International Journal of Nursing Studies Advances最新文献

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Characteristics of emergency nurse practitioner professional identity: A multicenter qualitative study
IF 3.1
International Journal of Nursing Studies Advances Pub Date : 2025-07-16 DOI: 10.1016/j.ijnsa.2025.100384
Aline Chenou , Loïc Brillouet , Stéphane Guillon , Pascal Bilbault , Thierry Pelaccia
{"title":"Characteristics of emergency nurse practitioner professional identity: A multicenter qualitative study","authors":"Aline Chenou ,&nbsp;Loïc Brillouet ,&nbsp;Stéphane Guillon ,&nbsp;Pascal Bilbault ,&nbsp;Thierry Pelaccia","doi":"10.1016/j.ijnsa.2025.100384","DOIUrl":"10.1016/j.ijnsa.2025.100384","url":null,"abstract":"<div><h3>Context</h3><div>The first emergency nurse practitioners have been working in France for two years now. Their arrival may raise questions, but they are seen as a potential solution to the crisis of overcrowding in emergency department. As a new profession in the emergency department, it is crucial to study the characteristics of the professional identity in order to provide the keys to understanding their place and the role they can play within systems of care.</div></div><div><h3>Aims</h3><div>We wanted to explore the perceived characteristics of the emergency nurse practitioners by the physicians, nurses, health care managers, and emergency nurse practitioners themselves</div></div><div><h3>Methods</h3><div>This is a multicenter qualitative study. 21 semi-structured interviews were conducted in 5 distinct hospitals from April to June 2024. Participants included nurses, emergency nurse practitioners, physicians, and healthcare managers. Data were analyzed using thematic coding.</div></div><div><h3>Results</h3><div>Four themes emerged concerning the characteristics of emergency nurses practitioners professional identity: A combination of skills in a variety of fields (1), a pivotal professional, expert in the care pathway, at the interface with other emergency professions (2), a dual identity anchor: nurse and emergency professional, (3) and a position that is still in its nascent stages, plagued by uncertainty and obstacles (4).</div></div><div><h3>Conclusion</h3><div>This study revealed the characteristics of the professional nursing identity. It emerges that professionals see the emergency nurse practitioners as an intermediary player in the care response and as an expert in the care pathway.</div></div>","PeriodicalId":34476,"journal":{"name":"International Journal of Nursing Studies Advances","volume":"9 ","pages":"Article 100384"},"PeriodicalIF":3.1,"publicationDate":"2025-07-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144686113","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}
引用次数: 0
Acceptance and Commitment Therapy-based empowerment intervention for asthma management in parent-child dyads: A pilot randomised controlled trial 接受和承诺治疗为基础的授权干预在哮喘管理的亲子双:一项试点随机对照试验
IF 3.1
International Journal of Nursing Studies Advances Pub Date : 2025-07-07 DOI: 10.1016/j.ijnsa.2025.100381
Xu Wang , Wai Tong Chien , Yuen Yu Chong
{"title":"Acceptance and Commitment Therapy-based empowerment intervention for asthma management in parent-child dyads: A pilot randomised controlled trial","authors":"Xu Wang ,&nbsp;Wai Tong Chien ,&nbsp;Yuen Yu Chong","doi":"10.1016/j.ijnsa.2025.100381","DOIUrl":"10.1016/j.ijnsa.2025.100381","url":null,"abstract":"<div><h3>Background</h3><div>Asthma in school-age children adversely affects their daily lives and increases parental stress that may further compromise asthma management and worsen asthma control. Few interventions address both aspects simultaneously.</div></div><div><h3>Aim</h3><div>To evaluate the feasibility, acceptability, and preliminary efficacy of an Acceptance and Commitment Therapy-based empowerment intervention for asthma management in school-age children with asthma and their parents.</div></div><div><h3>Design</h3><div>A parallel, two-arm pilot randomised controlled trial.</div></div><div><h3>Setting</h3><div>Three paediatric respiratory clinics in Chengdu, China.</div></div><div><h3>Participants</h3><div>Children aged 6 to 12 years with asthma receiving daily controller medications and their parents.