute neurological inpatient settings, inpatient rehabilitation, and an outpatient setting.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Participants&lt;/h3&gt;&lt;div&gt;The study included 27 participants; clinical nurses, nurse specialists and nurse managers.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Methods&lt;/h3&gt;&lt;div&gt;Our study was based on a hermeneutic approach. We used an interview guide that drew on the existing literature, background knowledge and known gaps to explore. All interviews were audio-recorded and transcribed. The text was analysed using qualitative content analysis.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Results&lt;/h3&gt;&lt;div&gt;The analysis provided insights into how nurses experience the trend of other professionals taking over traditional nursing tasks. This was described through 5 different categories and one overall theme; Becoming a nurse, To help and care for someone in need - what nursing is about, A necessity caused by the nurse shortage, Changes in workflows and tasks – support and uncertainty, Organising and implementing changes, Home of the nurses – a complex whole.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Conclusions&lt;/h3&gt;&lt;div&gt;The nurses’ experiences and attitudes towards other professionals as they took over traditional nursing tasks were complex and multifaceted. The changes happening in the nursing practice, were seen by nurses as a forced but accepted helpful necessity to relieve them in their everyday work and contribute with specialised knowledge, to the field of nursing. Still, the effects of changes were limited by the complexity of tasks, workflows and structures within the practice, and by present ideals of what professional nursing is and should strive to be. Nurses are essential to include when deciding which professions to include, and how it can be done effectively, but it is just as important to include perspectives of new potential professionals both in research and when making decisions for the future.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Tweetable abstract&lt;/h3&gt;&lt;div&gt;Changing practices caused by the nursing shortage – Exploring new forms of task shifting from the perspective of nurses.&lt;/div&gt;&lt;","PeriodicalId":34476,"journal":{"name":"International Journal of Nursing Studies Advances","volume":"8 ","pages":"Article 100334"},"PeriodicalIF":3.1,"publicationDate":"2025-04-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143903680","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":"Assessments of unmet communication needs and quality of staff-family communication at geriatric facilities: Instruments development and psychometric testing","authors":"Rinat Cohen ,&nbsp;Gal Maydan ,&nbsp;Shai Brill ,&nbsp;Jiska Cohen-Mansfield","doi":"10.1016/j.ijnsa.2025.100333","DOIUrl":"10.1016/j.ijnsa.2025.100333","url":null,"abstract":"<div><h3>Background</h3><div>Despite an acknowledged need to improve communication between staff and family caregivers of non-communicative care recipients (i.e., care recipients who are unable to engage in discussions with the medical staff about their treatment and care at geriatric facilities), no tools exist to measure the quality of this communication nor the extent to which family caregivers’ communication needs are met.</div></div><div><h3>Objective</h3><div>To develop and test two assessment tools to evaluate the extent to which family caregivers' communication needs are met according to family caregivers and for evaluating the quality of communication with the staff member most often consulted.</div></div><div><h3>Design</h3><div>Instrument development, including reliability, validity, and construct testing.</div></div><div><h3>Settings</h3><div>Five geriatric facilities (two geriatric medical centers and three nursing homes) in Israel.</div></div><div><h3>Participants</h3><div>128 family caregivers of non-communicative care recipients at geriatric facilities.</div></div><div><h3>Methods</h3><div>Based on our previous findings, we developed the Family Caregiver’s Communication Needs Questionnaire, which assesses the extent to which family caregivers' communication needs are met according to them, and the Staff-Family Quality of Communication Questionnaire, which evaluates the quality of communication with the staff member most often consulted. We conducted personal interviews with the participants to explore both tools’ items and reliability and examined the reliability and convergent validity of the Family Caregiver’s Communication Needs Questionnaire in a different sub-sample. The Family Caregiver’s Communication Needs Questionnaire’s construct was tested using a factor analysis.</div></div><div><h3>Results</h3><div>Both tools’ internal consistency reliabilities were high (Family Caregiver’s Communication Needs Questionnaire, Cronbach’s α = 0.92, 23 items; Staff-Family Quality of Communication Questionnaire, α = 0.86, 8 items). Exploratory factor analysis for the Family Caregiver’s Communication Needs Questionnaire reinforced the four factors that emerged in a prior study (staff's availability and attitude, relating to family caregivers' caregiving experience, clarity and reliability of information, and language barriers), accounting together for 63.3 % of the variance. Both tools demonstrated good convergent validity.</div></div><div><h3>Conclusions</h3><div>The Family Caregiver’s Communication Needs Questionnaire and Staff-Family Quality of Communication Questionnaire are valid and reliable tools for assessing the quality of staff-family communication, assisting in identifying communication strengths and weaknesses, suggesting potential interventions for improved communication, and providing outcome measures for such interventions.