</div></div><div><h3>Methods</h3><div>Fifty-six parent-child dyads were randomised to either a 5-week intervention or usual asthma care. The intervention integrated Acceptance and Commitment Therapy, family empowerment strategies, and asthma education and self-management training, delivered weekly through three online parent sessions and two face-to-face parent-child sessions. Feasibility was assessed via recruitment, attrition, and intervention completion rates and acceptability through satisfaction questionnaires and focus group interviews. Preliminary efficacy was evaluated through asthma control and parental stress (primary outcomes); children’s asthma self-management ability; parental symptoms of anxiety and depression; psychological flexibility; asthma knowledge; and family empowerment in asthma management (secondary outcomes), measured at baseline and immediately post-intervention.</div></div><div><h3>Results</h3><div>We achieved 61.5 % recruitment, 71.4 % intervention completion rates, and low attrition (children 3.5 %, parents 10.7 %). High satisfaction (93–100 %) and positive qualitative feedback indicated good acceptability despite challenges, including disruptions from children during online sessions and barriers to attending face-to-face sessions. The intervention group demonstrated statistically-significant improvements in asthma control, parental stress, children's self-management ability, parental asthma knowledge, and family empowerment in asthma management, compared to controls. No statistically-significant between-group differences were observed for other outcomes.</div></div><div><h3>Conclusion</h3><div>We found that the intervention demonstrated feasibility, acceptability, and promising effects on asthma control, parental stress, and secondary outcomes related to asthma management. Future fully-powered trials should implement enhanced strategies to further improve intervention completion rates and optimise online learning environments to improve parental psychological outcomes and should include extended follow-up assessments to establish long-term efficacy.</div></div>","PeriodicalId":34476,"journal":{"name":"International Journal of Nursing Studies Advances","volume":"9 ","pages":"Article 100381"},"PeriodicalIF":3.1,"publicationDate":"2025-07-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144605087","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}
引用次数: 0
Person-centred leadership in residential care for older people from the perspective of registered nurses: A qualitative study 注册护士视角下的长者住宿照顾以人为本的领导:一项质性研究
IF 3.1
International Journal of Nursing Studies Advances Pub Date : 2025-07-07 DOI: 10.1016/j.ijnsa.2025.100377
Marie Jönsson , Anna-Karin Edberg , Malin Sundström , Anneli Orrung Wallin , Annica Backman
{"title":"Person-centred leadership in residential care for older people from the perspective of registered nurses: A qualitative study","authors":"Marie Jönsson ,&nbsp;Anna-Karin Edberg ,&nbsp;Malin Sundström ,&nbsp;Anneli Orrung Wallin ,&nbsp;Annica Backman","doi":"10.1016/j.ijnsa.2025.100377","DOIUrl":"10.1016/j.ijnsa.2025.100377","url":null,"abstract":"<div><h3>Introduction</h3><div>Registered nurses’ leadership involves promoting and implementing the recommended model of care, person-centred care, in residential care facilities. Research on registered nurses’ leadership of person-centred care is, however, limited. The aim was to explore person-centred leadership in residential care for older people from the perspective of registered nurses.</div></div><div><h3>Methods</h3><div>Focus-group and individual interviews were conducted with registered nurses (<em>n</em> = 15) working clinically in residential care facilities in seven municipalities in southern and northern Sweden. All interviews were performed digitally. Data were analysed using qualitative content analysis.</div></div><div><h3>Results</h3><div>Person-centred leadership meant leading through sense-making person-centredness in a complex care environment. This required both skills and abilities in leading person-centred care, while simultaneously managing various challenges in leading person-centred care.</div></div><div><h3>Conclusions</h3><div>This study explores the skills required for person-centred leadership and the challenges of applying these skills. The results advance our knowledge by conceptualising person-centred leadership among registered nurses in residential care facilities by sense-making person-centredness in a fragmented organisation. The results indicate that registered nurses’ person-centred leadership is defined by their beliefs, abilities, and actions and not always by their position of authority.</div></div><div><h3>Implications</h3><div>Person-centred leadership has the potential to improve the person-centred care of older people, which is why the challenges encountered in practice need to be addressed. Knowledge of registered nurses’ experiences of person-centred leadership can be used to improve their skills and abilities in leading person-centred care and to appropriately address the organisational challenges encountered in residential care facilities.</div></div>","PeriodicalId":34476,"journal":{"name":"International Journal of Nursing Studies Advances","volume":"9 ","pages":"Article 100377"},"PeriodicalIF":3.1,"publicationDate":"2025-07-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144654426","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}
引用次数: 0
Reconsidering the use of race, sex, and age in clinical algorithms to address bias in practice: A discussion paper 重新考虑在临床算法中使用种族、性别和年龄来解决实践中的偏见:一篇讨论论文
IF 3.1
International Journal of Nursing Studies Advances Pub Date : 2025-07-06 DOI: 10.1016/j.ijnsa.2025.100380
Reanna Panagides , Jessica Keim-Malpass
{"title":"Reconsidering the use of race, sex, and age in clinical algorithms to address bias in practice: A discussion paper","authors":"Reanna Panagides ,&nbsp;Jessica Keim-Malpass","doi":"10.1016/j.ijnsa.2025.100380","DOIUrl":"10.1016/j.ijnsa.2025.100380","url":null,"abstract":"<div><div>Clinical algorithms are commonly used as decision-support tools, incorporating patient-specific characteristics to predict health outcomes. Risk calculators are clinical algorithms particularly suited for resource allocation based on risk estimation. Although these calculators typically use physiologic data in estimation, they frequently include demographic variables such as race, sex, and age as well. In recent years, the inclusion of race as an input variable has been scrutinized for being reductive, serving as a poor proxy for biological differences, and contributing to the inequitable distribution of services. Little attention has been given to other demographic features, such as sex and age, and their potential to produce similar consequences. By applying a framework for understanding sources of harm throughout the machine learning life cycle and presenting case studies, this paper aims to examine sources of potential harms (i.e. representational and allocative harm) associated with including sex and age in clinical decision-making algorithms, particularly risk calculators. In doing so, this paper demonstrates how systematic discrimination, reductive measurement practices, and observed differences in risk estimation between demographic groups contribute to representational and allocative harm caused by including sex and age in clinical algorithms used for resource distribution. This paper ultimately, urges clinicians to scrutinize the practice of including reductive demographic features (i.e. race, binary-coded sex, and chronological age) as proxies for underlying biological mechanisms in their risk estimations as it violates the bioethical principles of justice and nonmaleficence. Practicing clinicians, including nurses, must have an underlying model literacy to address potential biases introduced in algorithm development, validation, and clinical practice.</div></div>","PeriodicalId":34476,"journal":{"name":"International Journal of Nursing Studies Advances","volume":"9 ","pages":"Article 100380"},"PeriodicalIF":3.1,"publicationDate":"2025-07-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144604529","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}
引用次数: 0
Working time distribution and administrative burden in Austrian community health nursing: A cross-sectional survey 奥地利社区卫生护理的工作时间分布和行政负担:一项横断面调查
IF 3.1
International Journal of Nursing Studies Advances Pub Date : 2025-07-06 DOI: 10.1016/j.ijnsa.2025.100375
Raimund M. Kovacevic , Doris A. Behrens , Walter Hyll