</div></div>","PeriodicalId":34476,"journal":{"name":"International Journal of Nursing Studies Advances","volume":"8 ","pages":"Article 100333"},"PeriodicalIF":3.1,"publicationDate":"2025-04-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143903679","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":"Development and validation of competencies for home-based nursing care: an e-Delphi study","authors":"Khairul Dzakirin Bin Rusli ,&nbsp;Ying Lau ,&nbsp;Siew Tiang Lau ,&nbsp;Laura Schmidt Tham ,&nbsp;Michelle Mong Nee Kee ,&nbsp;Qi Wen Ng ,&nbsp;Shu Fen Ong ,&nbsp;Strickland Karen ,&nbsp;Sok Ying Liaw","doi":"10.1016/j.ijnsa.2025.100330","DOIUrl":"10.1016/j.ijnsa.2025.100330","url":null,"abstract":"<div><h3>Background</h3><div>The expected competencies of nurses in home-based care remain unclear. A list of professional competencies that are agreed upon by a panel of content expert are needed to offer some form of standardized expectations among nurses and home-based care stakeholders.</div></div><div><h3>Objectives</h3><div>To evaluate the content validity of the professional competencies identified for home-based nursing care.</div></div><div><h3>Design</h3><div>An e-Delphi method was used.</div></div><div><h3>Settings</h3><div>A purposive sampling of local and international experts in home-based nursing care or community nursing.</div></div><div><h3>Methods</h3><div>Preliminary competency items were developed inductively from earlier studies and deductively by a steering committee. Sixteen experts performed two rounds of content validation. The Item-Content Validity Index, Scale-Content Validity Index/Average (S-CVI/Ave) and Fleiss’ kappa coefficient were evaluated.</div></div><div><h3>Results</h3><div>In Round One, the list was revised to 49 items. In Round Two, the list was revised to 45 items, categorized into eight domains of practice: (1) client assessment and care planning; (2) nursing care in a home-based setting; (3) management of clients with health conditions, (4) interpersonal relationships and communications; (5) collaboration and teamwork; (6) critical thinking and problem-solving skills; (7) professional development and leadership; and (8) innovation and research. The S-CVI/Ave was 0.95. The overall acceptable clarity was 94.1 %.</div></div><div><h3>Conclusions</h3><div>This study generated a list of competencies that have reached consensus among a panel of experts. The list offers insights into the expected competencies of home-based care nurses. Further validity and reliability testing is needed to determine the underlying structure of the competencies.</div></div>","PeriodicalId":34476,"journal":{"name":"International Journal of Nursing Studies Advances","volume":"8 ","pages":"Article 100330"},"PeriodicalIF":3.1,"publicationDate":"2025-04-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143850038","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":"Nurses’ and midwives’ knowledge and safe-handling practices related to hazardous drugs: A cross-sectional study","authors":"Pheona van Huizen ,&nbsp;Paul Wembridge ,&nbsp;Philip L. Russo ,&nbsp;Elizabeth Manias ,&nbsp;Clifford J. Connell","doi":"10.1016/j.ijnsa.2025.100331","DOIUrl":"10.1016/j.ijnsa.2025.100331","url":null,"abstract":"<div><h3>Background</h3><div>Hazardous drugs are inherently toxic and can present an occupational exposure risk to healthcare professionals. Hazardous drugs are regularly prescribed for people to treat a variety of medical conditions.</div></div><div><h3>Aim</h3><div>To explore nurses’ and midwives’ knowledge and practices related to the safe handling of hazardous drugs. Also, to discover if controls of risk are available to support nurses and midwives to implement best practices when handling hazardous drugs in health care settings and if there are any obstacles to using these controls.</div></div><div><h3>Method</h3><div>This was a cross-sectional study using a convenience sample of nurses and midwives at six Australian hospitals from a metropolitan health care service. In the self-administered, validated online questionnaire, participants were asked to identify hazardous drugs and their use of hazard controls, including personal protective equipment. Variables for self-efficacy, perceived barriers, perceived risk, interpersonal influences, and workplace safety climate were also measured.</div></div><div><h3>Results</h3><div>A total of 217 nurses and midwives reported they handled hazardous drugs. The questionnaire was completed in full by 156 participants (71.9 %). Participants predominantly identified as women (196/217, 90.3 %) and had completed a bachelor's of nursing (139/217, 64.1 %). The hazardous drugs chloramphenicol, colchicine, and dutasteride were frequently not identified as hazardous (80.6 %, 73.8 %, and 68.2 %, respectively). A total of 78 (35.9 %) participants reported having received hazardous drug handling training, of which 34 (43.6 %) stated it was in the past 12 months. Participants (181/203, 89.2 %) agreed or strongly agreed that they were confident that they could use personal protective equipment correctly and were provided with the best available personal protective equipment (163/203, 80.3 %). Despite this, personal protective equipment was never worn by approximately a third of participants who reported being involved in preparing, administering, and disposing of hazardous drugs (32.2 %, 29.8 %, and 30.9 %, respectively).</div></div><div><h3>Conclusion</h3><div>Nurses and midwives did not always recognise hazardous drugs, and, although they were confident in using appropriate personal protective equipment, some reported never wearing it. A multi-faceted multidisciplinary intervention is needed to improve both knowledge and practice for handling both cytotoxic and non-cytotoxic drugs by nurses and midwives.