{"title":"Working time distribution and administrative burden in Austrian community health nursing: A cross-sectional survey","authors":"Raimund M. Kovacevic ,&nbsp;Doris A. Behrens ,&nbsp;Walter Hyll","doi":"10.1016/j.ijnsa.2025.100375","DOIUrl":"10.1016/j.ijnsa.2025.100375","url":null,"abstract":"<div><h3>Background</h3><div>Community health nursing was introduced in Austria in 2022. As the 117 pilot projects now transition into centrally managed services, data on nurses’ working time distribution and client contact patterns are essential for workforce and location planning to ensure optimal service delivery.</div></div><div><h3>Objective</h3><div>To analyse the working time distribution and client contact patterns of Austrian community health nurses during the pilot phase (2022–2024).</div></div><div><h3>Design</h3><div>Cross-sectional survey.</div></div><div><h3>Setting(s)</h3><div>An online survey (April to June 2023) among community health nurses captured their working time distribution and client contact patterns.</div></div><div><h3>Participants</h3><div>Out of the N = 220 eligible community health nurses, 121 (55%) nurses answered the questions relevant to working time analysis and 115 (52%) for studying regional disparity of service delivery.</div></div><div><h3>Methods</h3><div>The analysis used descriptive statistics, statistical tests, and regression analysis, employing Excel®, Stata® and R.</div></div><div><h3>Results</h3><div>Our analysis shows that 92% of the community health nurses in Austria work in non-urban areas. On average, they have one client contact every five working hours, lasting around 75 minutes. Seventy per cent of these encounters result in follow-ups, usually within ten days. Across all regions, 28% of the Austrian community health nurses’ working time is dedicated to home visits and in-office consultations, 7% to outreach efforts aimed at attracting new clients, and 6% to travelling. Further, 29% of time is spent on administration and project management, 8% on team meetings, and 20% on networking and public relations. Service delivery varies significantly by region: rural nurses report fewer consultation hours and more time spent on travelling. Regardless of geography, the time spent on organisational tasks increases disproportionately—and more than any other activity—as total working hours increase.</div></div><div><h3>Conclusions</h3><div>Each hour spent with a client requires an hour of administration, with no observable efficiency gains in administrative tasks as working hours increase. These findings highlight the need to explore whether targeted organisational support, such as administrative assistance or digital documentation tools, may improve efficiency. Additionally, current restrictions on client outreach and age eligibility may unnecessarily hinder service effectiveness and accessibility.</div></div><div><h3>Tweetable abstract</h3><div>Study of Austrian community health nurses reveals: for every hour with clients, nurses spend an equal hour on administration. Administrative burden grows disproportionately with longer working hours, with no efficiency gains.</div></div>","PeriodicalId":34476,"journal":{"name":"International Journal of Nursing Studies Advances","volume":"9 ","pages":"Article 100375"},"PeriodicalIF":3.1,"publicationDate":"2025-07-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144605088","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}
引用次数: 0
Sick leave due to musculoskeletal disorders: A prospective cohort study 肌肉骨骼疾病的病假:一项前瞻性队列研究
IF 3.1
International Journal of Nursing Studies Advances Pub Date : 2025-07-06 DOI: 10.1016/j.ijnsa.2025.100376
Rigmor Harang Knutsen , Morten Birkeland Nielsen , Lars Kristian Lunde , Knut Inge Fostervold , Håkon A. Johannessen
{"title":"Sick leave due to musculoskeletal disorders: A prospective cohort study","authors":"Rigmor Harang Knutsen ,&nbsp;Morten Birkeland Nielsen ,&nbsp;Lars Kristian Lunde ,&nbsp;Knut Inge Fostervold ,&nbsp;Håkon A. Johannessen","doi":"10.1016/j.ijnsa.2025.100376","DOIUrl":"10.1016/j.ijnsa.2025.100376","url":null,"abstract":"<div><h3>Background</h3><div>In Norway, home care workers experience particularly high levels of medically-certified sick leave. A substantial percentage of sick leave is due to musculoskeletal disorders, which may be attributed to risk factors at work. Due to limited knowledge of the impact of working conditions on sick leave in this sector, an improved understanding of occupation-specific risk factors is needed.</div></div><div><h3>Objective</h3><div>To examine the impact of psychosocial and mechanical work factors on subsequent sick leave due to musculoskeletal disorders.</div></div><div><h3>Design</h3><div>Prospective cohort study.</div></div><div><h3>Setting</h3><div>A probability sample of 130 Norwegian municipalities and their respective home care services.</div></div><div><h3>Participants</h3><div>1819 home care workers.</div></div><div><h3>Methods</h3><div>Participants were surveyed on work environment factors and followed for 26 months between 2019 and 2021 using registry data on sick leave from the Norwegian Labour and Welfare Administration. Registry data comprised complete registrations of all medically-certified sick leave, including the relevant diagnostic codes of the International Classification of Primary Care system. Incidence risk ratios and 95 % confidence intervals were calculated using negative binomial regression with robust standard deviations. Population attributable risk and population preventable fractions were calculated to estimate the contribution of the significant work factors to sick leave in the sample.</div></div><div><h3>Results</h3><div>The following factors were associated with excessive risk of sick leave due to musculoskeletal disorders: Lifting or supporting the patient between bed and chair or wheelchair, heavy physical exertion without aids or assistance, heavy physical exertion despite aids or assistance, walking/standing, forward bending of the upper body, squatting/kneeling, and experiencing the work as physically demanding. Control over work pacing, fair leadership, empowering leadership, and support from immediate supervisor were associated with reduced risk of sick leave.</div></div><div><h3>Conclusions</h3><div>Preventive efforts to reduce sick leave due to musculoskeletal disorders among home care workers should adopt a multifactorial approach, including both psychosocial and mechanical work factors and the context in which they occur. There may be considerable potential for risk reduction by targeting awkward postures and heavy physical exertions, facilitating control over work pacing, and developing relationship-oriented leadership skills.</div></div><div><h3>Registration</h3><div>Clinical Trials - NCT03855163.</div></div>","PeriodicalId":34476,"journal":{"name":"International Journal of Nursing Studies Advances","volume":"9 ","pages":"Article 100376"},"PeriodicalIF":3.1,"publicationDate":"2025-07-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144604530","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}
引用次数: 0
'Do Fever-Sugar-Swallow Protocols improve nurses' and physicians' satisfaction with the management of fever, hyperglycemia and dysphagia in stroke patients: A pre-and post-implementation survey of the “Quality in Acute Stroke Care” (QASC) Program‘ “发热-糖-吞咽方案是否提高了护士和医生对卒中患者发热、高血糖和吞咽困难管理的满意度:“急性卒中护理质量”(QASC)项目实施前后的调查”
IF 3.1
International Journal of Nursing Studies Advances Pub Date : 2025-06-30 DOI: 10.1016/j.ijnsa.2025.100374
Anne-Kathrin Cassier-Woidasky , Winfried Zinn , Sandy Middleton , Simeon Dale , Waltraud Pfeilschifter
{"title":"'Do Fever-Sugar-Swallow Protocols improve nurses' and physicians' satisfaction with the management of fever, hyperglycemia and dysphagia in stroke patients: A pre-and post-implementation survey of the “Quality in Acute Stroke Care” (QASC) Program‘","authors":"Anne-Kathrin Cassier-Woidasky ,&nbsp;Winfried Zinn ,&nbsp;Sandy Middleton ,&nbsp;Simeon Dale ,&nbsp;Waltraud Pfeilschifter","doi":"10.1016/j.ijnsa.2025.100374","DOIUrl":"10.1016/j.ijnsa.2025.100374","url":null,"abstract":"<div><h3>Background</h3><div>Nurses play a key role for delivery of high-quality patient care in the interprofessional stroke team. Nurses’ autonomy and advanced competencies are essential to a positive work environment, yet, are not well developed in Germany.