</div></div>","PeriodicalId":34476,"journal":{"name":"International Journal of Nursing Studies Advances","volume":"8 ","pages":"Article 100331"},"PeriodicalIF":3.1,"publicationDate":"2025-04-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143877060","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":"Development and application of patient-reported experience measures for cancer patients: a scoping review","authors":"Qiongjie Shao ,&nbsp;Wei Zhang ,&nbsp;Hongjuan Lang ,&nbsp;Yan Wang ,&nbsp;Han Tang ,&nbsp;Juan Du ,&nbsp;Ying Liang ,&nbsp;Pengyu Jing ,&nbsp;Zhongping Gu ,&nbsp;Xiaolong Yan ,&nbsp;Lei Shang","doi":"10.1016/j.ijnsa.2025.100327","DOIUrl":"10.1016/j.ijnsa.2025.100327","url":null,"abstract":"<div><h3>Objective</h3><div>This study examines the currently available Patient-Reported Experience Measures for cancer patients and provides a scoping overview of their definitions, evaluation frameworks, assessment tools, and current applications. The findings aim to inform and guide the development of a patient-centered care model.</div></div><div><h3>Methods</h3><div>Using a combination of subject terms and free-text keywords, studies published by national and international initiatives were reviewed across three online databases (PubMed, Web of Science, and MEDLINE) following the PRISMA guidelines.</div></div><div><h3>Results</h3><div>A total of 2216 papers were reviewed, of which 24 were included in the scoping review. From these, 11 Patient-Reported Experience Measures were identified, each from 10 different national projects. Definitions of Patient-Reported Experience Measures were established, and the current status of Patient-Reported Experience Measures evaluation systems for cancer patients, along with their application across four domains, was analyzed.</div></div><div><h3>Conclusion</h3><div>Currently, research on Patient-Reported Experience Measures in cancer patients remains in its early stages, and the effectiveness of several assessment tools has yet to be fully validated. Future studies should focus on developing high-quality, cancer-specific Patient-Reported Experience Measures assessment tools. These tools should be rigorously evaluated and tailored to the unique characteristics of cancer patients' healthcare experiences, with the aim of supporting and enhancing patient-centered care practices.</div></div>","PeriodicalId":34476,"journal":{"name":"International Journal of Nursing Studies Advances","volume":"8 ","pages":"Article 100327"},"PeriodicalIF":3.1,"publicationDate":"2025-04-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143850152","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":"Analysis of Risk Factors and Prediction Model Construction for Poor Healing of Perineal Wounds after Vaginal Delivery: A Retrospective Case-Control Study","authors":"Chunyu Cai ,&nbsp;Shanshan Shan ,&nbsp;Xiaoyan Chen ,&nbsp;Xiao Yao ,&nbsp;Ying Liu ,&nbsp;Hui Jiang","doi":"10.1016/j.ijnsa.2025.100326","DOIUrl":"10.1016/j.ijnsa.2025.100326","url":null,"abstract":"<div><h3>Background</h3><div>Perineal wounds after vaginal delivery are very common, but the existing evidence for poor healing of perineal wounds is limited. Although some studies have analyzed the risk factors for poor perineal wound healing, there are currently no simple and practical predictive tools available for clinical use.</div></div><div><h3>Objective</h3><div>To retrospectively analyze the independent risk factors for poor perineal wound healing after vaginal delivery and to establish a risk prediction model for poor perineal wound healing.</div></div><div><h3>Design</h3><div>A Retrospective Case-Control Study.</div></div><div><h3>Data Source</h3><div>A total of 167 cases of poor perineal wound healing after vaginal delivery who visited the emergency department from May 2021 to September 2023 in our hospital were selected as the poor perineal wound healing group. The control group was randomly selected by the random number table method at a ratio of 1:2 from those with normal perineal wound healing during the same period.</div></div><div><h3>Methods</h3><div>Clinical indicators of the two groups were analyzed, and the risk factors for poor perineal wound healing were analyzed using univariate and multivariate Logistic regression analysis, and a risk prediction model was constructed. A nomogram was drawn, and the model was evaluated by discrimination and calibration.</div></div><div><h3>Results</h3><div>This study ultimately included four independent risk factors to construct the risk prediction model, including primiparity, perineal laceration, perineal laceration combined with laceration, and vaginal hematoma. The model formula was Z = 2.256 + 2.7 × (episiotomy with laceration) + 1.5 × (episiotomy) + 1.321 × (vaginal hematoma) + 0.904 × (primiparity). The area under the ROC curve of the constructed model was 0.757 (95% CI: 0.712-0.803), and the optimal cutoff value was 0.194, at which the model sensitivity was 0.952 and specificity was 0.759.</div></div><div><h3>Conclusions</h3><div>The risk prediction model for poor perineal wound healing after vaginal delivery can reasonably predict the risk of poor incision healing, providing a basis for obstetric medical staff to take preventive management measures for high-risk groups before the discharge of parturient women, thereby reducing the occurrence of poor perineal wound healing.</div></div>","PeriodicalId":34476,"journal":{"name":"International Journal of Nursing Studies Advances","volume":"8 ","pages":"Article 100326"},"PeriodicalIF":3.1,"publicationDate":"2025-04-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143820917","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}