</div></div><div><h3>Objective</h3><div>To assess whether using the Fever-Sugar-Swallow (FeSS) Protocols in stroke care improves: a) nurses’ satisfaction regarding their ability to autonomously manage fever, hyperglycemia, and dysphagia; and b) physicians’ satisfaction regarding the management of these parameters in German stroke units.</div></div><div><h3>Design</h3><div>A pre-test/post-test survey administered to nursing and medical staff in eight stroke units was conducted prior to and following implementation of the FeSS Protocols.</div></div><div><h3>Methods</h3><div>An online survey, comprising items regarding global job satisfaction, the target parameters and control parameters, was distributed to participating stroke units. T-tests were calculated for significance between pre-post implementation, Cohen’s d was used to measure the effect size.</div></div><div><h3>Results</h3><div>A total of 308 respondents (nurses <em>n</em> = 112 [pre], <em>n</em> = 65 [post]; physicians <em>n</em> = 82 [pre], <em>n</em> = 49 [post]) from 8 stroke units completed the survey (response rates: 49 % nurses; 53 % physicians). There were no significant differences regarding global job satisfaction, but nurses were significantly more likely to report improvements in autonomy regarding fever management (able to act autonomously (<em>p</em> = 0.006) and competently (<em>p</em> &lt; 0.001)); perceived self-efficacy (<em>p</em> &lt; 0.001), regarding blood glucose management (able to act timely (<em>p</em> = 0.002) and competently (<em>p</em> = 0.007); perceived self-efficacy (<em>p</em> &lt; 0.001)), and dysphagia management (able to act autonomously (<em>p</em> = 0.005) and timely (<em>p</em> = 0.007)). In the medical profession, improvements were reported in training activities of new colleagues, not only regarding FeSS parameters fever (<em>p</em> &lt; 0.001) and dysphagia (<em>p</em> &lt; 0.001), but also regarding management of other clinical issues which were not the subject of our intervention (restlessness (<em>p</em> &lt; 0.001), and sleep disorders (<em>p</em> &lt; 0.001)).</div></div><div><h3>Conclusions</h3><div>Despite a tightly-regulated mandatory quality assurance system with well-established therapy guidelines, the implementation of the FeSS Protocols in German stroke units revealed potential for improvement by improving autonomy for nurses as a regular part of nurses’ work clinical practice, as it is common in other countries of the world. This would not only improve the quality of care, but could also contribute to increase attractiveness of work at the stroke unit.</div></div><div><h3>Registration</h3><div>Not registered.</div></div>","PeriodicalId":34476,"journal":{"name":"International Journal of Nursing Studies Advances","volume":"9 ","pages":"Article 100374"},"PeriodicalIF":3.1,"publicationDate":"2025-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144604528","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}
引用次数: 0
Explore the extended impacts on psychological well-being in older adults through application of virtual reality technology: An integrative review 探讨虚拟现实技术应用对老年人心理健康的影响:一项综合综述
IF 3.1
International Journal of Nursing Studies Advances Pub Date : 2025-06-27 DOI: 10.1016/j.ijnsa.2025.100371
Irene Yuen Fung Wong, Leona Yuen Ling Leung
{"title":"Explore the extended impacts on psychological well-being in older adults through application of virtual reality technology: An integrative review","authors":"Irene Yuen Fung Wong,&nbsp;Leona Yuen Ling Leung","doi":"10.1016/j.ijnsa.2025.100371","DOIUrl":"10.1016/j.ijnsa.2025.100371","url":null,"abstract":"<div><h3>Background</h3><div>The application of virtual reality technology is often presented as an emergent method to reduce older adults’ mental problems however the results of evaluations remain inconsistent. There has been little exploration of the extended impacts of virtual reality technology on older adults’ psychological well-being and, in particular, on their underlying psychological demands.</div></div><div><h3>Objectives</h3><div>This study aims to conduct an integrative review of recent literature to explore the extended impacts on the psychological well-being in older adults through application of virtual reality technology.</div></div><div><h3>Design</h3><div>This study adopted Whittemore and Knafl’s integrative review methodology.</div></div><div><h3>Methods</h3><div>Four major databases including Cumulative Index to Nursing and Allied Health Literature (CINAHL) Complete, Medical Literature Analysis and Retrieval System Online (MEDLINE), ProQuest, and Web of Science were searched. The included studies were in full text, peer reviewed, English written, published from January 2020 to October 2024, involved a primary experimental virtual reality-based intervention for older adults aged 60 or above, and reported at least one or more psychological well-being impacts. Among the 13 included literature, 6 were randomized controlled trial studies and 7 were quasi-experimental studies, of which, 8 used quantitative design, 2 used qualitative design and 3 used mixed-methods research design. A total of 952 participants were involved. The research settings included nursing homes/elderly care facilities, university aging centre, medical centre, and designated research site. Critical Appraisal Skills Programme (CASP) Checklists were adapted and employed to appraise the study quality. Ryff’s framework of Psychological Well-Being was used as the underpinning idea.</div></div><div><h3>Results</h3><div>Among the 13 articles, 46% (n=6) were published in 2023 and 2024. The included studies were conducted in diverse geographical locations including the Middle East (n=2, 15.4%), Asia (n=5, 38.5%), Europe (n=4, 30.8%), North America (n=1, 7.7%), and Australia (n=1, 7.7%). The virtual reality interventions included reminiscence activities, recreation gaming, entertainment and relaxation experiences, therapeutic exercise, social virtual platforms and combined therapy intervention. Five extended impacts were identified finally.</div></div><div><h3>Conclusions</h3><div>Through this review, we highlight nurse professionals should take note of the extended impacts and the fulfilment on older adults’ underlying psychological demands through application of virtual reality technology.</div></div>","PeriodicalId":34476,"journal":{"name":"International Journal of Nursing Studies Advances","volume":"9 ","pages":"Article 100371"},"PeriodicalIF":3.1,"publicationDate":"2025-06-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144570856","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}
引用次数: 0
The role of nursing communication: A critical interpretive synthesis 护理沟通的作用:一个关键的解释综合
IF 3.1
International Journal of Nursing Studies Advances Pub Date : 2025-06-27 DOI: 10.1016/j.ijnsa.2025.100373
Julie B. Grant , Jacqueline Jones , Carey Candrian , Kathleen S. Oman , Sean M. Reed
{"title":"The role of nursing communication: A critical interpretive synthesis","authors":"Julie B. Grant ,&nbsp;Jacqueline Jones ,&nbsp;Carey Candrian ,&nbsp;Kathleen S. Oman ,&nbsp;Sean M. Reed","doi":"10.1016/j.ijnsa.2025.100373","DOIUrl":"10.1016/j.ijnsa.2025.100373","url":null,"abstract":"<div><h3>Aim</h3><div>The primary aim of this paper is to explore and interpret the <em>role of nursing communication in patient care</em>. The secondary aim is to identify conceptual inconsistencies in the existing literature and synthesize these insights with our previous interpretations to develop a conceptual framework that clarifies the role of nursing communication, thereby providing a nursing-specific foundation for developing communication skills.</div></div><div><h3>Background</h3><div>The need for <em>effective nursing communication</em> is widely emphasized within the discipline of nursing, and despite the widespread use of that phrase, its role in patient care and the nursing profession remains nebulous. Nursing communication's meaning and value have become more equated with financial indicators than the nurse-patient relationships central to the phenomenon.</div></div><div><h3>Methods</h3><div>A Critical Interpretive Synthesis approach was used to interpret the role of nursing communication in patient care. Electronic searches of <em>PubMed, EBSCOhost, Cochrane Library, PsycINFO, Communication &amp; Mass Media Complete, Web of Science, Embase,</em> and <em>Google Scholar</em> were conducted between January 2024 and March 2024. A CIS seven-phase process guided the literature synthesis and formation of a conceptual framework.</div></div><div><h3>Results</h3><div>Five synthetic constructs clarify the role of nursing communication and contribute to the final conceptual framework: 1) ongoing holistic engagement, 2) humble guide supporting the patient's itinerary, 3) effective information exchange, 4) maintaining nursing individuality within an existing system, and 5) nursing presence.</div></div><div><h3>Conclusion</h3><div>The role of nursing communication emphasizes maintaining a nursing presence that communicates high-quality physical care and ongoing holistic engagement centered around the patient's values, needs, and wishes. This conceptual framework prioritizes the unique nurse-patient communicatory relationship and gives nurse researchers, policymakers, and educators a new way of thinking about and prioritizing the role of nursing communication.</div></div>","PeriodicalId":34476,"journal":{"name":"International Journal of Nursing Studies Advances","volume":"9 ","pages":"Article 100373"},"PeriodicalIF":3.1,"publicationDate":"2025-06-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144571037","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}
引用次数: 0
Assessing current status and exploring influencing factors and mechanisms of mothers’ discharge readiness for premature infants: A cross-sectional analysis using structural equation modeling 早产儿母亲出院准备现状评估及影响因素与机制探讨:基于结构方程模型的横断面分析
IF 3.1
International Journal of Nursing Studies Advances Pub Date : 2025-06-27 DOI: 10.1016/j.ijnsa.2025.100372
Lingping Zhang , Junjie He , Yue Zhou , Jialin Li , Jialin Qiu , Xiaomei Li
{"title":"Assessing current status and exploring influencing factors and mechanisms of mothers’ discharge readiness for premature infants: A cross-sectional analysis using structural equation modeling","authors":"Lingping Zhang ,&nbsp;Junjie He ,&nbsp;Yue Zhou ,&nbsp;Jialin Li ,&nbsp;Jialin Qiu ,&nbsp;Xiaomei Li","doi":"10.1016/j.ijnsa.2025.100372","DOIUrl":"10.1016/j.ijnsa.2025.100372","url":null,"abstract":"<div><h3>Background</h3><div>Prematurity remains a global health challenge, with preterm infants’ immaturity placing significant caregiving demands on mothers.</div></div><div><h3>Objectives</h3><div>This study aimed to assess mothers’ discharge readiness for preterm infants and explore influencing factors using structural equation modeling to inform discharge preparation plans.</div></div><div><h3>Design</h3><div>Cross-sectional study.</div></div><div><h3>Settings</h3><div>Three Level Ⅲ hospitals in western China.</div></div><div><h3>Participants</h3><div>From July, 2023, to February 2024, 258 mothers of preterm infants were included in the study.</div></div><div><h3>Methods</h3><div>The Readiness for Hospital Discharge Scale assessed mothers’ discharge readiness. Relevant factors were evaluated using General Information Questionnaire, Self-Rating Anxiety Scale, and Quality of Discharge Teaching Scale. Data were analyzed using SPSS; hypotheses were tested with AMOS.</div></div><div><h3>Results</h3><div>Mean discharge readiness score was 198.70±29.60. Significant direct effects included gestational age (β=0.31), household income (β=0.13), online learning (β=0.18), bedside learning (β=0.20), anxiety (β=−0.24), and perception of discharge teaching quality (β=0.36). A chain mediation effect was observed among bedside learning, discharge teaching quality, anxiety, and discharge readiness. Gestational age cutoff of 224.5 days (≈32 weeks) was identified for targeting interventions.</div></div><div><h3>Conclusion</h3><div>Mothers’ discharge readiness for preterm infants was inadequate. Discharge teaching emerges as the most significant target intervention. In clinical practice, emphasis should be placed on guiding mothers of preterm infants with gestational ages &lt;32 weeks. This can be achieved by integrating online study with bedside learning to enhance discharge teaching quality, thereby reducing anxiety levels, promoting mothers’ discharge readiness for preterm infants, and facilitating a smooth transition to home care.</div></div>","PeriodicalId":34476,"journal":{"name":"International Journal of Nursing Studies Advances","volume":"9 ","pages":"Article 100372"},"PeriodicalIF":3.1,"publicationDate":"2025-06-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144662952","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}
引用次数: 0
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